Ukuphindaphinda isisu: izizathu ezi-5 eziphambili (kunye novavanyo kufuneka lwenziwe)

Umxholo

• 1. Utshintsho kwimfuzo
• 2. Iziphene zomzimba
• 3. I-Endocrine okanye utshintsho kwimetabolism
• 4. Thrombophilia
• 5. Izinto ezibangela amajoni omzimba

Ukuphindaphinda isisu kuchazwa njengokuvela kweziphazamiso ezintathu okanye ezingaphezulu ezilandelelanayo zokukhulelwa ngaphambi kweveki yama-22 yokukhulelwa, onomngcipheko wokuvela mkhulu kwiinyanga zokuqala zokukhulelwa kunye nokwanda ngokuhamba kweminyaka.

Zininzi izizathu ezinokubangelwa kukuqhomfa okulandelanayo, ke ngoko, kufuneka kwenziwe uvavanyo lwesibini, kufuneka kwenziwe uvavanyo lwe-gynecological kunye nolwemfuzo, kwaye kufuneka kwenziwe uvavanyo losapho kunye nembali yeklinikhi, Ukuze uqonde oyena nobangela wengxaki.

Ukuvela kwesisu ngamava abuhlungu, anokuthi akhokelele kwiimpawu zoxinzelelo kunye noxinzelelo kwaye, ke, abantu ababhinqileyo abaphethwe zizisu eziphindaphindayo, kufuneka bekhatshwa ngokufanelekileyo sisayikholojisti.

Ezinye zezona zinto zibangela isisu esixhaphakileyo zezi:

1. Utshintsho kwimfuzo

Ukuchaphazeleka kwe-chromosomal Fetal sesona sizathu siqhelekileyo sokuphuphuma kwesisu ngaphambi kweeveki ezili-10 zokukhulelwa kunye namathuba okuba ande ngokwanda kweminyaka yobudala boomama. Iimpazamo eziqhelekileyo yi-trisomy, polyploidy kunye ne-monosomy ye-X chromosome.

Uvavanyo lohlalutyo lwe-cytogenetic kufuneka lwenziwe kwiimveliso zokukhulelwa ukusuka kwilahleko yesithathu ngokulandelelana. Ukuba olu vavanyo lubonisa ukungahambi kakuhle, i-karyotype kufuneka ihlaziywe kusetyenziswa igazi elisecaleni lezinto zombini zesibini.

2. Iziphene zomzimba

Ukungaqheleki kwesibeleko, njengokukhubazeka kweMullerian, i-fibroids, iipolyps kunye ne-uterine synechia, kunokunxulunyaniswa nokuqhomfa okuphindayo. Funda indlela yokuchonga utshintsho kwisibeleko.

Bonke abantu ababhinqileyo abaphethwe sisisu esivela rhoqo kufuneka baye kuvavanywa kwisibeleko, besebenzisa i-pelvic ultrasound ene-2D okanye i-3D transvaginal catheter kunye ne-hysterosalpingography, enokuncediswa nge-endoscopy.

3. I-Endocrine okanye utshintsho kwimetabolism

Olunye lwe-endocrine okanye utshintsho lwe-metabolic olunokuba ngunobangela wokuphuma kwesisu rhoqo:

• Seswekile:Ngamanye amaxesha, abasetyhini abanesifo seswekile esingalawulwayo banomngcipheko omkhulu wokulahleka komntwana kunye nokungalunganga. Nangona kunjalo, ukuba isifo seswekile silawulwa kakuhle, asijongwa njengomngcipheko wokuqhomfa;
• Ukungasebenzi kwe-thyroid: Njengakwimeko yeswekile, abasetyhini abanengxaki yokusebenza okungalawulekiyo ye-thyroid banomngcipheko okhulayo wokubandezeleka kwesisu;
• Utshintsho kwiprolactin: Prolactin yincindi yedlala ebaluleke kakhulu ekuvuthweni kwe-endometrium. Ke, ukuba le hormone iphakame kakhulu okanye iphantsi kakhulu, umngcipheko wokuphuma kwesisu nawo uyonyuswa;
• Isifo sePolycystic ovary: I-Polycystic ovary syndrome inxulunyaniswa nomngcipheko okhulayo wokukhupha isisu, kodwa akukacaci ukuba yeyiphi na indlela ebandakanyekayo. Funda indlela yokuchonga nokunyanga i-ovary ye-polycystic;
• Ukutyeba kakhuluUkutyeba kakhulu kunxulunyaniswa nokonyuka okubonakalayo kumngcipheko wokulahleka kokukhulelwa okuzenzekelayo kwitrimester yokuqala;
• Utshintsho kwisigaba seLuteal kunye nokusilela kweprogesteroneI-corpus luteum esebenzayo iyimfuneko ekufakweni ngempumelelo nasekugcinweni kokukhulelwa kubuso bayo bokuqala, ngenxa yomsebenzi wayo obalulekileyo kwimveliso yeprogesterone. Ke, utshintsho kwimveliso yeli hormone linokukhokelela nakwimeko yokuphuma kwesisu.

Fumanisa ukuba yintoni i-corpus luteum kwaye yintoni enxulumene nokukhulelwa.

4. Thrombophilia

I-Thrombophilia zizifo ezibangela utshintsho ekunqandeni igazi kwaye zonyusa amathuba okuba amahlwili egazi enze kwaye abangele i-thrombosis, enokuthintela ukumiliselwa kombungu kwisibeleko okanye kubangele ukuqhomfa. Ngokubanzi, i-thrombophilia ayifumaneki kuvavanyo lwegazi oluqhelekileyo.

Funda ngendlela yokujongana ne-thrombophilia xa ukhulelwe.

5. Izinto ezibangela amajoni omzimba

Ngexesha lokukhulelwa, umbungu uthathwa njengowasemzini ngumzimba womama, ohluke ngokwendalo. Ngenxa yoku, amajoni omama akhulelweyo kufuneka aziqhelanise nokungayali imbungu. Nangona kunjalo, kwezinye iimeko, oku akwenzeki, kukhokelela ekuphuncukeni kwesisu okanye kubenzima ekukhulelweni.

Kukho uviwo olubizwa umdlalo womnqamlezo, ekhangela ubukho bee-antibodies ngokuchasene nee-lymphocyte zooyise egazini likamama. Ukwenza olu vavanyo, iisampulu zegazi zithathwa kutata nakunina kwaye, elebhu, kwenziwa uvavanyo lomnqamlezo phakathi kwaba babini, ukuze kuchongwe ubukho beentsholongwane.

Ukongeza, ukuselwa kotywala kunye necuba kunokunxulunyaniswa nokuqhomfa okuphindwayo, kuba zichaphazela kakubi ukukhulelwa

Nangona kwiimeko ezininzi oonobangela bokuqhomfa okuvela rhoqo kunokugqitywa, kukho iimeko ezihlala zingachazwanga.