Ukubona Okubili: Ungawandisa Kanjani Amathuba Akho Okuba Namawele

-Delile

• Izinkinga zakho zingangcono kunalokho ucabanga
• Ukuba namawele ngokwemvelo
• Amawele afanayo
• Amawele omndeni
• Izici ezandisa izingqinamba zakho zokuba namawele ngokwemvelo
• Izakhi zofuzo
• Ubudala
• Ukuphakama
• Isisindo
• Ubuhlanga
• Ukudla
• Ukukhulelwa kwangaphambilini
• Ukuba namawele nokwelashwa kokuzala
• IUI
• IVF
• Ungayandisa kanjani izingqinamba zakho
• Ukuthatha

Izinkinga zakho zingangcono kunalokho ucabanga

Ukuphupha ngokuphindwe kabili ukusika okusanda kuzalwa, kepha ucabanga ukuthi kuphume endaweni engenzeka? Eqinisweni, umqondo wokuba namawele kungenzeka ukuthi awutholakali kude kangaka. (Khumbula nje, kuphindwe kabili ukushintshwa kwamanabukeni.)

Ukuzalwa kwamawele kukhuphuke okunye kusukela ngo-1980. Manje sekukhona amawele azalwa ngabazalwayo abayinkulungwane e-United States.

Kepha ngaphambi kokugcina izimpahla ezifanayo futhi ukhethe ukuxhumanisa amagama, kubalulekile ukuqonda ukuthi amawele akhulelwa kanjani nezinto ezingeziwe ezibandakanyekayo. Kunezimo ezithile - noma ngabe zenzeka ngokwemvelo noma zitholakale ngokwelashwa kokuzala - lokho kungakwenza ube sethubeni lokuba namawele.

(Usuvele ulindele amawele? Nakhu okumele ukwazi.)

Ukuba namawele ngokwemvelo

Kulinganiselwa ukuthi ukukhulelwa okukodwa ku-250 kubangela amawele ngokwemvelo, futhi kunezindlela ezimbili zokukhulelwa.

Amawele afanayo

Elokuqala lifaka iqanda elilodwa livundiswa isidoda esisodwa. Ukuzaliswa kuka-101, akunjalo? Kepha-ke, endaweni ethile, iqanda elikhulelisiwe lihlukana kabili, okuholela kumawele afanayo.

Amathuba okuba namawele afanayo awavamile - azungeze ama-3 noma ama-4 kukho konke ukuzalwa okungu-1 000. Futhi yize kungahle kube sobala, amawele afanayo ahlala engabobulili obufanayo, kungabafana noma womabili amantombazane, lapho kuzalwa. Kungani? Hhayi-ke, awabukeki efana nje - futhi abelana nge-DNA efanayo.

Amawele omndeni

Ngakolunye uhlangothi, amawele omndeni avela lapho amaqanda amabili ahlukene efakwa ngamangqamuzana amabili wesidoda ahlukene. Womabili amaqanda avundisiwe afakwa esibelethweni futhi - ezinyangeni eziyisishiyagalolunye kamuva - kuzalwa izingane ezimbili.

Amawele omndeni angaba ngabafana ababili, amantombazane amabili, noma umfana nentombazane. Zingahle noma zingabonakali kangako. Lokho kungenxa yokuthi, ngokungafani namawele afanayo, ahlanganyeli nge-DNA efanayo. Eqinisweni, ngaphandle kweminyaka, abafani kakhulu kunabafowabo nodadewabo abazalwa iminyaka behlukene.

Izici ezandisa izingqinamba zakho zokuba namawele ngokwemvelo

Izakhi zofuzo

Kungenzeka wake wezwa ukuthi amawele “agijima emindenini.” Lokhu kancane iqiniso. Amathuba akho okuba namawele omndeni angaphakama uma uyiwele lobuzalwane noma uma amawele omndeni egijima ohlangothini lomama wakho lomndeni.

Isizathu esisodwa salokhu kungaba yi-hyperovulation, okuyisimo lapho umzimba ukhipha khona amaqanda amabili noma ngaphezulu ngesikhathi sokuvuthwa - okuyisidingo sokuba namawele omndeni.

