Ngaba nawe ulahlekelwe kukuzala kwakho ngaphandle kwesizathu esicacileyo? (Ukungazali Okungachazwanga) Masithethe ngale nto!

Ngaba wena nomyeni/umfazi wakho nikhe naphupha ngokuba nomntwana, kodwa anikakwazi ukuzalisekisa elo phupha? Ngamanye amaxesha, nangona emva kokwenza zonke iimvavanyo, noogqirha abanakutsho ngokuqinisekileyo ukuba, "Nasi isizathu." Kulapho sithetha khona ngale meko ibizwa ngokuba "kukungakwazi ukuzala okungachazwanga." Lo ngumthwalo omkhulu ngokwenene, kodwa masithethe ngayo ngokweenkcukacha, kulungile?

Yintoni i-Unclaimed Infertility?

Ngamafutshane, ukungazali okungachazwanga kwenzeka xa kungekho sizathu sicacileyo sezonyango sokuba wena neqabane lakho nibe nobunzima bokukhulelwa. Ngaphambi kokuba wenze oku, ugqirha wakho uya kwenza uthotho olupheleleyo lovavanyo ukuze aqinisekise ukuba uyazala. Uninzi lwexesha, olu vavanyo luya kuqinisekisa oku kulandelayo:

• Akukho ziphazamiso okanye iingxaki zesakhiwo kwisibeleko sakho .
• Ukuvuthwa kwenzeka ngamaxesha athile .
• Imibhobho yakho ye-fallopian ayivalwanga kwaye ivulekile .
• Ugcino lwakho lwe-ovarian lulungile .
• Iihomoni ezifunekayo ekuzaleni ziyaveliswa engqondweni yakho .
• Uhlalutyo lwesidoda seqabane lakho ( inani lesidoda , ubungakanani, intshukumo, kunye nokuma) luqhelekile ngokupheleleyo .

Nokuba konke oku kulungile, ukuba ungaphantsi kweminyaka engama-35 kwaye awukwazanga ukukhulelwa ubuncinane unyaka okanye iinyanga ezintandathu ukuba ungaphezulu kweminyaka engama-35, oogqirha bakubiza oku ngokuthi "ukungazali okungachazwanga." Cinga ngako, ngamanye amaxesha xa sisiya kufuna amayeza esigulo esithile, oogqirha benza uvavanyo oluninzi, akunjalo? Le yinto efanayo. Bazama yonke into, kodwa abakwazi ukufumana ingcambu yengxaki. Kuyacaphukisa kancinci, kodwa akusosiphelo sehlabathi.

Ixhaphake kangakanani le meko?

Kunzima ukutsho ngqo ukuba oku kuqheleke kangakanani. Kuba oko ugqirha omnye akugqala "kuphelele" kwiimvavanyo zokuzala kunokwahluka kugqirha ngamnye. Oko kuthetha ukuba kukho umahluko omncinci kwindlela ezenziwa ngayo iimvavanyo, ngoko ke izibalo zinokuba zimbi kancinci. Enye ingxelo ithi malunga ne- 10% yezibini ezizama ukukhulelwa zinokuba nolu hlobo lokungazali okungachazwanga. Oko kuthetha ukuba zonke iimvavanyo zazo ziqhelekile. Nangona kunjalo, ezinye iingxelo zithi eli naniIngafikelela kwi- 30% . Ngoko ke, le asinto ingaziwayo.

Ngaba kunokwenzeka ukuba nomntwana nangona ungenabantwana abangaziwayo?

Ewe, unako! Ezi zezona ndaba zibalaseleyo endinokukunika zona. Ukuba nje ufunyaniswe une-"ukungabi nabantwana okungaqondakaliyo" akuthethi ukuba ufanele ulahle ithemba. Uphononongo olwenziwe yiNational Institute of Health (NIH) lufumanise ukuba ama-92% ezibini ezingakwaziyo ukungafumani abantwana okungaqondakaliyo ziye zafumana umntwana emva kokufumana unyango lokuzala. Oko kuthetha ukuba kusekho ithuba elihle lokuba iphupha lakho lizaliseke.

" Ukungazali okungachazwanga" akuthethi ukuba awunakuba nomntwana. Kuthetha nje ukuba kufuneka uzame ngendlela eyahlukileyo.

Ngaba akukho sizathu ngokwenene? ​​Zeziphi izizathu ezifihlakeleyo ezinokubangela oku?

