
santanotpatti pareeksha

santanotpatti pareeksha anedi santanotpattini anchanaa vese prakriya, saadhaaranamgaa mariyu ruthu chakramlo "saaravantamaina kitikee" nii kanugonadaaniki kooda. saadhaarana aarogyam santanotpattini prabhaavitam chestundi, mariyu stye pareeksha anedi oka mukhyamaina sambandhita rangam.
mahilalu.
aarogyakaramaina mahilalu yuktavayassu nundi rutuvirati varaku saaravantamainavaaru, ayinappatikee santanotpatti saadhaaranamgaa eee kaalam yokka teevratalaku chaalaa taggutundi. yuktavayassu prarambhanni saadhaaranamgaa rutukramam mariyu rommu abhivruddhi, jaghana juttu roopaanni mariyu shareera kovvu pampinheelo maarpula vanti dviteeya laingika lakshanaala uniki dwara gurtistaaru. santanotpatti mugimpu saadhaaranamgaa ruthuvirathiki kontha mundu vastundi, endukante santanotpatti anedi aacharaneeyamaina garbhanni sthaapinche avakaasam chaalaa takkuvagaa unna sthaayiki taggutundi.
andotsarga pareeksha.
andotsargamu samayanni anchanaa vaeyadaaniki vividha paddhatulu unnaayi, veetilo konnintini intlo ledhaa clinical settinglo nirvahinchavacchu. andotsargamu yokka samayanni telusukovadam anedi garbham daalchadaaniki daariteese ruthu chakram yokka rojulanu nirnayinchadaaniki oka mahilaku sahaayapadutundi.
stretch test.
garbhasayamu anedi yoni kaaluva mariyu garbhasayam madhya unna nirmaanam. garbhasaya kanaalu shleshmam sravistaayi, idhi ruthu chakramloni vividha bhagalalo daani sthirathvaanni maarustundi. saaravantamaina kitikee samayamlo, shleshmam parimaanamlo perugutundi mariyu spashtamgaa mariyu saagadeeyabadutundi mariyu dheenini "guddu-telupu garbhasaya shleshmam" anie pilustaaru."eee shleshmam veeryaanni lopaliki pravesinchi, daani gundaa prayaaninchadaaniki anumatistundi. dheeniki viruddhamgaa, saaravantamaina kitikee velupala unnappudu, shleshmam saagadeeyadu, jigataga untundi mariyu spashtamgaa undadu.
moothravisarjanaku mundu mariyu ventane stretch pareekshanu nirvahinchavacchu. toilet paper thoo tudichiveyadam dwara ledhaa yoni loki subhramaina vaelini choppinchadam dwara shleshmam yokka namuunaanu teesukovachhu. chitramlo chuupina vidhamgaa vaelu mariyu botanavelu madhya shleshmaanni chaachi shleshmam naanhyatanu gamaninchavacchu.
andotsargamu anchanaa kitt.
moothra andotsargamu anchanaa vastu samagri saadhaaranamgaa pratyakshamgaa kanugonabadutundi mariyu enchukoovadaaniki aneka brandlu unnaayi. eee pareeksha andotsargamu mundu moothramlo perige lutinising harmon mottaanni kolustundi. andotsargamu mundu, lutinising harmon sthaayilu natakeeyamgaa perugutaayi; dheenini "elhetch surge" anie pilustaaru. eee pareeksha andotsargamu jaragadaniki daadaapu 1-1.5 rojula mundu unna perugudalanu gurtinchagaladu. adanamgaa, konni andotsargamu anchanaa vastu samagri eestron-3-glucuronide gurtistaayi. idhi eastrogen yokka vicchinna utpatti mariyu andotsargamu samayamlo moothramlo sthaayilu perugutaayi. eee pareeksha 90 saatam samayamlo lutinising harmon mariyu eestron-3-glucuronide gurtinchagaladu.
