Konke malunga nokuKhulelwa

Umxholo

• Kukhawulwa nini?
• Iinkxalabo ezinxulumene nokuqonda
• Kwenzeka nini ukukhawula?
• Iinkxalabo ezinxulumene nokutyala
• Kukhawulwa njani ukukhulelwa?
• Inkxalabo enxulumene neposti
• Yintoni ebalwayo njengokukhulelwa kwi-IVF?
• Ukuthatha

Ushwankathelo

Ukukhulelwa lixesha apho isidoda sihamba sinyuka kwilungu lobufazi, singene esibelekweni, kwaye sichumise iqanda elifunyenwe kwityhubhu ye-fallopian.

Ukukhulelwa- kwaye ekugqibeleni, ukukhulelwa- kunokubandakanya uthotho lwamanyathelo ngamanyathelo anzima. Yonke into kufuneka iwele endaweni ukuze ukukhulelwa kuqhutyelwe ixesha.

Masiqwalasele ngokusondeleyo ukuba yintoni into ekhulelweyo, nini kwaye kwenzeka njani, kunye neengxaki ezinokubakho ekukhulelweni kwinqanaba ngalinye.

Kukhawulwa nini?

Ukukhulelwa kwenzeka ngexesha lomjikelo wesini webhinqa obizwa ngokuba yi-ovulation. Oogqirha bajonga usuku lwe-1 lokuya esikhathini ngosuku lokuqala lwexesha lomfazi.

I-Ovulation idla ngokwenzeka phakathi embindini wokuya exesheni komfazi. Oku kuya kuwa malunga nomhla we-14 kumjikelo weentsuku ezingama-28, kodwa kubalulekile ukuba ukhumbule ukuba nobude bomjikelezo oqhelekileyo bunokwahluka.

Ngexesha lokuvuthwa, enye yee-ovari ikhupha iqanda, emva koko lihambe liye ezantsi kwenye ityhubhu. Ukuba kukho isidoda esikhona kwityhubhu yomfazi xa oku kusenzeka, isidoda sinokuchumisa iqanda.

Ngokwesiqhelo, iqanda lineeyure ezili-12 ukuya kwezi-24 apho linokuchunyiswa khona ngamadlozi. Nangona kunjalo, isidoda sinokuphila iintsuku ezininzi emzimbeni womfazi.

Ke ngoko, xa i-ovary ikhupha iqanda, isidoda esele sikhona emva kokudibana neentsuku ezimbalwa ngaphambi koko sinokuchumisa. Okanye, ukuba umfazi ulala ngesondo ngelixa kukhutshwa iqanda, isidoda sinokuchumisa iqanda elisandula ukukhutshwa.

Ukukhulelwa kuza kwixesha, impilo yecandelo lokuzala labasetyhini, kunye nomgangatho wesidoda sendoda.

Uninzi loogqirha bahlala becebisa ukuba neentlobano zesini ezingakhuselekanga ukuqala malunga neentsuku ezintathu ukuya kwezintandathu ngaphambi kokuba uphume, kunye nosuku ovala ngalo ukuba unqwenela ukukhulelwa. Oku kwandisa amathuba okuba amadlozi abekhona kwityhubhu ye-fallopian ukuchumisa iqanda xa sele likhutshiwe.

Iinkxalabo ezinxulumene nokuqonda

Ukuqonda kufuna amanyathelo aliqela okuhlangana. Okokuqala, umfazi kufuneka akhulule iqanda elisempilweni. Abanye abantu basetyhini baneemeko zonyango ezibathintela ukuba bangavuthisi ngokupheleleyo.

Umfazi kufuneka akhulule iqanda elisempilweni ngokwaneleyo ukuba likwazi ukuchumisa. Umfazi uzalwe nenani lamaqanda aya kuba nawo ebomini bakhe bonke. Njengokuba ekhula, umgangatho wamaqanda akhe uyehla.

Oku kuyinyani emva kweminyaka engama-35, ngokwe.

Isidoda esikumgangatho ophezulu siyafuneka ukufikelela kunye nokuchumisa iqanda. Ngelixa inye kuphela idlozi elifunekayo, isidoda kufuneka sihambe sidlule umlomo wesibeleko kunye nesibeleko singene kwimibhobho yesibeleko ukuchumisa iqanda.

Ukuba isidoda sendoda asihambanga ngokwaneleyo kwaye asinakho ukuhamba kude, ukukhulelwa akunakwenzeka.

