Kodi inu ndi mnzanu mukulota kuyambitsa banja, koma mukupeza kuti maloto amenewo ndi ovuta kuwakwaniritsa? Nthawi zina, ngakhale mutayesa mayeso onse m'bukuli, madokotala sadziwa chifukwa chake chokhalira ndi vuto la kusabereka. Izi zikachitika, timazitcha "Kusabereka Kosamveka." Zingamveke ngati kulemera kwakukulu pamtima panu, koma tiyeni tikambirane izi limodzi, sichoncho?
Kodi kusabereka kosadziwika bwino n'chiyani kwenikweni?
Mwachidule, kusabereka kosadziwika bwino kumatanthauza kuti inu ndi mnzanu mwakhala mukuvutika kutenga pakati, koma palibe chifukwa chenicheni chachipatala chomwe chadziwika. Dokotala wanu asanapeze matendawa, adzayesa bwino momwe angasamalire kubereka. Nthawi zambiri, mayesowa amatsimikizira kuti:
- Chiberekero chanu sichikuwonetsa zolakwika zilizonse m'thupi .
- Kutulutsa mazira kumachitika nthawi zonse komanso nthawi zonse.
- Machubu anu a fallopian ndi omveka bwino komanso otseguka.
- Malo anu osungira mazira ali pamlingo wabwino.
- Ubongo wanu ukupanga mahomoni ofunikira obereketsa moyenera.
- Kusanthula umuna kwa mnzanu (kuchuluka kwa umuna, kuchuluka kwake, kuyenda kwake, ndi mawonekedwe ake) kuli mkati mwa malire oyenera.
Ngati zinthu zonsezi zili bwino, ndipo mwakhala mukuyesera kutenga pakati kwa chaka chimodzi (ngati muli ndi zaka zosakwana 35) kapena miyezi isanu ndi umodzi (ngati muli ndi zaka zopitirira 35) koma osapambana, madokotala amaika izi ngati "kusabereka kosamveka bwino."
Taganizirani izi ngati kupita kwa dokotala chifukwa cha matenda osatha—amayesa, koma nthawi zina sangapeze chomwe chimayambitsa matendawa. Ndithudi n’zokhumudwitsa, koma dziwani kuti iyi si mapeto a ulendo.
Kodi vutoli ndi lofala bwanji?
N'kovuta kunena chiwerengero chenicheni chifukwa zomwe dokotala wina amaona kuti ndi "zokwanira" zowerengera kubereka zitha kusiyana ndi zina. Chifukwa chakuti njira zodziwira matenda zimasiyana, ziwerengero zimatha kusinthasintha.
Malipoti ena akusonyeza kuti pafupifupi 10% ya mabanja omwe akuvutika kutenga pakati amakhala ndi vuto losabereka losadziwika bwino, pomwe ena akusonyeza kuti chiwerengerochi chikhoza kufika pa 30% . Ndithudi simuli nokha mu izi.
Kodi mungathe kutenga mimba ndi Unexplained Infertility?
Inde, ndithudi! Imeneyo ndi nkhani yabwino kwambiri yomwe tingagawane. Kupezeka ndi "kusabereka kosamveka bwino" sikutanthauza kuti muyenera kutaya chiyembekezo. Kafukufuku wopangidwa ndi National Institutes of Thanzi (NIH) adapeza kuti 92% ya mabanja omwe ali ndi kusabereka kosamveka bwino adapeza mimba atalandira chithandizo cha kusabereka. Maloto anu okhala ndi mwana akadali pafupi kukwaniritsidwa.
"Kusabereka kosamvetsetseka" sizikutanthauza kuti simungathe kukhala ndi mwana, koma zimangotanthauza kuti mungafunike kuyamba ulendo wanu wobereka mwana m'njira ina.
Kodi palibe chifukwa chenicheni? Kodi zinthu zina zobisika ndi ziti?
Ngakhale kuti imatchedwa "yosafotokozedwa," nthawi zambiri pamakhala vuto lenileni; kungoti mayeso azachipatala omwe alipo pano sangakhale omveka mokwanira kuti azindikire, kapena chifukwa chake ndi chobisika kwambiri. Tiyeni tiwone zina mwa zinthu zomwe zingatheke:
Matenda Osapezeka Omwe Ali ndi Matendawa
Ofufuza akuphunzirabe momwe matenda osiyanasiyana amakhudzira kubereka. Mwachitsanzo, matenda a Celiac (kusalolera gluten), matenda a shuga, ndi matenda a chithokomiro amatha kukhudza kubereka. N'zotheka kuti pali vuto lenileni koma silinadziwikebe.
