Kodi inunso mwataya mwayi wanu wobereka popanda chifukwa chomveka? (Kusabereka Kosamveka) Tiyeni tikambirane za izi!

Kodi inu ndi mwamuna/mkazi wanu munalotapo za kukhala ndi mwana, koma simunakwanitsebe kukwaniritsa maloto amenewo? Nthawi zina, ngakhale mutachita mayeso onse, ngakhale madokotala sanganene motsimikiza kuti, "Ichi ndi chifukwa chake." Apa ndi pamene timalankhula za vuto ili lotchedwa "kusabereka kosamveka bwino." Ili ndi vuto lalikulu, koma tiyeni tikambirane mwatsatanetsatane, chabwino?

Kodi kusabereka kosadziwika n'chiyani?

Mwachidule, kusabereka kosamvetsetseka kumachitika pamene palibe chifukwa chomveka bwino chachipatala chomwe chimakuvutani inu ndi mnzanu kutenga pakati. Musanachite izi, dokotala wanu adzachita mayeso ambiri kuti adziwe momwe mungaberekere. Nthawi zambiri, mayesowa amatsimikizira izi:

• Palibe zovuta kapena mavuto a kapangidwe ka chiberekero chanu .
• Kutulutsa dzira kumachitika nthawi ndi nthawi .
• Machubu anu a fallopian sakutsekedwa ndipo ali otseguka .
• Malo anu osungira mazira ali pamlingo wabwino .
• Mahomoni ofunikira pakubereka amapangidwa muubongo wanu .
• Kuwunika umuna kwa mnzanu ( kuchuluka kwa umuna , kukula, kayendedwe, ndi mawonekedwe) ndi kwabwinobwino .

Ngakhale zonsezi zitakhala zoyenera, ngati muli ndi zaka zosakwana 35 ndipo simunathe kutenga pakati mutayesa kwa chaka chimodzi kapena miyezi isanu ndi umodzi ngati muli ndi zaka zoposa 35, ndi pamene madokotala amatcha "kusabereka kosamveka bwino." Taganizirani izi, nthawi zina tikapita kukatenga mankhwala a matenda, madokotala amachita mayeso ambiri, sichoncho? Ichi ndi chinthu chomwecho. Amayesa chilichonse, koma sangapeze chifukwa cha vutoli. N'zokhumudwitsa pang'ono, koma si mapeto a dziko lapansi.

Kodi vutoli ndi lofala bwanji?

N'zovuta kunena momwe izi zimachitikira kawirikawiri. Chifukwa zomwe dokotala wina amaona kuti ndi "zathunthu" pa mayeso a kubereka zimatha kusiyana malinga ndi dokotala. Izi zikutanthauza kuti pali kusiyana pang'ono pa momwe mayeso amachitikira, kotero ziwerengerozo zitha kukhala zosiyana pang'ono. Lipoti lina limati pafupifupi 10% ya okwatirana omwe akuyesera kutenga pakati akhoza kukhala ndi mtundu uwu wa kusabereka kosamvetsetseka. Izi zikutanthauza kuti mayeso awo onse ndi abwinobwino. Komabe, malipoti ena amati chiwerengerochiZitha kufika pa 30% . Chifukwa chake, ichi si chinthu chomwe sichinachitikepo.

Kodi n'zotheka kukhala ndi mwana ngakhale mutakhala ndi vuto losabereka losadziwika bwino?

Inde, mungathe! Iyi ndi nkhani yabwino kwambiri yomwe ndingakuuzeni. Kungoti mwapezeka ndi "kusabereka kosayembekezereka" sizikutanthauza kuti muyenera kutaya chiyembekezo. Kafukufuku wopangidwa ndi National Institute of Health (NIH) adapeza kuti 92% ya mabanja omwe ali ndi kusabereka kosamvetsetseka adapitiliza kukhala ndi mwana atalandira chithandizo cha kusabereka. Izi zikutanthauza kuti pali mwayi waukulu kuti maloto anu akwaniritsidwe.

" Kusabereka kosadziwika bwino" sikutanthauza kuti simungathe kukhala ndi mwana. Zimangotanthauza kuti muyenera kuyesa mosiyana pang'ono.

Kodi palibe chifukwa chenicheni? Kodi zifukwa zobisika zomwe zingachititse izi ndi ziti?

