Wena neqabane lakho mhlawumbi nijonge phambili ekongezeni undwendwe olutsha oluncinci kusapho lwenu ninethemba elikhulu. Kodwa xa elo phupha lingazaliseki emva kweenyanga, mhlawumbi nonyaka nizama, kunzima ukuchaza intlungu, ixhala, kunye nobulolo enibuvayo? Oku kuba nzima ngakumbi ngemibuzo evela kwabo bakungqongileyo. Kodwa ungacingi ukuba ujongene noku wedwa. Namhlanje sithetha ngalo mba abantu abaninzi abawugcinayo ezintliziyweni zabo, oko kukuthi, ukungazali. Masithethe ngawo ngokukhululekileyo nangokucacileyo.
Kalula nje, yintoni ukungafumani bantwana?
Ukungakwazi ukukhulelwa kukungakwazi ukukhulelwa ngenxa yemeko ethile kwinkqubo yakho yokuzala. Kunokuchaphazela nabani na. Amaxesha amaninzi, akubangelwa yinto enye, kodwa zizinto ezininzi.
Cinga ngako oku, ukukhulelwa yinkqubo emangalisayo kakhulu, enamanyathelo amaninzi. Kufana netyathanga, ukuba ikhonkco elinye liyaphuka, lonke ityathanga liyaphuka.
- Okokuqala, ingqondo yakho kufuneka ivelise iihomoni ezilawula ukusebenza kwamaqanda akho.
- Okwesibini, ezo hormone kufuneka zibangele ukuba iqanda livuthwe kwenye yee-ovari zakho.
- Okulandelayo, iqanda elivuthiweyo kufuneka likhutshwe kwi-ovary. Oku sikubiza ngokuba yi-ovulation .
- Emva koko, iqanda kufuneka libanjwe ngetyhubhu yeFallopian.
- Okwangoku, isidoda sendoda kufuneka singene kwisibeleko ngelungu lobufazi, sihambe ngetyhubhu ye-fallopian, size sifikelele eqandeni.
- Apho, isidoda kufuneka sidibane neqanda size silichumise, senze umbungu .
- Okokugqibela, iqanda elivundisiweyo kufuneka lihambe liye kwi-fallopian tube lize lifakwe eludongeni lwesibeleko.
Ukuba naliphi na kula manyathelo angenziwanga ngokuchanekileyo, ukukhulelwa akuyi kwenzeka.
Ngokwesiqhelo, oogqirha baxilonga ukungazali ngokwenza oku kulandelayo:
- Ukuba ungaphantsi kweminyaka engama-35 ubudala kwaye awukakhulelwa emva konyaka omnye (iinyanga ezili-12) wesondo rhoqo ngaphandle kocwangciso lokuzala.
- Ukuba uneminyaka engama-35 okanye ngaphezulu kwaye uzame iinyanga ezi-6 ngaphandle kokukhulelwa.
Le meko ixhaphake kakhulu kuluntu kunokuba ucinga. Ngoko ke musa ukuziva uneentloni okanye unesizungu, ucinga ukuba le yingxaki yakho kuphela. Iindaba ezimnandi zezokuba namhlanje kukho unyango olusebenzayo kakhulu loku.
Ziziphi iintlobo eziphambili zokungazali?
Ukungazali kunokwahlulwahlulwa zibe ziintlobo ezintathu eziphambili. Ukuze ukuqonde kakuhle oku, jonga itheyibhile engasezantsi.
| Uhlobo lokungazali | Ingcaciso elula |
|---|---|
| Ukungazali Okuphambili | Ukuba andikaze ndikhulelwe ngaphambili kwaye andikwazi ukukhulelwa nangona ndizamile ixesha elithile (unyaka omnye ukuba ungaphantsi kwama-35, iinyanga ezintandathu ukuba ungaphezulu kwama-35) kuxhomekeke kwiminyaka. |
| Ukungachumi kwesibini | Ukuba ndikhulelwe ngempumelelo kanye ngaphambili kwaye ndingakwazi ukukhulelwa kwakhona. |
| Ukungafumani bantwana okungachazwanga | Nangona kwenziwe zonke iimvavanyo zonyango ezifunekayo, isizathu esithile sokungakhulelwa asinakufunyanwa. |
Yintoni ebangela ukungafumani bantwana?
