Infertility haisi mutongo. Zvinofungidzirwa kuti mumwe wevakadzi vashanu vanofunga kuva nomwana vane matambudziko nekutanga kwekuzvitakura. Asi vazhinji vavo vanozobudirira. Kururamisa kuongororwa kwemazuva ano uye kurapwa zvinobudirira kunobatsira kugadzirisa dambudziko rakadaro sekusava nekubereka uye kuberekwa.
Ndeipi nguva yekuenda kwachiremba?
Sezvo mutemo, mukadzi anotora pamuviri mukati megore mushure mokutanga kwenyaya dzepabonde nguva dzose pasina kushandisa kwemishonga. Kana nguva iyo isingashandisi mukufarira kwako (iwe uri nemakore anopfuura makumi matatu uye iwe usati wava nepamuviri, wakanga uine matambudziko edzimbai kana kushanda munguva yakapfuura), mushure mekunge nguva iyi, usanono kushanyira gynecologist anoziva mukurapa kwekusagadzikana. Munyaya yevakadzi vaduku zvikuru, kushanyira kwakadaro kunogona kugadziriswa kwegore rimwechete. Vakawanda vakaroorana vanova vabereki vasina rubatsiro rwezvehutano rwegore rechipiri rekubatana nekuedza kuwana mwana.
Yeuka kuti upenyu hwakasikwa pamwe chete, saka kune chiremba iwe unofanira kuenda pamwe chete nemumwe wako. Kana murume wako akakukurudzira kuti utange kuonana newe pachako - kumubvumira zvimwe. Varume vazhinji vanosarudza kuenda kuna chiremba zvakaoma zvikuru. Vanofunga nezvehutachiona, vachifunga kuti ichi chinhu chinotyisa. Maererano nenyanzvi, kusvika kune 15% yevakaroorana vakatarisana nedambudziko rakaoma kuti vave nepamuviri. Kune zvikonzero zvakawanda zveizvi, uye dzimwe nguva zvikonzero zvevari vaviri. Chimwe chinokonzera kukanganisa kurapwa ndicho chinotarisa pane imwe dambudziko. Asi iwe unoda nguva dzose kutsvaga mitsva mitsva pasina kuwana chero matambudziko mushure mokurapa. Nguva inofamba, uye mikana yemuviri haisi yekusingaperi.
Murume asina chikonzero ndicho chikonzero chinenge hafu yevakaroorana, uye maererano nenyanzvi, zviratidzo izvi zvinoramba zvichikura. Kuongororwa kwevakaroorana kunofanira kuitwa pamwe chete. Zvisikwa zvakashata, nzira isina kunaka yehupenyu inotungamirira kukuti kusaremera mhaka kuri kuwedzera kune vamiririri vemadzimai ose.
Ndingawane kupi rubatsiro?
Iwe unogona kuenda kune gynecologist mumakiriniki, uye iye, kana zvichifanira, anokuendesa mberi. Chisarudzo chekuongorora uye kubata chirwere chekushaya simba chinowanzotorwa nemudzimai wegynecologist uye endocrinologist, uyewo nyanzvi yezvinetso zvehomoni mune varume uyerologist (nyanzvi mune zvirwere zvehutano hwehutano) kana urologist (nyanzvi mune zvirwere zvejenitourinary system).
Kana iwe uine mukana (kusanganisira mari) - zviri nani kuwana unyanzvi hwekushaya rubatsiro mumakiriniki. Kune vadzidzisi veyanyanzvi, nyanzvi uye vanoongorora ma laboratories, vose vari munzvimbo imwe. Kuziva uye kurapa kuchaitwa zvakanyatsonaka uye iwe uchaponesa nguva yakawanda. Paunowana kuti basa rako harisi, iwe uchazoguma uine imwe kana maviri kushanyira pamutengo wepasi. Kana pane dambudziko rakakomba, zvinenge zvichiitika kuti chiremba anovimba achakutungamirira pamatanho ose ekurapa kusvika pakuguma kunofadza.
