Unewo fungidziro yekuva amai here? Totaura nezvekushaya mbereko kwevakadzi here?

Kuva amai ndicho chiroto chikuru uye chakanaka kwazvo chevakadzi vese. Asi dzimwe nguva, kuita kuti chiroto ichocho chizadzike hakusi nyore sezvamunofunga. Pamwe iwe uri kutarisanawo nedambudziko iri uye uri kutambura naro. Saka nhasi, ngatitaurei nezvekushaya mbereko kwevakadzi, kureva kuti, kusakwanisa kuita vana, zvakadzama ? Usazvidya mwoyo, hausi wega uri kutarisana neizvi.

Chii chinonzi Kusabereka kweVakadzi?

Zvichitaurwa zviri nyore, kusabereka zvinoreva kusakwanisa kana kuoma kubata pamuviri. Kana ari mukadzi, vanachiremba vanoongorora chirwere ichi seizvi:

• Kana uri pasi pemakore makumi matatu nemashanu ekuberekwa, gara uchiita bonde nguva dzose kwegore rose usingashandise chero nzira yekudzivirira pamuviri uye usati wabata pamuviri.
• Kana uine makore anopfuura makumi matatu nemashanu ekuberekwa, nguva iyi inoonekwa semwedzi mitanhatu .

"Kuita zvepabonde nguva dzose" zvinoreva kuti iwe nemumwe wako munoita zvepabonde pasina kukanganiswa, musingashandise nzira dzekudzivirira pamuviri. Zvisinei, vamwe vanhu vanogona kutanga kusabereka kana vaine chimwe chirwere kana dambudziko nechibereko chavo.

Chimwe chinhu ndechekuti kushaya mbereko hakusi dambudziko remukadzi chete. Kutaura chokwadi, dambudziko iri rinogona kukonzerwa nematambudziko evarume nevakadzi.

Kushaya mbereko muvakadzi kunogona kukonzerwa nezera, shanduko dzemahormone, mamwe mamiriro ehutano, uye mararamiro kana zvimwe zvinhu zviri munharaunda. Izvi dzimwe nguva zvinonzi "female factor" kusabereka.

Kune mhando huru dzekushaya mbereko here?

Ehe, kune mhando mbiri huru dzekushaya mbereko:

1. Kushaya mbereko kwekutanga: Izvi zvinoreva kuti hauna kumbobvira wava nepamuviri, uye hauna kukwanisa kubata pamuviri mushure mekuedza kwegore rose kana uri pasi pemakore makumi matatu nemashanu, kana mwedzi mitanhatu kana uri pamusoro pemakore makumi matatu nemashanu. Ingofunga, kune vamwe vakaroorana kwemakore asi vasati vawana rombo rakanaka rekubata pamuviri. Ndizvo zvakafanana.

2. Kushaya mbereko kwechipiri: Apa ndipo paunotova nemwana mumwe chete zvinobudirira, asi usingakwanise kubata pamuviri zvakare. Semuenzaniso, kana ukaedza kuva nemwana wechipiri makore mashoma mushure mekuva nemwana wako wekutanga, ungasakwanisa kubata pamuviri, zvisinei nekuti unoedza sei.

Dambudziko iri rakajairika zvakadii?

Kushaya mbereko hakusi kungoitika netsaona sezvaungafunga. Anenge 10% yevakadzi vanotambura nedambudziko iri. Zvakare, njodzi yekusabereka inowedzera nekukura. Saka, kana uchinetseka neizvi, yeuka kuti hausi wega.

Ndezvipi zviratidzo zvinoratidza kuti mukadzi anogona kunge asina mbereko?

Chiratidzo chikuru chinowanzova kusakwanisa kubata pamuviri kunyangwe uchigara uchiita bonde risina dziviriro. Ichi ndicho chinhu chekutanga chinoonekwa nevanhu vazhinji.

