Kodi pali matenda osokoneza bongo?

Amuna ndi akazi omwe ali ndi matenda ashuga nthawi zambiri amadwala matenda osabereka chifukwa chovala chonde, chifukwa mahimidwe amthupi la munthu amasintha m'thupi. Mitsempha yamagazi ndi mitsempha yotumphukira imakhudzidwa. Ndi shuga wambiri mwa amuna, umuna wa DNA umawonongeka mosasinthika, ndipo kuthekera kwa kubereka pamaselo a cell kumatha.

Mchitidwe wobala wamwamuna umakhala ndi mankhwala omwe amakhala zinthu zopanda phindu. Zinthuzi zikamadziunjikira chifukwa cha zovuta za matenda ashuga, kuwonongeka kwa umuna kumachitika ndipo dongosolo la kubereka limasokonekera. Zimakhudzanso zaka komanso moyo wa amuna.

Ndi umuna wopanda umuna, mtundu wa mluza umakhalanso wotsika. Mwa amayi omwe ali ndi matenda ashuga, kusokonezeka m'mimba kumachitika, kuchuluka kwa kukhazikika kwa chiberekero kumachepa, matenda oopsa a m'mimba, kuphatikizapo a oncological, omwe amapezeka kawirikawiri, kusasitsa kwa dzira ndi chonde zimasokonekera.

Kusabereka mu matenda ashuga si sentensi

Zambiri za kusabereka kwa amuna mu shuga

Mwamuna akhoza kukhala wopanda chonde chifukwa cha zinthu zotsatirazi:

1. Vasculogenic erectile kukanika. Ndi matenda ashuga, kusintha kwa magazi m'magazi, makoma a zotengera amakhala oonda, zomwe zimayambitsa kuphwanya kwa magazi kwa mbolo chifukwa chakuchepetsa kochulukitsa komanso kutsekeka kwa zotchingira ndi ziwiya za atherosulinotic. Pankhaniyi, erection amasokonekera, kusabala kumayamba, komwe kumapangitsa kugonana kosatheka. Ichi chimakhala chifukwa chachikulu cha kusabereka.
2. Kubwezeretsani kumverera. Kuphwanya motility ya vas deferens ndi chikhodzodzo kumachitika ndi kuwonongeka kwa mitsempha yodutsa mu odwala matenda ashuga. Ndi kuchepa kwa kamvekedwe, mkodzo wamkodzo sungathe kulowa mu nyini ya mkaziyo chifukwa chakuphipha kwake.
3. Kuwonongeka kwa umuna. Kukhalapo kwa kugawanika kwa DNA mu umuna kumapangitsa kuti iwo asakhale oyenera kuphatikiza dzira. Makhalidwe a umuna amachepa ndi kuchepa kwa testosterone level (hypogonadism). Momwe zilili ndi mwayi wokhala ndi pakati.

Zizindikiro

Kulumikizana pakati pa matenda ashuga ndi kubereka kwa amuna kwatsimikiziridwa, chifukwa chake, poyambira matenda ashuga, zizindikiro zotsatirazi sizinganyalanyazidwe:

• ludzu lalikulu, kamwa yowuma
• anjala yosalekeza,
• kukodza pafupipafupi, makamaka usiku,
• kupezeka kwa kuyabwa kwa maliseche,
• kuwoneka kwa zovuta zogonana, kuphatikizapo kuchepa kwa potency,
• kutulutsa kochepa kambiri ka ejaculate.

Mwa bambo wodalira insulini, momwe thupi limakhalira m'madzi limakhala lodetsa nkhawa (osakhala bwino), komanso kuthekera kubereka mwana wosabadwa. Ngakhale mahomoni amodzi osakhazikika, pamenepo magwiridwe antchito a horoni yonse akhoza kusokonekera.

Amadziwika kuti mothandizidwa ndi insulin mosalekeza, kapangidwe ka testosterone, kamene kamayendetsa ubwamuna wapamwamba kwambiri ndi umuna wa dzira, umachepa, popeza spermatogenesis, i.e. mapangidwe ndi kusinthasintha kwachilendo kwa spermatozoa, kumakula.

Mwa kusabereka, amuna omwe ali ndi matenda ashuga amathandizidwa ndi njira zosiyanasiyana zotsimikiziridwa, komanso IVF + ICSI. Pa mankhwala othandizira (ndi azospermia chifukwa cha kukonzanso kwa m'mimba), maselo a majeremusi amalandidwa kuchokera ku mkodzo. Wopanga mazira amasankha umuna wokhala ndi mawonekedwe abwino ndikuwupangira dzira lachikazi.

Mukamasankha mankhwala a pathogenetic, kuunika kwathunthu kumachitika koyamba. Dokotala wa andrologist adziwe zomwe zimayambitsa, kenako amasankha dongosolo la mankhwalawa.

Kuyenda kwachilendo komanso kolakwika

Njira zazikulu zothandizira kubereka kwa amuna mu shuga zimaperekedwa pagome 1:

Zifukwa	Njira Zothandiza
Chithandizo	Chonde
Ideopathic infertility (chosadziwika)	Ntchito ya Microsuction, laparoscopy.	ECO / ICSI, IISM, IISD Umuna wa in vitro (IVF) kunja kwa thupi
Kubala kwa Endocrine	Conservative mankhwala kutengera ndi kuchuluka kwa vuto la mahomoni.	ECO / ICSI, IISM kapena IISD Njira ya ICSI
Kusabereka	Conservative mankhwala, umuna kukhathamiritsa.	IISM, ECO / ICSI. Kulowetsa Zinthu - AI (SM kapena DM)
Varicocele vein testis ndi chingwe cha spermatic	Ntchito ya Microsuction, laparoscopy.	IVF / ICSI kapena IMSM Varicocele
Matenda opatsirana	Tizilombo toyambitsa matenda timakhala tokhayokha ndipo timalandira mankhwala ena.	Pambuyo pa chithandizo, onse awiri amachita IMSM, kapena / ndi IVF / ICSI Omwe amachititsa matenda a PPP
Kutupa kwa ziwalo zakunja ndi zamkati	Mankhwala a antibacterial, kutikita minofu, physiotherapy, phonophoresis, acupuncture.	Kapenanso, IISM kapena IVF / ICSI pambuyo pa mankhwala a kutupa Orchoepididymitis mwa amuna
Kugonana ndi / kapena kusinthasintha kwachisawawa	Mankhwala, physiotherapy, opaleshoni, biopsy ya umuna	ECO / ICSI Mafunso apamtima pa matenda ashuga: potency, erection, libido ndi maliseche Kuzindikira komanso kukhumudwa mu matenda ashuga)

