Ukungafumani bantwana kwesibini: Ithetha ukuthini kunye nento onokuyenza

Umxholo

• Kukuthini ukungachumi?
• Yintoni ebangela ukungabikho kwenzalo yesibini?
• Iingxaki zokuvuthwa
• Iingxaki ngesibeleko okanye kwimibhobho yesibeleko
• Icandelo le-C-scarring
• Usulelo
• Ukuphazamiseka ngokuzenzekelayo
• Ubudala
• Izizathu ezingachazwanga
• Unyango lokungachumi okwenzekileyo
• Amayeza
• Ugqirha
• Itekhnoloji ephezulu yokuzala (ART)
• Iingcebiso ngokujamelana nokungachumi
• Ukuthatha

Ukuba ulapha, unokukhangela iimpendulo, inkxaso, ithemba, kunye nendlela yokuqhubela phambili ngokungachumi emva kokukhulelwa kube kanye ngaphambili. Inyaniso kukuba, awuwedwa - kude nayo.

Ukujonga ukungachumi ngokupheleleyo, kuqikelelwa ukuba abantu basetyhini baseMelika banobunzima bokukhulelwa okanye ukuhlala bekhulelwe. Kwaye ukungachumi okwesibini - xa obu bunzima busenzeka emva kokukhulelwa enye okanye nangaphezulu ngempumelelo - kuhlala kubamba abantu bengalindelanga.

Siyaqonda ukuba ukungachumi okwesibini kunokuzisa uluhlu lweemvakalelo ezinje ngosizi, ukungabi nathemba, ukudideka, unxunguphalo, kunye nokuba netyala- phakathi kwabanye. Nokuba ufunyaniswe ngokusesikweni ukuba ungachumi, okanye ujongana neengxaki zokuqala ngokukhulelwa kwakhona, le yindawo ekhuselekileyo yokufunda okungakumbi ngayo.

Kukuthini ukungachumi?

Zimbini iintlobo zokungachumi: ezokuqala nezesekondari. Ukungachumi kwasekuqaleni kuchaza ukungabinakho ukukhulelwa, ngesiqhelo emva konyaka omnye wokuzama- okanye iinyanga ezi-6, ukuba uneminyaka engama-35 okanye ngaphezulu.

Abo bafumana ukungachumi kwesibini, kwelinye icala, banengxaki yokukhulelwa emva kokukhulelwa ngempumelelo kube kanye kube kanye ngaphambili.

Njengokungachumi okuyintloko, ukungachumi okwesibini kunokwenzeka ngenxa yomcimbi nangaliphi na ixesha kwindalo- kunye nenkqubo ethile enzima yokukhulelwa. Ukuchuma kwakho kungatshintsha nasemva kokuzalwa komntwana. (Kwaye iqabane lakho linokutshintsha ngokuhamba kwexesha-ngakumbi kuleyo yesibini.)

Ingxaki inokwenzeka ngenyathelo elinye okanye elininzi kula manyathelo alandelayo:

1. I-ovulation (iqanda likhutshwa)
2. ukuchumisa iqanda ngesidoda
3. Ukuhamba kweqanda elichumileyo ukuya esibelekweni
4. ukumiliselwa kweqanda elichume kwisibeleko

Ngoku, kukho uluhlu olude lwezifo kunye neemeko - kunye nokuphazamiseka "kokungacaciswanga kokungazalwa" kokubamba-oko kunokubangela imiba. Kodwa ngaphambi kokuba sixoxe ngazo, kubalulekile ukwazi ukuba bobabini abasetyhini kwaye amadoda anganegalelo ekungachumi.

Eli nqaku ligxile kwabasetyhini, kodwa kukho zombini into yabasetyhini kunye neyindoda kwizibini ezifumana ukungachumi. Kwaye kwipesenti ezisi-8 zamatyala, yinto eyindoda yodwa.

Yintoni ebangela ukungabikho kwenzalo yesibini?

Ukungachumi kwaseprayimari nakwesekondari kuhlala kwabelana ngezizathu ezifanayo. Eyona nto ibalulekileyo ekufuneka uyazi kukuba, kuninzi lweziganeko, ukungachumi hayi ityala lakho. Siyazi ukuba oku akwenzi kube lula ukujongana nayo, kodwa kunokukunceda uzive unamandla ngakumbi ekufumaneni izisombululo ezisekwe kubungqina ezinokukunceda ukuba ukhulelwe ngempumelelo.

Nazi ezinye zezizathu eziqhelekileyo zokungabikho komntwana ngokubanzi, ezihlala zihambelana nokungabikho komntwana wesibini, kwakhona.

