Nzira Iyo Kuongorora Kunobatsira Kunoitwa Kana Uchikwanisa Kuwana Mucheche
Kuedzwa kwehutano chinhu chinokosha pakuongorora nekubereka uye kurapa . Nokuedza, chiremba wako anogona kuona kuti chii chiri kukudzivirira iwe nemumwe wako kubva pakuwana pamuviri.
Wako gynecologist wenguva dzose angaita mamwe maitiro ekuongorora. Kana, iwe unogona kutaurirwa kune chiremba chekupedzisira yekubereka vana ( chiremba anonyanya kubereka) kana urologist (nokuda kwekusava nemurume) kuti uwane kuongororwa kwakawanda kwekuberekwa.
Kuedzwa kwekubereka kunosanganisira vose vari vaviri. Kunyange zvazvo tingafunga nezvekudzivirira sekuitika mumuviri wemukadzi, pamuviri unotora maviri!
Maererano neAmerican Society of Reproductive Medicine, chikamu chimwe chete pazvikamu zvitatu zvezviitiko zvekushaya vana zvinokonzerwa nevakadzi chikonzero chekushaya vana , chikamu chetatu chinokonzerwa nehurume chinokonzera kusununguka , uye chechitatu chiripo chinokonzerwa nezvinetso kumativi maviri kana kusanzwisiswa kusina kutsanangurwa.
Miedzo yekuberekwa kwechikadzi
Hakusi kuedza kwose kwekuberekwa kunozoitwa kumarudzi ose. Izvo zvinowedzera kuvhiringidzika kwekuberekwa, sekuenzanisa kuongorora laparoscopy , zvinongoitwa apo zviratidzo kana zvimwe zviedzo zvinongotarisa munharaunda iyoyo, kana kuti chikonzero chekushaya vana chinogona kuwanika zvimwe.
Kune vakadzi, kuedza kubereka kunogona kusanganisira:
Chidzidzo chekutanga chechikadzi
Kuongorora zvirwere zvepabonde (zvimwe zvirwere zvinogona kukonzera kuderera)
Ropa basa, iro rinogona kutarisa thrombophilia uye antiphospholipid syndrome (mumamiriro ezvinhu evanhu vanoramba vachingoberekwa), uyewo mahomoni akasiyana-siyana, kusanganisira LH , FSH , thyroid hormones, androgen hormones, prolactin, estradiol (E2), uye progesterone. AMH, kana anti-mullerian hormone, inogonawo kuedzwa.
Zvimwe zvebasa iri reropa zvinofanira kuitwa pane rimwe zuva rekuenda kwako kumwedzi . Semuenzaniso, FSH inowanzoongororwa pazuva rechitatu rekufamba kwako. Progesterone inowanzoongororwa musi we21 wekufamba kwako.
Ultrasound, kutarisa polycystic ovaries , mavhesi makuru evarian, fibroids, uye, dzimwe nguva, kusimbisa ovulation iri kuitika.
Ultrasound inoshandiswawo kutarisa kumira kwechibereko uye uhu hwupi hwekutavirira . An antral follicle count , iyo inofanotaura huwandu hwemazai anowanikwa mumavhii emukadzi , inogonawo kuitwa nema ultrasound.
HSG , kana hysterosalpingogram, kutarisa kuti fallopian tubes yakazaruka uye haina kudziviswa, uyewo kuongorora humiro hwechibereko.
Endometrial biopsy, iyo inosanganisira kutora zvishoma zviduku kubva muuterine lining (kana endometrium). Uyu muedzo hauwanzoitwa.
Hysteroscopy, iyo inosanganisira kuisa teresikopu-yakafanana nekamera kuburikidza nemucheto mukati mechiberekero kuti uongorore zvakanyanya mukati memukuchi. Izvi zvinoitwa kana kuongorora kweHSG kwakaratidza kuti zvingave zvisina kukodzera kana kuti hazvina kufanira. Chiremba wako anogonawo kuita chirongwa chekugadzirisa zvirwere panguva yekuongorora uku.
