Ingaba sele kudlule ixesha lokuba umntwana wesibini afumane umntwana wesibini? Masifunde ngokungakwazi ukufumana umntwana wesibini

Sele unomntwana omhle nothandekayo. Kodwa ngoku iphupha lakho nomyeni wakho kukongeza omnye umntwana omncinci kusapho. Kodwa ngaba sele kudlule ixesha lokukhulelwa ngeli xesha ngokulula njengoko wenzayo kumntwana wakho wokuqala? Ubuzama kangangeenyanga kodwa awukafumani ndaba zintle ngomntwana? Le yinto abantu abaninzi abayivayo. Awuwedwa. Namhlanje siza kuthetha ngesihloko abantu abaninzi abangafuniyo ukuthetha ngaso, kodwa sibaluleke kakhulu. Oko kukungazali kwesibini.

Yintoni kanye kanye into yokungazali kwesibini?

Ngamafutshane, ukungazali kwesibini kuxa ukhe waba nomntwana omnye okanye ngaphezulu ngokwesiqhelo, ngaphandle konyango lwangaphambili lokuzala, olufana ne-IVF, uze ungakwazi ukukhulelwa omnye umntwana okanye ukuthwala loo mntwana de kube lixesha lokukhulelwa.

Oogqirha badla ngokuyikrokrela le meko xa isibini besizama ukuba nomntwana kangangeenyanga ezintandathu okanye unyaka kodwa singaphumeleli.

Kutheni oku kusenzeka? Masithethe ngezizathu eziqhelekileyo

Kunzima ukukhomba isizathu esinye kuphela sale nto. Ngamanye amaxesha isizathu sixhomekeke kumfazi, ngamanye amaxesha sixhomekeke kumyeni. Ngamanye amaxesha, isenokuba yindibaniselwano yeengxaki ezincinci kumacala omabini. Ngamanye amaxesha, kunokwenzeka ukuba kungabikho sizathu sifumanekayo.

Nazi ezinye zezizathu eziphambili ezichaphazela le meko:

• Ubudala: Wena nomyeni wakho nobabini nibadala ngoku kunangexesha lokufumana umntwana wenu wokuqala. Ukuzala ngokwemvelo kuyehla njengoko iminyaka ikhula.
• Utshintsho kumgangatho wesidoda okanye weqanda: Umgangatho nobungakanani besidoda okanye amaqanda bunokutshintsha ngokuhamba kwexesha.
• Iingxaki zokukhulelwa kwangaphambili: Kusenokubakho utshintsho oluthile kwisibeleko, njengakwixesha lokukhulelwa kwangaphambili, okanye mhlawumbi nge-cesarean section (C-section).
• Iziphumo zotyando: Iziphumo zinokubakho nakwezinye iintlobo zotyando ezenziwa esiswini okanye kwindawo ye-pelvic.
• Ukwanda kobunzima: Ukuba ufumana ubunzima obukhulu emva kokufumana umntwana wakho wokuqala, oku kunokuchaphazela iihomoni zakho kwaye kunciphise ukuzala kwakho.
• Ezinye izifo okanye amayeza: Iimeko ezintsha zempilo, ezifana nesifo seswekile okanye iingxaki ze-thyroid, okanye amayeza asetyenziswa ngenxa yazo, zisenokuba ngunobangela.
• Izifo ezidluliselwa ngesondo (ii-STI):Iintsholongwane ezinganyangwanga zingonakalisa amalungu omzimba, njengeetyhubhu ze-fallopian.
• Utshintsho kwindlela yokuphila: Izinto ezinje ngokutshaya nokusela utywala ngokugqithisileyo zichaphazela ngokuthe ngqo ukuzala.

Ziziphi izizathu ezithile ezichaphazela abafazi?

Ngokwembono yabasetyhini, kukho izinto ezininzi ezinokubangela oku.

Ubungakanani kunye nomgangatho wamaqanda

Xa sizalwa, sinenani elithile leeseli zamaqanda emizimbeni yethu. Amaqanda amatsha akaveli. Njengoko sisondela kwiminyaka yethu yokugqibela yama-30, inani lamaqanda liyancipha, kwaye amaqanda aseleyo anokuba neengxaki ze-chromosome. Oku kunciphisa amandla okuvelisa amaqanda asemgangathweni.

Iingxaki ngesibeleko okanye kwimibhobho ye-fallopian

• Izifo: Izifo ezifana neChlamydia, iGonorrhea, okanye iPelvic Inflammatory Disease (PID) ezingakhange zinyangwe kakuhle ngaphambili zinokuvala imibhobho ye-fallopian. Ukuba indlela yeqanda eliya esibelekweni ivaliwe, ukukhulelwa akunakwenzeka.
• Izibazi ezivela kutyando: Ukuba izibazi zakheke eludongeni lwesibeleko ngenxa ye-D&C yangaphambili (ukwandiswa kunye nokususwa kwesibeleko) okanye i-cesarean section, oko kunokuthintela ukukhulelwa kwe-embryo.
• Iithumba zesibeleko: Iifibroids zesibeleko okanye iipolyps, ezinokuphazamisana nokukhulelwa, kuxhomekeke kwindawo yesibeleko.

Ezinye iimeko zonyango

• I-PCOS (i-Polycystic Ovary Syndrome): Oku kukungalingani kwamahomoni. Oku kubangela ukuya exesheni okungacwangciswanga kunye nokukhutshwa kweqanda. Ukuba iqanda alikhutshelwanga, ukukhulelwa akunakwenzeka.
• I-Endometriosis: Oku kulapho izicubu ezifanele zikhule ngaphakathi kwesibeleko zikhula ngaphandle kwesibeleko, njengakwii-ovari. Oku kunokuchaphazela nokuzala.
• Indlela Yokuphila: Izinto ezinje ngokutyeba kakhulu, ukutshaya, kunye nokusetyenziswa kotywala zichaphazela ngokuthe ngqo i-ovulation kunye ne-ovulation.

