Ukungabi Nenzalo Kwesibili: Kusho Ukuthini nokuthi Yini Ongayenza

-Delile

• Kuyini ukungabi nenzalo kwesibili?
• Yini ebangela ukungabi nenzalo kwesibili?
• Izinkinga zokuvuthwa
• Izinkinga ngesibeletho noma amashubhu e-fallopian
• Isigaba se-C-scarring
• Izifo
• Ukuphazamiseka okuzenzakalelayo
• Ubudala
• Izizathu ezingachazeki
• Ukwelashwa kokuzala okungenakuthola
• Imithi
• Ukuhlinzwa
• Ubuchwepheshe obuphambili bokuzala (i-ART)
• Amathiphu okubhekana nokungabi nenzalo kwesibili
• Ukuthatha

Uma ulapha, ungahle ufune izimpendulo, ukwesekwa, ithemba, nokuqondiswa kokuthi ungaqhubekela phambili kanjani ngokungabi nenzalo ngemuva kokukhulelwa kanye ngaphambili. Iqiniso ukuthi awuwedwa - ukude nakho.

Uma kubhekwa ukungabi nabantwana, kulinganiselwa ukuthi abesifazane base-United States banenkinga yokukhulelwa noma ukuhlala bekhulelwe. Futhi ukungabi nenzalo kwesibili - lapho lobu bunzima benzeka ngemuva kokukhulelwa okukodwa noma ngaphezulu okuphumelelayo - kuvame ukubamba abantu bengazelele.

Siyaqonda ukuthi ukungabatholi abantwana kungaletha uhla lwemizwa eyinselele enjengokudabuka, ukungabi nathemba, ukudideka, ukukhungatheka, nokuzizwa unecala - phakathi kwabanye. Noma ngabe utholwe ngokusemthethweni ukuthi unenkinga yokungazali, noma uzulazula ezinkingeni zangaphambi kokukhulelwa futhi, lena indawo ephephile yokufunda kabanzi ngayo.

Kuyini ukungabi nenzalo kwesibili?

Kunezinhlobo ezimbili zokungazali: okuyisisekelo nesesibili. Ukungabi nenzalo okuyinhloko kuchaza ukungakwazi ukukhulelwa, imvamisa ngemuva konyaka owodwa wokuzama - noma izinyanga eziyisithupha, uma uneminyaka engama-35 noma ngaphezulu.

Ngakolunye uhlangothi, labo abathola inzalo yesibili, banenkinga yokukhulelwa ngemuva kokukhulelwa ngempumelelo okungenani kanye ngaphambili.

Njengokungabi nenzalo okuyisisekelo, ukungabi nenzalo kwesibili kungenzeka ngenxa yenkinga nganoma yisiphi isikhathi kunqubo yemvelo - futhi ethile eyinkimbinkimbi - edingekayo ukuze ukhulelwe. Ukuzala kwakho kungashintsha ngisho nangemva kokuzalwa kwengane. (Futhi owakwakho angashintsha ngokuhamba kwesikhathi futhi - okuningi kulokho ngomzuzwana.)

Inkinga ingenzeka ngesinye sezinyathelo ezilandelayo:

1. i-ovulation (kukhishwa iqanda)
2. ukukhulelwa kweqanda ngesidoda
3. ukuhamba kweqanda elikhulelisiwe kuya esibelethweni
4. ukufakwa kweqanda elikhulelwe esibelethweni

Manje, kukhona uhlu olude lwezifo nemibandela - kanye nokukhathaza "ukungazali okungaqondakali" okubamba - okungadala izingqinamba. Kodwa ngaphambi kokuba sixoxe ngazo, kubalulekile ukwazi ukuthi bobabili abesifazane futhi abesilisa bangafaka isandla ekungazali.

Lo mbhalo ugxile kwabesifazane, kodwa kukhona kokubili isici sowesifazane nowesilisa emibhangqwaneni ebhekana nokungazali. Futhi kumaphesenti angu-8 amacala, kuyisici sabesilisa sisodwa.

Yini ebangela ukungabi nenzalo kwesibili?

Ukungabi nenzalo okuyisisekelo kanye nokwesibili kuvame ukuhlanganyela ngezimbangela ezifanayo. Into ebaluleke kakhulu ukwazi ukuthi, ezimweni eziningi, ukungabi nenzalo hhayi iphutha lakho. Siyazi ukuthi lokhu akukwenzi kube lula ukubhekana nakho, kodwa kungakusiza uzizwe unamandla athe xaxa okuthola izixazululo ezisuselwa ebufakazini ezingakusiza ukhulelwe ngempumelelo.

Nazi ezinye zezimbangela ezivame kakhulu zokungabi nenzalo ngokujwayelekile, okuvame ukuhlobene nokungabi nenzalo kwesibili, futhi.

