Kodi inunso mumalakalaka kukhala mayi? Kodi tikambirane za kusabereka kwa akazi?

Kukhala mayi ndi maloto akulu komanso okongola kwambiri a mkazi aliyense. Koma nthawi zina, kukwaniritsa malotowo sikophweka monga momwe mukuganizira. Mwina inunso mukukumana ndi vutoli ndipo mukuvutika nalo. Ndiye lero, tiyeni tikambirane za kusabereka kwa akazi, kutanthauza kuchepa kwa mphamvu yobereka ana, mwatsatanetsatane pang'ono ? Musadandaule, simuli nokha amene mukukumana ndi izi.

Kodi Kusabereka kwa Akazi n'chiyani?

Mwachidule, kusabereka ndi kulephera kapena kuvutika kutenga pakati. Kwa mkazi, madokotala amazindikira vutoli motere:

• Ngati muli ndi zaka zosakwana 35, mwakhala mukugonana nthawi zonse kwa chaka chonse osagwiritsa ntchito njira iliyonse yolerera komanso simunatenge pakati.
• Ngati muli ndi zaka zoposa 35, nthawi imeneyi imaonedwa kuti ndi miyezi isanu ndi umodzi .

"Kugonana nthawi zonse" kumatanthauza kuti inu ndi mnzanu mumagonana popanda kusokonezedwa kulikonse, popanda kugwiritsa ntchito njira zolerera. Komabe, anthu ena angavutike kusabereka msanga ngati ali ndi vuto lina lachipatala kapena vuto la chiberekero chawo.

Chinanso n’chakuti kusabereka si vuto la akazi okha. Kunena zoona, vutoli lingayambitsidwe ndi mavuto a amuna ndi akazi.

Kusabereka mwa akazi kungayambitsidwe ndi zaka, kusintha kwa mahomoni, matenda ena, komanso moyo kapena zinthu zina zomwe zimachitika m'thupi. Izi nthawi zina zimatchedwa "female factor" kusabereka.

Kodi pali mitundu ikuluikulu ya kusabereka?

Inde, pali mitundu iwiri ikuluikulu ya kusabereka:

1. Kusabereka koyamba: Izi zikutanthauza kuti simunakhalepo ndi pakati kale, ndipo simunathe kutenga pakati mutayesa kwa chaka chimodzi ngati muli ndi zaka zosakwana 35, kapena miyezi isanu ndi umodzi ngati muli ndi zaka zopitirira 35. Tangoganizirani, pali mabanja ena omwe akhala m'banja kwa zaka zambiri koma sanapezebe mwayi wokhala ndi mwana. Izi ndi zofanana.

2. Kusabereka kwachiwiri: Apa ndi pamene mwakhala kale ndi mwana mmodzi bwino, koma simungathe kutenganso mimba. Mwachitsanzo, ngati muyesa kukhala ndi mwana wachiwiri patatha zaka zingapo mutabereka mwana wanu woyamba, simungathe kutenga mimba, ngakhale mutayesetsa bwanji.

Kodi vutoli ndi lofala bwanji?

Kusabereka sikuchitika mwachisawawa monga momwe mungaganizire. Azimayi osachepera 10% amavutika ndi vutoli. Komanso, chiopsezo cha kusabereka chimawonjezeka ndi ukalamba. Chifukwa chake, ngati mukuda nkhawa ndi izi, kumbukirani kuti simuli nokha.

Kodi zizindikiro zotani zosonyeza kuti mkazi akhoza kukhala wosabereka?

Chizindikiro chachikulu nthawi zambiri chimakhala kulephera kutenga pakati ngakhale kuti munthu amagonana nthawi zonse komanso mosadziteteza. Ichi ndi chinthu choyamba chomwe anthu ambiri amakumana nacho.

Kuonjezera apo, pakhoza kukhala zizindikiro izi:

• Kusasamba kapena kusasamba mosiyanasiyana: Anthu ena sangakhale ndi msambo kwa miyezi ingapo, kapena kusasamba kwawo kungakhale kosasinthasintha.
• Nthawi zina zizindikiro zina zingawonekerenso, kutengera matenda omwe amayambitsa kusabereka.

