Kodi tikambirane za kusabereka kwa akazi?

Kodi inu ndi mwamuna wanu mukuyembekezera mwana? Koma ngakhale mukuyesetsa konse, popanda njira iliyonse yolerera, komanso ngakhale mutakhala limodzi nthawi zonse, maloto amenewo sanakwaniritsidwebe? Ndikudziwa kuti iyi ndi nkhani yovuta kwambiri. Izi ndi nthawi zovuta kwambiri ndi chisoni, nkhawa, ndi mavuto omwe amachokera kwa anthu. Koma simuli nokha. Iyi ndi nkhani yomwe anthu ambiri amakumana nayo. Lero, tikambirana za kusabereka kwa akazi. Musadandaule, tikambirana chilichonse mosavuta komanso momveka bwino.

Kodi kusabereka kumeneku n’chiyani?

Mwachidule, kusabereka ndi vuto lachipatala. Zimatanthauza kuti simungathe kutenga mimba. Madokotala amazindikira vutoli m'njira zotsatirazi:

• Ngati muli ndi zaka zosakwana 35: Ngati mwakhala mukuyesera kwa chaka chimodzi popanda njira zolerera, mwakhala mukugonana nthawi zonse, ndipo simunatenge mimba.
• Ngati muli ndi zaka zoposa 35: Ngati mwayesa kwa miyezi 6 koma simunatenge mimba.

Nthawi zina, dokotala amatha kuzindikira vutoli msanga ngati muli ndi vuto lina lachipatala.

Kodi pali mitundu ya kusabereka?

Inde, pali mitundu iwiri makamaka.

1. Kusabereka Koyamba: Izi zikutanthauza kuti simunakhalepo ndi pakati kale ndipo simunathe kutenga pakati mutayesa kwa nthawi yomwe yatchulidwa pamwambapa (chaka chimodzi kapena miyezi 6).

2. Kusabereka kwachiwiri: Izi zikutanthauza kuti mwabereka mwana mmodzi m'mbuyomu, kenako mukayesa kutenganso mimba, sizikuyenda bwino.

Poganizira momwe vutoli lilili lofala, pafupifupi 10% ya akazi padziko lonse lapansi amakumana ndi vutoli. Chiwopsezochi chimawonjezeka pang'ono ndi ukalamba.

Kodi n’chiyani chimayambitsa kusabereka kwa akazi?

Pakhoza kukhala zifukwa zambiri za izi. Nthawi zina zimakhala zovuta kupeza chifukwa chenicheni. Timachitcha `(Kusabereka Kosafotokozedwa)`. Tiyeni tiwone zifukwa zazikulu zomwe zili.

1. Mavuto ndi Chiberekero

Chiberekero ndi komwe mwana amakulira, kotero ngati pali vuto pamenepo, lingakulepheretseni kutenga mimba.

• Uterine Fibroids:Izi ndi mtundu wa kukula kosakhala khansa. Si kukula konse komwe kumakhala vuto, koma kutengera malo ndi kukula kwake, kumatha kusokoneza mimba.
• Ma polyps: Tizilombo tating'onoting'ono tomwe timapangika pakhoma la chiberekero.
• Kumatirira: Minofu ya zipsera yomwe nthawi zina imapangika mkati mwa chiberekero pambuyo pa opaleshoni monga D&C. Izi zingapangitse kuti zikhale zovuta kuti mwana wosabadwayo alowe m'chiberekero.

2. Mavuto ndi Machubu a Fallopian

Dzira limayenda kuchokera ku ovary kupita ku chiberekero kudzera mu chubu cha fallopian. Umuna ndi dzira zimakumana mkati mwa chubu ichi. Ngati machubu awa atsekedwa, izi sizingachitike.

• Matenda Otupa a Pelvic (PID): Ichi ndiye chifukwa chachikulu cha kutsekeka kwa machubu a fallopian. Amatha kuchitika chifukwa cha matenda opatsirana pogonana monga Chlamydia ndi Gonorrhea omwe sanalandire chithandizo.
• Endometriosis: Mwachidule, minofu yomwe iyenera kukhala mkati mwa chiberekero imakula kunja kwa chiberekero, m'malo monga machubu a fallopian ndi mazira. Izi zingayambitse kutsekeka ndi kumamatira.

3. Mavuto ndi Kutuluka kwa Ovulation

Kuti mutenge mimba, dzira lathanzi liyenera kutulutsidwa m'chiberekero mwezi uliwonse. Njira imeneyi imatchedwa "Ovulation." Ngati izi sizichitika bwino, simungathe kutenga mimba.

• Kusalingana kwa Mahomoni: PCOS (Polycystic Ovary Syndrome) ndi chitsanzo chabwino cha izi. Pa vutoli, kusalingana kwa mahomoni kumapangitsa kuti mazira asakule bwino ndikutulutsa mazira moyenera.
• Mavuto a chithokomiro: Homoni ya chithokomiro yochepa kapena yochuluka kwambiri imakhudza mwachindunji dzira.
• Zinthu monga kupsinjika maganizo kwambiri, kudya mosayenera, komanso kuchita masewera olimbitsa thupi mopitirira muyeso zingakhudzenso izi.

4. Mavuto a Kuchuluka kwa Mazira ndi Ubwino Wake

Mkazi amabadwa ndi chiwerengero cha mazira omwe adzafunikira moyo wake wonse. Pamene akukalamba, chiwerengerochi cha mazira (dzira losambira) chimachepa, ndipo ubwino wa mazira otsalawo umachepanso.

