Hoʻopau hou: 5 kumu nui (a me nā hoʻokolohua e hana ʻia)

Anter

• 1. Nā hoʻololi genetic
• 2. Anatomical anomalies
• 3. Endocrine a i ʻole hoʻololi i ka metabolic
• 4. ʻO Thrombophilia
• 5. Nā kumu pale pale

Hoʻomaopopo ʻia ka hoʻohaʻahaʻa pinepine ʻia e like me ka hanana ʻana o ʻekolu a ʻoi mau mea ʻoi aku ka wā o ka hāpai ʻole ma mua o ka hebedoma 22 o ka hāpai ʻana, nona ka makaʻu o ka hanana i ʻoi aku ma mua o nā mahina mua o ka hāpai ʻana a hoʻonui ʻia me ka neʻe ʻana o ka makahiki.

Aia kekahi mau kumu ma ke kumu o ka loaʻa ʻana o nā ʻōpū i hānai ʻia, no laila, pono e hana ʻia kahi loiloi o ka wahine, pono e hana i nā hoʻokolohua a me nā genetic, a me ka loiloi o ka ʻohana a me ka mōʻaukala. i mea e maopopo ai ke kumu o ka pilikia.

ʻO ka hanana o kahi hāpai keiki kahi traumatic ʻike, hiki ke alakaʻi i nā ʻōuli o ke kaumaha a me ka hopohopo a, no laila, nā wahine e ʻeha i nā abortions pinepine, pono pū me ka psychologist.

ʻO kekahi o nā kumu pinepine pinepine o ka hoʻōkū pinepine ʻana:

1. Nā hoʻololi genetic

ʻO nā kūlohelohe chromosomal fetal ke kumu maʻamau o ka hānau ʻole ma mua o 10 mau pule o ka hāpai ʻana a piʻi ka likelihood o lākou me ka makahiki makuahine. ʻO nā hewa maʻamau ka trisomy, polyploidy a me ka monosomy o ka X chromosome.

Pono e hoʻokō ʻia ka hoʻokolohua hoʻokolohua cytogenetic ma nā huahana hūnā mai ke kolu o ka nalo hope. Inā hōʻike kēia hoʻokolohua i nā anomalies, pono e kālailai ʻia ka karyotype me ka hoʻohana ʻana i ke koko peripheral o nā mea ʻelua o ka wahine.

2. Anatomical anomalies

Uterine abnormalities, e like me Mullerian malformations, fibroids, polyps a me ka uterine synechia, hiki ke pili pū me ka hana hou abort. E aʻo pehea e ʻike ai i nā loli i ka uterus.

ʻO nā wahine āpau e ʻeha nei i ka hāpai ʻana o ka manawa hou e pono e nānā i ka lua o ka uterine, e hoʻohana ana i ka pelvic ultrasound me 2D a i ʻole 3D transvaginal catheter a me hysterosalpingography, i hiki ke hoʻohui ʻia me ka endoscopy.

3. Endocrine a i ʻole hoʻololi i ka metabolic

ʻO kekahi o nā endocrine a i ʻole nā ​​hoʻololi metabolic i kumu ke kumu o ka hāʻule pinepine ʻana o:

• Diabetes:I kekahi mau hihia, loaʻa i nā wahine me ka maʻi kō ʻole i ka maʻi nui ke lilo i ka fetal a me ka malformation. Eia nō naʻe, inā kaohi maikaʻi ʻia ka maʻi diabetes, ʻaʻole ia e manaʻo ʻia he mea weliweli ia no ka hāpai keiki ʻana;
• ʻO ka hana thyroid: E like me ka hihia o ka maʻi diabetes, ʻo nā wahine me nā maʻi o ka hana thyroid kāohi ʻole ʻia e hoʻonui i ka makaʻu i ka loaʻa ʻana o ka hānau hānau ʻole;
• Nā hoʻololi i ka prolactin: ʻO Prolactin kahi hōmona o ka mea nui no ka ulu ʻana o endometrial. No laila, inā kiʻekiʻe a haʻahaʻa paha kēia hōmona, hoʻonui ʻia ka makaʻu o ka hāʻule ʻole;
• ʻO Polycystic ovary syndrome: Hoʻohui ʻia ʻo Polycystic ovary Syndrome me ka hoʻonui ʻia o ka makaʻu o ka hāpai wale ʻana o ka manawa, akā ʻaʻole maopopo i ka ʻōnaehana i pili. E aʻo pehea e ʻike ai a mālama ai i ka ovary polycystic;
• Momona: Pili ka obesity me kahi piʻi nui o ka makaʻu o ka lilo wale o ka hāpai ʻana i ka trimester mua;
• Hoʻololi nā pae luteal a me ka hemahema progesterone: He mea nui ka corpus luteum e pono ai no ka hoʻokomo pono ʻana a no ka mālama ʻana o ka hāpai ʻana i kona alo mua, ma muli o kāna hana nui i ka hana o progesterone. No laila, hiki i nā loli i ka hana ʻana o kēia hormona ke alakaʻi i ka hanana o ka hāʻule ʻole.

E ʻike i ke ʻano o ka corpus luteum a he aha ka pili o ka hāpai ʻana.

4. ʻO Thrombophilia

ʻO Thrombophilia nā maʻi e hana i nā loli i ke kāpili ʻana o ke koko a hoʻonui i ka manawa o ke kōkō ʻana o ke koko a hana i ka thrombosis, i hiki ke pale aku i ka implantation o ka embryo i loko o ka uterus a i ʻole kumu abortions. ʻO ka mea maʻamau, ʻaʻole ʻike ʻia ka thrombophilia i nā hoʻokolohua koko maʻamau.

E aʻo pehea e hana ai me ka thrombophilia i ka hāpai keiki.

5. Nā kumu pale pale

I ka wā o ka hāpai ʻana, manaʻo ʻia ka embryo he kino haole e ka meaola a ka makuahine, ʻokoʻa ʻokoʻa ka genetically. No kēia, pono e hoʻopili i ka ʻōnaehana pale makuahine e hōʻole i ka embryo. Eia nō naʻe, i kekahi mau hihia, ʻaʻole hiki mai kēia, e alakaʻi ana i nā hānau hāpai ʻole a i ʻole paʻakikī i ka hāpai ʻana.

Aia kahi hōʻike i kāhea ʻia pā hoʻokūkū, ka mea e ʻimi nei i ke alo o nā antibodies e kūʻē i nā limapho paternal i ke koko o ka makuahine. I mea e hoʻokō ai i kēia hoʻokolokolo ʻana, lawe ʻia nā laʻana koko mai ka makuakāne a me ka makuahine a, i loko o ke keʻena hoʻokolohua, lawe ʻia kahi keʻa keʻa ma waena o nā mea ʻelua, e ʻike ai i ke alo o nā mea ʻāpala.

Hoʻohui ʻia, pili pū paha ka inu ʻalekohola a me ka paka me ka hoʻōliu hou ʻole ʻana, ʻoiai ke hoʻohuli maikaʻi ʻole nei i ka hāpai ʻana

ʻOiai ma ka hapanui o nā hihia hiki ke hoʻoholo ʻia nā kumu o ka hāpai hou ʻole ʻana, aia kekahi mau hanana i koe i wehewehe ʻole ʻia.