Phev tshuaj - ib qho ua kom muaj ntxiv lawm tshob

Nyob rau hauv 20% ntawm cov neeg ua kom muaj ntxiv lawm tshob - yog tiv thaiv kab mob yam tseem ceeb, xws li cov phev tshuaj yog cov thawj coj. Lawv yog tsim nyob rau txiv neej thiab cov poj niam nyob rau hauv lub tsev me nyuam hauv nruab nrog cev.

Antisperm lub cev qhia tiv thaiv txawv feem ntawm cov phev. Lawv yuav tsum tau tsau nyob rau hauv lawv daim nyias nyias mus qeeb tsheb thiab txawm ua rau kom tiav immobilization nyob rau hauv cov poj niam thiab nyob rau hauv cov txiv neej deev ib ntsuj av.

Tsis tas li ntawd antisperm antibody muaj peev xwm ntawm thaiv cov hlab txoj allergic ntawm cov phev rau hauv lub tsev me nyuam kwj dej, txhob cuam tshuam txog kev sis raug zoo gametes adversely cuam tshuam fertilization thiab implantation ntawm lub qe, cuam tshuam nrog txoj kev loj hlob ntawm lub embryo.

Tus txiv neej lub cev yog tsim phev tom qab tiav nkauj tiav nraug, txawm li cas los yog tsis lees paub los ntawm lub cev raws li "muaj". Txawm li cas los, muaj ntau ntau physiological mechanisms uas tiv thaiv kab los ntawm nws tuaj.

Qhov no teeb meem no yog hu ua gematotestikulyarnym. Nws tiv thaiv lub cev hlwb nyob rau hauv lub cords (noob). Txawm li cas los, ib co phev hlwb tseem nkag rau hauv cov hlab ntsha thiab ua rau ib tug cov tshuaj tiv thaiv tiv thaiv nws tus kheej. Txawm li cas los, nyob rau hauv lub cev muaj ib qho immunological tiv thaiv mechanisms.

Ntshav-noob qis barrier yog cuam tshuam vim rau kev phais, kis kab mob, tag nrho cov hom ntawm kev raug mob. Qhov no ua rau cov tej yam kev mob rau infiltration ntawm lub cev hlwb nyob rau hauv lub qhov chaw mos huam, thiab cov phev yog muaj rau lawv. Yog li, qhov yooj yim nkag tau rau cov tsos ntawm cov txiv neej cov tshuaj:

• kev phais thiab kev poob plig nyob rau hauv qhov chaw mos;
• varicocele;
• kriptohizm;
• cancer thiab kis kab mob;
• txhaws ntawm lub vas txoj kev.

Nyob rau hauv cov poj niam, lawv pib tsim rau cov nram qab no yog vim li cas:

• siab cov ntsiab lus ntawm cov ntshav dawb thiab ntshav liab nyob rau hauv cov phev;
• ingress ntawm cov phev nrog antisperm tshuaj nyob rau hauv qhov chaw mos los;
• teeb meem nrog cov kev ntseeg ntawm cov qog ua kua week;
• nkag mus rau lub ejaculate rau hauv lub mob huam (qhov ncauj thiab qhov quav nrog txiv neej pw);
• kev intrauterine insemination, raws li ib tug tshwm sim ntawm uas cov phev tau mus rau hauv lub plab kab noj hniav;
• IVF raug mob;
• coagulation yaig.

Thiaj paub hais tias nyob rau hauv cov txiv neej tus kab tshuaj feem ntau nyob rau hauv cov phev thiab ntshav tsom xam yog ib tug complementary txoj kev. Nyob rau hauv cov poj niam, lawv muaj yog soj ntsuam, thiab cov tsev me nyuam hnoos qeev, thiab ntshav.

Txoj kev rau kev txiav txim ntawm antibody:

• poskoitalny xeem;
• Ti-xeem;
• Immunobead-xeem;
• latex agglutination xeem;
• enzyme immunoassay txoj kev.

Indications rau kev tshawb fawb rau lawv:

• cov neeg pluag kev ua tau zoo ntawm cov phev (agglutination, aggregation, tsis tshua muaj kom thiab nqi ntawm cov phev);
• lub xub ntiag ntawm muaj tej yam;
• qhia ntxiv lawm tshob;
• hloov nyob rau hauv cov qauv Kurtsroka-Miller thiab Shuvarskogo-Sims-Hyunera.

Thaum nrhiav kom tau ntawm cov phev tshuaj kho mob yog tsim nyog yog hais tias muaj teeb meem nrog conception. Vim tsis muaj lwm yam teeb meem, lawv tsis xa.

Yog hais tias mob ntxiv lawm tshob thiab tag nrho cov lwm yam yog cais, koj yuav tsum xub nqa tawm conservative kev kho mob. Nws yuav muaj xws li cov phev ntxuav, hormonal txoj kev kho, kev tswj cov ntawm tshuaj uas txo lub viscosity ntawm lub hnoos qeev nyob rau hauv lub ncauj tsev menyuam thiab aptispermalnyh suppress zus tau tej cov tshuaj.

Yog hais tias ntxiv lawm tshob yog vim lub xub ntiag ntawm ib tug poj niam, nws yog pom zoo kom siv ib lub hnab yas looj rau rau lub hlis, thiab tej zaum nws yog abandoned xwb nyob rau hauv lub sij hawm ntawm ovulation. Qhov no yog vim lub fact tias lub me cov phev nkag mus rau hauv lub cev, cov uas tsis tshua muaj kev koom ua tshuaj.

Yog hais tias conservative kev kho mob tsis ua hauj lwm, ces siv dag insemination, ces IVF. Txawm li cas los, cov kev yog tsis zoo yog tias antisperm tshuaj qhia tiv thaiv kab lub taub hau. Ces nws yog tsim nyog los siv ICSI.

Niaj hnub no, immunological kev tshawb fawb yog heev nrov. Ib tug ntawm lawv yog cov xeem rau antinuclear tshuaj. Lawv yog ib tug marker ntawm cov kab mob autoimmune.

Yog li, phev tshuaj yuav ua rau immunological ntxiv lawm tshob nyob rau hauv ob qho tib si cov txiv neej thiab cov poj niam. Cov kev kho mob yog tsuas yog yuav tsum tau nyob rau hauv cov ntaub ntawv no. Ua ntej, siv conservative txoj kev, ces pauv mus rau dag insemination, IVF, ICSI.