Sonohysterogram, iyo inosanganisira kuisa mvura isina kuchena mukati mechiberekero (kuburikidza nekatheti), uye zvino kuongorora chibereko uye uterine masvingo ne ultrasound.
Kuongorora mararamiro eparoscopy , ayo angangodaro anonyanya kukuvadza muedzo wokubereka. Uyu muedzo unongowanikwa apo zviratidzo zvinoratidza kuti zvichigona endometriosis , sechikamu chekurapa kwekuvharwa fallopian tubes , kana mune zvimwe zviitiko zvekusadudzirwa kusina kutsanangurwa.
Miedzo yekuberekwa kwemurume
Kuongorora kwemajaya ndiko kuongorora kukuru kwevanhu. Inosanganisira murume anopa senzoro yemasaiti yebasa kuti aongorore.
Zvakakodzera, kuedza kunofanira kuitwa kaviri, pane mazuva akasiyana, kusimbisa mhinduro.
Kazhinji, kuongororwa kwebonde chete kunodiwa kuti uongorore kusununguka kwemurume.
Zvisinei, kumwe kuedzwa kunogona kuitwawo, kusanganisira:
Kuongororwa kwakawanda kwemuviri wehuroyi
Kuongorora kwemazuva ano, kusanganisira genetic kuongororwa kwevarume (vachitsvaga kuvapo kwezvirwere) uye kuongororwa kwemaimiti musikana (kuona kana vakafa kana vari vapenyu)
Ropa rinoshanda kuti riongorore mazinga ehomoni, kazhinji yeFSH uye testosterone, asi dzimwe nguva zvakare LH, estradiol, kana prolactin
STD kuongorora
Ultrasound, kutarisa seminal vesicles uye scrotum
Post-ejaculatory urinalysis (urine test), kuti uongorore kudzokorora kunyorera
Testicular biopsy , iyo inosanganisira kubviswa kwezviputi zve testicular kuburikidza nekugadzira chirwere chiduku
Vasography , iyo i-x-ray yakashandiswa inoshandiswa kutsvaga kudzivirirwa kwezviviri zvenhengo dzekubereka
Miedzo yekurota yevabereki
Mimwe miedzo yekubereka inosanganisira vaviri vari vaviri.
Kana kukanganisa kuberekwa kunokonzerwa nedambudziko, genetic karyotyping inogona kuitwa kutarisa zvinokonzerwa nemagetsi izvo zvinogona kutungamirira pakuparara. Izvi zvinoitwa kuburikidza nekuongororwa kweropa nyore.
Kunyange zvazvo zvisingawanzoitizve, kuongorora kwepachikoro (PCT) kunosanganisira kutora sampu yemakwenzi emudzimai kubva kumudzimai wepilvic, maawa mashomanana mushure mekuita zvepabonde. Inotarisa kubatana pakati pemudzimai wemudzimai wemukati uye mbeu yemurume.
Ko Zvakadini Nekumba Kwemusha?
Zvinogona kuoma mupfungwa kuti upinde kuburikidza nekuedzwa kwekubereka . Dzimwe nguva, vanhu vanonzwa vachinyara . Vangada kuti vasapinda mumatambudziko.
Unogona kunzwa uchiedzwa kuti utenge "ku-kumba" kuedzwa kwekubereka. Somuenzaniso, pane -kumba kweFSH miedzo yaunogona kutora. Kune varume, kune tsamba yekuraira sperm count test kits.
Ndapota usaenda nenzira iyi.
Chimwe chinhu, miedzo iyi haigoni kunyatsoongorora kubereka kwako. Vanotarisa chimwe chinhu chaicho chekubereka.
Iko-kumba kweFSH muedzo haugoni kukuudza kana yako fallopian tubes yakavharwa, somuenzaniso.