eee pareekshanu aneka vidhaluga upayoginchavacchu. pareeksha parikaram konaku konni chukkala muutraanni jodinchavachhu. pratyamnaayamgaa, pareeksha parikaram konanu moothra pravaahamlo unchavacchu. chivaraga, pareeksha parikaram konanu oka kappu moothramlo munchiveyavacchu. pareeksha aidu nimishaallo saanukuula ledhaa pratikuula phalitaalanu suuchistumdi.
electronic santanotpatti monetarlu.
santanotpatti monetor" anedi oka electronic parikaram, idhi santanotpatti avagaahanato viniyogadaaruku sahaayapadataaniki vividha paddhatulanu upayoginchavacchu. santanotpatti monetor moothramlo harmonela sthaayilalo maarpulu, besal shareera ushnograta, lalajalam mariyu yoni dravaala vidyut nirodhakata ledhaa eee paddhatula kalayikanu vislaeshimchavachchu. eee parikaraalu garbham saadhinchadamlo sahaayapadavachhu. ayithe, sajeeva jananaalu ledhaa garbhalapai santanotpatti paryaveekshanha prabhaavampai nirdhaaranalaku tagina aadharalu prastutaaniki andubaatulo laevu.
rojuvaaree ultrasound.
andotsargamu anchanaa vaeyadaaniki sahayapade follicals abhivruddhini anusarinchadaaniki rojuvaaree ultrasoundlanu upayogistaaru. ultrasoundlu 24 gantala ativyaapti thoo andotsargamunu vaastava andotsargamuku anchanaa veyagalavu.
seeram progesterone.
ruthu chakram yokka madhya-luteal dasalo seeram progesterone sthaayini kolustaaru. vandhyatvaanni edurkontunna mahilallo, eee pareeksha andotsargamu anchanaa vaeyadaaniki kontavaraku matrame sahaayapadutundi.
garbhasaya sthaanam.
saaravantamaina kitikee samayamlo garbhasayamu mruduvugaa, ettainadigaa, terichi mariyu tadigaa maarutundi.
besal shareera ushnograta charting.
ruthu chakram samayamlo besal shareera ushnograta maarutundi. ruthu chakram samayamlo vidudalayye progesterone adhika sthaayilu andotsargamu samayamlo besal shareera ushnogratalo 0.50 masim nundi 1 masim varaku akasmaattugaa perugudalaku kaaranamavutaayi. idhi vaanijya thermometers vadakam dwara saaravantamaina kitikeeni gurtinchadaaniki veelu kalpistundi. andotsargamu samasyalu unnaya anie kooda eee pareeksha suuchistumdi.
calender paddhatulu.
kramam tappakunda ruthu chakralu unna mahilallo, prati nelaa daadaapu oke samayamlo saaravantamaina vindo sambhavistundi. rutusraavam modati rojunu modati rojugaa pariganinchinatlayithe, andotsargamu 14va roeju chuttoo jarugutundi. 26-32 rojula paatu unde saadhaarana chakraalalo, saaravantamaina vindo 8-19 rojulalo sambhavistundi.
vandhyatvaaniki roganirdhaarana pareeksha.
saaravantamaina vayassu gala mahilalu aneka kaaranaala valla vandhyatvaaniki lonavutaru. kaaranaalanu nirdhaarinchadaaniki vividha roganirdhaarana pareekshalu andubaatulo unnaayi. vandhyatvaaniki saareeraka kaaranaalanu anchanaa vaeyadaaniki aneka roganirdhaarana vidhanalu mariyu clinical parikaraalu upayoginchabadataayi. kontamandi garbhasayam mariyu phelopian gottala lopala shareera nirmaana nirmaanaalanu drushyamaanam cheyadaaniki ex-rae ledhaa ultrasound vanti imaging kalayikanu contrast agentto upayogistaaru. pratyaksha chitraalanu pradarsinchadaaniki cameratho kuudina electronic, anuvaina paridhini kooda garbhaasayamlo choppinchavacchu. inn vitro fertilisation (ivf) kosam uddeepanaku vividha pratispandanala sambhaavyatanu nirnayinchadaaniki ruthu chakramlo vividha samayaallo vividha rakaala harmonelanu pareekshinchavacchu.
anty mullerian harmon pareeksha.
