Inu ndi mnzanu mwina mwakhala mukuyesera kutenga pakati kwa nthawi ndithu. Ngati maloto amenewo sanakwaniritsidwe, ndi zachilendo kumva chisoni kapena nkhawa. Mwina mungadzifunse kuti, "N'chifukwa chiyani izi zikuchitika kwa ife?" Chonde, musachite mantha; simuli nokha. Okwatirana ambiri amakumana ndi mavuto omwewa. Mwamwayi, chifukwa cha kupita patsogolo kwa zamankhwala amakono, pali njira zambiri zothandiza zopezera mayankho. Gawo limodzi lotere ndikuchita mayeso a kubereka , omwe adapangidwa kuti akuthandizeni inu ndi mnzanu kumvetsetsa thanzi lanu lobereka ku Nirogi Lanka.
Kodi mayeso a kubereka ndi chiyani, ndipo n’chifukwa chiyani amafunikira?
Mwachidule, izi ndi zida zodziwira matenda zomwe madokotala amagwiritsa ntchito kuti amvetse chifukwa chake inu ndi mnzanu mukuvutika kutenga pakati. Kudziwa chomwe chimayambitsa vutoli kumapangitsa kuti zikhale zosavuta kusankha njira yabwino kwambiri yothandizira. Ganizirani izi ngati kupeza chomwe chimayambitsa vuto la thanzi. M'malo mongopitiliza ndi mankhwala oyesera, kuzindikira chomwe chimayambitsa vutoli kumatsimikizira njira yolondola komanso yopambana yothandizira.
Nthawi zina, chifukwa chake chimakhala chosavuta kuposa momwe mungaganizire. Chingakhale kusalinganika pang'ono kwa mahomoni kapena vuto lina la thanzi lomwe lingathetsedwe. Mayesowa adapangidwa kuti azindikire bwino zinthu izi.
Kodi ndi liti pamene muyenera kupita kwa dokotala kuti akayezetsedwe mimba?
Kawirikawiri, akatswiri odziwa za kubereka amalimbikitsa kuyezetsa magazi m'mikhalidwe iyi:
- Ngati muli ndi zaka zosakwana 35 ndipo simunathe kutenga pakati mutatha chaka chimodzi mwa kugonana kosadziteteza.
- Ngati muli ndi zaka zoposa 35 ndipo simunathe kutenga pakati patatha miyezi isanu ndi umodzi mukugonana nthawi zonse komanso mosadziteteza. (Nthawi iyi ndi yochepa chifukwa kubereka kumachepa mwachibadwa ndi ukalamba).
- Ngati muli ndi nthawi yosasinthasintha ya msambo (monga nthawi yopitirira masiku 35 kapena nthawi yosayembekezereka kwambiri ya msambo).
Kufunafuna uphungu kwa dokotala wodziwa bwino ntchito yake ndi njira yabwino kwambiri. Ndi bwino kuzindikira mavuto omwe angakhalepo msanga kusiyana ndi kutaya nthawi yamtengo wapatali.
Kodi katswiri wanu adzakufunsani chiyani paulendo woyamba?
Paulendo wanu woyamba, katswiri wanu adzachita kuyankhulana mwatsatanetsatane. Ganizirani izi ngati kusonkhanitsa umboni kuti athetse chinsinsi. Chidziwitso chomwe mumapereka n'chofunika kwambiri kuti adziwe mayeso omwe ali oyenera pa vuto lanu lapadera.
Mfundo zomwe anthu ambiri amakambirana ndi izi:
- Mbiri ya kusamba: Zaka zomwe munayamba kusamba, nthawi ya kuzungulira kwa msambo, nthawi yomwe magazi amatuluka, kuchuluka kwa madzi m'thupi, komanso kuchuluka kwa ululu.
- Mbiri ya matenda a akazi: Mimba yapitayi, kutaya mimba, kapena mbiri ya matenda opatsirana pogonana (STIs).
