Ukuguqulwa Kokunqamuka Kokuya Esikhathini: Izinto Eziyi-13 Ofanele Uzazi Ngezindlela Zokwelapha Ezivelayo

-Delile

• 2. Abanye abantu benza ukuvuselelwa kwama-ovari
• 3. Abanye bahlola okuthile okungokwemvelo
• 4. Ucwaningo luphakamisa ukuthi ukukhulelwa kungenzeka ngemuva kokuqala isikhathi
• 5. Futhi mhlawumbe noma usufike esikhathini sokunqamuka kokuya esikhathini
• 6. Lezi zindlela zokwelapha zingabhekana nokungaphezu kokuzala
• 7. Kodwa imiphumela ayihlali unomphela
• 8. Futhi mhlawumbe uzohlangabezana nezimpawu zokunqamuka kokuya esikhathini futhi
• 9. Kunezingozi
• 10. Akukho nokwelashwa okuqinisekisiwe ukuthi kuzosebenza
• 11. Akuwona wonke umuntu ofanelekile
• 12. Izindleko eziphuma ephaketheni zingase zibe semqanseni
• 13. Khuluma nodokotela ukuze ufunde kabanzi

1. Ngabe ukuguqulwa kungenzeka ngempela?

Ucwaningo olusafufusa luveza ukuthi kungaba, okungenani okwesikhashana. Ososayensi babheka izindlela ezimbili zokwelashwa, ukwelashwa kwe-melatonin kanye nokuvuselelwa kwama-ovari. Umuthi ngamunye uhlose ukunciphisa izimpawu zokunqamuka kokuya esikhathini nokuvuselela i-ovulation yemvelo.

Ukucwaninga ngalezi zindlela zokwelapha kusaqala. Nakhu esikwaziyo kuze kube manje nokuthi yini esisadinga ukuyithola ngaphambi kokuba lezi zindlela zokwelapha zitholakale kabanzi.

2. Abanye abantu benza ukuvuselelwa kwama-ovari

Ukuvuselelwa kwama-ovari kuyinqubo eyenziwe ngudokotela wokuzala eGrisi. Ngesikhathi senqubo, odokotela bajova ama-ovari akho nge-platelet-rich plasma (PRP). I-PRP, esetshenziswa kweminye imikhakha yezokwelapha, yisixazululo esigxile kakhulu esisuselwa egazini lakho.

Inqubo isuselwa kulokho okungasiza ku:

• ukuvuselelwa kwezicubu
• ukwenza ngcono ukugeleza kwegazi
• ukunciphisa ukuvuvukala

Umbono uthi nawo ungaguqula izimpawu zokuguga kuma-ovari akho bese wenza kusebenze amaqanda abekade elele ngaphambili.

Ukuhlola lokhu, odokotela eMtholampilo waseGenesis e-Athens benza ucwaningo oluncane nabesifazane abayisishiyagalombili abaseminyakeni yama-40. Ngamunye walaba besifazane ubekade engenasikhathi cishe izinyanga ezinhlanu. Abaphenyi bahlola amazinga abo ama-hormone ekuqaleni kocwaningo futhi njalo ngenyanga ngemuva kwalokho ukuthola ukuthi ama-ovari abo asebenza kahle kangakanani.

Ngemuva kwenyanga eyodwa kuya kwezintathu, bonke ababambiqhaza baqale kabusha izikhathi ezijwayelekile. Odokotela babe sebekwazi ukubuyisa amaqanda avuthiwe ukuze avundiswe.

3. Abanye bahlola okuthile okungokwemvelo

Sekuyiminyaka ngiphenya ukuxhumana phakathi kokunqamuka kokuya esikhathini ne-melatonin. I-Melatonin, i-hormone yokulala, ikhiqizwa ku-pineal gland yakho. kukhombisa ukuthi indlala yapainial iqala ukuncipha njengoba usondela esikhathini sokuya esikhathini.

I-melatonin ibamba iqhaza elibalulekile ekukhiqizeni ama-hormone okuzala. Ngaphandle kwawo, amazinga ama-hormone okuzala aqala ukwehla.

Omunye uthole ukuthi isilinganiso sasebusuku sama-milligram ama-3 we-melatonin sibuyise ukuya esikhathini kwabahlanganyeli abaneminyaka yobudala engama-43 kuye kwengama-49. Laba ababambiqhaza babesesikhathini sokuya esikhathini noma ekunqamukeni kokuya esikhathini. Ayikho imiphumela ebonwe kubahlanganyeli abaneminyaka yobudala engama-50 kuye kwengama-62.

Yize kudingeka olunye ucwaningo, i-melatonin ingaba yindlela yemvelo nephephile yokubambezeleka, noma engaguqula emuva, ukunqamuka kokuya esikhathini.

4. Ucwaningo luphakamisa ukuthi ukukhulelwa kungenzeka ngemuva kokuqala isikhathi

Ukukhulelwa ngesikhathi sokuphela kungaba yinselele, kepha akunakwenzeka. Inqubo efana nokuvuselelwa kwe-ovari ingasiza ukuqala ama-ovari akho ukuqala ukukhipha amaqanda futhi.

