Amathiphu okuthi Ungawathola Kanjani Amawele

-Delile

• Isingeniso
• Ungawakhulelwa kanjani amawele ane-in vitro fertilization (IVF)
• Ungawakhulelwa kanjani amawele anezidakamizwa zokuzala
• Ngabe umlando womndeni uyawenyusa amathuba akho okuba namawele?
• Ingabe ubuzwe bakho buyathonya uma uzoba namawele?
• Amathuba okuba namawele ngemuva kwama-30
• Ngabe abesifazane abade noma abakhuluphele ngokweqile banamathuba amaningi okuba namawele?
• Ngabe uzokhulelwa amawele uma uthatha izithasiselo?
• Ngabe uzokhulelwa amawele uma uncelisa ibele?
• Ngabe ukudla kwakho kuzothinta uma uneziphindaphindo?
• Kuvame kangakanani ukuba namawele / ukuphindaphinda?
• Izinyathelo ezilandelayo
• Q:
• A:

Sifaka imikhiqizo esicabanga ukuthi ilusizo kubafundi bethu. Uma uthenga ngezixhumanisi ezikuleli khasi, singathola ikhomishini encane. Nansi inqubo yethu.

Sifaka imikhiqizo esicabanga ukuthi ilusizo kubafundi bethu. Uma uthenga ngezixhumanisi ezikuleli khasi, singathola ikhomishini encane. Nansi inqubo yethu.

Isingeniso

Abesifazane namuhla balinde isikhathi eside ukuqala imindeni. Ukusetshenziswa kwemithi yokwelapha ukungazali nakho kukhuphukile ngokuhamba kwesikhathi, kukhulisa amathuba okuzala okuningi.

Ngenxa yalokho, ukuzalwa kwamawele kuvame kakhulu namuhla kunanini ngaphambili.

Uma ufuna ukukhulelwa amawele, ayikho indlela eqinisekile yomlilo. Kepha kunezici ezithile zofuzo kanye nokwelashwa okungenza lokhu kwenzeke.

Ungawakhulelwa kanjani amawele ane-in vitro fertilization (IVF)

In vitro fertilization (IVF) wuhlobo olulodwa lobuchwepheshe obusizwayo bokuzala (i-ART). Kubandakanya ukusebenzisa ukungenelela kwezokwelapha ukuze ukhulelwe. Abesifazane abasebenzisa i-IVF bangahle banikezwe nemithi yokuzala ngaphambi kwenqubo yokwandisa amathuba abo okukhulelwa.

Kwi-IVF, amaqanda abesifazane kanye nesidoda sowesilisa kuyasuswa ngaphambi kokuba kuvundiswe. Bese behlanganiswa ndawonye esitsheni se-laboratory lapho kwakhiwa khona umbungu.

Ngenqubo yezokwelapha, odokotela bafaka umbungu esibelethweni sowesifazane lapho ngethemba lokuthi uzotshala futhi ukhule khona. Ukukhulisa amathuba okuthi umbungu uzobamba esibelethweni, kungafakwa ngaphezulu kweyodwa ngesikhathi se-IVF. Lokhu kuphakamisa amathuba okuba namawele.

Ungawakhulelwa kanjani amawele anezidakamizwa zokuzala

Imithi eklanyelwe ukukhulisa ukuzala ngokuvamile isebenza ngokukhulisa inani lamaqanda akhiqizwa kumaqanda esifazane. Uma kukhiqizwa amaqanda amaningi, futhi kungenzeka ukuthi angaphezu kwelilodwa angakhishwa futhi avundiswe. Lokhu kwenzeka ngasikhathi sinye, kubangele amawele omndeni.

I-Clomiphene ne-gonadotropin yizidakamizwa ezisetshenziswa kakhulu zokuzala ezingakhuphula amathuba akho okuba namawele.

