Indlela Ukuhlola Ukukhiqiza Ngokwemvelo Kuyenziwa Uma Ungakwazi Ukukhulelwa
Ukuhlola ukukhulelwa kuyisici esibalulekile ekuhloleni kokuzala kanye nokwelashwa . Ngokuhlola, udokotela wakho angathola ukuthi yini okuvimbela wena nomlingani wakho ekufezeni ukukhulelwa.
I-gynecologist yakho evamile ingenza ukuhlolwa okuyisisekelo. Noma, ungathunyelwa ku- endocrinologist yokubeletha ( udokotela onguchwepheshe wokuzala) noma i-urologist (yokwelashwa kwesilisa) ukuze uhlolwe ngokwengeziwe ukuzala.
Ukuhlolwa kokuzala kuhilela bobabili abalingani. Nakuba singase sicabange ngokukhulelwa okwenzeka emzimbeni wesifazane, ukukhulelwa kuthatha ezimbili!
Ngokusho kwe-American Society of Medicine Reproductive, ingxenye eyodwa kwezintathu zezigameko zokungakhulelwa kubangelwa yi- female factor infertility , ingxenye yesithathu ibangelwa ukungabi namuntu wesilisa , kanti okwesithathu kubangelwe izinkinga zombili zombili noma ukungasebenzi okungaqondakali.
Ukuhlolwa Kwezinsikazi Kwabesifazane
Akuzona zonke izivivinyo zokuzala ezenzelwe zonke izimo. Ukuhlolwa okuvame kakhulu kokuzala, njenge- laparoscopy yokuxilonga , kwenziwa kuphela uma izimpawu noma ezinye izivivinyo zikhomba ngaleyo ndlela, noma uma imbangela yokungasebenzi ingatholakali ngenye indlela.
Kwabesifazane, ukuhlolwa kokuzala kungabandakanya:
Ukuhlolwa okuyisisekelo kwegazi
Ukuhlolwa kwesifo socansi (amanye ama-STD angabangela ukungasebenzi)
Umsebenzi wegazi, ongase uhlole i- thrombophilia ne- antiphospholipid syndrome (uma kwenzeka ukukhulelwa kwesisu okuphindaphindiwe), kanye nama-hormone ahlukahlukene, kuhlanganise ne- LH , i- FSH , ama-hormone e-thyroid, i-androgen hormone, i-prolactin, i-estradiol (E2), ne-progesterone. I-AMH, noma i-hormone ye-anti-mullerian, ingahlolwa futhi.
Okunye kwalomsebenzi wegazi kufanele wenziwe ngosuku oluthile lomjikelezo wakho wokuya esikhathini . Isibonelo, i-FSH ivame ukuhlolwa ngosuku lwesithathu lomjikelezo wakho. I-progesterone ivame ukuhlolwa ngosuku 21 lomjikelezo wakho.
I-Ultrasound, ukubuka ama- ovaries we- polycystic , ama-cysts amakhulu ama-ovari, ama-fibroids, futhi, ngezinye izikhathi, ukuqinisekisa ukuvuthwa kwenzeka.
I-Ultrasound iyasetshenziselwa ukuhlola isimo sesisu kanye nobukhulu bendlala ye-uterine . Ukubala okulandelanayo, okubikezela ubungako bamaqanda atholakala kuma-ovaries wesifazane , kungenziwa nge-ultrasound.
I-HSG , noma i-hysterosalpingogram, ukuhlola ukuthi amashubhu we- fallopian avulekile futhi akavinjiwe, futhi ahlolisise isimo sesisu.
I-endometrial biopsy, okubandakanya ukuthatha isisindo samathambo amancane kusuka ku-uterine lining (noma i-endometrium). Lokhu kuhlolwa akuvamile ukwenza.
I-Hysteroscopy, efaka ukubeka ikhamera ye-télescope emlonyeni wesibeletho esibelethweni ukuze uhlolisise ngaphakathi kwesibeletho. Lokhu kwenziwa uma ukuhlola kwe-HSG kubonisa ukuthi kungenzeka okungavamile noma kwakungeke kube khona. Udokotela wakho angenza futhi i-biopsy ye-endometrial phakathi nalokhu kuhlolwa.
I-Sonohysterogram, efaka ukubeka amanzi angenayo ngaphakathi kwesibeletho (nge-catheter), bese uhlola izibeletho nezindonga ze-uterine nge-ultrasound.
