Buza Isazi: Uzobona Nini Uchwepheshe Wokuzala

-Delile

• 1. Wenzani uchwepheshe wenzalo?
• 2. Kufanele ngizame isikhathi esingakanani ukukhulelwa ngaphambi kokubona udokotela wenzalo?
• 3. Yisiphi isinyathelo sokuqala esizothathwa ngungoti wenzalo uma othile engakwazi ukukhulelwa?
• 4. Yikuphi ukuhlolwa okunga-odolwa udokotela wenzalo, futhi kusho ukuthini?
• 5. Yiziphi izinto zokuphila ezithinta ukuzala kwami, futhi ngabe kukhona engingakwenza ukukhulisa amathuba ami okukhulelwa?
• 6. Yikuphi ukukhetha kwami ​​kokwelashwa uma ngingakwazi ukukhulelwa?
• 7. Iphumelela kangakanani imishanguzo yenzalo?
• 8. Ngabe uchwepheshe wenzalo angangisiza ngithole ukusekelwa ngokomzwelo?
• 9. Ingabe lukhona usizo olutholakalayo lokuxhasa ngezindlela zokwelashwa okuzala?

1. Wenzani uchwepheshe wenzalo?

Isazi sokuzala yi-OB-GYN enobungcweti ku-endocrinology yokuzala nokungazali. Ochwepheshe bezenzalo basekela abantu kuzo zonke izici zokunakekelwa kokuzala. Lokhu kufaka ukwelashwa kokungazali, izifo zofuzo ezingathinta izingane ezizayo, ukulondolozwa kokuzala, nezinkinga zesibeletho. Zisiza nezinkinga ze-ovulation njenge-amenorrhea, i-polycystic ovarian syndrome, ne-endometriosis.

2. Kufanele ngizame isikhathi esingakanani ukukhulelwa ngaphambi kokubona udokotela wenzalo?

Lokhu kuya ngokuthi ukhathazeke kangakanani nokuthi yiluphi ulwazi olufunayo. Abesifazane abaningi bazofuna ukwenza ukuhlolwa kokuzala ngaphambi kokuba bazame ukukhulelwa, noma uma bezama ukuhlela ikusasa labo lokuzala.

Uma ngabe uzama ngempumelelo ukukhulelwa, bheka uchwepheshe wezokuzala ngemuva kwezinyanga eziyi-12 uma ungaphansi kweminyaka engama-35. Uma uneminyaka engama-35 noma ngaphezulu, bheka eyodwa ngemuva kwezinyanga eziyisithupha.

3. Yisiphi isinyathelo sokuqala esizothathwa ngungoti wenzalo uma othile engakwazi ukukhulelwa?

Imvamisa, uchwepheshe wokuzala uzoqala ngokuhlola umlando wakho ophelele wezokwelapha. Bazophinde bafune ukubuyekeza noma yikuphi ukuhlolwa kwangaphambilini kokuzala noma ukwelashwa okutholile.

Njengesinyathelo sokuqala, futhi uzosungula ukuthi ziyini izinhloso zakho zokufuna ukunakekelwa kokuzala. Isibonelo, abanye abantu bafisa ukuthi basebenze ngangokunokwenzeka, kanti abanye banethemba lokugwema ukungenelela kwezokwelapha. Eminye imigomo ingabandakanya ukuhlolwa kofuzo kumibungu noma ukulondolozwa kokuzala.

4. Yikuphi ukuhlolwa okunga-odolwa udokotela wenzalo, futhi kusho ukuthini?

Udokotela wokuzala uvame ukwenza iphaneli eligcwele lokuhlola ukuze afunde imbangela yokungabi nenzalo futhi ahlole amandla akho okuzala. Udokotela wakho angaqhuba ukuhlolwa kwamahomoni ngosuku lwesithathu lomjikelezo wakho wokuya esikhathini. Lokhu kufaka phakathi i-hormone evuselela i-follicle, i-luteinizing hormone, kanye nokuhlolwa kwe-anti-Mullerian hormone. Imiphumela izonquma umthamo wamaqanda emaqanda akho. I-transvaginal ultrasound nayo ingabala ama-follicles amancane ama-antral kuma-ovari. Kuhlanganisiwe, lezi zivivinyo zingaqagela ukuthi ngabe ukugcina kwakho iqanda kuhle, kulungile noma kunciphile.

Isazi sakho singenza nokuhlolwa kwe-endocrine yesifo se-thyroid noma ukungajwayelekile kwe-prolactin. Lezi zimo zingathinta umsebenzi wokuzala. Ukuhlola amashubhu we-fallopian kanye nesibeletho, udokotela wakho anga-oda uhlobo olukhethekile lokuhlolwa kwe-X-ray olubizwa nge-hysterosalpingogram. Lokhu kuhlolwa kunquma ukuthi amashubhu akho angama-fallopian avulekile futhi anempilo yini. Futhi izokhombisa izinkinga ngesibeletho sakho, njengama-polyps, ama-fibroids, izicubu ezibomvu, noma i-septum (udonga) okungathinta ukufakwa noma ukukhula kombungu.

Olunye ucwaningo lokuhlola isibeletho lubandakanya i-sonography efakwe ngosawoti, i-office hysteroscopy, noma i-endometrial biopsy. Ukuhlaziywa kwesidoda kungenziwa ukuthola ukuthi ukubala, ukuhamba, nokubukeka kwesidoda kuvamile yini. Ukuhlolwa kwangaphambi kokubeletha kuyatholakala ukuhlola izifo ezithathelwanayo kanye nokungajwayelekile kofuzo.

5. Yiziphi izinto zokuphila ezithinta ukuzala kwami, futhi ngabe kukhona engingakwenza ukukhulisa amathuba ami okukhulelwa?

