Urgencias Reproductivas

 

[movkrsohgh Mg`oamgc Kxpkroekmtgc hk cas Ccgmas A``ohkmtgcks Kzkquokc \gearg

[ZDKM@OGP ZKVZAH[@XO^GP

Jg`bocckrks< Khoegr Artkdg Ckamgrha Zgeorkz Gmg I. Zalgs Egrog N. Earkma

 

Voaektrg Ks cg gnk``oðm utkromg eçs `aeüm km pkrrgs quk km dgtgs, quk bgm gc`gmzgha cg eghurkz skxugc. Pk hknomk `aea kc g`üeuca hk pus km kc ütkra. Ks umg kmnkrekhgh omnk``oasg drgvk gnk`tg dkmkrgcekmtk g bkejrgs hk eçs hk 4 g÷as, pkra pukhk ajskrvgrsk tgejoïm km gmoegcks lðvkmks puks pukhk gpgrk`kr pgrtor hkc proekr `kca. Cg prkhospaso`oðm g pghk`kr (pgrg kstg kmnkrekhgh guekmtg cgs pkrrgsKstrðdkmas saektohgs gg trgtgeokmtas bareamgcks9 Nçreg`as Vradkstçdkmas kc `amtrac hkc kstrïs)km a Nçreg`as (pgrg kc `amtrac hk cgs dkstg`oamks ma hkskghgs). Pk hksgrraccg km cg ngsk hk ektgkstra, ks hk`or, cgs skegmgs soduokmtks gc `kca, `ugmha cg `am`kmtrg`oðm hk pradkstkramg p radkstkramg ks eçs kckvghg. @gusgs eçs nrk`ukmtks hk cg omnk``oðm hkc ütkra km pkrrgs Pk trgtg hk umg omnk``oðm sk`umhgrog, ma `amtgdoasg, hkjohg g cg `amlum`oðm hk vgroas ng`tarks< kc guekmta hk pradkstkramg trgs kc pkroaha hk `kca, `okrtas `gejoas earnacðdo`as hkc kmhaektroa y umg omnk``oðm jg`tkrogmg apartumostg.

 

@gusgs Km dkmkrgc, sk rk`ama`k quk cg pradkstkramg y kc kstrðdkma y sus rk`kptarks hkskepk÷gm um pgpkc km kc hksgrracca hk cg poaektrg9 som kejgrda, cg omnk``oðm sk g`tovg par um `aepamkmtk jg`tkrogma. Pk prahu`k par umg gctkrg`oðm gduhg a `rðmo`g hkc kmhaektroa (pgrkhks quk rkhu`km kc ütkra) y gpgrk`k km cg ngsk cutkåmo`g hkjoha g umg `acamozg`oðm hkc ütkra par pgrtk hk jg`tkrogs apartumostgs quk pravokmkm cg bg`k ncarg sus`kptojck vgdomgc hk cgg omnk``oamks. pkrrg. Kstg ngsk, kc kmhaektroa egs drgmhk g cg g``oðm hk cg V8hk y ca G ekhohg quk pgsgmkscas g÷as, y sk hkjoha bgm prahu`oha egs `kcas cgs bkejrgs sam egs sus`kptojcks g pghk`krcg Cg omnk``oðm prahu`k um g`ueuca hk puks, sk`rk`oamks y jg`tkrogs Cg egyar pgrtk hk cgs pkrrgs y dgtgs kstkrocozghgs km umg ktgpg tkeprgmg hk cg vohg ma hksgrraccgrçm poaektrg. Pom kejgrda, sk pukhk prahu`or umg poaektrg hk um eu÷ðm utkroma hkspuïs hk umg avgroabostkrk`taeåg om`aepcktg quk pkreotk quk sk omnk`tk um skdekmta hkc `ukrpa utkroma a `ukrma. Bgjotugcekmtk, a jokm bgy umg pgrtk hk tkloha avçro`a tahgvåg prkskmtk a kc gmoegc bg kstgha saektoha g bareamgs pradkstg`oamgcks, ca quk pkreotk quk sk hksgrracck kstg sotug`oðm. Vkra sk bg `aeprajgha quk kc eaekmta hk egyar roksda ks kmtrk cg > y 2¼ skegmg hkspuïs hk g`gjgr kc `kca, puks km kstk eaekmta kc `ïrvox `aeokmzg g `krrgrsk.

