Ngaba nawe uphupha ngokuba ngumama? Singathetha ngokungakwazi ukufumana abantwana kwabasetyhini?

Ukuba ngumama lelona phupha likhulu nelihle kuwo onke amabhinqa. Kodwa ngamanye amaxesha, ukwenza elo phupha libe yinyani akulula njengoko ucinga. Mhlawumbi nawe ujongene nale ngxaki kwaye uyabandezeleka. Ngoko ke namhlanje, masithethe ngale ngxaki yokungazali kwabasetyhini, oko kukuthi, ukungakwazi ukuba nabantwana, ngokweenkcukacha ezithe vetshe ? Ungakhathazeki, awuwedwa ojongene nale ngxaki.

Yintoni i-Infertility yabasetyhini?

Ngamafutshane, ukungazali kukungabi namandla okanye ubunzima bokukhulelwa umntwana. Kwimeko yomfazi, oogqirha baxilonga le meko ngolu hlobo lulandelayo:

• Ukuba ungaphantsi kweminyaka engama-35 ubudala, ube nesondo rhoqo unyaka wonke ngaphandle kokusebenzisa naluphi na uhlobo lokuthintela ukukhulelwa kwaye awukakhulelwa.
• Ukuba uneminyaka engaphezu kwama-35 ubudala, eli xesha lithathwa njengeenyanga ezintandathu .

"Ukwabelana ngesondo rhoqo" kuthetha ukuba wena neqabane lakho nenza ucansi ngaphandle kokuphazamiseka, ngaphandle kokusebenzisa ucwangciso-nzala. Nangona kunjalo, abanye abantu banokufumana ukungazali kwangethuba ukuba banenye ingxaki yempilo okanye ingxaki ngesibeleko sabo.

Enye into kukuba ukungazali akuyongxaki yomfazi kuphela. Ngokuchanekileyo, le meko inokubangelwa ziingxaki zamadoda nabafazi.

Ukungazali kwabasetyhini kunokubangelwa bubudala, utshintsho lweehomoni, ezinye iimeko zonyango, kunye nendlela yokuphila okanye izinto ezingqongileyo. Oku ngamanye amaxesha kubizwa ngokuba yi-"female factor" yokungazali.

Ngaba kukho iintlobo eziphambili zokungazali?

Ewe, kukho iintlobo ezimbini eziphambili zokungazali:

1. Ukungazali okuyintloko: Oku kuthetha ukuba awukaze ukhulelwe ngaphambili, kwaye awukwazanga ukukhulelwa emva kokuzama unyaka wonke ukuba ungaphantsi kweminyaka engama-35, okanye iinyanga ezintandathu ukuba ungaphezulu kweminyaka engama-35. Khawucinge nje, kukho izibini ezitshatileyo iminyaka emininzi kodwa ezingekabi nathamsanqa lokukhulelwa umntwana. Yimeko efanayo leyo.

2. Ukungazali kwesibini: Kulapho sele ufumene umntwana omnye ngempumelelo, kodwa ungakwazi ukukhulelwa kwakhona. Umzekelo, ukuba uzama ukuba nomntwana wesibini kwiminyaka embalwa emva kokuba nomntwana wakho wokuqala, usenokungakwazi ukukhulelwa, nokuba uzama kangakanani na.

Ixhaphake kangakanani le meko?

Ukungazali akusoloko kwenzeka ngendlela ocinga ngayo. Ubuncinane i-10% yabasetyhini banengxaki yokungazali. Kwakhona, umngcipheko wokungazali uyanda ngokuhamba kweminyaka. Ngoko ke, ukuba ukhathazekile ngale nto, khumbula ukuba awuwedwa.

Ziziphi iimpawu zokuba umfazi usenokuba akanabantwana?

Uphawu oluphambili ludla ngokuba kukungakwazi ukukhulelwa nangona belalana rhoqo, bengakhuselekanga. Le yinto yokuqala abantu abaninzi abayifumanayo.

