Uri Kunetseka Nekusabereka Kusingatsananguriki? Ngatikurukurei! | Nirogi Lanka

Iwe nemumwe wako muri kurota kutanga mhuri here, asi muchiona hope idzodzo dzichioma kuzadzisa? Dzimwe nguva, kunyangwe mushure mekupedza bvunzo dzese dziri mubhuku, vanachiremba vachiri kutadza kutsanangura chikonzero chakajeka chekushaya mbereko. Kana izvi zvikaitika, tinozvidaidza kuti "Kusabereka Kusina Tsananguro." Zvinogona kunzwa sekurema kukuru pamoyo wako, asi ngatikurukurei izvi pamwe chete, handiti?

Chii chaizvo chinonzi Kusabereka Kusina Tsananguro?

Zvichitaurwa zviri nyore, kusabereka kusingatsananguriki zvinoreva kuti iwe nemumwe wako mave muchinetsekana nekubata pamuviri, asi hapana chikonzero chaicho chekurapa chakawanikwa. Chiremba wenyu asati asvika pakuongorora uku, achaita ongororo yakazara yekubereka. Kazhinji, bvunzo idzi dzinosimbisa kuti:

• Mudumbu mako hamuratidzi matambudziko aripo .
• Kubuda kwechibereko kunoitika panguva dzakatarwa uye dzine hutano.
• Machubhu ako efallopian akajeka uye akavhurika.
• Nzvimbo yako yekuchengetera mazai iri padanho rakanaka.
• Uropi hwako huri kugadzira mahormone ekubereka anodiwa nemazvo.
• Kuongororwa kwembeu dzemurume wako (huwandu hwembeu, vhoriyamu, kufamba, uye chimiro) kuri mukati mehuwandu hwakajairika.

Kana zvinhu izvi zvese zviri zvakajairika, uye wave uchiedza kubata pamuviri kwegore rimwe chete (kana uri pasi pemakore makumi matatu nemashanu) kana mwedzi mitanhatu (kana uri pamusoro pemakore makumi matatu nemashanu) asi usingabudirire, vanachiremba vanoisa izvi muchikamu che "kusabereka kusingatsananguriki."

Funga nezvazvo sekuenda kuna chiremba nekuda kwechirwere chinoramba chiripo—vanoita bvunzo, asi dzimwe nguva, havakwanise kuwana chikonzero chaicho. Zvinoshungurudza zvechokwadi, asi ndapota zivai kuti iyi haisiyo mugumo wenyaya.

Dambudziko iri rakajairika zvakadii?

Zvakaoma kutaura nhamba chaiyo nekuti izvo chiremba mumwe anoona se "zvakakwana" kuongororwa kwekubereka zvinogona kusiyana nekwemumwe. Nekuti nzira dzekuongorora dzinosiyana, nhamba dzinogona kuchinja.

Mimwe mishumo inoratidza kuti vanenge 10% yevakaroorana vari kunetseka kubata pamuviri vanosangana nekushaya mbereko kusingatsananguriki, nepo vamwe vachiti nhamba iyi inogona kusvika 30% . Zvirokwazvo hausi wega uri muchiitiko ichi.

Unogona here kubata pamuviri usina kutsanangurwa?

Ehe, zvechokwadi! Aya ndiwo mashoko akanakisa atinogona kugovana. Kuonekwa uine "kusabereka kusinganzwisisike" hazvirevi kuti unofanira kurasikirwa netariro. Ongororo yakaitwa neNational Institutes of Hutano (NIH) yakawana kuti 92% yevakaroorana vasina kusabereka kunotsanangurwa vakawana pamuviri mushure mekutsvaga mishonga yekubereka. Kurota kwako kwekuva nemwana kuchiri pedyo.

"Kushaya mbereko zvisina tsarukano" hazvirevi kuti haugone kuva nemwana. Zvinongoreva kuti ungangoda kusvika parwendo rwako rwekuva mubereki neimwe nzira.

Hapana chikonzero here zvechokwadi? Ndezvipi zvimwe zvinhu zvakavanzika?

