Ukuhlolwa koMnxeba kwenziwa njani xa ungeke ukwazi ukukhulelwa
Uvavanyo lwezityalo luyingxenye ebalulekileyo yokuvavanya nokunyanga . Ngokuvavanywa, ugqirha wakho unokufumanisa oko kukuthintela wena kunye neqabane lakho ekufezeni ukukhulelwa.
Umzimba wakho wengqondo rhoqo unokukwenza uvavanyo olusisiseko. Okanye, ungathunyelwa kwi- endocrinologist yokuzala ( ugqirha onobuchule bokuzala) okanye i-urologist (kwindoda engapheliyo) ukuvavanya okunzulu.
Ukuvavanywa kwamandla kubandakanya amaqabane omabini. Nangona sicinga ukukhulelwa njengoko kwenzeka kumzimba wesifazane, ukukhulelwa kuthatha ezimbini!
Ngokutsho kweMerika Society of Reproductive Medicine, enye yesithathu yeengxaki zokungabikho komntwana zibangelwa yinkwenkwe yamantombazana, inxenye yesithathu ibangelwa yindoda engakwazi ukukhulelwa , kunye nesithathu eseleyo ngenxa yeengxaki zombini okanye ukungabonakali.
Uvavanyo lwezityalo zoLuntu
Akukho vavanyo lovavanyo lwezityalo luya kwenziwa kwimeko nganye. Iimvavanyo zokuvuna ezingakumbi ezingenayo, njenge- laparoscopy yokuxilonga , zenziwa kuphela xa iimpawu okanye ezinye iimvavanyo zikhomba kulolu lathiso, okanye xa kubangelwa ukuba kungabikho enye into ebangela ukungabikho.
Kubafazi, ukuvavanya ukukhula kunokubandakanya:
Uvavanyo lokuqala lomzimba
Ukuvavanywa kwezifo zesondo (ezinye ii-STD zingabangela ukungabikho kwempilo)
Umsebenzi wegazi, ongayifumana isifo se- thrombophilia kunye ne- antiphospholipid (kwimeko yokuphuphuma kwesisu), kunye nee-hormone ezahlukeneyo, kuquka i- LH , i- FSH , i-hormone ye-thyroid, i-androgen hormones, i-prolactin, i-estradiol (E2) kunye neprogesterone. I-AMH, okanye i-hormone yokulwa ne-anti-mullerian, ingahlolwa kwakhona.
Olunye lwale msebenzi wegazi kufuneka lwenziwe ngosuku oluthile lomjikelezo wakho wokuya esikhathini . Ngokomzekelo, i-FSH idla ngokubhekiselwe ngosuku lwesithathu lomjikelezo wakho. Iprogesterone iqhele ukuhlolwa ngosuku lwesi-21 lomjikelezo wakho.
I-ultrasound, ukujonga i- polycystic ovaries , ama-cysts amakhulu ama-ovarian, i-fibroids, kwaye, ngamanye amaxesha, ukuqinisekiswa kwe-ovulation kwenzeka.
I-Ultrasound isetyenziselwa ukujonga umlo wesisu kunye nobukhulu bebhanki le-uterine . Inani lokulandelana , elithatha ubungakanani beeqanda ezikhoyo kwii-ovaries zowesifazane , linokuthi lenziwe nge-ultrasound.
I-HSG , okanye i-hysterosalpingogram, ukuba iqaphele ukuba iibhulophu ze-fallopian zivulekile kwaye zivaliwe, kunye nokuhlola umlo wesisu.
I-endometrial biopsy, equka ukuthabatha inani elincinane leetyhuse kwi-uterine bining (okanye i-endometrium). Olu vavanyo aluqhelekanga.
I-Hysteroscopy, equka ukubeka i-telescope-njengekhamera kwi-cervix ukuya kwisibeletho ukuze ukhangele phambili ngaphakathi kwesibeleko. Oku kwenziwa xa ukuhlolwa kwe-HSG kubonakalisa ukungabikho kokungaqhelekanga okanye kwakungekho nto. Ugqirha wakho unokukwenza i-biopsy ye-endometrial ngeli thuba.
I-Sonohysterogram, equka ukubeka inkunkuma engumzimba ngaphakathi kwesibeleko (nge-catheter), kwaye uvavanye i-uterus kunye neendonga ze-uterine nge-ultrasound.