 

±@uçcks sam cas topas hk poðektrg1 Hkpkmhokmha hkc kstgha hkc `ukcca hkc ütkra y hktkreomgmha gså su drgvkhgh y urdkm`og. Voðektrg gjokrtg< kc `ukcca hkc ütkra pkregmk`k gjokrta. Bgjrç hks`grdg hk egtkrogc sgmduomackmta a eu`apuruckmta. Ks cg nareg eçs nrk`ukmtk gpraxoeghgekmtk kc 2;% hk cas `gsas y ekmas ddrgvk. rgvk. Voðektrg `krrghg< kc `ukcca hkc ütkra sk ajstruyk hkjoha g cg gpgro`oðm hk mðhucas km kc kmhaektroa, par ca quk cgs sk`rk`oamks ma pukhkm hrkmgr y sk g`ueucgm, hgmha cudgr g omncgeg`oðm hkc ütkra. Ks eçs honå`oc su hogdmðsto`a y eçs drgvk y `aepraektohg cg sotug`oðm hkc pg`okmtk. Zkquokrk kc omdrksa omekhogta, kstgjocozg`oðm y `orudåg.

Påtaegs

 

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Nokjrk Cktgrdog Omgpktkm`og Vacourog / pacohopsog (sk hg `ugmha sk jkjk eçs gdug hk ca maregc y/a sk aromg eçs hk ca bgjotugc). Hkprksoðm Gmarkxog Ekejrgmgs eu`asgs pçcohgs Km kc `gsa hk skr umg poðektrg gjokrtg, sk kepkzgråg g ajskrvgr cg sgcohg hk umg sk`rk`oðm vgdomgc sgmduomackmtg Gpgtåg

Zgrgekmtk tgejoïm pukhk hgr cudgr g vðeota, hogrrkg, pïrhohg hk pksa, alas omncgeghas y hostkmsoðm gjhaeomgc. Km `gsas euy gvgmzghas a quk ma bgm rk`ojoha kc trgtgeokmta `arrk`ta pukhk cckdgr g prahu`or skpto`keog, taxkeog, pkrotamotos k omsuno`okm`og rkmgc. Gcdumas gmoegcks pasojckekmtk ma tkmdgm momdüm sodma `cåmo`a sk`rk`oðm vgdomgc puruckmtg. Vkra tgejokm pkrrgs yhk dgtgs tkmhrçmvgdomgc um `ukcca utkromaghkeçs `krrghahky,cgpar tgmta, pasojckekmtk ma kstï prkskmtk kcEu`bgs sodma kvohkmtk sk`rk`oðm sgmduomackmtg.

Hogdmasto`a

 

Pk jgsg km cg bostarog `cåmo`g, cas sodmas `cåmo`as, gmgcåto`g sgmduåmkg y cg k`adrgnåg. Pk rkgcozgrç par gmgemksos y kxpcarg`oðm nåso`g, y skrç `amnoregha ekhogmtk k`adrgnåg. Po kstg prukjg ma rksuctg `am`cuykmtk a sk saspk`bg cg prkskm`og hk egsgs tueargcks km kc ütkra quk pukhgm oeotgr cas såmtaegs hk poaektrg, umg gmgcåto`g y `otacadåg pukhkm gyuhgr g ajtkmkr um hogdmð hogdmðsto`a sto`a hknomotova. Kc rksuctgha gmgcåto`a hk poaektrg eastrgrç sodmas hk omnk``oðm y km cg `otacadåg vgdomgc sk aajskrvgrç jskrvgrç gctg `am`kmtrg`oðm hk mkutrðnocas. Po kc `ukcca utkroma ma m a kstç gjokrta, kc hogdmðsto`a pukhk prk`osgr umgs `ugmtgs prukjgs hogdmðsto`gs eçs. Km dkmkrgc, sk mk`ksotg um ütkra hostkmhoha `am cåquoha pgrg hogdmasto`gr cg poaektrg. Va Varr ca tgmta sk pukhkm rkgcozgr cgs soduokmtks prukjgs `aepckekmtgrogs< Gmgcåto`gs hk sgmdrk< bkeadrgeg, pkrnoc joaquåeo`a. Vkreotorçm vgcargr Gctkrg`oamks sk`umhgrogs. Gmçcosos hk aromg Zghoadrgnågs gjhaeomgcks @otacadåg vgdomgc •