Ukongeza, kunokubakho ezi mpawu:

• Ukungafiki exesheni okanye ukungafiki exesheni ngendlela engaqhelekanga: Abanye abantu basenokungabi sexesheni kangangeenyanga, okanye bangabi sexesheni ngendlela engaqhelekanga.
• Ngamanye amaxesha ezinye iimpawu zinokuvela, kuxhomekeke kwimeko yempilo ebangela ukungazali.

Kutheni le nto ibangela ukuba abafazi bangafumani bantwana? Zithini izizathu?

Enyanisweni, zininzi izizathu zokungazali. Enyanisweni, ngamanye amaxesha kunzima ukufumana unobangela, nto leyo esiyibiza ngokuba "kukungazali okungachazwanga." Nangona kunjalo, kukho izizathu ezimbalwa eziphambili oogqirha abanokuzichonga:

Iingxaki ngesibeleko sakho

Oku kungabandakanya:

• Iipolyps zesibeleko: Ezi ziintshulube ezincinci ezikhula eludongeni lwangaphakathi lwesibeleko.
• Iifibroids: Ezi zikwaluhlobo lwethumba elikhula esibelekweni.
• Ukuncamathela (izibazi) esibelekweni: Ngamanye amaxesha, emva kotyando lwesibeleko, olufana ne- D&C (Dilation and Curettage) , ukunamathelana okuncinci kunokwenzaka ngaphakathi kwesibeleko. Oku kwenza kube nzima ukuba umntwana osandul’ ukuzalwa afakelwe esibelekweni. Umzekelo, njengoNiluka, abanye abantu banokukhula okuncinci (ii-polyps okanye ii-fibroids) esibelekweni, okunokulibazisa ukukhulelwa bengazi.

Iingxaki ngeetyhubhu zakho ze-fallopian

Iityhubhu ze-fallopian ziityhubhu ezithwala iqanda ukusuka kwi-ovary ukuya kwisibeleko, kwaye kulapho isidoda sidibana khona neqanda. Ukuba kukho iingxaki ngezi tyhubhu, sizibiza ngokuba yi- "tubal factor infertility."

• Eyona nto ibangela oku yiPelvic Inflammatory Disease (PID) . I-PID idla ngokubangelwa zizifo ezidluliselwa ngesondo ezifana neChlamydia kunye neGonorrhea ezinganyangwanga.
• I-Endometriosis inokubangela amanxeba kunye nokuvaleka kwemithambo ye-fallopian. Ngoku, khangela, imithambo ye-fallopian ifana nendlela ekufuneka iqanda kunye nesidoda zihlangane nayo. Ukuba kukho naluphi na uvalelo okanye ukuvaleka kule ndlela, kuya kuvela iingxaki.

Iingxaki nge-ovulation

Eyona nto ibangela ukungazali kukuba xa amaqanda ebhinqa engakhuphi iqanda ngokufanelekileyo. Zininzi izizathu zoku:

• Ukungalingani kwamahomoni
• Iingxaki zokutya
• Ingxaki yokusetyenziswa kweziyobisi
• Iimeko ze-thyroid
• Uxinzelelo oluqatha
• Izimila zepituitary

Izinto ezinje zinokubangela ukukhutshwa kweqanda ngendlela engaqhelekanga kunye nokukhululwa kwalo.

Iingxaki ngokubalwa kwamaqanda kunye nomgangatho wawo

Sonke sizalwa sinenani elithile lamaqanda. La maqanda ancipha kancinci kancinci aze aphele njengoko sikhula. Oku kudla ngokukwenzeka ngexesha lokuya exesheni (malunga neminyaka engama-51 ubudala). Kodwa kwabanye abantu, eli qanda linokuphelela kwangethuba.

• Kwakhona, amanye amaqanda anokuba neempazamo kwiichromosomes zawo . Iqanda elinjalo alinakudibana nesidoda ukuze lenze umbungu ophilileyo.

Yintoni eyona nto ibangela ukungafumani bantwana kwabasetyhini?

Kwiimeko ezininzi, eyona nto ibangela ukuba abasetyhini bangafumani bantwana ziingxaki zokuveliswa kwamaqanda kunye nokukhululwa kwawo (ukuqanda) .

