Totaura nezvekushaya mbereko kwevakadzi here?

Iwe nemurume wako muri kutarisira mwana here? Asi pasinei nekuedza kwenyu kwese, pasina nzira yekudzivirira pamuviri, uye pasinei nekuve pamwe chete nguva dzose, hope idzodzo hadzisati dzazadzika here? Ndinoziva kuti iyi inyaya inonetsa zvikuru. Idzi inguva dzakaoma zvikuru nekusuwa, kushushikana, nematambudziko anobva munharaunda. Asi hausi wega. Iyi inyaya inosangana nevanhu vazhinji. Nhasi, tichataura nezvekusabereka kwevakadzi. Musazvidya mwoyo, tichataura nezvezvinhu zvese zviri nyore uye zvakajeka.

Chii ichi chinonzi kusabereka?

Zvichitaurwa zviri nyore, kushaya mbereko chirwere chinokonzerwa nehutano. Zvinoreva kuti haugone kubata pamuviri. Vanachiremba vanoongorora chirwere ichi nenzira dzinotevera:

• Kana uri pasi pemakore makumi matatu nemashanu ekuberekwa: Kana wanga uchiedza kwegore rose usina nzira dzekudzivirira pamuviri, wakaita zvepabonde nguva dzose, uye usina kubata pamuviri.
• Kana wava nemakore anopfuura makumi matatu nemashanu ekuberekwa: Kana waedza kwemwedzi mitanhatu asi usati wabata pamuviri.

Dzimwe nguva, chiremba anogona kuona chirwere ichi nekukurumidza kana uine chimwe chirwere.

Kune mhando dzekushaya mbereko here?

Ehe, kune mhando mbiri chete.

1. Kusabereka Kwekutanga: Izvi zvinoreva kuti hauna kumbobvira wava nepamuviri uye hauna kukwanisa kubata pamuviri mushure mekuedza kwenguva yataurwa pamusoro apa (gore kana mwedzi mitanhatu).

2. Kusabereka kwechipiri: Izvi zvinoreva kuti wakabereka mwana mumwe chete kare, uye kana ukaedza kubata pamuviri zvakare, hazvibudiriri.

Tichifunga nezvekuwanda kwechirwere ichi, vanhu vanosvika gumi muzana (10%) vevakadzi pasi rose vanosangana nedambudziko iri. Njodzi iyi inowedzera zvishoma nekukura.

Chii chinokonzera kushaya mbereko muvakadzi?

Panogona kuva nezvikonzero zvakawanda zveizvi. Dzimwe nguva zvakaoma kuwana chikonzero chaicho. Tinozviti `(Kusabereka Kusina Tsananguro)`. Ngationei kuti zvikonzero zvikuru ndezvipi.

1. Matambudziko nechibereko

Mudumbu ndipo panokurira mwana, saka kana paine dambudziko ipapo, rinogona kukutadzisa kubata pamuviri.

• Mafibroids echibereko:Idzi imhando yekukura kusingabatanidzi kenza. Hadzisi dzese nhumbu dzinokonzera dambudziko, asi zvichienderana nenzvimbo yadzo nehukuru hwadzo, dzinogona kukanganisa kubata pamuviri.
• Mapolyps: Matumbu madiki anoumbwa pamadziro echibereko.
• Kunamatira: Mavanga anomuka mukati mechibereko mushure mekuvhiyiwa kwakadai seD&C. Izvi zvinogona kuita kuti zviomere mwana kuti apinze chibereko muchibereko.

2. Matambudziko neFallopian Tubes

Zai rinobva muchibereko richienda kuchibereko richipfuura nemuchubhu yefallopian. Mbeu nezai zvinosangana mukati mechubhu iyi. Kana machubhu aya akavharika, izvi hazvizoitiki.

• Chirwere chePelvic Inflammatory Disease (PID): Ichi ndicho chikonzero chikuru chekuvharika kwemachubhu efallopian. Chinogona kukonzerwa nezvirwere zvepabonde zvakaita seChlamydia neGonorrhea zvisina kurapwa.
• Endometriosis: Zvichitaurwa zviri nyore, nyama dzinofanira kunge dziri mukati mechibereko dzinokura kunze kwechibereko, munzvimbo dzakadai semachubhu efallopian nemaovari. Izvi zvinogona kukonzera kuvharika uye kunamira.

3. Matambudziko neOvulation

Kuti uwane mimba, zai rine hutano rinofanira kuburitswa kubva muchibereko mwedzi wega wega. Maitiro aya anonzi "Ovulation." Kana izvi zvikasaitika zvakanaka, haugone kubata pamuviri.

• Kusawirirana kwemahormone: PCOS (Polycystic Ovary Syndrome) muenzaniso wakanaka weizvi. Mumamiriro ezvinhu aya, kusawirirana kwemahormone kunoita kuti maovari asakure zvakanaka uye abudise mazai zvakanaka.
• Matambudziko ethyroid: Hormone yethyroid shoma kana kuti yakawandisa inokanganisa zvakananga kubuda kwechibereko.
• Zvinhu zvakaita sekunyanya kushushikana, tsika dzisina kunaka dzekudya, uye kurovedza muviri zvakanyanya zvinogonawo kukanganisa izvi.

4. Matambudziko eKuwanda kwemazai uye Hunhu Hwawo

Mukadzi anozvarwa aine huwandu hwemazai aanoda muhupenyu hwake hwese. Sezvaanokura, huwandu hwemazai aya (egg pool) hunoderera, uye mhando yemazai asara inodererawo.

