Ngemuva kokukhulelwa kwesisu, iningi labesifazane bafuna ukwazi ukuthi kungani kwenzekile nokuthi ngabe kukhona okungakuvimbela. Ngokuvamile, imbangela yayiyinkinga ye- genetic engahleliwe emntwaneni osathuthuka, futhi kwakungekho lutho olungaluvimbela. Futhi njengoba mhlawumbe uyazi, iningi labesifazane abanesisu esisodwa esisodwa baqhubeka nokukhulelwa okulandelayo.
Kodwa ngezimoto ezimbili, ngaphezulu noma ezintathu ezilandelanayo, amathuba aphansi ukuthi inkinga yimibuzo yokungahleliwe ye-chromosomal - futhi kunengqondo ukubona udokotela ukuthi ahlole izimbangela ezingase zitholakale zokuhlukumeza okuningi . Azikho izimpendulo njalo, kepha cishe ingxenye yesikhathi lapho ukuhlola kuzokwethula isizathu sokuthi kungani ukukhubazeka okungenzeka kwenzeke - kanye nokwelashwa okungase kukhulise izimo zokukhulelwa okulandelayo okuphumelelayo .
Okulandelayo kuluhlu lwezivivinyo ezivame kakhulu odokotela abazisebenzisela abesifazane abanezinsizwa eziphindaphindiwe. Qaphela ukuthi insimu yokuphulukiswa komzimba ngokuphindaphindiwe igcwele ukungqubuzana - ijaji lisengabangela ukukhulelwa kwesisu okungenzeka, futhi eziningi zokwelapha ezivamile zokukhubazeka okungajwayelekile akubonakali ukusebenza.
Qaphela: Ukuhlola okuqondile ukuthi osebenzayo ugijima kungase kuhluke kulolu hlu.
Ukuhlola Izinkinga Nge-Isibeletho
I-Hysterosalpingogram (i-HSG)
Ngesikhathi sokuhlolwa kwe-imaging, idayi ijojowe esibelethweni bese kuthathwa i-X; libukeka ngesimo esingavamile sesibeletho esingabangela izinkinga ekukhulelwe.
I-Hysteroscopy
I-hysteroscopy ihilela ukufaka i-telescope encane ngaphakathi kwesibeletho ukuze uthole isithombe esinembile kakhulu. Udokotela angakwazi ukulungisa izinkinga ezincane ngesikhathi sokuhlolwa.
Izivivinyo zegazi
Antibodies Lupus Anticoagulant
Ama-antibodies e-Lupus anticoagulant angomunye wamakaki we-antiphospholipid syndrome.
Anticardiolipin Antibodies
Ama-anticardiolipin antibodies angenye uphawu lokulwa ne-antiphospholipid syndrome.I-PT ne-APTT
I-PT imele i-Prothrombin Time, futhi kuyisivivinyo ukubona ukuthi i-blood clots ishesha kanjani. i-aPTT imele i-Activated Partial Thromboplastin Time, futhi enye yokuhlolwa kwe-clotting. Imiphumela engavamile kungase ihlotshaniswe ne-thrombophilias yefa.I-MTHFR i-Gene Mutation
Ukuguqulwa kwesimo segciwane le-MTHFR kungaphazamisa ikhono lomzimba lokuthola i-folic acid. Ucwaningo oluthile luye lwathinta ukuguquguquka kwezakhi ze-MTHFR ngenengozi eyengeziwe yokwehluleka, kodwa iningi liye lathola ukuthi isakhi asifanele sibe yimbangela enkulu ekubangela ukuhlukunyezwa.Amaprotheni C, i- Factor V Leiden , i-Protein S yokuntuleka, i-Prothrombin gene mutation ne-Antithrombin III ukuntuleka
Lezi yi-thrombophilias eyifa elibonakala sengathi ihlotshaniswa nokukhubazeka ngemva kwamasonto ayishumi. Abanye odokotela bahlola lokhu nalaba abanye abangekho.Iphaneli le-Thyroid
Ubufakazi obunye bubonisa ukuthi i- hypothyroidism ingakhuphula ingozi yokukhulelwa kwesisu kwesibili, kodwa ubufakazi abugcini. Abanye odokotela bavame ukuvivinya abesifazane ngenxa yezinkinga ze-thyroid kanti abanye abakwenzi.I-Progesterone
Isixhumanisi phakathi kwe-progesterone ne-miscarriages yindaba yokuphikisana okushisayo. Uma odokotela behlola i-progesterone, ukuhlolwa ngokuvamile kuhilela igazi ukudweba ngesonto emva kokuvuthwa, noma ngosuku 21 lomjikelezo wosuku lwama-28.
I-Karyotyping yabazali
Lokhu kuhlolwa kuzokwenzelwa kubazali bobabili futhi kubheke izinkinga ezakhiweni zofuzo ezingase zithuthukise izingozi zokukhulelwa kokukhulelwa, njenge- translocation elinganisiwe .
Ezinye izivivinyo
I-Fetal Tissue Karyotyping
Uma owesifazane ephethe i-D & C yokukhulelwa kwakhe okuncane, udokotela angase afune ukuhlola ukuhlolwa kwe-chromosomal yezincubu ukuze akhiphe ukukhubazeka kwe-chromosomal njengesizathu samaphutha.
Ungase ube nemizwa exubile ngokufuna ukuhlolwa. Ukukhubazeka okungajwayelekile kungakufaka endaweni engavamile yokufuna ukuthola okuthile okungalungile kuwe ngoba ukubeka igama enkingeni futhi ukwelashwa okungenzeka kungenza umqondo wokukhulelwa okulandelayo kubonakale ukwesaba kancane.
Abanye besifazane baze bazizwe besaba ukuqhubeka nokuhlolwa ngoba besaba ukuthi ngeke bathole izimpendulo.
Uma uzizwa ngaleyo ndlela, kuyaqondakala, kodwa zama ukukhumbula ukuthi ngisho noma ungatholi izimpendulo, kufanele uqiniseke ukuthi okungenani uzama futhi ukwazi ukuthi awunayo inkinga yezokwelapha eyaziwayo ukuze ungene endleleni ngokuba nokukhulelwa okuphumelelayo. Ngisho noma izibalo zingase zingaqiniseki, ucwaningo lubonisa ukuthi imibhangqwana engu-70% enezinsizwa eziphuthumayo ngaphandle kwesizathu esaziwayo ekugcineni iqhubeka nokukhulelwa okuphumelelayo. Ngakho-ke izinkinga zisalokhu ziphakeme ukuthi ngelinye ilanga lolu hlu olubuhlungu olwaziyo manje luzoba imemori embi.
Imithombo:
I-American College of Obstetricians and Gynecologists (i-ACOG), "Ukuphathwa kokulahlekelwa kokukhulelwa kokuqala esikhathini esiningi." Feb. 2001. I- ACOG .
UBrigham, SA, uCclonlon noRG Farquharson, "Ukutadisha isikhathi eside ngokukhulelwa komzimba ngokulandela ukukhulelwa kwesisu okuphindaphindiwe." NgoNovemba 1999. Ukukhiqizwa Kwabantu 14: 2868-2871.
Johnson, Kate. "Ukukhulelwa kwesisu okuphindaphindiwe kuhlobene nokuvimbela i-insulin: Hlola ukudla kwamazinga e-insulin." OB / GYN Izindaba 15 Jan 2002.