Kuyini Ukungazali Kwesibili, Futhi Yini Ongayenza Ngayo?

-Delile

• Kuyini Ukungazali Kwesibili?
• Yini Ebangela Ukungazali Kwesibili?
• Ukuphatha Kanjani Ukungazali?
• Ungabhekana Kanjani Nenkinga Yokuzala?
• Buyekeza kwe-

Akuyona imfihlo ukuthi ukuzala kungaba inqubo ekhohlisayo. Ngezinye izikhathi ukungakwazi ukukhulelwa kuhlobene nezindaba eziphathelene ne-ovulation kanye nekhwalithi yeqanda noma isibalo esiphansi sesidoda, futhi ngezinye izikhathi kubonakala sengathi ayikho nhlobo incazelo. Noma ngabe iyini imbangela, ngokwe-CDC, kulinganiselwa ukuthi amaphesenti ayi-12 wabesifazane e-United States abaneminyaka ephakathi kuka-15-44 banenkinga yokukhulelwa noma ukuhlala bekhulelwe.

Kuyini Ukungazali Kwesibili?

Noma kunjalo, mhlawumbe ungomunye walabo bantu abanenhlanhla abakhulelwa okokuqala, noma ezinyangeni ezimbalwa. Konke kuhamba kahle uze uqale ukuzama ingane yesibili… futhi kungenzeki lutho. Ukungabi nenzalo kwesibili, noma ukwehluleka ukukhulelwa ngemuva kokukhulelwa kalula ingane yokuqala, akuxoxwa njengokuvumba okuyinhloko — kepha kuthinta abesifazane abalinganiselwa ezigidini ezintathu e-US (Okuhlobene: Abesifazane Basebenzisa Izinkomishi Zesikhathi Sokukhulelwa Ngokushesha futhi Kungasebenza)

“Ukungabi nanzalo okwesibili kungakhungathekisa kakhulu futhi kudide umbhangqwana owakhulelwa ngokushesha esikhathini esidlule,” kusho uJessica Rubin, i-ob-gyn ezinze eNew York. "Ngihlale ngikhumbuza iziguli zami ukuthi kungathatha umbhangqwana ojwayelekile, onempilo unyaka ogcwele ukuze ukhulelwe, ngakho-ke ungasebenzisi isikhathi esazama ukukhulelwa ngaphambilini njenge-yardstick, ikakhulukazi uma kuyizinyanga ezintathu noma ngaphansi."

Yini Ebangela Ukungazali Kwesibili?

Noma kunjalo, abesifazane abaningi kuyaqondakala ukuthi bafuna ukwazi ukuthi kungani ukungabi nenzalo kwesibili kwenzeka kwasekuqaleni. Mhlawumbe akumangalisi ukuthi isici esiyinhloko iminyaka yobudala, ngokusho kwesazi se-endocrinologist yokuzala u-Jane Frederick, MD "Ngokuvamile abesifazane baba nengane yabo yesibili lapho sebekhulile. Uma ususondele eminyakeni engu-30 noma ekuqaleni kuka-40s, ubuningi kanye nekhwalithi yamaqanda akuyona " t njengoba kwakunjalo ngeminyaka yama-20s noma ekuqaleni kwawo-30s. Ngakho ikhwalithi yamaqanda yinto yokuqala engizoyihlola."

Vele, ukungabi nenzalo akuyona inkinga yabesifazane kuphela: ukubalwa kwesidoda nokucwilisa ikhwalithi ngobudala, futhi, futhi amaphesenti angama-40-50 wamacala angabangelwa ukungabi nenzalo kwabesilisa. Ngakho-ke, uDkt. Frederick uphakamisa ukuthi uma izithandani zinenkinga, ukuqinisekisa ukuthi nawe uhlaziya isidoda, futhi.

Enye imbangela yokungatholi inzalo yesibili ukulimala kwesibeletho noma amashubhu e-fallopian. "Ngenza into ebizwa nge-HSG test ukubheka lokhu," kusho uFrederick. "Yi-X-ray, futhi iveza isibeletho namashubhu e-fallopian ukuze kuqinisekiswe ukuthi akukho lutho olungalungile ngawo. Isibonelo, ngemva kwe-C-section, izibazi zingavimbela ingane yesibili ukuba ifike."

Ukuphatha Kanjani Ukungazali?

