Emva kokusweleka kwesisu, abaninzi abafazi bafuna ukwazi ukuba kutheni kwenzeka kwaye nokuba ingaba yintoni into eyayingakukhusela. Ngokuqhelekileyo, imbangela yayiyinkinga yokuvelisa i-genetic kwintsana ekhulayo, kwaye akukho nto eyayingayinqanda. Kwaye njengoko mhlawumbi uyazi, ininzi yabasetyhini abanokuphuphuma kwesisu esisodwa baya kuba nokukhulelwa okulandelayo.
Kodwa ngamathambo angama-2, amathathu okanye ngaphezulu ngokulandelanayo, amathuba aphantsi ukuba ingxaki yimiba ye-chromosomal engaqhelekanga-kwaye kunengqondo ukubona ugqirha ukuba ahlole izizathu ezinokuthi zingaphathwe kakubi . Azikho izimpendulo rhoqo, kodwa malunga nesiqingatha sexesha iimvavanyo ziza kubonisa isizathu sokuba iimeko ezilahlekileyo zenzeke-kwaye unyango olunokuthi lukhulise iingxaki zokukhulelwa okuphumelelayo emva koko .
Oku kulandelayo uluhlu lweemvavanyo eziqhelekileyo oogqirha basebenzisayo kubasetyhini abaneemfucuza eziphindaphindiweyo. Qaphela ukuba intsimi yokuphulukana nokuphulukana nokuphulukana nokuphuphuma komzimba iqhutywe ngquzulwano - i-jury isaphuma kwiimeko ezithile zokungahambi kakuhle komzimba, kwaye ezininzi unyango oluqhelekileyo lwezinto eziphuculiweyo eziqhelekileyo azibonakalwanga ukusebenza.
Qaphela: Uvavanyo oluchanekileyo olwenziwa ngugqirha lwakho lungahluke kuloluhlu.
Uvavanyo lweengxaki nge-Uterus
Hysterosalpingogram (HSG)
Ngethuba lovavanyo lokucinga, idayi ifakwe kwisibindi kwaye i-X-ray ithathwa; lijonga isimo esingaqhelekanga sesisu esisenokubangela iingxaki zokukhulelwa.
Hysteroscopy
I-hysteroscopy ibandakanya ukufaka i-telescope encinci kwisisu ukuze uthole umfanekiso ochanekileyo. Ugqirha unokukwazi ukulungisa iingxaki ezincinci ngexesha lovavanyo.
Uvavanyo lweGazi
I-Lupus Anticoagulant Antibodies
I-Lupus antiticoagulant antibodies enye yeemakishi ze-antiphospholipid syndrome.
Antiticardiolipin Antibodies
I-antiticardiolipin antibodies enye imakishi ye-antiphospholipid syndrome.PT kunye nePTPT
I-PT imele i-Prothrombin Time, kwaye kukuvavanya ukubona ukukhawuleza kwegazi. i-APTT imele i-Activated Partial Thromboplastin Time, kwaye enye yolu vavanyo lwegazi lwe-clotting. Iziphumo ezingavumelekanga malunga nokuba zinokuthi zidibaniswe ne-thrombophili.MTHFR Gene Mutation
Ukuguqulwa kwegazi kwi-MTHFR igugu kungonakalisa amandla omzimba wokufumana i-aclic acid. Izifundo ezimbalwa ziye zahambelana nokuguquka kwezityalo ze-MTHFR kunye nomngcipheko okhulayo wokulahlekelwa ngamathambo, kodwa abaninzi baye bafumanisa ukuba i-gene ayiyiyona nto ibangele ukudala ukulahleka kwamathambo.Iprotheni C, i- Factor V Leiden , i-Protein S, i-Prothrombin gene mutation kunye ne-Antithrombin III.
Le yimihlaba ye-thrombophilias ezuzisayo eyabonakala idibene nokulahleka kwezinto emva kweveki ezili-10. Abanye uvavanyo lwabagqirha kulaba kunye nabanye abayifumani.KwiKhrojel Panel
Olunye ubungqina lubonisa ukuba i- hypothyroidism inokunyusa umngcipheko wokuphuphuma kwesibini, kodwa ubungqina abuyiyo. Abanye oogqirha bavavanya rhoqo abafazi ngeengxaki ze-thyroid kwaye abanye abenzi.Progesterone
Ikhonkco phakathi kwe-progesterone kunye nokulahlekelwa ngamathambo ngumcimbi wempikiswano eshushu. Xa oogqirha bavavanya i-progesterone, uvavanyo luquka ukuba igazi lithatha iveki emva kokuvuthwa, okanye ngomhla we-21 womjikelezo weentsuku ezingama-28.
IKaryotyping yabazali
Olu vavanyo luya kwenziwa kubazali bobabini kwaye lukhangele iingxaki kwi-genetic structure engase ikhulise ingozi yokukhulelwa komzimba, njengokufuduswa okufanelekileyo .
Ezinye iimvavanyo
I-Fetal Tissue Karyotyping
Ukuba ibhinqa ibe ne-D & C yokukhulelwa kwayo kwangoko, ugqirha unokufuna ukuvavanya ukuhlolwa kwe-chromosomal yeethambo ukuze kulawulwe iimeko ezingavumelekanga njenge-cause of miscarriages.
Unokuba nexhala lokufuna uvavanyo. Ukulahleka kwamathambo okuqhelekileyo kunokukubeka kwindawo engaqhelekanga yokuba ufuna ukufumana into engalunganga kuwe ngenxa yokubeka igama ingxaki kwaye ukuba unyango olunokwenzeka lunokwenza ingcamango yokukhulelwa okulandelayo ibonakale ingcangcazelanga.
Abanye besetyhini banokuba besaba ukuba baqhubeke nokuvavanya kuba besaba ukuba abayi kufumana iimpendulo.
Ukuba uvakalelwa ngaloo ndlela, kuyaqondakala, kodwa zama ukukhumbula ukuba nangona ungafumani iimpendulo, kufuneka uzive uqinisekiswa ukuba ubuncinane unokuzama kwakhona ukuba unayo inkinga yezokwelapha eyaziwayo ukuze ungene endleleni ukuba ukhulelwe ngokuphumelelayo. Nangona iinkcukacha ezingenakuqinisekiswa, uphando lubonisa ukuba izibini ezingama-70% ezinezifo ezilahlekileyo eziqhelekileyo ngaphandle kwesizathu esaziwayo ekugqibeleni ziyaqhubeka nokukhulelwa okuphumelelayo. Ngako-ke iziganeko ziphakame ukuba ngelinye ilanga le ngxaki oya kuyenza ngoku iyakubakho imemori embi.
Imithombo:
Ikholeji yase-American College of Obstetricians kunye neGynecologists (ACOG), "Ukulawulwa kokulahleka kokukhulelwa kwangaphambili." NgoFebruwari 2001. I- ACOG .
UBrigham, SA, uConlon, kunye noRG Farquharson, "Uvavanyo olude lwexesha lokukhulelwa kwesiphumo ngokulandela ukuphuphuma komzimba." NgoNovemba 1999. Ukuveliswa kwabantu 14: 2868-2871.
Johnson, Kate. "Ukuphuphuma kwesisu ngokukhawuleza kuxhomekeke ekumanyeni kwe-insulin: Hlola ukutya kwamazinga e-insulin." I-OB / GYN Iindaba 15 Jan 2002.