Izici eziningi zokuphila zithinta ukuzala. Impilo enempilo ingathuthukisa ukukhulelwa, ithuthukise impumelelo yokwelashwa kokuzala, futhi igcine ukukhulelwa. Lokhu kufaka phakathi ukudla ukudla okunomsoco nokugwema ukudla okusetshenzwe. Kunemininingwane ekhombisa ukuthi ukwehla kwesisindo kuholela emiphumeleni yokwelashwa engcono yokuzala. Kwabesifazane abanokuzwela kwe-gluten noma ukuzwela kwe-lactose, ukugwema kungasiza.

Thatha amavithamini abeletha, unciphise i-caffeine, futhi ugweme ukubhema, izidakamizwa zokuzijabulisa, notshwala. Ungase futhi uzuze kokungezelelwa kukavithamini D. Lokhu kungenxa yokuthi ukuntuleka kukavithamini D kungaba nemiphumela empofu ye-in vitro fertilization (IVF) noma kuholele ekuphuphumeni kwesisu.

Ukuvivinya umzimba ngokulingene nakho kuhle ekunciphiseni impilo kanye nokucindezeleka. I-Yoga, ukuzindla nokucabanga, nokwelulekwa nokusekelwa nakho kungasiza.

6. Yikuphi ukukhetha kwami ​​kokwelashwa uma ngingakwazi ukukhulelwa?

Kunezinketho eziningi zokwelashwa kokuzala. Udokotela wakho angahle anikeze imishanguzo yokukhuthaza ama-ovulation njenge-clomiphene citrate ne-letrozole. Ezinye izindlela zokwelapha zibandakanya ukuqapha ukukhula kwezintambo ngomsebenzi wegazi nama-ultrasound, ukuvuthwa kwe-ovulation nge-hCG (i-chorionic gonadotropin yabantu), kanye nokufakwa ngaphakathi kwe-intrauterine. Ukwelashwa okubandakanyeka kakhulu kufaka phakathi i-IVF, umjovo wesidoda we-intracytoplasmic, kanye nokuhlolwa kwezakhi zofuzo kwangaphambi kokufakelwa.

Inketho wena nodokotela wakho eniyikhethayo incike kubude besikhathi nasembangela yokungazali kanye nezinhloso zokwelashwa. Isazi sakho sokuzala sizokusiza ukuthi unqume ukuthi iyiphi indlela ekufanele kakhulu ukuqinisekisa umphumela ongcono kakhulu.

7. Iphumelela kangakanani imishanguzo yenzalo?

Imithi yokwelashwa iyaphumelela, kepha imiphumela incike ezicini eziningi. Izici ezimbili ezibaluleke kakhulu iminyaka yowesifazane nembangela yokungabi nenzalo.

Ngokwemvelo, izindlela zokwelashwa ezingaphezulu zinamazinga aphezulu empumelelo. Ukugqugquzela ukuvuthwa nge-intrauterine insemination treatment kungaba nezinga lokuphumelela ngamaphesenti ama-5 kuye kwayi-10 kumjikelezo ngamunye ekungazali okungaqondakali. Lokhu kungakhuphukela kumaphesenti ayi-18 kubantu abanezinkinga zokuvuthwa kwe-ovulation noma lapho kusetshenziswa isidoda sabanikeli futhi azikho izingqinamba zabesifazane. Imvamisa, i-IVF ingaba namazinga wokuzalwa abukhoma wamaphesenti angama-45 kuye kwangama-60. Lokhu kungakhuphuka kube ngamazinga okuzalwa aphilayo angafika kumaphesenti angama-70 uma imibungu esezingeni eliphakeme idluliswa.

8. Ngabe uchwepheshe wenzalo angangisiza ngithole ukusekelwa ngokomzwelo?

Yebo, isazi sokuzala kanye nethimba labo banganikeza ukusekelwa okungokomzwelo. Isikhungo sakho sokuzala singaba nezisekeli esizeni, njengohlelo lomzimba womqondo noma amaqembu okusekela. Bangakudlulisela nakubeluleki, amaqembu okusekela, abaqeqeshi bezempilo kanye nabacabangayo, kanye nama-acupuncturists.

9. Ingabe lukhona usizo olutholakalayo lokuxhasa ngezindlela zokwelashwa okuzala?

Imithi yokwelashwa ingabiza kakhulu, futhi ukuyikhokhela kungaba nzima futhi kube yinselele. Isazi sokuzala sizokusebenzela ngokubambisana nomxhumanisi wabo wezezimali. Lo muntu angakusiza ufunde ngokumbozwa komshuwalense nezindleko ezingaphuma ephaketheni.

Ungaxoxa nangezindlela zokwelashwa nodokotela wakho ezinganciphisa izindleko. Ikhemisi lakho lingaba nezinhlelo ezinikela ngemithi yokuzala ngamanani ancishisiwe, kanye nezinhlelo ezahlukahlukene ezivela eceleni. Xoxa ngalezi zinketho nodokotela wakho uma izindleko zokwelashwa kuyinto ekukhathazayo.

UDkt Alison Zimon ungumsunguli futhi ungumqondisi wezokwelapha e-CCRM Boston. Uqinisekiswe ngebhodi ku-endocrinology yokuzala nokungazali, nakwezokubelethisa nakwizitho zabesifazane. Ngaphezu kwendima yakhe e-CCRM Boston, uDkt Zimon ungumfundisi emtholampilo eMnyangweni Wezokubelethisa, i-Gynecology, ne-Reproductive Biology eHarvard Medical School futhi ungudokotela osebenza e-OB / GYN eBeth Israel Deaconess Medical Center naseNewton Wellesley Hospital eMassachusetts.