ImpiloImithi

Ukuhlolela ukungazali

Izinkinga lokukhulelwa ingane namuhla, kukhona abantu abaningi abashadile. Ochwepheshe batusa Ukuqala i-ukungazali ngemva konyaka wonke imizamo ayiphumelelanga. Nokho, kungaba nezinkinga eziningi Kutholwe ngisho ezingeni lokuhlela wengane, okuyinto iyaduma ngaphezulu. Lokhu kuzosiza ugcine isikhathi kokuhlupheka.

Okungavundile uphethwe okuhlanganisa uhlu kokuqala uphenyo oluthile, okusolakala umbhangqwana, uma njalo olungavikelekile ubulili sokukhulelwa lwenzeke phakathi nonyaka. Ngaphezu kwalokho, kufanele kuphawulwe ukuthi ngeminyaka, le nkathi sinciphile. Abesifazane emva 35 kufanele ubone udokotela futhi ngemuva kwezinyanga eziyisithupha.

ubulili avamile kusho bezoziphatha izikhathi 3 ngesonto, Njalo ngemva kosuku olulodwa, kungakuhle kakhulu-8 kuya kwezingu umjikelezo 18 ngosuku, ngesikhathi ubude bayo obujwayelekile. Oxhumana nabo abaningi njalo kuthiwa contraindicated, ngoba konakalise izinga isidoda.

Inhlolo-vo eyenziwa ukungazali ngezindlela ezimbili. Eyokuqala ukukhishwa kancane kancane izimbangela. Isu sesibili kuhilela kokuhlola zonke izici kwesokudla. inketho ikhishiwe konga imali, kanti owokugcina uyoba ngo - isikhathi.

Inkinga iwukuthi umuntu ukuthola izizathu ukubeka eceleni khona omunye. Ngo-30% amacala kukhona izinkinga kokubili iduna nensikazi.

Ngakho, kuthiwa ukuhlolwa kwezinsana ukungazali ihlanganisa izifundo ezilandelayo:

  • ukuhlolwa izifo ezithathelwana ngobulili;
  • isidoda kanye MAR-test;
  • Rectal lokushisa nokukala;
  • Ultrasound futhi follicle;
  • luhlolo hormone;
  • kokuhlola patency esibeletho;
  • ukuhlolwa postcoital;
  • hysteroscopy;
  • laparoscopy.

Eyokuqala amaphuzu amabili asebenza bobabili abashadile, bese okunye - owesifazane kuphela. Okungcono kakhulu, zonke lezi izifundo kungaqedwa e izinyanga ezimbalwa, kodwa umkhuba, ngezinye izikhathi kuthatha iminyaka. Uma ungeyena enhle kakhulu amadoda spermogramme ngaphezu kwalokho esinqunyiweyo;

  • luhlolo hormone (estradiol, FSH, testosterone, LH, prolactin);
  • TRUS;
  • Nqampuna ku flora wendlala juice.

Ukuhlola i-ukungazali kumelwe tifaka ekhatsi tivivinyo izifo ezithathelwana ngobulili. Namuhla, kuvame kakhulu ukuba kusetshenziswe i-le-PCR. Lena indlela ebucayi kakhulu ukuthola DNA nakakhulu ekulungiseleleni.

Kudingeka ukuthi zihlolelwe cytomegalovirus, i-herpes, i-HPV, chlamydia, trihomanady, gonokkoki. Kuyadingeka ukwenza izitshalo antibiogram ukuba mycoplasma, ureaplasma kanye Amagciwane. Medical luhlolo kanye jikelele imivimbo, futhi, kuzomele udlule. Abesifazane ungagxambukeli nge colposcopy kanye nokuhlaziywa amaseli angavamile.

Ukuvuvukala uhlelo zokuzala akuyona kuphela umonakala ngekhono lokuhlala kombungu esibelethweni ingane, kodwa futhi enze kube nokwenzeka. Kulesi liwohloka izinga isikhwehlela wesibeletho, endometrial, isidoda kuthiwa ayahlukunyezwa umsebenzi wesibeletho kanye amashubhu esiphambanweni.

Amalotha liyisici esiyinhloko kulolu cwaningo abantu. It ikuvumela ukuba abone iphesenti isidoda motile, amafomu yazo engokwemvelo kuphela kodwa ingqondo. Lezi zibalo kakhulu kuthinte umthamo ukuvundiswa kwesidoda. MAR-test lembula inani isidoda amaseli camera ngamasosha omzimba.

Owesifazane efiselekayo izinyanga okungenani 3 ukukala lokushisa rectal. Lokhu kuzosiza ukuhlola umsebenzi amaqanda wakhe, ukukhiqizwa kwamaqanda futhi zama ukulandelela phansi ezinye zokugula okusolwayo. Esikhathini yesibili mjikelezo othatha isigamu izinga lokushisa kufanele ifike 0.4 degrees.

Ultrasound kungathola eziningi izifo kwesibeletho futhi ezikhiqiza amaqanda, ekuvimbeleni nje ebamba isisu. Follikulometriya isiza ukulandela oocyte nokuvuthwa bese uqinisekisa nge-ovulation.

Hysteroscopy ibhekwa ngaphakathi komgodi lesizalo. Lokhu ukuhlola okuthile kwembula eziningi zokugula yayo (polyp, ukuvuvukala, septum). Laparoscopy ukuhlola izitho okhalo ngaphandle, cross-hlola amapayipi. Lokhu zokukhwabanisa kungaba ukuhlinzwa. Lokhu kususa endometriosis, ukuvuvukala, izinhlumba.

Ezimweni eziningi, ipayipi sokuqala engu- iyenziwa esebenzisa GHA. Kwesibeletho yethulwa isixazululo kanye-X-ray noma ultrasound. Uma imfuyo is batheleka ingaphakathi lesisu, amapayipi siwela.

Lapho postokoitalnom ukuhlolwa owesifazane ngesikhathi nge-ovulation emva kocansi engena umtholampilo. Uthatha le isikhwehlela wesibeletho futhi ekunqumeni inani isidoda kuwo. hlola Ngakho kungakhathaliseki ukuthi ungathola esibelethweni esithweni sangasese.

Kuthiwa ama-hormone ngempela give up on izinsuku lomjikelezo. Kungcono uma sicabangela yokukala izinga lokushisa rectal nobude umjikelezo ngamunye. Kuyadingeka ukwazi ezingeni prolactin, progesterone, LH, estradiol, FSH, testosterone, DHEA-S, cortisol. Kuyinto uyelulekwa ukuhlola ama-hormone egilo futhi TSH.

Ngakho, ukuhlolwa ukungazali anconywe owakwakhe, Esehlulekile okukhulelwa isikhathi esingaphezu konyaka. Kungcono nje ukwenza uphenyo oludingekayo kokubili njengoba inkinga eyodwa akuvimbeli nezinye. Uma ukhetha okukhethwa kukho ikhishiwe, kumelwe siqale ngokuhlola indoda, ngoba elula.

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