• Usenokuba ukhe weva ngePolycystic Ovary Syndrome (PCOS) . Leyo yenye yezizathu eziphambili zoku. I-PCOS yimeko apho ama-ovari engasebenzi kakuhle ngenxa yokungalingani kwamahomoni.
• Kukwakho nemeko ebizwa ngokuba yiPrimary Ovarian Insufficiency (POI) . Oku kwenzeka xa ama-ovari eyeka ukusebenza ngaphambi kokuba afikelele kwiminyaka engama-40 ngenxa yokungabikho kwamaqanda amaninzi.

Ziziphi izinto ezibangela ukungabi nabantwana?

Zininzi izinto ezibangela umngcipheko wokuba ungafumani bantwana. Ezi ziquka iimeko zempilo ngokubanzi, izinto ezibangela ufuzo, iindlela zokuphila, kunye nobudala. Jonga ukuba ezi zinto ziyasebenza na kuwe:

• Ubudala: Ukuzala kudla ngokuqala ukwehla emva kweminyaka engama-30.
• Iingxaki zehomoni ezithintela ukukhutshwa kweqanda.
• Umjikelo wenyanga ongaqhelekanga wokuya exesheni.
• Ukutyeba kakhulu.
• Ukuba nobunzima obuphantsi.
• Ukuzilolonga kakhulu okanye ukwenza umthambo onzima.
• I-Endometriosis.
• Iingxaki zesakhiwo: Iingxaki zomzimba ngemibhobho ye-fallopian, isibeleko, okanye ama-ovari.
• Iifibroids zesibeleko.
• Ii-cysts ze-ovarian.
• Izimila ezingezizo ezomhlaza.
• Iingxaki zokuzikhusela komzimba: Imizekelo ibandakanya `(Lupus)`, `(Rheumatoid Arthritis)`, `(Hashimoto's disease)`.
• Isifo sokudumba kwepelvic (PID) sibangelwa zizifo ezidluliselwa ngesondo (STIs) .
• I-Polycystic ovary syndrome (i-PCOS).
• Ukungaphumeleli kwe-ovarian yokuqala (POI).
• Ukusetyenziswa kakhulu kweziyobisi notywala.
• Ukutshaya.
• Ukuba ndikhe ndakhulelwa ngaphandle kwesibeleko ngaphambili .

Ubudala buchaphazela njani ukungazali?

Sonke siyazi ukuba ukuzala kuyaphela ngokuhamba kweminyaka. Uphando lubonise ukuba ubudala yeyona nto iphambili ekungazali, njengoko izibini ezininzi zilibazisa ukuba nabantwana zide zibe neminyaka engama-30 nengama-40. Abantu abangaphezu kweminyaka engama-35 basengozini enkulu yokuba neengxaki zokuzala. Izizathu zoku zezi:

• Ukuncipha kwenani lamaqanda lilonke.
• Ukuba nenani elikhulu lamaqanda aneengxaki ze-chromosome.
• Umngcipheko okhulayo wezinye izifo (umngcipheko wokufumana ezinye izifo uyanda njengoko ukhula).

Ungazi njani ngokuqinisekileyo ukuba unesibeleko okanye awusiso?

Oku akunakuchongwa ekhaya. Ngugqirha kuphela onokuchonga oku. Ukuba ubuzama ukukhulelwa kwaye usenengxaki, okanye ukuba unamathandabuzo, ngokuqinisekileyo kuya kufuneka ubone ingcali yokuzala. Banokwenza uvavanyo lokufumanisa le meko. Musa ukoyika okanye uxhalabe. Abantu abaninzi baye bafumana iziphumo eziphumelelayo ngonyango.

Hlobo luni lwemibuzo oyibuzayo xa usiya kugqirha?

Ugqirha uza kukubuza ngembali yakho epheleleyo yezonyango. Oku kuquka:

• Malunga nokuya kwakho exesheni ngenyanga (ukuba kuthatha ixesha elingakanani, ukuba kuphuma igazi elingakanani, njl.njl.).
• Ngokuphathelele ukukhulelwa kwangaphambili, nokuba kukho naziphi na izisu eziphunyeziweyo.
• Ngaba uneentlungu zesinqe ?
• Ingaba uphuma igazi okanye uphuma ulwelo olungaqhelekanga kwilungu lobufazi ?
• Ngaba wakha watyandwa isisu okanye i-pelvic ngaphambili ?
• Ngaba wakha wakha wanayo nayiphi na intsholongwane yesibeleko okanye yesini , kuquka nezifo ezidluliselwa ngesondo (ii-STI)?

