Ndizachilendo kwa okwatirana omwe akuyembekezera mwana kumva nkhawa komanso nkhawa zambiri malotowo akachedwa pang'ono. Ngakhale tikamva mawu oti " kusabereka ," timachita mantha kwambiri. Chifukwa timaganiza kuti zingasinthe moyo womwe takhala tikulota nthawi zonse. Koma zoona zake n'zakuti, vutoli silili lopanda chiyembekezo monga momwe mungaganizire.
Madokotala nthawi zambiri amakayikira kuti simunatenge mimba mutayesa kwa chaka chimodzi. Komabe, chaka chimodzi ichi sichikutanthauza kuti simungakhale ndi mwana. Kafukufuku waposachedwapa adapeza kuti akazi ambiri osakwana zaka 39 omwe satenga mimba chaka choyamba amatha kutenga mimba chaka chachiwiri popanda chithandizo chilichonse chamankhwala . Chifukwa chake, ndikofunikira kumvetsetsa izi musanathamangire kulandira chithandizo chokwera mtengo.
Mukapita kukaonana ndi dokotala
Ngati muli ndi nkhawa iliyonse yokhudza kubereka kwanu, chinthu chabwino kwambiri choti muchite ndikuwonana ndi dokotala, makamaka katswiri wa kubereka. Dokotalayo adzakufunsani kaye inu ndi mnzanu za matenda anu ndi zizolowezi zanu.
Mungamve kusasangalala kapena manyazi chifukwa mafunso ena ndi okhudza inuyo. Koma kumbukirani, ndikofunikira kwambiri kudziwa zonsezi kuti mupeze chomwe chayambitsa vutoli. Nthawi zambiri, chomwe chimayambitsa kusabereka chingakhale kuphatikiza kwa mavuto ang'onoang'ono mbali zonse ziwiri . Chifukwa chake, ndikofunikira kufufuza nonse awiri mokwanira.
Musanapite kwa katswiri, ndi bwino kufufuza za mtengo wa mayesowo komanso ngati inshuwalansi yanu idzakuphimbani.
Dokotala, ndingakufunseni zinthu ziwiri.
Dokotala adzakufunsani mafunso onse awiri okhudza moyo wanu komanso thanzi lanu. Izi zingaphatikizepo mafunso monga:
| Mtundu wa funso lofunsidwa | Kufotokozera ndipo n’chifukwa chiyani kuli kofunikira? |
|---|---|
| Mbiri ya zamankhwala | Matenda aliwonse osatha omwe muli nawo (monga matenda a shuga, kuthamanga kwa magazi) kapena opaleshoni yomwe mudachitapo. Izi zingakhudze kubereka. |
| Mankhwala ogwiritsidwa ntchito | Za mankhwala aliwonse omwe mumamwa. Mankhwala ena amatha kusokoneza kubereka. |
| Moyo | Zokhudza kugwiritsa ntchito khofi, mowa, ndudu, ndi mankhwala ena osokoneza bongo. Izi zimakhudza mwachindunji ubwino wa umuna ndi mazira. |
| Ntchito ndi chilengedwe | Kodi mumakumana ndi mankhwala, poizoni, kapena kuwala kwa dzuwa kuntchito kapena kunyumba? |
| Zizolowezi zogonana | Zinthu monga kugonana pafupipafupi, mbiri ya matenda opatsirana pogonana, ndi zina zotero. Izi zingathandize kudziwa chomwe chayambitsa vutoli. |
| Zovala zamkati za amuna | Kuvala zovala zamkati zolimba kungapangitse kutentha kwa machende komanso kulepheretsa kupanga umuna wathanzi. |
Zinthu zoti mufunse mkazi mwachindunji
Kuphatikiza apo, dokotala adzakufunsani za mbiri yanu ya matenda a akazi.
- Kodi munakhalapo ndi mimba kale? Nanga chinachitika n’chiyani ndi mimba zimenezo?
- Kodi nthawi yanu yakhala bwanji chaka chathachi?
- Kodi nthawi yanu ya msambo ndi yosasinthasintha? Kodi nthawi zina inatha? Kodi munayamba mwakhala ndi madontho pakati pa nthawi ya msambo?
- Kodi mwaona kusintha kulikonse pa kuchuluka kwa magazi, monga magazi kuundana kwambiri?
- Kodi munagwiritsa ntchito njira zolerera ziti?
- Kodi mudapitako kwa dokotala kale ndipo mudalandira chithandizo chokhudza kubereka?
Ngati mudawonanapo ndi dokotala kale pankhani imeneyi, musaiwale kubweretsa malipoti onse azachipatala oyenera, ma X-ray, malipoti ojambulira, ndi zina zotero nthawi ino.
