Ukubona kabini: Ungawonyusa njani amathuba akho okuba namawele

Umxholo

• Iingxaki zakho zingangcono kunokuba ucinga
• Ukuba namawele ngokwemvelo
• Amawele afanayo
• Amawele omzalwana
• Izinto ezonyusa amathuba akho okuba namawele ngokwendalo
• Imfuza
• Ubudala
• Ukuphakama
• Ubunzima
• Uhlanga
• Ukutya
• Ukukhulelwa kwangaphambili
• Ukuba namawele ngonyango lokuchuma
• IUI
• IVF
• Ungawanyusa njani amathuba akho
• Ukuthatha

Iingxaki zakho zingangcono kunokuba ucinga

Ukuphupha kabini ukusikwa okusanda kuzalwa, kodwa ucinga ukuba kuphuma kwindawo enokwenzeka? Ngokwenyani, umbono wokuba namawele awunakufikelelwa ngoku. (Khawukhumbule, iphinda iphindwe kabini utshintsho lwe-diaper.)

Ukuzalwa kwamawele kuye kwanda ngamanye ukusukela ngo-1980. Ngoku kukho malunga namawele azalwe ngo-1 000 e-United States.

Kodwa ngaphambi kokuba ubeke impahla yokunxiba kunye nokukhetha amagama okudibanisa, kubalulekile ukuqonda ukuba amawele akhawulwa njani kunye nezinto ezongeziweyo ezichaphazelekayo. Kukho iimeko ezithile-nokuba zenzeka ngokwendalo okanye zifunyenwe ngonyango lokuchuma- olunokukwenza ukuba ube namawele.

(Sele ulindele amawele? Nantsi into ekufuneka uyazi.)

Ukuba namawele ngokwemvelo

Kuqikelelwa ukuba ukumitha omnye kwabangama-250 kukhokelela kumawele ngokwendalo, kwaye zimbini iindlela zokuwakhulelwa.

Amawele afanayo

Eyokuqala ibandakanya iqanda elinye elidityaniswe lidlozi elinye. Ukuzaliswa kwe-101, akunjalo? Kodwa emva koko, ndaweni ithile apha endleleni, iqanda eliqhamileyo lahlulahlula kubini, nto leyo ikhokelela kumawele afanayo.

Amathuba okuba namawele afanayo anqabile-ajikeleze i-3 okanye i-4 kuyo yonke i-1,000 yokuzalwa. Kwaye ngelixa inokubonakala, amawele afanayo ahlala esabelana ngesini esifanayo, nokuba ngamakhwenkwe okanye amantombazana, xa kuzalwa. Ngoba? Ewe, ababonakali nje ngokufanayo - nabo babelana ngeDNA efanayo.

Amawele omzalwana

Kwelinye icala, amawele omtshato, abangela ukuba amaqanda amabini ahlukeneyo achunyiswe ngamaseli amabini ohlukeneyo. Omabini la maqanda achumileyo afakwa esibelekweni kwaye-kwiinyanga ezilithoba kamva-kuzalwa abantwana ababini.

Amawele omtshato anokuba ngamakhwenkwe amabini, amantombazana amabini, okanye inkwenkwe nentombazana. Banokuthi okanye bangakhangeli kakhulu. Kungenxa yokuba, ngokungafaniyo namawele afanayo, awabelani nge-DNA efanayo. Ngapha koko, ngaphandle kweminyaka, abafani kunabantakwabo noodade abazalwa bengafani ngeminyaka.

Izinto ezonyusa amathuba akho okuba namawele ngokwendalo

Imfuza

Usenokuba ukhe weva ukuba amawele “abaleka kwiintsapho.” Yi le ngokuyinxenye yinyani. Amathuba akho okuba namawele omzalwana angaphakama ukuba uliwele wena okanye ukuba amawele obaleka abaleka kwicala losapho lukamama wakho.

Isizathu esinye soku inokuba yi-hyperovulation, eyimeko apho umzimba ukhupha amaqanda amabini okanye nangaphezulu ngexesha le-ovulation- ngokusisiseko imfuneko yokuba namawele omzalwana.