Iingxaki zokuvuthwa

Uninzi lokungachumi kwabasetyhini lubangelwa kukuphazamiseka kwe-ovulation. Ngapha koko, iipesenti ezingama-40 zabasetyhini abanomdla wokungachumi azivisisani rhoqo. Iingxaki nge-ovulation zinokubangelwa ziimeko ezininzi kunye nezinto, ezinje:

• I-polycystic ovary syndrome (i-PCOS)
• ukungonelanga kwe-ovari ephambili (POI)
• ukuncipha kwemveliso yeqanda enxulumene nokwaluphala
• idlala lengqula okanye ezinye iingxaki ze-endocrine ezichaphazela ukuveliswa kwehomoni
• ezinye izinto zokuphila, ezinje ngobunzima, isondlo, kunye nokusetyenziswa gwenxa kweziyobisi

Esinye sezizathu eziqhelekileyo zokungabikho kwabasetyhini yi-PCOS, eyenza ama-ovari okanye i-adrenal gland ivelise amahomoni amaninzi akhusela ii-ovari ekukhululweni kwamaqanda. Inokubangela ukuba ii-cysts zikhule kwii-ovari ezinokuphinda ziphazamise i-ovulation.

Iindaba ezimnandi zezokuba kukho unyango olusebenzayo kwi-PCOS. Ngapha koko, unyango ngamayeza (ngakumbi koku kungezantsi) kunokubangela ukukhulelwa okuyimpumelelo ukuya kuthi ga kwabafazi abane-PCOS.

Iingxaki ngesibeleko okanye kwimibhobho yesibeleko

Iingxaki zolwakhiwo zinokuchaphazela amandla akho okuba ukhulelwe. Umzekelo, ukuba kukho ukuvaleka kwimibhobho yesibeleko, isidoda kunye neqanda abanakho ukudibana. Isibeleko sinokuba nesiphene kulwakhiwo okanye kwithishu ethintela ukumiliselwa.

Nazi iimeko ezithile ezichaphazela imibhobho yesibeleko okanye isibeleko.

• endometriosis
• i-uterine fibroids okanye iipolyps
• Ukuqunjelwa kwesibeleko
• Ukungaqheleki kwimilo yesibeleko, enjenge-unicornuate uterus

I-Endometriosis kubalulekile ukuyibiza, kuba ichaphazela ukuya kuthi ga kwiipesenti ezilishumi zabasetyhini.

Ngapha koko, le ye-endometriosis kunye nokungachumi kubelana ngobudlelwane obunyanzelekileyo-iipesenti ezingama-25 ukuya kuma-50 zabasetyhini abanengxaki yokungachumi bane-endometriosis.

Ukungachumi kwesibini ngenxa ye-endometriosis kunokubangela emva kwecandelo le-cesarean okanye uqhaqho lwesibeleko, xa iiseli zesibeleko zinokulahleka endaweni kwaye iimpawu ziqala okanye zonyuke.

Icandelo le-C-scarring

Ukuba ubunokuhanjiswa okwexeshana kunye nokukhulelwa kwangaphambili, kunokwenzeka ukuba ube nesikratshi esibelekweni, esibizwa ngokuba yi-isthmocele. I-isthmocele inokukhokelela ekuvukeleni kwisibeleko esichaphazela ukumiliselwa.

Isishwankathelo sokuba i-isthmocele inokunyangwa njani ngempumelelo ukukhuthaza ukuchuma okuphuculweyo. Kule meko, owasetyhini wakhulelwa ngempumelelo ngokusebenzisa in vitro fertilization (IVF) emva kokuba isthmocele sisonjululwe ngenkqubo yotyando.

Usulelo

Usulelo- kubandakanya izifo ezosulela ngokwabelana ngesondo- kunokubangela isifo sokudumba kwentliziyo. Oku kunokukhokelela ekuqhekekeni nasekuvalweni kweetyhubhu ze-fallopian. Usulelo lomntu lwe-papillomavirus (HPV) (kunye nonyango lwayo) lunokuchaphazela i-mucus yomlomo wesibeleko kunye nokunciphisa ukuzala ngokunjalo.

Iindaba ezimnandi: Ngokukhawuleza ukuba unyango lunyangwe, ukungachumi okuncinci kuya kuchaphazeleka.

Ukuphazamiseka ngokuzenzekelayo

Ubudlelwane phakathi kokuphazamiseka komzimba kunye nokungachumi akuqondwa ngokupheleleyo. Ngokubanzi, ukuphazamiseka okuzenzekelayo kubangela ukuba umzimba uhlasele izicwili ezisempilweni. Oku kunokubandakanya izicubu zokuzala, nazo.

Iziphazamiso ze-autoimmune ezinje ngeHashimoto's, lupus, kunye ne-rheumatoid arthritis inokuchaphazela ukuzala ngokubangela ukudumba kwisibeleko nakwi-placenta. Kwaye, amayeza anyanga ezi ngxaki anokuba negalelo ngokunjalo.