Zolemba pagome:

1. ICSI (ICSI) - kukhazikitsidwa kwa umuna wapamwamba kwambiri mwa jakisoni mu cytoplasm ya dzira. Panthawi imeneyi, microsanipulators apadera ndi maikulosikopu zimagwiritsidwa ntchito.
2. IISM ndi njira yochita kuphatikizira ndi umuna wa amuna.
3. IISD ndi njira yoikiramo umuna ndi wopereka.
4. Ukalawu umatulutsa mphamvu pakulimbana ndi matenda ashuga ndikusintha kwamankhwala amwazi ndi kusintha kwa umuna pambuyo povumbulutsidwa ndi chinsinsi cha kumaliseche kwa mkazi, makamaka progesterone. Ikamayandikira ndi kuzungulira dzira ndi umuna wambiri, imakutembenuza ndi flagella yawo mpaka maola 12. Kuthamanga Kwambiri - 4 kutembenuka kwathunthu / mphindi. Dzira ndi umuna zikalumikizana, AR - zochita za acrosomal zimachitika, ndiye kuti, ma michere apadera amatulutsidwa pambuyo umuna umalumikizana ndi umuna wa dzira. Kenako, ndi acrosome (bubble wa membrane pamutu wa umuna), imalumikizana ndi nembanemba lakunja kwa dzira.

Mwa abambo, zonyansa zamtunduwu zimatha kubereka, ndiye kuti sizingachite popanda opaleshoni. Pamaso pa azospermia (kusowa kwa umuna mu ejaculate, pambuyo pakuwunika kwa mbiri yakale ndikuwunika maopu ndi zowonjezera, amayesa kupeza spermatozoa kwa IMSM, IVF / ICSI. Ngati ndizosatheka kupeza umuna, gwiritsani IISD.

Njira yothandizira abambo amuna imachotsa kubereka

Ndi chitukuko cha hypogonadotropic hypogonadism mu shuga, Luliberin (GnRH), Menogon, Humegon, Chorionic Gonadotropin (hMG, hCG), analogi ya FSH adalembedwa: Metrodin, Gonal-F.

Zotsatira zomwe mukuyembekezeredwa mukamagwiritsa ntchito pochiritsa matenda samachitika nthawi zonse. Ndi conogitant hypogonadism, cryptorchidism imalembedwa Pregnil, Chorionic gonadotropin, Profazi.

Chithandizo cha hypogonadotropic hypogonadism Mankhwala Profazi potengera chorionic gonadotropin wa anthu

Ndi hypogonadotropic / standardogonadotropic hypogonadism ndi oligozoospermia, ma antiestrogens amafunikira chithandizo: Klostilbegit kapena Klomifen ndi Tamoxifen + mankhwala omwe amagwiritsidwa ntchito pochiritsa. Ngati hyperprolactinemia (kuchuluka kwa mahomoni a prolactin m'magazi) akapezeka, mankhwalawa amachitika ndi dopamine receptor agonists: Bromkriptinom, Dostineksom, Noprolakom.

Mapiritsi a Dostinex a Cabergoline

Zitsamba za kusagona amuna

Patula tirigu

Ngati spermogram yowonetsa pang'ono umuna ndi mphamvu yaying'ono ya umuna, muyenera kumera tirigu, kumuphwanya mu blender (kapena kudutsa chopukusira nyama) ndikusakaniza gruel ndi uchi (1: 1). Idyani osakaniza theka la ola musanadye, 2 tbsp. l mkati mwa miyezi 1-2. Kuyambira kale, ochiritsira amalimbikitsa kumwa madzi a quince usiku, 100 ml iliyonse, kuyambira mwezi wachinyamata mwezi wathunthu usanachitike.

Ngati spermatozoa sichisunthika, muyenera kumamwa chofufumitsa kuchokera m'mbewu zankhuni ndikusamba ndi kutentha kwa + 37 ° C, ndikuwonjezera kulowetsedwa kwa mizu ndi masamba a plantain: 50 g adzafunika madzi okwanira 1 litre. Kuumirira mphindi 40 ndikusamba kwa mphindi 25 nyengo yotentha-yozizira.

Maphunziro - 15 njira. Udzu wokhala ndi knotweed (3-4 tbsp. L.) Amayendetsedwa ndi madzi otentha (0.5 l) mu thermos ndikuumirira maola 4. Tengani mphindi 30 musanadye theka kapu 4 kanthawi.

Mummy ndi karoti msuzi wa osakaniza

Ngati hypoleriemia (umuna wocheperako) wapezeka ndipo ntchito yachiwerewere yachepa motsutsana ndi maziko a matenda ashuga, ndikofunikira kumwa yankho la mummy (0.2-0.3 g) kwa masiku 25-28. Amawelekera mu msuzi wa karoti, nyanja yamadzi am'madzi kapena mabulosi am'madzi (1:20). Amamwa m'mawa m'mimba yopanda kanthu komanso usiku. Mutha kuwonjezera mazira aiwisi ndi osakaniza.