Mayeso oyambira: kusanthula magazi ndi umuna
Pambuyo pa zokambiranazi, mayeso anu adzayamba. Choyamba, kuyezetsa thupi lonse ndi kuyezetsa magazi pang'ono kudzachitika.
- Kuyezetsa Magazi: Izi makamaka zimayang'ana kuchuluka kwa mahomoni achikazi, mahomoni a chithokomiro, prolactin, ndi mahomoni achimuna m'thupi lanu. Zimafufuzanso matenda monga HIV ndi Hepatitis.
- Kuwunika thupi: Izi zimaphatikizapo kuunika nyini kuti muwone ngati pali matenda opatsirana pogonana monga Chlamydia ndi Gonorrhea, chifukwa matendawa angayambitsenso kusabereka.
- Kusanthula Umuna: Bwenzi lanu lidzafunsidwanso kuti lifufuze umuna. Izi zimachitika kuti liwone kuchuluka, mawonekedwe, ndi kuyenda kwa umuna.
Kuphatikiza apo, dokotala wanu adzakonza zoyezetsa magazi zina zingapo kutengera masiku a msambo wanu. Mwachitsanzo, mayeso a Follicle Stimulating Hormone (FSH) ndi Luteinizing Hormone (LH) amachitika tsiku lachiwiri kapena lachitatu la msambo wanu. Izi zimachitika poyang'ana kuchuluka kwa mahomoni m'masiku osiyanasiyana a msambo wanu kuti mudziwe ngati mukuchita ovulation moyenera.
Mayeso ena apadera ngati pakufunika
Pambuyo pa mayeso oyamba, dokotala angakulangizeni mayeso ena angapo ngati pakufunika. Si aliyense amene adzachite mayeso onsewa. Dokotalayo adzasankha imodzi yoyenera kwambiri pa vuto lanu.
| Dzina la mayeso | Ingochitani izi... |
|---|---|
| Kujambula kwa Ultrasound kwa Transvaginal | Chipangizo chaching'ono chofufuzira chimayikidwa kudzera mu nyini kuti chione momwe chiberekero ndi mazira zilili. Izi zitha kuwona ngati ma follicles omwe ali m'mazira obereketsa, omwe ndi mazira okhwima, akugwira ntchito bwino. |
| Hysterosalpingogram (HSG) | Izi zimatchedwanso "tubogram." Utoto wapadera umayikidwa m'chiberekero kudzera mu nyini, ndipo zithunzi zingapo za X-ray zimatengedwa za machubu a fallopian. Ndiyo njira yabwino kwambiri yodziwira ngati pali zotsekeka zilizonse m'machubu a fallopian. |
| Hysteroscopy | Izi zimachitika ngati mayeso a HSG apeza vuto. Chida chopyapyala, chofanana ndi telesikopu chimalowetsedwa m'chiberekero ndipo kamera imagwiritsidwa ntchito kuona mkati. |
| Laparoscopy | Kamera imayikidwa kudzera mu kabowo kakang'ono m'mimba kuti ione mkati mwa m'mimba. Izi zimathandiza kufufuza matenda monga endometriosis ndi zipsera. Iyi ndi opaleshoni yaying'ono yomwe imachitidwa pansi pa mankhwala oletsa ululu. |
| Kufufuza kwa Endometrial | Kachidutswa kakang'ono ka minofu kamatengedwa kuchokera mkati mwa chiberekero (endometrium) kuti awone ngati chiberekerocho chili bwino kuti mwana wosabadwayo aikidwe. |
Mayeso onsewa akatha, pafupifupi 85% ya okwatirana adzatha kudziwa bwino chomwe chikuchititsa kuti avutike kutenga pakati. Chifukwa chake, ngati mukuda nkhawa ndipo muli ndi nkhawa, chinthu chabwino kuchita ndikupempha upangiri woyenera wachipatala.
Uthenga Wopita Nawo Kunyumba
- Musadandaule ngati simunatenge mimba mutayesa kwa chaka chimodzi. Sizikutanthauza kuti simudzatha kukhala ndi mwana.
- Ngati mukuganiza kuti muli ndi vuto, chinthu chabwino kwambiri choti muchite ndikuwona katswiri ndikupeza upangiri.
- Amuna ndi akazi onse amakhudzidwa mofanana ndi nkhani ya kusabereka. Chifukwa chake, ndikofunikira kuti onse awiri atenge nawo mbali poyesa ndi kulandira chithandizo.
- Kuyankha mafunso anu omwe dokotala wanu amakufunsani moona mtima kumathandiza kwambiri kupeza chomwe chimayambitsa vutoli.
- Si mayeso onse omwe amachitidwa kwa aliyense. Dokotala wanu ndiye adzasankha mayeso oyenera mkhalidwe wanu. Pambuyo pa mayeso oyenera, okwatirana ambiri amatha kupeza chomwe chayambitsa vuto lawo.
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