Ubudala

Siyazi ukuba esi sisihloko esichukumisayo, kodwa ngelishwa, akukho ndlela yokuyijikeleza. Inzululwazi ithi loo minyaka yenza badlale indima ekuzaleni. Le minyaka idityanisiweyo njengenani elibalulekileyo lokungafumani bantwana ngokuthelekiswa nokungachumi. Kwisifundo, iminyaka yobudala ephakathi kwezibini yayiphezulu phakathi kwabo bafumana ukungachumi kwesibini.

Ngokwebhayoloji, ukuchuma kuphakama kubudala beminyaka engama-20 kwabasetyhini kwaye kuqala ukwehla kubudala beminyaka engama-30 -kuncitshisiwe okubonakalayo kubudala beminyaka engama-40. ngekhe zenzeke kwiminyaka yobudala boomama. Kungathatha ixesha elide okanye kube nzima ngakumbi.

Izizathu ezingachazwanga

Yimpendulo akukho mfazi ufuna ukuyiva, kodwa ngamanye amaxesha (kwaye ngokudabukisayo ngesiqhelo) oogqirha abanakufumana isizathu sokuchonga ukungachumi. Emva kweebhetri zovavanyo, unyango kunye "nokuzama" okuninzi, siyazi ukuba kunokuba lula ukulahla ithemba.

Kodwa nceda ugcine engqondweni ukuba umzimba wakho ungatshintsha, ulwazi olutsha lwezonyango lunokuvela, kwaye ikamva linokubamba yonke into obuyilindele. Ke sebenza nogqirha wakho ukuba ungashiyi nelinye ilitye kuhambo lwakho lokukhulelwa.

Unyango lokungachumi okwenzekileyo

Ukuba ngaphambili wawukhulelwe ngokulula, konke oku kunokuziva kusothusa kwaye kungaqhelekanga- kwaye kunzima. Kodwa unyango lokungachumi luqala ngokuchonga unobangela walo. Ke, ugqirha wakho unokucebisa ezinye iimvavanyo. Olu vavanyo lunokubandakanya:

• iimvavanyo zegazi ukujonga amanqanaba akho ehomoni
• iimvavanyo ze-ovulation
• Uvavanyo lwe-pelvic
• I-X-ray ukujonga iibhubhu zakho ze-fallopian
• i-ultrasound engaphaya
• Olunye uvavanyo lokujonga isibeleko sakho kunye nomlomo wesibeleko

Ukuba iimvavanyo zakho zibuya ngaphandle kweeflegi ezibomvu, ugqirha wakho unokucebisa ukuba ujonge kuvavanyo lokungachumi kwendoda. (Uxolo, manenekazi: Yinyaniso yobomi ukuba sibekwe phantsi kwemicroscope kuqala.)

Nje ukuba wazi unobangela, ugqirha wakho unokukhulisa isicwangciso sonyango ukuze anyuse amathuba okukhulelwa. Nazi ezinye zonyango oluqhelekileyo lokungachumi kwabasetyhini.

Amayeza

Amayeza ahlala esetyenziselwa ukulinganisa iihomoni. Ngamanye amaxesha, amayeza okonyusa ukuchuma ayacetyiswa ukunceda ukukhuthaza i-ovulation.

Ngenxa yokuba i-PCOS sesona sizathu siqhelekileyo sokuzala, kufanelekile ukuba sikhankanye ukuba unyango lunokubandakanya amayeza ukunceda ukukhuthaza i-ovulation ukongeza kungenelelo lwendlela yokuphila, njengokufikelela kubunzima obunempilo ukuba ugqirha wakho uthatha isigqibo sobunzima.

Ugqirha

Ngamanye amaxesha, unokufuna utyando. Kukho iinkqubo ezininzi zotyando ezinokunyanga imiba enje nge-uterine fibroids, uterine scarring, okanye advanced endometriosis. Uninzi lwezi nkqubo lwenziwa kancinci ngokungafunekiyo.

IHysteroscopy isetyenziselwa ukufumanisa nokunyanga ukungaqheleki kwesibeleko, ezinje ngee-polyps kunye ne-endometriosis. I-Laparoscopy yindlela yokunceda ekuchongeni ukungachumi xa amanye amanyathelo engaphumelelanga kwaye inokusetyenziswa kunye ne-hysteroscopy njengonyango olusebenzayo.

Ugqirha uvakala ngathi woyike, kodwa ukuxelelwa ukuba kukho isisombululo kotyando kubudlolo bakho ziindaba ezintle ezikhuthazayo.