Tee rose ndiye gwero lodziwika bwino la vitamini E

Kuti muwonjezere spermatogenesis ndikuthandizira ntchito ya thumba losunga mazira, ndikofunikira kumwa tiyi kuchokera ku rose: yoyera kapena yapinki, komanso kuchokera kwa mpendadzuwa (1 tbsp ya udzu pa 1 tbsp ya madzi otentha, kusiya kwa maola awiri pansi pa chovala cha ubweya ndi kupsyinjika).

Ramishia udzu (orthilia kapena chibelekero cha hog) ndi mbali imodzi (3 tbsp) yoyikidwa mu thermos ndikuwotcha ndi madzi otentha (0.5 l), wopaka usiku wonse. M'malo mwa tiyi mukatha kudya, imwani 150 ml 3-4 pa tsiku. Tiyi iyi ndi yothandiza kwa amuna ndi akazi omwe ali ndi vuto losabereka motsutsana ndi matenda ashuga.

Borovia uterus imatchulidwanso kuti ramishia kapena ortilia.

Zambiri za kusabereka kwa akazi mu shuga

Mwa amayi omwe ali ndi matenda ashuga, chitetezo chochepa chimachepa kwambiri, motero amakhala pachiwopsezo chotenga matenda opatsirana kapena ma virus, kuphatikizapo genitourinary system, ndi pathologies a mammary glands. Nthawi zambiri amakhala ndi ululu wa msambo, dysmenorrhea, premenstrual syndrome, kuchedwa kusamba, kutuluka magazi komanso kusamba kwina.

Ngati thupi la mkazi likulimbana ndi insulin, kunenepa kwambiri, mazira am'mimba amayamba, ndiye izi zimayamba kukhala chifukwa cha kusabereka. Ndi kunenepa kwambiri mwa akazi, ovulation imalephera, kotero popanda kudya komanso kuchepa thupi zimamuvuta kuti akhale ndi mwana. Kuphatikiza pa zakudya, muyenera kuwunika ma insulin pafupipafupi, kuchuluka kwa hemoglobin ndi shuga m'magazi kuti muzitha kuzitsimikizira.

Amayi omwe amakonda kunenepa kwambiri, komanso atatha zaka 35, amatha kukhala ndi matenda osokoneza bongo atatha kutenga pakati, popeza glucose samamwa bwino. Matenda amtunduwu a shuga amayamba kuwonekera sabata 20-27-32 ndipo nthawi zambiri amatsogolera pakulakwitsa, polyhydramnios, kubadwa msanga komanso kubadwa kwa mwana wamkulu (wolemera).

Ndi polyhydramnios, mwana wosabadwayo amatha kukhala ndi vuto, mwana amatha kufa mkati mwa chiberekero kumbuyo kwa mawonekedwe a shuga ndi gestosis, komanso ndi unyinji wa mwana wosabadwayo.

Ngati matenda a shuga akupita patsogolo, ziletso zotsatirazi zokhala mwana ziyenera kukhala:

• matenda ashuga a michereopathies: zotupa zazing'ono zazing'ono zosiyanasiyana
• mitundu ya matenda a shuga a insulini: chithandizo cha insulin sichimabweretsa zotsatira zomwe zikuyembekezeka,
• kukhalapo kwa matenda ashuga mu maukwati onse awiri, komwe kumatanthauza kufalitsa matendawa kwa mwana ndi cholowa,
• Kutsutsana kwa Rhesus kuphatikiza ndi matenda ashuga: kuwonongeka kwa ma RB antibodies of the Rh-positive fetus kumachitika. Ma antibodies amapangidwa ndi thupi la amayi a Rh-negative,
• chifuwa chachikulu yogwira matenda ashuga,
• ana okhala ndi vuto lotukuka komanso kubadwa mobwerezabwereza kwa ana akufa.

Kukonzekera kutenga pakati pa matenda ashuga

Kupatula kukhazikika kwa kubereka pamaso pa matenda a shuga, kuti mukhale ndi pakati, kubereka ndi kubereka mwana musanakonzekere kutenga pakati, muyenera kufunsa dokotala wa gonana, katswiri wa matenda am'mimba, akatswiri a matenda ammimba, dokotala wamatenda a mtima komanso opaleshoni ya mtima ndikuwunika kwathunthu. Matenda a shuga angayambitse zovuta zina komanso zovuta zina kapena mavuto omwe amakhudza moyo wa mayi komanso mwana wosabadwa.

Kuyang'anira shuga wamagazi ndikulipira matenda a shuga kumapangitsa kuti mwana athe kubereka komanso kubereka

Ngakhale pali mikangano pakati pa madotolo pankhani yokhudza kuti kubereka sikugwirizana ndi matenda ashuga, anthu ambiri amakonda kuti, ndikukonzekera bwino, mkazi atha kukhala ndi pakati ndikubereka mwana.

Kuphatikiza pa kuyesedwa kwathunthu ndi chithandizo chamankhwala kuti alandire chindapusa cha shuga, azimayi amayang'anitsitsa kuchuluka kwa shuga m'magazi, amapanga mapulani olimbitsa thupi, zakudya zopatsa thanzi komanso mankhwala a insulini, ndikuphunzitsidwa zaukonzekera kubereka kusukulu. Kanemayo ali ndi chidziwitso pakukonzekera kutenga matenda ashuga.

Ndikofunikira kudziwa. Akakhala ndi pakati osakonzekera, azimayi omwe ali ndi matenda osokonezeka a msambo komanso msambo wosamba wosamba amaphunzira za kutenga pakati pa mwezi wa 2-3. Kubwezera chindapusa cha matenda ashuga kumatha kusokoneza mwana. Zingayambitse zovuta, chifukwa sabata l 7 lisanayambike ziwalo zonse zamkati, dongosolo lamanjenje lamkati, chithandizo chamakutu ndi maso zimapangidwa m'mimba, miyendo imakula, mtima umagunda.

