Ucwaningo Luthi Inani Lamaqanda Ezingovini Zakho Alihlangene Namathuba Akho Wokukhulelwa

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Ukuhlolwa kokuzala kuye kwanda njengoba abesifazane abaningi bezama ukuthola izingane ezineminyaka engama-30 nengama-40 lapho ukuzala kuqala ukwehla. Olunye lwezivivinyo ezisetshenziswa kakhulu ukukala ukuzala kuhilela ukukala indawo yakho yokugcina ama-ovari, enquma ukuthi ushiye amaqanda amangaki. (Okuhlobene: Ukwelashwa Kwemvelo Kungakhulisa Ukuzala Nokusiza Ekukhulelweni)

Isikhumbuzi: Uzalwa nesethi yenombolo yamaqanda akhululwa phakathi nomjikelezo wakho wokuya esikhathini njalo ngenyanga. Ukunquma inani eliqondile lamaqanda esibelethweni sowesifazane kube yimethrikhi ebalulekile ekunqumeni amandla okuzala. Amaqanda amaningi, amathuba amaningi okukhulelwa, akunjalo?

Hhayi ngokocwaningo olusha olushicilelwe ku- Ijenali ye-American Medical Association (JAMA), eyaphetha ngokuthi i inombolo amaqanda onawo endaweni yakho yokugcina ama-ovari awakwazi ukunquma ngokunembile izinga lakho lokuzala. Yi- ikhwalithi yamaqanda abaluleke ngempela-futhi njengamanje, azikho izivivinyo eziningi laphaya ukunquma lokho.

Ocwaningweni, abacwaningi banqume izindawo zokugcina ama-ovarian zabesifazane abangama-750 abasukela eminyakeni engama-30 kuye kwengama-44 abangenawo umlando wokuzala, base bebabeka ezigabeni ezimbili: labo abanesibeletho esinciphile sama-ovarian reserve kanye nalabo abane-ovarian reserve evamile.

Lapho abacwaningi belandelana nalaba besifazane ngemva konyaka, bathola ukuthi abesifazane abane-ovarian reserve enciphile basethubeni elihle lokukhulelwa njengabesifazane abane-ovarian reserve evamile. Ngamanye amagama, abatholanga ukuhlangana phakathi kwenani lamaqanda kumaqanda esifazane kanye nokukwazi kwakhe ukukhulelwa.

"Ukuba nesibalo samaqanda okuphezulu ngeke kwandise amathuba akho okuba namaqanda avundile," kusho u-Eldon Schriock, M.D., udokotela ohlinza iziqu zokubelethisa, udokotela wezifo zabesifazane, nodokotela we-endocrinologist ovela ku-Prelude Fertility. (Okuhlobene: Le Ndlela Yokulala Ingalimaza Amathuba Akho Okukhulelwa)

Izinga leqanda linqunywa ukuthi lingaba yini umbungu futhi lifakwe esibelethweni, kuchaza uDkt.Schriock. Ukuthi owesifazane uya esikhathini akusho ukuthi unezinga eliphezulu ngokwanele leqanda eliholela ekukhulelweni.

Kubalulekile futhi ukuqaphela ukuthi iqanda elinekhwalithi embi lingakhulelwa, kepha owesifazane akayithwali isikhathi sokukhulelwa isikhathi esigcwele. Lokhu kungenxa yokuthi iqanda lingase lingakwazi ukugxilisa, futhi noma lifaka, cishe ngeke likhule ngendlela efanele. (Okuhlobene: Ungalinda Isikhathi Eside Kangakanani Ukuba Nengane?)

Inkinga ukuthi, okuwukuphela kwendlela yokuhlola ikhwalithi yamaqanda iwukuvundisa nge-in vitro (IVF). "Ngokuhlola ngokucophelela amaqanda nemibungu, singathola imikhondo yokuthi kungani ukukhulelwa kungazange kwenzeke ngaphambili," kusho uDkt. Schriock. Ngenkathi eminye imibhangqwana ikhetha ukuhamba ngale ndlela, ochwepheshe abaningi bezenzalo bakholelwa ukuthi iminyaka yowesifazane iyisibikezelo esinembe kakhulu sokuthi mangaki amaqanda asezingeni okungenzeka abe nawo.

"Uma uvundile kakhulu uneminyaka engama-25, mhlawumbe iqanda elilodwa kwamathathu lisezingeni eliphezulu," kusho uDkt. Schriock. "Kodwa ukuzala kwehla ngesigamu lapho usuneminyaka engama-38, kukushiye unamathuba angamaphesenti ayi-15 okukhulelwa ngokwemvelo njalo ngenyanga. Ingxenye yabo bonke abesifazane iphelelwa amaqanda avundile lapho beneminyaka engama-42, lapho bazodinga amaqanda abanikeli uma bezama ukukhulelwa. " (Okuhlobene: Ingabe Izindleko Eziphezulu ze-IVF Yabesifazane BaseMelika Zidinga Ngempela?)

Izindaba ezinhle ukuthi abesifazane abane-ovarian reserve ephansi basengakwazi ukukhulelwa ngokwemvelo. Ngaphambi kwalokho, abesifazane abanesikhala esinciphile se-ovarian bavame ukubheka ukubanda amaqanda abo noma bazithole begijimela ukukhulelwa. Manje okungenani siyazi ukuthi ukwenza le miphumela kungahle kudukiswe. Kunoma ikuphi, uma ngabe ubukade uzama ukukhulelwa isikhashana ungaphumeleli, kungcono ukufinyelela isazi sokuzala ukuthola uhlelo lwakho oluhle kakhulu lwezenzo.

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