Ngakhale kuti akuti "choyambitsa sichikudziwika bwino," nthawi zina pamakhala chifukwa. Komabe, chifukwacho chingakhale chinthu chomwe sichingathe kuyezedwa kapena kuzindikirika ndi mayeso omwe alipo. Kapena, chingakhale chinthu chobisika kwambiri kotero kuti sichingadziwike. Tiyeni tiwone zina mwa zifukwa zomwe zingatheke:

Matenda osadziwika bwino komanso osapezeka bwino

Ofufuza akuphunzirabe momwe matenda ena amakhudzira kubereka. Mwachitsanzo, matenda a Celiac (gluten allergy), matenda a shuga, ndi matenda a chithokomiro onse amatha kukhudza kubereka. Mutha kukhala ndi chimodzi mwa izi, koma sichingadziwike mokwanira.

Matenda a endometriosis

Endometriosis ndi matenda omwe minofu yomwe nthawi zambiri imakula mkati mwa chiberekero (endometrium) imakula kunja kwa chiberekero. Ngakhale pang'ono kwambiri, nthawi zina izi zingayambitse kusabereka. Kuti mudziwe ngati muli ndi endometriosis kapena ayi, muyenera kuchitidwa opaleshoni (monga laparoscopy). Ngakhale mutakhala kuti mulibe zizindikiro zilizonse, vutoli lingakhudze kubereka kwanu.

Mavuto a ntchofu ya m'chiberekero

Pa nthawi ya ovulation , ntchofu ya pa khomo lachiberekero imathandiza umuna kukumana ndi dzira. Ngati ntchofu iyi yakula kwambiri, kapena ngati ili ndi zinthu zina, umuna sungathe kudutsa m'chiberekero kupita ku chiberekero.

Ubwino wa dzira

Madokotala angagwiritse ntchito ultrasound kuti aone ma follicles omwe ali m'ma ovary anu ndikuyesa kuchuluka kwa mazira omwe muli nawo. Komabe, ultrasound singathe kudziwa mtundu wa mazira amenewo. Ngakhale mayeso a magazi ndi ultrasound angakupatseni lingaliro la mtundu wa mazira anu, n'zovuta kunena motsimikiza.

Ubwino wa umuna

Monga momwe zilili m'mazira,Kuwunika umuna kungathe kuzindikira mavuto ambiri okhudza umuna. Komabe, nthawi zina mavuto ena osaonekera bwino okhudza umuna angayambitsenso kusabereka kosadziwika bwino.

Mavuto okhudzana ndi mkati mwa chiberekero (Endometrium)

Endometrium ndiye gawo lamkati mwa chiberekero chanu. Dzira lokhala ndi umuna limamera ndikukula kukhala mluza mu gawo ili. Chilema cha luteal phase ndi vuto lomwe endometrium silili lolimba mokwanira kapena losakonzeka mokwanira kulandira dzira lokhala ndi umuna. Ngati izi zitachitika, ngakhale dzira litamera, silidzatha kumera mu chiberekero. Mimba sidzachitika.

Kusasinthasintha nthawi yogonana

Nthawi zina, kuchuluka kwa kugonana, kapena nthawi yogonana, sizingagwirizane ndi ovulation yanu. Izi zingawoneke ngati zazing'ono, koma zingakhudze mwayi wanu wopeza mimba. Nthawi zina zimatha kuchitika popanda chifukwa chomveka, kapena chifukwa chake chingakhale chovuta kupeza kapena kuchiza. Zinthu zambiri ziyenera kuyenda bwino kuti mwana atenge pakati. Ngati pali vuto limodzi lokha, vutoli likhoza kusokonekera. Koma nkhani yabwino ndi yakuti ofufuza nthawi zonse amapeza njira zatsopano zodziwira mavuto okhudzana ndi kubereka okhudzana ndi zinthu monga ubwino wa dzira, ntchito ya ziwalo zoberekera, ndi ntchito ya umuna.

Kodi mumazindikira bwanji vutoli molondola?

Si matenda onse osabereka omwe angadziwike ndi mayeso amodzi. Komanso, palibe mayeso omwe ali olondola 100% (mwachitsanzo, zolakwika zazing'ono kwambiri sizingadziwike). Malinga ndi American Society of Reproductive Medicine (ASRM), kuyezetsa kubereka kuyenera kuphatikizapo:

• Kuwunikanso mbiri yonse ya zachipatala ndi zachiwerewere .
• Kuchita mayeso a thupi .
• Kuyezetsa magazi kuti muwone kuchuluka kwa mahomoni m'thupi .
• Kufufuza ziwalo zanu zoberekera, monga mazira anu, machubu a fallopian, ndi chiberekero . Izi zitha kufunikira ultrasound kapena mayeso apamwamba kwambiri monga hysterosalpingogram kapena laparoscopy .
• Kusanthula umuna wa mnzanu.
• Kuyesa malo osungira mazira .
• Kuyang'ana ngati ovulation yanu ikuchitika bwino.