Imithetho ezungeze ukuthi uzobona nini uchwepheshe wezokuzala iyefana ngokungabi nenzalo kwesibili njengoba kwenzelwa ukungabi nenzalo eyinhloko: Uma ungaphansi kweminyaka engama-35 kufanele uzame unyaka, ngaphezulu kwama-35 kufanele uzame izinyanga eziyisithupha, futhi uma usuphelile 40, kufanele ubone uchwepheshe ngokushesha okukhulu.

Ngenhlanhla, kunezindlela eziningi zokwelashwa ezitholakalayo zombhangqwana onenkinga yokungabi nenzalo eyinhloko. Uma lolu daba luyikhwalithi yesidoda, uFrederick angakhuthaza amadoda ukuthi enze ushintsho endleleni yokuphila. "Ukubhema, ukuqhuma, ukusebenzisa insangu, ukuphuza utshwala ngokweqile, nokukhuluphala konke lokhu kungathinta ukubala kwesidoda nokushukumiseka," esho. "Ukuchitha isikhathi esiningi kubhavu oshisayo nakho. Ukungatholi abantwana kwabesilisa kuyelapheka, ngakho ngiyaqinisekisa ukuthi ngibuza amadoda imibuzo efanele futhi ngithole ukuthi kwenzekani ngohlelo lwabo lokudla nokuzivocavoca." (Okuhlobene: Yini u-Ob-Gyns Afisa Abesifazane Babekwazi Ngokuzala Kwabo)

Lapho udaba seluyinkimbinkimbi — njengokubala kwesidoda okuphansi kakhulu noma ukunyakaza noma izinkinga ngekhwalithi yeqanda lowesifazane — uDkt. UFrederick ukhuthaza ukuthi uqale ukwelashwa nge-ASAP. Udokotela wakho uzokwazi ukudwebela izinketho zokwelashwa ezingcono kakhulu, njengoba wonke umuntu wesifazane ehlukile.

Ungabhekana Kanjani Nenkinga Yokuzala?

Yize kungakhungathekisa ukungabatholi abantwana, uDkt. Frederick uphawula ukuthi uma uke waba nengane kanye, kuwuphawu oluhle lwekusasa lakho lokuzala. Uyachaza ukuthi uzoba nengane yesibili ephumelelayo, ”kuchaza yena. "Uma beza bezobonana nodokotela futhi bathole izimpendulo, kuzosiza ekukhathazekeni imibhangqwana eminingi ebhekana nakho futhi ibasize bayise ngokushesha kuleyo ngane yesibili."

Noma kunjalo, ukubhekana nokungabi nenzalo kwesibili akuyona indawo yokuhamba epaki yezempilo yengqondo yabesifazane. U-Jessica Zucker, isazi sokusebenza kwengqondo esizinze e-Los Angeles onguchwepheshe bezempilo yengqondo yokuzala kanye nomama, uphakamisa ukugcina imigudu yokuxhumana ivulekile uma kunobudlelwano obuhilelekile. "Uma ukhuluma ngezinkinga osusondelene nazo, qiniseka ukuthi ugwema ukusolwa namahloni," uphakamisa. "Khumbula ukuthi ukufundwa kwengqondo akuyona into, ngakho-ke zama ngakho konke okusemandleni akho ukuthi ukhululeke futhi uthembeke ngalokho obhekene nakho, inani elithathayo, nokuthi yiluphi usizo oludingayo kumlingani wakho."

Ngaphezu kwakho konke, uZucker uphakamisa ukunamathela kwisayensi futhi wenze konke okusemandleni akho ukugwema ukuzilimaza. "Ucwaningo luphakamisa ukuthi imizabalazo yokuzala, njengokukhulelwa kwezisu, imvamisa ayikho ezandleni zethu ngokushesha," esho. "Uma ukukhathazeka, ukudangala, noma enye inkinga yempilo yengqondo ivele endleleni, qiniseka ukuthi ufuna usizo."

Uma unenkinga yokungabi nabantwana kwesibili, yazi ukuthi awuwedwa-nokuthi ngemithi yesimanje, kuncane okungenziwa. "Iseluleko sami esikhulu kunoma ubani obhekene nalokhu?" kusho uDkt. Frederick. "Ungapheli amandla."

Buyekeza kwe-