Mubvunzo wehutano hwekubhadhara chikamu chekutsvakurudza uye kurapwa kuri kuwedzera kuongororwa mumasangano ega ega pasi pemvumo yakakodzera neyo mari. Mashoko akawanda anobatsira, kusanganisira pamusoro pezvikamu zvakanakisisa zvekushaya rubatsiro munharaunda yako uye maonero avanochiremba unogona kuwana muChirungu chekurapa kweInfertility.
Yeuka kuti nyaya yakashata yakadai sekurapa kwekushaya vana, zvinokosha kuvimba chete nechiremba anonyatsokwanisa. Saka, zvose zvinokosha pano - uye mhinduro dzevamwe varwere, uye kunyange iwe pachako unofunga. Usanonoka kubvunza chiremba kuti ave nechokwadi chekufanirwa kwake - iyi ndiyo yako kodzero.
Chii chinonzi kuonekwa kwemukadzi kunosanganisira?
Nyanzvi dzinotaura kuti: hapana chikonzero chekuongororwa kwekubata kwako kubereka kunogara kwenguva refu kupfuura mwedzi mitatu. Panguva imwecheteyo, kana iwe uchitarisana nevashandi, unogona chaizvo kuona zvose uye uchisarudza zvokuita. Vanachiremba vanonyanya kukodzera vane kukurukurirana kwakanakisisa naamai vavo mune ramangwana kuitira kuti vave nekunetseka pamusoro pechinetso. Izvi hazvichinje chokwadi chokuti intuition haikwani. Izvi zvakakosha kupedzisa zvikamu zvikuru zvekuongororwa.
Madzimai, chirwere ichi chinosanganisira gynecological examination, ultrasound kuongororwa kwechiitiko che fallopian tubes, laparoscopic kuongorora. Iyo yekupedzisira inokubvumira kuti uone kana chikonzero chekushaya mwana kune mamwe mushure-ekudzivirira chirwere chepfungwa - spikes kana endometriosis. Kana chiremba anoona zvinetso muuterine cavity, zvakadai semapuropiti, anokwanisa kukurudzira mwanaography kana ultrasound mushure mekuisa inonzi saline kuburikidza ne catheter. Iyi tsvakurudzo haina kutora uye haina kurwadza.
Chimwe chinhu chinokosha chekuongororwa ndicho tsanangudzo yenguva yekufukura uye unhu hwayo. Zvidzidzo izvi zvekuvhura zvakakurumbira zvikuru, asi zvisinei zvakakosha ndiko kuongororwa kwechiberekero chechibereki. Nokuda kwechinangwa ichi, kwete chete chimiro chechidimbu chinowanikwa, asi, pamusoro pezvose, kuongororwa kwemahomoni kuti uongorore kushanda kwetachiona gland. Maitiro e androgens, adrenal function uye pituitary ovarian basa anoongororwawo.
Bacteriological testing inodiwa. Utachiona hwehutachiona hunowanzokonzera kusava nekushaya simba, asi huchiri kutarisirwa munyika yedu. Zvakakosha kubvisa zvirwere zvakadai se chlamydia. Izvo zvinowanzoitwa "smear" hazvina kukwana - kuongororwa kwakakosha kunodiwa, izvo zvinoita kuti zvikwanise kuongororwa kushandiswa kwemishonga ye microbes.
Kazhinji kazhinji, zvidzidzo izvi zvose hazvipi mhinduro pamusoro pezvikonzero zvinokonzerwa nekushaya vana. Kana iwe newawakaroorana naye mune utano hwakanaka, dzimwe nguva vanachiremba vanokurudzira kuti vawedzere kuongorora mazita ekugadzirisa zvirwere uye maitiro. Matambudziko akadaro anomuka nguva nenguva, kuwanika kune zvitsvakurudzo zvinowanzoomera, uye mari yavo inenge yakakwirira. Asi zvakaguma zvakakosha.
