{"id":28971,"date":"2020-07-06T14:41:58","date_gmt":"2020-07-06T11:41:58","guid":{"rendered":"https:\/\/www.synevo.ro\/?p=28971"},"modified":"2020-12-07T18:12:35","modified_gmt":"2020-12-07T16:12:35","slug":"infertilitatea-de-cuplu","status":"publish","type":"post","link":"https:\/\/old.synevo.md\/ru\/infertilitatea-de-cuplu\/","title":{"rendered":"Infertilitatea de cuplu"},"content":{"rendered":"
\"analize<\/figure>

Infertilitatea este definit\u0103 ca incapacitatea unui cuplu de a concepe un copil dup\u0103 12 luni de raporturi sexuale regulate \u015fi neprotejate<\/strong>. Conform acestei defini\u0163ii 15% dintre cuplurile de v\u00e2rsta reproductiv\u0103 sunt infertile.<\/p>\n\n

Un alt concept, fecunditatea<\/strong>, exprim\u0103 \u015fansa de a ob\u0163ine o sarcin\u0103 care s\u0103 se finalizeze cu un copil \u00eentru-un ciclu menstrual dat<\/strong>. Defini\u0163ia infertilit\u0103\u0163ii este rigid\u0103 deoarece se raporteaz\u0103 la o perioad\u0103 fix\u0103, 12 luni, \u00eens\u0103 aproximativ 90% din cupluri concep dup\u0103 primul an de coabitare, dar exist\u0103 posibilitatea concep\u0163iei spontane \u015fi \u00een urm\u0103torii ani, de\u015fi rata fecundabilit\u0103\u0163ii scade cu fiecare an.<\/p><\/div><\/div>

Apari\u0163ia vie\u0163ii r\u0103m\u00e2ne un miracol, \u00een timp ce lipsa unei sarcini poate fi o problem\u0103 pentru cuplu. E\u015fecul concep\u0163iei genereaz\u0103 o serie de probleme socio-emo\u0163ionale, sentimente de vinov\u0103\u0163ie, inutilitate, izolare social\u0103, av\u00e2nd ca rezultat sc\u0103derea randamentului socio-profesional \u015fi apari\u0163ia de tensiuni \u00een cuplu. Statistica arat\u0103 c\u0103 40% dintre cuplurile infertile prezint\u0103 factor etiologic feminin, pentru 40% etiologia este masculin\u0103 \u015fi pentru restul de 20% o combina\u0163ie a factorului feminin \u015fi masculin.<\/strong><\/p>

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Infertilitatea<\/div>\n <\/div>\n

Atunci c\u00e2nd medicul practician se confrunt\u0103 cu infertilitatea, el trebuie s\u0103 abordeze \u015fi s\u0103 investigheze ambii parteneri. Se vrea a fi \u201cregula de aur\u201d \u015fi nimic nu trebuie omis. Abordarea infertilit\u0103\u0163ii necesit\u0103 de multe ori o munc\u0103 \u00een echip\u0103, din care nu vor lipsi: medicul generalist, endocrinolog, ginecolog, urolog, internist \u015fi de laborator, to\u0163i ace\u015ftia ajut\u00e2nd at\u00e2t la precizarea diagnosticului c\u00e2t \u015fi la conducerea tratamentului.<\/p>\n<\/div>\n \n <\/div>\n \n \n <\/div>\n<\/div>

Evaluarea cuplului infertil<\/strong> trebuie s\u0103 \u0163in\u0103 seama de toate verigile procesului de concep\u0163ie: ovula\u0163ia<\/strong>, transportul tubar al ovulului<\/strong>, produc\u0163ia <\/strong>\u0438 viabilitatea spermatozoizilor<\/strong>, eliberarea \u00een vagin la momentul oportun<\/strong>, receptivitatea mucusului cervical<\/strong>, fertilizarea<\/strong> \u0438 receptivitatea uterin\u0103 pentru implantare<\/strong>.<\/p>

\u00cen general prima investiga\u0163ie \u00een cadrul unei infertilit\u0103\u0163i este spermograma. Este o analiz\u0103 relativ simpl\u0103, pu\u0163in costisitoare, neinvaziv\u0103 \u015fi rezultatul se ob\u0163ine \u00eentr-un timp scurt. Ea va preciza din start capacitatea fertil\u0103 a b\u0103rbatului exprimat\u0103 \u00een num\u0103rul de spermatozoizi, mobilitatea \u015fi morfologia acestora<\/strong>. Dac\u0103 aceste rezultate sunt \u00een limite normale, urm\u0103toarele investiga\u0163ii (care sunt multe, complexe \u015fi laborioase) se vor \u00eendrepta spre factorul feminin al cuplului. Dac\u0103 spermograma nu este \u00eens\u0103 normal\u0103 vor urma o serie de investiga\u0163ii menite s\u0103 detecteze cauza modific\u0103rilor spermogramei.<\/p>

\"analize<\/figure>

Pentru aceasta este nevoie de consult urologic \u015fi\/ sau endocrinologic. Se vor efectua doz\u0103ri hormonale: \u0422\u0435\u0441\u0442\u043e\u0441\u0442\u0435\u0440\u043e\u043d<\/strong>, \u0421\u0432\u043e\u0431\u043e\u0434\u043d\u044b\u0439 \u0442\u0435\u0441\u0442\u043e\u0441\u0442\u0435\u0440\u043e\u043d<\/strong>, SHBG<\/strong> (globulina de legare a hormonilor sexuali), FSH<\/strong>, LH<\/strong>, \u041f\u0440\u043e\u043b\u0430\u043a\u0442\u0438\u043d<\/strong>, \u042d\u0441\u0442\u0440\u0430\u0434\u0438\u043e\u043b<\/strong>, hormoni tiroidieni<\/strong>, corticosuprarenalieni<\/strong>, etc., \u00een func\u0163ie de recomand\u0103rile medicului endocrinolog. Dac\u0103 se consatat\u0103 modific\u0103ri ale acestora se va face un tratament endocrinologic<\/strong> adaptat deregl\u0103rii hormonale constatate.<\/p><\/div><\/div>

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\r\n \u0422\u0435\u0441\u0442\u043e\u0441\u0442\u0435\u0440\u043e\u043d<\/a>\r\n
\r\n \u0426\u0435\u043d\u0430<\/span>\r\n 205 lei<\/span>\r\n <\/div>\r\n
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<\/div><\/a>\r\n <\/div>\r\n <\/div>\r\n
\r\n \u0421\u0432\u043e\u0431\u043e\u0434\u043d\u044b\u0439 \u0442\u0435\u0441\u0442\u043e\u0441\u0442\u0435\u0440\u043e\u043d<\/a>\r\n
\r\n \u0426\u0435\u043d\u0430<\/span>\r\n 320 lei<\/span>\r\n <\/div>\r\n
\r\n
<\/div><\/a>\r\n <\/div>\r\n <\/div>\r\n
\r\n \u0413\u0421\u041f\u0413 (\u0433\u043b\u043e\u0431\u0443\u043b\u0438\u043d, \u0441\u0432\u044f\u0437\u044b\u0432\u0430\u044e\u0449\u0438\u0439 \u043f\u043e\u043b\u043e\u0432\u044b\u0435 \u0433\u043e\u0440\u043c\u043e\u043d\u044b)<\/a>\r\n
\r\n \u0426\u0435\u043d\u0430<\/span>\r\n 245 lei<\/span>\r\n <\/div>\r\n
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<\/div><\/a>\r\n <\/div>\r\n <\/div>\r\n <\/div>\r\n \r\n <\/div>\r\n<\/div>\r\n\r\n