Singathetha ngokungakwazi ukuzala kwabasetyhini?

Ngaba wena nomyeni wakho nilindele umntwana? Kodwa nangona nizama yonke into, ngaphandle kohlobo lokulawula inzala, kwaye nangona nihlala nikunye rhoqo, elo phupha alikazaliseki? Ndiyazi ukuba le yingongoma ebucayi kakhulu. La ngamaxesha anzima kakhulu ngenxa yosizi, uxinzelelo, kunye neengxaki ezivela kuluntu. Kodwa awuwedwa. Le yimeko abantu abaninzi abajongene nayo. Namhlanje, siza kuthetha ngokungafumani bantwana kwabasetyhini. Ungakhathazeki, siza kuthetha ngayo yonke into ngokulula nangokucacileyo.

Yintoni le nto yokungazali?

Ngamafutshane, ukungazali yimeko yezonyango. Oku kuthetha ukuba awukwazi ukukhulelwa. Oogqirha bayixilonga le meko ngezi ndlela zilandelayo:

• Ukuba ungaphantsi kweminyaka engama-35 ubudala: Ukuba ubuzama unyaka wonke ngaphandle kocwangciso lokuzalwa, ulale ngesondo rhoqo, kwaye awukhulelwanga.
• Ukuba uneminyaka engaphezu kwama-35 ubudala: Ukuba sele uzame iinyanga ezi-6 kodwa awukakhulelwa.

Ngamanye amaxesha, ugqirha angayibona le meko kwangethuba ukuba unenye ingxaki yempilo.

Ngaba kukho iintlobo zokungabi nabantwana?

Ewe, kukho iintlobo ezimbini kuphela.

1. Ukungazali Okuphambili: Oku kuthetha ukuba awukaze ukhulelwe ngaphambili kwaye awukwazanga ukukhulelwa emva kokuzama ixesha elikhankanyiweyo (unyaka okanye iinyanga ezi-6).

2. Ukungazali Kwesibini: Oku kuthetha ukuba uphumelele ekuzaleni umntwana omnye ubuncinane kwixesha elidlulileyo, kwaye xa uzama ukukhulelwa kwakhona, akuphumelelanga.

Xa ucinga ngendlela exhaphake ngayo le meko, malunga ne-10% yabasetyhini ehlabathini lonke bajongene nale ngxaki. Le ngozi iyanda kancinci xa abantu bekhula.

Yintoni ebangela ukungafumani bantwana kubafazi?

Zininzi izizathu zoku. Ngamanye amaxesha kunzima ukufumana unobangela ochanekileyo. Siwubiza ngokuba yi-'(Ukungabi namntwana okungachazwanga)'. Makhe sibone ukuba zeziphi izizathu eziphambili.

1. Iingxaki ngesibeleko

Isibeleko yindawo apho umntwana akhulela khona, ngoko ke ukuba kukho ingxaki apho, ingakuthintela ekukhulelweni.

• Iifibroids zesibeleko:Ezi luhlobo lokukhula okungenamhlaza. Ayizizo zonke izihluma eziyingxaki, kodwa kuxhomekeke kwindawo ezikuyo kunye nobukhulu bazo, zinokuphazamisana nokukhulelwa.
• Iipolyps: Iintsholongwane ezincinci ezikhula eludongeni lwesibeleko.
• Ukuncamathela: Izicwili ezithi ngamanye amaxesha zakheke ngaphakathi kwesibeleko emva kwenkqubo efana ne-D&C. Ezi zinokwenza kube nzima ukuba umntwana ongekazalwa afakelwe kwisibeleko.

2. Iingxaki ngeeFallopian Tubes

Iqanda lihamba ukusuka kwisibeleko ukuya kwisibeleko ngetyhubhu ye-fallopian. Isidoda kunye neqanda zidibana ngaphakathi kweli thubhu. Ukuba le mibhobho ivaliwe, oku akuyi kwenzeka.