Ndi kuchuluka kwa shuga m'magazi a amayi, sikuti kokha kukula kwa intrauterine kwa mwana kumatha kukhala kovuta, koma zovuta za matenda a shuga zimakulanso. Mzimayi amatha kudwala matenda ashuga retinopathy, kuwonongeka kwa impso, kuthamanga kwa magazi, edema, kufalikira kwa pyelonephritis.

Mapuloteni ake amapezeka mu mkodzo. Ndi gestosis, eclampsia imatha kuchitika: kukhudzana mpaka kuwonongeka. Chifukwa chake, ndikofunikira kuyang'anira kuchuluka kwa shuga ndikuwasunga mwanjira yoyenera.

Magazi amawongolera shuga ndi glucometer

Asanakonzekere kutenga pakati, kuphatikizapo IVF, amayi ayenera kusintha kagayidwe kake ka chakudya. Izi zikuthandizira kupewa kutaya msanga, kukula kwachilendo kwa mwana wosabadwayo, mawonekedwe a zovuta m'mayi, kuphatikiza eclampsia. Mukamayesedwa, Zizindikiro za glycosylated hemoglobin ndizofunikira.

Ikuwonetsa kukwana kwathunthu pakulipira kagayidwe kazachilengedwe m'miyezi iwiri yapitayo. Mkhalidwe wa impso umayendera, ECG imachitidwa, magazi amaperekedwa kuti awunikenso zamankhwala am'magazi. Kenako, ma protocol a IVF amapangidwa ngati, mkati mwa zaka 1-1.5, chithandizo cha mayi chifukwa chabereka sichinachite bwino.

Ndikofunikira kudziwa. Ndi mtundu woyamba wa shuga, IVF imachitidwa motsutsana ndi maziko a jakisoni wa insulin. Ikani insulini yochepa kapena yayitali mu mulingo woyenera, tsatirani zakudya ndi kuchuluka kwa zolimbitsa thupi kuti mumalize metabolism ya chakudya.

Kuti mwana akule bwino, chakudya chizikhala ndi chitsulo, ayodini (200 mcg), folic acid (400 mcg) ndi mavitamini ena.

Katswiri wofufuza

The gynecologist imapereka chithandizo chofunikira pofufuza matenda a ziwalo zoberekera. Dokotalayo amawunika funde ndipo ngati kuli kotheka, amachita laser Photocoagulation. Katswiri wamtima amayang'anira mkhalidwe wamtima wamatumbo, makamaka ndi matenda a shuga, omwe amakhala zaka zoposa 10.

Ndikofunikira kupenda ndikuwunika katswiri wamitsempha. Vuto lalikulu lomwe limapezeka mu odwala matenda ashuga ndi kuthamanga kwa magazi. Chifukwa chake, iyenera kuwongoleredwa poyesa kukhala pansi, kugona pansi, ndipo ngati mukufuna, kuyimirira.

Mu labotale, mukakonzekera kutenga pakati, amafufuza:

• urinalysis microalbuminuria,
• kusanthula kwakanthawi kwamkodzo komanso malinga ndi Nechiporenko,
• kuyesa kwa magazi kwazochemical kupezeka kwa cholesterol yathunthu, bilirubin, mapuloteni onse, creatinine, triglycerides, ALT, AST,
• HbA1c ndi mayeso a Reberg,
• chithokomiro ultrasound.

Pambuyo pa kulipira kwa miyezi iwiri kwa odwala matenda ashuga, akatswiri amaloledwa kukonzekera pakati, kuphatikizapo kuchita IVF.

Kodi mapulogalamu a IVF ndi ati

Chimodzi mwamagawo chofunikira kwambiri cha pulogalamu ya IVF ndi MTR - kukondoweza kwambiri. Atalowa protocol ya pulogalamu ya MTR, mayiyo amapaka jekeseni wambiri ndi mankhwala osokoneza bongo.

Amathandizira kukula kwa follicular m'mimba mwake kuti apange mazira okhwima komanso momwe angathere. Kuphatikiza apo, manyowa ena amachitidwa kuti akwaniritse umuna.

• chitani nkhokwe m'mimba,
• kusintha kwa mluza
• chithandizo choyambirira cha mankhwala oyembekezera.

Mapulogalamu a IVF ndi:

1. Kutalika. Kupanga kwa gonadotropins ndi pituitary gland kumatsekedwa, kuyambira tsiku la 21 lazungulira, pomwe jekeseni wa gonadotropin amasula agonists a tsiku ndi tsiku. Kuphatikiza apo, patsiku la 1-3 la msambo, zolimbikitsa kukula kwa masamba zimayambitsidwa: Kukonzekera kwa LH ndi FSH. Kudzudzula kumachitika tsiku la 13th la kuzungulira.
2. Mwachidule. Gonadotropin-kumasula mahomoni agonists amathandizidwa pa tsiku la 1-2 la msambo. Apa ndipomwe protocol yayifupi imasiyana ndi yayitali. Kukhazikitsidwa kwa kukonzekera kwa FSH / LH kumayamba tsiku lotsatira. Pulogalamuyi imaperekedwa kwa azimayi omwe ali ndi malo osungirako m'mimba ndi kuyankha kwakumapeto kwa thumba losunga mazira kukondoweza, ndipo ngati palibe chiopsezo chotenga OHSS - ovarian hyperstimulation syndrome.
3. Popeza kupezeka kwa gonadotropin - kumasula mahomoni okangana, ngati tsamba lotsogolera likufika 14 mm komanso ngati kukomoka kofatsa kumayambitsa FSH pa 4-5 masiku osamba
4. Zachilengedwe, i.e. pafupifupi osagwiritsa ntchito mankhwala a mahomoni kwa azimayi omwe ali otsutsana mu kukondoweza kwa mahomoni. Ndi dzira lokhazikika, limangoyang'ana momwe kukula kwake kumakulira. Kenako, kupyoza kumachitika kamodzi.
5. Cryoprotocol wogwiritsa ntchito ma cryopresnced. Pankhaniyi, kukonzekera kwa mucosa ya uterine ndikofunikira. Mwakuti kuphatikizira kwa mazirawo kumatheka. Chifukwa cha izi, endometrium imakonzedwa pogwiritsa ntchito othandizira mahomoni. Ngati ndi kotheka, khalani ndi cryoprotocol achilengedwe. Pamene mazira a thawed okhwima, amasinthidwa kupita ku chiberekero cha mkazi. Mimba imathandizidwa ndi mahomoni kwa miyezi ina iwiri.

