Konke Mayelana Nokukhulelwa

-Delile

• Ukukhulelwa kwenzeka nini?
• Ukukhathazeka okuhlobene nomqondo
• Kwenzeka kuphi ukukhulelwa?
• Ukukhathazeka okuhlobene nokufakelwa
• Ukukhulelwa kuholela kanjani ekukhulelweni?
• Ukukhathazeka okuhlobene nokuthunyelwa ngemuva kokukhulelwa
• Yini ebalwa njengokukhulelwa ku-IVF?
• Ukuthatha

Ukubuka konke

Ukukhulelwa yisikhathi lapho isidoda sikhuphuka sinqamula isitho sangasese sowesifazane, singene esibelethweni, bese sivundisa iqanda elitholakala kushubhu le-fallopian.

Ukukhulelwa - futhi ekugcineni, ukukhulelwa - kungafaka uchungechunge lwezinyathelo eziyinkimbinkimbi ngokumangazayo. Yonke into kufanele ihleleke lapho ukukhulelwa kuzokwenziwa khona.

Ake sibhekisise ukuthi yikuphi ukukhulelwa, kwenzeka nini nokuthi kwenzeka kanjani, kanye nezinkinga ezingaba khona ezingathinta ukukhulelwa esigabeni ngasinye.

Ukukhulelwa kwenzeka nini?

Ukukhulelwa kwenzeka ngesikhathi sengxenye yomjikelezo wowesifazane wokuya esikhathini obizwa nge-ovulation. Odokotela babheka usuku 1 lomjikelezo wokuya esikhathini ngosuku lokuqala lwesikhathi sowesifazane.

I-ovulation ivame ukwenzeka cishe phakathi nendawo yomjikelezo wowesifazane wokuya esikhathini. Lokhu kuzowa ngosuku lwe-14 kumjikelezo wezinsuku ezingama-28, kepha kubalulekile ukukhumbula ukuthi ngisho nobude bomjikelezo ojwayelekile bungahluka.

Ngesikhathi sokuvuthwa, elinye lamaqanda likhipha iqanda, bese lihamba liye phansi kwelinye lamashubhu we-fallopian. Uma kukhona isidoda esikhona kushubhu lowesifazane lapho lokhu kwenzeka, isidoda singavundisa iqanda.

Imvamisa, iqanda linamahora angaba ngu-12 kuye kwangama-24 lapho lingavundiswa khona yisidoda. Kodwa-ke, isidoda singaphila izinsuku ezimbalwa emzimbeni wowesifazane.

Ngakho-ke, lapho i-ovary ikhipha iqanda, isidoda esivele sivele ocansini ezinsukwini ezimbalwa ezedlule singasivundisa. Noma, uma owesifazane eya ocansini ngesikhathi kukhishwa iqanda, isidoda singavundisa iqanda elisanda kukhishwa.

Ukukhulelwa kwehlela esikhathini, impilo yendlela yokuzala yowesifazane, kanye nekhwalithi yesidoda sowesilisa.

Odokotela abaningi bavame ukuncoma ukuya ocansini olungaphephile kusuka ezinsukwini ezintathu kuya kweziyisithupha ngaphambi kokuba uvuleke, kanye nosuku ovusa ngalo uma ufisa ukukhulelwa. Lokhu kwandisa amathuba okuthi isidoda sizoba khona kushubhu le-fallopian ukuze livundise iqanda uma selikhishiwe.

Ukukhathazeka okuhlobene nomqondo

Ukukhulelwa kudinga izinyathelo ezimbalwa zokuhlangana. Okokuqala, owesifazane kufanele akhulule iqanda eliphilile. Abanye besifazane banezimo zezempilo ezibavimbela ekuvuthweni ngokuphelele.

Owesifazane kufanele futhi akhiphe iqanda eliphilile ngokwanele ukuze likhule. Owesifazane uzalwa enenani lamaqanda azoba nawo empilweni yakhe yonke. Njengoba ekhula, izinga lamaqanda akhe liyancipha.

Lokhu kuyiqiniso kakhulu ngemuva kweminyaka yobudala engama-35, ngokusho kwe-.

Isidoda esisezingeni eliphakeme naso siyadingeka ukufinyelela nokufaka umquba eqandeni. Ngenkathi kudingeka isidoda esisodwa kuphela, isidoda kufanele sihambe sidlule umlomo wesibeletho nesibeletho singene kumashubhu we-fallopian ukuvundisa iqanda.