Futhi i-hyperovulation ingadluliselwa ku-DNA yakho. (Kungenzeka futhi kanye ngesikhashana kwabesifazane abangakhiphi njalo amaqanda angaphezu kwelilodwa noma abanamawele emndenini wabo, noma kunjalo.)

Ubudala

Uneminyaka engaphezu kwengama-35? Uma ufuna ukuba namawele, ungahle ushaye i-jackpot uma ukwiminyaka yakho yobudala engama-30 noma kuma-40.

Abesifazane “beminyaka yobudala bomama abakhulile” (siyaxolisa ukusebenzisa ibinzana, kodwa livame ukusetshenziswa kuzilungiselelo zezokwelapha ukusho ukuthi ungaphezu kweminyaka engama-35) banethuba eliphakeme lokukhulelwa amawele.

Izinguquko zeHormonal ezenzeka lapho usondela esikhathini sokuya esikhathini zingakhuthaza ukukhululwa komzimba ngaphezu kweqanda elilodwa ngesikhathi sokuvuthwa. Uma kukhiqizwa ezimbili noma ngaphezulu futhi zombili zifakelwa, ungahle udinge nje izimbeleko ezimbili enkulisa yakho.

Ukuphakama

Abesifazane abade kakhulu babonakala benamazinga aphezulu okuba namawele. Lokhu kungazwakala kungajwayelekile, kepha abacwaningi bafaka isici esithile sokukhula esifana ne-insulin nalokhu kungenzeka. Ucwaningo lwango-2006 luveze ukuthi izinga lamawele liphakeme kwabesifazane abangaphezu kwamasentimitha ubude kunesilinganiso sikazwelonke, esasingamamitha ama-5 3 3/4 amayintshi ngesikhathi kushicilelwa lolu cwaningo.

Isisindo

Abesifazane abakhuluphele kakhulu banethuba eliphakeme lokukhulelwa amawele ngokwemvelo. Ngokuqondile, amathuba aphezulu kakhulu uma inkomba yomzimba wakho (BMI) ingaphezu kwama-30.

Ehlangothini le-flip, ama-BMIs angaphansi kuka-18.5 akhombisa izinga elincishisiwe lokuba namawele. Umqondo wale mbono ubuyela emuva ekukhuleni okufana ne-insulin kanye nomthelela wayo ekukhulelweni.

Izwi lesexwayiso lapha: Ungazisoli ngamabomu ukwandisa amathuba akho okuba namawele. Ukuba ne-BMI engaphezu kwengu-30 nakho kungakubeka esigabeni esinobungozi obukhulu bokukhulelwa, ngakho-ke khuluma nodokotela wakho ngesisindo esinempilo sakho ngaphambi kokukhulelwa.

Ubuhlanga

Abesifazane base-Afrika baseMelika banamawele amancane okukhulelwa kunabesifazane baseCaucasus. Kepha abesifazane base-Asia nabaseSpain banethuba lokuba namawele kunamanye amaqembu.

Lokho kusho ukuthi, abesifazane baseCaucasus abangaphezu kweminyaka engama-35 banesilinganiso esiphakeme kakhulu sokuphindaphindwa, okusho ukuthi kathathu noma ngaphezulu.

Ukudla

Omunye uthi lokho okudlayo kungenza amawele abe namathuba amaningi - empeleni, kuze kube kahlanu!

Abesifazane abadla imikhiqizo yezilwane, ikakhulukazi imikhiqizo yobisi, bangahle bathathe into eyengeziwe yokukhula kwe-insulin. Izinkomo zikhipha le hormone obisini lwazo futhi - uma zidliwe - zingathinta ukukhiqizwa kwabantu.

Okunye kukhombisa ukuthi ukudla ama-yam amaningi kungakhuphula namathuba okuba namawele. Izakhi zomzimba zingasekela ama-hormone asiza umzimba ukuthi udedele amaqanda angaphezu kwelilodwa ngasikhathi.

