Ukwelapha Ngomzimba Kungakhuphula Ukuzala Nosizo Ekukhulelweni
-Delile
Ukungatholi inzalo kungaba ngenye yezinkinga ezibuhlungu kakhulu kwezokwelapha owesifazane angabhekana nazo. Kunzima ngokomzimba, kunezimbangela eziningi ezingaba khona kanye nezixazululo ezimbalwa, kodwa futhi kuyalimaza ngokomzwelo, njengoba uvame ukungakutholi uze ubeke amathemba akho okuthola umntwana. Futhi ngamaphesenti angu-11 abesifazane baseMelika abahlushwa ubunyumba kanye nabesifazane abayizigidi ezingu-7.4 abafuna ukwelashwa okumba eqolo njengokuvundisa nge-in-vitro, kungenye yezindleko ezinkulu zokunakekelwa kwezempilo ezweni. Umphakathi wezokwelapha wenze intuthuko enkulu, kodwa ngisho nobuchwepheshe obuthuthukile njenge-IVF buba namaphesenti angama-20 kuye kwangama-30 kuphela izinga lempumelelo naphezu kwenani eliphakeme lentengo.
Kodwa ucwaningo olusha lubonisa isithembiso ekusizeni ekwelapheni inzalo kusetshenziswa indlela yokwelapha ekhethekile engabizi nje kuphela, kodwa futhi engahlaseleki futhi elula kuneningi lezinqubo zesintu. (Izinganekwane Zokuzala: Ukuhlukanisa Iqiniso Nenganekwane.)
Ucwaningo, lushicilelwe ephephabhukwini Ezinye Izindlela Zokwelapha, ubheke abesifazane abangaphezu kwe-1,300 abahlushwa izimbangela ezintathu eziyinhloko zokuzala: ubuhlungu ngesikhathi socansi, ukungalingani kwamahomoni, nokunamathela. Bathola ukuthi ngemuva kokuthola ukwelashwa ngokomzimba, abesifazane bathola impumelelo engamaphesenti angama-40 kuye kwangama-60 ekukhulelweni (ngokuya ngesizathu esiyimbangela yokungabatholi abantwana). Ukwelashwa kuhlomule ikakhulukazi abesifazane abanamashubhu we-fallopian avinjiwe (amaphesenti angama-60 akhulelwa), i-polycystic ovarian syndrome (amaphesenti angama-53), amazinga aphezulu we-follicle evuselela i-hormone, inkomba yokwehluleka kwe-ovari, (amaphesenti angama-40), ne-endometriosis (amaphesenti angama-43). Lokhu kwelashwa okukhethekile ngokomzimba kuye kwasiza iziguli ezenza i-IVF zikhuphule amazinga azo empumelelo afinyelele kumaphesenti angama-56 ngisho namaphesenti angama-83 kwezinye izimo, njengoba kuboniswe ocwaningweni oluhlukile. (Thola Konke Odinga Ukukwazi Ngokuqandisa Amaqanda.)
Lena akuyona i-PT yakho evamile.Indlela ekhethekile yokwelashwa ngokomzimba inciphisa ukunamathela, noma izibazi zangaphakathi ezenzeka noma kuphi lapho umzimba uphulukiswa khona ekutheleleni, ukuvuvukala, ukuhlinzwa, ukuhlukumezeka noma i-endometriosis (isimo lapho ulwelwesi lwesibeletho lukhula ngaphandle kwesibeletho), kusho uLarry Wurn, umbhali oholayo kanye nokubhucungwa owelapha owasungula inqubo esetshenziswe esifundweni. Lokhu kunamathela kusebenza njengeglu yangaphakathi futhi kungavimba amashubhu e-fallopian, kuvale ama-ovari ukuze amaqanda angakwazi ukuphunyuka, noma akhe ezindongeni zesibeletho, kunciphise ithuba lokufakelwa. "Izakhiwo zokuzala zidinga ukuhamba ukuze zisebenze ngendlela efanele. Lokhu kwelashwa kususa ukunamathela okufana neglue okuhlanganisa izakhiwo, "uyanezela.