Kodi n’chifukwa chiyani kusabereka kwa akazi kumeneku kumachitika? Kodi zifukwa zake ndi ziti?

Ndipotu, pakhoza kukhala zifukwa zambiri zomwe zimayambitsa kusabereka. Ndipotu, nthawi zina zimakhala zovuta kupeza chomwe chimayambitsa, chomwe timachitcha "kusabereka kosamveka bwino." Komabe, pali zifukwa zazikulu zingapo zomwe madokotala amatha kuzizindikira:

Mavuto ndi chiberekero chanu

Izi zingaphatikizepo:

• Ma polyps a m'chiberekero: Awa ndi ma puloteni ang'onoang'ono omwe amapangika pakhoma lamkati la chiberekero.
• Ma Fibroid: Izi ndi mtundu wa chotupa chomwe chimayamba m'chiberekero.
• Kumatirira (zipsera) m'chiberekero: Nthawi zina, pambuyo pa opaleshoni ya chiberekero, monga D&C (Dilation and Curettage) , timabowo ting'onoting'ono timatha kupangika mkati mwa chiberekero. Izi zimapangitsa kuti zikhale zovuta kuti mwana wosabadwayo alowe m'chiberekero. Mwachitsanzo, monga Niluka, anthu ena amatha kukula pang'ono (polyps kapena fibroids) m'chiberekero, zomwe zingachedwetse kutenga pakati mosadziwa.

Mavuto ndi machubu anu a fallopian

Machubu a fallopian ndi machubu omwe amanyamula dzira kuchokera ku ovary kupita ku chiberekero, ndipo ndi komwe umuna umakumana ndi dzira. Ngati pali mavuto ndi machubu awa, timatcha "kusabereka kwa tubal factor."

• Chifukwa chachikulu cha izi ndi matenda otupa m'chiuno (PID) . PID nthawi zambiri imayamba chifukwa cha matenda opatsirana pogonana monga Chlamydia ndi Gonorrhea osachiritsidwa.
• Endometriosis ingayambitsenso zipsera ndi kutsekeka kwa machubu a fallopian. Tsopano, taonani, machubu a fallopian ali ngati msewu womwe dzira ndi umuna ziyenera kukumana nawo. Ngati pali kutsekeka kulikonse kapena kutsekeka mumsewu uwu, ndiye kuti mavuto adzabuka.

Mavuto ndi ovulation

Chifukwa chachikulu cha kusabereka ndi pamene mazira a mkazi satulutsa dzira bwino. Pakhoza kukhala zifukwa zambiri izi:

• Kusalingana kwa mahomoni
• Matenda a kudya
• Matenda ogwiritsira ntchito mankhwala osokoneza bongo
• Matenda a chithokomiro
• Kupsinjika maganizo kwambiri
• Zotupa za pituitary

Zinthu ngati izi zingayambitse ovulation yosakhazikika komanso kutulutsidwa kwa dzira.

Mavuto ndi kuchuluka kwa mazira ndi ubwino wawo

Tonsefe timabadwa ndi mazira enaake. Mazira amenewa amachepa pang'onopang'ono ndipo amatha pamene tikukalamba. Izi nthawi zambiri zimachitika panthawi ya kusamba (pafupifupi zaka 51). Koma kwa anthu ena, mazira osungidwa awa amatha msanga.

• Komanso, mazira ena angakhale ndi zolakwika mu ma chromosome awo . Dzira lotere silingagwirizane ndi umuna kuti apange mwana wosabadwayo wathanzi.

Kodi chifukwa chachikulu cha kusabereka kwa akazi ndi chiyani?

Nthawi zambiri, chifukwa chachikulu cha kusabereka kwa akazi ndi mavuto okhudzana ndi kupanga ndi kutulutsa mazira (ovulation) .