Uma isidoda sowesilisa singekho motile ngokwanele futhi singakwazi ukuhamba ibanga elide kangako, ukukhulelwa akukwazi ukwenzeka.

Umlomo wesibeletho sowesifazane kumele futhi wamukele ngokwanele ukuze isidoda siphile lapho. Ezinye izimo zidala ukuthi isidoda sife ngaphambi kokuba sibhukude siye kuma-tubes.

Abanye besifazane bangazuza kubuchwepheshe obusizwayo bokuzala njengokufakwa kwe-intrauterine noma ukukhulelwa kwe-vitro uma kunezingqinamba ezivimbela isidoda esinempilo ekuhlangabezaneni neqanda elinempilo ngokwemvelo.

Kwenzeka kuphi ukukhulelwa?

Isidoda sivamise ukuvundisa iqanda kushubhu lobufazi. Le yindlela esuka esibelethweni iye esibelethweni sowesifazane.

Iqanda lithatha cishe amahora angama-30 ukusuka esibelethweni kwehle ishubhu le-fallopian, ngokusho kwe-University of California San Francisco.

Ngenkathi iqanda lihamba lehla ngomhubhe, lihlala engxenyeni ethile ebizwa ngokuthi i-ampullar-isthmic junction. Kulapha lapho isidoda sivame ukuvundisa iqanda.

Uma iqanda livundiswa, livamise ukungena ngokushesha esibelethweni bese lifakwa. Odokotela babiza iqanda elikhulelwe umbungu.

Ukukhathazeka okuhlobene nokufakelwa

Ngeshwa, ukuthi iqanda livundisiwe, akusho ukuthi kuzokhulelwa.

Kungenzeka ukuthi kube namashubhu we-fallopian awonakele ngenxa yomlando wokutheleleka kwe-pelvic noma ezinye izifo. Ngenxa yalokhu, umbungu ungafaka kuthubhu le-fallopian (indawo engafanele), okungadala isimo esibizwa ngokuthi yi-ectopic pregnancy. Lokhu kungaba yisimo esiphuthumayo sezokwelapha ngoba ukukhulelwa akukwazi ukuqhubeka futhi kungadala ukuqhuma kwamashubhu.

Kwabanye besifazane, i-blastocyst yamaseli avundisiwe kungenzeka ingafaki nhlobo, noma ifinyelela esibelethweni.

Kwezinye izimo, ulwelwesi lwesibeletho sowesifazane aluqinile ngokwanele ukufakelwa. Kwezinye izimo, iqanda, isidoda, noma ingxenye yombungu kungenzeka ingabi yikhwalithi ephezulu ngokwanele ukufakelwa ngempumelelo.

Ukukhulelwa kuholela kanjani ekukhulelweni?

Ngemuva kokuthi isidoda sivundise iqanda, amangqamuzana ombungu aqala ukuhlukana ngokushesha. Ngemuva kwezinsuku ezingaba yisikhombisa, umbungu ungqamuzana lamaseli aphindaphindiwe abizwa nge-blastocyst. Le blastocyst izobe isimila kahle esibelethweni.

Njengoba iqanda lihamba ngeshubhu le-fallopian ngaphambi kokumiswa, noma kunjalo, amazinga e-hormone progesterone aqala ukukhuphuka. I-progesterone eyandisiwe ibangela ukuthi ulwelwesi lwesibeletho lukhule.

Ngokufanelekile, uma iqanda elikhulelwe lifika esibelethweni njengembungu ye-blastocyst, ulwelwesi luyoba luqine ngokwanele ukuze lukwazi ukufakelwa.

Sekukonke, kusukela endaweni yokuvuthwa kuze kufike ekufakweni, le nqubo ingathatha cishe isonto elilodwa noma amabili. Uma unomjikelezo wezinsuku ezingama-28, lokhu kukuthatha usuku 28 - imvamisa usuku ozoqala ngalo isikhathi sakho.

Kuleli qophelo lapho iningi labesifazane lingacabanga ukuthatha isivivinyo sokukhulelwa emakhaya ukubona ukuthi likhulelwe yini.

Ukuhlolwa kokukhulelwa ekhaya (ukuhlolwa komchamo) kusebenza ngokuphendula nge-hormone ekhona emchameni wakho owaziwa njenge-chorionic gonadotropin (hCG). Eyaziwa nangokuthi "i-hormone yokukhulelwa," i-hCG iyanda njengoba ukukhulelwa kwakho kuqhubeka.