Uyewo, miedzo iyi haisi yakarurama. Havaiti kunyange zvavanoti ivo vanoita.
Kumba-kumba kwemuviri wekuedza kuongororwa kunogona kuita chinhu chimwechete - kuverenga huwandu hunhu huripo. Asi hupenyu hwako hwose hunogona kunge hwafa, uye chikwata hachigoni kukuudza izvozvo.
Kunewo humwe hutano hwehutano hunotarisa, kusanganisira humiro hwemuviri uye kuti chirume chinoshambira sei. Iko kutumira mameseji kurongedza kuedzwa kwevarume hakutsvaki zvinhu izvi.
Iyo iri pamusha FSH inoedza inongoratidzika zvakanyanya zvepamusoro yeFSH. Nhamba yako inogona kunge isiri, uye izvi zvidzidzo hazvigone kukuudza.
Chinhu chakanakisisa chaunofanira kuita ndechokuona chiremba wako. Yeuka kuti nokukurumidza iwe paunowana rubatsiro, zviri nani mikana yako ichave yekuita pamuviri kubudirira.
Kuedzwa Kwekuberekwa Kuchave Kwakapedzwa NeInishuwarenzi Yangu Here?
Ko kuedza kuenzanisa kunogona kuvharwa neinishuwarenzi yako here? Izvo zvinoenderana.
Dzimwe nguva, makambani einishuwarenzi haafaniri kuvhara miedzo inorondedzerwa seyekuda kwekubereka chete. Asi ivo vachavhara muedzo iwoyo nokuda kwechikonzero chakasiyana.
Saka, somuenzaniso, vanogona kuvhara ruzivo rweparoscopy kana iwe uine kuoma kwemwedzi kwakanyanya . Asi ivo vangave vasina kuifukidza kana yakanyorwa sedare chete yekuongorora kwekubereka.
Zvakakosha zvikuru iwe unotaura nebazi rako rekubereka chiremba mari usati waita chero dambudziko rekubereka. Iva pachena pane izvo zvichafukidzirwa, uye izvo zvisingagoni kuvharwa.
Iwe hausi kuda kushamiswa neholo guru.
Mushure mekuedzwa kweFertility
Kana imwe nguva kubereka kuve kwakakwana, iwe uchasangana nemudzimai wako wegynecologist kana endocrinologist yekuberekwa kuzokurukura ...
- zvinoguma zvinorevei
- chiizve kuedzwa, kana chiripo, chingakurudzirwa
- kurapa kupi kwaizova kwakakodzera
- sarudza matanho anotevera kutora
Usatya kubvunza chiremba wako mibvunzo kare uye shure kwekuedza kuedza. Chiremba wenyu anofanirwa kunzwisisa kuti zvinetso izvi ndezvipi.
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Sources:
Nhungamiro Yakakosha kuMurume Infertility: Ungawana Sei Zvakaipa? American Urologic Association. Yakasvika musi waDecember 20, 2009. http://www.auanet.org/content/guidelines-and-quality-care/clinical-guidelines/patient-guides/whatswrongpg.pdf
Mwoyo Mwoyo Mwoyo Murefu: Kuongorora Kuongororwa kweMurume Inonzi Infertility. American Society of Reproductive Medicine. Yakasvika musi waDecember 20, 2009. http://www.asrm.org/Patients/FactSheets/Testing_Male-Fact.pdf
Mwoyo Murefu Chikafu: Vanachiremba Vanoona Sei Kusakanganiswa Kwevakadzi? American Society of Reproductive Medicine. http://www.asrm.org/Patients/FactSheets/InfertilityInWomen.pdf
Mwoyo Murefu Chidimbu: Kurasikirwa Kwekuberekwa Kwekare. American Society of Reproductive Medicine. Yakasvika musi waDecember 20, 2009. http://www.asrm.org/Patients/FactSheets/recurrent_preg_loss.pdf