Kwaye i-hyperovulation inokudluliselwa kwi-DNA yakho. (Inokwenzeka nakanye kwithuba labasetyhini abangahlali bekhupha ngaphezulu kweqanda elinye okanye babe namawele kusapho lwabo, nangona kunjalo.)

Ubudala

Uneminyaka engaphezu kwama-35? Ukuba ujonge ukuba namawele, usenokubetha i-jackpot ukuba ukwiminyaka yakho yama-30 okanye kuma-40.

Abasetyhini "beminyaka yobudala boomama" (siyaxolisa ukusebenzisa eli binzana, kodwa liqhele ukusetyenziswa kuseto lonyango kuthetha ukuba ngaphezulu kweminyaka yobudala engama-35) banethuba eliphezulu lokukhulelwa amawele.

Utshintsho lweHormonal olwenzekayo xa ukufutshane nokuyeka ukuya exesheni lunokukhuthaza ukukhutshwa komzimba ngaphezulu kweqanda elinye ngexesha le-ovulation. Ukuba ezimbini okanye ngaphezulu zichumile kwaye zombini ukufakelwa, unokufuna nje iibhedi ezimbini kwindawo yakho yokugcina abantwana.

Ukuphakama

Abafazi abade kakhulu babonakala benamazinga aphezulu okuba namawele. Oku kunokuvakala kukungaqhelekanga, kodwa abaphandi batyala into ethile efana ne-insulin yokukhula ngeli thuba. Uphononongo luka-2006 lwafumanisa ukuba iqondo lamawele liphezulu kwabasetyhini abangaphezulu kwe-intshi ubude kune-avareji yesizwe, eyayingama-5 ezinyawo ezi-3 3/4 ii-intshi ngexesha lokufunda.

Ubunzima

Abasetyhini abatyebe kakhulu banamathuba aphezulu okukhulelwa amawele ngokwendalo. Ngokukodwa, amathuba aphezulu kakhulu ukuba isalathiso sobunzima bomzimba wakho (i-BMI) singaphezulu kwama-30.

Kwiphepha le-flip, ii-BMIs eziphantsi kwe-18.5 zibonisa inqanaba elincitshisiweyo lokuba namawele. Umbono wale ngcamango ubuyela kwi-insulin-efana nokukhula kunye nefuthe layo ekukhulelweni.

Igama lesilumkiso apha: Musa ukuba ngabom ukutyeba ukwandisa amathuba akho okuba namawele. Ukuba ne-BMI engaphezu kwama-30 kunokukubeka kwinqanaba elinomngcipheko ophezulu wokukhulelwa, ke thetha nogqirha wakho malunga nobunzima obufanelekileyo phambi kokuba ukhulelwe.

Uhlanga

Abasetyhini base-Afrika baseMelika banamawele amancinci kunabafazi baseCaucasus. Kodwa abafazi baseAsia nabaseSpain banethuba lokuba namawele kunamanye amaqela.

Oko kwathiwa, abafazi baseCaucasus abangaphezu kweminyaka engama-35 banelona zinga liphezulu lokuphindaphindwa kocwangco, okuthetha ukuba kathathu okanye ngaphezulu.

Ukutya

Omnye uthi into oyityayo inokwenza ukuba amawele abe namathuba amaninzi-ukuya kuthi ga kahlanu, phofu!

Abasetyhini abatya iimveliso zezilwanyana, ngakumbi iimveliso zobisi, banokuthatha ukukhula okungaphezulu kwe-insulin. Iinkomo zikhupha le hormone kubisi lwazo kwaye-xa zityiwe- zinokuchaphazela ukuveliswa komntu.

Enye ibonisa ukuba ukutya ii-yam ezininzi kunokunyusa amathuba okuba namawele nawo. Izakha mzimba zinokuxhasa iihormoni ezinceda umzimba ukhulule ngaphezulu kweqanda elinye ngexesha.

