Qhov tseeb txog kev xeeb tub tom qab 40


Qhov tseeb txog kev xeeb tub tom qab 40

Flick los ntawm cov nplooj ntawv ntawm cov ntawv xov xwm tshiab tshaj plaws uas ci ntsa iab thiab koj tuaj yeem pom tsawg kawg ib tus poj niam poj niam nto moo uas tau pib tsev neeg muaj hnub nyoog 40 ntxiv. Tus hu nkauj Gwen Stefani thiab tus poj niam hu ua Susan Sarandon muaj menyuam nyob hauv lawv qhov nruab nrab, pop icon Janet Jackson muaj nws thawj tus menyuam ntawm 50, thiab Dame Julia Peyton-Jones tshaj tawm xyoo tas los hais tias nws tau los ua leej niam thawj zaug thaum 64. Tus lej ntawm cov poj niam muaj cov menyuam muaj kev noj qab haus huv yav tom ntej nyob rau hauv lub neej yog nyob rau qhov nce, tab sis xeeb hauv koj lub neej yog los ntawm tsis muaj tseeb thiab ntau tus poj niam vam tias yuav pib tsev neeg nruab nrab lub neej yuav ploj mus.

Dr Jane Stewart, tus thawj coj ntawm British Fertility Society tau hais tias muaj ntau tus poj niam xeeb tub hauv lawv lub hnub nyoog 40 xyoos yog tias lawv lub cev xeeb tub nyob rau hauv ib txwm muaj, tab sis kev sim rau menyuam thaum koj tseem yau yuav ua rau koj muaj feem ntau dua.

“Txog li 50 feem pua ​​ntawm cov poj niam uas tau sim ua kom xeeb tub ib txwm muaj txij thaum lawv mus txog thaum nruab nrab ntawm 40s yuav ua tiav lub cev xeeb tub. Tau hais tias, yog tias koj saib cov poj niam hnub nyoog qis dua 38 xyoo, uas yog cov poj niam nrog lub cev xeeb tub – yog li ovulating tsis tu ncua, hauv kev noj qab haus huv zoo, lawv cov koom tes ua cov phev coj sib luag thiab muaj kev sib deev tsis tu ncua – 95% ntawm lawv yuav xeeb tub nyob hauv ob xyoos, hos ib nrab ntawm cov poj niam sim nyob rau hauv lawv lub hnub nyoog 40 xyoo yuav tsis xeeb tub txhua.

Cov teeb meem tshwm sim ntawm 40 ntxiv

Qe zoo

Raws li qhov tshwm sim ntawm lub hnub nyoog txo cov qe tsis zoo, qee lub qe tso tawm los ntawm lub zes qe menyuam raws li cov poj niam hnub nyoog yuav tsis muaj peev xwm rau kev xeeb menyuam, yuav muaj cov keebkwm chromosomal txawv txav lossis tsis cog rau hauv lub tsev menyuam (uas ua rau muaj menyuam hauv plab).

Stewart lus: “Lub peev xwm xav xeeb tub, thiab kev pheej hmoo ntawm kev nchuav menyuam thiab Down tus mob hauv cev xeeb tub, txhua tus hais txog lub hnub nyoog ntawm lub qe thiab vim li no tus poj niam muaj hnub nyoog. Cov poj niam hauv lawv lub hnub nyoog 40 muaj tsawg dua txhua lub hlis tab sis txawm hais tias nws yuav siv sijhawm ntau dua yeej muaj peev xwm. “

Qe qe poob yog ib qho laj thawj uas yog vim li cas cov kev pabcuam ntiag tug xws li kev tsim lub qe khov (feem ntau zoo rau cov poj niam hnub nyoog qis dua 35 xyoo) thiab kev siv cov qe pub dawb tau dhau los ua cov kev xaiv rau cov poj niam tsis kam xeeb menyuam hauv lub neej tom ntej.

Perimenopause thiab dhau mus

Qhov nruab nrab hnub nyoog ntawm lawm nyob rau hauv UK yog nyob ib ncig ntawm 51, tab sis 45-55 yog tseem suav hais tias yog tsis pub dhau ib txwm muaj. Nws yog qhov muaj txiaj ntsig zoo los tsim thaum koj niam mus dhau los lawm thiab yog tias nws muaj keeb kwm ntawm fibroids, nchuav menyuam los yog lwm cov teeb meem gynecological, vim thaum ntxov lawm yuav muaj caj ces:

“Lub cev tsis muaj hnub nyoog ntawm zes qe menyuam tsis txaus (thiab tab tom yuav pib ntxov lawm) tuaj yeem txo koj txoj kev pheej xeeb menyuam thiab tuaj yeem tsis muaj kev cia siab”, hais tias Stewart. “Thaum lub sijhawm perimenopause cov poj niam nyiam zes qe menyuam tsawg dua thiab lawv lub sijhawm muaj ntau dua qhov qub uas tseem yuav txo qhov muaj menyuam, tabsis nws tseem tuaj yeem tshwm sim.”

Nrog cov kev nce qib tshiab hauv kev thev naus laus zis thev naus laus zis, nws muaj peev xwm muaj menyuam tom qab lub sijhawm lawm, tab sis qhov no suav nrog kev siv cov qe khov ua ntej, lossis cov neeg ua haujlwm pub dawb.