• Isifo Sokudumba Kwesinqe (PID): Esi sesona sizathu siphambili sokuvaleka kwemibhobho ye-fallopian. Sinokubangelwa zizifo ezidluliselwa ngesondo ezifana ne-Chlamydia kunye ne-Gonorrhea ezinganyangwanga.
• I-Endometriosis: Ngamafutshane, izicwili ezifanele ukuba ngaphakathi kwesibeleko zikhula ngaphandle kwesibeleko, kwiindawo ezifana neetyhubhu ze-fallopian kunye nama-ovari. Oku kunokukhokelela ekuvalekeni nasekunamatheleni.

3. Iingxaki nge-Ovulation

Ukuze ukhulelwe, iqanda eliphilileyo kufuneka likhutshwe kwi-ovary inyanga nenyanga. Le nkqubo ibizwa ngokuba yi-"Ovulation." Ukuba oku akwenzeki kakuhle, awunakukhulelwa.

• Ukungalingani kwamaHormonal: I-PCOS (iPolycystic Ovary Syndrome) ngumzekelo omhle woku. Kule meko, ukungalingani kwamaHormonal kubangela ukuba ama-ovari angavuthwa aze akhuphe amaqanda ngokufanelekileyo.
• Iingxaki ze-thyroid: I-hormone ye-thyroid encinci kakhulu okanye eninzi kakhulu ichaphazela ngokuthe ngqo ukukhutshwa kweqanda.
• Izinto ezinje ngoxinzelelo olugqithisileyo, imikhwa yokutya engafanelekanga, kunye nokuzilolonga kakhulu nazo zinokuchaphazela oku.

4. Iingxaki zokubala amaqanda kunye nomgangatho wawo

Umfazi uzalwa enenani lamaqanda aza kuwadinga ubomi bakhe bonke. Njengoko ekhula, eli nani lamaqanda (iqula lamaqanda) liyehla, kwaye nomgangatho wamaqanda aseleyo nawo uyehla.

• Ngamanye amaxesha, iqanda eligciniweyo linokuphela ngaphambi kokuba umntu afikelele exesheni (ngaphambi kokuba abe neminyaka engama-40). Oku kubizwa ngokuba yi-"Primary Ovarian Insufficiency - POI``.
• Njengoko ukhula, amathuba okuba amaqanda angabi naziphene kwi-chromosome ayanda. Iqanda elinjalo aliyi kukhula libe yi-embryo esempilweni.

Ziziphi izinto ezibangela ukungabi nabantwana?

Nangona kukho izinto esingenakuzilawula, kukwakho nezinto esinokuzitshintsha. Kubalulekile ukuzazi ezi zinto ziyingozi.

Ndingayazi njani ukuba andinabantwana?

Asinto onokuyithatha ngokwakho le. Ngokuqinisekileyo kufuneka ubone ugqirha ukuze akuncede. Xa usiya kubona ugqirha, uza kukubuza imibuzo embalwa.

• Malunga nomjikelo wakho wokuya exesheni (ubude bawo, ukopha kwegazi okungakanani, iintlungu)
• Malunga nokukhulelwa okanye ukuphuphuma kwesisu kwangaphambili
• Malunga neentlungu zesisu
• Malunga nokukhupha ulwelo olungaqhelekanga kwilungu lobufazi
• Malunga notyando lwangaphambili
• Malunga nokuba unayo na intsholongwane edluliselwa ngesondo

Emva koko, ugqirha uza kukuhlola aze, ukuba kuyimfuneko, akuthumelele olunye uvavanyo.

Zithini ezi mvavanyo?