- Mbiri ya thanzi lonse : Matenda omwe alipo (monga matenda a shuga, matenda a chithokomiro), opaleshoni yakale, ndi mankhwala aliwonse omwe akuchitika.
- Mankhwala omwe alipo: Mankhwala ena amatha kusokoneza kubereka.
- Kumwa caffeine ndi mowa: Zomwe mumamwa nthawi zonse.
- Malo Ogwirira Ntchito: Kukumana ndi mankhwala oopsa kapena zinthu zoopsa kuntchito kwanu.
- Mbiri ya kugonana : Chidziwitso chokhudza kuchuluka ndi nthawi yogonana.
Pambuyo powunikiranso izi, dokotala wanu adzakonza dongosolo lodziwira matenda lomwe likugwirizana ndi inu. Palibe njira yoyesera "yofanana ndi zonse". Chilichonse chimapangidwa payekha kutengera mbiri yanu yaumoyo.
Ndi mayeso ati a kubereka omwe alipo kwa akazi?
Pali njira zingapo zoyezera kubereka kwa akazi. Mayeso ofunikira ndi awa:
Kuyezetsa magazi a chonde
Kusalingana kwa mahomoni kungasokoneze ovulation. Mayeso a magazi omwe amachitidwa pa magawo enaake a nthawi yanu yozungulira amayesa kuchuluka kwa mahomoni, monga Progesterone , Estradiol , Thyroid Stimulating Hormone (TSH) , ndi Prolactin . Izi zimathandiza kutsimikizira ngati ovulation ikuchitika komanso ngati chiberekero chakonzedwa bwino kuti chiyikidwe.
Kuyesa kosungira mazira / mayeso a AMH
Izi zimaphatikizapo kuphatikiza kwa magazi ndi ultrasound ya transvaginal. Ultrasound imayesa kuchuluka Antral Follicle Count (AFC) yanu, pomwe mayeso a magazi amayesa kuchuluka kwa Anti-Mullerian Hormone (AMH) . Pamodzi, amapereka kuyerekezera kwa kuchuluka kwa dzira lanu poyerekeza ndi msinkhu wanu. Dziwani: mayesowa si ofunikira kwa aliyense ; nthawi zambiri amalimbikitsidwa kwa iwo omwe akufuna ukadaulo wothandiza kubereka, monga In-Vitro Fertilization (IVF) .
Kuyesa majini
Mavuto ena okhudzana ndi kubereka amakhudzana ndi gene mutations . Kuwunika majini kungathandize kuzindikira zinthu izi.
Ultrasound ya m'chiuno
Chida ichi chojambulira zithunzi chimadziwikanso kuti sonogram , chimapereka chithunzithunzi chatsatanetsatane cha ziwalo zanu zoberekera (chiberekero, mazira, ndi fallopian tubes ). Chimagwira ntchito pozindikira zolakwika m'thupi monga uterine fibroids kapena ovarian cysts .
Sonohysterogram
Njira yapadera yojambulira zithunzi yomwe imalola dokotala wanu kuwona bwino mkati mwa chiberekero chanu kuti adziwe zopinga zomwe zingachitike pakutenga mimba.
Hysterosalpingogram (HSG)
Njira imeneyi imagwiritsa ntchito fluoroscopy.Kujambula zithunzi zatsatanetsatane za chiberekero chanu ndi machubu a fallopian. Zimathandiza kudziwa ngati mavuto a kubereka amayamba chifukwa cha mavuto monga machubu otsekeka, chifukwa dzira lathanzi liyenera kudutsa m'machubu awa kuti likakumane ndi umuna kuti utenge pakati.
Hysteroscopy
Pa nthawi yoyezetsa iyi, dokotala wanu adzalowetsa pang'onopang'ono chubu chopyapyala, chowala chotchedwa hysteroscope m'chiberekero chanu. Izi zimathandiza kuti chiberekero chanu ndi mkati mwa chiberekero chanu ziwonekere bwino komanso molunjika.
