Yintoni na bucala ovarian, nendlela ungawuchaza?

kwinkulungwane yamashumi amabini ananye - ixesha uphuhliso kunye nenkqubela. Zonke kwenye ngokukhawuleza kwaye akufuni aphelelwe ixesha lokuba ayeke. Kungenxa yesi sizathu ukuba ngoku abantwana eselula uye waba unfashionable. Malunga ucwangciso-ntsapho, izibini eziselula musa ukucinga phambi kweminyaka 25-30. Noko ke, emva kweminyaka engama-30 ukuya ukukhawula umntwana kube nzima kakhulu ngakumbi.

Kutheni ikhawuleza indalo ngokwayo? Yintoni na isizathu?

Okona mfazi, ukuba kunzima kakhulu ukufumana ukukhulelwa. Eyona nto kukuba kunye ubudala, ukunciphisa inani amaqanda amaqanda.

Xa intombazana ezelwe, inani zoboya e zamaqanda ifikelela kwezigidi ezibini. Ibiya kuthetha ukuba inani elikhulu, kodwa ngeminyaka, inani labo ngokuthe ngcembe ukuhla. Xa ixesha nokwanda kwe zoboya imalunga amane anamanci amawaka kuphela. Kwaye zonke kungakhokelela kuphuhliso iqanda, nto leyo eya kukhokelela ukuchumisa kwabasetyhini. Emva kweminyaka engamashumi amathathu, inani follicle esebenzayo iqala ukuhla kakhulu. Kungenxa yesi sizathu, kuya kuba nzima kakhulu ukuba ukukhulelwa.

Ingcamango reserve ovarian

reserve Ovarian - inani amaqanda zoboya kwenkqubo ababhinqileyo okuzala.

girls umzimba ngenyanga inani elithile zoboya iqala ukunyusa ubukhulu, kwaye esebenzayo phakathi Ovule oqolileyo. Baya elinde ithuba neqanda, kodwa mnye kuphela kubo iya kuba nako ukuphumeza injongo yayo. Kulo mzekelo, ingxoxo ukukhulelwa.

nokomzimba ephilayo

ukukwazi Umfazi ukuba akhulelwe ixhomekeke ngokutyeba yayo (ekumitheni, ukuba kunokwenzeka). Ngelishwa, akukho nyanga nganye kukho ithuba lokuphila elitsha. Amathuba aphezulu ukukhulelwa emantombazaneni okunempilo kwaye esebenzayo kunye iminyaka emashumi mabini anantlanu. Eli xesha kakhulu ucwangciso mva. Nangona nokuba abakule minyaka yobudala kuphela wonke umjikelo wesithathu sexesheni yenza kube lula ukufumana ukukhulelwa. Emva kwamashumi amabini anesihlanu ithuba lokuba kakhulu kangako amane ekhulwini liye lancitshiswa ezintlanu.

Ukukhulelwa kunye amathuba amaqanda

reserve Ovarian kunciphisa ngokuthe ngcembe unyaka nonyaka. Ngoko ke, maxa wambi bazame ukukhawula ne-IVF (in vitro) nokukhuthazwa umzimba kuhlala aluphumelelanga.

Ukuncipha reserve ovarian

1. Izizathu ekunciphiseni amanqanaba zoboya kunye namaqanda kuyo kungaba:
2. Age - engundoqo kunye sizathu. Ukuba umntu wasetyhini lowo unama-25, amathuba okufumana abakhulelwe lehla ukusuka komnye unyaka ukuya komnye.
3. iingxaki Genetic, ebonakala ngu ukuncitshiswa ngaphambi kwexesha kwenani amaqanda kunye kukwehla komgangatho. Ovarian reserve ovarian ishokoxekile phambi kwexesha eziphilayo elimiselweyo, okt phambi kokuba kwiminyaka engamashumi amathathu anesihlanu.
4. Elidlulileyo zonyango notyando. Low reserve ovarian unxulunyaniswa ekunyangweni utyando kwi zamaqanda (umzekelo, ukususwa cyst), unyango endometriosis, zesibeleko myoma.
5. Ukunxila (kukutshaya okugqithisileyo, ukusela kunye neziyobisi).
6. ukuphazamiseka thyroid ukusebenza.
7. Development of microflora yayintsholongwane eyosulela emathunjini (dysbiosis).
8. zokuzila ixesha elide.