IVF Protocol Chitsanzo

Kwa mayi aliyense, kutengera ndi momwe zinthu ziliri, dokotala wogwiritsa ntchito ma dokotala amasankha pulogalamu yamwini payekha. Zimatengera mawonekedwe amthupi ndi thanzi la awiriwo komanso zomwe zinachitika kale poyesa IVF. Nthawi zina, pamakhala lamulo la ku Japan, Shanghai, kapena Canada.

Zomwe zimayambitsa matenda osabereka mu shuga

Kusaberekana kwa matenda ashuga mwa amayi kumachitika chifukwa cha kusintha kwa mahomoni m'thupi. Kuphatikiza pa kusokonezeka kwa kagayidwe kamadzi, kuyabwa kwambiri pakhungu, kuwonongeka kwa mitsempha kwa atsikana, kusintha kwa ziwalo zamkati kumapita patsogolo. Matenda a shuga amawonjezeranso mwayi wokhala ndi zovuta zotsatirazi.

1. Zosintha mu minyewa ya chiberekero yomwe imalepheretsa dzira lakumana kuti lisamatengere ku endometrium.
2. Intrauterine fetal imfa.
3. Kuchotsa modzipereka.
4. Mavuto akulu ovomerezeka omwe amachititsa kuti mayi asakhale ndi pakati.

Kukhazikika kwa kusaberekera kwa shuga osadalira insulini kumafotokozedwa ndikuti kuwonjezeka kwa insulini palokha kumakhala vuto la mahomoni. Amayambitsa tchuthi cha kusalinganika kwakukhudzana ndi mahomoni komwe kumawononga kwambiri mphamvu ya mkazi yokhala ndi mwana.

Ngakhale sizovuta kukhala ndi pakati poyambira kukula kwa matenda a shuga, zimakhala zovuta kubereka mwana. Kalelo mu 50s, kotala mwa amayi onse odwala matenda ashuga adathera padera. Pakadali pano, mulingo uwu watsika mpaka 2-5% mwa azimayi omwe ali ndi matenda ashuga. Pakukonzekera, mkazi ayenera kuthandizira glycated hemoglobin osaposa 6.5%.

Kusaberekana kwa matenda ashuga mwa amuna kumakwiyitsidwa ndi zinthu zotere.

1. Kuphwanya mafuta kagayidwe, atherosulinosis. Kukhazikika kwa ma cholesterol plaque pamakoma amitsempha yamagazi kumapangitsa kuti magazi asamayende bwino, kutsika kwa kuchuluka kwa umuna ndi kuchuluka kwa testosterone yam'madzi.
2. Kusowa kwa Vasculo native. Matenda a shuga amachititsa kuti magazi asinthe, zomwe zimayambitsa kusokonekera kwa njira zam'magazi. Ndikuphwanya kwambiri erection, kugonana kumagwirizana.
3. Zowonongeka zamitsempha zamapazi. Njirayi imatsogolera ku zomwe zimatchedwa ejogulation ejaculation, pomwe mbewu satuluka kunja, koma imafalikira ku chikhodzodzo.
4. Kuwonongeka kwakukulu mu mkhalidwe wamadzi aminal. Hypogonadism imathandizira kuti izi zitheke. Mwa abambo omwe ali ndi matenda ashuga, kuchuluka kwa umuna wamunthu wathanzi kumachepetsedwa.

Mayeso a mahormone athandizira kudziwa chomwe chimayambitsa kusabereka kwamuna. Ngati kukana insulini kukayikiridwa, kuyesedwa kwa insulin kwa magazi kumasonyezedwa.

Ndikofunikira kumvetsetsa kuti insulin ndi mahomoni omwe amapezeka mthupi la munthu aliyense. Odwala omwe ali ndi matenda ashuga amakana. Potsutsana ndi izi, zovuta zingapo zamahomoni zimawonekera m'thupi la wodwalayo.

SD monga chifukwa cha PCOS.

Yang'anani! Mawonekedwe amakulu amunthu amamva kwambiri kusinthasintha kulikonse. Kuphwanya ndi kupatuka kuzikhalidwe za zomwe zimayambitsa chimodzi mwazinthu zimayambitsa kusalinganika.

Kulephera kutenga pakati kumayambitsa kuwonjezeka kwa zizindikiro za kupsinjika, kuwonjezeka, kapena kukhumudwa. Kuchulukitsidwa kopitilira muyeso pa vuto la kusabereka kumayambitsa mikangano mkati mwa banja, zomwe zimachepetsa ubale wa okwatiranawo komanso moyo wabwino wogonana.

Mavuto amakula ngati bambo amakhala wopanda mphamvu komanso amatha kuzindikira kuti alibe mphamvu. Kuti athetse mavuto, tikulimbikitsidwa kuti tichite mokwanira mankhwala osokoneza bongo a mtundu wa 2 mellitus kapena mtundu 1. Kusokonezeka m'moyo wabanja kumayambitsa kusakhazikika kwa matenda a shuga ndi kusalinganika kwa mahomoni, komwe kumakulitsanso kubereka.