Kunyange zvazvo zvichinzi "hazvitsanangurike," kazhinji pane dambudziko riripo; kungoti bvunzo dzekurapa dziripo pari zvino dzingave dzisina kunyatsonzwisisika kuti dzionekwe, kana kuti chikonzero chacho hachina kunyatsojeka. Ngatitarisei zvimwe zvinhu zvinogona kuitika:

Zvirwere Zvisina Kuonekwa

Vaongorori vachiri kudzidza kuti zvirwere zvakasiyana-siyana zvinokanganisa sei kubereka. Semuenzaniso, chirwere cheCeliac (kusashivirira gluten), chirwere cheshuga, uye matambudziko ethyroid zvinogona kukanganisa kubereka. Zvinogona kunge paine dambudziko riripo asi harisati raonekwa.

Endometriosis

Endometriosiszvinoitika kana nyama yakafanana nemukati mechibereko ichikura kunze kwacho. Kunyangwe muzviitiko zvisina kusimba, izvi zvinogona kukanganisa kubereka. Kazhinji, kuvhiyiwa (kwakadai se laparoscopy) kunodiwa kuti kuongororwe, sezvo kungasave nezviratidzo zvinoonekwa nguva dzose.

Matambudziko eMutsipa weCervical

Munguva yekubuda kwembeu , muromo wechibereko unobatsira mbeu kusvika zai. Kana muromo uyu wakakora zvakanyanya kana kuti une makemikari asina kunaka, unogona kudzivirira mbeu kuti isafambe nemuromo wechibereko ichipinda muchibereko.

Hunhu hwemazai

Kunyange hazvo ultrasound ichibvumira vanachiremba kuona ma follicles uye kuyera huwandu hwemazai ako, haigone kutiudza nezvehunhu hwemazai iwayo. Kuongororwa kweropa uye ultrasound zvinopa mufananidzo wakazara, asi hazvigone kuongorora hutano hwezai rega rega nepadiki.

Hunhu hweMbeu

Kufanana nemazai, nepo ongororo yembeu ichiona matambudziko makuru, haigone kuona matambudziko madiki-diki ari mumbeu anogona kukanganisa kusangana kwembeu.

Matambudziko eEndometrial

Endometrium ndiyo jira remukati mechibereko chako umo zai rakabatanidzwa rinofanira kuiswa kuti rikure. Kukanganisika kwechikamu cheLuteal kunoitika kana jira iri rikasakora kana kugadzirira zvakanaka, zvichiita kuti zviomere mwana ari mudumbu kuisa jira, kunyangwe kana jira rikabatanidzwa.

Nguva Yekuita Bonde

Dzimwe nguva, kuwanda kana nguva yebonde hazvienderane nezera rako remazai. Zvingaita sezvinhu zvidiki, asi zvine basa guru pakubata pamuviri.

Dzimwe nguva hapana chikonzero chinozivikanwa, kana kuti dambudziko racho rakaoma kuona kana kurapa. Kubata pamuviri inzira yakaoma yezvemuviri; kana danho diki diki rikasarongeka, nzira yese inogona kukanganiswa. Mashoko akanaka ndeekuti vaongorori vekuNirogi Lanka nepasi rese vari kugara vachigadzira nzira itsva dzekunzwisisa zviri nani kunaka kwemazai, hutano hwekubereka, uye mashandiro embeu.

Chirwere ichi chinoongororwa sei nemazvo?

Hapana bvunzo imwe chete inogona kuratidza zvese zvinokonzera kushaya mbereko, uye hapana nzira yekuongorora isina chikanganiso zvachose. Sekureva kweAmerican Society for Reproductive Medicine (ASRM), kuongororwa kwakakodzera kwekushaya mbereko kunofanira kusanganisira zvinotevera:

• Ongororo yakakwana yenhoroondo yako yezvekurapa uye zvepabonde .
• Kuongororwa kwemuviri kwakakwana.
• Kuongororwa kweropa kuti uone huwandu hwemahormone ako.
• Kuongororwa kwenhengo dzako dzekubereka nadzo, kusanganisira mazai ako, machubhu efallopian, uye chibereko . Izvi zvinogona kusanganisira nzira dzepamusoro dzekufungidzira kana dzekuongorora dzakadai se ultrasound , hysterosalpingogram , kana laparoscopy .
• Kuongororwa kwembeu yemurume wako.
• Kuongororwa kwenzvimbo yako yekuchengetera mazai .
• Kuongorora maitiro ako ekubuda kweovulation kuti uve nechokwadi chekuti anoitika nguva dzose.

Kana nyanzvi yekubereka kana chiremba wezvemadzimai akapedza bvunzo idzi dzese uye asingakwanise kuona chikonzero chakajeka, chirwere ichi chinoiswa muchikamu che "kusabereka kusingatsananguriki." Ndapota yeukai kuti nzira dzekuyedza dzinogona kusiyana pakati pevarapi. Kana mukawana chirwere ichi, hapana chakaipa nekutsvaga imwe pfungwa.