Umlomo wesibeleko sowasetyhini nawo kufuneka wamkele ngokwaneleyo ukuba isidoda siphile apho. Ezinye zeemeko zibangela ukuba isidoda sife ngaphambi kokuba sidade siye kwiibhubhu ezibonisa inzala.

Abanye abantu basetyhini banokuxhamla kubuchwephesha bokuncedisa ekuzaleni njenge-intrauterine insemination okanye kwi-vitro fertilization ukuba kukho imiba ethintela isidoda esisempilweni ekuhlangabezaneni neqanda elisempilweni ngokwendalo.

Kwenzeka nini ukukhawula?

Isidoda sihlala sichumisa iqanda kwi-fallopian tube. Lo ngumendo osuka kwi-ovary uye kwisibeleko sowasetyhini.

Iqanda lithatha malunga neeyure ezingama-30 ukusuka kwi-ovary phantsi kwethumbu, ngokutsho kweYunivesithi yaseCalifornia eSan Francisco.

Njengoko iqanda lihamba lisiya ezantsi kwityhubhu, lilala kwindawo ethile ebizwa ngokuba yi-ampullar-isthmic junction. Kulapha apho isidoda sihlala sichumisa iqanda.

Ukuba iqanda lichumisiwe, liya kuhamba ngokukhawuleza liye esibelekweni kwaye lifakwe. Oogqirha babiza iqanda elichumileyo ukuba lisebe.

Iinkxalabo ezinxulumene nokutyala

Ngelishwa, kuba iqanda lichumisiwe, oko akuthethi ukuba ukumitha kuyakwenzeka.

Kuyenzeka ukuba ube neetyhubhu ze-fallopian ezonakeleyo ngenxa yembali yosulelo lwe-pelvic okanye ezinye iingxaki. Ngenxa yoko, umbungu unokufaka kumbhobho (indawo engafanelekanga), enokubangela imeko ebizwa ngokuba yi-ectopic pregnancy. Oku kunokuba yimeko engxamisekileyo kwezonyango kuba ukukhulelwa akunakuqhubeka kwaye kunokubangela ukuqhekeka kwetyhubhu.

Kwamanye amabhinqa, i-blastocyst yeeseli ezichumileyo ayinakutyala konke konke, nokuba ifikelela esibelekweni.

Ngamanye amaxesha, ulwelwesi lwesibeleko sowasetyhini alunelanga ngokwaneleyo ukuba lungamiliselwa. Ngamanye amaxesha, iqanda, isidoda, okanye isahlulo sembungu asinakuba kumgangatho ophezulu ngokwaneleyo ukuba ungamiliselwa ngempumelelo.

Kukhawulwa njani ukukhulelwa?

Emva kokuba isidoda sichumise iqanda, iiseli kumbungu ziqala ukwahlula ngokukhawuleza. Emva kweentsuku ezisixhenxe, umbungu bubuninzi beeseli eziphindaphindwayo ezaziwa njengeblastocyst. Le blastocyst iya kuthi emva koko ifakwe kwisibeleko.

Njengoko iqanda lihamba ngombhobho we-fallopian ngaphambi kokumiliselwa, nangona kunjalo, amanqanaba eprogesterone yehomoni aqala ukunyuka. Iprogesterone eyandisiweyo ibangela ukuba i-uterine lining iqine.

Ngokufanelekileyo, nje ukuba iqanda elichumileyo lifike esibelekweni njenge-blastocyst umbungu, ulwelwesi luya kuba lukhulu ngokwaneleyo ukuze lukwazi ukumila.

Lilonke, ukusuka kwinqanaba lokuvuthwa ukuya kufakelo, le nkqubo inokuthatha malunga neveki enye. Ukuba unomjikelo weentsuku ezingama-28, oku kukusa kumhla wama-28 - ngesiqhelo lusuku lokuqala kwakho ixesha.

Kule ndawo apho uninzi lwabasetyhini lunokucinga ngokuthatha uvavanyo lokukhulelwa ekhaya ukuze babone ukuba bakhulelwe.

Uvavanyo lokukhulelwa ekhaya (iimvavanyo zomchamo) zisebenza ngokuphendula ngehomoni ekhoyo kumchamo wakho owaziwa njenge-chorionic gonadotropin (hCG). Eyaziwa nangokuthi "i-hormone yokukhulelwa," i-hCG iyanda njengoko ukukhulelwa kwakho kuqhubeka.