• Mwina munamvapo za Polycystic Ovary Syndrome (PCOS) . Ichi ndi chimodzi mwa zifukwa zazikulu zomwe zimayambitsa izi. PCOS ndi vuto lomwe mazira amalephera kugwira ntchito chifukwa cha kusalingana kwa mahomoni.
• Palinso vuto lotchedwa Primary Ovarian Insufficiency (POI) . Izi zimachitika pamene mazira amasiya kugwira ntchito asanakwanitse zaka 40 chifukwa cha kuchepa kwa mazira.

Kodi ndi zinthu ziti zomwe zimayambitsa kusabereka?

Pali zinthu zambiri zomwe zimawonjezera chiopsezo chanu cha kusabereka. Izi zikuphatikizapo matenda, majini, njira zokhalira ndi moyo, ndi zaka. Onani ngati izi zikukukhudzani:

• Zaka: Kubereka nthawi zambiri kumayamba kuchepa munthu akakwanitsa zaka 30.
• Mavuto a mahomoni omwe amaletsa ovulation.
• Kusamba kosakhazikika pamwezi.
• Kunenepa kwambiri.
• Kukhala ndi thupi lochepa thupi.
• Kuchita masewera olimbitsa thupi mopitirira muyeso kapena kuchita masewera olimbitsa thupi kwambiri.
• Endometriosis.
• Mavuto a kapangidwe ka thupi: Mavuto a thupi ndi machubu a fallopian, chiberekero, kapena mazira.
• Ma fibroids a m'mimba.
• Ma cysts a m'chiberekero.
• Zotupa zomwe si khansa.
• Matenda a autoimmune: Zitsanzo zikuphatikizapo `(Lupus)`, `(Rheumatoid Arthritis)`, `(Hashimoto's disease)`.
• Matenda otupa m'chiuno (PID) amayamba chifukwa cha matenda opatsirana pogonana (STIs) .
• Matenda a ovary a Polycystic (PCOS).
• Kulephera Kwambiri kwa Ovarian (POI).
• Kugwiritsa ntchito mankhwala osokoneza bongo ndi mowa mopitirira muyeso.
• Kusuta fodya.
• Popeza ndinali ndi mimba yotuluka m'mimba kale .

Kodi ukalamba umakhudza bwanji kusabereka?

Tonsefe tikudziwa kuti kubereka kumachepa ndi ukalamba. Kafukufuku wasonyeza kuti ukalamba ndi chinthu chachikulu chomwe chimayambitsa kusabereka, chifukwa maanja ambiri amachedwa kukhala ndi ana mpaka zaka zawo za m'ma 30 ndi 40. Anthu azaka zopitilira 35 ali pachiwopsezo chachikulu chokhala ndi mavuto osabereka. Zifukwa zake ndi izi:

• Kuchepa kwa chiwerengero chonse cha mazira.
• Kukhala ndi mazira ambiri omwe ali ndi vuto la chromosome.
• Kuwonjezeka kwa chiopsezo cha matenda ena (chiopsezo cha matenda ena chimawonjezeka pamene mukukalamba).

Kodi mumadziwa bwanji ngati muli ndi chonde kapena ayi?

Izi sizingadziwike kunyumba. Dokotala yekha ndi amene angazindikire izi. Ngati mwakhala mukuyesera kutenga pakati ndipo mukuvutikabe, kapena ngati mukukayikira, muyenera kuwona katswiri wodziwa za kubereka. Akhoza kuchita mayeso kuti adziwe vutoli. Musachite mantha kapena kuchita mantha. Anthu ambiri apeza zotsatira zabwino ndi chithandizo.

Kodi mumafunsa mafunso otani mukapita kukaonana ndi dokotala?

Dokotala adzakufunsani za mbiri yanu yonse ya matenda. Izi zikuphatikizapo:

• Zokhudza nthawi yanu ya mwezi (nthawi yomwe imatenga, kuchuluka kwa magazi omwe amatuluka, ndi zina zotero).
• Ponena za mimba yapitayi, ngati panali mimba zina zomwe zinapitapo kale.
• Kodi muli ndi ululu m'chiuno ?
• Kodi muli ndi magazi ochulukirapo kapena kutuluka magazi m'mimba mwanu ?
• Kodi mudachitapo opaleshoni ya m'mimba kapena ya m'chiuno kale ?
• Kodi mudadwalapo matenda aliwonse a m'chiberekero kapena m'chiberekero , kuphatikizapo matenda opatsirana pogonana (STIs)?

