Ukutyikitya ukuDluliswa kweMbungu kungaphumelela
Umxholo
- 1. Ukopha okanye ukubala
- 2. Ukunyathela
- 3. Amabele abuhlungu
- 4. Ukudinwa okanye ukudinwa
- 5. Isicaphucaphu
- 6. Ukuqunjelwa
- 7. Utshintsho ekuchitheni
- 8. Ukwanda kwesidingo sokuchama
- 9. Ixesha elilahlekileyo
- 10. Akukho zimpawu
- Nini ukuthatha uvavanyo lokukhulelwa
- Ukuthatha
Ukulinda iiveki ezi-2 ukusuka ekudlulisweni kombungu ukuya kuthi xa unokuthatha uvavanyo lokukhulelwa kunokuziva kungonaphakade.
Phakathi kokujonga iipanties zakho zokumilisela ukopha ukubamba amabele akho ukuze ubone ukuba zithambile kangakanani, ungazibeka kuxinzelelo oluninzi kunye noxinzelelo uzibuza ukuba ngaba lukhona uphawu olunokubakho kuvavanyo oluqinisekileyo lokukhulelwa.
Kwaye nangona ezinye iimpawu zinokuthi zikhombe kwinkqubo eyimpumelelo, zinokunxulunyaniswa namachiza okuzala kunye namanye amayeza owathathayo ukuze ukhulelwe.
Tanmoy Mukherjee, ugqirha we-endocrinologist kunye neengcali zokuzala.
Kungenxa yokuba i-estrogen kunye neprogesterone zihlala zithathwa ngaphambi kokudluliselwa kwembungu, kunye neprogesterone ethathwe emva kokudluliselwa, ilinganisa ukudumba, amabele abuhlungu, kunye nokukhutshwa kokukhulelwa.
Nangona kunjalo, uninzi lwabasetyhini luhlala lujonge esweni nawuphi na umqondiso oqinisekileyo onokuthi ubonakalise ukuhanjiswa kwembungu ngempumelelo. Kwaye ngelixa ungafumana ezinye okanye akukho nanye kwezi mpawu, kubalulekile ukuqonda indima yabo kwinkqubo.
1. Ukopha okanye ukubala
Ukuphuma okukhanyayo okanye ukubonwa kuhlala kungumqondiso wokuqala wokukhulelwa.
Ukuchonga iimpahla zakho zangaphantsi okanye iphepha langasese xa usula kunokubonisa ukufakelwa, oko kuthetha ukuba umbungu uye wafakwa kuludonga lwesibeleko.
U-Mukherjee uthi ukubonwa okanye ukopha kwiveki enye emva kokudluliselwa kwembungu kungangumqondiso olungileyo. Ngelishwa, uthi, ukopha luphawu olunxulumene nokusilela ekuboneleleni ngabafazi abaninzi.
Kwaye ukubonwa kukwayinto eqhelekileyo xa uthatha amayeza e-hormone afana neprogesterone ngexesha leveki ezi-2 emva kokudluliswa kombungu.
Kungenzeka, ugqirha wakho uya kuqhubeka nokuthatha iprogesterone ukunceda umzimba wakho uvelise amanqanaba afanayo amahomoni awayeza kuba ngawo kwiiveki zokuqala zokukhulelwa-oko kuthetha ukuba ukubonwa kunokuba kungabi luphawu lokudluliselwa kwembungu ngempumelelo.
2. Ukunyathela
Ukuqunjelwa yenye yeempawu zokuqala zokuba “uMakazi ohambayo” usendleleni. Isenokuba ngumqondiso wokuba ukuhanjiswa kombungu kube yimpumelelo.
Kodwa ngaphambi kokuba ufikelele kuvavanyo lokukhulelwa, khumbula, ukucofa kancinci kunokuhambelana neprogesterone oyithathayo ngexesha lokulinda kweeveki ezi-2, ngokwe-National Infertility Association.
Kwaye abanye abantu basetyhini, ukunyanzeliswa kancinci kunokubakho kwangoko kulandela nayiphi na inkqubo ye-pelvic.
3. Amabele abuhlungu
Olunye uphawu lokuqala lokukhulelwa, kubafazi abathile, ngamabele abuhlungu.