I-Clomiphene ngumuthi otholakala kuphela ngemithi kadokotela. E-United States, amagama ezimpawu zomuthi yiClomid neSerophene. Isidakamizwa sithathwa ngomlomo, futhi umthamo uzoya ngezidingo zomuntu ngamunye. Isebenza ngokuvuselela ama-hormone omzimba ukudala i-ovulation.Ucwaningo lukhombisile ukuthi abesifazane abasebenzisa lesi sidakamizwa ekwelashweni kokuzala banamathuba amaningi okuba namawele kunalawo angenawo.

Ama-gonadotropin achaza uhlobo lomuthi wokuzala onikezwa ngomjovo. I-hormone evuselela i-follicle (FSH) inikezwa yodwa noma ihlanganiswe ne-luteinizing hormone (LH).

Womabili la mahomoni enziwa ngokwemvelo ubuchopho futhi atshela amaqanda ukuba akhiqize iqanda elilodwa inyanga ngayinye. Uma unikezwa njengomjovo, i-FSH (nge-LH noma ngaphandle kwayo) itshela ama-ovari ukuthi akhiqize amaqanda amaningi. Ngoba umzimba wenza amaqanda amaningi, kunethuba eliphakeme lokuthi angaphezu kwelilodwa azokhulelwa.

I-American Society for Reproductive Medicine ilinganisela ukuthi ukukhulelwa okungafika emaphesentini angama-30 okwenzeka ngenkathi kusetshenziswa ama-gonadotropin kubangela amawele noma ukuphindaphindeka.

Yomibili le mithi ibhekwa njengephephile futhi esebenzayo. Kepha njenganoma imuphi umuthi, kunezingozi ezingaba khona kanye nemiphumela emibi ehambisana nokusebenzisa imishanguzo yokuzala.

Ngabe umlando womndeni uyawenyusa amathuba akho okuba namawele?

Uma nobabili nomlingani wakho ninomlando wokuphindaphinda emndenini, amathuba akho okukhulelwa amawele aphezulu. Lokhu kunjalo ikakhulukazi kwabesifazane abanamawele omndeni emndenini wabo. Lokho kungenxa yokuthi maningi amathuba okuthi bazuze ufuzo olubenza badedele amaqanda angaphezu kwelilodwa ngasikhathi.

Ngokwe-The American Society for Reproductive Medicine, abesifazane abangamawele omndeni uqobo banethuba elilodwa kwabangu-60 lokuba namawele abo. Abesilisa abangamawele omndeni banethuba elilodwa ku-125 lokuzala amawele.

Ingabe ubuzwe bakho buyathonya uma uzoba namawele?

Olunye ucwaningo lukhombisile ukuthi ukwehluka kwesizinda sobuzwe kungathinta amathuba akho okuba namawele. Isibonelo, abesifazane abamhlophe nabangewona abaseSpain abanamathuba amaningi okuba namawele kunabesifazane baseSpain.

Abesifazane baseNigeria banesilinganiso esiphakeme kakhulu sokuzalwa kwamawele, kanti abesifazane baseJapan banabaphansi kakhulu.

Amathuba okuba namawele ngemuva kwama-30

Abesifazane abaneminyaka engaphezu kwengama-30 - ikakhulukazi abesifazane abaneminyaka engaphezu kwengu-30 ubudala - banethuba elikhulu lokuba namawele. Lokho kungenxa yokuthi maningi amathuba okuthi akhulule iqanda elingaphezu kwelilodwa ngesikhathi sokuvuthwa kunabesifazane abasebasha.

Omama abaphakathi kweminyaka engama-35 nengama-40 asebevele babeletha banethuba eliphakeme kakhulu lokukhulelwa amawele.

Ngabe abesifazane abade noma abakhuluphele ngokweqile banamathuba amaningi okuba namawele?

Amawele omndeni ajwayelekile kakhulu kwabesifazane abakhulu. Lokhu kungasho ukuphakama kanye / noma ukukhuluphala ngokweqile. Ochwepheshe abaqiniseki ukuthi kungani lokhu kunjalo, kodwa basola ukuthi kungenzeka ngoba laba besifazane bathatha izakhamzimba eziningi kunabesifazane abancane.

