Ukukhipha isisu okuphindaphindiwe: izimbangela eziyisihlanu eziyinhloko (nokuhlolwa okufanele kwenziwe)

-Delile

• 1. Izinguquko zofuzo
• 2. Ukungafani komzimba
• 3. Izinguquko ze-Endocrine noma ze-metabolic
• 4. I-Thrombophilia
• 5. Izimbangela zokuzivikela komzimba

Ukukhipha isisu okuphindaphindwayo kuchazwa njengokuthikamezeka kokukhulelwa okungathathu noma ngaphezulu okulandelanayo kokukhulelwa ngaphambi kwesonto lama-22 lokukhulelwa, ingozi yalo yokwenzeka iba nkulu ezinyangeni zokuqala zokukhulelwa futhi yanda ngokuguga.

Kunezimbangela eziningi ezingaba umsuka wokuvela kokukhishwa kwezisu okulandelanayo, ngakho-ke, kufanele kwenziwe ukuhlolwa kwalabo abashadayo, kufanele kwenziwe izivivinyo zabesifazane kanye nezofuzo, futhi kwenziwe umlando womndeni nomlando womtholampilo, ukuze uqonde ukuthi uyini umsuka wenkinga.

Ukuvela kwesisu kungukuhlangenwe nakho okuhlukumezayo, okungaholela ezimpawu zokuxineka nokukhathazeka, ngakho-ke, abesifazane abaphethwe yizisu eziphindaphindwayo, kufanele futhi bahambisane kahle nodokotela wezengqondo.

Ezinye zezimbangela ezivame kakhulu zokukhipha izisu okuvamile yilezi:

1. Izinguquko zofuzo

Ukukhubazeka kwe-chromosomal ye-Fetal kuyimbangela ejwayelekile yokukhulelwa kwesisu ngaphambi kwamasonto ayi-10 okukhulelwa futhi amathuba okuthi zenzeke ngokwanda ngeminyaka yobudala bomama. Amaphutha ajwayelekile kakhulu yi-trisomy, polyploidy ne-monosomy ye-X chromosome.

Ukuhlolwa kokuhlaziywa kwe-cytogenetic kufanele kwenziwe kwimikhiqizo yokukhulelwa kusukela ekulahlekelweni kwesithathu okulandelanayo. Uma lokhu kuhlolwa kuveza okungahambi kahle, i-karyotype kufanele ihlaziywe kusetshenziswa igazi eliseceleni lezinto zombili zombhangqwana.

2. Ukungafani komzimba

Ukungajwayelekile kwesibeletho, njengokukhubazeka kweMullerian, i-fibroids, ama-polyps kanye ne-uterine synechia, nakho kungahlotshaniswa nokukhipha isisu okuphindayo. Funda ukuthi ungazibona kanjani izinguquko esibelethweni.

Bonke abesifazane abaphethwe isisu esiphindaphindwayo kufanele bahlolwe umgudu wesibeletho, besebenzisa i-pelvic ultrasound ene-2D noma i-3D transatheginal catheter ne-hysterosalpingography, engangezelelwa nge-endoscopy.

3. Izinguquko ze-Endocrine noma ze-metabolic

Ezinye zezinguquko ze-endocrine noma ze-metabolic ezingaba yimbangela yokukhulelwa kwesisu okuphindaphindiwe yilezi:

• Isifo sikashukela:Kwezinye izimo, abesifazane abanesifo sikashukela esingalawulwa banobungozi obukhulu bokulahlekelwa yimbungu nokungalungi. Kodwa-ke, uma isifo sikashukela silawulwa kahle, asibhekwa njengengozi yokukhipha isisu;
• Ukungasebenzi kahle kwendlala yegilo: Njengasendabeni yesifo sikashukela, abesifazane abanezinkinga zokungasebenzi okungalawuleki kwe-thyroid nabo basengozini enkulu yokuhlushwa yisisu;
• Izinguquko ku-prolactin: I-Prolactin iyi-hormone ebaluleke kakhulu ekuvuthweni kwe-endometrium. Ngakho-ke, uma le hormone iphakeme kakhulu noma iphansi kakhulu, ingozi yokukhulelwa kwesisu nayo iyanda;
• I-Polycystic ovary syndrome: I-Polycystic ovary syndrome iye yahlotshaniswa nengozi eyengeziwe yokukhipha isisu okuzenzekelayo, kodwa akukacaci ukuthi iyiphi inqubo ebandakanyekayo. Funda ukuthi ungabona kanjani futhi welaphe i-polycystic ovary;
• Ukukhuluphala ngokweqile: Ukukhuluphala kuhlotshaniswa nokwanda okuphawulekayo engozini yokulahleka kokukhulelwa okuzenzakalelayo ku-trimester yokuqala;
• Izinguquko zesigaba seLuteal nokushoda kweprogesterone: I-corpus luteum esebenzayo ibalulekile ekufakweni ngempumelelo nasekugcinweni kokukhulelwa ebusweni bayo bokuqala, ngenxa yomsebenzi wayo obalulekile ekukhiqizeni i-progesterone. Ngakho-ke, izinguquko ekukhiqizeni le hormone nazo zingaholela ekwenzekeni kokukhulelwa kwesisu.

Thola ukuthi yini i-corpus luteum nokuthi ihlobene kanjani nokukhulelwa.

4. I-Thrombophilia

I-thrombophilia yizifo ezidala ushintsho ekunqandeni kwegazi futhi ezandisa amathuba okuba amahlule egazi abangele futhi abangele i-thrombosis, engavimbela ukufakwa kombungu esibelethweni noma kubangele ukukhishwa kwezisu. Ngokuvamile, i-thrombophilia ayitholakali ekuhlolweni okuvamile kwegazi.

Funda ukuthi ungabhekana kanjani ne-thrombophilia lapho ukhulelwe.

5. Izimbangela zokuzivikela komzimba

Ngesikhathi sokukhulelwa, umbungu ubhekwa njengomzimba wangaphandle ngumzimba womama, ohluke ngokofuzo. Ngalokhu, amasosha omama omama kufanele ajwayele ukungalahli umbungu. Kodwa-ke, kwezinye izimo, lokhu akwenzeki, okuholela ekuphuphumeni kwezisu noma kubenzima ekukhulelweni.

Kukhona isivivinyo esibizwa umdlalo wokuphambana, elifuna ukuba khona kwama-antibody alwa nama-lymphocyte kababa egazini likamama. Ukuze kwenziwe lokhu kuhlolwa, amasampula egazi athathwa kubaba nakumama futhi, elebhu, kwenziwa ukuhlolwa kwesiphambano phakathi kwalaba bobabili, ukuthola ukuthi kukhona amasosha omzimba.

Ngaphezu kwalokho, ukusetshenziswa kotshwala nogwayi nakho kungahle kuhlotshaniswe nokukhipha isisu okuphindaphindwayo, ngoba kunomthelela omubi ekukhulelweni

Yize ezimweni eziningi kunganqunywa izimbangela zokukhipha isisu okuvela njalo, kunezimo ezihlala zingachazeki.