anty-mullerian harmon (emhetch) anedi andaasayaala yokka preantral mariyu chinna antral follicalslo granulosa kanaala dwara utpatti cheyabadina glycoprotein harmon. aamh yokka plasma sthaayila kosam pareekshinchadam valla vaidyulu andaasaya nilvanu anchanaa vaeyadaaniki veelu kalpistundi. andaasaya nilva yokka anchanaalu inn vitro fertilisation (ivf) dwara garbham dalche sambhaavyatanu nirnayinchadaaniki sahaayapadataayi. aamh pareeksha anedi andaasaya nilva yokka atyanta khachitamaina anchanaalalo okatigaa pariganinchabadutundi, ruthu chakramlo yea samayamloonainaa anchanaa vaeyadaaniki upayoginchavacchu mariyu invasive kaadu.
saikil-day-three follical-stimulating harmon (efshetch) pareeksha.
follical-stimulating harmon (efshetch) anedi peptide harmon, idhi andasayalalo praadhamika follicals abhivruddhi chendadaaniki mariyu eastrogen utpatti cheyadaaniki kaaranamavutundi. takkuva andaasaya nilva unna mahilala chakram praarambhamlo efshetch sthaayilu perugutaayi, endukante vaari follicals efshetch utpattini nirodhinchadaaniki taginanta eestrojennu utpatti cheyavu, anduvalla stree yokka ruthu chakram praarambhamlo adhika sthaayilu takkuva andaasaya nilvanu mariyu ivf kosam gudlanu tirigi pondhe takkuva sambhaavyatanu suuchistaayi. vandhyatvam unna mahilallo andaasaya nilva kosam pareekshinchadaaniki, ruthu chakram yokka moodava rojuna teesukunna rakta namuunaala nundi efshetch sthaayilanu kolustaaru mariyu ivf chikitsa tarvaata garbham dalche sambhaavyatanu nirnayinchadaaniki pramaanaalatoo poolchutaaru.
chlomiphane citrate chhalenj test (ccct).
chlomiphane citrate chhalenj pareeksha anedi saikil-day-three efshetch pareekshanu pooli untundi. eee pareekshanu nirvahinchadaaniki ruthu chakram yokka moodava rojuna efshetch mariyu estradiol sthaayilanu pondadaaniki rakta namuunaalanu teesukuntaaru, taruvaata 100 milligramula chlomiphane citratenu ruthu chakram yokka 5 nundi 9 rojulalo rojuku okasari noti dwara istaaru, chivaraku ruthu chakram yokka 10va rojuna efshetch sthaayilanu kolavadaniki rendava rakta namuunaanu teesukuntaaru. 3va rojuna baseline efshetch kante ivf rogulalo andaasaya pratispandananu anchanaa veyadamlo ccct manchidi kaadu.
antral follical count.
antral follicals anevi oogoniyam nundi parinati chendina andakosamgaa abhivruddhi chendutunna prakriya praarambhamlo unde kanaalu. oka vaidyudu stree yokka andaasaya nilvanu nirnayinchadaaniki prati andaasayamloo antral follicals sankhyanu drushyamaanam cheyadaaniki mariyu lekkinchadaaniki transvaginal ultrasoundnu upayoginchavacchu; ayithe afc pindam naanhyatanu anchanaa veyadu. adhika sankhyalo antral follicals ivf dwara garbham dalche adhika sambhaavyatanu suuchistumdi.
ex-rae hysterosalpingography.
hysterosalpingography (hcsg) anedi garbhasaya aakaram mariyu parimaanam mariyu phelopian gottala bahirangatanu anchanaa vaeyadaaniki upayoginche invasive ex-rae imaging technic. idhi garbhasaya fibroids, garbhasaya polypse, garbhasaya kramaraahityaalu, macchalu ledhaa kanitulu vanti janyu ledhaa antu kaaranaala nundi vandhyatvaanni parisoedhinchadaaniki upayoginche roganirdhaarana pareeksha.