Ndezvipi zvirongwa zvekurapa zviripo?

Nekuti chiremba wako haakwanise kutaura chikonzero chimwe chete chinoita kuti usabereke, mazano ekurapwa anowanzoenderana nezvakabuda pabvunzo dzako dzekubereka, ruzivo rwechiremba wako nevanhu vakafanana, makore ako, uye kuti unoda kurapwa kwenguva yakareba sei.

Marapirwo anowanzo kurudzirwa anowanzo wira muzvikamu izvi:

Tekinoroji Yekubatsira Kubereka (ART)

Tekinoroji Yekubatsira Kubereka (ART)zvinoreva kurapwa kwekubereka uko chikamu chemaitiro ekuberekesa chinoitika murabhoritari. Izvi zvinosanganisira Intrauterine Insemination (IUI) uye In Vitro Fertilization (IVF) .

• IUI inosanganisira kugeza nekuisa mbeu yemumwe wako murabhoritari woiisa zvakananga muchibereko chako panguva yeovulation.
• IVF inosanganisira kushandisa mazai ako nembeu yemumwe wako (kana yemupi) kugadzira mazai murabhoritari, ayo anozoendeswa kuchibereko chako kuti akure. Kazhinji, IVF inosanganisira Intracytoplasmic Sperm Injection (ICSI) , uko mbeu imwe chete inopinzwa zvakananga muzai. Kana hunhu husina kunaka hwembeu hunofungidzirwa kuti ndihwo hunokonzera kusabereka kusingatsananguriki, ICSI inogona kuwedzera mikana yekubata pamuviri zvakanyanya.

Mishonga

Mishonga yekubereka inokurudzira kugadzirwa kwemazai uye ovulation inoshanda zvikuru. Iyi inogona kushandiswa yoga kana pamwe chete nemishonga yeIUI kana IVF. Mishonga inonyanya kushandiswa inosanganisira gonadotropins uye clomiphene (Clomid®) . Vamwe vanachiremba vanogonawo kunyora letrozole (Femara®) , kunyange zvazvo iyi iri nzira isiriyo yekushandisa pakubereka.

MaGonadotropin ane mahormone anowedzera kugadzirwa kwemazai uye anogonawo kurapa huwandu hushoma hwembeu. Clomiphene inoshanda nekukurudzira maovari kuti agadzire mazai akawanda. Chiremba wako achakurudzira sarudzo yakakodzera zvichienderana nehutano hwako.

Ndapota yeukai kuti kana muchishandisa mishonga yekubereka, pane mukana wekubereka zai rinopfuura rimwe chete panguva imwe chete, izvo zvinowedzera mukana wekubata pamuviri kakawanda (semapatya).

Kuchinja Kwemararamiro

Dzimwe tsika dzemararamiro dzinogona kukanganisa kubereka. Heano mamwe matanho aunogona kutora kuti uwedzere mikana yako yekubata pamuviri:

• Dzivisa kusvuta, doro, uye kushandisa zvinodhaka zvisina kunaka zvachose.
• Ramba uine huremu hwakanaka hwemuviri.
• Tevedzera kudya kwakaringana uye kunovaka muviri.
• Ronga kurovedza muviri kwemaminitsi makumi matatu pazuva .
• Deredza kunwa kwako caffeine (tii, kofi).
• Tarisa pakuderedza kushushikana kwako.

Nguva Yokurara Nevamwe

Une mukana wekuwana mimba diki chete panguva yekuenda kumwedzi. Chiremba wako anogona kukubatsira kuona mukana uyu kuti awedzere mikana yako yekubata pamuviri. Izvi zvinogona kuitwa nenzira dzakadai sekutevera tembiricha yemuviri, kutarisa nguva yako yekuenda kumwedzi, kana kushandisa makit ekuratidza maovulation .

Muzvimwe zviitiko, chiremba wako angakukurudzira kuti "uedze kwenguva yakati rebei." Kunyange zvazvo izvi zvingava hurongwa hwakaoma kugamuchira—kunyanya kana uchida kutanga mhuri—dzimwe nguva nyaya yacho inongopera yoga. Zvisinei, une kodzero yekutsvaga mumwe munhu kana kusarudza kutsvaga nzira dzekurapa kusabereka kana uchida.