Izinkinga zokuvuthwa

Iningi lokungazali kwabesifazane kungenxa yokuphazamiseka kwe-ovulation. Eqinisweni, amaphesenti angama-40 abesifazane abangatholi inzalo awavuthisi ngokungaguquguquki. Izinkinga nge-ovulating zingabangelwa izimo nezici eziningana, njenge:

• i-polycystic ovary syndrome (i-PCOS)
• ukungakwazi ukusebenza kahle kwe-ovarian okuyinhloko (POI)
• kwehle ukukhiqizwa kwamaqanda okuhlobene nokuguga
• yegilo noma ezinye izifo ze-endocrine ezithinta ukukhiqizwa kwamahomoni
• ezinye izinto zokuphila, njengesisindo, ukudla okunomsoco, nokuphuza ngokweqile noma ukusebenzisa kabi izidakamizwa

Enye yezimbangela ezivame kakhulu zokuzala kwabesifazane yi-PCOS, okwenza ama-ovari noma ama-adrenal gland akhiqize ama-hormone amaningi kakhulu avimbela ama-ovari ekukhululeni amaqanda. Kungadala nokuthi ama-cysts akhule kuma-ovari angaqhubeka nokuphazamisa ukuvuthwa.

Izindaba ezimnandi ukuthi kunezindlela zokwelapha ezisebenzayo ze-PCOS. Eqinisweni, ukwelashwa ngemithi (okuningi kulokhu okungezansi) kungaholela ekukhulelweni okuphumelelayo kuze kufike kwabesifazane abane-PCOS.

Izinkinga ngesibeletho noma amashubhu e-fallopian

Izinkinga zesakhiwo zingathinta amandla akho okukhulelwa. Isibonelo, uma kukhona ukuvinjelwa kwamashubhu e-fallopian, isidoda neqanda kungenzeka kungakwazi ukuhlangana. Isizalo singabuye sibe nokukhubazeka kwesakhiwo noma kwezicubu okuvimbela ukufakelwa.

Nazi ezinye izimo ezithile ezithinta amashubhu noma isizalo.

• i-endometriosis
• ama-fibroids wesibeletho noma ama-polyps
• isibazi sesibeletho
• ukungajwayelekile kokuma kwesibeletho, okufana nesibeletho se-unicornuate

I-Endometriosis ibalulekile ukuyibiza, ngoba ithinta amaphesenti ayi-10 abesifazane.

Futhi, lokhu kwe-endometriosis nokungabi nenzalo kwabelana ngobudlelwano obucindezelayo - amaphesenti angama-25 kuye kwangama-50 abesifazane abangenawo amandla okuthola inzalo bane-endometriosis.

Ukungabi nenzalo kwesibili ngenxa ye-endometriosis kungavela ngemuva kwesigaba sokuhlinzwa noma ukuhlinzwa kwesibeletho, lapho amangqamuzana wesibeletho angabekwa kabi futhi izimpawu ziqala noma zande.

Isigaba se-C-scarring

Uma ngabe ubelethwe ngokuhlinzwa ngesikhathi sokukhulelwa kwangaphambilini, kungenzeka ukuthi ube nesibazi esibelethweni, esibizwa nge-isthmocele. I-isthmocele ingaholela ekuvukeleni esibelethweni okuthinta ukufakwa.

Kuchaza ukuthi isthmocele ingalashwa kanjani ngempumelelo ukukhuthaza ukuzala okuthuthukisiwe. Kulokhu, owesifazane wakhulelwa ngempumelelo nge-in vitro fertilization (IVF) ngemuva kokuthi i-isthmocele isixazululwe ngenqubo yokuhlinzwa.

Izifo

Ukutheleleka - kufaka phakathi izifo ezithathelwana ngocansi - kungadala isifo sokuvuvukala okhalweni. Lokhu kungaholela ekuqhekekeni nasekuvalweni kwamashubhu e-fallopian. Ukutheleleka komuntu nge-papillomavirus (HPV) (kanye nokwelashwa kwayo) nakho kungathinta amafinyila womlomo wesibeletho futhi kwehlise nokuzala.

Izindaba ezinhle: Ngokushesha ukwelashwa kuthathwa, ukuzala okuncane kuzothinteka.

Ukuphazamiseka okuzenzakalelayo

Ubudlelwano phakathi kokuphazamiseka komzimba nokuzala abuqondakali kahle. Ngokuvamile, ukuphazamiseka kokuzimela komzimba kubangela ukuthi umzimba uhlasele izicubu ezinempilo. Lokhu kungabandakanya nezicubu zokuzala, futhi.

Ukukhubazeka okuzenzakalelayo njenge-Hashimoto's, lupus, ne-rheumatoid arthritis kungathinta ukuzala ngokubangela ukuvuvukala esibelethweni naku-placenta. Futhi, nemithi elapha lezi zinkinga ingasiza futhi.