Itekhnoloji ephezulu yokuzala (ART)

Ukukhulelwa ngempumelelo kunokubandakanya i-ART. Ezimbini zezona zixhaphakileyo kukufakwa ngaphakathi kwe-intrauterine (IUI) kunye ne-IVF.

Nge-IUI, isidoda siqokelelwa size sifakwe kwisibeleko ngexesha lokuvota. Kwi-IVF, amaqanda omfazi aqokelelwa kunye nesidoda. Kwilebhu, iqanda lichunyiswa kunye nesidoda apho sikhula sibe ziimbumba. Emva koko, umbungu (okanye ngaphezulu kwesinye) ufakwa kwisibeleko sowasetyhini.

Ezi ndlela zinokuthembisa. Ibonisile ukuba imijikelezo ye-ART engama-284,385 eyenziwa e-United States ngo-2017 ikhokelele ekuzalweni okuphilayo okungama-68,908 kunye neentsana ezingama-78,052 ezizelweyo (ewe, oko kuthetha ukuba kuninzi okuphindaphindwayo!). Leyo yipesenti ezingama-24 zempumelelo.

Iingcebiso ngokujamelana nokungachumi

Ukujongana nokuzala kwesibini kunokuba nzima. Ukuqeshwa okungapheliyo kogqirha, iimvavanyo, iinkqubo, kunye namayeza. Ubusuku bokungalali. Ixesha kunye namandla kude nomncinci wakho. Ukuziva unetyala ngokufuna okunye ukukhulelwa xa uninzi lwabasetyhini lusokola ukuba naloo nto. Uxinzelelo phakathi kwakho neqabane lakho. Usizi xa umenyiwe okwangoku enye ishawa yabantwana - kunye netyala lokuziva unjalo.

Uluhlu alupheli. Nazi ke iingcebiso ezimbalwa zokukunceda uhlangabezane nale ngxaki.

• Kuphephe ukuzigxeka wena okanye iqabane lakho. Kwiimeko ezininzi, ezesekondari azibangeli kuyo nantoni na oyenzileyo okanye iqabane lakho. Hlala ugxile kugqirha wakho kwimeko yakho yangoku kunye neendlela ezisekwe kubungqina bokuzoyisa.

• Hlala ulungile. Khangela amabali empumelelo - baninzi kakhulu phaya. Jonga ngaphakathi kwenethiwekhi yakho okanye amaqela enkxaso ukufumana abanye abantu basetyhini abanamava afanayo ngokungachumi. Nxibelelana nabo kwaye wabelane ngamabali akho. Funda ngezinto abazenzileyo, ngoogqirha abasebenza nabo, kunye negalelo ekuphumeleleni kokukhulelwa kwabo.

• Nxibelelana neqabane lakho. Uxinzelelo lokungachumi lunokuthabatha nolona lwalamano lusempilweni. Thatha ixesha lokunxibelelana neqabane lakho. Thetha malunga neemvakalelo zakho, uvakalise izinto ezikuxhalabisayo, kwaye usebenze kunye nesicwangciso sokuqhubela phambili uziva ulungelelanisiwe. Nobabini niya komelela ukuhamba le ndlela inzima ukuba niyenza ecaleni-ecaleni.

• Gxila kwinto onokuyilawula. Zininzi izinto eziphakathi kolawulo lwakho ukuphucula ukuzala kwakho. Enye yazo kukuzinyamekela. Thatha inxaxheba ekulawuleni uxinzelelo lwakho, uphile eyona ndlela yokuphila isempilweni, kwaye ukhangele izisombululo ezitsha ezinokukunceda ukhulelwe. Yiza nemibono emitsha kunye nokuqonda kugqirha wakho ngengxoxo.

• Fumana inkxaso yakho. Wonke umntu ohamba nokungachumi ufuna inkqubo yenkxaso eqinileyo. Zityand 'igila kubantu obathembileyo, yaye njalo thetha nogqirha wakho ukuba uziva unempawu zoxinzelelo lweklinikhi, njengokuphelelwa lithemba kunye nokuphelelwa lithemba.

Ukuthatha

Ukungafumani bantwana okwesibini kungathatha ukubola emzimbeni nangokweemvakalelo kuye nakubani na, kubandakanya wena, iqabane lakho kunye nabantu obathandayo. Kubalulekile ukuba uthethe nogqirha wakho malunga konke iinkxalabo zakho, ubunzima, kunye neenjongo.

Ngale ndlela, unokukhokelwa kwizixhobo ezifanelekileyo ezinokukunceda kuhambo lwakho lokukhulelwa kwakhona. Hlala womelele (kulungile ukukhala, nawe), xhomekeka kwinethiwekhi yakho yenkxaso, jonga amabali empumelelo akhuthazayo, kunye soze ulahle ithemba.