Amaxesha amaninzi akukho mpendulo ilula nelula koku. Ngamanye amaxesha inokuba yingxaki yomfazi, ngamanye amaxesha inokuba yingxaki yendoda. Ngamanye amaxesha, inokuba yindibaniselwano yazo zombini. Nantsi into eboniswe luphando:
- Kwiimeko ezingama-33% , unobangela unxulumene nomfazi .
- Kwiimeko ezingama-33% , unobangela unxulumene nendoda .
- Ama- 33% aseleyo amatyala achatshazelwa zizizathu ezinxulumene nazo zombini okanye izizathu ezingaziwayo .
Izinto eziqhelekileyo ezinobungozi
Eminye imikhwa yokuphila kunye neemeko zempilo zinokuchaphazela ukuzala.
- Ubudala: Ukuzala kuncipha ngokukhawuleza, ingakumbi kubasetyhini abakwiminyaka yabo yokugqibela yama-30 okanye engama-40. Kumadoda, isiphumo siyanda emva kweminyaka engama-50.
- Ukutshaya nokusebenzisa iziyobisi/utywala: Oku kuyonakalisa ngokuthe ngqo imeko yesidoda namaqanda.
- Ukutyeba kakhulu okanye ukutyeba kancinci: Ubunzima bomzimba obungaqhelekanga buchaphazela ibhalansi yeehomoni.
- Iingxaki zokutya: Iimeko ezifana `(Anorexia nervosa)` kunye `(Bulimia)`.
- Ukuzilolonga kakhulu:Ukuzilolonga kakhulu kunokuchaphazela neehomoni.
- Ukuchatshazelwa zizinto ezinobungozi kwindalo esingqongileyo: Izinto ezifana nezibulali zinambuzane, iikhemikhali, njl.
- Uxinzelelo: Uxinzelelo lwexesha elide lufunyenwe luchaphazela ukuzala.
- Izifo ezidluliselwa ngesondo (ii-STI): Izifo ezinganyangwanga zingonakalisa inkqubo yokuzala.
- Unyango lomhlaza: Unyango ngemitha okanye i-chemotherapy.
Izizathu ezithile ezichaphazela abafazi
Eyona nto ibangela ukuba abasetyhini bangafumani bantwana ziingxaki zokukhutshwa kweqanda . Oku kuthetha ukuba iqanda alivuthwa okanye alikhuphi kakuhle. Ukongeza, ezi zinto zinokuchaphazela:
- I-Endometriosis: Izicubu ezimele zikhule ngaphakathi kwesibeleko zikhula ngaphandle kwesibeleko (kwiindawo ezifana namaqanda, iityhubhu ze-fallopian, njl.njl.).
- I-Polycystic ovary syndrome (PCOS): Ukungalingani kwamahomoni okubangela ukuba kubekho ii-cysts ezincinci kuma-ovari kunye nokukhutshwa kwe-ovulation okungahambelaniyo.
- Iityhubhu ze-fallopian ezivalekileyo: Iityhubhu ze-fallopian ezivalekileyo, ngenxa yosulelo (umz., iSifo sokudumba kwePelvic - PID) okanye utyando, zithintela iqanda kunye nesidoda ukuba singadibani.
- Iingxaki zesibeleko: Iifibroids zesibeleko okanye iipolyps okanye iingxaki zokuzalwa ngesimo sesibeleko.
- Ezinye iimeko zonyango: Iimeko ezifana nesifo se-thyroid, isifo seswekile, isifo sezintso, kunye neemeko zokuzikhusela komzimba.
- Umgangatho weqanda ophantsi: Umgangatho weqanda uyehla xa likhula.
Izizathu ezithile kumadoda
Eyona nto ibangela ukungafumani bantwana kwamadoda ziingxaki zesidoda . Ezi ziquka:
- Inani eliphantsi lesidoda.
- Ukungakwazi kakuhle ukuhamba kwesidoda.
- Ukwakheka kwesidoda okungaqhelekanga.
Ukongeza koku, ezi zizathu zilandelayo zinokuba negalelo:
- Iingxaki zamasende: I-Varicocele, ukwenzakala kwamasende, okanye amasende angaphakamanga.