I-laparoscopy ye-Diagnostic , eyona nto ingabangelwayo kwiimvavanyo zokuzala. Olu vavanyo luyenziwa kuphela xa iimpawu zibonisa ukuphela kwe- endometriosis , njengenxalenye yonyango lwe- tublopian tubes , okanye kwezinye iimeko ezingabonakaliyo.
Uvavanyo lweZenzalo zoLuntu
Uhlalutyo lwenkqantosi yolu vavanyo oluphambili lwamadoda. Kuquka umntu onika isampuli yesilwanyana kwibhabhi ukuze ahlole.
Ngokufanelekileyo, uvavanyo kufuneka lwenziwe kabini, kwiintsuku ezahlukileyo, ukuqinisekisa iziphumo.
- Ngaba Ndifuna Ukuhlaziywa Kwemvelo?
- Ukungafihlisiyo kwamadoda: Izimpawu, Ukuxilongwa, kunye noTyango
Ngokuqhelekileyo, kufuneka uhlalutyo lweesondo kuphela ukuxilonga ukungabikho komntwana.
Nangona kunjalo, uvavanyo oluninzi luyakwenziwa, kubandakanya:
Uvavanyo oluqhelekileyo lomzimba ngu-urologist
Uhlalutyo lwesilwanyana olukhethekileyo, kuquka ukuhlolwa kofuzo lwesidoda (ukukhangela ubukho be-antibodies) kunye nokuvavanya kwe-sperm immobile (ukubona ukuba bafile okanye baphila)
Umsebenzi wegazi ukuhlola amanqanaba e-hormone, ngokuqhelekileyo ye-FSH kunye ne-testosterone, kodwa ngamanye amaxesha i-LH, estradiol, okanye i-prolactin
Uvavanyo lwe-STD
I-Ultrasound, ukuvavanya i-vesicles ye-seminal kunye ne-scrotum
I-post-ejaculatory urinalysis (ukuhlolwa komchamo), ukujonga ukuhlaziywa kwe-retrograde
I-biopsy yesicatshulwa , okubandakanya ukususwa kweetyununu zonyango ngokusebenzisa inkqubo encinci yokuhlinzwa
I-Vasografi , eyona x-ray ekhethekileyo esetyenziselwa ukukhangela iziphazamiso zamalungu omzimba wokuzala
Uvavanyo lweZenzalo zoLuntu
Ezinye iimvavanyo zokuzala zibandakanya amaqabane omabini.
Ukuba ukuphuphuma kwesisu ngokuphindaphindiweyo kuyinkathazo, i- karyotyping yezofuzo ingenziwa ukuba ikhangele iimbandezelo ze-genetic ezingakhokelela ekuphumuleni komzimba. Oku kwenziwa ngovavanyo olulula lwegazi.
Nangona kunqabile ukungenzi nto, ukuvavanywa komfundi (post-coital test (PCT) kuquka ukuthabatha isampuli yesikhova somlomo kwintombazana ngokusebenzisa i-pelvic test, emva kweeyure ezimbalwa emva kokuba isibini sithandana ngesondo. Ivavanya ukusebenzisana phakathi kwesikhosi sombeleko wesibeleko kunye nenoda yesilisa.
Kuthiwani Ngeemvavanyo Zasekhaya?
Kungaba nzima ngokomoya ukuhlola uvavanyo lokuzala . Ngamanye amaxesha, abantu banentloni . Abafuni ukuhamba ngokungahambi kakuhle.
Unokuziva ulingwa ukuba uthenge uvavanyo lwe-"home-home". Umzekelo, kukho iimvavanyo ze-FSH ekhaya . Kubantu, kukho i-mail order order kits count test kits.
Nceda ungahambi kule ndlela.
Okokuqala, le mvavanyo ayikwazi ukuhlola ngokupheleleyo ukuzala kwakho. Bajonga enye into ekhethekileyo yokuzala.
Uvavanyo lwe-FSH ekhaya luyakwazi ukukuxelela ukuba iibhubhu zakho ze-fallopian zivaliwe, umzekelo.
Kwakhona, ezi mvavanyo azichanekanga. Ayenzi ukwenza oko bazithethayo.
Ukuhlolwa kwamanani e-sperm kusemakhaya kungenza into eyodwa - bala ukuba zininzi izidoda ezikhoyo. Kodwa yonke imbewu yakho ingafa, kwaye ikiti ayinakukuxelela oko.