Kodi ndi mayeso ati a kubereka omwe alipo kwa amuna?
Ngakhale kuti zokambirana zokhudza kubereka nthawi zambiri zimayang'ana kwambiri akazi, kubereka kwa amuna n'kofunika kwambiri. Mayeso apadera ozindikira matenda amapezekanso kwa amuna.
Kusanthula kwa Umuna
Iyi ndi njira yoyamba komanso yodziwika bwino yoyezera kubereka kwa amuna. Imayesa kuchuluka kwa umuna wanu, mayendedwe anu (kuyenda), ndi mawonekedwe ake. Kuonetsetsa kuti muli ndi umuna wokwanira wathanzi komanso wabwino ndikofunikira kuti mutenge mimba bwino.
Mayeso a Magazi a Uchembere
Ngati kusanthula kwanu kwa umuna kukuwonetsa zolakwika zilizonse, dokotala wanu angakuwuzeni kuti muyesere magazi kuti muwone kuchuluka kwa mahomoni, monga Testosterone, Thyroid-Stimulating Hormone (TSH), Luteinizing Hormone (LH), Prolactin, Estradiol, ndi Follicle-Stimulating Hormone (FSH), chifukwa mahomoni amenewa amagwira ntchito mwachindunji pakupanga umuna.
Kuyesa Majini
Monga momwe zimakhalira ndi akazi, nthawi zina majini amatha kukhudza kubereka kwa amuna. Kuyesa kumeneku kumathandiza kudziwa ngati kusintha kulikonse kwa majini kukuyambitsa mavuto okhudzana ndi kubereka.
Ultrasound ya Matumbo a Matende
Ngati kusanthula umuna wanu kukuwonetsa nkhawa, kusanthula kumeneku kumapereka zithunzi zatsatanetsatane za machende ndi madera ozungulira kuti tidziwe zomwe zimayambitsa matenda, monga varicocele (mitsempha yokulirapo).
Kusanthula kwa Mkodzo Pambuyo pa Kutulutsa Umuna
Ngati pali nkhawa yokhudza kutha kwa umuna (kumene umuna umalowa m'chikhodzodzo m'malo motuluka m'thupi), dokotala wanu angakulangizeni mayesowa kuti aone ngati mkodzo wanu uli ndi umuna.
Kodi Mayeso Awa Amachitidwa Bwanji, Ndipo Kodi Aliyense Amayesedwa Mofanana?
Njirayi imasiyana malinga ndi zosowa zanu. Mayeso ena amaphatikizapo kutenga magazi mosavuta, pomwe ena amafunikira kujambula zithunzi; nthawi zambiri, zonsezi zimagwiritsidwa ntchito.
Chofunika kwambiri, ngakhale kuti mayeso amodzi nthawi zina angazindikire chomwe chikuyambitsa matendawa, nthawi zina zingatenge nthawi kuti munthu adziwe bwino matendawa.
Mayeso oyenera kwa inu amadalira mbiri yanu yachipatala, moyo wanu, ndi zosowa za munthu aliyense. Dokotala wanu wa ku Nirogi Lanka adzakutsogolerani pa ndondomekoyi, momwe mungakonzekere, ndikukambirana njira zina zochiritsira.
Nanga bwanji ngati zotsatira za mayeso anga sizikuyenda bwino? Kodi ndiyenera kuda nkhawa?
Ngati mutalandira zotsatira zachilendo, dokotala wanu adzakambirana nanu njira zotsatirazi. Izi zingaphatikizepo mayeso ena kapena kuyambitsa dongosolo la chithandizo. Adzakufotokozerani tanthauzo lenileni la zotsatira zanu kwa inu.
Kumbukirani kuti zotsatira zachilendo sizili mapeto a ulendo wanu. Ngakhale kutenga mimba mwachibadwa kuli kovuta, pali njira zambiri zothandizira kubereka monga In-Vitro Fertilization (IVF) ndi Intrauterine Insemination (IUI). Nirogi Lanka ili pano kuti ikupatseni chithandizo ndi zinthu zomwe mukufuna.