Ngati katswiri wa kubereka kapena dokotala wa ana oyembekezera komanso dokotala wa matenda a akazi achita mayeso onsewa koma osapeza chifukwa chomveka bwino, ndiye kuti amatchedwa "kusabereka kosamveka bwino." Kumbukirani kuti njira zoyesera za dokotala aliyense zimatha kusiyana pang'ono. Chifukwa chake, ngati mutalandira matenda ngati awa, palibe cholakwika ndi kupeza "lingaliro lachiwiri" kuchokera kwa dokotala wina.

Kodi mankhwala omwe alipo ndi ati?

Popeza dokotala wanu sangathe kudziwa chifukwa chimodzi chomwe chimayambitsa kusabereka kwanu, mwina angakulangizeni chithandizo kutengera zotsatira za mayeso anu osabereka komanso zomwe adakumana nazo pochiza okwatirana ofanana. Kuphatikiza apo, zinthu monga nthawi yomwe mukufuna kuyamba chithandizo komanso zaka zanu zingathandizenso. Mankhwala omwe nthawi zambiri amalimbikitsidwa amagwera m'magulu awa:

Ukadaulo Wothandizira Kubereka (ART)

Ukadaulo Wothandizira Kubereka (ART) ndi mtundu wa chithandizo cha kubereka komwe gawo la njira yoberekera imachitikira mu labotale. Izi zikuphatikizapo zinthu monga Intrauterine Insemination (IUI) ndi In Vitro Fertilization (IVF) .

• Mu IUI , umuna umatsukidwa ndikuyikidwa mu labotale kenako nkuyikidwa mwachindunji mu chiberekero chanu panthawi ya ovulation.
• IVF imaphatikizapo kupanga mazira mu labotale pogwiritsa ntchito mazira anu ndi umuna wa mnzanu (kapena wopereka), womwe umayikidwa mu chiberekero chanu kuti ukule. Nthawi zambiri, IVF imaphatikizaponso njira yotchedwa Intracytoplasmic Sperm Injection (ICSI) . Izi zimaphatikizapo kubaya umuna mwachindunji mu dzira. ICSI ikhoza kuwonjezera mwayi wokhala ndi pakati pamene ubwino wa umuna ukuganiziridwa kuti ndi womwe umayambitsa kusabereka kosadziwika.

Mitundu ya mankhwala

Mankhwala omwe amalimbikitsa ovulation ndi ovulation nawonso ndi othandiza kwambiri. Mankhwalawa angagwiritsidwe ntchito okha kapena pamodzi ndi mankhwala a IUI ndi IVF. Mankhwala omwe amagwiritsidwa ntchito kwambiri ndi gonadotropins ndi clomiphene (Clomiphene - Clomid®) . Madokotala ena amaperekanso mankhwala othandizira kubereka otchedwa letrozole (Femara®) , koma awa ndi mankhwala osagwiritsidwa ntchito. Ma Gonadotropins ali ndi mahomoni omwe amawonjezera kupanga mazira ndipo amagwiritsidwanso ntchito pochiza kuchuluka kwa umuna. Clomiphene imalimbikitsanso mazira kuti apange mazira ambiri. Dokotala wanu adzalangiza njira yoyenera kutengera momwe mulili. Komabe, kumbukirani kuti mukamagwiritsa ntchito mankhwala othandizira kubereka awa, mazira opitilira limodzi akhoza kutulutsidwa munthawi imodzi ya msambo. Ngati zimenezo zitachitika, pali mwayi waukulu wokhala ndi ana oposa mmodzi (monga mapasa).

Kusintha kwa moyo

Makhalidwe ena a moyo angakhudze kubereka. Nazi zinthu zina zomwe mungachite kuti muwonjezere mwayi wanu wobereka mwana:

• Pewani kusuta fodya, kumwa mowa, komanso kugwiritsa ntchito mankhwala osokoneza bongo.
• Khalani ndi thupi labwino.
• Idyani zakudya zabwino komanso zopatsa thanzi.
• Yesani kuchita masewera olimbitsa thupi kwa mphindi zosachepera 30 patsiku.
• Chepetsani kumwa caffeine (tiyi, khofi).
• Yesetsani kuchepetsa nkhawa zanu .

Samalani nthawi yogonana.