Ndi kufunsa mafunso ngati amenewa komwe dokotala amamvetsetsa bwino vuto lanu.

Ndi mayeso ati omwe amachitidwa kuti adziwe ngati munthu alibe mimba?

Mayeso ambiri angachitike ku ofesi ya dokotala. Izi zingaphatikizepo:

• Kuyezetsa thupi.
• Kuyezetsa m'chiuno.
• Ultrasound ya m'chiuno.

Mayeso ena amafunika kuchitidwa mu labotale. Zitsanzo ndi izi:

• Kuyezetsa magazi: Mtundu wa kuyezetsa magazi komwe mungafunike udzadalira mbiri yanu yachipatala komanso matenda omwe dokotala wanu akukayikira. Mwachitsanzo, kuyezetsa ntchito ya chithokomiro, kuyezetsa kuchuluka kwa mahomoni okhudzana ndi ovulation ndi kusamba, komanso kuyezetsa kuchuluka kwa mazira (ovarian supply) kungachitike .Izi zikutanthauza kuti muli ndi mazira ochepa m'mazira anu poyerekeza ndi ena azaka zanu.

• X-ray hysterosalpingogram (HSG): Izi zimaphatikizapo kuyika utoto wapadera (utoto wosiyana) kudzera mu chiberekero chanu kupita ku chiberekero chanu ndikugwiritsa ntchito X-ray kuti muwone momwe umayendera kudzera m'machubu anu a fallopian. Izi zingathandize kuwona ngati pali zotsekeka zilizonse m'machubu .

• Laparoscopy: Iyi ndi opaleshoni yaying'ono. Chida chaching'ono chokhala ndi kamera chotchedwa ``laparoscope'' chimayikidwa m'mimba kuti chione ziwalo zamkati. Izi zingathandize kuzindikira matenda monga endometriosis ndi machubu otsekeka a fallopian.

• Ultrasound ya Transvaginal: Iyi ndi ultrasound. Komabe, m'malo moyika choyezera pamwamba pa mimba, chimayikidwa kudzera mu nyini kuti chiwone chiberekero ndi mazira. Izi zimathandiza kuti mkhalidwe wa chiberekero ndi mazira uwonekere bwino.

• Saline sonohysterogram (SIS): Izi zimaphatikizapo kudzaza chiberekero ndi saline ndikugwiritsa ntchito ultrasound ya transvaginal kuti muwone mkati mwa chiberekero. Zingawonetse bwino zolakwika zilizonse za kapangidwe kake, monga ma polyps ndi fibroids. Nthawi zina zimathanso kuyang'ana ngati machubu a fallopian ali otseguka.

• Hysteroscopy: Apanso, chipangizo chopyapyala chokhala ndi kamera kakang'ono (hysteroscope) chimayikidwa kudzera mu nyini ndi pachibelekero kuti chiyang'ane mkati mwa chiberekero. Izi zimathandiza kuti munthu azitha kuona bwino mkati mwa chiberekero, monga ma polyps, fibroids, kapena zipsera.

Mayeso onsewa amachitika kuti adziwe vuto lanu lenileni.

Kodi kusabereka kwa akazi kumachiritsidwa bwanji?