Indlela efanayo esetshenziswa kakhulu abelaphi bomzimba be-niche ibizwa nge-Mercier technique, kusho uDana Sackar, oyilungu le-American Academy of Fertility Care Professionals futhi ongumnikazi we-Flourish Physical Therapy, umtholampilo ozinze e-Chicago ogxile ekwelapheni ngokomzimba ukuze bathole inzalo. Ngesikhathi sokwelashwa, umelaphi usebenzisa izitho ze-visceral ze-pelvic engaphandle-inqubo u-Sackar athi ayibuhlungu kakhulu, kodwa ayiyona neze i-spa yokwelapha.
Ngakho-ke ukusunduza isisu sowesifazane kusiza kanjani ekukhuliseni amathuba akhe okwenza umntwana? Ngokuyinhloko ngokwandisa ukugeleza kwegazi nokuhamba. "Isibeletho esinezikhala ezingekho kahle, amaqanda avinjelwe, izicubu ezibomvu, noma i-endometriosis, konke kunganciphisa ukugeleza kwegazi kuya ezithweni zokuzala, kunciphise ukuzala," kuchaza uSackar. Ngokubeka kabusha izitho kanye nokuphula izicubu zesibazi, ukugeleza kwegazi kuyenyuka, athi, akwenzi nje isimiso sakho sokuzala sibe nempilo, kodwa futhi kusiza umzimba wakho ukuba ulinganise amahomoni awo ngokwemvelo. "Kulungisa okhalo lwakho nezitho zakho ukuze zisebenze kahle, kufana nokuthi uwenza kanjani ama-run wokuzivocavoca ukulungiselela umzimba wakho ukuba ugijime umncintiswano," uyanezela.
Lezi zindlela zokwelapha zisiza futhi ukuzala ngokubhekana nezithiyo zomzwelo, njengoba abelaphi besebenza eduze neziguli ukuze babhekane nezidingo ezingokwengqondo nezomzimba. "Ukuhlupheka ngenxa yokungazali kucindezela kakhulu, ngakho-ke noma yini esingayenza ukuze sisize ukunciphisa lokho kucindezeleka kuhle futhi. Ukuxhumana kwengqondo nomzimba kungokoqobo kakhulu futhi kubaluleke kakhulu, "kusho u-Sackar. (Eqinisweni, Ukucindezeleka Kungase Kube Nengozi Ephindwe Kabili Yokungazali.)
Ngoba akuyona eyokuhlasela futhi engabizi kakhulu, uSackar uncoma ukuzama ukwelashwa ngokomzimba ngaphambi kokunye ukwelashwa kokuzala. Uthi usebenzisana kakhulu nama-OBGYN eziguli nabanye ochwepheshe bezenzalo, esebenzisa le ndlela yokwelapha ukuthuthukisa izindlela zabo zokwelashwa. Ezinye izindlela zokwelashwa kwesinye isikhathi zingathola i-rap embi, yingakho uSackar ecabanga ukuthi izifundo zesayensi ezinjengalezi zibaluleke kakhulu. "Akudingeki ukuthi kube yisimo / noma isimo-lezi zinhlobo ezimbili zemithi zingasebenzisana," esho.
Ekupheleni kosuku, wonke umuntu ufuna into efanayo-ukukhulelwa okuphumelelayo kanye nomama ojabulayo, onempilo (futhi okungcono ongasho lutho). Ngakho-ke kufanelekile ukuzama izinketho ezahlukahlukene ukukufeza lokho. "Abanye besifazane bayakwazi ukushaya iminwe yabo futhi bakhulelwe kanjalo," kusho uSackar. "Kodwa abesifazane abaningi badinga isimo esikahle ukuze bakhulelwe futhi lokho kungathatha umsebenzi. Ngakho yilokho esikwenzayo ngalokhu kwelashwa ngokomzimba, siyabasiza ukuthi bafinyelele kulelo phuzu."