Pali nthawi yochepa kwambiri mu nthawi yanu ya msambo yomwe mungathe kutenga pakati. Dokotala wanu angakuthandizeni kuzindikira nthawi imeneyi. Izi zitha kuchitika potsatira kutentha kwa thupi lanu, kuwonetsa nthawi yanu ya msambo, kapena kugwiritsa ntchito zida zoyezera mazira . Madokotala ena anganenenso kuti, "Yesani kwakanthawi." Iyi ikhoza kukhala njira yochizira yovuta kumvetsetsa, makamaka ngati muli munthu amene amalota kuyambitsa banja mwachangu momwe angathere. Komabe, nthawi zina vutoli limatha lokha ndipo chithandizo sichingakhale chofunikira. Komabe, palibe cholakwika ndi kufunsa dokotala wina ngati mukufuna, kapena kuyamba mankhwala oletsa kubereka msanga.

Kodi pali njira yopewera izi?

Ngakhale pali zinthu zomwe mungachite kuti muwonjezere mwayi wanu wobereka mwana, pali zinthu zina zomwe sitingathe kuziletsa zomwe zimakhudza kubereka. Zina mwa zinthu zomwe mungathe kuziletsa ndi izi:

• Kulemera: Khalani ndi thupi labwino lomwe limakuyenererani.
• Kusuta ndi kumwa mowa: Pewani kusuta fodya ndi kumwa mowa wambiri.
• Mbiri ya kugonana: Gwiritsani ntchito makondomu kuti mudziteteze ku matenda opatsirana pogonana (STIs) .

Lankhulani ndi dokotala wanu za nkhawa zanu zokhudzana ndi kusabereka kuti akupatseni malangizo otsatira pa chisamaliro chanu.

Ndi mabanja angati omwe alibe mimba yosadziwika bwino omwe amakhala ndi pakati?

Kafukufuku wina adapeza kuti pafupifupi 43% ya anthuwa pamapeto pake adatenga mimba popanda chithandizo chilichonse chokhudza kubereka. Izi zikutanthauza kuti nthawi zina zimatha kuchitika zokha.

Kodi ndi mafunso otani ofunika kufunsa dokotala wanu?

Ndizachibadwa kukhala ndi mafunso ambiri mukapezeka ndi "kusabereka kosamveka bwino." Nkhani yabwino ndi yakuti palibe vuto lalikulu lomwe limayambitsa kusabereka kwanu. Nkhani yoipa ndi yakuti dokotala wanu sangakuuzeni chifukwa chenicheni chomwe simukutenga mimba. Lankhulani ndi dokotala wanu za chilichonse chomwe chili m'maganizo mwanu. Funsani mafunso ngati awa:

• Kodi mukundilangiza kuti ndichite chiyani kenako?
• Ndi njira iti yomwe imandipatsa mwayi wabwino woti nditenge mimba?
• Kodi pali mayeso a magazi kapena zithunzi zomwe zikufunikirabe kuchitidwa?
• Kodi vuto linalake la matenda lomwe limayambitsa kusabereka kwanga?
• Kodi ndiyenera kupita kwa katswiri wa za kubereka?

Kodi mwakhala mukuyesera kupeza dokotala kwa nthawi yayitali bwanji?

Madokotala ambiri amalimbikitsa kuyesa kwa miyezi yosachepera 12 (chaka) musanalandire chithandizo cha kusabereka. Komabe, ngati muli ndi zaka 35 kapena kuposerapo, pitani kwa dokotala patatha miyezi isanu ndi umodzi . Dokotala wanu angakulangizeni chithandizo kutengera mbiri yanu yaumoyo komanso chikhumbo chanu chokhala ndi mwana.

Pomaliza, zinthu zoti muzikumbukira (Uthenga Wopita Nawo Kunyumba)

Kusabereka kosamvetsetseka kungakhale vuto lalikulu komanso losokoneza maganizo. Zimatanthauza kuti palibe amene angadziwe chifukwa chake simungatenge pakati. Koma musadandaule, kapena kutaya mtima - pali mankhwala okuthandizani. Mabanja ena amapambana ndi mankhwala, IUI, kapena IVF.

"Kusabereka kosamvetsetseka" sikukutanthauza kuti simudzaberekanso mwana. Kungotanthauza kuti madokotala anu adzayenera kuyesa njira zingapo zosiyanasiyana kuti akuthandizeni kutenga mimba.

Pezani dokotala amene akumvetsa momwe mukumvera komanso kukuthandizani panthawi yovutayi. Musataye mtima. Tonsefe tikukufunirani zabwino zonse paulendo wanu wokwaniritsa maloto anu! Kusabereka, Kutaya Mwana, Kusabereka Kosadziwika, Kubereka, Mimba, IVF, IUI