- Ukuchanabeka kumaqondo obushushu aphezulu: Ukunxiba impahla yangaphantsi eqinileyo kakhulu, ukuhlamba ngamanzi ashushu rhoqo, ukusebenza nelaptop emathangeni akho, njl.
- Iingxaki zeHormonal: I-testosterone ephantsi.
- Izifo zemfuza: Iimeko zemfuza ezifana `(i-Klinefelter syndrome)`.
- Ukuvaleka kombhobho wokukhupha amanzi.
- Ukungasebenzi kakuhle kwe-erectile okanye iingxaki zokukhupha umchamo.
- Ukusetyenziswa gwenxa kwezinto ezifana nee -anabolic steroids .
Ifunyanwa njani into yokuba umntu akanakukwazi ukufumana abantwana? Zithini iimvavanyo zonyango?
Xa wena neqabane lakho nibonana nogqirha, uza kuqala akubuze ngembali yempilo yenu, ubomi benu ngokwesondo, nendlela eniphila ngayo. Emva koko, baza kuyalela uthotho lweemvavanyo ukuze bafumane unobangela. Nobabini kuya kufuneka nenze ezi mvavanyo.
| Uhlobo lovavanyo | Yekabani? | Yintoni evavanya oku? |
|---|---|---|
| Uvavanyo lwegazi | Kuzo zombini | Ukuchonga amanqanaba eehomoni (ukuvuthwa kweqanda kwabasetyhini, i-testosterone kwamadoda), ukusebenza kwe-thyroid, kunye nezinye iingxaki zempilo. |
| Iskeni se-Ultrasound esidluliselwa kwisini | Kwabasetyhini | Ukujonga imeko yesibeleko kunye namaqanda, iithumba (ii-fibroids, ii-polyps), imeko ye-PCOS, njl. |
| Uhlalutyo lwamadlozi | Kwamadoda | Ukujonga inani lesidoda, intshukumo, kunye nokuma kwaso. Olu luvavanyo olubaluleke kakhulu. |
| I-Hysterosalpingogram (HSG) | Kwabasetyhini | Kufakwa into ekhethekileyo esibelekweni kwaye kuthathwa i-X-ray ukuze kubonwe ukuba imibhobho ye-fallopian ivaliwe na. |
| I-Laparoscopy | Kwabasetyhini | Ikhamera ifakwa ngesithuba esincinci ukuze ibone ngqo, ichonge, kwaye mhlawumbi inyange iimeko ezifana ne-endometriosis kunye neengxaki zetyhubhu ye-fallopian. |
| I-Scrotal Ultrasound | Kwamadoda | Ukujonga imithambo erhabaxa (varicoceles) okanye ezinye iingxaki zesakhiwo kumasende. |
Zeziphi iindlela zonyango ezikhoyo?
Emva kokufumanisa unobangela, ugqirha wakho uya kucebisa unyango olulungele nina nobabini, ecinga ngeminyaka yenu, unobangela wokungabi nabantwana, kunye nexesha enilizamile.
Unyango lwabasetyhini
- Amayeza: Amayeza okuzala anikwa ukukhuthaza ukukhutshwa kweqanda kunye nokukhuthaza ukukhululwa kweqanda elinye okanye ngaphezulu elisempilweni.
- Utyando: Utyando lwenziwa ukuze kuvulwe iityhubhu ze-fallopian ukuba zivalekile, kususwe ii-fibroids zesibeleko, okanye kunyangwe i-endometriosis.
- Utshintsho kwindlela yokuphila: Ukugcina ubunzima obusempilweni, ukutya ukutya okunesondlo, kunye nokuphepha ukutshaya.
Unyango lwamadoda
- Amayeza: Ukunika amayeza okulungisa amanqanaba eehomoni okanye ukunyanga ukungasebenzi kakuhle ngokwesondo.
- Utyando: Utyando lwenziwa ukuze kususwe imiqobo kwintambo yesidoda okanye kulungiswe imithambo erhabaxa kumasende (iVaricocele).
- Utshintsho kwindlela yokuphila: yeka ukutshaya nokusela utywala, phepha iimpahla zangaphantsi eziqinileyo, yitya ukutya okunempilo.