Ubudala

Siyazi ukuthi lesi yisihloko esithinta inhliziyo, kodwa ngeshwa, ayikho indlela yokuzungeza lokho. Isayensi ithi leyo minyaka kuyakwenza ibambe iqhaza ekuzaleni. Le minyaka ehambisanayo njengento ebaluleke kakhulu ekuzaleni kwesibili uma kuqhathaniswa nokungabi nenzalo eyinhloko. Ocwaningweni, iminyaka yobudala emaphakathi yemibhangqwana yayiphezulu kulabo ababhekana nokungazali.

Ngokwezinto eziphilayo, ukuzala kukhuphuka cishe iminyaka engama-20 kwabesifazane futhi kuqala ukwehla kuneminyaka engama-30 - ngokuncipha okukhulu ngeminyaka engama-40. Lokhu akusho ukuthi ukukhulelwa okuyimpumelelo angeke kwenzeke eminyakeni yobudala yomama esethuthukile. Kungathatha isikhathi eside noma kube nzima kakhulu.

Izizathu ezingachazeki

Impendulo akekho owesifazane ofuna ukuyizwa, kepha kwesinye isikhathi (futhi ngokudabukisayo okujwayelekile) odokotela abasitholi isizathu esingaxilongwa sokungabi nenzalo kwesibili. Ngemuva kwamabhethri wokuhlolwa, ukwelashwa kanye "nokuzama" okuningi, siyazi ukuthi kungaba lula ukulahla ithemba.

Kepha ngicela ukhumbule ukuthi umzimba wakho ungashintsha, ukuqonda okusha kwezokwelapha kungavela, nekusasa lingabamba konke obekulindele. Ngakho-ke sebenzisana nodokotela wakho ukuze kungashiywa nelinye itshe ohambweni lwakho lokukhulelwa.

Ukwelashwa kokuzala okungenakuthola

Uma ngaphambili wakhulelwa kalula, lokhu konke kungazizwa kusabeka kakhulu futhi kungajwayelekile - futhi kuyinkimbinkimbi. Kodwa ukwelashwa kokungazali kuqala kuqala ngokukhomba imbangela yako. Ngakho-ke, udokotela wakho angancoma ezinye izivivinyo. Lokhu kuhlolwa kungabandakanya:

• ukuhlolwa kwegazi ukubheka amazinga akho ama-hormone
• ukuhlolwa kwe-ovulation
• ukuhlolwa kwezitho zangasese
• Ama-X-ray ukubuka amashubhu akho e-fallopian
• i-ultrasound engaphandle
• ezinye izivivinyo zokubuka isibeletho sakho nomlomo wesibeletho

Uma izivivinyo zakho zibuya ngaphandle kwamafulegi abomvu, udokotela wakho angaphakamisa ukuthi ubheke ukuhlolwa kokuzala kwabesilisa. (Uxolo, makhosikazi: Kuyiqiniso lempilo ukuthi sibekwa ngaphansi kwemicroscope kuqala.)

Lapho usuyazi imbangela, udokotela wakho angakha uhlelo lokwelashwa ukuze akhuphule amathuba okukhulelwa. Nazi ezinye izindlela zokwelashwa ezivamile zokuzala kwabesifazane.

Imithi

Imithi ivame ukusetshenziselwa ukujwayela ama-hormone. Ngezinye izikhathi, imithi yokwandisa inzalo inconywa ukusiza ukukhuthaza i-ovulation.

Ngoba i-PCOS iyimbangela ejwayelekile yokungabi nenzalo, kufanelekile ukuthi sisho ukuthi ukwelashwa kungabandakanya imishanguzo yokusiza ukukhuthaza i-ovulation ngaphezu kokungenelela kwendlela yokuphila, njengokufika esindweni esinempilo uma udokotela wakho enquma ukuthi isisindo siyinto ethile.

Ukuhlinzwa

Kwezinye izimo, ungadinga ukuhlinzwa. Kunezinqubo zokuhlinza eziningana eziphumelelayo ezingaphatha izingqinamba ezifana ne-uterine fibroids, isibazi sesibeletho, noma i-endometriosis esezingeni eliphakeme. Eziningi zalezi zinqubo zenziwa ngokungathathi hlangothi.

I-Hysteroscopy isetshenziselwa ukuxilonga nokwelapha okungajwayelekile kwesibeletho, njengama-polyps ne-endometriosis. I-laparoscopy iyindlela yokusiza ukuxilonga ukungabi nenzalo lapho ezinye izindlela zingaphumelelanga futhi zingasetshenziswa nge-hysteroscopy njengokwelashwa okusebenzayo.

Ukuhlinzwa kuzwakala kuyethusa, kepha ukutshelwa ukuthi kunesixazululo sokuhlinza ukungazali kwakho empeleni kuyizindaba ezinhle ezikhuthazayo.

