Testing mbereko

Nematambudziko yokubereka mwana nhasi, pane vakaroorana vakawanda. Nyanzvi dzinorumbidza Kutanga firimu mbereko pashure pegore kundikana kuedza. Zvisinei, matambudziko akawanda anogona kuonekwa kunyange panguva kuronga pavaipfuura mwana, izvo vakawanda vava. Izvi zvichaita kubetsera nguva uye dzichikunetsa.

Kushaya mbereko chirwere rinosanganisira kwokutanga pakarongwa zvakananga kuferefeta, vakafungira vari vaviri, kana kugara usina kuzvidzivirira pabonde pamuviri kumboitika mugore. Uyezve, zvinofanira kucherechedzwa kuti nezera, ichi nguva ipfupi. Women pashure 35 vanofanira kuona chiremba pashure pemwedzi mitanhatu.

Kugara pabonde zvinoreva kurara 3 pavhiki, ose rimwe zuva, Zvakanakisa kubva 8 kusvika 18 zuva inaye panguva yayo mureza refu. Kakawanda neshamwari dziri contraindicated, sezvo kanganisa dzisingaoneki unhu.

Kuongorora kwakaitwa mwana munzira mbiri. Chokutanga zvishoma nezvishoma achisiya zvinogona kukonzera. Nzira yechipiri inosanganisira kuongorora zvose zvakarurama zvinhu. Phased Ipfungwa anoponesa mari, uye vokupedzisira - nguva.

Chinetso ndechokuti rimwe vasabatwa zvikonzero kwete haabatanidzi kuvapo imwe. Muna 30% nyaya pane zvinetso zvose mukono nehadzi.

Saka, achivhara mbereko rinosanganisira zvinotevera ongororo:

• nemiedzo zvirwere zvinotapuriranwa pabonde;
• urume uye Mar-bvunzo;
• Rectal tembiricha chipimo;
• Ultrassom uye follicle;
• hormone ongororo;
• vachiongorora Tubhari patency;
• postcoital bvunzo;
• hysteroscopy;
• laparoscopy.

The mbiri dziri kutanga zvinoshanda vose vakaroorana, uye vakasara - chete nomukadzi. Zvakanakisa, vose zvidzidzo izvi zvinogona kupera muna vaviri mwedzi, asi mune tsika, dzimwe nguva zvinotora makore. Kana iwe usiri spermogramme varume vakanaka kwazvo anowedzera yakatarwa:

• hormone kuongororwa (estradiol, FSH, testosterone, LH, prolactin);
• TRUS;
• Chirimwa pamusoro kasvisto yeprostate muto.

Achivhara mbereko kunofanira kusanganisira miedzo kuti zvirwere zvinotapuriranwa pabonde. Nhasi, kazhinji kushandiswa PCR ichi. Iyi nzira inoshanda chaizvo kuziva kunyanya DNA mukugadzirwa.

Hako zvinofanira kuongororwa kuti cytomegalovirus, herpes, HPV, chlamydia, trihomanady, gonokkoki. Zvinokoshawo kuti zvirimwa pamwe antibiogram kuti mycoplasma, ureaplasma uye utachiona. Medical kuongororwa uye zvayo shamhu, zvakare, tinofanira kuenda kuburikidza. Vakadzi hazvivhiringidzi munhu colposcopy uye kuongorora masero mwero.

Kuzvimba dzokubereka nadzo hakusi chete anokanganisa kukwanisa pamuviri, asi kuti zvinoita. In ichi kuipa nokunaka remuromo madzihwa, endometrial, dzisingaoneki vari kutyora ovarian nerevane uye muchinjikwa sepombi.

Urume chinhu chinokosha munzvimbo ongororo yevanhu. Kunoitawo kuti kuziva chikamu motile dzisingaoneki, avo zvakajairika siyana uye dzavo yevasungwa. Izvi nhamba dziri substantially kukanganisa kuberekesa anokwanisa dzisingaoneki. Mar-bvunzo pachena uwandu dzisingaoneki masero zvinenge zvakazara antibodies.

Mukadzi chinodiwa kuti dzinenge 3 months kuyera tembiricha rectal. Izvi zvichabatsira kuti kuyera mashandiro ovaries yake, ovulation uye edza kuti chamber pasi dzimwe vanofungidzirwa zvokurwara. Muhafu yechipiri yezana kutenderera tembiricha anofanira kumuka 0,4 inegumi.

Ultrassom anogona kuziva zvakawanda zvirwere dumbu uye ovaries, kudzivisa pamuviri. Follikulometriya anobatsira arambe oocyte kuibvisa uye kuzosimbisa ovulation.

Hysteroscopy zvinoonekwa kubva mukati uterine mhango. Kudzidza uku inoratidza zvakawanda ayo zvokurwara (polyps, adhesions, septum). Laparoscopy kuongorora pelvic zvomukati panze, muchinjikwa kutarisa pombi. bata Izvi zvinogona kuvhiyiwa. Izvi kunobvisa endometriosis, adhesions, cysts.

Kazhinji, chokutanga muchinjikwa nyere iri achiongorora pachishandiswa GHA. The dumbu kutaurwa mhinduro uye X-ray kana Ultrasound. Kana fuma wadururirwa kupinda abdominal mhango, iyo pombi zvaiyambuka.

Kana postokoitalnom bvunzo mukadzi panguva ovulation pashure pabonde anouya kiriniki. Iye anotora mashoko remuromo madzihwa uye kuziva uwandu dzisingaoneki mairi. Saka ongorora kana vanogona kupinda dumbu kubva nyinyo.

Makemikari hako mapfumo pasi pamazuva kutenderera. Zviri nani tichitarira nokuyerwa rectal tembiricha uye ya munhu kutenderera. Zvakakosha kuziva padanho prolactin, progesterone, LH, estradiol, FSH, testosterone, Dhea-S, cortisol. Chinhu here kutarisa thyroid hormone TSH.

Saka, kuongorora mbereko vanenge varumbidzwa vakaroorana, achiedza remuSamoa pamuviri kwegore. Nani chete kuti zvakafanira kuferefeta zvose somunhu dambudziko mumwe asingaiti runosanganisirawo kusashandisa mumwe. Kana ukasarudza munhu phased Ipfungwa, unofanira kutanga kuongorora murume, nekuti zviri nyore.