Nangona kuthiwa "imbangela ayicacanga," ngamanye amaxesha kukho unobangela. Nangona kunjalo, loo sizathu sinokuba yinto engenakulinganiswa okanye engabonakaliyo ngovavanyo lwangoku. Okanye, isenokuba yinto engaqondakaliyo kangangokuba ayifumaneki. Makhe sijonge ezinye zezizathu ezinokwenzeka:

Ingxaki yezonyango engaziwayo, engachongwanga kakuhle

Abaphandi basafunda indlela ezinye iimeko zonyango ezichaphazela ngayo ukuzala. Umzekelo, isifo seCeliac (i-gluten allergy), isifo seswekile, kunye neemeko ze-thyroid zonke zinokuchaphazela ukuzala. Usenokuba nenye yezi meko, kodwa isenokungaqatshelwa ngokupheleleyo.

Imeko ye-endometriosis

I-Endometriosis yimeko apho izicubu ezikhula ngaphakathi kwesibeleko (i-endometrium) zikhula ngaphandle kwesibeleko. Nokuba kwiimeko ezincinci kakhulu, oku ngamanye amaxesha kunokubangela ukungazali. Ukuze wazi ngokuqinisekileyo ukuba une-endometriosis okanye awunayo, kufuneka wenze utyando (olufana ne-laparoscopy). Nokuba awunazo naziphi na iimpawu, le meko inokuchaphazela ukuzala kwakho.

Iingxaki ze-mucus yomlomo wesibeleko

Ngexesha lokuvuthwa kweqanda , i-cervical mucus inceda isidoda ukuba sidibane neqanda. Ukuba le mucus iba nkulu kakhulu, okanye ukuba iqulethe izinto ezithile, isidoda sisenokungakwazi ukudlula kwisibeleko siye esibelekweni.

Umgangatho weqanda

Oogqirha banokusebenzisa i-ultrasound ukujonga ii-follicles ezikwii-ovari zakho nokulinganisa ukuba unawo amaqanda amangaphi. Nangona kunjalo, i-ultrasound ayinakukwazi ukubona umgangatho waloo maqanda. Nangona uvavanyo lwegazi kunye ne-ultrasound zinokukunika umbono othile ngomgangatho wamaqanda akho, kunzima ukuqiniseka.

Umgangatho wesidoda

Njengakumaqanda,Uhlalutyo lwembewu yesidoda lunokufumanisa iingxaki ezininzi ngesidoda. Nangona kunjalo, ngamanye amaxesha ezinye iingxaki ezincinci ngesidoda zinokubangela ukungazali ngendlela engachazekiyo.

Iingxaki ngolwelo lwangaphakathi lwesibeleko (i-Endometrium)

I-endometrium yeyona maleko ingaphakathi yesibeleko sakho. Iqanda elichumisiweyo liyafakwa lize likhule libe yimbumba kule maleko. I-luteal phase defect yimeko apho i-endometrium ingatyebanga ngokwaneleyo okanye ingakulungelanga ngokwaneleyo ukufumana iqanda elichumisiweyo. Ukuba oku kuyenzeka, nokuba iqanda lichumisiwe, aliyi kukwazi ukufakwa kwisibeleko. Ukukhulelwa akuyi kwenzeka.

Ixesha elingaguquguqukiyo lokwabelana ngesondo

Ngamanye amaxesha, ukuba kwenzeka kangaphi ngesondo, okanye ixesha lokwabelana ngesondo, kusenokungahambelani nokuvuthwa kwakho. Oku kunokubonakala ngathi yinto encinci, kodwa kunokuchaphazela amathuba akho okukhulelwa. Ngamanye amaxesha kunokwenzeka ngaphandle kwesizathu esicacileyo, okanye unobangela unokuba nzima ukuwufumana okanye ukuwunyanga. Izinto ezininzi kufuneka zihambe kakuhle ukuze umntwana akhulelwe. Ukuba kukho into encinci ehamba gwenxa kuloo nkqubo, yonke into inokungahambi kakuhle. Kodwa iindaba ezimnandi zezokuba abaphandi bahlala befumana iindlela ezintsha zokuxilonga iingxaki zokuzala ezinxulumene nezinto ezinje ngomgangatho weqanda, ukusebenza kwamalungu omzimba okuzala, kunye nokusebenza kwesidoda.

Uyibona njani ngokuchanekileyo le meko?

Ayizizo zonke iingxaki zokungazali ezinokufunyaniswa ngovavanyo olunye. Kwakhona, akukho vavanyo luchaneke ngokupheleleyo (umzekelo, iingxaki ezincinci kakhulu zinokungafunyaniswa). Ngokutsho kwe-American Society of Reproductive Medicine (ASRM), uvavanyo lokungazali kufuneka luquke:

• Uphononongo lwembali epheleleyo yezonyango neyesondo .
• Ukwenza uvavanyo lomzimba .
• Uvavanyo lwegazi ukujonga amanqanaba eehomoni .
• Uvavanyo lwamalungu akho okuzala, njengee-ovari zakho, iityhubhu ze-fallopian, kunye nesibeleko . Oku kungabandakanya uvavanyo lwe-ultrasound okanye uvavanyo oluphambili olufana ne -hysterosalpingogram okanye i-laparoscopy .
• Uhlalutyo lwamadlozi eqabane.
• Uvavanyo lwe-ovarian reserve .
• Ukujonga ukuba i-ovulation yakho iqhubeka kakuhle na.