Zikatero, tikulimbikitsidwa, kuwonjezera pa chithandizo chayikidwa kuti chikonzedwe cha matenda ashuga, kuchita maphunziro a psychotherapy. Kubwezeretsa magonedwe abwinobwino, kudya mokwanira, kupuma mokwanira komanso kukhala ndi malingaliro abwino m'banjamo sikungakhale kofunikira kwambiri pakubwezeretsa kuyendetsa kwa kugona ndi pakati pa mwana kuposa mankhwala.

The andrologist kuchokera muvidiyoyi munkhaniyi ayankhula za zovuta za matenda obwera chifukwa cha matenda ashuga.

Mfundo zoyambirira zamankhwala

Chithandizo cha osabereka kwa odwala matenda ashuga amayenera kuyang'aniridwa ndi katswiri waluso.

Malangizo obwezeretsa chonde aperekedwa motere:

• kuwongolera kunenepa kwambiri kwa thupi, kuchuluka kwa mapaundi owonjezera munthawi ya chithandizo sikovomerezeka,
• kuyang'anira kudya pafupipafupi, kuyang'anira menyu tsiku ndi tsiku, kuwerengera magawo a mkate, hypoglycemia ndi kuchuluka kwambiri kwa shuga m'magazi sikuyenera kuloledwa.
• kuwongolera ndi kusankha mosamala Mlingo wa insulin,
• kayendedwe ka hemoglobin m'magazi.

Njira yoyenera yothandizira matenda ashuga imasankhidwa payekhapayekha kwa wodwala aliyense, kutengera zofuna za thupi. Osadzilimbitsa nokha, ndikuyesera kusankha mlingo woyenera wa insulin nokha - simuyenera. Zochita zoterezi zimakhala zowopsa kwa wodwalayo.

Cholinga chazosokoneza m'banj.

Kanemayo munkhaniyi adzafotokozera owerenga zofunikira za mankhwalawa.

Njira zoyenera zowonetsera zochizira zimatsimikiziridwa mwamseri pambuyo poti afufuze wodwala ndikupeza deta ya labotale. Akatswiri awiri, gynecologist komanso endocrinologist, ayenera kutenga nawo mbali pothandizira matenda osabereka mu shuga.

Malangizo omwe amalimbikitsidwa amathandizanso amaperekedwa motere:

• mankhwala a insulin
• phwando la ma immunomodulators,
• mankhwala, njira zomwe zimatsimikiziridwa payekha,
• zolimbitsa thupi
• mankhwala a mahomoni ofuna kubwezeretsa chilengedwe.

Tanthauzo la njira ya IVF

Dzira limaphatikizidwa ndi umuna kunja kwa thupi la mkazi ndipo kenako umwini umapangidwa kupita ku chiberekero. Ndi kukhazikika bwino kwa thupi ndi kupititsa patsogolo mluza, ana obadwa sangasiyane pokula ndi ana omwe ali ndi pakati pofika pakumvana.

Mu matenda a shuga, sapatsirana kuti muchite IVF, ndipo m'magulumagwiritsidwe ake a shuga, ndikulimbikitsidwa kuti zizichitika, chifukwa zimatha kukhudza kuthekera kwa kukhala ndi pakati nthawi zonse pogonana popanda kutenga pakati kwa zaka 1-1,5 kapena kupitirira apo. Inde, muyenera kuzindikira chomwe chimayambitsa kusabereka.

Ngati mayi ali ndi zotchinga za ma fallopian kapena ngati sangathe kukhalapo, ngati bambo ndiwosabereka, chinthu chokhudzana ndi chitetezo chamthupi chimachitika: pali ma antibodies ama cell a sperm, ndiye kuti matekinoloje othandizira akuyenera kugwiritsidwa ntchito. Poterepa, ndikofunikira kuwongolera kuchuluka kwa shuga m'magazi ndi glycated hemoglobin.

Njira za IVF

Kuti okwatirana akhale ndi mwayi wokhala ndi pakati pa mwana wogwiritsa ntchito IVF ndi kubereka mwana wathanzi, amayesedwa mosamalitsa ndipo mankhwala a mahomoni amapatsidwa. Mukalimbikitsa mazira ndi mahomoni, mazira angapo amakhala okhwima.

Gawo lokopa la superovulation limayendetsedwa ndi ultrasound. Ndikofunika kuti mazira asatuluke m'mazira am'mimba (osati kale osati pambuyo pake). Mu malo ochepera, amachotsedwa ndi cannula, yomwe imayikidwa mu nyini pansi paulamuliro wa ultrasound ndikutengedwa.

Gawo lotsatira ndikupeza umuna wothandizirana ndi wogwirizira kuchokera ku ejaculate, testis kapena epididymis. Kenako phatikizani dzira limodzi ndi umuna - mpaka ma 100,000 ma PC. Koma m'modzi yekha amene amalowa dzira, enanso sangathenso kudzaza umuna chifukwa chayambitsa makina oteteza.

Kuwongolera Kukula kwa Mazira Achilengedwe

Pa gawo lotsatila, akatswiri amawona dzira lokhathamiritsidwa, ndipo pamene mluza umapangika pakatha masiku 3-4, mluza kapena mazira angapo (mpaka 3) amasamutsidwira m'chiberekero ndi catheter yapadera. Amayambitsidwa kudzera mu nyini ndi khomo pachibelekeropo.

Kuyesedwa kwa pakati kumachitika masiku 14 atachotsa mluza: mulingo wa chorionic gonadotropin (hCG) watsimikiza. Zizindikiro zofananira za mahomoni m'magazi (1000-2000 mU / ml) zimatsimikizira kukhala ndi pakati, zomwe zimathanso kutsimikizira ultrasound ngati dzira la fetal likupezeka m'chiberekero pakatha masiku 21 mpaka 22 atachotsa mluza.