Ukukhulelwa kwangaphambilini

Ingabe usuvele unengane efuna ukuba ngumfowenu noma udadewenu omkhulu? Kungenzeka abe yisizathu sokuthi ugcine usuzele amawele. Kulungile! Okuthile okubizwa ngokuthi "ubumbano oluphakeme" - okusho ukuthi ukukhulelwa kwangaphambilini - kungakhuphula amathuba akho. Bona ngani akucaci ngokuphelele, kodwa kungenzeka ukuthi kungenxa yokuthi ngokukhulelwa ngakunye, ukhulile kancane.

Futhi uma usuvele unamawele omndeni, unethuba eliphindwe kahlanu lokuphindaphinda futhi, ngokusho kwe-Twins and Multiples Birth Association e-United Kingdom (yize singakwazanga ukuqinisekisa leso sibalo kwenye indawo). Uma kuyiqiniso, lokho kumjikelezo webhonasi impela!

Ukuba namawele nokwelashwa kokuzala

Uma ujwayele ubuchwepheshe bokuzala bokuzenzela (i-ART), in-vitro fertilization (IVF), nezinye izindlela zokwelapha - njengokufakwa kwe-in-utero insemination (IUI) - kungenzeka ukuthi usuvele uyazi ukuthi amawele ayinto enamandla.

IUI

Ngenkathi inqubo ye-IUI uqobo ingakhulisi amathuba akho okuba namawele, izidakamizwa ezithile ezihambisana nayo kungenzeka. I-Clomiphene citrate (Clomid) ne-letrozole (Femara) yimithi evuselela ama-ovulation.

Yomibili le mithi ivame ukunikezwa kumijikelezo ye-IUI futhi ingasiza umzimba ukuthi ukhiqize amaqanda amaningi angakhipha ngasikhathi sinye. Uma amabili (noma ngaphezulu) evundiswa futhi efakwa, amawele kungenzeka.

Kwesinye, isilinganiso samawele nge-Clomid sasingu-7.4%. I-Femara ibinezinga eliphansi lamaphesenti angu-3.4 kuphela. Lezo zinombolo zingahle zingabonakali ziphakeme, kepha zisaphakeme kancane kunethuba lokukhulelwa amawele ngokwemvelo.

Futhi kukhona okuningi. Ama-gonadotropin, afana ne-follicle stimulating hormone (FSH), akhuthaza ukukhula kwama-follicles amaqanda. Le mithi ejojowe nayo isetshenziswa kaningi ku-IUI nakwezinye izindlela zokwelapha, futhi isilinganiso samawele ngenkathi usebenzisa le mithi singamaphesenti angama-30.

IVF

Izidakamizwa nazo ziyingxenye ye-IVF. Kepha esinye sezici eziyinhloko esandisa amathuba akho amawele ngalobu buchwepheshe bokuzala yinani lemibungu onquma ukuyidlulisa. Eminye imibhangqwana ikhetha ukudlulisa eyodwa kuphela. Ngenkathi umbungu owodwa ungahlukana futhi uphenduke amawele afanayo, lokhu akunakwenzeka kakhulu.

Isimo esinokwenzeka kakhulu maqondana namawele omndeni. Uma udlulisa imibungu emibili (noma ngaphezulu) futhi zombili zitshala ngempumelelo futhi zikhule, amawele (noma ngaphezulu!) Asendleleni.

Izinga lokukhulelwa amawele nge-IVF nemibungu emisha eyeyabesifazane abangaphansi kweminyaka engama-35 nabesifazane abaneminyaka engama-35 kuya kwengama-37. Amathuba ancipha ngeminyaka (ngokungafani nokukhulelwa kwamawele emvelo), njengoba abesifazane abaneminyaka engama-38 kuye kwengama-40 benesilinganiso samawele kuphela. Futhi kulabo abaneminyaka engama-43 nangaphezulu, isilinganiso silungile.

Futhi cabanga ngalokhu: Eminye imibhangqwana ingakhetha ukudlulisa imibungu emibili phakathi ne-IVF. Yisho okukodwa kwaleyo mibungu kuhlukane bese kufakwa konke okuthathu esibelethweni. Umphumela uzoba kathathu - amawele amabili afanayo kanye nengane eyodwa yobuzalwane.