Kungokubuza imibuzo efana nale apho ugqirha efumana ukuqonda okusisiseko ngemeko yakho.

Zeziphi iimvavanyo ezenziwayo ukuze kufunyaniswe ukuba umntu akanakukwazi ukufumana abantwana?

Uvavanyo oluninzi lunokwenziwa eofisini kagqirha. Olu vavanyo lungabandakanya:

• Uvavanyo lomzimba.
• Uvavanyo lwe-pelvic.
• I-ultrasound ye-pelvic.

Ezinye iimvavanyo kufuneka zenziwe kwilabhoratri. Imizekelo ibandakanya:

• Uvavanyo lwegazi: Uhlobo lovavanyo lwegazi oluya kuludinga luya kuxhomekeka kwimbali yakho yezonyango kunye nemeko ugqirha wakho ayicingayo. Umzekelo, uvavanyo lokusebenza kwe-thyroid, uvavanyo lokujonga amanqanaba eehomoni ezinxulumene nokukhutshwa kweqanda kunye nokuya exesheni, kunye novavanyo lokugcinwa kweqanda (ukunikezelwa kwamaqanda) lunokwenziwa .Oku kuthetha ukuba unamaqanda ambalwa kwii-ovari zakho xa kuthelekiswa namanye aneminyaka yakho.

• I-X-ray hysterosalpingogram (HSG): Oku kuquka ukufaka idayi ekhethekileyo (idayi yokwahlula) ngesibeleko sakho ukuya esibelekweni sakho nokusebenzisa i-X-ray ukubona indlela ehamba ngayo kwiityhubhu zakho ze-fallopian. Oku kunokunceda ukujonga naziphi na izithintelo kwiityhubhu .

• I-Laparoscopy: Olu lutyando oluncinci. Isixhobo esincinci esinekhamera esibizwa ngokuba yi-"laparoscope" sifakwa esiswini ukuze kujongwe amalungu angaphakathi. Oku kunokunceda ekuxilongeni iimeko ezifana ne-endometriosis kunye neetyhubhu ze-fallopian ezivaliweyo.

• I-ultrasound edluliselwa kwisini: Le ikwayi-ultrasound. Nangona kunjalo, endaweni yokubeka i-probe kumphezulu wesisu, ifakwa nge-vaginal ukuze ibone isibeleko kunye nama-ovari. Oku kuvumela imeko yesibeleko kunye nama-ovari ukuba ibonakale ngokucacileyo.

• I-saline sonohysterogram (SIS): Oku kuquka ukuzalisa isibeleko nge-saline kunye nokusebenzisa i-transvaginal ultrasound ukujonga ulwelo lwesibeleko. Ingabonisa ngokucacileyo naziphi na iingxaki zesakhiwo, ezifana nee-polyps kunye nee-fibroids. Ngamanye amaxesha ingajonga ukuba iityhubhu ze-fallopian zivulekile na.

• I-Hysteroscopy: Kwakhona, kufakwa isixhobo esincinci esinekhamera encinci (i-hysteroscope) nge-vagina kunye ne-cervix ukuze sijonge ngaphakathi kwesibeleko. Oku kuvumela ukubona ngqo ingaphakathi lesibeleko, njengee-polyps, ii-fibroids, okanye amanxeba.

Zonke ezi mvavanyo zenziwa ukuze kufunyaniswe ukuba yintoni kanye kanye ingxaki yakho.

Iphathwa njani into yokuba ngumfazi ongenabantwana?