Mukuwedzera, panogona kunge kune zviratidzo zvinotevera:

• Kusaenda kumwedzi kana kusaenda kumwedzi: Vamwe vanhu vanogona kusaenda kumwedzi kwemwedzi yakawanda panguva imwe chete, kana kuti kusaenda kumwedzi kwavo kunogona kunge kusina kuenzana.
• Dzimwe nguva zvimwe zviratidzo zvinogonawo kuoneka, zvichienderana nechirwere chiri kukonzera kushaya mbereko.

Sei kusabereka kwevakadzi uku kuchiitika? Ndezvipi zvikonzero?

Kutaura zvazviri, pane zvikonzero zvakawanda zvinokonzera kushaya mbereko. Kutaura zvazviri, dzimwe nguva zvakaoma kuwana chikonzero, chinova chatinoti "kusabereka kusingatsananguriki." Zvisinei, kune zvikonzero zvishoma zvikuru zvinogona kuzivikanwa navanachiremba:

Matambudziko nechibereko chako

Izvi zvinogona kusanganisira:

• Mapolyps emuchibereko: Aya matumbu madiki anoumbwa pamadziro emukati mechibereko.
• Mafibroid: Aya ndiwo mamwe marudzi egomarara rinokura muchibereko.
• Kunamatira (mavanga) muchibereko: Dzimwe nguva, mushure mekuvhiyiwa kwechibereko, senge D&C (Dilation and Curettage) , tumakomba tudiki twunogona kuumbwa mukati mechibereko. Izvi zvinoita kuti zviomere mwana kuti aiswe muchibereko. Semuenzaniso, seNiluka, vamwe vanhu vanogona kukura tumapundu tudiki (polyps kana fibroids) muchibereko, izvo zvinogona kunonoka kubata pamuviri vasingazive.

Matambudziko nemachubhu ako e fallopian

Machubhu efallopian ndiwo machubhu anotakura zai kubva muchibereko kuenda kuchibereko, uye ndipo panosangana mbeu yemurume nezai. Kana paine matambudziko nemachubhu aya, tinoadaidza kuti "kusabereka kwechinhu chiri muchubhu."

• Chikonzero chikuru cheizvi iPelvic Inflammatory Disease (PID) . PID inowanzo kukonzerwa nezvirwere zvepabonde zvakaita seChlamydia neGonorrhea zvisina kurapwa.
• Endometriosis inogonawo kukonzera mavanga uye kuvharika kwemachubhu efallopian. Zvino, tarisa, machubhu efallopian akafanana nemugwagwa unofanirwa kusangana nezai nembeu. Kana paine kuvharika kana kuvharika munzira iyi, ipapo matambudziko achamuka.

Matambudziko ne ovulation

Chikonzero chikuru chekusabereka ndechekuti mazai emukadzi haabudise zai nemazvo. Panogona kuva nezvikonzero zvakawanda zveizvi:

• Kusawirirana kwemahormone
• Matambudziko ekudya
• Dambudziko rekushandisa zvinodhaka
• Zvirwere zve thyroid
• Kushushikana kwakanyanya
• Mabundu epituitary

Zvinhu zvakadai zvinogona kukonzera ovulation isina kurongeka uye kusunungurwa.

Matambudziko nehuwandu hwemazai uye mhando yawo

Tose tinozvarwa tiine mazai akati wandei. Mazai aya anodzikira zvishoma nezvishoma uye anopera sezvatinokura. Izvi zvinowanzoitika panguva yekuenda kumwedzi (pamakore angangoita makumi mashanu nerimwe). Asi kune vamwe vanhu, mazai aya anogona kupera nekukurumidza.

• Uyewo, mamwe mazai anogona kunge asina kunaka mumachromosomes avo . Zai rakadaro harigone kubatana nembeu kuti rigadzire mwana ane hutano.

Chii chinonyanya kukonzera kushaya mbereko kwevakadzi?