Ziziphi izizathu ezithile ezichaphazela amadoda?

Le ngxaki ichaphazela abafazi kunye namadoda. Nazi ezinye zezizathu ezinokuchaphazela amadoda.

Ukuncipha kwe-hormone ye-testosterone

I-Testosterone yi-hormone ebalulekileyo ekuvelisweni kwesidoda. Ukwaluphala, ukwenzakala kwamathambo, isifo seswekile, isifo se-thyroid, kunye noxinzelelo oluphezulu kunokubangela amanqanaba aphantsi ale hormone. Esi simo saziwa ngokwezonyango ngokuba yi-"Hypogonadism".

I-Varicocele yamasende

Oku kwenzeka xa imithambo yegazi (imithambo yegazi ) ejikeleze amasende idumba kwaye ikhula. Oku kunokunyusa ubushushu bamasende, nto leyo enokuchaphazela ukuveliswa kwesidoda kunye nomgangatho waso. Le yimbangela eqhelekileyo yokungafumani bantwana kwamadoda.

Iingxaki zesidoda

• Ukwehla komgangatho wembewu: Emva kweminyaka engama-40, umgangatho wembewu uqala ukwehla kancinci.
• Inani eliphantsi lembewu yesidoda: Ukuba inani lembewu yesidoda lingaphantsi kwezigidi ezili-15 kwi-milliliter nganye yesidoda, lithathwa njengeliphantsi. Oogqirha bakwabiza oku ngokuthi "yi-Oligospermia".

Ezinye izizathu

• Iingxaki zeprostate: Ukususwa kweprostate gland ngenxa yokwanda kweprostate okanye umhlaza kunokuchaphazela inkqubo yokukhupha isidoda.
• Amayeza athile: Amanye amayeza asetyenziswa ngenxa yoxinzelelo lwegazi oluphezulu, usulelo lwefungus, kunye nomhlaza anokuchaphazela ukuveliswa kwesidoda.
• Indlela yokuphila kunye nezinto ezisingqongileyo: Ukunyuka kakhulu kwesisindo, ukuchanabeka kwiikhemikhali ezifana nezibulali-zinambuzane, kunye nokuchanabeka kumaqondo obushushu aphezulu (umzekelo, ukuhlamba ngamanzi ashushu ixesha elide, ukunxiba impahla eqinileyo) nako kunokubangela loo nto.

Wenza ntoni ukuba unamathandabuzo ngale nto?

Ukuba wena okanye umyeni wakho ninenkxalabo malunga noku, eyona nto ingcono onokuyenza kukungaxhalabi . Okulandelayo, bonana nogqirha ofanelekileyo. Ingcali ye-endocrinologist yokuzala okanye ingcali ye-urologist yeyona ilungileyo.

Ugqirha uza kunibuza nobabini ngembali yempilo yenu, indlela eniphila ngayo, kunye nomjikelo wenu wokuya exesheni. Emva koko, uza kugqiba ukuba zeziphi iimvavanyo ezifunekayo.

Zithini iindlela zonyango zoku?

Iindaba ezimnandi zezokuba kukho iindlela ezininzi zonyango ezisebenzayo zokungazali kwesibini. Nje ukuba imbangela yengxaki yakho ichongiwe, ugqirha wakho uya kukucebisa unyango olufanelekileyo kuwe.

• Amayeza: Kwabasetyhini abangavulisiyo iqanda, amayeza anjengeClomiphene okanye iLetrozole anikwa ukulawula ukukhutshwa kweqanda.
• IUI (Intrauterine Insemination): Oku kuquka ukukhetha isidoda esifanelekileyo kwisidoda somyeni size sifakwe ngqo esibelekweni somfazi ngetyhubhu ekhethekileyo ngomhla wokukhutshwa kwesidoda. Oku kwandisa amathuba okuba isidoda sidibane neqanda.
• I-IVF (In Vitro Fertilization): Le yinkqubo enzima ngakumbi. Kule meko, amaqanda omfazi akhutshwa emzimbeni wakhe, adityaniswe nesidoda somyeni wakhe kwilebhu ukuze kwenziwe i-embryo. Emva koko i-embryo ephilileyo ibuyiselwa esibelekweni.
• Utyando: Ukuba kukho ii-fibroids, ii-polyps, okanye izicubu zesilonda esibelekweni, zinokususwa ngotyando. I-Varicocele kumadoda inganyangwa ngempumelelo ngotyando.

Uhlangabezana njani noxinzelelo oluza nalo?

Mhlawumbi le yeyona nxalenye inzima. Ukuba nomntwana omnye, ungaziva ngathi akukho mntu uyiqondayo intlungu, umsindo, kunye nokungabi namandla okuziva xa ungakwazi ukukhulisa umntwana wesibini.

Ngamanye amaxesha, izalamane nabahlobo banokuthi, “Kukho umntwana omnye kuphela, kwanele oko.” Basenokungathethi ngeenjongo ezimbi, kodwa oko akwenzi intlungu oyivayo ingabi nkulu kangako.

Olu luhambo olufanele luthathwe kancinci. Kungathatha ixesha ukuze unyango luphumelele. Kubalulekile ukuhlala uqinile engqondweni ngeli xesha. Ukuba kuyimfuneko, ukufuna ingcebiso kwingcali yezempilo yengqondo nako kunokuba luncedo kakhulu.