Nje ukuba ugqirha wakho afumanise ukuba awunabantwana aze afumane unobangela, uza kucebisa iindlela zonyango ezifanelekileyo kuwe. Iindlela zonyango ziyahluka ngokuxhomekeke kwisizathu. Nantsi into ekhoyo:

• Utyando: Ukuba ukungazali kubangelwa yingxaki yesakhiwo, ukuvaleka, okanye isilonda, ugqirha wakho unokwenza utyando ukuze alungise loo nto. Umzekelo, ukususa ii-fibroids okanye ukulungisa ukuvaleka kwimibhobho ye-fallopian.
• Amayeza okuzala: Ukuba uneengxaki zokungalingani kwamahomoni okanye unengxaki yokukhutshwa kweqanda, amayeza okuzala angasetyenziswa. Amanye amayeza ehomoni avuselela ama-ovari ukuba akhule aze ancede ekukhupheni iqanda.
• Ii-antibiotics: Ukuba unentsholongwane kwinkqubo yakho yokuzala, unokunikwa ii-antibiotics ukuze uyinyange.
• Ukuqonda ngokuzala: Ngamanye amaxesha kuyanceda ukwazi ukuba uza kuzala nini kanye kanye. Oku kungenziwa ngokujonga i-mucus yomlomo wesibeleko sakho, ukulinganisa ubushushu bomzimba wakho, okanye ukusebenzisa izixhobo zokuqikelela ukuzala ezifumaneka kwikhemesti.Ungakwenza oku ngokusebenzisa. Abantu abaninzi basebenzisa ii-apps ze-smartphone ukulandelela umjikelo wabo wokuya exesheni kunye neentsuku zokuvuthwa.

Abanye abantu bafuna unyango olukhethekileyo ngakumbi.

• Ukufakwa kwesidoda ngaphakathi kwesibeleko (IUI): Kule nkqubo, isidoda esifunyenwe kwiqabane lendoda siyacocwa size sifakwe ngqo esibelekweni kusetyenziswa indlela ekhethekileyo.
• Iiteknoloji zoNcedo lokuZala (i-ART): Usenokuba ukhe weva ngee -test tube babys (IVF - In Vitro Fertilization) . I-IVF yenye yezi ndlela ze-ART. Kule ndlela, amaqanda omfazi kunye nesidoda sendoda zidityaniswe kwilebhu, kwaye emva kokuba i-embryo yenziwe, ifakwa kwisibeleko.

Ngaphandle koku, ukwamkelwa komntwana kunye nokudluliselwa komntwana ngaphambi kokukhulelwa zikwayindlela yokuqalisa usapho kwabo bangenabantwana.

Ngaba kukho naziphi na iingxaki zonyango?

Unyango, ingakumbi amayeza asetyenziselwa ukukhuthaza ukuvuthwa kweqanda, ngamanye amaxesha lunokubangela iingxaki ezincinci:

• Amathuba okukhulelwa abantwana abaninzi (amawele, amawele amathathu) ayanda.
• I-Ovarian Hyperstimulation Syndrome (OHSS): Kule meko, amayeza okuzala anokubangela ukuba ama-ovari adumbe aze abe buhlungu. Nangona kunjalo, oogqirha baya kukwazisa ngale nto kwangaphambili.

Ngaba ukungazali kwabasetyhini kunokuthintelwa?

Inyaniso kukuba, uninzi lwexesha, kunzima kuthi ukuqikelela nokuthintela le meko. Nangona kunjalo, singayinciphisa ingozi ngandlela ithile ngokwenza utshintsho kwindlela esiphila ngayo.

• Ukunciphisa ukusetyenziswa kotywala.
• Ukuyeka ukutshaya ngokupheleleyo.
• Gcina ubunzima obusempilweni obukufaneleyo.
• Misela inkqubo elungileyo yokuzilolonga. (Ingabi kukuqhelisela kakhulu, kodwa ibe semgangathweni.)
• Ukutya ukutya okutyebileyo kwiziqhamo nemifuno.
• Zama ukulala ubuncinane iiyure ezisixhenxe ngobusuku.

Ngaphandle koku, kubaluleke kakhulu ukubona ugqirha wezifo zabesifazane rhoqo ukuze ahlolwe . Wakuba uqalise ukwabelana ngesondo, ukuvavanywa ngugqirha ubuncinane kanye ngonyaka kunokunceda ekuchongeni iimeko ezinokuchaphazela ukuzala kwixesha elizayo.