I-laparoscopy yokuxilonga , okungenzeka ibe yimbi kakhulu ekuvivinyweni kokuzala. Lokhu kuhlolwa kwenziwa kuphela uma izimpawu zikhomba ukuthi kungenzeka ukuthi i- endometriosis kungenzeka, njengengxenye yokwelashwa kwezingcingo ezivinjiwe , noma kwezinye izimo zokungabonakali okungaqondakali.
Izivivinyo Zobuningi Bamadoda
Ukuhlaziywa kwesimiso ukuhlolwa okuyinhloko kwamadoda. Kuhilela umuntu ohlinzeka ngesampula sembewu ebhodini ukuze ahlolwe.
Okufanelekile, ukuhlolwa kufanele kwenziwe kabili, ngezinsuku ezihlukile, ukuqinisekisa imiphumela.
Ngokuvamile, kudingeke ukuthi kuhlaziywe isilwane kuphela ukuze kutholakale ukungasebenzi komuntu.
Kodwa-ke, ukuhlolwa okungaphezulu kungenziwa futhi kufaka phakathi:
Ukuhlolwa okujwayelekile ngokomzimba we-urologist
Ukuhlaziywa kwamasimu okukhethekile, kufaka phakathi ukuhlolwa kofuzo lwesidoda (ukufuna ukutholakala kwama-antibodies) kanye nokuhlolwa kwe-immobile sperm (ukubona ukuthi bafile noma baphila)
Umsebenzi wegazi ukuhlola amazinga e-hormone, ngokuvamile we-FSH no-testosterone, kodwa ngezinye izikhathi futhi i-LH, i-estradiol, noma i-prolactin
Ukuhlolwa kwe-STD
I-Ultrasound, ukuhlola i-vesicles yesisu ne-scrotum
I-post-ejaculatory urinalysis (ukuhlolwa komchamo), ukuhlola ukubuyiswa kwe- retrograde
I-biopsy ye-testicular , efaka ukukhishwa kwezicubu ze-testicular nge-procedure encane yokuhlinzwa
I-Vasografi , eyisixhumo esikhethekile esetshenziselwa ukubheka ukuvinjelwa kwezitho zobulili zesilisa
Izivivinywa Zesizalo Sokubili
Ezinye izivivinyo zokuzala zihilela bobabili abalingani.
Uma ukukhulelwa kwesisu okuphindaphindiwe kuyinkinga, i- karyotyping yezakhi zofuzo ingenziwa ukuze ifune izifo ezibangelwa isifo somzimba ezingase ziholele ekukhulelweni kwesisu. Lokhu kwenziwa ngokuhlolwa kwegazi okulula.
Nakuba kungavamile ukuthi kwenziwe, ukuhlolwa kwe-post-coital (i-PCT) kuhilela ukuthatha isampula yesikhumba somlomo wesibeletho kuwesifazane ngokusebenzisa ukuhlolwa kwe-pelvic, amahora ambalwa ngemuva kokuba lo mbhangqwana uthandane ngokocansi. Ihlola ukusebenzisana phakathi kwe- mucus yomlomo wesibeletho nomfazi wesilisa.
Kuthiwani Ngamavivinyo Asekhaya Ekukhuleni?
Kungaba nzima ngokomzwelo ukuhlola ukuzala . Ngezinye izikhathi, abantu bazizwa benamahloni . Kungcono ukuthi bangahambi kahle.
Ungase uzizwe ulingwa ukuba uthenge ukuhlolwa ko "ukufika ekhaya" kokuzala. Isibonelo, kunemizamo ye-FSH ekhaya ongayithatha. Kubantu, kunezinkinobho zokuvivinya isibalo se-sperm count.
Sicela ungayi kulo mzila.
Okokuqala, lezi zivivinyo azikwazi ukuhlola ngokugcwele ukuzala kwakho. Babheka isici esisodwa esiqondile sokuzala.
Ukuhlolwa kwe-FSH ekhaya-ekhaya akukwazi ukukutshela ukuthi ngabe amashubhu akho amancane avinjiwe, isibonelo.
Futhi, lokhu kuvivinywa akukona okulungile. Abenzi ngisho nokwenza lokho abakushoyo abakwenzayo.
Ukuhlolwa kokubala kwamademoni ekhaya kungenza into eyodwa - bala ukuthi zingaki izidakamizwa ezikhona. Kodwa zonke izidakamizwa zakho zingase zifile, futhi ikiti ayinakukutshela lokho.
