Isifundo sithi inani lamaqanda kwii-Ovari zakho alinanto yakwenza namathuba akho okukhulelwa

Umxholo

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Uvavanyo lokuzala belusanda njengoko abasetyhini abaninzi bezama ukuba nabantwana abakwiminyaka yabo yama-30 nama-40 xa ukuchuma kuqalisa ukwehla. Olunye lolona vavanyo lusetyenziswa ngokubanzi ukulinganisa ukuzala kubandakanya ukufumana indawo yakho yokugcina ama-ovari elinganisiweyo, egqiba ukuba mangaphi amaqanda oshiyekileyo. (Inxulumene: Unyango loMzimba lunokunyusa ukuchuma kunye noNcedo ekukhulelweni)

Isikhumbuzo: Uzalelwe nenani lamaqanda asetiweyo akhutshwa ngexesha lokuya exesheni inyanga nenyanga. Ukumisela inani elichanekileyo lamaqanda kwii-ovari zowesifazane kuye kwaba yi-metric ephambili ekunqumeni amandla okuzala. Amaqanda amaninzi, ithuba elingakumbi lokukhulelwa, akunjalo?

Hayi ngokutsho kuphononongo olutsha olupapashwe kwi Ijenali yoMbutho Wezonyango waseMelika (JAMA), egqibe kwelokuba inombolo wamaqanda onawo kwindawo yakho yokugcina i-ovarian akakwazi ukumisela ngokuchanekileyo inqanaba lakho lokuchuma. Yi umgangatho Amaqanda abaluleke ngokwenene-kwaye okwangoku, akukho vavanyo oluninzi apho ukufumanisa oko.

Kuphononongo, abaphandi bamisela i-ovarian reserves yabasetyhini abangama-750 ukusuka kwiminyaka engama-30 ukuya kwengama-44 abangenayo imbali yokungazali, emva koko bawabeke kwiindidi ezimbini: abo banogcino lwe-ovarian enciphileyo kunye nabo banogcino oluqhelekileyo lwe-ovarian.

Xa abaphandi belandela kunye nabasetyhini emva konyaka, bafumanisa ukuba abasetyhini abanendawo encinci ye-ovarian reserve babekwazi ukukhulelwa njengabafazi abanendawo yokugcina ii-ovari. Ngamanye amazwi, abazange bafumane lunxulumano phakathi kwenani lamaqanda kwi-ovari yowesifazane kunye nokukwazi kwakhe ukukhulelwa.

"Ukuba nenani eliphezulu lamaqanda ngekhe kwenyuse amathuba akho okufumana amaqanda achumileyo," utshilo u-Eldon Schriock, MD, ugqirha obelekisayo oqinisekisiweyo, ugqirha wamazinyo, kunye nengcali ye-endocrinologist evela ku-Prelude Fertility. (Inxulumene: Le ndlela yokulala inokuwenzakalisa amathuba akho okukhulelwa)

Umgangatho weqanda umiselwa ngamathuba okuba lungekazalwa lize lifakwe esibelekweni, utshilo uGqirha Schriock. Kungenxa yokuba umntu obhinqileyo enexesha eliqhelekileyo oko akuthethi ukuba unekhwalithi ephezulu yeqanda ngokwaneleyo yokufumana ukukhulelwa.

Kwakhona kubalulekile ukuqaphela ukuba iqanda elinomgangatho ophantsi liyakwazi ukuchumisa, kodwa umfazi akaqhelekanga ukukhulelwa ixesha elipheleleyo. Oku kungenxa yokuba iqanda lisenokungakwazi ukufakela, kwaye nokuba lithe lafakelwa, mhlawumbi aliyi kuphuhla kakuhle. (Inxulumene: Ungalinda ixesha elingakanani ukuba ube nomntwana?)

Ingxaki kukuba, ekuphela kwendlela yokuvavanya ubulunga beqanda kukusebenzisa i-in vitro fertilization (IVF). UGqirha Schriock uthi: "Ngokuvavanya amaqanda kunye nemibungu ngononophelo, sinokufumana umkhondo wokuba kutheni ukukhulelwa kungakhange kwenzeke ngaphambili." Ngelixa ezinye izibini zikhetha ukuhamba ngale ndlela, uninzi lweengcali zokuzala zikholelwa ukuba ubudala bomfazi yeyona nto ichazayo ukuba mangaphi amaqanda akumgangatho ekufanele ukuba abe nawo.

"Xa uchuma kakhulu xa uneminyaka engama-25, mhlawumbi iqanda elinye kwamathathu liphezulu," utshilo uGqirha Schriock. "Kodwa ukuzala kwehla ngesiqingatha ngelixesha uneminyaka engama-38, kukushiya unethuba elimalunga neepesenti ezili-15 lokukhulelwa ngokwemvelo inyanga nenyanga. Isiqingatha sabo bonke abantu basetyhini siphelelwa ngamaqanda achumileyo xa beneminyaka engama-42, ngelo xesha bayakufuna amaqanda abanikeli ukuba bazama ukukhulelwa. " (Izinto eziNxulumeneyo: Ngaba Iindleko eziPhezulu ze-IVF zabasetyhini eMelika ziyimfuneko ngokwenene?)

Iindaba ezimnandi zezokuba abasetyhini abane-ovarian reserve ephantsi basenokukwazi ukukhulelwa ngokwemvelo. Ngaphambili, abasetyhini abanokugcinwa kwe-ovarian enciphileyo bahlala becinga ngokukhenkcela amaqanda abo okanye bazifumana bengxamile ukuba bakhulelwe. Ngoku ubuncinci siyazi ukuba ukwenza ezi ziphumo kunokulahleka. Nokuba yeyiphi na indlela, ukuba ubuzama ukukhulelwa kangangethuba elithile ngaphandle kwempumelelo, kungcono ukuba ufikelele kwingcali yokuchuma ukufumana isicwangciso sakho sesenzo.

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