Ngesikhathi se-ovulation, ama-follicles avuthiwe kuma-ovari akho aqhuma futhi akhiphe iqanda noma amaqanda. Uma i-perimenopause isiqalile, i-ovulation iba ngaphansi kokungalingani futhi awukhiphi iqanda elisebenzayo njalo ngenyanga. Okubalulekile ukuthi amaqanda akho asabambe amaqanda asebenzayo.

Inqubo yokuvuselela ama-ovari ingasiza ekubuyiseleni noma ekulinganiseni ama-hormone okuzala abhekele ukuvuthwa nokuqhuma kwama-follicles. Lokhu kuzokuvumela ukuthi ukhulelwe ngokwemvelo noma kuvumele odokotela ukuthi bathole iqanda le-in vitro fertilization (IVF).

Ocwaningweni olubukeziwe kontanga kuphela olwenziwe kuze kube manje, abacwaningi bathole ukuthi bonke ababambe iqhaza abane bakhiqize iqanda elikwazi ukukhishwa ukuze livundiswe.

5. Futhi mhlawumbe noma usufike esikhathini sokunqamuka kokuya esikhathini

Iqembu lamazwe omhlaba labaphenyi bemitholampilo - kufaka phakathi odokotela baseGrikhi abaphayonele ukuvuselelwa kwama-ovari kanye neqembu lodokotela baseCalifornia - bebelokhu beqhuba izivivinyo zokwelashwa zakuqala kusukela ngo-2015.

Idatha yabo engashicilelwe ithi, kwabesifazane abangaphezu kwama-60 abaya esikhathini (abaneminyaka engama-45 kuya kwengama-64) abenze le nqubo:

• amaphesenti angaphezu kwama-75 manje anenketho yokukhulelwa, ngokunokwenzeka nge-IVF
• amaphesenti angaphezu kwama-75 abone amazinga awo ama-hormone ebuyela emazingeni obusha
• abayisishiyagalolunye sebekhulelwe
• ababili baye bazalwa bukhoma

Le datha ingeyokuqala futhi izilingo ezinkulu ezilawulwa nge-placebo ziyadingeka ngaphambi kokwenza noma iziphi iziphetho mayelana nokusebenza kokwelashwa.

6. Lezi zindlela zokwelapha zingabhekana nokungaphezu kokuzala

Izilingo zomtholampilo zithole isilinganiso sasebusuku se-melatonin singanciphisa imizwa yokudangala futhi sithuthukise imizwa yonke yabesifazane abase menopause. Le ndlela yokwelashwa ingahle ifanele umuntu obheke ukunciphisa izimpawu zokunqamuka kokuya esikhathini kunokuba abuyisele ukuzala.

I-Melatonin ingaphinde ibe nemiphumela yokuvikela kwabesifazane asebekhulile ngokumelene neminye imidlavuza - kufaka phakathi umdlavuza webele - kanye nokuphazamiseka okuthile komzimba. Kubuye kuboniswe ukuthuthukisa amasosha omzimba.

7. Kodwa imiphumela ayihlali unomphela

Yize imininingwane ephathelene nempilo ende yalezi zindlela zokwelapha ilinganiselwe ngokweqile, kucace bha ukuthi imiphumela ayihlali unomphela. I-Inovium, iqembu lamazwe omhlaba elenza izivivinyo zokwelashwa kusenesikhathi ekuvuseleleni ama-ovari, ngokusobala ithi ukwelashwa kwabo kuhlala, "isikhathi esigcwele sokukhulelwa nangale kwalokho."

Ukwelashwa kweMelatonin kufakazelwe ukuthi kuyasebenza uma kuqhathaniswa nezimo eziningi ezihlobene nobudala kwabesifazane abase-postmenopausal. Yize ingeke ikugcine uvundile ingunaphakade, ingahle isebenze njengesivikelo sesikhathi eside ezimeni ezithile zezempilo ezihlobene nobudala.

8. Futhi mhlawumbe uzohlangabezana nezimpawu zokunqamuka kokuya esikhathini futhi

Ayikho idatha eyanele yokwazi ukuthi imiphumela yokuvuselelwa kwama-ovari izohlala isikhathi esingakanani.

Odokotela eqenjini le-Inovium bakhuluma ngamacala ambalwa abesifazane asebekhulile ababuya bezothola ukwelashwa kwesibili. Lokhu kuphakamisa ukuthi inqubo yokuvuselela ama-ovari ingavimbela kuphela izimpawu okwesikhashana. Lapho ukwelashwa kuyeka ukusebenza, izimpawu zizobuya.

I-Melatonin ingasiza ekunciphiseni izimpawu zokunqamuka kokuya esikhathini ngesikhathi soshintsho lwakho. Ayikho idatha ephakamisa ukuthi izimpawu zibuyela emuva emuva uma uyeka ukuthatha izithasiselo.