Ukuba amabele akho adumbile okanye athambile ekuchukumisekeni kwaye wenzakele xa uwagile, oku kunokuba luphawu lokudluliselwa kwembungu.
U-Kecia Gaither, MD, MPH, FACOG, i-OB-GYN kunye nomlawuli weenkonzo zangaphambi kokubeleka kwizibhedlele ze-NYC Health +, uthi ukuthamba kwamabele kungenxa yesiphumo sokukhulelwa kwehomoni.
Oko kwathiwa, amabele abuhlungu angaba sisiphumo esisecaleni samayeza e-hormone owathathayo ngexesha lokulinda kweeveki ezimbini. Iprogesterone ejoyiweyo neyomlomo iyaziwa nangokuthi ibangele ukuthamba kwebele.
4. Ukudinwa okanye ukudinwa
Ndiziva ndidiniwe kwaye ndidiniwe kubonakala ngathi yinto eqhelekileyo yokukhulelwa ukusuka kusuku lokuqala ukuya kunikezelo (nangaphaya!). Kodwa, unokuziva ulele ngakumbi kwangoko xa amanqanaba eprogesterone enyuka.
Ngokubanzi, uninzi lwabasetyhini luza kuziva ludiniwe malunga nexesha abalifaneleyo ngexesha labo. Ngelixa oku kunokubonisa ukuhanjiswa ngempumelelo kombungu, inokuba sisiphumo esibi secandelo leziyobisi zokucoca ozifumanayo.
Unobangela oqhelekileyo wokudinwa kukuphakama kwamanqanaba eprogesterone, nokuba kungokukhulelwa okanye amayeza awamiselweyo ngugqirha.
5. Isicaphucaphu
Isicaphucaphu okanye ukugula kwasekuseni kuqala kwinyanga yesibini yokukhulelwa, ke ayisiyiyo impawu oyakuyibona kwiiveki ezi-2 emva kokudluliswa kombungu.
Ngapha koko, uninzi lwabasetyhini abafumana le mpawu yoyikekayo banika ingxelo yokuziva begula esiswini malunga neeveki ezi-2 emva baphoswa lixesha.
Nangona kunjalo, ukuba ufumana isicaphucaphu okanye ukugabha ngefestile yeeveki ezi-2, yithathele ingqalelo - ngakumbi ukuba iya rhoqo - kwaye uthethe nogqirha wakho.
6. Ukuqunjelwa
Unokugxeka ukonyuka kwamanqanaba eprogesterone ngokubamba okungaphezulu kwesisu sakho. Xa le hormone inyuka, njengoko isenza xa ukhulelwe okanye uthatha amayeza okuchuma, inokuwucothisa umgudu wakho wokugaya kwaye ikwenze uzive udumbile kunesiqhelo.
Oku kunokwenzeka ngaphambi kwexesha lakho, ukuba ukhulelwe, okanye xa uthatha iprogesterone kunye nezinye iziyobisi ngexesha lokuchumisa i-vitro nasemva kokudluliselwa kombungu.
7. Utshintsho ekuchitheni
Ukuba ugqirha wakho umisela iprogesterone kulungiselelo lobufazi (ii-suppositories, ijeli, okanye iipilisi zelungu lobufazi) oza kuzisebenzisa ngexesha lokulinda iiveki ezi-2, unokulibona utshintsho kutshintsho lwelungu lobufazi olungenanto yakwenza novavanyo lokukhulelwa olufanelekileyo.
Ukutsha, ukurhawuzelela, ukukhupha, kunye nosulelo lwegwele zonke ziziphumo ebezingalindelekanga zokusebenzisa iicapsles zelungu lobufazi.
Ukonyuka kokukhutshwa kwilungu lobufazi nako kungangumqondiso wokuqala wokukhulelwa. Ukuba utshintsho lisisiphumo sokudluliselwa kwembungu ngempumelelo (kwaye ekugqibeleni, kuvavanyo oluqinisekileyo lokukhulelwa), unokuqaphela ukukhutshwa okubhityileyo, okumhlophe, okunuka kamnandi kwiiveki zokuqala zokukhulelwa.
8. Ukwanda kwesidingo sokuchama
Ukuhamba ebusuku ngobusuku ukuya kwigumbi lokuhlambela kunye nesidingo esonyukayo sokwenza imingxunya engaphezulu kunokuba ngumqondiso wokukhulelwa kwasekuqaleni.
