Mushure mekusununguka pamuviri, vakadzi vakawanda vanoda kuziva chikonzero chakaitika uye kana chimwe chinhu chingave chakachidzivirira. Kazhinji, chikonzero chacho chaive chinetso chemajini chinenge chichikura, uye hapana chaigona kudzivirira. Uye sezvamunoziva, vazhinji vevakadzi vane kupererwa kwepabonde rimwe chete vanoenda pakuva nemubhedha unozotevera.
Asi nemaviri, katatu kana kupfuura kupererwa kwepabonde mumutsara, mikana yakadzika kuti dambudziko iri rinongogara risina kuitika - uye zvinonzwisisika kuona chiremba kuti aongorore zvinokonzera kukanganisa zvinokonzera kukanganisa kwakasiyana-siyana . Kune dzimwe nguva kwete mhinduro, asi inenge hafu yenguva iyo miedzo icharatidza chikonzero nei kusakanganisika kungave kuri kuitika - uye kurapa kunogona kukurudzira maitiro ehutano hwakanaka hunotevera .
Izvo zvinotevera ndezvorwendo rwemiedzo yakajairika iyo vanachiremba vanoshandisa kuvakadzi vanowanzochera miscarriages. Cherechedza kuti munda wekuchembera mushure mokunge uchinge uchinge wakakonzerwa nekukakavara - juri rinenge riri kunze kune dzimwe nguva kunokonzera kusununguka kunokonzera, uye mishonga yakawanda inowanzoitwa yekare inokonzerwa nemascarriages haibvumirwi kushanda.
Cherechedza: Nyaya chaiyo iyo mushandi wako anomhanya ingave yakasiyana nedzino.
Kuedzwa Kwezvinetso neUterus
Hysterosalpingogram (HSG)
Pakati pechiyero chekufungidzira, dhayi inopindwa mubereki uye X-ray inotorwa; inotarisa chimiro chisina kujairika chechibereko chinogona kukonzera matambudziko mukudzivirira.
Hysteroscopy
A hysteroscopy inosanganisira kuisa telescope shoma mumuviri kuitira kuwana mifananidzo yakajeka. Chiremba angakwanisa kugadzirisa zvinetso zviduku panguva yekuedzwa.
Dambudziko reRopa
Lupus Anticoagulant Antibodies
Lupus anticoagulant antibodies imwe yezviratidzo zve antiphospholipid syndrome.
Anticardiolipin Antibodies
Anticardiolipin antibodies ndeimwe chiratidzo che antiphospholipid syndrome.PT uye aPTT
PT inomiririra Prothrombin Time, uye iyo muedzo kuti uone kuti ropa rinovhara sei. aPTT inomiririra Activated Partial Thromboplastin Time, uye iyo imwe yeropa yekuvhara. Zvisina kunaka zvinoguma pane zvimwe zvingave zvakabatanidzwa nehutachiwana hwehutachiona.MTHFR Gene Mutation
Kuchinja kwemuviri muMTHFR kunogona kukanganisa kukwanisa kwemuviri kugamuchira folic acid. Zvidzidzo zvishomanana zvakabatanidza MTHFR gene kuchinja-chinja nehuwandu hwehutachiona hwekushaya mimba, asi vazhinji vakawana kuti geni haringavi chinhu chinokonzera kukanganisa kwemakumbo.Protein C, Factor V Leiden , Protein S inoshaya, Prothrombin gene mutation uye Antithrombin III kusakwana
Idzi ndidzo dzinofanirwa kutora mbeu dzinofanirwa kunge dzakabatana nekusava nemashure pashure pevhiki gumi. Vamwe vanachiremba vanoedza izvi uye vamwe havaiti.Thyroid Panel
Humwe humwe humwe hunoratidza kuti hypothyroidism inogona kuwedzera mungozi yechipiri-trimester kuenda pamuviri, asi humwe uchapupu hahuna kugumisa. Vamwe vashandi vanowanzoedza vakadzi nokuda kwehutano hwehutano uye vamwe havakwanisi.Progesterone
Kubatana pakati peprogesterone nekutapukisa kune nyaya inopikisana nharo huru. Apo vanachiremba vanoedza progesterone, muedzo unowanzobatanidza neropa rinotora vhiki mushure mekuvhara, kana musi wezuva 21 we 28-day cycle.
Karyotyping yeVabereki
Uyu muedzo waizoitwa kune vose vabereki uye unotarisa matambudziko mumararamiro anokwanisa kukurudzira kubata pamuviri kukanganisa, zvakadai sekutengesa kune imwe nzvimbo .
Mimwe Miedzo
Fetal Tissue Karyotyping
Kana mukadzi aine D & C nokuda kwekufa kwake kwemazuva mashoma, chiremba angada kuronga kuongorora kwechromosomal yematumbu kuitira kuti atadze kunze kwechromosomal kusagadzikana sechikonzero chekusavhiringidza.
Unogona kunge wakavhiringidzika pamusoro pokutsvaga kuedza. Kudzokorora kwakashata kunogona kukuisa munzvimbo isingazivikanwi yekuda chaizvo kuwana chimwe chinhu chakaipa newe nokuti kuisa zita kune dambudziko uye kuva nekurapa kunogona kuita kuti pfungwa yekubata pamuviri inotevera itaita sediki shoma.
Vamwe vakadzi vanotonzwa kuti vanotya kuramba vachiedza nokuti vanotya kuti havazowani mhinduro.
Kana iwe uchinzwa saizvozvo, zvinonzwisisika, asi edza kuyeuka kuti kunyange kana iwe usina kuwana mhinduro, unofanirwa kunzwa uine chivimbo chokuti iwe unogona zvakare kuedza zvakare kuziva kuti hauna dambudziko rehutano rinozivikanwa kuti upinde munzira pakuva nemimba yekubudirira. Kunyange zvazvo nhamba dzingasave dzichikurudzira, zvidzidzo zvinoratidza kuti 70% yevakaroorana avo vanowanzopererwa mushure mechikonzero chisingazivikanwi vanozopedzisira vava nemimba yekubudirira. Saka matambudziko akadari akakwirira kuti rimwe zuva zvinetso izvi zvauri kuitika ikozvino zvichava kungoyeuchidza zvakaipa.
Sources:
American College of Abstetricians uye Gynecologists (ACOG), "Kutarisira kukanganisa kutapurika kwepamuviri pamwana." Feb. 2001. ACOG .
Brigham, SA, C. Conlon, naRG Farquharson, "Kuongorora kwenguva refu pamusoro pekuzvitakura kunowedzera mushure mekunyadziswa kwemazuva ano." Nov. 1999. Kuberekwa kwevanhu 14: 2868-2871.
Johnson, Kate. "Kuberekwa patsva kunobatanidza insulin kudzivisa: Tarisai kutsanya insulini." OB / GYN Nhau 15 Jan 2002.