Stewart qhia tawm: “Nws tuaj yeem nqa tus menyuam mus rau kev yug menyuam tom qab lub sijhawm tag nrho, nrog kev siv tshuaj tiv thaiv hormonal, tab sis muaj kev pheej hmoo. Feem ntau hais tias lub tsev menyuam tuaj yeem tuaj yeem lees txais kev xeeb menyuam thaum tus pojniam laus dua yog tias koj twb tau txais lub ntsej muag zoo tso rau hauv nws – txoj kev vam meej yog txhua yam txog lub hnub nyoog ntawm lub qe. “

Teeb meem xeeb tub

Cov poj niam laus dua muaj feem ntau yuav muaj teeb meem ntshav siab, ntshav qab zib hauv plab thiab lwm yam kev cuam tshuam thaum cev xeeb tub thiab cov no tuaj yeem ua kom zoo dua yog tias cov qe pub dawb siv. Dr Stewart hais tias “Hauv koj lub hnub nyoog 40 xyoo koj muaj txog 40-50% yuav nchuav menyuam txhua zaus koj xeeb menyuam,” thiab ntawm 40 qhov koj muaj feem yuav muaj menyuam nrog Down tus mob yog li ntawm 1 ntawm 100; thaum 45, 1 nyob rau hauv 50. Cov kev pheej hmoo muaj ntau dua, tab sis ntau tus poj niam yuav mus muaj cov me nyuam noj qab nyob zoo. “

Cov lus qhia rau kev txhim kho fertility

Thaum caj ces tsis txaus ntseeg thiab muaj hnub nyoog poob qis yuav muaj qhov cuam tshuam rau kev muaj menyuam, muaj kev hloov pauv hauv lub neej uas cov poj niam tuaj yeem ua uas yuav txhim kho lawv txoj kev xeeb menyuam hauv lawv lub neej.

Emma Cannon yog cov kws tshaj lij kev xeeb tub, sau npe acupuncturist thiab tsim ntawm Emma Cannon Clinic. Nws ntseeg tias kev hloov pauv kev ua neej nyob muaj peev xwm muaj kev cuam tshuam loj:

“Kev qoj ib ce, noj kom zoo thiab tswj lub cev lub cev ua kom yuag; rog cov poj niam rog rog yuav muaj estrogen ntau dhau vim lub cev muaj roj ntau dhau lawm, uas tuaj yeem ua rau muaj teebmeem kev muaj menyuam thiab lub cev rog tsawg tuaj yeem ua rau ovulation nres. Txiav kev haus luam yeeb ua ntej koj muaj hnub nyoog 40 – haus luam yeeb txog 13% ntawm lub ntiaj teb tsis muaj zog thiab muaj hnub nyoog koj txog 10 xyoo hauv cov lus hais txog kev muaj me nyuam. “

Cannon tseem pom zoo rau kev tso dej acupuncture, uas tau pom tias muaj lub zog tswj kev ua haujlwm ntawm lub cev, txhim kho pelvic ntshav txaus thiab endometrial zoo: “Kev tshawb fawb pom tias nws ua haujlwm tau zoo hauv kev txhim kho IVF cov txiaj ntsig thiab kev txhawb nqa ovulation hauv cov poj niam uas tsis ovulating. Kuv kuj Pom zoo kom nce koj cov vitamin D kom tsawg uas yuav pab ua rau lub tsev menyuam txais tau ntau dua. “

Qhov twg tau txais kev pab thiab kev txhawb nqa

Txawm hais tias IVF tuaj yeem pab qee tus poj niam xeeb tub, Dr Stewart ceev faj tiv thaiv pom tias nws yog kev daws teeb meem rau txhua tus: “Qee tus thawj tswj hwm NHS yuav tso cai ib hlis ib zaug ntawm kev kho mob IVF rau cov khub niam txiv muaj hnub nyoog tshaj 40 leej uas tsis tau sim nws ua ntej, tab sis qhov xwm txheej txawv. IVF xav tau ntau qhov kev kho mob thiab tau pab tus kheej. Koj yuav tsum muaj lub qe ntawm zes qe menyuam muaj peev xwm tsim tau ntau lub qe kom paub tseeb tias muaj txoj hauv kev muaj yeej hauv lub voj voos ib txwm muaj, txwv tsis pub muaj qee qhov hauv kev sim IVF. “

Nws qhia tswv yim rau cov poj niam thaum ntxov ua ntej kom tau txais kev xa mus rau cov kws paub txog kev muaj peev xwm (los ntawm lawv tus GP) yog tias lawv tsis cev xeeb tub hauv ib xyoos ntawm kev sim – lossis thaum ntxov yog muaj teeb meem pom tseeb – kom paub tseeb tias tsis muaj lwm yam kev txhawb ntxiv. dua hnub nyoog.

“Yog tias cov kev tshawb nrhiav no ib txwm muaj thiab khub niam txiv tau sim ob lub xyoos nws tau raug faib ua qhov tsis muaj peev xwm pom tau, lees paub tias muaj lwm yam cuam tshuam uas yuav tsis yooj yim rau kev kuaj. Qee lub sijhawm txuas ntxiv muaj kev sib deev dhau ib lub sijhawm ntev muab lub txiaj ntsig ntawm kev xeeb tub uas tej zaum yuav loj dua qhov uas tuaj yeem ua tiav los ntawm kev kho mob yog tias tsis muaj lub hauv paus ntsiab lus meej meej. “

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