Pane nzira yekudzivirira izvi here?

Kunyange zvazvo paine zvinhu zvakawanda zvaunogona kuita kuti utsigire kuzvara, zvimwe zvinhu hazvigoneki. Matanho aunogona kutora anosanganisira:

• Kurema: Ramba uine huremu hwakanaka mumuviri.
• Kusvuta uye Doro: Dzivisa kusvuta fodya uye deredza kunwa doro.
• Hutano hwepabonde: Shandisa dziviriro kudzivirira hutachiona hwepabonde (STIs) , izvo zvinogona kukanganisa kubereka.

Iva nechokwadi chekukurukura pachena nachiremba wako chero zvinokunetsa nezvekushaya mbereko kuitira kuti vakupe mazano ekuti ungawana sei rubatsiro kuNirogi Lanka.

Nhamba yekubata pamuviri yevanhu vasina mbereko isingatsananguriki ndeyei?

Ongororo inoratidza kuti vanenge 43%yevanoroorana vane chirwere ichi vanobata pamuviri nekufamba kwenguva pasina rubatsiro rwekubereka. Izvi zvinoratidza kuti mune dzimwe nguva, kubata pamuviri pachisikigo kuchiri kugoneka.

Mibvunzo ipi inokosha yaunofanira kubvunza chiremba wako?

Kuongororwa kwe "kusabereka kusinganzwisisike" kunogona kumutsa mibvunzo yakawanda. Mashoko akanaka ndeekuti hapana zvipingamupinyi zvikuru zvinoonekwa pakubereka kwako. Chikamu chakaoma ndechekuti vanachiremba havagone kutaura zvakajeka kuti sei kubata pamuviri kusati kwaitika.

Sununguka kukurukura zvese zvinokunetsa nachiremba wako. Funga kubvunza mibvunzo inotevera:

• Chii chamunokurudzira sedanho redu rinotevera?
• Ndeipi nzira inondipa mukana wepamusoro wekuwana pamuviri?
• Pane zvimwe zvakasara zvekuongororwa ropa kana zvidzidzo zvemifananidzo here?
• Dambudziko rehutano riripo rinogona kunge riri kukonzera kusabereka kwangu here?
• Ndinofanira kutumirwa kuna chiremba wezvekubereka here?

Unofanira kuedza kwenguva yakareba sei usati waenda kuna chiremba?

Vanachiremba vazhinji vanokurudzira kuti uedze kwemwedzi gumi nemiviri (gore rimwe) usati watsvaga kurapwa kwekubereka. Zvisinei, kana uine makore makumi matatu nemashanu zvichikwira, unofanira kubvunza chiremba mushure memwedzi mitanhatu yekuedza. Zvichienderana nenhoroondo yako yezvekurapa nezvinangwa zvako, chiremba wako anogona kukupa hurongwa hwekurapa hwakagadzirirwa iwe.

Mashoko ekupedzisira (Mharidzo Yekuenda Kumba)

Kuongororwa kuti une 'Unexplained Infertility' kunogona kuvhiringa zvikuru uye kunetsa mupfungwa. Zvinongoreva kuti, pasinei nekuongororwa kwakazara, chikonzero chaicho chekuomerwa kwako nekubata pamuviri hachisati chazivikanwa. Zvisinei, ndapota musavhunduka kana kurasikirwa netariro - kune nzira dzinoshanda dzekufambira mberi. Vakaroorana vazhinji vanobudirira kubata pamuviri kuburikidza nemishonga yekubereka, IUI (Intrauterine Insemination), kana IVF (In Vitro Fertilization).

'Kusabereka Zvisina Kutsanangurwa' hazvirevi kuti hauzombofi wakaita pamuviri; zvinongoreva kuti timu yako yezvekurapa inofanira kutsvaga nzira dzakasiyana-siyana dzinobva pauchapupu kuti ikubatsire kuwana pamuviri une hutano.

Munguva iyi yakaoma, tinokukurudzira kuti utsvage nyanzvi yekubereka inoteerera zvinokunetsa uye inopa rutsigiro rwetsitsi uye rwakasiyana nevamwe. Usamborega zviroto zvako. Isu tese kuNirogi Lanka tiri kukutsigira sezvauri kufambira mberi pakuzadzisa chinangwa chako chekutanga mhuri.

Kusabereka, kuoma kubata pamuviri, Kusatsanangurwa Kusabereka, kubereka, pamuviri, IVF, IUI