Ungayandisa kanjani izingqinamba zakho

Izinto zokuqala kuqala: Ngaphambi kokuthi uqale uphine ama-nursery amahle amawele ebhodini lakho le-Pinterest, qonda ukuthi ukukhulelwa kwamawele akuhlali kumnandi futhi (imidlalo yokugeza izingane). Ukukhulelwa okuphindaphindwayo kungahle kube nezinkinga ezithile futhi kuzokubeka ngezigaba "zengozi enkulu" nodokotela wakho noma umbelethisi.

Isibonelo, amawele anamathuba aphindwe kalishumi nakabili kunezingane ezizalwa ezizalwe kusenesikhathi. Futhi banamathuba aphindwe ka-16 okuba nesisindo sokuzalwa esiphansi. Akugcini lapho, kepha nabesifazane abathwele amawele basengozini enkulu yokuthola i-preeclampsia kanye nesifo sikashukela sokukhulelwa.

Konke lokhu akusho ukuthi awukwazi ukukhulelwa okunempilo ngokuphelele nezingane ezimbili. Kusho nje ukuthi ungadinga ukuthi ubhekwe ngokusondele kakhulu.

Ngaphandle kwezingozi, izinto eziningi ezandisa amathuba okuba namawele azikho ezandleni zakho. Ngakho-ke ngenkathi ungakhetha ukudla ubisi oluningi namazamu, awukwazi ukushintsha ncamashi ubude bakho, ubuhlanga, noma umlando womndeni wokuzalwa okuningi. Ukuthola isisindo ngenhloso ngaphambi kokukhulelwa akuwona umqondo omuhle futhi.

Futhi uma ubhenka ngokuba nezingane sekwephuzile empilweni ukwandisa amathuba akho okuba namawele, qonda ukuthi ngobudala kuza inzalo encishisiwe kanye namathuba amaningi okungajwayelekile kwe-chromosomal.

Uma usabambelele emcabangweni wezinto ezimbili, ubuchwepheshe bokuzala bungakunika ukulawula kakhulu. Kepha ochwepheshe njengamanje batusa abesifazane abancane ukuthi badlulise umjikelezo ngamunye we-IVF ngomphumela omuhle.

Izidakamizwa ezithuthukisa ama-ovulation ezisetshenziswa zodwa noma nge-IUI zidinga incwadi kadokotela futhi ingahle ibe nezingcuphe ezinkulu, njengethuba eliphakeme le-ovarian hyperstimulation noma i-ectopic pregnancy.

Izidakamizwa nezinqubo ezifana ne-IVF nazo ziyabiza futhi zivame ukubekelwa imibhangqwana etholakale ukuthi ayinayo inzalo. Kwabesifazane abangaphansi kweminyaka engama-35, ukungabi nenzalo kusho ukungakhulelwa ngokuya ocansini ngasikhathi sonyaka. Futhi kwabesifazane abangaphezu kweminyaka engama-35, lesi sikhathi sibekelwe izinyanga eziyisithupha.

Asizami ukuba yiDebbie Downer lapha. Khuluma nodokotela wakho - ikakhulukazi i-endocrinologist yakho yokuzala uma wenza ukwelashwa kokuzala - cishe ngamawele. Bangakutshela nganoma iziphi izingozi ezihambisanayo ezihlukile kuwe futhi uma ukwenza ukudluliswa kombungu okuningi nge-IVF kungaba yindlela.

Ukuthatha

Ngeshwa, alikho iphilisi elikhethekile ongalithatha elizokuqinisekisa ukuthi uzobe ugingqa isitiloli esiphindwe kabili esizungeze indawo yangakini njengomphathi. (Kepha sicabanga ukuthi ungumphathi kungakhathalekile.)

Lokhu akusho ukuthi awukwazi ukuzijabulisa kancane uzama ukwandisa izingqinamba zakho ngokudla ushizi omningi namazambane athosiwe noma weqa iminwe yakho nge-IUI yakho elandelayo.

Ngokuqinisekile kukhona kokubili izingozi nemivuzo ngamawele. Kodwa ngaphambi kokuba ukhathazwe ukuphupha, zama kuqala ukulangazelela ukubona okuphindwe kabili… nolayini esivivinyweni sakho sokukhulelwa. Sithumela uthuli lwezingane!