Kutumiza kwa mluza kupita m'chibelekero

Pambuyo posamutsa mluza kulowa muchiberekero, mkaziyo ali pakama kwa mphindi 30-60, ndiye kuti amaloledwa kuchoka ku dispensary. Ndikulimbikitsidwa kuti m'modzi mwa abale ake amuperekeze ndikumapita naye pagalimoto.

Kunyumba, azimayi ayenera kutsatira malamulo awa:

• samalani kugona - masiku 1-2,
• kupatula kupsinjika kwakuthupi ndi m'maganizo,
• Kunja kumakhala bata komanso kufupikitsa,
• osawerama kwambiri osakweza miyala,
• Osatentha kwambiri kapena mafuta kwambiri,
• osagonana

FAQ

Moni. Kodi kuchitira osabereka pambuyo kupanga kupanga mimba mu shuga?

• mankhwala a mahomoni kuti abwezeretse tsogolo la maholide mu shuga, kukhazikika kwa msambo komanso ntchito ya ziwalo za endocrine,
• Maantibayotiki, mankhwala ena omwe adapangidwa ndi dokotala, physiotherapy yotupa ya ziwalo zoberekera atachotsa pakati,
• opaleshoni yodwala ndiwosamalira endometritis, zotupa, zipsera, kutsekeka kwa machubu a fallopian, polycystic ovary syndrome,
• kusintha kwa khosi lachiberekero kupatula zotseguka zake zokha,
• matekinoloje othandizira kubereka: IVF / ICSI, surrogacy.
• Ndikofunikira kudziwa. Pambuyo pakuchotsa kwam'mimba, kutupa kapena kufalikira kwa matenda osachiritsika a ziwalo zoberekera kumatha kuchitika, komwe kumayambitsa kusokonezeka kwamimba nthawi yotsatira yokhudzana ndi mimba, malo osadziwika komanso kupatukana kwa chimbudzi - malo a mwana ndi kufooka kwake, matumbo ake atayamba. Zonsezi zimafuna chithandizo chotalikilapo komanso chovuta musanakonzekere kukhala ndi pakati.

Kuchotsa mimbayo kumatha ndi kutupa ndi ma pathologies ena

Moni. Ngati kuchotsa m'mimba kudachitika, bwanji sindingakhale ndi mwana nthawi yayitali?

Mwana wosabadwayo amayamwa ndi chida chovundikira, koma tinthu tating'onoting'ono timatha kukhalamo. Kenako nthenda yotupa imayamba, ndipo magaziwo amapakidwa poizoni yemwe amapanga minofu ya necrotic. Nthawi yomweyo, ndikuchotsa mimbayo, kusokonezeka kwa mahomoni kumachitika, kumakulirakulira ndi shuga.

Zotsatira zake, chonde chimatsika mkati mwa kuwonongeka kwa kugwira ntchito kwa thupi lonse. Kutsimikizira kwa zida kumawonongera makoma a chiberekero, komwe kumayambitsa mapangidwe ndi zipsera, kumachitika kwa endometriosis ndi kutupa. Yambani mwa kupenda ndi kuchiritsa matenda amiseche.

Kupumira m'mimba pang'ono kumayambitsa kubereka

Moni. Kuchotsa mimba kuchipatala kumadziwika kuti ndiko kotetezeka kwambiri ku matenda ashuga, koma ndidatulutsa magazi, ndipo tsopano sindingathe kukhala ndi pakati nthawi yayitali. Chifukwa chiyani?

Mifepristone Mankhwala Ochotsa Mimba

Moni. Ndi mimba iliyonse, kutulutsa magazi kumayamba. Ngakhale kutha kwa zamankhwala pathupi, ngati chidutswa cha fetal minofu chatsala. Ndiye kuyeretsa ndikofunikira - kulowererapo kwa opaleshoni.

Mifegin, Mifolian, Mifeprex kapena Pencrofton nthawi zambiri amagwiritsidwa ntchito. Ma steroid opanga awa, ma antiprogestogens amatseka zochita za progesterone ya kugonana ndikukulitsa mgwirizano wa chiberekero. Kenako kudzipereka kwam'mimba kumachitika ndikutulutsidwa kwa chiberekacho. Tinthu tating'onoting'ono timayambitsa kutupira, ndipo matenda, matendawa amatheka, omwe amathera momvetsa chisoni.

Ngati mankhwalawo akuchulukira, mankhwalawo amadzipangitsa kuti asachotse mimbayo, ndipo ana obadwa akhoza kukhala ndi vuto lalikulu. Tikukulimbikitsani kuti muwonedwe ndikuyamba kulandira chithandizo choyenera, ndikuwunikanso momwe matenda ashuga aliri.

Moni. Popewa zovuta nditachotsa mimbayo, ndichite chiyani?

Moni. Poyamba, kuwunika kwa ziwalo zoberekera ndi a gynecologist. Mwina dokotala adzalemberani mankhwala a mahomoni kuti mupewe matenda a endocrine komanso kutupa. Mukachotsa pakati, osamwa mopitirira muyeso ndipo musachulukane kwambiri: osapita ku saunas ndi m'madziwe, osasamba osamba kapena osamba m'madzi otseguka kwa masiku 15-20.

Osasuta fodya kapena kumwa mowa. Yang'anirani kutentha kwa thupi, kulemera kwake komanso kumaliseche. Ngati kutentha ndi zotulutsa zikuwonekera, pitani kuchipatala mwachangu. Musagonane pakadutsa mwezi umodzi, ndiye gwiritsani ntchito njira zakulera zapakhomo.

Moni. Kodi kusabereka kwenikweni ndi kwachiwiri ndi chiyani? Kodi zingakhale ndi matenda ashuga?

Moni. Ngati njira yakulera ikuphwanyidwa ndipo palibe kutenga pakati, ndiye kuti ndikubala kwa 1st degree.