Kukhona nezinye izici zezempilo zesilisa ezibukekayo, kubandakanya ukuma kwesidoda nendlela udoti ogijima ngayo. Ukuhlolwa kwe-mail oda wesilisa ukukhiqiza akubukeli lezi zinto.
I-FSH ekhaya ihlola kuphela ukuthola amazinga aphezulu kakhulu we-FSH. Izinga lakho lingase lingavamile, futhi lezi zivivinyo azikwazi ukukutshela.
Into engcono kakhulu ongayenza ukubona udokotela wakho. Khumbula ukuthi ngokushesha lapho uzothola usizo, amathuba akho azoba ngcono ekukhuleni.
Ingabe Ukuhlolwa Kwesizalo Kuyovezwa Ngomshwalense Wami?
Ingabe ukuhlolwa kokuzala kuyobekwa umshwalense wakho? Kuya ngesimo.
Ngezinye izikhathi, izinkampani zomshuwalense ngeke zimboze izivivinyo ezichazwe njengezinhloso zokuzala kuphela. Kodwa bayothola ukuhlolwa okufanayo ngesinye isizathu.
Ngakho-ke, isibonelo, bangase bahlanganise i-laparoscopy yokuxilonga uma unesidumbu esinzima sokuya esikhathini . Kodwa angase angayifakeki uma ifakwe ikhodi njengokuhlola kokuzala kuphela.
Kubaluleke kakhulu ukuthi ukhulume nomnyango wezezimali womtholampilo wakho ngaphambi kokwenza noma yikuphi ukuhlolwa kokuzala. Cacile kulokho okuzobekwa khona, nokuthi yini engase ingahlanganiswa.
Awufuni ukumangala ngesikweletu esikhulu.
Ngemuva kokuvivinywa kwe-Fertility
Uma ukuhlolwa kokuzala kuphelile, uzohlangana nodokotela wakho wezinkinga zokubeletha noma i-endocrinologist yokubeletha ukuxoxa ...
- ukuthi kusho ukuthini imiphumela
- yikuphi ukuhlolwa okunye, uma kukhona, okungase kunconywe
- yikuphi ukwelashwa okufanele kube okufanele
- unqume izinyathelo ezilandelayo okufanele uzithathe
Ungesabi ukubuza imibuzo kadokotela ngaphambi nangemva kokuhlolwa kokuzala. Udokotela wakho kufanele aqonde ukuthi lezi zinkinga zibucayi kangakanani.
- Izinketho zokwelashwa ezingenzekayo zokwelapha
- Imibuzo: Ingabe Usengozini Ye-Endometriosis?
- Izizathu eziyi-8 ongazilandeleli ukwelapha ukwelashwa
- Asikwazi ukukhulelwa. Manje?
- Imibuzo: Unayo Isikhathi Esivamile?
- Indlela Yokubhekana Nesimo Lapho Uzama Ukuqonda Ukukunqoba
- Izimpawu Nezimbangela Zengozi Yokungafaki
- Imibuzo: Ingabe Usengozini Yokungafaki?
- Izimbangela Zokungafihli
- Imibuzo: Ingabe Usengozini ye-PCOS?
- Thatha umbuzo wokuzala
Imithombo:
Umhlahlandlela Oyisisekelo Wokungabi Nabesifazane Okungalungile: Indlela Yokuthola Okungalungile. I-American Urologic Association. Kufinyelelwe ngoDisemba 20, 2009. http://www.auanet.org/content/guidelines-and-quality-care/clinical-guidelines/patient-guides/whatswrongpg.pdf
Iphepha Lokungapheli Elibekezelayo: Ukuvivinya Ukuxilongwa Kwesilisa Okungenzi lutho. I-American Society of Medicine Yokuzala. Kufinyelelwe kuDisemba 20, 2009. http://www.asrm.org/Patients/FactSheets/Testing_Male-Fact.pdf
Iphepha Lokungapheli Elibekezelayo: Abahlengikazi Bahlola Kanjani Ukungafanisi Kwabesifazane. I-American Society of Medicine Yokuzala. http://www.asrm.org/Patients/FactSheets/InfertilityInWomen.pdf
Iphepha Lokugcina Lokubekezela: Ukulahlekelwa Kokukhulelwa Okuvamile. I-American Society of Medicine Yokuzala. Kufinyelelwe kuDisemba 20, 2009. http://www.asrm.org/Patients/FactSheets/recurrent_preg_loss.pdf