Ubuchwepheshe obuphambili bokuzala (i-ART)

Ukukhulelwa okuyimpumelelo kungabandakanya i-ART. Okubili okuvame kakhulu yi-intrauterine insemination (IUI) ne-IVF.

Nge-IUI, isidoda siyaqoqwa bese sifakwa esibelethweni ngesikhathi sokuvuthwa. Ku-IVF, amaqanda wowesifazane ayaqoqwa kanjalo nesidoda. Elabhoratri, iqanda livundiswa isidoda lapho sikhula sibe imibungu. Ngemuva kwalokho, umbungu (noma ngaphezulu kweyodwa) ufakwa esibelethweni sowesifazane.

Lezi zindlela zingathembisa. Okukhombisile ukuthi imijikelezo yama-ART engama-284,385 eyenziwa e-United States ngo-2017 yaholela ekuzalweni okuphilayo okungama-68,908 kanye nezingane ezingama-78,052 ezizalwayo (yebo, lokho kusho ukuphindaphinda okuningi!). Lokho kuyizinga lokuphumelela elingamaphesenti angama-24.

Amathiphu okubhekana nokungabi nenzalo kwesibili

Ukubhekana nokuzala kwesibili kungaba nzima. Ukuqokwa kukadokotela okungapheli, izivivinyo, izinqubo, nemithi Ukungalali ebusuku. Isikhathi namandla kude nomncane wakho. Ukuba necala lokufuna okunye ukukhulelwa lapho abesifazane abaningi belwa kanzima ukuba nalokho nje. Ukucindezeleka phakathi kwakho nomlingani wakho. Ukudabuka lapho umenyelwa okwamanje omunye i-baby shower - necala lokuzizwa ngaleyo ndlela.

Uhlu alupheli. Ngakho-ke nazi izeluleko ezimbalwa zokukusiza ubhekane nakho.

• Gwema ukusola wena noma umlingani wakho. Ezimweni eziningi, okwesibili akubangelwa yilutho wena noma umlingani wakho enikwenzile. Hlala ugxile kudokotela wakho ngesimo sakho samanje nezindlela ezisuselwa ebufakazini bokukunqoba.

• Hlala unombono oqondile. Sesha izindaba zempumelelo - ziningi kakhulu laphaya. Bheka ngaphakathi kwenethiwekhi yakho yangasese noma amaqembu okusekela ukuthola abanye besifazane abanokuhlangenwe nakho okufanayo nokungazali. Xhuma nabo bese wabelana ngezindaba zakho. Funda ngalokho abakwenzile, ngudokotela abasebenza nabo, nokuthi yini ebambe iqhaza ekukhulelweni kwabo ngempumelelo.

• Xhuma nomlingani wakho. Ingcindezi yokungabi nenzalo ingathatha umonakalo ngisho ebudlelwaneni obunempilo kakhulu. Thatha isikhathi ukuxhumana nomlingani wakho. Khuluma ngemizwa yakho, zwakalisa ukukhathazeka kwakho, bese usebenza ngokubambisana necebo lokuqhubekela phambili uzizwa uqondaniswe. Nobabili niyoba namandla okuhamba lo mgwaqo onzima uma nenza eceleni.

• Gxila kulokho okwazi ukukulawula. Kunezinto eziningi ngaphakathi kolawulo lwakho ukwenza ngcono ukuzala kwakho. Enye yazo ukuzinakekela. Bamba iqhaza ekubhekaneni nengcindezi yakho, uphile impilo enempilo, futhi ufune izixazululo ezintsha nezintsha ezingakusiza ukuba ukhulelwe. Letha imibono emisha nokuqonda kudokotela wakho ukuze kuxoxwe ngakho.

• Thola ukwesekwa kwakho. Wonke umuntu odlula ukungabi nenzalo udinga uhlelo lokusekela oluqinile. Thembela kulabo obathembayo, futhi njalo khuluma nodokotela wakho uma uzwa izimpawu zokucindezeleka ngokomtholampilo, njengokuphelelwa yithemba nokuphelelwa yithemba.

Ukuthatha

Ukungabi nenzalo kwesibili kungathatha umonakalo emzimbeni nangokomzwelo kunoma ngubani, kufaka phakathi wena, umlingani wakho nabathandekayo. Kubalulekile ukukhuluma nodokotela wakho mayelana konke ukukhathazeka kwakho, ubunzima, nezinhloso zakho.

Ngale ndlela, ungaqondiswa kuzinsizakusebenza ezifanele ezingakusiza ohambweni lwakho lokukhulelwa futhi. Hlala uqinile (kulungile ukukhala, futhi), uncike kumanethiwekhi wakho wokusekela, funa izindaba zokuphumelela ezikhuthazayo, futhi angikaze ngilahle ithemba.