Gcina izinto ezimbalwa engqondweni njengoko usenza uvavanyo lokukhulelwa ekhaya:

Okokuqala, iimvavanyo ziyahluka kubuntununtunu babo. Abanye banokufuna amaxabiso aphezulu e-hCG ukuvelisa into elungileyo.

Okwesibini, abasetyhini bavelisa i-hCG ngokwamanqanaba ahlukeneyo xa bekhulelwa. Ngamanye amaxesha uvavanyo lokukhulelwa lunokuvelisa into elungileyo emva kosuku oluphosiweyo, ngelixa abanye bengathatha iveki emva kwexesha elilahlekileyo ukubonisa into elungileyo.

Inkxalabo enxulumene neposti

Ukukhulelwa akusoloko kuthetha ukuba ukukhulelwa kuyakwenzeka kwaye kuqhutyekiswe kwixesha elipheleleyo.

Ngamanye amaxesha, umntu wasetyhini unokufumana isisu ngexesha lokukhulelwa ngaphambi kokufakwa kombungu okanye kungekudala emva koko. Unokuba nokopha okunxulumene nokuphuphuma kwesisu ngexesha alindele ngalo ukuba sexesheni kwakhe kwaye angaze aqonde ukuba ukukhulelwa kwenzeka.

Ezinye iimeko zinokuthi zenzeke, njengeqanda elibi. Kulapho ukufakwa kweqanda kuchumileyo esibelekweni, kodwa kungaqhubeki phambili. Kwi-ultrasound, ugqirha unokujonga ingxowa engenanto yokukhulelwa.

Ngokwe-American College of Obstetricians kunye neGynecologists, uqikelelo lweepesenti ezingama-50 zazo zonke izisu zokuqala ngenxa yokuphulukana ne-chromosome. Ukuba isidoda neqanda azinazo ii-chromosomes ezingama-23 inye, umbungu awunakukhula njengoko kulindelwe.

Abanye abantu basetyhini banokufumana ukulahleka kokukhulelwa ngaphandle kwesizathu esaziwayo. Oku kuyaqondakala ukuba kunzima kubo bonke ababandakanyekayo. Nangona kunjalo, oku akuthethi ukuba umfazi akakwazi ukukhulelwa kwakhona kwixesha elizayo.

Yintoni ebalwayo njengokukhulelwa kwi-IVF?

In vitro fertilization (IVF) yitekhnoloji yokuzala encedisayo ebandakanya ukusebenzisa isidoda ukuchumisa iqanda kwindawo yelebhu. Oku kudala umbungu.

Ugqirha emva koko ubeka umbungu kwisibeleko, apho uyakufakwa khona kwaye ukukhulelwa kuyakwenzeka.

Kwimeko yokukhulelwa kwendalo, oogqirha bahlala besebenzisa umhla oqikelelweyo wokukhulelwa ukuqikelela umhla omiselweyo wosana. Oku akuyi kuchaneka kumntu ohamba nge-IVF, kuba ukukhulelwa (idlozi lokuchumisa iqanda) ngobuchwephesha kwenzeka elebhu.

Oogqirha banokusebenzisa iindlela ezahlukeneyo ukuqikelela umhla wokukhulelwa kwe-IVF. Rhoqo, basebenzisa umhla wokudityaniswa kwamaqanda (kwakusenziwa umbungu) okanye xa kwagqitywa iimbumba.

Nokuba kukukhulelwa kwendalo okanye okuncedisiweyo, kubalulekile ukuba ukhumbule ukuba ngelixa umhla omiselweyo unokukunika umhla wokucwangcisela, bambalwa abantu basetyhini abasahambisa ngomhla wabo.

Izinto ezinje ngokulinganisa kukhulu usana kwaye lubonakala ngathi luyakhula kunokuba ziindlela ezingcono zokuqikelela iminyaka yokukhulelwa komntwana njengoko ukukhulelwa kuqhubeka.

Ukuthatha

Ngelixa ukukhawulwa kwezobuchwephesha kubhekisa kwisidoda esinye ukuchumisa iqanda, kuninzi kakhulu ukukhulelwa kunokukhulelwa.

Ukuba unemibuzo malunga namanyathelo okukhulelwa okanye ukukwazi ukukhulelwa, thetha nogqirha wakho.

Ukuba awukhulelwa emva konyaka omnye wesini esingakhuselekanga (okanye iinyanga ezintandathu ukuba ungaphezulu kweminyaka engama-35), buza malunga nonobangela kunye nonyango olunokuphucula amathuba akho okukhulelwa kunye nokukhulelwa.