Endometriosis
Endometriosiszimachitika pamene minofu yofanana ndi chiberekero imakula kunja kwake. Ngakhale pazochitika zochepa, izi zingakhudze kubereka. Nthawi zambiri, opaleshoni (monga laparoscopy) imafunika kuti ipeze matenda, chifukwa nthawi zonse sizingakhale ndi zizindikiro zoonekeratu.
Mavuto a Nthenda ya M'khosi
Pa nthawi ya ovulation , ntchofu ya pakhosi panu imathandiza umuna kufika pa dzira. Ngati ntchofu iyi ndi yokhuthala kwambiri kapena ili ndi mankhwala osakwanira, imatha kuletsa umuna kudutsa m'chiberekero kupita ku chiberekero.
Ubwino wa Dzira
Ngakhale kuti ultrasound imalola madokotala kuona ma follicles ndi kuyeza kuchuluka kwa mazira anu, sizingatiuze za ubwino wa mazira amenewo. Mayeso a magazi ndi ultrasound amapereka chithunzi chonse, koma sangathe kuwunika thanzi la dzira lililonse pogwiritsa ntchito microscope.
Ubwino wa Umuna
Mofanana ndi mazira, ngakhale kuti kuwunika umuna kumazindikira mavuto akuluakulu, sikungathe kuzindikira mavuto osaoneka bwino komanso ang'onoang'ono mkati mwa umuna omwe angalepheretse umuna.
Mavuto a Endometrium
Endometrium ndi mkati mwa chiberekero chanu komwe dzira loberekedwa liyenera kuikidwa kuti likule. Luteal phase defect imachitika pamene mkati mwa chiberekerochi simukukhuthala kapena kukonzekera bwino, zomwe zimapangitsa kuti zikhale zovuta kuti mwana wosabadwayo aikidwe, ngakhale ngati mimba yachitika.
Nthawi Yogonana
Nthawi zina, kuchuluka kwa nthawi yogonana kapena nthawi yogonana sikugwirizana ndi nthawi yomwe mwasankha yoberekera. Zingawoneke ngati zazing'ono, koma zimakhala ndi gawo lofunika kwambiri pakutenga mimba.
Nthawi zina palibe chifukwa chodziwika, kapena vutoli limakhala lovuta kulizindikira kapena kulichiza. Kutenga pakati ndi njira yovuta yachilengedwe; ngati sitepe imodzi yaying'ono yasokonekera, njira yonseyi ingasokonezeke. Nkhani yabwino ndi yakuti ofufuza ku Nirogi Lanka ndi padziko lonse lapansi nthawi zonse akupanga njira zatsopano zomvetsetsa bwino ubwino wa dzira, thanzi lobereka, komanso ntchito ya umuna.
Kodi vutoli limapezedwa bwanji molondola?
Palibe mayeso amodzi omwe angawulule chilichonse chomwe chimayambitsa kusabereka, ndipo palibe njira yodziwira matenda yomwe ndi yosalephera 100%. Malinga ndi American Society for Reproductive Medicine (ASRM), kuwunika koyenera kwa kubereka kuyenera kuphatikizapo izi:
- Kuwunikanso bwino mbiri yanu ya zachipatala ndi zachiwerewere .
- Kuwunika thupi lonse.
- Kuyezetsa magazi kuti muwone kuchuluka kwa mahomoni anu.
- Kuwunika ziwalo zanu zoberekera, kuphatikizapo mazira anu, machubu a fallopian, ndi chiberekero . Izi zitha kuphatikizapo kujambula zithunzi kapena njira zodziwira matenda monga ultrasound , hysterosalpingogram , kapena laparoscopy .
- Kuwunika umuna kwa mnzanu.
- Kuwunika malo anu osungira mazira .
- Kuwunika nthawi yanu yotulutsa mazira kuti muwonetsetse kuti ikuchitika nthawi zonse.
Ngati katswiri wa kubereka kapena dokotala wa za mimba achita mayeso onsewa ndipo sangathe kuzindikira chifukwa chomveka bwino, vutoli limatchedwa "kusabereka kosamveka bwino." Kumbukirani kuti njira zoyesera zimatha kusiyana pakati pa akatswiri. Ngati mwalandira matendawa, palibe vuto lililonse kufunafuna lingaliro lachiwiri.
Kodi njira zochiritsira zomwe zilipo ndi ziti?