Kazhinji, chikonzero chikuru chekusabereka kwevakadzi matambudziko ekugadzirwa kwemazai uye kuburitswa kwezai (ovulation) .

• Ungave wakambonzwa nezvePolycystic Ovary Syndrome (PCOS) . Ndiyo imwe yezvikonzero zvikuru zveizvi. PCOS chirwere chinoita kuti maovari asashande zvakanaka nekuda kwekusagadzikana kwemahormone.
• Kune chirwere chinonzi Primary Ovarian Insufficiency (POI) . Apa ndipo apo maovari anomira kushanda asati asvitsa makore makumi mana nekuda kwekushomeka kwemazai.

Ndezvipi zvinhu zvinokonzera kushaya mbereko?

Pane zvinhu zvakawanda zvinowedzera njodzi yako yekusabereka. Izvi zvinosanganisira zvirwere, majini, mararamiro aunoda, uye zera. Ona kana izvi zvichishanda kwauri:

• Zera: Kubereka kunowanzotanga kudzikira mushure memakore makumi matatu.
• Matambudziko emahormone anodzivirira kubuda kwembeu.
• Kuenda kumwedzi kwemwedzi kusingaenderane nenguva.
• Kufuta zvakanyanya.
• Kuva nehuremu hushoma.
• Kurovedza muviri zvakanyanya kana kurovedza muviri zvakanyanya.
• Endometriosis.
• Matambudziko emuviri: Matambudziko emuviri ane machubhu efallopian, chibereko, kana maovari.
• Matumbu echibereko.
• Zvipembenene zvemaovari.
• Mabundu asiri ekenza.
• Zvirwere zve autoimmune: Mienzaniso inosanganisira `(Lupus)`, `(Rheumatoid Arthritis)`, `(chirwere chaHashimoto)`.
• Chirwere chekuzvimba muchiuno (PID) chinokonzerwa nezvirwere zvepabonde (STIs) .
• Chirwere chePolycystic ovary (PCOS).
• Primary ovarian insufficiency (POI).
• Kushandisa zvinodhaka zvakanyanya uye doro.
• Kusvuta.
• Mushure mekunge ndambova nepamuviri pe ectopic .

Kukura kunokanganisa sei kusabereka?

Tose tinoziva kuti kubereka kunoderera nekukura. Tsvagiridzo yakaratidza kuti kukwegura ndicho chinhu chikuru chinokonzera kusabereka, sezvo vakaroorana vazhinji vanononoka kuita vana kusvika vava nemakore ekuma30 ne40. Vanhu vane makore anopfuura 35 ndivo vari panjodzi huru yekuva nematambudziko ekubereka. Zvikonzero zveizvi ndeizvi:

• Kuderera kwehuwandu hwemazai ese.
• Kuva nemazai akawanda ane chromosome abnormalities.
• Kuwanda kwenjodzi yezvirwere (njodzi yekubatwa nezvimwe zvirwere inowedzera sezvaunokura).

Ungaziva sei kuti une mimba here kana kuti kwete?

Izvi hazvigone kuongororwa kumba. Chiremba chete ndiye anogona kuongorora izvi. Kana wanga uchiedza kubata pamuviri uye uchiri kunetseka, kana kuti kana uine kusava nechokwadi, unofanira kuona nyanzvi yezvekubereka. Vanogona kuita bvunzo kuti vaongorore chirwere ichi. Usatya kana kutya. Vanhu vazhinji vakabudirira nekurapwa.

Mibvunzo yerudzii yaunobvunza kana uchienda kunoona chiremba?

Chiremba achakubvunza nezvenhoroondo yako yese yezvekurapa. Izvi zvinosanganisira:

• Nezvemwedzi wako wekuenda kumwedzi (kuti unogara kwenguva yakareba sei, kubuda ropa kwakawanda sei, nezvimwewo).
• Nezvekubata pamuviri kwakamboitwa, kana paine pamuviri pakabva.
• Une kurwadziwa muchiuno here?
• Une kubuda ropa kana kubuda ropa zvisina kujairika here?
• Wakambovhiyiwa dumbu here kana kuti chiuno ?
• Wakambova nezvirwere zvemudumbu kana zvechikadzi here, kusanganisira zvirwere zvepabonde (STIs)?