Iindlela zokubona reserve ovarian

Uvandlakanyo reserve ovarian luyenziwa kusetyenziswa iindlela ezininzi:

1. loviwo ultrasound. Nale nkqubo elula zilinganiswa zonke parameters zonke amaqanda, kuquka imihlaba yabo kunye nenani zoboya, leyo ezikuyo. Kuba namankazana okunempilo yokuzala, inani labo kufuneka zisukela iziqwenga ezili-10 ukuya kwi-30. Uphando lwenziwa ekuqaleni komjikelo sexesheni (1-5 imini).
2. Ukumiselwa parameters igazi kwamadlala (analysis). reserve Ovarian lulinganiselwa kwimihla lokuqala sexesheni (1-4 imini). Uvavanyo yenziwe embalwa, ukuze amise okuhambisa. Ukuba isixa yincindi ethile unciphisa, libonisa ukuba reserve ovarian lifinyele.
3. Ukuseka level inhibin B kunye antimyullerova hormone. Le ndlela inika iziphumo echanileyo, kodwa eRashiya oko kuphela kukwinqanam sophuhliso kwaye okwangoku isicelo kwi practice.

Ukulungiselela isifundo

Phambi abapasa ezi mvavanyo ezifunekayo abafazi kufuneka athathe ingqalelo izinto ezininzi:

• Uphononongo singàphunyezwa, umfazi, ukuba uthi abe sisifo, esukela ifom yayiyazi.
• ubuncinane kwiintsuku ezintathu phambi kokuba nkqubo iyimfuneko ukuze kupheliswe amandla kunye umthambo kakhulu.
• Phambi kokuba inkqubo, kufuneka ayeke ukutshaya ubuncinane zibe yiyure enye.

Ngaba kunokwenzeka ukuba ukhulelwe reserve ovarian eliphantsi?

Kwindawo yokuqala inqanaba female umzimba reserve ovarian abachatshazelwa ubudala, ngoko ke ukusuka kwangethuba kokuba siqalise uceba ukukhulelwa, ngcono. Ukuba ugqirha olubekwe isitokhwe aphantsi zoboya, amathuba okuba ukhulelwe anobungozi. Kwiimeko ezinjalo, abasetyhini basoloko uxilongwe "nenzalo".

Nangona kunjalo, ulwazi yendalo umfazi nokuba bagqitywe, inzululwazi iye liqulunqe iindlela zokunceda iintsapho abafuna ukuba nabantwana. Ukuza kuthi ga ngoku, basebenzisa ubuchule ezifana:

1. IVF (in vitro).
2. Egg lomnikelo.

Ukusetyenziswa indlela lokuqala kunokwenzeka ukuba reserve ovarian yomfazi akakafiki kumda ubuncinane. Isebenzisa amathamo amakhulu mziba, kodwa ukusebenza indlela ayikho phezulu kakhulu. Isizathu kukuba nkqu ukwanda ngumntu kwenani amaqanda amaninzi enganelanga, ngoko umbungu azidluliselwa kakuhle kwaye amathuba amancinci. Kwiimeko apho IVF isetyenziswa yabasetyhini abangaphezulu kweminyaka emashumi mane, ubungozi iingxaki kunye kwesisu inyuswe kakhulu.

Indlela yesibini kuthetha ukusetyenziswa mfazi amaqanda zabaxhasi. Phantsi yempembelelo mziba, umzimba wakhe uvelisa inani elifunekayo amaqanda, apho atsalwa ivela emzimbeni wakhe. Emva koko, ndigalele umgquba indoda fluid ZakwaLizwi yomguli yaye zibekwe emzimbeni sikanina. ukukhulelwa ezinjalo ukunyamezeleka jikelele kakuhle, nangona into yokuba izinto angaphandle eziphilayo.

Ngaba kunokwenzeka ukuba ayinyuse ndingowenzala zoboya kunye nokusebenza ovarian?

Nemfuyo zoboya emzimbeni umfazi ngamnye into eyahlukileyo. Yena pawned zemfuza ngemvelo, xa umntwana nangoku abasaphuhlayo esibelekweni. Akunakwenzeka ukunyusa ubungakanani. Ukususela ekuzalweni kwaye kulo lonke ubomi yomfazi yonke imihla ulahlekelwa iqanda yayo, kunye nabo ithuba ukukhawula umntwana. Xa osemanzini koovimba umzimba, exesheni yendalo kwenzeka inkqubo.

ngonyaka ngamnye, utshintsho umzimba, kukho ukuguga wayo, kodwa kukho iindlela ukuyeka ixesha alulibazisayo uhlaselo ukuya exesheni. Ukulungiselela le njongo, iindlela umsebenzi zovuselelo ovarian. Baqalisa ukusebenza sverhrezhime, baze ngaloo ndlela benze inani elikhulu oocytes. Le ndlela isebenza kuphela ukuba umfazi unesifo "nenzalo" njengento zovuselelo eyongezelelweyo zamaqanda kuya kukhokelela komzimba yabo.

Kukho iindlela ezahlukeneyo ingqondo. Phakathi ithandwayo: lokugqojozwa, ngokokugqama, unyango peptide kunye nabanye.

Ngaloo ndlela, nangona Abayili kunye noluntu ziyalela imithetho, musa silibazise ntoni ngokwemvelo obumiselwe imini. Xa becwangcisa isifundo ukukhulelwa, musa ukulibala le nkqubo kwixesha elide.