Popeza dokotala wanu sangathe kudziwa chifukwa chimodzi chomwe chimayambitsa kusabereka kwanu, malangizo a chithandizo nthawi zambiri amachokera ku zotsatira za mayeso anu a kubereka, zomwe dokotala wanu wakumana nazo ndi mabanja ofanana, zaka zanu, komanso nthawi yomwe mukufuna kuyamba kulandira chithandizo chogwira ntchito.
Mankhwala omwe amalimbikitsidwa nthawi zambiri amagwera m'magulu awa:
Ukadaulo Wothandizira Kubereka (ART)
Ukadaulo Wothandizira Kubereka (ART)amatanthauza njira zochizira kubereka komwe gawo la njira yoberekera limachitikira mu labotale. Izi zikuphatikizapo Intrauterine Insemination (IUI) ndi In Vitro Fertilization (IVF) .
- IUI imaphatikizapo kutsuka ndi kuika umuna wa mnzanu mu labu ndikuwuyika mwachindunji m'chiberekero chanu panthawi ya ovulation.
- IVF imaphatikizapo kugwiritsa ntchito mazira anu ndi umuna wa mnzanu (kapena wopereka) kuti apange mazira mu labotale, omwe kenako amasamutsidwira ku chiberekero chanu kuti akule. Nthawi zambiri, IVF imaphatikizapo Intracytoplasmic Sperm Injection (ICSI) , komwe umuna umodzi umalowetsedwa mwachindunji mu dzira. Ngati umuna wosakwanira ukuganiziridwa kuti ndiwo umayambitsa kusabereka kosadziwika bwino, ICSI ikhoza kuwonjezera kwambiri mwayi wokhala ndi pakati.
Mankhwala
Mankhwala othandizira kubereka omwe amalimbikitsa kupanga mazira ndi kutulutsa mazira ndi othandiza kwambiri. Mankhwalawa angagwiritsidwe ntchito okha kapena pamodzi ndi mankhwala a IUI kapena IVF. Mankhwala omwe amagwiritsidwa ntchito kwambiri ndi monga gonadotropins ndi clomiphene (Clomid®) . Madokotala ena amathanso kupereka letrozole (Femara®) , ngakhale kuti iyi ndi njira yogwiritsira ntchito yosakhala yachibadwa yoberekera.
Ma Gonadotropin ali ndi mahomoni omwe amawonjezera kupanga mazira komanso amathanso kuchiza kuchuluka kwa umuna kochepa. Clomiphene imagwira ntchito polimbikitsa mazira kuti apange mazira ambiri. Dokotala wanu adzakupatsani njira yoyenera kwambiri kutengera thanzi lanu.
Kumbukirani kuti mukamagwiritsa ntchito mankhwala oletsa kubereka, pali kuthekera kobereka mazira oposa limodzi pa nthawi iliyonse, zomwe zimawonjezera mwayi wokhala ndi pakati pa ana ambiri (monga mapasa).
Kusintha kwa Moyo
Makhalidwe ena a moyo angakhudze kubereka. Nazi njira zina zomwe mungachite kuti muwonjezere mwayi wanu wobereka:
- Pewani kusuta fodya, kumwa mowa, ndi kugwiritsa ntchito mankhwala osokoneza bongo mosangalala.
- Khalani ndi thupi labwino.
- Tsatirani zakudya zoyenera komanso zopatsa thanzi.
- Yesetsani kuchita masewera olimbitsa thupi kwa mphindi zosachepera 30 tsiku lililonse .
- Chepetsani kumwa caffeine (tiyi, khofi).
- Yang'anani kwambiri pa kuchepetsa nkhawa zanu.
Kugonana kwa Nthawi
Mumakhala ndi pakati pokhapokha ngati nthawi yanu ya msambo ili yochepa kwambiri. Dokotala wanu angakuthandizeni kuzindikira nthawi imeneyi kuti muwonjezere mwayi wanu woti mukhale ndi pakati. Izi zitha kuchitika kudzera m'njira monga kutsatira kutentha kwa thupi, kuyang'anira nthawi yanu ya msambo, kapena kugwiritsa ntchito zida zodziwira nthawi ya ovulation .
Nthawi zina, dokotala wanu angakulangizeni kuti "muyesere kwakanthawi." Ngakhale kuti iyi ikhoza kukhala njira yovuta kuvomereza—makamaka ngati mukufuna kuyambitsa banja—nthawi zina vutoli limathetsedwa lokha. Komabe, nthawi zonse muli ndi ufulu wopempha maganizo achiwiri kapena kusankha kugwiritsa ntchito njira zothandizira kubereka msanga ngati mukufuna.