Ukuba ingcali yokuzala okanye ingcali yokubelekisa-ugqirha wamazinyo yenza zonke ezi mvavanyo kodwa ingafumani sizathu sicacileyo, oko kubizwa ngokuba "kukungakwazi kuzala okungachazwanga." Khumbula ukuba iindlela zovavanyo zogqirha ngamnye zinokwahluka kancinci. Ke ngoko, ukuba ufumana uxilongo olunje, akukho nto iphosakeleyo ngokufumana "uluvo lwesibini" komnye ugqirha.

Zeziphi iindlela zonyango ezikhoyo?

Ekubeni ugqirha wakho esenokungakwazi ukubona unobangela omnye wokuba ungafumani bantwana, kusenokwenzeka ukuba uya kucebisa unyango olusekelwe kwiziphumo zovavanyo lwakho lokuzala kunye namava akhe okunyanga izibini ezifanayo. Ukongeza, izinto ezinje ngokuba ufuna ukuqala unyango ngokukhawuleza kangakanani kunye nobudala bakho nazo ziya kudlala indima. Unyango oluhlala lucetyiswa luwela kwezi ndidi:

Iteknoloji yoNcedo lokuZala (i-ART)

I-Assisted Reproductive Technology (ART) luhlobo lonyango lokuchuma apho inxalenye yenkqubo yokuchumisa yenziwa kwilebhu. Oku kuquka izinto ezifana ne -Intrauterine Insemination (IUI) kunye ne-In Vitro Fertilization (IVF) .

• Kwi- IUI , isidoda siyahlanjwa size sixinaniswe kwilebhu size sifakwe ngqo kwisibeleko sakho ngexesha lokukhutshwa kweqanda.
• I-IVF ibandakanya ukudala iimbumba kwilebhu usebenzisa amaqanda akho kunye nesidoda seqabane lakho (okanye somnikeli), ezithi emva koko zifakwe kwisibeleko sakho ukuze zikhule. Rhoqo, i-IVF ikwabandakanya inkqubo ebizwa ngokuba yi -Intracytoplasmic Sperm Injection (ICSI) . Oku kubandakanya ukufaka isidoda ngqo kwiqanda. I-ICSI inokunyusa amathuba okukhulelwa xa umgangatho wesidoda ucingelwa ukuba ngunobangela wokungazali ngendlela engachazekiyo.

Iintlobo zamachiza

Amayeza avuselela i-ovulation kunye ne-ovulation nawo aluncedo kakhulu. La mayeza angasetyenziswa eyedwa okanye kunye nonyango lwe-IUI kunye ne-IVF. Amayeza asetyenziswa kakhulu yi -gonadotropins kunye ne -clomiphene (Clomiphene - Clomid®) . Abanye oogqirha bakwanika iyeza lokuzala elibizwa ngokuba yi-letrozole (Femara®) , kodwa oku kukusetyenziswa okungekho kwileyibhile. Ii-Gonadotropins ziqulathe iihomoni ezinyusa imveliso yamaqanda kwaye zikwasetyenziselwa ukunyanga inani eliphantsi lesidoda. I-Clomiphene ikwakhuthaza ama-ovari ukuba avelise amaqanda amaninzi. Ugqirha wakho uya kucebisa indlela efanelekileyo ngokusekelwe kwimeko yakho. Nangona kunjalo, khumbula ukuba xa usebenzisa la mayeza okuzala, amaqanda angaphezu kwelinye anokukhululwa kumjikelo omnye wokuya exesheni. Ukuba oko kuyenzeka, kukho ithuba elikhulu lokuba nabantwana abangaphezu komnye (njengamawele).

Utshintsho kwindlela yokuphila

Eminye imikhwa yokuphila inokuchaphazela ukuzala. Nazi ezinye izinto onokuzenza ukuze wandise amathuba akho okukhulelwa umntwana:

• Kuphephe ngokupheleleyo ukutshaya, ukusela utywala kunye nokusebenzisa iziyobisi.
• Gcina ubunzima bomzimba busempilweni.
• Yitya ukutya okunempilo nokunokulinganisela.
• Zama ukuzilolonga ubuncinane imizuzu engama-30 ngosuku.
• Nciphisa umlinganiselo we-caffeine (iti, ikofu).
• Zama ukunciphisa uxinzelelo lwakho .

Lumka ngexesha lokwabelana ngesondo.

