Testing for nenzalo

Iingxaki nge ekhulelwe umntwana namhlanje, kukho izibini ezininzi. Iingcali Sicebisa Ukuqalisa akukho ubudlolo emva konyaka kwempumelelo. Noko ke, iingxaki ezininzi kungabonwa nokuba yokuplana nqanaba lo mntwana, nto leyo ngokuya kwanda. Oku kuza kunceda ukuba wonge ixesha kunye nobunzima.

Nenzalo uphethwe leyo iquka uluhlu lokuqala zophando ezithile, kurhanelwa ku pair, ukuba ukukhulelwa rhoqo ngesondo ngokungakhuselekanga ekungazange kubekho injengayo kulo nyaka. Ngaphezu koko, kufuneka kuqatshelwe ukuba ubudala, eli xesha lifinyele. Abasetyhini emva 35 kufuneka ubone ugqirha emva kweenyanga ezintandathu.

ngesondo rhoqo kuthetha iintlobano ka-3 ngeveki, yonke enye imini, ngokuyinene ukususela-8 ukuya umjikelo mini-18, xa ixesha layo eqhelekileyo. nabo rhoqo ukuba contraindicated, ekubeni imoshe umgangatho sperm.

Uhlolisiso olwenziwe iinkunzi ngeendlela ezimbini. Eyokuqala i nokukhutshelwa chu ngoonobangela kunokwenzeka. Isicwangciso yesibini ibandakanya ekutshekisheni yonke imiba efanelekileyo. ukhetho Zikhutshelwe konga imali, nabokugqibela - ixesha.

Ingxaki kukuba omnye izizathu ubhaqo akukhethi phambi kwenye. Ngowe-30% amatyala kukho iingxaki zombini inkunzi nemazi.

Ngoko ke, ukuvavanyela ukungachumi ibandakanya izifundo zilandelayo:

• Iimvavanyo ze izifo ezidluliselwa ngeentlobano zesini;
• isidoda kanye uMAR-test;
• nesilinganiso lobushushu efakwa;
• Ultrasound and follicle;
• zoviwo hormone;
• ekuhloleni patency noMesheki;
• test postcoital;
• hysteroscopy;
• laparoscopy.

Iingongoma ezimbini zokuqala isebenza omabini amaqabane, kwaye abanye - kuphela ngumfazi. Ngokusesikweni, zonke ezi zifundo sinokuzaliswa xa isibini kweenyanga, kodwa ngokomsebenzi, ngamanye amaxesha kuthatha iminyaka. Xa ungaqinisekanga amadoda spermogramme elungileyo kakhulu amisiweyo ngaphezu:

• loviwo hormone (estradiol, FSH, testosterone, LH, prolactin);
• TRUs;
• Crop kwizityalo juice wendlala.

Baxilonga nenzalo kufuneka ibandakanye uvavanyo ukwenzela izifo ezidluliselwa ngeentlobano zesini. Namhlanje, amaninzi isetyenziselwa oku PCR. Le yindlela ethe kakhulu ukubona DNA ngakumbi kumalungiselelo.

Akudingeki ukuba avavanyelwe cytomegalovirus, i-herpes, HPV, chlamydia, trihomanady, gonokkoki. Kuyimfuneko ukuba izityalo kunye antibiogram ukuya mycoplasma, ureaplasma kunye kwamagciwane. zoviwo kunye jikelele nemivumbo zonyango, kakhulu, kufuneka uye kuyo. Abasetyhini musani uphazamisane Colposcopy kunye nohlalutyo iiseli ezingaqhelekanga.

Ukudumba uhlelo zokuzala kuphazamisa kukukwazi ukukhawula umntwana, kodwa ukuyenza kunokwenzeka kuphela. Kulo kuguga umgangatho yencindi yomlomo wesibeleko, endometrial, amadlozi engahlonitshwa umsebenzi ovarian kunye neetyhubhu emnqamlezweni.

Isidoda yinto efunekayo kwisaveyi babantu. It ikuvumela ukuba ukuchonga ipesenti madlozi motile, iifom zabo eqhelekileyo kunye ingqalelo. La manani kakhulu kuchaphazela yokuvundisa umthamo madlozi. UMAR-test utyhila inani leeseli amadlozi isale omzimba.

Umfazi inqweneleka iinyanga ezi-3 ukuya umlinganiselo wobushushu efakwa. Oku kuya kunceda ukuvavanya umsebenzi zamaqanda, ovulation uzame ukulandelela phantsi inxalenye ngezifo olukrokrelwayo. Kumjikelo Kwisiqingatha sesibini ukuba iqondo lobushushu kwavusa degrees 0.4.

Ultrasound uyakwazi ukubona ezininzi izifo wesibeleko kunye amaqanda, ukuvimbela ukukhulelwa. Follikulometriya inceda ukugcina umkhondo kweqanda nokwanda kwaye uqinisekise ovulation.

Hysteroscopy lubonwa ngaphakathi lweHo- zesibeleko. Olu phando lubonisa abaninzi kwezimilo yayo (polyp, azikhuli, zekhala). Laparoscopy ukuhlola amalungu zangasese ngaphandle, cross-hlola imibhobho. Le buqhinga ingaba uqhaqho. Oku kususa endometriosis, azikhuli, cysts.

Kwiimeko ezininzi, kuqala umbhobho cross ikhangelwe ngaye GHA. Isibeleko yaziswa isisombululo kunye X-ray okanye ultrasound. Ukuba into igalelwe kwisisu, imibhobho siwela.

Xa postokoitalnom test umfazi ngexesha ovulation emva kokwabelana ngesondo engena ekliniki. Yena kuthatha i yencindi yomlomo wesibeleko kunye nokumisela inani isidoda kuyo. Ngaloo khangela ukuba bakwazi ukungena wesibeleko apha ngaphantsi.

Hormone akukuniki phezulu kakhulu imihla komjikelo. Kungcono ngenxa lomlinganiselo lobushushu efakwa kunye nexesha komjikelo ngamnye. Kuyimfuneko ukwazi umgangatho prolactin, dlala, LH, estradiol, FSH, testosterone, DHEA-S, cortisol. Uyacetyiswa kwakhona ukuba khangela hormone kunye TSH.

Ngoko ke, ukuhlolwa ukungachumi ziyacetyiswa ukuba amaqabane, ezama azamile kukhawula kangangonyaka. Kungcono nje ukwenza uphando eziyimfuneko zombini njengengxaki umntu nto ayikuthinteli enye. Ukuba ukhetha i ukhetho ngezigaba, kufuneka uqale uhlole umntu, kuba kulula.