Kodi pali njira yopewera izi?
Ngakhale pali zinthu zambiri zomwe mungachite kuti muthandize kubereka, pali zinthu zina zomwe simungathe kuzilamulira. Njira zomwe mungachite ndi izi:
- Kulemera: Sungani kulemera kwa thupi lanu moyenera.
- Kusuta ndi Mowa: Pewani kusuta fodya ndipo chepetsani kumwa mowa.
- Thanzi la Kugonana: Gwiritsani ntchito chitetezo kuti mupewe Matenda Opatsirana Pogonana (STIs) , omwe angawononge chonde.
Onetsetsani kuti mwakambirana momasuka ndi dokotala wanu za nkhawa zanu zokhudzana ndi kubereka kuti akupatseni malangizo abwino kwambiri oti musamalidwe ku Nirogi Lanka.
Kodi chiwerengero cha mimba kwa okwatirana omwe alibe mimba yosadziwika bwino ndi chotani?
Kafukufuku akusonyeza kuti pafupifupi 43% ya anthuMwa anthu okwatirana omwe ali ndi matendawa, kutenga mimba pakapita nthawi popanda chithandizo chilichonse chokhudza kubereka. Izi zikusonyeza kuti nthawi zina, kutenga mimba mwachibadwa kumakhala kotheka kwambiri.
Ndi mafunso otani ofunika omwe muyenera kufunsa dokotala wanu?
Kupeza matenda a "kusabereka kosadziwika bwino" kungayambitse mafunso ambiri mwachibadwa. Nkhani yabwino ndi yakuti palibe zopinga zazikulu zomwe zadziwika kuti zikulepheretsa kubereka. Chovuta ndichakuti madokotala sangathe kunena momveka bwino chifukwa chake kutenga mimba sikunachitike.
Khalani omasuka kukambirana nkhawa zanu zonse ndi dokotala wanu. Ganizirani kufunsa mafunso otsatirawa:
- Kodi mungatilimbikitse chiyani ngati gawo lathu lotsatira?
- Ndi njira iti yomwe imandipatsa mwayi waukulu wopeza mimba?
- Kodi pali mayeso ena a magazi kapena maphunziro owonera zithunzi omwe atsala kuti achitike?
- Kodi vuto linalake la matenda lomwe lingayambitse kusabereka kwanga?
- Kodi ndiyenera kutumizidwa kwa katswiri wa za kubereka?
Kodi muyenera kuyesa nthawi yayitali bwanji musanapite kwa dokotala?
Madokotala ambiri amalimbikitsa kuyesa kwa miyezi yosachepera 12 (chaka chimodzi) musanafune chithandizo chobereka. Komabe, ngati muli ndi zaka 35 kapena kuposerapo, muyenera kufunsa dokotala mutatha miyezi isanu ndi umodzi yoyesera. Kutengera mbiri yanu yachipatala ndi zolinga zanu, dokotala wanu angapereke dongosolo lothandizira loyenera.
Mfundo Zomaliza Zokhudza (Uthenga Wopita Nawo Kunyumba)
Kupeza matenda a 'Unexplained Infertility' kungakhale kosokoneza kwambiri komanso kovutitsa maganizo. Zimatanthauza kuti, ngakhale kuti mayeso athunthu adachitika, chifukwa chenicheni chomwe chikukuvutani kutenga pakati sichinadziwike. Komabe, musachite mantha kapena kutaya chiyembekezo—pali njira zothandiza zopitira patsogolo. Mabanja ambiri amatha kutenga mimba bwino kudzera mu mankhwala oletsa kubereka, IUI (Intrauterine Insemination), kapena IVF (In Vitro Fertilization).
'Kusabereka Kosamveka' sizikutanthauza kuti simudzatenga mimba; zimangotanthauza kuti gulu lanu lachipatala liyenera kufufuza njira zosiyanasiyana zopezera umboni kuti zikuthandizeni kukhala ndi mimba yabwino.
Paulendo wovuta uwu, tikukulimbikitsani kuti mupeze katswiri wodziwa za kubereka yemwe amamvetsera nkhawa zanu ndikukupatsani chithandizo chachifundo komanso chogwirizana ndi zosowa zanu. Musataye mtima pa maloto anu. Tonsefe ku Nirogi Lanka tikukuthandizani pamene mukuyesetsa kukwaniritsa cholinga chanu choyambitsa banja.
Kusabereka, kuvutika kutenga pakati, Kusabereka kosadziwika, kubereka, mimba, IVF, IUI