• Nthawi zina, dzira losungidwa limatha lisanathe kusamba (lisanakwanitse zaka 40). Izi zimatchedwa ``Primary Ovarian Insufficiency - POI```.
• Ndi ukalamba, mwayi wokhala ndi zolakwika mu chromosome m'mazira umawonjezeka. Dzira lotere silidzakula kukhala mwana wathanzi.

Kodi ndi zinthu ziti zomwe zimayambitsa kusabereka?

Ngakhale pali zinthu zina zomwe sitingathe kuzilamulira, palinso zinthu zomwe tingathe kusintha. Ndikofunikira kudziwa zinthu izi zomwe zingatibweretsere mavuto.

Ndingadziwe bwanji ngati ndili ndi vuto la kusabereka?

Si chinthu chomwe mungasankhe nokha. Muyeneradi kuonana ndi dokotala pa izi. Mukapita kukaonana ndi dokotala, adzakufunsani mafunso angapo.

• Zokhudza nthawi yanu ya msambo (nthawi yake, kuchuluka kwa magazi, kupweteka)
• Zokhudza mimba kapena kutaya mimba m'mbuyomu
• Za ululu wa m'mimba
• Za kutuluka kwachilendo kwa nyini
• Za opaleshoni yapitayi
• Za ngati muli ndi matenda opatsirana pogonana

Pambuyo pake, dokotala adzakuyang'anirani ndipo, ngati pakufunika, adzakutumizani kuti mukayesedwenso.

Kodi mayeso awa ndi ati?

• Kuyezetsa thupi ndi m'chiuno: Kuyezetsa koyamba komwe dokotala adzachita.
• Kujambula kwa Ultrasound: Kujambula m'mimba kapena ultrasound ya transvaginal kungagwiritsidwe ntchito pofufuza momwe chiberekero ndi mazira zilili (ma cysts, zizindikiro za PCOS).
• Kuyesa Magazi: Izi zimathandiza kudziwa kuchuluka kwa mahomoni anu (mahomoni a chithokomiro, mahomoni obereketsa) ndi malo osungira mazira.
• Kuyesa kwa HSG (Hysterosalpingogram): Uku ndi kuyesa kwa X-ray. Madzi apadera amalowetsedwa mu chiberekero ndipo amagwiritsidwa ntchito kuwona ngati akuyenda kudzera m'machubu a fallopian. Izi zingathandize kudziwa ngati machubuwo atsekeka kapena ayi.
• Laparoscopy: Pa izi, kamera kakang'ono kamayikidwa m'mimba kuti kaone chiberekero, machubu a fallopian, ndi mazira kuchokera kunja. Izi ndizofunikira kwambiri pozindikira matenda monga endometriosis.

Palinso mayeso ena apadera monga `(Hysteroscopy)` ndi `(Saline Sonohysterogram)`. Dokotala wanu adzasankha mayeso omwe mukufuna.

Kodi mankhwala ake ndi otani?

Nkhani yabwino ndi yakuti pali mankhwala othandiza pa zifukwa zambiri zoyambitsa kusabereka. Mankhwalawa amadalira chifukwa cha vuto lanu.

1. Mankhwala Okhudza Kubereka: Mavuto a mahomoni, monga kusabereka, amatha kuchiritsidwa ndi mankhwala. Pali mankhwala omwe amaperekedwa kuti athandize mazira kukhwima ndikulimbikitsa ovulation.

2. Opaleshoni: Ma cysts a chiberekero, ma polyps, kutsekeka kwa machubu a fallopian, ndi endometriosis zimatha kuchotsedwa ndikukonzedwa kudzera mu opaleshoni.

3. Maantibayotiki: Ngati pali matenda m'thupi lobereka, awa amaperekedwa kuti athetse vutoli.

4. Ukadaulo Wothandizira Kubereka (ART):

• IUI (Intrauterine Insemination): Mu izi, umuna wa mwamuna umakonzedwa mwapadera ndikuyikidwa mwachindunji m'chiberekero cha mkazi pogwiritsa ntchito cannula tsiku lomwelo lomwe dzira lake limatuluka.
• IVF (In Vitro Fertilization): Njira ya 'test tube' yomwe tonse timaidziwa. Ikuphatikizapo kuphatikiza mazira ndi umuna kunja kwa thupi mu labotale, kenako ndikuyika mluza womwe watuluka m'chiberekero.

Dokotala wanu adzasankha njira zomwe zili zoyenera kwa inu ndi mwamuna wanu ndipo adzakufotokozerani.

Kodi ndingatani kuti ndipewe kusabereka?

Sitingathe kupewa zinthu zina zomwe zimayambitsa matenda, mwachitsanzo zinthu zomwe zimayambitsa majini. Komabe, tingachepetse chiopsezo chathu mwa kusintha moyo wathu.

• Khalani ndi kulemera koyenera: Ndikofunikira kwambiri kusunga kulemera koyenera malinga ndi kutalika kwanu.
• Pewani kusuta fodya ndi mowa: Zonsezi zimawononga mwachindunji kubereka.
• Idyani zakudya zoyenera: Idyani ndiwo zamasamba, zipatso, ndi masamba ambiri.
• Chepetsani kupsinjika maganizo: Yesani zinthu monga yoga ndi kusinkhasinkha.
• Chitani zogonana zodziteteza: Dzitetezeni ku matenda opatsirana pogonana.
• Pitani kuchipatala nthawi zonse: Makamaka mukayamba kugonana, kupita kwa dokotala wa matenda a akazi kamodzi pachaka kungakuthandizeni kuzindikira mavuto omwe angakhalepo msanga.