Yintoni onokuyilindela ukuba awunabantwana? (Outlook)

Oku kuyahluka ngokwenene kumntu nomntu, kuxhomekeke kwisizathu. Ukuba iingxaki zokukhutshwa kweqanda zingokwakhiwa kwaye zinokunyangwa, iziphumo zihlala zilungile. Oko kuthetha ukuba amathuba okukhulelwa umntwana aphezulu. Nangona kunjalo, ezinye iimeko ezinxulumene nesibeleko, ezifana "nokungazali kwe-uterine factor", zinokuba nzima ukunyanga.

Thetha nogqirha wakho malunga nembali yempilo yosapho lwakho, izinto ezikubangela umngcipheko, kunye nazo naziphi na iimeko zempilo ezifihlakeleyo ukuze ufunde ngakumbi ngamathuba akho okukhulelwa okuphumelelayo.

Ufanele uye nini kugqirha malunga nokungabi nabantwana?

Ukuba ubusoloko ulala nomntu , usiya exesheni rhoqo, kwaye awuzange ube nomntwana emva kokuba uzame malunga nonyaka (okanye iinyanga ezintandathu ukuba ungaphezulu kweminyaka engama-35), kungcono ukubona ugqirha. Banokufumanisa ukuba kutheni unengxaki yokukhulelwa baze bakucebise ngonyango olufanelekileyo.

Yintoni enokwenziwa ukwandisa ukuzala komfazi?

Ezinye izinto, ezifana neemeko esizalwa nazo, esingenakuzilawula. Nangona kunjalo, singenza izinto kwindlela yethu yokuphila ezinokunceda ekukhuliseni abantwana:

• Sebenzisa iikhondom ngexesha lokwabelana ngesondo ukuthintela izifo ezidluliselwa ngesondo (ii-STI).
• Zihlole rhoqo izifo ezidluliselwa ngesondo ezifana ne-chlamydia kunye ne-gonorrhea.
• Kuphephe ukuvezwa kwiikhemikhali eziyingozi, izibulali-zinambuzane, kunye nezinye izinto ezingcolisa indalo.

Kwakhona, kubaluleke kakhulu ukubona ugqirha ubuncinane kanye ngonyaka emva kokuba uqalise ukwabelana ngesondo. Ukuhlolwa rhoqo kunye nokuhlolwa kokuthintela yeyona ndlela ilungileyo yokugcina impilo yakho yesondo.

Ukungazali yinto ebangela uxinzelelo olukhulu nebangela iintlungu. Siyaqonda loo nto. Kodwa hlala uqinile. Awuwedwa. Ngeengcebiso zonyango ezifanelekileyo kunye nonyango, abantu abaninzi baye bakwazi ukufezekisa eli phupha.

Izinto ezibalulekileyo ekufuneka uzikhumbule kweli nqaku (Umyalezo Wokuya Ekhaya)

Kulungile, masikukhumbuze ezinye zeengongoma eziphambili esithethe ngazo ekufuneka uzikhumbule?

• Ukungazali yinto eqhelekileyo: awuwedwa ojongene noku.
• Musa ukoyika, funa ingcebiso kagqirha: Ukuba awukaze uzame unyaka wonke (iinyanga ezi-6 ukuba ungaphezulu kweminyaka engama-35), ngokuqinisekileyo bonana nogqirha.
• Zininzi izizathu, kwaye kukho unyango: Ukungazali kunokuba nezizathu ezininzi, kwaye unyango olufanelekileyo luye lwenziwa nanamhlanje.
• Indlela yokuphila ibalulekile: Ungazilawula ezinye izinto ezinokubangela umngcipheko. Ukuphila ubomi obusempilweni kubaluleke kakhulu.
• Cinga ngendlela eyakhayo: Abantu abaninzi baye bafumana iziphumo eziphumelelayo ngonyango. Musa ukuphelelwa lithemba.

Ukuba uneminye imibuzo okanye iinkxalabo malunga noku, ungathandabuzi ukuthetha nogqirha. Baza kukunceda.

Ukungazali , Ukungazali Kwabasetyhini, Ukulahlekelwa Ngumntwana, Ubunzima Bokukhulelwa, i-PCOS, i-Endometriosis, i-IVF, i-IUI, iiFallopian Tubes, i-Ovulation