• ziwalozi ndizopukutira kapena zimachulukidwa kawirikawiri: palibe mazira am'mimba kapena amapangika, timatumba tatsika tatsika,
• Mavuto amabwera nthawi yogonana chifukwa cha kutayika kwa chiberekero ndi chibelekero cha khomo pachibelekeromo,
• ovulation imasokonezeka chifukwa cha kusokonezeka kwa mahomoni,
• pali matenda omwe amapatsirana kudzera mukugonana,
• Matenda amtundu umachitika: ma polyps a ngalamu ya chiberekero, uterine fibroids, kukokoloka kwachiberekero, endometriosis,
• zotupa zimachitika pakugwira ntchito kwa chitetezo chathupi: ma antibodies ku umuna amapangidwa,
• kubereka sikupezeka mazira okhathamiritsa: amakhala osagontha chifukwa chazovuta pakapangidwe ka ma chromosomes.

Ndi kuperewera kwa digiri yoyamba, IVF + ICSI ikhoza kugwiritsidwa ntchito. Zomwe zimayambitsa kusabereka kwa digiri ya 2 zitha kukhala:

• kuchotsa pakati ndi kutenga padera, kubereka kovuta, mimba ya ectopic,
• polycystic ndi ovarian kukanika, uterine fibroids,
• endometriosis yamkati ndi yakunja,
• kusamba koyamba
• mahomoni osagwira ntchito,
• matenda azamatenda, matenda opatsirana ndi chithokomiro,
• zakudya zopanda thanzi, makamaka ndi matenda a shuga, kunenepa kwambiri,
• kuwonda kwambiri chifukwa cha kudya kosalekeza kwa ashuga,
• kupsinjika kwamaganizidwe, kupsinjika ndi kutopa kwakanthawi.

Moni. Kodi ndi malingaliro ati omwe mungapereke pochotsa kubereka kwa amuna?

Zizolowezi zoyipa mu shuga komanso kunenepa kwambiri zimasokoneza kaphatikizidwe ka testosterone

Moni. Yesani kugonana kamodzi kamodzi masiku atatu. Siyani kusuta - chikonga chimakulitsa kupsinjika kwa okosijeni ndikupanga ROS yochulukirapo. Mowa umatsogolera ku hypogonadism komanso subrertility.

Kupsinjika kumachepetsa testosterone ndi kuchuluka kwa umuna mu ejaculate. Kusambira mitengo ikuluikulu ikhale ndi malaya amtundu wambiri otetemera kuti ma testicles asathere kwambiri komanso spermatogeneis asachulukane. Simuyenera kuchezera saunas otentha, zipinda za nthunzi, malo osambira ndi malo osambira otentha. Zochita zolimbitsa thupi ziyenera kuchepetsedwa kwambiri.

Zakudya zopatsa thanzi kwa odwala matenda ashuga zizikhala zabwino, siziyenera kuwonjezera thupi. Kulemera kwambiri kumathandiza kukulitsa kutembenuka kwa testosterone kukhala estrogen. Ndipo leptin - mahomoni amthupi amalepheretsa kaphatikizidwe ka testosterone ndi LH.

Moni. Ndi matenda ati omwe angayambitse kusabala kwa matenda a shuga? Zikomo

Kusabereka kungachitike ndi zinthu izi:

• Katemera wa Katemera
• kubadwa kwa maliseche a genitourinary ziwalo:
• matenda a matenda: shuga, komanso chifukwa cha chifuwa chachikulu, chifuwa cha chiwindi, kulephera kwa aimpso, ma mumps + orchitis,
• Pambuyo pa maopareshoni omwe amachotsa chopinga cha hernia, hydrocele, urethral solidation ndi chikhodzodzo cha chikhodzodzo,
• mankhwalawa achire: radiation, mahomoni ndi chemotherapy, kugwiritsa ntchito antihypertensive mankhwala osokoneza bongo, mankhwala, etc.,
• zamavuto ogonana ndi ejaculatory, azospermia, necrosoospermia,
• mitundu ya endocrine: hypernormal and gonadotropic hypogonadism, hyperprolactinemia, testosterone state state,
• chromosomal pathology,
• uchidakwa komanso kusuta fodya,
• kukhudzana kwanthawi yayitali ndi zinthu zoyipa: organic andorganic,
• kukhudzana ndi radiation,
• gwiritsani ntchito mzipinda zokhala ndi kutentha kapena kutentha kochepa.

Ndi matenda ashuga a m'mimba, bambo amatha kudwala matenda osokonekera, kuphwanya kwamkodzo. Ndi angiopathy - mitsempha yamagazi imakhudzidwa, yomwe imalepheretsanso kubereka. Ndi kuchepa kwa kupanga kwa testosterone komanso kunenepa kwambiri, aromatase, enzyme mu minofu ya adipose, amayamba kuchita, zomwe zimapangitsa kuti testosterone itembenuke kukhala estradiol, mahomoni achikazi.

Chifukwa chake, hypogonadism imayamba ndipo umuna umachepa. Mu shuga, umuna wa Adamu umawonongeka. Pokonzekera kukhala ndi pakati, abambo amafunika kuunikiridwa ndikuwunika mwatsatanetsatane wa umuna. Ngati umuna uli wabwino, ndiye kuti pamakhala pakati.

Umuna ndi mtundu wa umuna womwe umazindikira momwe amuna angakwaniritsire kubereka ana.

Chithandizo choyenera komanso chapanthawi yake chovomerezeka cha matenda osokoneza bongo chifukwa cha matenda opatsirana komanso otupa chimapangitsa kuti matendawo azigwira bwino ntchito ya mwana mwa amuna ndi akazi omwe akuyembekezereka komanso abwino panthawi yogonana mwachilengedwe kapena nthawi ya IVF + ICSI, IISM kapena IISD.