Zvikonzero zvinowanzovhiringidzika zvekusununguka kwevakadzikadzi
Kazhinji ultrasound uye kuongorora ropa kunogona kubatsira kuona chikonzero chekushaya vana. Muna 30-35% yematambudziko, kusununguka kwevakadzi kunobatanidza ne tubal occlusion, uye imwe 25% inosangana nehutachiona hwehutachiona. Chikonzero chehutachiona hwehutachiona, sekutonga, zvipembenene zvinokonzera zvirwere zvepanyama, zvakadai se chlamydia kana gonorrhea. Zvakanaka kana zvisingaperi zvinoputika zvinogona kutungamirira pakuumbwa kwekucheka, kuumbwa kwebhuku uye kunyange tubal atresia.
Hormonal disorders of childbirning function inosangana nekushayikwa kweivulation kana ovulation isina kukodzera (follicle haina kuputika, mazai haasunungurwi panguva yeivulation). Kunewo zviratidzo zvechirwere chinokonzerwa nemagariro chinonzi polycystic ovary syndrome. Mune mazai mavari, kune huwandu hwemhomoni yevanhu, iyo inotungamirira kurufu rwe follicles uye nekuumbwa kwe-cysts. Imwe dambudziko ndiro hyperprolactinemia (high prolactin level), iyo inogona kutungamirira ku amenorrhea. Inogonawo kukanganisa zvakananga kugadzirisa zvepabonde, kuderedza kuchengetedzwa kweprogesterone muvakadzi, kudzivirira kubatsirwa kwemukati.
Kusaruramisa kweHormonal kunotungamirira kune zvinhu zvakawanda, zvinowanzobatanidzwa nemararamiro. Kushaya zvokudya zvinovaka muviri, kunyanya kuderedza, kusagadzikana kwenguva refu, kunwa doro zvisina kufanira uye kunyange mitambo yemasvomhu yose inogona "kuparadza" mutsva mutsva wokuva nemwana. Migumisiro yakaipisisa inokonzera kusagadzikana kwekushanda kwetachiona yeganda, pituitary gland uye gland gland.
Chikonzero chekushaya vana (kana chimwe chikonzero pakuderedza kubereka) pane dzimwe nguva endometriosis. Ichi chirwere chinosanganiswa nekuiswa kwezvimedu zve endometrium (mucous membrane ye chibereko) kupinda munhengo dzechipfuva chemuviri. Endometrium iri munzvimbo iyoyo uye nenzira imwecheteyo neyekushanduka kwechiclic mudumbu. Iyo inowedzera, ichikonzera kuputika uye kupora. Zvakaoma zvikuru kutora pamuviri kana zvinetso izvi zvakabatana nekushanda kweivhai kana kuti fallopian tubes.
Dzimwe nguva chinokonzerwa nekushaya simba kwenguva pfupi kune maitiro akasiyana-siyana emafirosikiti anoshandiswa kurapa zvirwere zvakawanda, kunyanya zvinodhaka, mahomoni, pamwe nemishonga inorwisa mabhakitiriya uye analgesics. Pakati pavo pane izvo zvinowanikwa pasina mushonga (zvakadai seAspirin neIbuprofen, kana inotorwa pakati pekuvhura). Dzimwe nguva kuberekwa kunokonzerwa nehutachiona hwemazuva uye zvinodhaka zvinodhaka zvinogona kukuvadza follicles.