Kodi Mayeso Okhudza Kubereka Kunyumba Ndi Odalirika?
Inde, pali zida zogwiritsira ntchito kunyumba, monga zida zoyesera ovulation kapena kuyesa thanzi la umuna. Komabe, izi sizilowa m'malo mwa kuwunika kwa akatswiri azachipatala. Ngati mayeso anu a kunyumba akuwonetsa zovuta, chonde konzani nthawi yokumana ndi katswiri wa kubereka ku Nirogi Lanka kuti akuwuzeni zambiri zachipatala.
Kodi Ndingayesedwe Kupeza Mwana Ndikugwiritsa Ntchito IUD?
Ngakhale kuti chipangizo cha IUD sichikhudza nthawi yayitali yobereka, chingasokoneze zotsatira za mayeso ena. Mungafunike kuchichotsa kwakanthawi musanapitirize. Ngati mukugwiritsa ntchito IUD pakadali pano, nthawi zonse funsani dokotala wanu musanayambe kuyesa kulikonse kobereka.
Uthenga Wofunika Kwambiri Wopita Nawo Kunyumba
Kuyambitsa banja ndi maloto abwino omwe ambiri amawakonda. Ngati panopa mukukumana ndi mavuto okhudzana ndi kutenga pakati, n'zachibadwa kuda nkhawa ngati malotowo adzakwaniritsidwa. Chonde, musataye mtima.
Ngati mukuvutika kutenga pakati, chinthu choyamba chofunika kwambiri ndikufunsa dokotala wanu. Angakutsogolereni pa mayeso ofunikira a kubereka ndipo, ngati pakufunika, akutumizireni kwa katswiri kuti akupatseni njira yabwino yopitira patsogolo.
Kumbukirani, simuli nokha paulendowu. Ndi chidziwitso choyenera, chithandizo chamaganizo, ndi upangiri wa akatswiri azachipatala, pali njira yokwaniritsira maloto anu ndi Nirogi Lanka.
👩🏽⚕️ Mafunso Ofunsidwa Kawirikawiri (Mafunso Ofunsidwa Kawirikawiri)
💬 Kodi mkazi kapena mwamuna ayenera kuyezedwa kaye akakumana ndi mavuto okhudza kusabereka?
Ngakhale ambiri amaganiza kuti chomwe chimayambitsa vutoli ndi cha mkazi, pafupifupi 40% ya milandu, chifukwa chake chimachokera kwa amuna. Chifukwa chake, banja likafuna upangiri woyamba wa dokotala, nthawi zambiri kuyezetsa umuna kwa mwamuna kumakhala chimodzi mwa magawo oyamba omwe amachitidwa.
💬 Kodi mayeso oyezera kubereka kwa akazi ndi ati?
Madokotala makamaka amachita mayeso a magazi kuti aone kuchuluka kwa mahomoni ndi kutsimikizira ovulation nthawi zonse. Kuphatikiza apo, HSG (X-ray yapadera) nthawi zambiri imachitidwa kuti aone momwe chiberekero chilili komanso kuonetsetsa kuti machubu a fallopian sakutsekeka.
💬 Kodi zifukwa zazikulu zomwe zimapangitsa kuti umuna uchepe mwa amuna ndi ziti?
Kupatula zinthu za majini, zosankha za moyo monga kusuta fodya kwambiri, kumwa mowa, kupsinjika maganizo kwambiri, komanso kutentha (popeza umuna umakhala wovuta kutengera kutentha) ndi zinthu zofunika kwambiri zomwe zimakhudza thanzi la umuna mwachindunji.
Mawu Ofunika: Kubereka, Kutenga Mimba, Mimba, Kusabereka, Mayeso a Kubereka, Thanzi la Akazi, Thanzi la Amuna