ruthu chakram modati bhaagamlo rutusraavam tarvaata mariyu andotsargamu mundu hcsg nirvahistaaru. roogi garbhavatigaa unte, kati sankramana unte ledhaa pareeksha samayamlo bhaarii raktasraavam unte idhi nirvahinchabadadu.
eee prakriya saadhaaranamgaa 30 nimishalu padutundi mariyu tarachugaa aasupatri ledhaa clinic vanti out patient settinglo jarugutundi. rogini kappabadi, paadaalanu paiki ettutuu kati pareeksha kosam unchinatlugaa aame veepupai unchutaaru. garbhaasayaanni drushyamaanam cheyadaaniki speculum upayoginchabadutundi. garbhaasayaanni kriminaasakamtoe subhram chesi, asoukaryam mariyu noppini tagginchadaaniki sthaanika mattumandu inject chestaaru. iodenated contrast daitho garbhasayam nimpadaaniki oka chinna catheter upayoginchabadutundi. garbhasaya mariyu phelopian gottala gundaa contrast dye velletappudu ex-rae chitraalu teeyabadataayi. chitraalanu teesina tarvaata, catheter tolaginchabadutundi mariyu contrast dye yoni velupala chindavacchu ledhaa soshinchabadavachhu.
hcsjeetho sambandham unna pramaadaalu chaalaa arudu mariyu radiation, infection, contrast dye ledhaa kriminaasakaaniki allergy praticharyalaku gurikavadam vantivi untaayi. eee prakriya tarvaata konni rojula paatu rogulu telikapati nundi mitamaina pottikadupu timmiri, noppi mariyu yoni macchalanu anubhavinchadam saadhaaranam.
histero contrast sonography (hycosy).
histero contrast sonography (hycosy) anedi garbhasayam, phelopian gottalu mariyu andaasayaalanu anchanaa vaeyadaaniki upayoginche transvaginal ultrasound imaging technic. idhi diagnostic laparoscopy avasaranni nirnayinchadaaniki upayoginche screening pareeksha.
saadhaaranamgaa ruthu chakram modati bhaagamlo rutusraavam tarvaata mariyu andotsargamu mundu hycosy nirvahistaaru. hcsgki bhinnamgaa, bhaarii raktasraavam yokka kaaranaalanu parisoedhinchadaaniki haikosini upayoginchavacchu.
eee prakriya saadhaaranamgaa 15-20 nimishalu padutundi mariyu tarachugaa aasupatri ledhaa clinic vanti out patient settinglo jarugutundi. rogini chutti, aame veepu meeda, paadaalanu paiki ettutuu kati pareeksha kosam unchinatlugaa unchutaaru. garbhaasayaanni drushyamaanam cheyadaaniki speculum upayoginchabadutundi. garbhaasayaanni iodine vanti kriminaasakamtoe subhram chesi, asoukaryam mariyu noppini tagginchadaaniki sthaanika mattumandu inject chestaaru. garbhasaya mariyu phelopian gottalanu drushyamaanatanu penchadaaniki ecovist anae galactose draavanamthoo kuudina contrast agentto nimpadaaniki oka chinna catheter upayoginchabadutundi. yoni loki transvaginal ultrasound choppinchabadutundi mariyu garbhasayam, phelopian gottalu mariyu andaasayaalanu drushyamaanam cheyadaaniki manaveeyamgaa unchabadutundi. chitraalu teesina tarvaata, ultrasound probe mariyu catheter tolaginchabadataayi. adhyayanam samayamlo upayoginchina contrast agent yoni velupala chindavacchu ledhaa soshinchabadavachhu.
hycosy ex-rae hysterosalpingography vale adhe pramaadaalanu kaligi undadu endukante idhi radiation ledhaa iodenated contrast daini upayoginchadu.
seline infusion sonohysterography (eshechji).
seline infusion sonohysterography prakriyaloo histero contrast sonography (hycosy) thoo samanamga untundi, conny contrast agentku badulugaa seline nuu upayogistundi.
histero phome sonography (hyphosy).