9. Kunezingozi

Ukwelashwa kokuvuselelwa kwe-ovari kuhilela ukujova i-PRP kuma-ovari akho. Yize i-PRP yenziwe ngegazi lakho, isengaba nezingozi ezihambisana nayo. Iningi lemijovo ye-PRP ikhombisa ukuthi kuphephile ukuyisebenzisa, kepha izifundo bezincane futhi zilinganiselwe. Imiphumela yesikhathi eside ayikahlolwa.

Abanye abacwaningi bayabuza ukuthi ukujova i-PRP endaweni enendawo kungaba nemiphumela yokukhuthaza umdlavuza.

Ngokusho kwe-, izithasiselo ze-melatonin zibukeka ziphephile ekusetshenzisweni kwesikhashana, kepha ayikho idatha eyanele yokwenza isinqumo ngokusetshenziswa kwesikhathi eside. Ngenxa yokuthi i-hormone eyenzeka ngokwemvelo, abantu abaningi babekezelela kahle i-melatonin.

Lapho imiphumela emibi yenzeka, ingafaka:

• isiyezi
• ukozela
• ikhanda
• isicanucanu

10. Akukho nokwelashwa okuqinisekisiwe ukuthi kuzosebenza

Imininingwane engashicilelwe evela eqenjini le-Inovium ibhala ulwazi lwabo lokwelapha abesifazane abangama-27 ababhekene nokunqamuka kokuya esikhathini. Imiphumela yalezi zinqubo zokuvuselela ama-ovari ayithembisi kangako kunedatha yangaphambilini ebikuwebhusayithi yabo.

Yize amaphesenti angama-40 - noma abayi-11 kwabangu-27 ababambe iqhaza - baqala ukuya esikhathini futhi, mabili kuphela akhiqiza iqanda elinempilo elizokhishwa. Futhi kukhulelwe oyedwa kuphela.

Ukukhulelwa kuba nzima ngokwengeziwe ngeminyaka. Kwabesifazane asebekhulile, ukukhulelwa kulahleka kalula ngenxa yokungajwayelekile kwe-chromosomal embungwini.

Abesifazane abangaphezu kweminyaka engama-40 nabo baningi ukuhlangabezana nezinkinga zokukhulelwa, njenge:

• preeclampsia
• isifo sikashukela sokukhulelwa
• Ukulethwa kokuhlinzwa (isigaba se-C)
• ukuzalwa kwangaphambi kokubeletha
• isisindo sokuzalwa esiphansi

11. Akuwona wonke umuntu ofanelekile

Iningi labantu likulungele ukuqala ukwelashwa kwe-melatonin. IMelatonin itholakala ngaphandle kwencwadi kadokotela, noma ngabe kuwumqondo omuhle njalo ukuxoxa ngezithako ezintsha nodokotela.

Ukuvuselelwa kwama-ovari manje sekutholakala emitholampilo eminingi yokuzala e-United States. Iningi labantu abanempilo enhle ngama-ovari asebenzayo bayayifanelekela le nqubo yokukhetha. Kodwa izindleko zingaba semqansa, futhi azikhokhelwa umshwalense.

Ukuhlolwa komtholampilo kwesinye isikhathi kungavumela ukwelashwa okungabizi kakhulu. Ngeshwa, ukuhlolwa kwemitholampilo akwenzeki ngaso sonke isikhathi, futhi uma kwenzeka, bangathola kuphela inani elincane leziguli. Izilingo nazo zinemigomo ethile yokuqashwa, njengokuba ngaphezu kweminyaka engama-35 noma ikhono lokuthola ukwelashwa kwe-IVF emtholampilo ongaphandle kwedolobha.

12. Izindleko eziphuma ephaketheni zingase zibe semqanseni

Uma ihlanganiswe ne-IVF, enconywayo lapho izama ukukhulelwa ngemuva kokuvuselelwa kwe-ovari, izindleko ezingaphandle kwezikhwama ziphakeme.

Izindleko zokuvuselelwa kwe-ovari kuphela zizungeze u- $ 5,000 kuya ku- $ 8,000. Uzodinga futhi ukubhekana nokuhamba. Umjikelezo owodwa we-IVF ungangeza amanye ama- $ 25,000 kuya ku- $ 30,000 kwisikweletu.

Ukuvuselelwa kwama-ovari kubhekwa njengokwelashwa kokuhlola, ngakho-ke izinkampani eziningi zomshuwalense ngeke zikufihle. Uma inkampani yakho yomshuwalense ihlanganisa i-IVF, lokho kungasiza ekwehliseni izindleko.

13. Khuluma nodokotela ukuze ufunde kabanzi

Uma unezimpawu zokunqamuka kokuya esikhathini noma uzibuza ukuthi kusenokwenzeka yini ukuthi ukhulelwe, khuluma nodokotela wakho. Ungahle uthathe isinqumo sokuhamba ngomzila wemvelo nge-melatonin noma i-hormone replacement therapy esikhundleni sokuvuselelwa kwama-ovari.