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Xrgtgeokmta Kc trgtgeokmta hk kck``oðm km poaektrg `gmomg ks cg `orudåg. Pom kejgrda, pukhkm omtkmtgrsk has gjarhglks honkrkmtks hkpkmhokmha hkc kstgha hk kvacu`oðm hk cg kmnkrekhgh y hk ca `amskrvghar quk sk quokrg skr< Avgroabostkrk`taeåg< Cg kxtorpg`oðm quorürdo`g hk ütkra y avgroas ks cg sacu`oðm tkrgpïuto`g eçs skdurg, y kc trgtgeokmta hk kck``oðm km cg egyar pgrtk hk cas `gsas Pk trgtg hk umg `orudåg egyar y quk rkquokrk hk gmkstksog dkmkrgc. Ghkeçs, sk hkjk rkgcozgr `am `grç`tkr hk urdkm`og, yg quk kxostk roksda hk skpto`keog (omnk``oðm dkmkrgcozghg). Xgejoïm hkjk vgcargrsk cg gheomostrg`oðm hk umg tkrgpog hk sapartk, skdüm kc kstgha hkc gmoegc< ncuohatkrgpog, gmtojoato`atkrgpog, gmgcdïso`as. Xrgtgeokmta eïho`a< quk om`cuyk kchk cgvgha hkc ütkra, omstgcg`oðm hk hrkmglk trgms`krvo`gc, gmtojoato`atkrgpog y gheomostrg`oðm prastgdcgmhomgs pgrg guekmtgr cg `amtrg`tocohgh utkromg `am kc nom hk vg`ogr kc `amtkmoha puruckmta hkc ütkra. Kstk trgtgeokmta pukhk rkgcozgrsk km `gsas ckvks quk pghkz`gm poðektrg `gmomg hk topa gjokrta y kstïm kstgjcks, `ugmha sk hkskk `amskrvgr cg nkrtocohgh hkc gmoegc, gumquk bgy quk tkmkr km `ukmtg quk ma pukhk dgrgmtozgrsk quk sk egmtkmdg cg `gpg`ohgh hk dkstgr. Kstg ap`oðm tkrgpïuto`g sðca hkjk gheomostrgrsk km poaektrg gjokrtg y trgs umg `uohghasg vgcarg`oðm hkc pg`okmtk `gmoma.

Xrgtgeokmta

 

@COMHGEO@OMG< Hasos< 77 ed/id `ghg 7: bargs hurgmtk eåmoea 8 skegmgs Argc 

EKCARO@GE< Hasos< 6,: ed/id umg vkz gmtks hk cg `orudåg, sk pukhk `amtomugr par : a 0 hågs `am 6,7 ed/id. P.@ 

NC[EOPOD (ncumoxom ekdcueomk)< Hasos< 6,0 ‐ 7 ed/id O.E a P.@ par 0 hågs. 

Vrkvkm`oðm

 

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Cg eklar prkvkm`oðm ks cg kstkrocozg`oðm hk gqukccgs bkejrgs quk ma vgygm g skr rkprahu`targs.

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Ma bg`kr usa hk trgtgeokmtas bareamgcks gmto`am`kptovas a hk ombojo`oðm hkc `kca.

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[tocozgr um `gckmhgroa hk nk`bgs hk `kcas hk cg pkrrg. Ksta mas pkreotk hktkreomgr so um sgmdrgha vgdomgc kstç a`urrokmha km cgs nk`bgs prkvostgs y pahkeas kspkrgr quk sk trgtk hk um `kca maregc a so hkjkeas saspk`bgr hk umg poðektrg.

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Zkgcozgr `amtracks k`adrçno`as pkroðho`as, yg quk pkreotkm hktk`tgr cg bopkrpcgsog kmhaektrogc quåsto`g prkvog g cg poðektrg y par ca tgmta cg sus`kptojocohgh hk pghk`kr kstg drgvk kmnkrekhgh.

 

±@ðea `uohgr g cas `g`barras hk umg pkrrg `am Voaektrg1

Km kc `gsa quk cg omnk``oðm hk ütkra km pkrrgs sk prahuz`g pastkroarekmtk g bgjkr tkmoha `g`barra, y sgjokmha gmtk taha quk kstg kmnkrekhgh pukhk prava`gr cg eukrtk hk cg eghrk. Po cg pkrrg kstç gegegmtgmha g cas `g`barras y sk ck hogdmasto`g umg omnk``oðm km kc ütkra ca eklar ks quk kc prapoktgroa sk km`grduk hk `rogr g cg `geghg gpgrtk, sajrk taha `ugmha sk rk`urrg g cg `orudåg. Hk kstg nareg gskdurgrkeas cg rk`upkrg`oðm ðptoeg hk cg pg`okmtk. Pk gcoekmtgrç g cas `g`barras `am ck`bk grtono`ogc g cas `g`barras.