lavanam mariyu ekovistku pratyamnaayamgaa, hycosylo ultrasound dwara shareera nirmaana lakshanaala drushyeekarananu meruguparachadaaniki upayoginche galactose parishkaram, parimitulu mariyu adhika kharchula kaaranamgaa avasaram. stree jananendri upayogam kosam roopondinchina sterile zell phome histero phome sonography (hyphosy) anae kotta saanketikataku pravaesaaniki veelu kalpinchindi. zell lavanam kante ekkuva sthirathvaanni andistundi mariyu rogulu takkuva asoukaryam mariyu dravam leekejeeni anubhavinchavacchu.
andaasaya ultrasound.
andaasaya kudulla abhivruddhini sthaapinchadaaniki andaasayaala ultrasound skaanlu (transvaginal ultrasonography dwara uttamamgaa) nirvahinchavacchu. idhi mukhyamgaa polycystic ovaree syndrome nirdhaaranalo upayogapadutundi.
trimiteeya sonography.
tri-dimension sonography anedi 3dii ultrasound technic, idhi garbhasayam mariyu phelopian gottala yokka 3dii chitraalanu andinchadaaniki 2dii chitraala shrenini upayogistundi.
hysteroscopy.
hysteroscopy anedi yoni dwara mariyu garbhaasayamlo choppinche sannani, prakaasavantamaina, anuvaina cameranu upayoginchi garbhasayam lopali bhaganni drushyamaanam cheyadaaniki upayoginchabadutundi. camera pratyaksha chitraalanu bahya terapai pradarsistundi. vandhyatvaaniki garbhasayamloni kaaranaalanu anchanaa vaeyadaaniki dheenini upayogistaaru.
chromotubationtho laparoscopy.
laparoscopy anedi athi takkuva invasive shastrachikitsa vidhanam, dheenilo oka chinna (0.5-1.5 sem. mea.) kotha dwara pottikadupu kuharamloki oka cameranu choppistaaru. idhi tarachugaa endometriosis nirdhaaranaku upayogistaaru. chromopertubation anedi saadhaaranamgaa "laparoscopy mariyu dye" pareekshagaa suchinchabade mishrama laparoscopic prakriya. idhi phelopian gottala yokka nishkaapatyatanu nirnayinchadamlo sahaayapadataaniki garbhasayamloki neelam rangu draavanam (methylene neelam ledhaa indigo carmine) injectionnu upayogistundi. phelopian tube patency yokka rugmatalanu nirdhaarinchadaaniki "bangaaru pramaanam" gaa pariganhinchabadinappatiki, idhi saadhaarana anaesthesia avasaramayye invasive prakriya.
purushulu.
yuktavayassu vacchina purushulu jeevitaantam saaravantamainavaaruga undaali. skhalanam looni veeryamlo veeryamu anie piluvabade laingika kanaalu untaayi. sambhogam taruvaata, veeryakanaalu stree punarutpatti maargam dwara gudduku prayaanistaayi, idhi saadhaaranamgaa phelopian gottaalalo phaladeekaranam jaragadaniki kaaranamavutundi.
purushulaku santanotpatti pareekshalo veeryam pareeksha mariyu janyu pareeksha untaayi, endukante napumsakatvam vanti itara amsaalu spashtamgaa untaayi. veerya ganana, veerya chalanasheelata, veerya padanirmaana shaastram, pihech, valume, fructose content mariyu acrosome kaaryaacharana kosam veeryaanni pareekshinchavacchu. cancer chikitsa, radiation, maadakadravyaala vadakam modalaina vaidya charithratho paatu, paiki raani vrushanhaalu mariyu tirogamana skhalanam gurtinchadaaniki kooda tanikheelu cheyabadataayi. konni sandarbhaallo santanotpattini nirdhaarinchadaaniki chitteluka zona-free ovam pareekshanu kooda upayoginchavacchu. janyu pareeksha mariyu chromosome vislaeshanha clinefelter syndrome vanti maga vandhyatvaaniki konni itara kaaranaalanu thosipuchavacchu.
iteevali adhyayanam purusha veeryamlo vandhyatvaaniki dohadapade epigenetic namuunaalanu gurtinchindi.

