Kuyesedwa kwa osabereka

Mavuto ndi pathupi mwana lero, pali mabanja ambiri. Akatswiri amalangiza kuyambira ndisanabadwe kwa osabereka pakupita caka kufuna zinalephereka. Komabe, mavuto ambiri angathe kuonedwa ngakhale pa siteji mapulani a mwanayo, amene kwayamba kutchuka kwambiri. Izi kupulumutsa nthawi ndi kuvutanganitsidwa.

Osabereka matenda womwenso mndandanda koyamba zofufuza yeniyeni, amaganiziridwa ziwirizi, ngati zonse mosadziteteza kugonana mimba sichinachitikepo pa chaka. Ndiponso tisaiwale kuti msinkhu, nthawi imeneyi yafupika. Akazi pambuyo 35 ayenera kuonana ndi dokotala patapita miyezi isanu.

kugonana zonse amatanthauza kugonana 3 pa sabata, tsiku lililonse, Choncho 8 mpaka 18 tsiku adzizungulira, pa nthawi yake muyezo. ojambula pafupipafupi ali contraindicated, popeza kusokoneza khalidwe umuna.

Atafufuza osabereka m'njira ziwiri. The choyamba ndi kukanidwa pang'onopang'ono zomwe zimayambitsa zotheka. Njira chachiwiri afufuze zinthu zonse. Phased njira amapulumutsa ndalama, ndi wotsiriza - nthawi.

vuto kuti munthu kudziwika zifukwa kukusalani pamaso pa wina. Mu 30% milandu muli mavuto onse aamuna ndi aakazi.

Choncho, kuphimba kwa osabereka zikuphatikizapo maphunziro zotsatirazi:

• mayesero matenda opatsirana pogonana;
• umuna wosatha-mayeso;
• Thumbo kutentha muyeso;
• Ultrasound ndi follicle;
• mahomoni Kupenda;
• afufuze Tubala patency;
• postcoital mayeso;
• hysteroscopy;
• laparoscopy.

Mfundo ziwiri zoyambirira ntchito kwa akazi onse, ndi ena - yekha mkazi. Choncho, maphunziro onse awa akhoza anamaliza miyezi ingapo, komabe nthawi zina pamafunika zaka. Pamene inu si zabwino kwambiri spermogramme amuna Komanso yoikidwiratu:

• mahomoni Kupenda (estradiol, FSH, testosterone, LH, prolactin);
• TRUS;
• Mbewu pa zomera Prostate madzi.

Kuphimba kwa osabereka kuyenera kuphatikizapo mayesero matenda opatsirana pogonana. Masiku ano, nthawi zambiri ntchito PCR izi. Iyi ndi njira owonetsetsa kuti azindikire DNA kwambiri yokonza.

Kwenikweni ziyenera kuyesedwa kwa cytomegalovirus, nsungu, HPV, chlamydia, trihomanady, gonokkoki. M'pofunikanso kuti mbewu ndi antibiogram kuti mycoplasma, ureaplasma ndi tizilombo toyambitsa matenda. Medical kuona ndi ambiri zikwapu, nayenso, ayenera kudutsamo. Akazi saletsa ndi colposcopy ndi kusanthula maselo nthenda.

Kutupa cha ziwalo zoberekera si chimawononga luso pakati mwana, komanso kuti n'zotheka. Mu ichi chatsitsa khalidwe la ntchofu khomo lachiberekero, endometrial, umuna akuchitiridwa linaphwanya ntchito yamchiberekero ndi mtanda machubu.

Umuna ndi mfundo za kafukufuku wa anthu. Timatha kuzindikira kuchuluka umuna motile, njira zawo ndi maganizo awo. Chiwerengerochi ndi zayamba bwanji feteleza mphamvu ya umuna. Mal-mayeso limasonyeza chiwerengero cha maselo umuna TACHIMATA ndi chitetezo.

mkazi zabwino kwa miyezi 3 kuyeza kutentha thumbo. Izi zidzathandiza kuti asa- ntchito ya m'mimba mwake, ovulation ndi kuyesa younikira pansi ena mwa kudwala ankaganizira. Lachiwiri theka mkombero kutentha ayenera kuuka kwa madigiri 0.4.

Ultrasound akhoza kudziwa zambiri matenda a chiberekero ndi thumba losunga mazira, kuteteza kutenga pakati. Follikulometriya amathandiza mungawononge oocyte kusasitsa n'kutsimikizira ovulation.

Hysteroscopy amakuona kuchokera mkati uterine patsekeke. phunziro limeneli limasonyeza ambiri kudwala ake (tizilombo ting'onoting'ono, adhesions, septum). Laparoscopy tione ziwalo m'chiuno kunja, mtanda onani mipope. mpheto Zimenezi zingakhale opaleshoni. Izi amachotsa endometriosis, adhesions, cysts.

Nthawi zambiri, choyamba mtanda chitoliro ndi kufufuzidwa mwa GHA. Chiberekero umayamba njira ndi X-ray kapena ultrasound. Ngati mankhwala udzathiridwa mu zonse m'mimba, mipope yokonzedwa.

Pamene postokoitalnom mayeso mkazi pa ovulation pambuyo kugonana amabwera mu chipatala. Iye amatenga wa ntchofu khomo lachiberekero ndi kudziwa chiwerengero cha umuna mu izo. Choncho kufufuza ngati iwo angakhoze kulowamo chiberekero ku nyini.

Mahomoni kwenikweni kusiya masiku a kuzungulira. Ndi bwino polingalira muyeso wa kutentha thumbo ndi Kutalika kwa mkombero munthu. M'pofunika kudziwa mlingo wa prolactin, progesterone, LH, estradiol, FSH, testosterone, DHEA-S, tochepa. Komanso m'pofunika kufufuza mahomoni chithokomiro ndi TSH.

Choncho, kuyezetsa magazi kuti osabereka ali akulimbikitsidwa pabanja, kuyesera anavutika ndi pakati kwa chaka. Bwino chabe kuti zofufuza zofunikira zonse pamene vuto sikuti munthu akuletsa ena. Ngati mwasankha njira phased, muyenera kaye munthu, chifukwa ndi chosavuta.