Chimwe chikonzero chekushaya vana mumadzimai, sekutonga, pane zvimwe zvinetso mukuumbwa kwenhengo dzinobereka. Izvi zvinosanganisira kuberekwa kunokonzerwa nemubereki nemukadzi, pamwe chete nemhando dzose dze fibroids uye mushure mekuchengetedza mushure mechipfuva uye mudumbu. Zvechokwadi inobatsira kutarisa zvakanyanya pamuviri wechibereko. Izvo zvinonzi chikonzero chekushaya vana muvakadzi kanowanzobatanidzwa nekuchinja mumuviri wechibereko. Izvo zvisingaoneki zvisiri izvo zvinosangana nechinzvimbo chemuviri wechibereko. Pasi pemamiriro ezvinhu akaenzana, inotarisirwa kumadziro kumashure emadzimai. Kuchinja munzvimbo inoita kuti zvive zvakaoma kusangana nemurume wemudzimai wekervical sperm.
Chikonzero chekushaya mwana kune dzimwe nguva kuputika kwechirwere. Iyo inokanganisa zvinhu zveganda remudzimai, zvichiita kuti ive "muvengi" chaiye wehuta. Izvi zvinowanzobatanidza kuchinja mu acidity uye kuvapo kwevanhu vanopesana nemhondi. Somugumisiro, havana mukana wekuzadzisa chinangwa chavo.
Nguva yekurapa
Ive nhema yokuti vanachiremba vanenge vaine nguva dzose vachipa vana kubva mumuedzo wekuedza. Iyi nzira inofungidzirwa seyakanyanyisa. Mahwendefa anonyanya kushandiswa akagadzirirwa kubvisa zvinetso zvehomoni, kana kurwisa utachiona. Dzimwe nguva kurapwa kwakakosha kunowanzodiwa: kazhinji laparoscopic, zvichibvumira kunyange kuporesa ovarian kana chibereko chechirwere, kenza yemapendometri, kana kubvisa chimwe chigumbuso mumharaunda yekubereka.
Apo kuongororwa kwe "kupererwa kwebasa rekubereka" hakugoni kubudisa pachena zvikonzero zvinokonzerwa nekushaya vana, uye mamiriro ekutsigirwa anodikanwa (somuenzaniso, apo kuberekwa kwemazuva anouya kunowedzerwa zvakasununguka pamusana pekwegura) - zvino zviyero zvakakosha zvinodiwa. Iwe unowanzoshanyira chiremba kuti uongorore kubudirira kwehutano. Kana pasina chinobatsira, zvinodhura zvinoreva simba-iwe unogona kutaura pamusoro pekudiwa kweVIV.
Panguva ino, vamwe vanachiremba vanotaura nzira yekuisa insemination. Chirwere chemupembenene chemudiwa chinoshandiswa uchishandisa catheter chaiyo, zvakananga muchibereko. Iko inodhura zvikuru kupfuura in vitro, uye inoruramiswa kana yakaoma zvinetso zvechivharo uye chirume chemudiwa. Panguva imwecheteyo, inofanira kuyeukwa kuti kubudirira kwayo, kunyange mune zvidzidzo zvakanyatsonaka, hakupfuuri 15%.
Method of IVF
Chisarudzo chekushandisa in vitro fertilization chinofanira kunge chakavakirwa pane zvakajeka kuongororwa. Kana nhepfenyuro yemazuva akapfuura yakagadzirisa chikamu chinogamuchirwa chevashandi pamwe chete, uye mumamiriro ezvinhu nevakadzi vanopfuura makore makumi matatu, vachityisidzira kukanganisa kwekupedzisira kwekubereka. Nenzira yakawanda, nzira yeVF haina kukurudzirwa kuvakadzi vaduku vanopfuura makore makumi matatu nemasere vasina kubereka nekushaya vana.
Iyi nzira inobva pakusarudzwa mu laboratori yeovules yakagadziriswa uye inowanikwa mubereki. Saka chimiro chakagadzirirwa chakaiswa mukati mechiberekero, kupfurikidza zvikamu zvose zvekudyarwa kwepanyama. Kubudirira kwenzira yacho inofungidzirwa kusvika kusvika 30% kana ichienzaniswa nemararamiro emitambo.