Ngabe uzokhulelwa amawele uma uthatha izithasiselo?

I-Folic acid ivithamini B. Odokotela abaningi batusa ukuyithatha ngaphambi nangesikhathi sokukhulelwa ukunciphisa ubungozi bokukhubazeka kwe-neural tube njenge-spina bifida. Ngaphambi kokukhulelwa, odokotela bancoma ukuthatha cishe ama-micrograms angu-400 e-folic acid ngosuku futhi balikhulise leli nani libe ngama-micrograms angama-600 ngesikhathi sokukhulelwa.

Kube nezifundo ezincane eziphakamisa ukuthi i-folic acid ingakhuphula amathuba okukhulelwa ukuphindaphindwa. Kepha azikho izifundo ezinkulu zokuqinisekisa ukuthi lokhu kukhulisa amathuba akho okuphindaphindeka. Uma uzama ukukhulelwa, ukuthatha i-folic acid kuzosiza ukuvikela ukukhula kwengqondo yengane yakho.

Ngabe uzokhulelwa amawele uma uncelisa ibele?

Ngo-2006, kwashicilelwa ucwaningo kuyi- Journal of Reproductive Medicine eyathola ukuthi abesifazane ababencelisa ibele futhi bakhulelwa babenamathuba amaningi okukhulelwa amawele. Kepha azikho izifundo ezingeziwe zokuxhasa lolu lwazi. Ngenxa yalesi sizathu, ukuncelisa ibele akubhekwa njengesici esandisa amathuba akho okukhulelwa amawele.

Ngabe ukudla kwakho kuzothinta uma uneziphindaphindo?

Ukusesha kwe-inthanethi okusheshayo kuveza "amakhambi asekhaya" amaningi neziphakamiso zokudla zokukhulelwa amawele. Ukudla okunempilo kungakusiza ukhule ingane ngemuva kokukhulelwa. Kodwa-ke, ukudla ukudla okuthile akusho ukuthi uzoba nokuphindaphindeka.

Kuvame kangakanani ukuba namawele / ukuphindaphinda?

Izinga lokuzalwa kwamawele e-United States lenyuke ngaphezu kuka-1980 laya ku-2009. Kulinganiselwa ukuthi amaphesenti ama-3 wabesifazane abakhulelwe baphatha ama-multiplics e-United States unyaka nonyaka.

I-American Society for Reproductive Medicine ibika ukuthi amawele ayenzeka ngokwemvelo cishe ekukhulelweni okukodwa kokungu-250. Izinga liphakeme kakhulu kwabesifazane abathola ukwelashwa kokuzala. Ngokusho kwe-American Society for Reproductive Medicine, cishe ukukhulelwa okukodwa kokuthathu kokunakekelwa kokuzala kuzoba yiziphindaphindo.

Izinyathelo ezilandelayo

Ukukhulelwa okunamawele nokuphindaphindwa kubhekwa njengengozi enkulu kunokukhulelwa okukodwa. Uma ukhulelwa amawele, uzodinga ukuvakashelwa kaningi odokotela ukuze ubhekwe ngeso lokhozi.

Q:

Inganekwane noma iqiniso: Ungakwazi yini ukukhulelwa amawele ngokwemvelo?

A:

Ngenkathi owesifazane esengozini yokukhulelwa amawele uma esebenzisa imishanguzo yokuzala kanye nezinye izindlela zokusiza zokukhiqiza, kukhona nabesifazane abaningi abakhulelwa amawele ngokwemvelo. Izici ezingakhuphula amathuba okuthi owesifazane akhulelwe amawele afaka phakathi ukukhulelwa ngemuva kweminyaka yobudala engama-30 kanye / noma ukuba nomlando womndeni wamawele. Kepha abesifazane abaningi bakhulelwa amawele ngaphandle kwalezi zinto.