Ukukhulelwa kwangaphambili

Ngaba sele unomntwana ojonge ukuba ngumkhuluwa okanye udade? Unokuba sesona sizathu sokuphela kokuba ube namawele. Kuko oko! Into ebizwa ngokuba "kukulingana okuphezulu" - nto leyo ethetha ukukhulelwa kwangaphambili-inokuwandisa amathuba akho. Bona ngoba akucaci ngokupheleleyo, kodwa kusenokwenzeka ngenxa yokuba ukhulelwe ngamnye, umdala noko.

Kwaye ukuba sele unamawele ozalanayo, unamathuba aphindwe kahlanu okuphindaphinda kwakho, ngokwe-Twins and Multiples Birth Association e-United Kingdom (nangona singakhange sikwazi ukuqinisekisa la manani kwenye indawo). Ukuba yinyaniso, loo nto ibhonasi ngeenxa zonke!

Ukuba namawele ngonyango lokuchuma

Ukuba uqhelene netekhnoloji yokuzala okungeyiyo (i-ART), in-vitro fertilization (IVF), kunye nezinye iindlela zonyango zokuchuma-njenge-in-utero insemination (IUI) -usenokuba uyazi ukuba amawele yinto enokwenzeka.

IUI

Ngelixa inkqubo ye-IUI ngokwayo inganyusi amathuba akho okuba namawele, amachiza athile ahambelana nawo. I-Clomiphene citrate (i-Clomid) kunye ne-letrozole (i-Femara) ngamayeza avuselela i-ovulation.

Omabini la machiza ahlala enikwa imijikelezo ye-IUI kwaye anokunceda umzimba ukuba uvelise amaqanda amaninzi anokukhupha ngaxeshanye. Ukuba amabini (okanye nangaphezulu) achumisiwe kwaye afakwa, amawele kunokwenzeka.

Kwelinye, izinga lamawele kunye neClomid lalingama-7.4 ekhulwini. I-Femara yayinezinga eliphantsi leepesenti ezingama-3.4. La manani anokungabonakali ephezulu, kodwa asephezulu kancinci kunethuba lokukhulelwa amawele ngokwendalo.

Kwaye kukho okungakumbi. I-Gonadotropins, njenge-follicle evuselela i-hormone (FSH), ikhuthaza ukukhula kweefollic zeqanda. La mayeza atofwayo ahlala esetyenziswa kwi-IUI kunye nolunye unyango lokuchuma, kwaye inqanaba lamawele ngelixa usebenzisa la mayeza liipesenti ezingama-30.

IVF

Iziyobisi ziyinxalenye ye-IVF. Kodwa enye yezona zinto ziphambili ezonyusa amathuba akho amawele ngobu buchwephesha bokuzala linani leembumba ogqiba ekubeni uzidlulise. Ezinye izibini zikhetha ukuhambisa enye. Ngelixa umbungu omnye unokwahlulwa ujike ube ngamawele afanayo, oku akunakwenzeka kakhulu.

Eyona meko inokwenzeka ngokubhekisele kumawele omzalwana. Ukuba uhambisa iimbumba ezimbini (okanye nangaphezulu) kwaye bobabini baphumelela ukumilisela kwaye bakhule, amawele (okanye nangaphezulu!) Asendleleni.

Iqondo lokukhulelwa kwamawele nge-IVF kunye nemibungu emitsha yeyabasetyhini abangaphantsi kweminyaka engama-35 kunye nabasetyhini abaneminyaka engama-35 ukuya kuma-37. Kwaye kwabo baneminyaka engama-43 nangaphezulu, ireyithi ilungile.

Cinga ngoku: Ezinye izibini zinokukhetha ukudlulisela iimbumba ezimbini ngexesha le-IVF. Yithi enye yezo mbumba ziyahlukana kwaye emva koko zontathu zifakwe esibelekweni. Isiphumo siya kuba kathathu - amawele amabini afanayo kunye nomntakwabo omnye.

Ungawanyusa njani amathuba akho

Izinto zokuqala kuqala: Ngaphambi kokuba uqalise ukuphina ii-nursery ezintle kwibhodi yakho yePinterest, qonda ukuba ukukhulelwa kwamawele akusoloko kumnandi kwaye (ishawa yabantwana) imidlalo. Ukukhulelwa okuphindaphindayo kunokuthwala iingxaki ezithile kwaye kuya kukuselela ngokwakho kuluhlu "lomngcipheko omkhulu" nogqirha wakho okanye umbelekisi.