Kubvunza mibvunzo yakaita seiyi ndiko kunoita kuti chiremba anzwisise mamiriro ako ezvinhu.

Ndedzipi bvunzo dzinoitwa kuti paonekwe kuti munhu haana mbereko here?

Miedzo yakawanda inogona kuitwa muhofisi yachiremba. Izvi zvinogona kusanganisira:

• Kuongororwa kwemuviri.
• Kuongororwa kwehudyu.
• Ultrasound yechiuno.

Mimwe miedzo inofanirwa kuitwa murabhoritari. Mienzaniso inosanganisira:

• Kuongororwa kweropa: Rudzi rwekuongororwa ropa kwauchazoda runoenderana nenhoroondo yako yehutano uye chirwere chaunofungidzira nachiremba wako. Semuenzaniso, kuongororwa kwebasa re thyroid, kuongororwa kwekutarisa mazinga emahormone ane chekuita nekubuda kwe ovulation nekuenda kumwedzi, uye bvunzo dzekuchengetedza mazai (kuwanikwa kwemazai) dzinogona kuitwa.Izvi zvinoreva kuti une mazai mashoma mumazai ako kana tichienzanisa nemamwe ezera rako.

• X-ray hysterosalpingogram (HSG): Izvi zvinosanganisira kuisa dhayi rakakosha (dhayi rekuenzanisa) kuburikidza nemuromo wechibereko chako muchibereko chako uye kushandisa X-ray kuti uone kuti rinofamba sei nepamachubhu ako efallopian. Izvi zvinogona kubatsira kutarisa kana paine kuvharika kuri mumachubhu .

• Laparoscopy: Uku kuvhiyiwa kudiki. Chishandiso chidiki chine kamera chinonzi ``laparoscope'' chinoiswa mudumbu kuti chitarise nhengo dzemukati. Izvi zvinogona kubatsira kuona zvirwere zvakaita se endometriosis nemachubhu e fallopian akavharika.

• Ultrasound yeTransvaginal: Iyi iultrasound zvakare. Zvisinei, pachinzvimbo chekuisa probe pamusoro pedumbu, inopinzwa nepanhengo yemukadzi kuti ione chibereko nemazai. Izvi zvinoita kuti mamiriro echibereko nemazai aonekwe zvakajeka.

• Saline sonohysterogram (SIS): Izvi zvinosanganisira kuzadza chibereko nesaline uye kushandisa transvaginal ultrasound kuti uone zviri mukati mechibereko. Inogona kuratidza zvakajeka chero kusarongeka kwechimiro, senge polyps uye fibroids. Dzimwe nguva inogonawo kutarisa kana machubhu efallopian akavhurika.

• Hysteroscopy: Zvakare, mudziyo mutete une kamera diki (hysteroscope) unopinzwa nepanhengo yemukadzi nepamuromo wechibereko kuti utarise mukati mechibereko. Izvi zvinoita kuti munhu aone zvakananga mukati mechibereko, zvakaita semapolyps, fibroids, kana mavanga.

Miedzo yese iyi inoitwa kuti ione kuti dambudziko rako nderei chaizvo.

Kushaya mbereko kwevakadzi kunorapwa sei?