• Uvavanyo lomzimba kunye nolwesinqe: Uvavanyo lokuqala oluqhelekileyo oluza kwenziwa ngugqirha.
• I-Ultrasound Scan: I-scan yesisu okanye i-ultrasound ye-transvaginal ingasetyenziselwa ukujonga imeko yesibeleko kunye nama-ovari (ii-cysts, iimpawu ze-PCOS).
• Uvavanyo lweGazi: Oku kunceda ukufumana umbono wamanqanaba akho ehomoni (iihomoni ze-thyroid, iihomoni zokuzala) kunye nogcino lwe-ovarian.
• Uvavanyo lwe-HSG (Hysterosalpingogram): Olu luvavanyo lwe-X-ray. Ulwelo olukhethekileyo lufakwa esibelekweni kwaye lusetyenziselwa ukubona ukuba luhamba ngemibhobho ye-fallopian. Oku kunokunceda ekuqinisekiseni ukuba imibhobho ivaliwe okanye akunjalo.
• I-Laparoscopy: Kule nto, kufakwa ikhamera encinci esiswini ukuze kuhlolwe isibeleko, iityhubhu ze-fallopian, kunye nama-ovari ngaphandle. Oku kubaluleke kakhulu ekuxilongeni iimeko ezifana ne-endometriosis.

Kukwakho nezinye iimvavanyo ezikhethekileyo ezifana ne-`(Hysteroscopy)` kunye ne-`(Saline Sonohysterogram)`. Ugqirha wakho uya kugqiba ukuba loluphi uvavanyo olufunayo.

Zithini iindlela zonyango?

Iindaba ezimnandi zezokuba kukho unyango olusebenzayo kwiimbangela ezininzi zokungazali. Unyango luxhomekeke kwisizathu sengxaki yakho.

1. Amayeza Okuzala: Iingxaki zehomoni, ezifana nokungazali, zinokunyangwa ngamayeza. Kukho amayeza anikwa ukunceda amaqanda avuthiweyo kunye nokukhuthaza ukukhutshwa kwamaqanda.

2. Utyando: Ii-cysts zesibeleko, ii-polyps, ukuvaleka kweetyhubhu ze-fallopian, kunye ne-endometriosis zinokususwa kwaye zilungiswe ngotyando.

3. Ii-antibiotics: Ukuba kukho usulelo kwinkqubo yokuzala, ezi zinikwa ukunyanga.

4. Iiteknoloji zoNcedo lokuZala (i-ART):

• IUI (Intrauterine Insemination): Kule nto, isidoda somyeni silungiselelwa ngokukodwa size sifakwe ngqo kwisibeleko somfazi kusetyenziswa i-cannula ngaloo mini akhupha ngayo iqanda.
• I-IVF (In Vitro Fertilization): Indlela 'yovavanyo lwetyhubhu' esiyaziyo sonke. Ibandakanya ukudibanisa amaqanda kunye nesidoda ngaphandle komzimba kwilebhu, uze emva koko ufake i-embryo ephumayo kwisibeleko.

Ugqirha wakho uza kugqiba ukuba loluphi unyango olufanele wena nomyeni wakho aze akuchazele lona.

Ndingenza ntoni ukuthintela ukungafumani bantwana?

Asinakuthintela ezinye izizathu, umzekelo izinto ezibangela ufuzo. Nangona kunjalo, singanciphisa umngcipheko wethu ngokutshintsha indlela esiphila ngayo.

• Gcina ubunzima obusempilweni: Kubaluleke kakhulu ukugcina ubunzima obusempilweni obuhambelana nobude bakho.
• Kuphephe ukutshaya notywala: Zombini ezi zinto ziyonakalisa ngokuthe ngqo inzala.
• Yitya ukutya okunesondlo: Yitya imifuno, iziqhamo kunye nemifuno engakumbi.
• Nciphisa uxinezeleko: Zama izinto ezifana neyoga kunye nokucamngca.
• Ziqhelise ngesondo elikhuselekileyo: Zikhusele kwizifo ezidluliselwa ngesondo.
• Fumana uhlolo lwezonyango rhoqo: Ingakumbi emva kokuba sele uqalise ukwabelana ngesondo, ukubona ugqirha wezifo zabesifazane ubuncinane kanye ngonyaka kunokunceda ekuchongeni iingxaki ezinokubakho kwangethuba.