Iteknoloji yoNcedo lokuZala (i-ART)
Kwezinye iimeko, ukuba olu nyango lungentla aluphumeleli okanye ukuba ingxaki inzima ngakumbi, oogqirha basebenzisa ubuchwepheshe bokuncedisa ekuzaleni. Ezinye zeendlela eziphambili zezi:
- Ukufakwa kwesidoda ngaphakathi kwesibeleko (IUI): Kule nto, isidoda sendoda silungiselelwa ngokukodwa size sifakwe ngqo esibelekweni somfazi ngetyhubhu encinci kakhulu ngaxeshanye nokukhutshwa kwesidoda. Oku kwenza kube lula ukuba isidoda sifikelele eqandeni.
- Ukuchumisa kwiVitro (IVF): Oku kudla ngokubizwa ngokuba yi-"in vitro fertilization." Kule ndlela, amaqanda omfazi asuswa emzimbeni wakhe, axutywe nembewu yendoda kwilebhu, kwaye i-embryo enye okanye ezingaphezulu ezisempilweni zibuyiselwa kwisibeleko.
- Inaliti ye-Intracytoplasmic Sperm (ICSI):Le yinkqubo ekhethekileyo eyenziwa ngexesha lenkqubo ye-IVF. Kwimeko apho ukunyakaza kwesidoda kuphantsi kakhulu okanye inani liphantsi kakhulu, kukhethwa isidoda esinye esiphilileyo size sifakwe ngqo eqandeni.
Nangona olu nyango lunokubonakala lunzima kancinci, ungakhathazeki. Ugqirha wakho uza kukuchazela yonke into ngokweenkcukacha. Ezi ndlela zincede amakhulu amawaka ezibini kwihlabathi liphela ukuba zikwazi ukuzala abantwana.
Ufanele uye nini kugqirha?
Lo ngumbuzo obaluleke kakhulu. Ukucela uncedo ngexesha elifanelekileyo kunokunyusa amathuba okuphumelela.
- Ukuba ungaphantsi kweminyaka engama-35 ubudala: Ukuba ubuzama rhoqo unyaka wonke ngaphandle kocwangciso lokuzalwa kwaye awukhulelwanga, bona ugqirha.
- Ukuba uphakathi kweminyaka engama-35 ukuya kwengama-39 ubudala: Funa ingcebiso kagqirha emva kweenyanga ezi-6 uzama.
- Ukuba uneminyaka engama-40 nangaphezulu: Kubalulekile ukufuna ingcebiso kagqirha ngokukhawuleza, nokuba ubuzama ixesha elingaphantsi kweenyanga ezi-6, njengoko ukuzala kuncipha ngokukhawuleza xa ukhula.
- Ukuba wena okanye iqabane lakho ninengxaki yempilo eyaziwayo: umzekelo, ukuya exesheni okungaqhelekanga, i-endometriosis, usulelo lwe-pelvic yangaphambili, bona ugqirha ngokukhawuleza ukuze ufumane ingcebiso.
Ukungazali luhambo olunzima kakhulu, ngokwasemzimbeni nangokwengqondo. Kubaluleke kakhulu ukuba wena neqabane lakho nisebenzisane kolu hambo ninenkxaso nokuqonda. Musa ukuthandabuza ukufuna iingcebiso zengqondo ukuba kuyimfuneko.
Umyalezo Wokuya Ekhaya
- Ukungazali akulotyala lakho. Yimeko yezonyango echaphazela abafazi, amadoda, okanye zombini.
- Awuwedwa. Izigidi zezibini kwihlabathi liphela zijongene nale ngxaki. Ngoko ke musani ukuba neentloni okanye ningayifihli ingxaki.
- Kubaluleke kakhulu ukufuna ingcebiso kagqirha ngexesha elifanelekileyo. Okukhona ulibazisa ixesha elide, kokukhona unyango lusenokungaphumeleli.
- Namhlanje, kukho iindlela ezininzi zonyango ezisebenzayo kakhulu zokungazali (amayeza, utyando, i-IUI, i-IVF).
- Ungaphucula ukuzala kwakho ngokulandela indlela yokuphila enempilo (ukutya okunempilo, ukuzilolonga, kunye nokuphepha ukutshaya notywala).
- Olu hambo ludinisa ingqondo. Xhasanani, thethani ngokukhululekileyo ngeemvakalelo zenu, kwaye nifune iingcebiso zobungcali ukuba kuyimfuneko.
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