Kana chiremba wako angoona kuti hauna mbereko uye awana chikonzero, achakupa mazano ekurapa akakunakira. Nzira dzekurapa dzinosiyana zvichienderana nechikonzero. Hezvino zviripo:

• Kuvhiyiwa: Kana kusabereka kuchikonzerwa nedambudziko remuviri, kuvharika, kana vanga, chiremba wako anogona kukuvhiya kuti agadzirise dambudziko racho. Semuenzaniso, kubvisa fibroids kana kugadzirisa kuvharika kuri mumachubhu efallopian.
• Mishonga yekubereka: Kana uine kusawirirana kwemahormone kana matambudziko ekubereka, mishonga yekubereka inogona kushandiswa. Mimwe mishonga yemahormone inokurudzira maovari kuti akure uye inobatsira kuburitsa zai.
• Mishonga inorwisa mabhakitiriya: Kana uine hutachiona mumuviri wako wekubereka, unogona kupihwa mishonga inorwisa mabhakitiriya kuti irapwe.
• Kuziva nezvekubereka: Dzimwe nguva zvinobatsira kuziva nguva chaiyo yauri kubuda mazai. Izvi zvinogona kuitwa nekutarisa madzihwa emuromo wechibereko, kuyera tembiricha yemuviri wako, kana kushandisa zvishandiso zvinofanotaura kuibva kwemazai zvinowanikwa muchitoro chemishonga.Unogona kuita izvi uchishandisa. Vanhu vazhinji vanoshandisa maapplication emafoni kuti vaongorore nguva yavo yekuenda kumwedzi uye mazuva eovulation.

Vamwe vanhu vanoda kurapwa kwakanyatsogadzirwa.

• Kuberekesa mwana muchibereko (IUI): Mukuita uku, mbeu inotorwa kubva kumurume inocheneswa yoiswa zvakananga muchibereko uchishandisa nzira yakakosha.
• Matekinoroji Ekubereka Anobatsira (ART): Ungave wakambonzwa nezvevana vanoberekwa vari muchubhu yekuyedza (IVF - In Vitro Fertilization) . IVF ndeimwe yenzira idzi dzeART. Mukuita izvi, mazai emukadzi nembeu yemurume zvinosanganiswa murabhoritari, uye mushure mekunge mwana azvarwa, anoiswa muchibereko.

Kunze kweizvi, kutora mwana wemunhu nepamuviri pamwe nekutora mwana wemwana wepamuviri dzimwe nzira dzekutanga mhuri kune avo vasina mbereko.

Pane matambudziko here ekurapwa?

Kurapa, kunyanya mishonga inoshandiswa kukurudzira kubuda kwembeu, dzimwe nguva kunogona kukonzera matambudziko madiki:

• Mikana yekubata pamuviri wevana vakawanda (mapatya, vatatu) inowedzera.
• Ovarian Hyperstimulation Syndrome (OHSS): Mumamiriro ezvinhu aya, mishonga yekubereka inogona kukonzera kuti maovari azvimbe uye arwadziwe. Zvisinei, vanachiremba vachakuzivisai nezveizvi pachine nguva.

Kushaya mbereko kwevakadzi kunogona kudzivirirwa here?

Kutaura chokwadi, kazhinji, zvinotiomera kufanotaura nekudzivirira chirwere ichi. Zvisinei, tinogona kuderedza njodzi yacho kusvika pamwero wakati nekuchinja mararamiro edu.

• Kuderedza kunwa doro.
• Kurega kusvuta zvachose.
• Ramba uine huremu hwakanaka hunokunakira.
• Gadzira purogiramu yakanaka yekurovedza muviri. (Kwete kurovedza muviri zvakanyanya, asi zvine mwero.)
• Kudya chikafu chakapfuma mumichero nemiriwo.
• Edza kurara kwemaawa manomwe kana kupfuura husiku.

Kunze kweizvi, zvakakosha kuti ugare uchiona chiremba wevakadzi kuti uongororwe . Kana wangotanga kuita zvepabonde, kuongororwa nachiremba kamwe chete pagore kunogona kubatsira kuona zvirwere zvinogona kukanganisa kubereka mune ramangwana.