Abanye abantu basetyhini bade babone isidingo sokuchama rhoqo ngaphambi kokuba baphoswe lixesha. Kodwa ngaphezulu kokulindeleka, esi sesinye seempawu oza kusibona emva kokuba uphoswe lixesha.
Ukuhamba rhoqo kwigumbi lokuhlambela kusisiphumo sokwanda kwehomoni ekhulelweyo ye-hCG, kunye ne-spike kwiprogesterone. Ukuba ukuhanjiswa kombungu kube yimpumelelo, ukwanda kwesidingo sokuchama sisiphumo segazi elongezelelekileyo emzimbeni wakho.
Ngelishwa, ukunyuka kokuchama kunokuba luphawu losulelo lwe-urinary-ke nxibelelana nogqirha wakho ukuba unayo nayiphi na le mpawu:
- ukuchama kabuhlungu
- ukungxama ukuchama
- ukopha
- ifiva
- isicaphucaphu nokugabha
9. Ixesha elilahlekileyo
Ixesha elilahlekileyo linokubonisa ukukhulelwa, ngakumbi ukuba umjikelo wakho usebenza njengeewotshi. Kubafazi abanokubala ukuba ixesha labo livela ngexesha elinye ngenyanga nganye, ukufika emva kwexesha kunokubonisa ukuba lixesha lokuthatha uvavanyo lokukhulelwa.
10. Akukho zimpawu
Ukuba, emva kokufunda olu luhlu, uyaqonda ukuba akukho nanye kwezi esebenzayo, ungakhathazeki. Ngenxa yokuba ungafumani zimpawu ezithile, oko akuthethi ukuba ukuhanjiswa kombungu akuphumelelanga.
"Ubukho okanye ukungabikho kwezi mpawu azicacanga kwaye azixeli isiphumo sokukhulelwa," utshilo uMukherjee. Iimpawu ezidwelisiweyo, utshilo, zixhaphake kakhulu kulawulo lwe-estrogen kunye neprogesterone.
"Ngapha koko, iipesenti ezili-10 ukuya kwezili-15 zezigulana azinazo kwaphela iimpawu, kodwa ke ngombulelo ziba novavanyo lokukhulelwa," wongeza.
Ekuphela kwendlela eqinisekileyo yokwazi ukuba ngaba ukuhanjiswa kombungu kusetyenzisiwe luvavanyo oluqinisekileyo lokukhulelwa.
Nini ukuthatha uvavanyo lokukhulelwa
Siyazi ukuba unomdla wokubona loo migca mibini okanye uphawu lokudibanisa, kodwa kuvavanyo kwakamsinya emva kokudluliswa kombungu kwaye usengozini yokuphoxeka - ungasathethi ke, ngaphandle kweedola ezili-15 ngexabiso lovavanyo.
Ngokufanelekileyo, kuya kufuneka ulinde de uphoswe lixesha lakho. Oku kuya kukunika iziphumo ezichanekileyo.
Kodwa masinyaniseke - kunzima ukuba nomonde. Ke, ukuba urhawuzelela ukuvavanya, linda ubuncinci iintsuku ezili-10 emva kokudluliselwa.
Ngokukodwa, u-Mukherjee uthi umbungu uya kuncamathela kwiiyure ezingama-48 ukuya kuma-72 emva kogqithiso. Umbungu okhulayo uya kwandula ubungakanani kunye nomsebenzi we-metabolic, uvelise i-hCG engaphezulu de ibe inokufunyanwa ngokuthembekileyo kwiintsuku ezili-9 ukuya kwezi-10 emva kokudluliswa kombungu. Kungenxa yoko le nto iklinikhi yakho iya kuthi icwangcise uvavanyo lwegazi lwe-hCG ngeli xesha.
Ukuthatha
Ukulinda iiveki ezi-2 emva kokudluliswa kombungu kuhlala kugcwele kukudakumba ngokweemvakalelo, uxinzelelo kunye nokudinwa.
Nangona ezinye iimpawu zokuqala ezifana nokuphuma kwegazi ukukhanya, ukubonwa, kunye nokuxinana kunokuthetha ukuba le nkqubo ibe yimpumelelo, ekuphela kwendlela eqinisekisiweyo yokufumanisa ukuba ukhulelwe luvavanyo oluqinisekileyo.