Dokotala wanu akangozindikira kuti muli ndi vuto la kusabereka ndipo wapeza chomwe chikuyambitsa vutoli, adzakupatsani chithandizo choyenera kwa inu. Chithandizo chimasiyana malinga ndi chomwe chikuyambitsa vutoli. Nazi zomwe zilipo:

• Opaleshoni: Ngati kusabereka kumachitika chifukwa cha vuto la kapangidwe kake, kutsekeka, kapena chilonda, dokotala wanu angachite opaleshoni kuti akonze vutolo. Mwachitsanzo, kuchotsa ma fibroids kapena kukonza zotsekeka m'machubu a fallopian.
• Mankhwala oletsa kubereka: Ngati muli ndi vuto la kusalingana kwa mahomoni kapena vuto la ovulation, mankhwala oletsa kubereka angagwiritsidwe ntchito. Mankhwala ena oletsa kubereka amalimbikitsa mazira kuti akhwime ndikuthandizira kutulutsa dzira.
• Mankhwala Opha Utoto: Ngati muli ndi kachilombo m'thupi lanu lobereka, mungapatsidwe mankhwala opha tizilombo toyambitsa matenda kuti muchiritse.
• Kudziwa za kubereka: Nthawi zina zimathandiza kudziwa nthawi yeniyeni yomwe mukuyamba kutulutsa dzira. Izi zitha kuchitika poyang'ana ntchofu ya pakhosi panu, kuyeza kutentha kwa thupi lanu, kapena kugwiritsa ntchito zida zodziwira nthawi yotulutsa dzira zomwe zimapezeka ku pharmacy.Mungathe kuchita izi pogwiritsa ntchito. Anthu ambiri amagwiritsa ntchito mapulogalamu a pafoni kuti azitsatira nthawi yawo ya msambo komanso masiku otulutsa mazira.

Anthu ena amafunikira chithandizo chapadera kwambiri.

• Kuika mwana m'chiberekero (IUI): Mu njira imeneyi, umuna wotengedwa kuchokera kwa mwamuna umatsukidwa ndikuyikidwa mwachindunji mu chiberekero pogwiritsa ntchito njira yapadera.
• Ukadaulo Wothandizira Kubereka (ART): Mwina munamvapo za makanda oyesera (IVF - In Vitro Fertilization) . IVF ndi imodzi mwa njira izi za ART. Mu izi, mazira a mkazi ndi umuna wa mwamuna zimaphatikizidwa mu labotale, ndipo pambuyo poti mwana wosabadwayo wapangidwa, umayikidwa m'chiberekero.

Kupatula izi, kutenga mwana ndi kubereka mwana ndi njira zina zomwe anthu osabereka angayambire banja.

Kodi pali zovuta zilizonse zokhudzana ndi chithandizo?

Mankhwala, makamaka mankhwala omwe amagwiritsidwa ntchito polimbikitsa ovulation, nthawi zina angayambitse mavuto ang'onoang'ono:

• Mwayi wobereka ana ambiri (mapasa, atatu) umawonjezeka.
• Matenda a Ovarian Hyperstimulation Syndrome (OHSS): Mu mkhalidwe uwu, mankhwala oletsa kubereka angayambitse mazira kutupa ndi kupweteka. Komabe, madokotala adzakudziwitsani izi pasadakhale.

Kodi kusabereka kwa akazi kungapewedwe?

Kunena zoona, nthawi zambiri zimakhala zovuta kuti tidziwiretu ndikupewa vutoli. Komabe, tingachepetse chiopsezochi pang'ono mwa kusintha moyo wathu.

• Kuchepetsa kumwa mowa.
• Kusiya kusuta fodya kotheratu.
• Khalani ndi kulemera koyenera komwe kungakuyenerereni.
• Khazikitsani chizolowezi chabwino chochita masewera olimbitsa thupi. (Osati kuchita masewera olimbitsa thupi mopitirira muyeso, koma pang'ono.)
• Kudya zakudya zokhala ndi zipatso ndi ndiwo zamasamba zambiri.
• Yesetsani kugona maola osachepera asanu ndi awiri usiku uliwonse.

Kupatula apo, ndikofunikira kwambiri kupita kwa dokotala wa akazi nthawi zonse kuti akakuwoneni . Mukayamba kugonana, kukayezetsa kuchipatala kamodzi pachaka kungathandize kuzindikira matenda omwe angakhudze kubereka mtsogolo.