Chii chaungatarisira kana usina mbereko? (Outlook)

Izvi zvinosiyana kubva pamunhu kuenda kune mumwe, zvichienderana nechikonzero chacho. Kana matambudziko ekubuda kwechibereko ari emuviri uye achigona kurapwa, mhedzisiro yacho inowanzova yakanaka. Izvi zvinoreva kuti mikana yekubata pamuviri yakakura. Zvisinei, mamwe mamiriro ane chekuita nechibereko, akadai se "uterine factor infertility", anogona kuoma kurapa.

Taura nachiremba wako nezvenhoroondo yezveutano hwemhuri yako, zvinhu zvinokukonzera njodzi, uye chero matambudziko ehutano aripo kuti udzidze zvakawanda nezvemikana yako yekubudirira pamuviri.

Unofanira kuona chiremba rini nezvekushaya mbereko?

Kana wagara uchiita bonde nguva dzose , uchienda kumwedzi nguva dzose, uye usati wava nemwana mushure mekuedza kwemwedzi ingangoita gore (kana mwedzi mitanhatu kana wapfuura makore makumi matatu nemashanu), zvakanaka kuti uone chiremba. Vanogona kuziva kuti sei uchinetseka nekubata pamuviri uye vanokurudzira kurapwa kwakakodzera.

Chii chingaitwe kuti mukadzi akwanise kubereka zvakawanda?

Zvimwe zvinhu, zvakaita sezvirwere zvatinoberekwa nazvo, zvatisingagoni kudzora. Zvisinei, tinogona kuita zvinhu mumararamiro edu zvinogona kubatsira pakubereka:

• Shandisa makondomu panguva yebonde kudzivirira zvirwere zvepabonde (STIs).
• Ongororwai zvirwere zvepabonde zvakaita sechlamydia negonorrhea nguva nenguva.
• Dzivisa kusangana nemakemikari anokuvadza, mishonga yezvipembenene, nezvimwe zvinosvibisa zvakatipoteredza.

Zvakare, zvakakosha zvikuru kuona chiremba kanenge kamwe chete pagore mushure mekunge matanga zvepabonde. Kuongororwa nguva dzose uye kuongororwa kwekudzivirira ndiyo nzira yakanakisisa yekuchengetedza hutano hwepabonde.

Kushaya mbereko chiitiko chinoshungurudza zvikuru uye chinoshungurudza. Tinozvinzwisisa izvozvo. Asi ramba wakasimba. Hausi wega. Nekurapwa kwakakodzera uye mazano ekurapa, vanhu vazhinji vakakwanisa kuzadzisa chiroto ichi.

Zvinhu zvinonyanya kukosha zvaunofanira kuyeuka kubva muchinyorwa chino (Mharidzo Yekuenda Kumba)

Zvakanaka, saka, ngatikuyeuchidzei zvimwe zvepfungwa huru dzatataura nezvadzo dzaunofanira kurangarira?

• Kushaya mbereko chirwere chinowanzoitika: hausi wega unotarisana neizvi.
• Usavhunduke, tsvaga mazano echiremba: Kana usati waedza kwegore rose (mwedzi mitanhatu kana wapfuura makore makumi matatu nemashanu), bvunza chiremba.
• Panogona kuva nezvikonzero zvakawanda, uye kune mishonga: Kushaya mbereko kunogona kuva nezvikonzero zvakawanda, uye mishonga yakakodzera yakagadzirwawo nhasi.
• Mararamiro akakosha: Unogona kudzora zvimwe zvinhu zvinoisa njodzi. Kurarama hupenyu hune hutano kwakakosha zvikuru.
• Funga zvakanaka: Vanhu vazhinji vakabudirira nekurapwa. Usarasa tariro.

Kana muine mimwe mibvunzo kana zvinokunetsai nezvenyaya iyi, musazeza kutaura nachiremba. Vachakubatsirai.

Kusabereka , Kusabereka kwevakadzi, Kurasikirwa nemwana, Matambudziko epamuviri, PCOS, Endometriosis, IVF, IUI, Fallopian Tubes, Ovulation