Kukho ixesha elincinci kakhulu kumjikelo wakho wokuya exesheni xa unokukhulelwa. Ugqirha wakho anokukunceda uchonge eli thuba. Oku kungenziwa ngokulandelela ubushushu bomzimba wakho obusisiseko, ukucwangcisa umjikelo wakho wokuya exesheni, okanye ukusebenzisa izixhobo zokukhupha amaqanda . Abanye oogqirha basenokuthi, "Zama nje ixesha elide." Eli licebo lonyango elinzima ukuliqonda, ingakumbi ukuba ungumntu ophupha ngokuqalisa usapho ngokukhawuleza. Nangona kunjalo, ngamanye amaxesha ingxaki iyazisombulula kwaye unyango lusenokungabi yimfuneko. Nangona kunjalo, akukho nto imbi ngokubuza omnye ugqirha ukuba uyafuna, okanye ukuqalisa unyango lokuzala kungekudala.

Ngaba ikho indlela yokuthintela oku?

Nangona kukho izinto onokuzenza ukwandisa amathuba akho okukhulelwa umntwana, kukho izinto esingenakuzilawula ezichaphazela ukuzala. Ezinye zezinto onokuzilawula zezi:

• Ubunzima: Gcina ubunzima bomzimba bakho busempilweni kwaye bufanele wena.
• Ukutshaya notywala: Kuphephe ukutshaya icuba nokusela utywala kakhulu.
• Imbali yesondo: Sebenzisa iikhondom ukuze uzikhusele kwizifo ezidluliselwa ngesondo (ii-STI) .

Thetha nogqirha wakho malunga neengxaki zakho zokuzala ukuze akucebise amanyathelo alandelayo ekunyamekeleni kwakho.

Zingaphi izibini ezingenabantwana abangachazekiyo ezikhulelwayo?

Olunye uphando lufumanise ukuba malunga nama -43% aba bantu ekugqibeleni bakhulelwa ngaphandle konyango lokuzala. Oko kuthetha ukuba ngamanye amaxesha oku kuyenzeka ngokwako.

Yeyiphi imibuzo ebalulekileyo omele uyibuze ugqirha wakho?

Kuqhelekile ukuba nemibuzo emininzi xa kufunyaniswa ukuba "unesifo sokungazali esingachazwanga." Iindaba ezimnandi zezokuba akukho ngxaki inkulu ebangela ukungazali kwakho. Iindaba ezimbi zezokuba ugqirha wakho akanakukuxelela ukuba kutheni ungakhulelwa. Thetha nogqirha wakho ngayo yonke into esengqondweni yakho. Buza imibuzo efana nale:

• Ucebisa ukuba ndenze ntoni ngokulandelayo?
• Yeyiphi indlela enika ithuba elihle lokukhulelwa?
• Ngaba kukho naziphi na iimvavanyo zegazi okanye iimvavanyo zomfanekiso ezisafuna ukwenziwa?
• Ngaba ingxaki yempilo efihlakeleyo inokubangela ukuba ndingafumani bantwana?
• Ngaba kufuneka ndidibane nengcali yokuzala?

Unexesha elingakanani uzama ukufumana ugqirha?

Uninzi loogqirha bacebisa ukuba uzame ubuncinane iinyanga ezili-12 (ngonyaka) ngaphambi kokuba ufumane unyango lokungazali. Nangona kunjalo, ukuba uneminyaka engama-35 nangaphezulu, bonana nogqirha emva kweenyanga ezintandathu . Ugqirha wakho unokucebisa unyango olusekelwe kwimbali yakho yempilo kunye nomnqweno wakho wokuba nomntwana.

Okokugqibela, izinto ekufuneka uzikhumbule (Umyalezo Wokuya Ekhaya)

Ukungafumani bantwana ngendlela engacacanga kunokuba yinto ebangela ingxaki kwaye idideke kakhulu. Oku kuthetha ukuba akukho mntu unokufumanisa ukuba kutheni ungakhulelwa. Kodwa ungakhathazeki, okanye utyhafe - kukho unyango olunokukunceda. Ezinye izibini ziyaphumelela ngamayeza, i-IUI, okanye i-IVF.

"Ukungafumani bantwana ngendlela engachazekiyo" akuthethi ukuba awusoze ube nomntwana. Kuthetha nje ukuba oogqirha bakho kuya kufuneka bazame iindlela ezahlukeneyo zokukunceda ukhulelwe.

Fumana ugqirha oqondayo iimvakalelo zakho kwaye akuxhase ngeli xesha linzima. Ungaze ulahle ithemba. Sonke sikunqwenelela okuhle kodwa kuhambo lwakho lokufezekisa iphupha lakho! Ukungazali, Ukulahlekelwa ngumntwana, Ukungazali okungachazwanga, Ukuchuma, Ukukhulelwa, i-IVF, i-IUI