Owesifazane Owesabekayo

Kunoma ikuphi ukusebenza kokuzala, bobabili abalingani besilisa nabesifazane bayahlolwa uma ngabe ukukhulelwa kwehluleka ukwenzeka ngemuva konyaka wokuya ocansini olungaphephile njalo uma owesifazane eneminyaka engaphansi kwengama-35, noma ngemuva kwezinyanga eziyisithupha uma owesifazane emdala kuneminyaka engama-35. kubaluleke kakhulu uma owesifazane eseneminyaka engaphezu kwengama-35 ubudala noma uma ngabe omunye umlingani enezici eziyingozi zokuzala. Ukuhlaziywa kwesidoda sowesilisa kufanele kwenziwe ngaphambi kokuthi umlingani wesifazane enze noma yikuphi ukuhlolwa kokuhlasela.

Isinyathelo sokuqala kunoma yikuphi ukungasebenzi kokuzala kungumlando ophelele wezokwelapha nokuhlolwa komzimba. Uzodinga ukubuza ngomlando wesiguli wezenzo zocansi, ikakhulukazi imvamisa nesikhathi sokuya ocansini. Umlando wokuya esikhathini, izingqinamba zokuphila (ukubhema, ukusetshenziswa kwezidakamizwa notshwala, nokusetshenziswa kwe-caffeine), noma imiphi imishanguzo ethathwayo, kanye nephrofayili yempilo ejwayelekile yezokwelapha neyemizwa yesiguli izokusiza uthathe isinqumo ngokuhlolwa okufanele.

Uzodinga futhi ukwazi umlando wokukhulelwa kwangaphambilini nemiphumela yako; izikhathi zokukhulelwa; kanye nemininingwane eningiliziwe mayelana nokulahleka kokukhulelwa, isikhathi sokukhulelwa, izinga le-chorionic gonadotropin (hCG), idatha ye-ultrasonographic, nokuba khona / ukungabikho kokushaya kwenhliziyo kwengane.

Kubalulekile futhi ukwazi umlando womndeni, kufaka phakathi amalungu omndeni angazalanga, onamaphutha okuzala, ukuguqulwa kwezakhi zofuzo, noma ukuphindeka kwengqondo.

Kungenzeka kusetshenziswe izivivinyo eziningana zelebhu ukuthola izimbangela zokuzala nokuqapha ukwelashwa:

  • Amazinga weHormonal. Ukuhlolwa kwegazi nomchamo kuthathwa ukuze kuhlolwe amazinga e-hormone. Ukuhlolwa kwe-Hormonal kokugcina kwama-ovari (inani lama-follicle nekhwalithi yamaqanda) kubaluleke kakhulu kwabesifazane asebekhulile. Izibonelo zemiphumela engenzeka ifaka:
    • Izinga eliphakeme le-follicle-stimulating hormone (FSH) kanye ne-luteinizing hormone (LH) kanye namazinga aphansi we-estrogen asikisela ukwehluleka kwangaphambi kwe-ovarian.
    • I-LH ephezulu ne-FSH ephansi ingaphakamisa i-polycystic ovary syndrome noma isici sesigaba se-luteal.
    • Izinga eliphakeme le-FSH namazinga aphezulu e-estrogen ngosuku lwesithathu lomjikelezo abikezela amazinga entengo ampilo kwabesifazane asebekhulile abazama ukwelashwa kokuzala.
    • Ukuhlolwa kwe-LH kubonisa i-ovulation.
  • Ukuhlolwa kwegazi kwamazinga we-prolactin nomsebenzi we-thyroid nakho kuyalinganiswa. Lawa ama-hormone angathinta ngokuqondile ukuzala.

Uma ukusebenza kokuzala kokuqala kungakuvezi okubi, ukuhlolwa okubanzi kakhulu kungasiza ukuveza okutholakele kweshubhu noma kwesibeletho. Izindlela ezine ezinkulu zokuhlola isibeletho kanye namashubhu we-fallopian yilezi:

  • I-Ultrasound: I-Ultrasound iyindlela evamile yokuhlaziya yokuhlola isibeletho nama-ovari. Ibuye isetshenziselwe ukuthola i-fibroids, ama-cysts ama-ovarian kanye nama-tumors, kanye nezithikamezo ezisegunjini lokuchama.
  • I-Hysteroscopy: I-Hysteroscopy inqubo engasetshenziswa ukuthola ubukhona be-endometriosis, i-fibroids, ama-polyps, izicubu zesikhumba se-pelvic, kanye nokuvaleka emaphethelweni amashubhu e-fallopian. Ezinye zalezi zimo zingalungiswa ngesikhathi senqubo ngokusika noma yiziphi izicubu zesikhafu ezingabopha izitho ndawonye noma ngokubhubhisa okufakwa ngaphakathi.
  • I-laparoscopy: I-laparoscopy inqubo yokuhlinzwa ebandakanya ukubheka ngqo esiswini kanye ne-pelvis isebenzisa ikhamera encane efakwa ngokufakwa ku-umbilicus. Lokhu kusivumela ukuthi sihlole futhi siphathe ngokunamandla izinkinga ze-gynecological ezifana nezicubu zesikhumba (ukunamathela), i-endometriosis, kanye nama-cysts ama-ovarian angathinta ukuzala.
  • I-Hysterosalpingogram: I-hysterosalpingogram (HSG) ukuhlolwa kwe-X-ray okubheka ngaphakathi kweshubhu ne-fallopian tubes. I-HSG iyindlela engcono kunazo zonke futhi engahlaseli yokuhlola ngaphakathi kwesibeletho nokuqina kwamashubhu akwehla emzimbeni. I-HSG ingambula iziphithiphithi zesibeletho ezinjengokunamathela kokuthize, imicu, imithambo, kanye nokulimala kwe-tubal. Ukuhlolwa kwe-HSG nakho kungakhombisa:
    • Amabhulogi avimbela iqanda ekuhambeni nge-fallopian tube liye esibelethweni
    • Amabhulogi avimbela isidoda ukuba singahambi kwi-fallopian tube futhi sigcwalise iqanda
    • Izinkinga ezingaphakathi kwesibeletho zivimbela iqanda elivundisiwe ukuthi linamathele odongeni lwesibeletho

Ukuhlolwa kwabesifazane okufanele kwenziwe

  • Usuku lomjikelezo i-2 noma i-3 FSH, LH, E2
  • I-Insulin - Ukuzila
  • IGlucose - Ukuzila
  • TSH
  • FT4
  • Ama-Antibodies we-Thyroid
  • I-Prolactin
  • Ukukhula kweHormone
  • Hlikihla i-IGG + IGM
  • I-Cardiolipin Antibodies
  • AMH
  • HIV
  • I-Hep B - i-Surgen Antigen
  • IHep C - Ama-antibodies
  • I-Chlamydia swab
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