Gcina izinto ezimbalwa engqondweni njengoba wenza isivivinyo sokukhulelwa ekhaya:

Okokuqala, izivivinyo ziyahlukahluka ekuzweleni kwabo. Abanye bangadinga inani eliphakeme le-hCG ukukhiqiza okuhle.

Okwesibili, abesifazane bakhiqiza i-hCG ngamazinga ahlukahlukene lapho bekhulelwa. Kwesinye isikhathi ukuhlolwa kokukhulelwa kungaveza okuhle ngosuku olulodwa ngemuva kwesikhathi esilahlekile, kanti abanye kungathatha isonto ngemuva kwesikhathi esilahlekile ukukhombisa ukugula.

Ukukhathazeka okuhlobene nokuthunyelwa ngemuva kokukhulelwa

Ukukhulelwa akusho njalo ukuthi ukukhulelwa kuzokwenzeka futhi kuqhutshwe isikhathi esigcwele.

Kwesinye isikhathi, owesifazane angahle akhiphe isisu ekukhulelweni ngaphambi kokufakwa kombungu noma ngemuva nje kwalokho. Angaba nokopha okuhlobene nokuphuphuma kwesisu ngesikhathi alindele ngaso isikhathi sakhe futhi angaboni ukuthi ukukhulelwa kwenzeka.

Ezinye izimo eziningi zingenzeka, njengeqanda elikhanyisiwe. Lokhu kulapho ukufakelwa kweqanda elikhulelisiwe esibelethweni, kepha kungabe kusaqhubeka. Ku-ultrasound, udokotela angabona isikhwama sokukhulelwa esingenalutho.

Ngokusho kwe-American College of Obstetricians and Gynecologists, kulinganiselwa ukuthi amaphesenti angama-50 azo zonke izisu zokuqala ngenxa yokuphazamiseka kwe-chromosome. Uma isidoda neqanda zingenawo ama-chromosomes angama-23 lilinye, umbungu awunakukhula njengokulindelekile.

Abanye besifazane bangathola ukulahleka kokukhulelwa ngaphandle kwesizathu esaziwayo. Lokhu kuyaqondakala ukuthi kunzima kubo bonke abathintekayo. Kodwa-ke, lokhu akusho ukuthi owesifazane akakwazi ukukhulelwa futhi ngokuzayo.

Yini ebalwa njengokukhulelwa ku-IVF?

In vitro fertilization (IVF) ubuchwepheshe obusizwayo bokuzala obubandakanya ukusebenzisa isidoda ukuvundisa iqanda esimweni selabhorethri. Lokhu kudala umbungu.

Udokotela wabe esefaka umbungu esibelethweni, lapho uzotshalwa khona kahle futhi ukukhulelwa kwenzeke.

Endabeni yokukhulelwa okungokwemvelo, odokotela bavame ukusebenzisa usuku olulinganiselwe lokukhulelwa ukulinganisa usuku olufanele lomntwana. Lokhu bekungeke kube nenembile ngomuntu odlula ku-IVF, ngoba ukukhulelwa (iqanda lokufaka isidoda) ngobuchwepheshe kwenzeka elabhoratri.

Odokotela bangasebenzisa izindlela ezahlukahlukene ukulinganisa usuku olufanele lokukhulelwa kwe-IVF. Imvamisa, basebenzisa usuku amaqanda akhuleliswa ngalo (umbungu wakhiwa) noma lapho kudluliswa imibungu.

Kunoma ikuphi ukukhulelwa okungokwemvelo noma okusizwayo, kubalulekile ukukhumbula ukuthi ngenkathi usuku olufanele lungakunika usuku ozohlelela ngalo, bambalwa abantu besifazane abaletha usuku lwabo olubekiwe.

Izici ezinjengokuthi ingane ikala kangakanani futhi ibonakala ngathi iyakhula kungaba izindlela ezingcono zokuqagela iminyaka yokukhulelwa kwengane njengoba ukukhulelwa kuqhubeka.

Ukuthatha

Ngenkathi ukukhulelwa kubhekisa kowesilisa isidoda esisodwa esivundisa iqanda, kuningi kakhulu ekukhulelweni kunokukhulelwa.

Uma unemibuzo mayelana nezinyathelo zokukhulelwa noma amandla akho okukhulelwa, khuluma nodokotela wakho.

Uma ungakhulelwa ngemuva konyaka owodwa wezocansi ezingavikelekile (noma izinyanga eziyisithupha uma ungaphezu kweminyaka engama-35), buza ngezimbangela ezingaba khona kanye nokwelashwa okungakhulisa amathuba akho okukhulelwa nokukhulelwa.