• Dzimwe nguva, mazai anogona kupera munhu asati asvika pakuguma kuenda kumwedzi (asati asvika makore 40). Izvi zvinonzi ``Primary Ovarian Insufficiency - POI```.
• Nekukura, mikana yekusarongeka kwema chromosome mumazai inowedzera. Zai rakadaro harizokure kuita mwana ari mudumbu ane hutano.

Ndezvipi zvinhu zvinokonzera kushaya mbereko?

Kunyange zvazvo paine zvimwe zvinhu zvatisingakwanise kudzora, panewo zvimwe zvatinogona kuchinja. Zvakakosha kuziva zvinhu izvi zvinogona kukonzera njodzi.

Ndingaziva sei kana ndisina mbereko?

Izvi hazvisi zvinhu zvaunogona kusarudza wega. Zvechokwadi unofanira kuona chiremba kuti akubatsire. Paunoenda kunoona chiremba, achakubvunza mibvunzo mishoma.

• Nezve nguva yako yekuenda kumwedzi (nguva yakareba sei, kubuda ropa kwakawanda sei, kurwadziwa)
• Nezvekubata pamuviri kwakamboitwa kare kana kuti kubvisa pamuviri
• Nezvekurwadziwa kwemudumbu
• Pamusoro pekubuda kwemvura isina kujairika kubva muchibereko
• Nezvekuvhiyiwa kwakapfuura
• Nezve kana uine hutachiona hwepabonde

Mushure meizvozvo, chiremba achakuongorora uye, kana zvichidikanwa, achakutumira kuti uongororwe zvakare.

Miedzo iyi chii?

• Kuongororwa kwemuviri nechiuno: Ongororo yekutanga iyo chiremba achaita.
• Ultrasound Scan: Kuongororwa kwedumbu kana transvaginal ultrasound kunogona kushandiswa kutarisa mamiriro echibereko nemazai (cysts, zviratidzo zvePCOS).
• Kuongororwa kweRopa: Izvi zvinobatsira kuti uzive huwandu hwemahormone ako (mahormone ethyroid, mahormone ekubereka) uye ovarian reserve.
• Kuongororwa kweHSG (Hysterosalpingogram): Uku kuongororwa kweX-ray. Mvura yakakosha inopinzwa muchibereko uye inoshandiswa kuona kana ichifamba nemumachubhu efallopian. Izvi zvinogona kubatsira kuona kana machubhu acho akavharwa kana kwete.
• Laparoscopy: Muizvi, kamera diki inopinzwa mudumbu kuti iongorore chibereko, machubhu efallopian, uye maovari kubva kunze. Izvi zvakakosha zvikuru pakuongorora zvirwere zvakaita se endometriosis.

Kunewo mimwe miedzo yakasarudzika yakaita se `(Hysteroscopy)` uye `(Saline Sonohysterogram)`. Chiremba wako ndiye achasarudza kuti ndeipi bvunzo yaunoda.

Ndezvipi zviri kurapwa?

Mashoko akanaka ndeekuti kune mishonga inoshanda yezvikonzero zvakawanda zvekusabereka. Kurapa kunoenderana nechikonzero chedambudziko rako.

1. Mishonga yeKubereka: Matambudziko emahormone, akadai sekushaya mbereko, anogona kurapwa nemishonga. Kune mishonga inopiwa kubatsira mazai ekubereka uye kukurudzira ovulation.

2. Kuvhiyiwa: Matumbu echibereko, mapolyps, kuvharika kwemachubhu efallopian, uye endometriosis zvinogona kubviswa uye kugadziriswa kuburikidza nekuvhiyiwa.

3. Mishonga inorwisa mabhakitiriya: Kana paine hutachiona mumuviri wekubereka, ihwohwo hunopihwa kuti hurapwe.

4. Matekinoroji Ekubereka Anobatsira (ART):

• IUI (Intrauterine Insemination): Muizvi, mbeu yemurume inogadzirwa zvakananga uye inopinzwa zvakananga muchibereko chemukadzi uchishandisa cannula pazuva rimwe chete raanoburitsa zai.
• IVF (In Vitro Fertilization): Nzira ye'test tube' yatinoziva tese. Inosanganisira kusanganisa mazai nembeu kunze kwemuviri murabhoritari, wobva waisa embryo muchibereko.

Chiremba wako achasarudza kuti ndeipi yemishonga iyi yakakodzera iwe nemurume wako uye achakutsanangurira.

Ndingaitei kuti ndidzivirire kushaya mbereko?

Hatigone kudzivirira zvimwe zvikonzero, semuenzaniso zvinhu zvinokonzerwa nemajini. Zvisinei, tinogona kuderedza njodzi yedu nekuchinja mararamiro edu.

• Ramba uine huremu hwakanaka: Zvakakosha kuchengetedza huremu hwakanaka hunoenderana nehurefu hwako.
• Dzivisa kusvuta nedoro: Zvese izvi zvinokanganisa kubereka.
• Idya chikafu chakakwana: Idya miriwo yakawanda, michero, uye miriwo.
• Deredza kushushikana: Edza zvinhu zvakaita seyoga nekufungisisa.
• Ita zvepabonde zvakachengeteka: Zvidzivirire kubva kuzvirwere zvepabonde.
• Ongororwa nachiremba nguva nenguva: Kunyanya mushure mekunge watanga kuita zvepabonde, kuona chiremba wevakadzi kanenge kamwe chete pagore kunogona kubatsira kuona matambudziko anogona kuitika nekukurumidza.