Mankhwala kwa kubwezeretsa kubereka.
Mankhwala amagwiritsidwa ntchito kwambiri pofuna kuthandizira kupuma, zomwe ziyenera kuchitika kamodzi pamwezi kuzimayi asanayambe kusamba. Kutsekemera kumalamulidwa pang'ono ndi mahomoni otchedwa gonadotropins. Zimapangidwa muchitsipa cha pituitary (gland mwachindunji pansi pa ubongo). Gonadotropin ndi mahomoni omwe amachititsa kuti ntchito zokhudzana ndi kugonana zitheke (mazira ndi akazi ndi amuna).
Clomiphene
Zopangidwa ngati mapiritsi, Clomifene amagwiritsa ntchito njira yotsekemera - "ndemanga" ku chidziwitso cha pituitary. Zotsatira zake, nthenda ya pituitary imatulutsa mahomoni owonjezereka m'mwamba kuposa nthawi zonse. Gonadotropin yowonjezera imatulutsidwa m'magazi ndipo imayambitsa mazira, omwe, monga momwe akuyembekezeredwa, idzatsogolera ku chiwindi.
Gonadotropin-kutulutsa hormone
Ngati clomiphene sichigwira ntchito, ndiye kuti wodwalayo angapangidwe mankhwala omwe ali ndi mahomoni a gonadotropin kapena gonadotropin-release hormones. Amayambitsa ovulation isanayambike mu insemination ndi IVF. Mankhwalawa angathandizenso kubereka (amuna).
Metformin
Mankhwalawa amagwiritsidwa ntchito pochiza matenda a shuga. Koma nthawi zina metformin imaperekedwa kwa amayi omwe ali ndi polycystic ovaries, ngati sathandizidwa clomiphene. Kafukufuku wina amanena kuti metformin ingalimbikitse kuwonjezeka kwa chiberekero kwa amayi ena omwe ali ndi matenda a polycystic ovary, nthawi zambiri kuphatikizapo kutenga chumiphene.
Njira zopangira chithandizo.
Njira zothandizira zachipatala zimagwiritsidwa ntchito pamene vuto la infertility likupezeka ndipo opaleshoni ingathandize. Izi zimayambitsa kusabereka zikufotokozedwa apa:
Mavuto mu phula lamagetsi.
Kuchita opaleshoni kungathandize amayi ena kuti asatengeke chifukwa cha matenda a ziphuphu. Mwachitsanzo, atatsekedwa kapena pali zipsera kuchokera ku matenda akale, matenda kapena mavuto ena. Azimayi ena omwe ali ndi "kuyamwa kwa pipi" amatha kubwezeretsa ntchito zawo zoberekera opaleshoni.
Endometriosis.
Kuchita opaleshoni kungalimbikitse kuyamba kwa mimba kwa amayi omwe ali ndi endometriosis.
Matenda a Polycystic ovary.
Ntchito yapadera pa mazira ochuluka angakhale abwino kwa amayi ena omwe ali ndi polycystic mavairasi. Nthawi zina amatchedwa diathermy kapena "kubowola" m'mimba mwake. Izi, makamaka, ndi opaleshoni kuti iwononge zina mwa follicles (ting'onoting'ono ting'onoting'ono) zomwe zimakhala mu mazira. Izi kawirikawiri zimachitika pamene njira zina zothandizira sizigwira ntchito.
Fibromioma.
Ngati palibe tsatanetsatane wa kusabereka kwanu, nthawi zina opaleshoni yochotsera ulusi imasonyezedwa. Koma ngati myoma ndiye chifukwa chenicheni cha kusabereka ndipo, chotero, ngati chiyenera kuchotsedwa - sichikudziwikabe.
Intrauterine insemination ndi umuna wa mwamuna kapena wopereka.
Insemination ndi njira yosavuta imene umuna wa umuna umayikidwa mu chiberekero cha mkazi, ndipo umuna umachitika pamenepo. Zitha kuchitika nthawi yowonjezereka kwa amayi. Ndikofunika kukhala ndi miyendo yabwino yowonongeka. Mankhwala angatengedwenso pasadakhale kuti muonjezere mwayi wanu. Spermatozoa ikhoza kutengedwa kuchokera kwa mwamuna kapena wopereka.
Mu Vitro Fertilization (IVF).
In vitro feteleza ndi njira ya umuna kunja kwa thupi. Zachilengedwe zimatanthauza kwenikweni "mu galasi" (mu labotale kapena mu test tube). IVF imagwiritsidwa ntchito makamaka kwa amayi omwe akusowa mtendere chifukwa cha kusungidwa kwa mitsempha yamtundu, kapena chifukwa cha kusabereka ndizosadziwika. IVF imaphatikizapo kumwa mankhwala kuti athandize "kubereka" kwa mazira. Ma ovules akapangidwa, ndi opaleshoni yaing'ono ndikofunikira kuti muwapeze. Dzira lililonse limasakanizidwa ndi umuna ndikuikidwa masiku angapo mu labotale. Mazira amawumbidwa motero, kenaka anaikidwa m'mimba mwa mkaziyo. Mazira angapo amatha kuzizira kuti apitirize kuyesayesa IVF patsiku lomaliza (ngati kuyesa koyambirira kusapambane).
Mpata wopambana ndi IVF.
Zomwe mungapambane ndi IVF zingakhale zapamwamba ngati muli ndi zaka zoposa 39, munali ndi pakati kale, ndipo muli ndi mndandanda wa thupi pakati pa 19 ndi 30 (ie, palibe kulemera kolemera). Zinthu zina zomwe zingachepetse mwayi wa IVF kupambana ndi mowa, mankhwala ambiri a khofi, kusuta fodya.
Jekeseni wa umuna wamatenda.
Kupyolera mu njirayi, spermatozoa imayikidwa mwachindunji mu dzira. Amadodometsa zolepheretsa zachilengedwe zomwe zingalepheretse umuna. Jekeseni wa intracellarlar ingagwiritsidwe ntchito ngati wokondedwa wanu ali ndi umuna wochepa mu umuna.
Mphatso ya mazira.
Ikuwonetseratu zokopa za m'mimba mwa ophatikizawo pogwiritsa ntchito mankhwala, komanso kusonkhanitsa mazira. Kenaka, mazirawo amasakanizidwa ndipo amamera ndi umuna, monga mu IVF. Pambuyo pa masiku 2-3 mazira amaikidwa mu chiberekero.
Mazira ndi mwayi kwa amayi omwe:
- Musakhale ndi mazira kapena simungathe kupanga mazira
- Lembani matenda omwe mazira ambiri sagwira ntchito (mwachitsanzo, matenda a Turner)
- Ali ndi chiopsezo chachikulu chofalitsira mwanayo matenda a chibadwa. Amagwiritsidwanso ntchito pazochitika zina zosalongosola za IVF.
Funso la momwe angathandizire kusabereka kwa amayi, nkhawa za anthu padziko lonse kwa nthawi yaitali. Koma ngakhale pali njira zingapo, mankhwala adalengedwera kuthandizira amayi, koma chinthu chachikulu mwa izi sikuti tisawononge chiyembekezo. Ndipo yesetsani kuti mukhale osangalala. Ndipo izo sizidzakusungani inu kuyembekezera.