Kodi mungayembekezere chiyani ngati muli ndi vuto la kusabereka? (Outlook)

Izi zimasiyana kwambiri malinga ndi munthu ndi munthu, kutengera chifukwa chake. Ngati mavuto okhudzana ndi ovulation ndi opangidwa ndipo angathe kuchiritsidwa, zotsatira zake nthawi zambiri zimakhala zabwino. Izi zikutanthauza kuti mwayi wokhala ndi pakati ndi wokwera. Komabe, matenda ena okhudzana ndi chiberekero, monga "kusabereka kwa uterine factor", akhoza kukhala ovuta kuchiza.

Lankhulani ndi dokotala wanu za mbiri ya matenda a m'banja mwanu, zinthu zomwe zimayambitsa chiopsezo chanu, ndi matenda ena aliwonse omwe angayambitse matendawa kuti mudziwe zambiri za mwayi wanu woti mutenge mimba yabwino.

Kodi muyenera kupita kwa dokotala liti pankhani ya kusabereka?

Ngati mwakhala mukugonana nthawi zonse , mukuchita msambo nthawi zonse, ndipo simunabereke mwana mutayesa kwa chaka chimodzi (kapena miyezi isanu ndi umodzi ngati muli ndi zaka zoposa 35), ndi bwino kupita kwa dokotala. Angadziwe chifukwa chake mukuvutika kutenga mimba ndikukupatsani chithandizo choyenera.

Kodi chingachitike n’chiyani kuti mkazi akhale ndi mphamvu zobereka?

Zinthu zina, monga matenda omwe timabadwa nawo, sitingathe kuzilamulira. Komabe, tingachite zinthu zomwe zingathandize pa kubereka:

• Gwiritsani ntchito makondomu pogonana kuti mupewe matenda opatsirana pogonana (STIs).
• Yesani matenda opatsirana pogonana monga chlamydia ndi chinzonono nthawi zonse.
• Pewani kukhudzana ndi mankhwala oopsa, mankhwala ophera tizilombo, ndi zinthu zina zoipitsa chilengedwe.

Komanso, ndikofunikira kwambiri kuonana ndi dokotala kamodzi pachaka mutayamba kugonana. Kupita kuchipatala nthawi zonse komanso kukayezetsa matenda ndi njira yabwino kwambiri yosungira thanzi lanu la kugonana.

Kusabereka ndi chinthu chovutitsa maganizo komanso chovutitsa maganizo. Timamvetsa zimenezo. Koma khalani olimba mtima. Simuli nokha. Ndi uphungu woyenera wa zachipatala ndi chithandizo, anthu ambiri akwanitsa kukwaniritsa maloto amenewa.

Zinthu zofunika kwambiri zomwe muyenera kukumbukira kuchokera munkhaniyi (Uthenga Wopita Nawo Kunyumba)

Chabwino, tiyeni tikukumbutseni mfundo zazikulu zomwe takambirana zomwe muyenera kukumbukira?

• Kusabereka ndi vuto lofala: simuli nokha amene mukukumana ndi vutoli.
• Musachite mantha, funsani upangiri kwa dokotala: Ngati simunayese kwa chaka chimodzi (miyezi 6 ngati muli ndi zaka zoposa 35), pitani kwa dokotala.
• Pakhoza kukhala zifukwa zambiri, ndipo palinso njira zochiritsira: Kusabereka kungakhale ndi zifukwa zambiri, ndipo njira zoyenera zochiritsira zapangidwanso masiku ano.
• Moyo ndi wofunika: Mutha kuwongolera zinthu zina zomwe zingakubweretsereni mavuto. Kukhala ndi moyo wathanzi n'kofunika kwambiri.
• Ganizirani bwino: Anthu ambiri apeza zotsatira zabwino chifukwa cha chithandizo. Musataye mtima.

Ngati muli ndi mafunso ena kapena nkhawa zokhudzana ndi izi, musazengereze kulankhula ndi dokotala. Adzakuthandizani.

Kusabereka , Kusabereka kwa Akazi, Kutaya Mwana, Mavuto a Mimba, PCOS, Endometriosis, IVF, IUI, Machubu a Fallopian, Kutulutsa Mazira