Testing bakeng sa ho kgaolela basadi thari

Mathata le conceiving ngoana kajeno, ho na le banyalani ba bangata. Litsebi nkhothaletsa QALANG screened bakeng sa ho kgaolela basadi thari mor'a selemo sa boiteko ba atleha. Leha ho le joalo, mathata a mangata a ka lemoha esita le hoja a le sethaleng thero ea ngoana, e leng se tšoanelang e ratoa haholo. Sena se tla thusa ho boloka nako le bothata.

Kgaolela basadi thari phumano e kenyeletsang e lethathamo ea pele ea diphuputso itseng, belaela ka para ya, haeba kamehla sireletsehang ho kopanela liphate ho ima e se e hlahile nakong ea selemo. Ho feta moo, re lokela ho hlokomela hore le lilemo, nako ena e fokotsehile. Basali ka mor'a 35 ba lokela ho bona ngaka ka mor'a likhoeli tse tšeletseng.

ho kopanela liphate kamehla bolela likamano tse makhetlo a 3 ka beke, letsatsi le letsatsi le leng, sebakeng se loketseng ho tloha 8 ho tse 18 ka letsatsi potoloho, ka nako ea eona e tloaelehileng. mabitso a mang ho feta khafetsa ba contraindicated, kaha ba tsa fokodisa boleng peō ea botona.

phuputso e entsoeng e entsoeng ho kgaolela basadi thari ka litsela tse peli. Pele ke kenngwe butle-butle bakang khoneha. Mokhoa ea bobeli ho akarelletsa ho hlahloba lintlha tsohle tse nepahetseng. Oo tlhomelwa khetho pholosa chelete, 'me oa ho qetela - nako.

Bothata ke hore e 'ngoe ba bonoa mabaka a ke ke tsa kgetholla ho ba teng ha e' ngoe. Ka 30% ea linyeoe ho na le mathata a ka bobeli le e motona le e motšehali.

Ho joalo, screening bakeng sa ho kgaolela basadi thari kenyeletsa lithuto tse latelang:

• liteko tsa mafu a tšoaetsanoang ka ho kopanela liphate;
• peo ea botona le Mar-teko;
• Rectal mocheso go lekanya;
• Oa ultrasound le follicle;
• hormonal tlhlahlobo;
• hlahloba tubal patency;
• postcoital teko;
• hysteroscopy;
• laparoscopy.

The lintlha tse peli pele a sebetsa ho balekane ka bobeli, 'me ba bang - feela e le mosali. Sebakeng se loketseng, kaofela ha lithuto tsee li ka phethoa ka likhoeli tse 'maloa, empa ka liketso, ka linako tse ling ho nka lilemo tse ngata. Ha o ha e ntle haholo spermogramme banna ekelletsa moo a khethoa:

• hormonal tlhlahlobo (estradiol, FSH, testosterone, LH, prolactin);
• TRUS;
• Lijalo ka limela ea tšoelesa ea senya lero.

Screening bakeng sa ho kgaolela basadi thari lokela kenyeletsa liteko bakeng sa mafu a tšoaetsanoang ka ho kopanela liphate. Kajeno, hangata ka ho fetisisa sebelisoa bakeng sa PCR ena. Ena ke mokhoa hlokolosi haholo ho lemoha DNA le ho feta ka ho lokisetsa ho.

Ho hlokahale hore ho etswa diteko tsa cytomegalovirus, herpes, HPV, chlamydia, trihomanady, gonokkoki. Ho boetse ho hlokahala hore ho etsa lijalo le antibiogram ho mycoplasma, ureaplasma le likokoana-hloko. Medical tlhlahlobo le kakaretso lichapo, hape, lokela ho tsamaea ka har'a eona. Basali ha kena-kenana le e colposcopy le ho hlahloba lisele tse sa tloaelehang.

Ho ruruha ea tsamaiso ea ho hlahisa bana ha se feela kotsi ho le matla a ho emola ngoana, empa hape le ho etsa hore ho be bonolo. Ena oa soahlamana boleng ba mucus cervical, endometrial, peō ea botona tse ntseng li hataketse mosebetsi popelo le mane sefapanong, ha methapo.

Peo ea botona ke elements senotlolo ka phuputso e entsoeng ba batho. E lumella u ho khetholla peresente ya peō ea botona motile, liforomo tsa bona e tloaelehileng 'me mahloriso a bona. lipalo tsena li haholo ama fertilizing bokgoni ba peō ea botona. Mar-teko e senola palo ea lisele tse peō ea botona a tlotsitsoeng le lisireletsi.

mosali ke tse lakatsehang bakeng sa bonyane likhoeli tse 3 ho lekanya mocheso rectal. Sena se tla thusa ho hlahloba ho sebetsa ha mae a bomme hae, ovulation le leka ho Track fatše tse ling tsa bolwetse belaela. Ka bobeli halofo potoloho mocheso e ka tsoha ho likhato 0,4.

Ultrasound maemong a ka khona ho utloa tse ngata mafu a ea popelo le mae a bomme, ho thibela kemolo. Follikulometriya thusa boloka tlaleho ea oocyte nonofo ya mmele le netefatse ovulation.

Hysteroscopy ho talingoa ka hare uterine cavity. Thutong ena e senola tse ngata tsa bolwetse lona (polyps, adhesions, septum). Laparoscopy hlahloba makala pelvic ntle, sefapano hlahloba liphaephe le. mellwane Sena se ka ba le ho buoa. Sena se tlosa endometriosis, adhesions, cysts.

Maemong a mangata, lekhetlo la pele le sefapano se phala e hlahloba ka GHA. The popelo e hlahiswa tharollo le X-ray kapa oa ultrasound. Haeba ntho e tšela ka cavity mpeng, liphaephe le ho tsamauoa.

Ha postokoitalnom teko mosali nakong ovulation mor'a ho kopanela liphate e hlaha tleliniking. O ile a nka ho mucus cervical le lekanyetsa palo ea peō ea botona ka eona. Ka tsela eo hlahloba hore na ba ka fumana ka popelo ho tswa hara botshehadi e.

Hormone hakaalo tela mehleng ea potoloho ena. Ho ke ke molemo ka lebaka la ea ka tekanyo ea mocheso rectal le bolelele ba nako ea potoloho ea motho ka mong. Ho ke ke ho hlokahala hore re tsebe boemo ba prolactin, progesterone, LH, estradiol, FSH, testosterone, DHEA-S, cortisol. Ho boetse ho bohlale ho sheba li-hormone thyroid le TSH.

Ho joalo, screening bakeng sa ho kgaolela basadi thari ba kgothaletswa bakeng sa ho balekane, leka ntle ho katleho ho emola bakeng sa selemo. Molemo feela ho etsa hore diphuputso hlokahala bobeli e le bothata le mong ha ho kgetholle ho tse ling. Haeba u khetha khetho oo tlhomelwa, o lokela ho pele hlahloba monna eo, hobane ke pete.