Umzekelo, amawele anamathuba aphindwe ali-12 kunabantwana abangatshatanga ukuba bazalwe kwangoko. Kwaye banamathuba angama-16 okuba nobunzima bokuzalwa obuphantsi. Ayisiyiyo loo nto kuphela, kodwa abasetyhini abathwele amawele bakwumngcipheko okhulayo wokuba ne-preeclampsia kunye neswekile yokukhulelwa.

Konke oku akuthethi ukuba awunakho ukukhulelwa okunempilo ngokupheleleyo kunye neentsana ezimbini. Kuthetha nje ukuba unokufuna ukubekwa esweni ngakumbi.

Ngaphandle komngcipheko, uninzi lwezinto ezonyusa amathuba okuba namawele azikho kulawulo lwakho ngqo. Ke ngelixa unokukhetha ukutya ubisi oluninzi kunye neebhokhwe, ngekhe ubutshintshe ngqo ubude bakho, ubuhlanga, okanye imbali yosapho yokuzalwa okuninzi. Ngenjongo yokufumana ubunzima ngaphambi kokukhulelwa ayisiyombono ilungileyo nokuba.

Kwaye ukuba ubhanka ngokuba nabantwana kade ebomini ukwandisa amathuba akho okuba namawele, qonda ukuba ngokuhamba kweminyaka kunciphisa ukuchuma kunye namathuba amaninzi okungaqhelekanga kwe-chromosomal.

Ukuba usahleli kwingcinga ezimbini, itekhnoloji yokuzala inokukunika olona lawulo. Kodwa iingcali ngoku zicebisa abasetyhini abancinci ukuba badlulisele umjikelo ngamnye we-IVF kwisiphumo esona siphumo.

Amachiza okuphucula i-ovulation asetyenziswa yedwa okanye nge-IUI afuna amayeza kwaye anokuthwala umngcipheko othile, njengethuba eliphezulu le-ovarian hyperstimulation okanye ukukhulelwa kwe-ectopic.

Iziyobisi kunye neenkqubo ezinje nge-IVF nazo zibiza kakhulu kwaye zihlala zigcinelwe izibini ezifumaniswe ukuba zinengxaki yokungachumi. Kwabasetyhini abangaphantsi kweminyaka engama-35, ukungachumi kuthetha ukungakhulelwa ngokwabelana ngesondo ngexesha lonyaka. Kwaye kwabasetyhini abangaphezulu kweminyaka engama-35, eli xesha lifutshane ukuya kwiinyanga ezi-6.

Asizami ukuba nguDebbie Downer apha. Thetha nogqirha wakho-ngakumbi i-endocrinologist yakho yokuzala ukuba wenza unyango lokuchuma-malunga namawele. Banokukuxelela ngayo nayiphi na imingcipheko ehambelana nayo eyahlukileyo kuwe kwaye ukuba ukwenza ugqithiso lweembungu ezininzi nge-IVF kunokuba yinto onokukhetha kuyo.

Ukuthatha

Ngelishwa, akukho pilisi ikhethekileyo onokuyithatha eyokuqinisekisa ukuba uyakuba urola umqhubi wesitrato esiphindwe kabini kwindawo ohlala kuyo njengenkosi. (Kodwa sicinga ukuba ungumphathi ngaphandle kwayo.)

Oku akuthethi ukuba awungekhe wonwabe kancinci uzama ukwandisa amathuba akho ngokutya kwiitshizi ezingaphezulu kunye namazambane athosiweyo okanye ukuwela iminwe malunga ne-IUI yakho elandelayo.

Ngokuqinisekileyo kukho umngcipheko kunye nembuyekezo ngamawele. Kodwa ngaphambi kokuba uqhubeke nokuphupha, zama kuqala ukujonga phambili ukubona kabini… ngemigca kuvavanyo lwakho lokukhulelwa. Sithumela uthuli lomntwana!