Kukho nezinye iinkalo zempilo zentlobo ukuba zikhangele, kubandakanywa nesimo sesisu kunye nendlela umdongwe uhamba ngayo. Imirhumo ye-imeyile imvavanyo yezilwanyana ayibukeli ezi zinto.
Iimvavanyo zekhaya ze-FSH zibona kuphela amanqanaba aphezulu kakhulu kwi-FSH. Umgangatho wakho unokungaqhelekanga, kwaye le mvavanyo ayikwazi ukukuxelela.
Into efanelekileyo ukuyenza kukuba ubone ugqirha wakho. Khumbula ukuba ngokukhawuleza ufumana uncedo, ngcono amathuba akho aya kuba yimpumelelo yokukhulelwa.
Ngaba Uvavanyo lweZenzalo luya kufunyaniswa yi-inshurensi yam?
Ngaba uvavanyo lokuvuna luyakutyholwa yinshurensi yakho? Kuyaxhomekeka.
Ngamanye amaxesha, iinkampani ze-inshorensi aziyi kufikelela kwiimvavanyo ezichazwe njengenjongo yokuzala kuphela. Kodwa baya kugubungela uvavanyo olufanayo ngezizathu ezahlukeneyo.
Ngoko, umzekelo, banokuthi bahlanganise i-laparoscopy yokuxilonga ukuba unesiqhwithi esinzima sesikhombisa . Kodwa azinako ukumboza ukuba ibhalwa njengekhowudi yokuhlola.
Kubaluleke kakhulu ukuba uthethe isebe lakho lezezimali ngaphambi kokuba wenze nayiphi na imvavanyo yokuzala. Cacile kwizinto eziza kugutyungwa, kwaye oko kungenakufunyanwa.
Awufuni ukumangaliswa ngesikhokhelo esikhulu.
Emva kokuvavanywa kwezityalo
Emva kokuvavanywa kokuzala, uza kudibana nomntwana wakho wezinja okanye u-endocrinologist yokuzalana ukuxoxa ...
- zeziphumo zithini
- yiyiphi enye uvavanyo, ukuba kukho na, ingacebisa
- yintoni unyango oluya ku fa neleka
- sigqibo malunga namanyathelo alandelayo ukuba uthathe
Ungesabi ukubuza imibuzo yakho ugqirha ngaphambi nangemva kokuvavanya. Ugqirha wakho kufuneka aqonde indlela ezibuhlungu ngayo le micimbi.
- Izinketho zokwelapha ezinokuthi zenzeke
- Imibuzo: Ngaba usengozini ye-Endometriosis?
- Izizathu Ezi-8 Azingenakuzilandela Ngonyango Lokunyanga
- Asikwazi ukufumana isisu. Ngoku kuthweni?
- Imibuzo: Ngaba Unesiqhelo esiqhelekileyo?
- Indlela Yokujamelana Nokuba Uzama Ukuqonda Ukukunceda
- Iimpawu kunye neengozi zobungenasiphelo
- Imibuzo: Ngaba usengozini yokungafihli?
- Izizathu zokungafihli
- Imibuzo: Ngaba usengozini ye-PCOS?
- Thatha i-Quiz Fertility Quiz
Imithombo:
Isikhokelo esisisiseko sokungafihli kwamadoda: Indlela yokufumanisa oko kungafanelekile. Umbutho wase-American Urologic. Kufumaneka ngoDisemba 20, 2009. http://www.auanet.org/content/guidelines-and-quality-care/clinical-guidelines/patient-guides/whatswrongpg.pdf
Isicatshulwa seNtsholongwane yeMonde: Uvavanyo lokuxilonga kwi-Fact Factor. Umbutho waseMelika weMithi yokuzala. Kufumaneka ngoDisemba 20, 2009. http://www.asrm.org/Patients/FactSheets/Testing_Male-Fact.pdf
Iphepha leNkcazo yeMonde: Iingcali zoogqirha zijonga njani ukungabikho kobuthathaka kwabasetyhini. Umbutho waseMelika weMithi yokuzala. http://www.asrm.org/Patients/FactSheets/InfertilityInWomen.pdf
Isicatshulwa seNtsholongwane yeMonde Umbutho waseMelika weMithi yokuzala. Kufumaneka ngoDisemba 20, 2009. http://www.asrm.org/Patients/FactSheets/recurrent_preg_loss.pdf