 

@gsa `cåmo`a Maejrk< Comhg Kspk`ok< @gmoma Zgzg< Dachkm rktrokvkr Khgh< 77 g÷as Pkxa< Bkejrg Eatova hk `amsuctg< sk`rk`oðm vgdomgc sgmduomapuruckmta nïtoha Hogdmasto`a6 26 % hkmacasprkskmtg `gsas hksba`i, pkrrgshksbohrgtg`oðm, y dgtgs. Gmtks hk cckvgr g `gjakck`tracåto`as cg `ksgrkg a hkjkeas cg ‐bkejrg hkskquocojroas

gmaegcågs bkeçto`gs a joaquåeo`gs

 

Xrgtgeokmta Xrgtgeokmta egmugc @amsostk km cg kxtrg``oðm, sokeprk `uohghasg hk um `g`barra quk sk km`ukmtrk gtgs`gha a rktkmoha km kc `gmgc hkc pgrta y sokeprk quk pahgeas rksacvkr kc prajckeg `am kc eåmoea roksda pgrg cg eghrk Pk hkjk hk cujro`gr kc `gmgc hk pgrta (vgskcomg kstïroc) y kvotgmha kvotgmha cg utocozg`oðm hk omstruekmtas hk trg``oðm, `aea cas nðr`kps a `ugcquokr topa hk pomzg quk pukhg klkr`kr trg``oðm.

Xrgtgeokmta ekho`a Jgsghas km cas rksuctghas hk cg kvgcug`oðm `cåmo`g sk gheomostrgrg dcu`amgta `çc`o`apgrg guekmtgr cg nukrzg hk cg g`tovohgh hkc eoaektroa y axota`omg pgrg guekmtgr cg nrk`ukm`og hk cgs `amtrg``oamks eoaektrogcks Vrkvogekmtk cg gpco`g`oðm haskmekho`gekmtas hk hkjk hk rkgcozgr 06 eomutas gmtks cg ncuohatkrgpog g`am ncuohas hkc hk 76%kstas gc :6% hasos hk egmtkmoeokmta.

Xrgtgeokmta

 

DC[@AMGXA @ÇC@O@A GC ;% Hasos< 6,:: ec/id P.@ gpco`gr `ghg 8 g > bargs pgrg egmtkmkr cg omtkmsohgh hk cgs `amtrg``oamks utkromgs a jokm skg gmtks hk cg kxpucsoðm kxpuc soðm hk `ghg `g`barra, sk hkjk hk `aca`gr `a ca`gr cgs hasos km honkrkmtks pumtas. Kc `gc`oa om`rkekmtg cgs `amt `amtrg``oamks rg``oamks utkromgs par ca quk kkmm eu`bgs a`gsoamks pukhk ma skr mk`ksgrog cg gpco`g`oðm hk axota`omg. AROXA@OMG G `amtomug`oðm hkc dcu`amgta hk `gc`oa sk pukhk gheomostrgr axota`omg (76 [PV u/ec) `ugmha cgs `amtrg``oamks utkromgsPksam nrk`ukmtks y sos ekmas omtkmsgs hk ca maregc, y cas roteas `grhog`as nktgcks sam maregcks. bgekmas hkeastrgha quk hasos ha jglgs hk axota`omg omnkroarks g cgs usghgs maregcekmtk, gheomostrghgs `am egyar nrk`ukm`og (6.; - :.6 umohghks par bkejrg våg omtrgeus`ucgr a suj`utçmkg), sam kno`g`ks odugcekmtk pgrg eklargr cg `gcohgh y cg nrk`ukm`og hk cgs `amtrg``oamks eoaektrogcks, som prava`gr knk`tas mkdgtovas ma hkskghas. Pk pukhk rkpktor cg hasos hk axota`omg km hasos jglgs g omtkrvgcas hk :6 ‐ 06 eomutas bgstg quk sgcdgm tahas cas `g`barras Pk pukhk utocozgr dcu`a`arto`aohks pgrg kc trgtgeokmta hk cg hosta`og. Vukhk skr HKRGEKXGPAMG g hasos

hk 6.8 ed/id yg quk hoseomuyk cg omncgeg`oðm hkc km kc `ukcca utkroma y kc `gmgc hkc pgrta, guekmtg cg vogjocohgh hk cas mkamgtas y cg eghurg`oðm hkc bådgha hkc nkta  

@gsa `cåmo`a Maejrk< Cupk Kspk`ok< @gmoma Zgzg< Egctks Khgh< : g÷as y 77 eksks Pkxa< Bkejrg Eatova hk `amsuctg< km trgjgla hk pgrta, kc `ugc `aekmsa g cgs ? pe hkc håg gmtkroar Hogdmasto`a