Ngaba wena neqabane lakho niphupha ngokuqala usapho, kodwa nifumanisa ukuba elo phupha linzima ukulifezekisa? Ngamanye amaxesha, nangona emva kokwenza uvavanyo ngalunye kwincwadi, oogqirha abakakwazi ukubona isizathu esicacileyo sokungazali. Xa oku kusenzeka, sikubiza ngokuba "kukungazali okungachazwanga." Kungavakala ngathi ngumthwalo onzima entliziyweni yakho, kodwa masithethe ngale nto kunye, akunjalo?
Yintoni kanye kanye i-Unexplained Infertility?
Ngamafutshane, ukungazali okungachazwanga kuthetha ukuba wena neqabane lakho benisokola ukukhulelwa, kodwa akukho sizathu sithile sezonyango esichongiweyo. Ngaphambi kokuba kufikelelwe kolu xilongo, ugqirha wakho uya kwenza uvavanyo olupheleleyo lokuzalisa. Kwiimeko ezininzi, olu vavanyo luqinisekisa ukuba:
- Isibeleko sakho asibonisi ziphazamiso kwisakhiwo saso .
- Ukuvuthwa kwenzeka ngamaxesha aqhelekileyo, asempilweni.
- Imibhobho yakho ye-fallopian icacile kwaye ivulekile.
- Ugcino lwakho lwe-ovarian lukwinqanaba elisempilweni.
- Ingqondo yakho ivelisa iihomoni zokuzala ezifunekayo ngokuchanekileyo.
- Uhlalutyo lwesidoda seqabane lakho (ubuninzi besidoda, umthamo, ukuhambahamba, kunye nokwakheka kwaso) lungaphakathi ngokupheleleyo kuluhlu oluqhelekileyo.
Ukuba zonke ezi zinto ziqhelekile, kwaye ubuzama ukukhulelwa ubuncinane unyaka omnye (ukuba ungaphantsi kweminyaka engama-35) okanye iinyanga ezintandathu (ukuba ungaphezulu kweminyaka engama-35) kodwa ungaphumeleli, oogqirha bakubeka oku "njengokungazali okungachazwanga."
Cinga ngokundwendwela ugqirha ngenxa yesifo esingapheliyo—benza iimvavanyo, kodwa ngamanye amaxesha, abakwazi ukufumana unobangela. Ngokuqinisekileyo kuyacaphukisa, kodwa nceda wazi ukuba oku akupheleli apho.
Ixhaphake kangakanani le meko?
Kunzima ukuchaza inani elichanekileyo kuba oko ugqirha omnye akugqala njengophando "olupheleleyo" lokuchuma kunokwahluka kolunye. Ngenxa yokuba iindlela zokuxilonga zahlukile, izibalo zinokutshintshatshintsha.
Ezinye iingxelo zibonisa ukuba malunga ne -10% yezibini ezisokola ukukhulelwa zijongene nokungabi nabantwana ngendlela engachazekiyo, ngelixa ezinye zibonisa ukuba eli nani linokuba phezulu ukuya kuthi ga kwi -30% . Ngokuqinisekileyo awuwedwa kule meko.
Ngaba usengakwazi ukukhulelwa nge-Unexplained Infertility?
Ewe, ngokuqinisekileyo! Ezo zezona ndaba zibalaseleyo esinokubelana ngazo. Ukufumana ukuxilongwa "kokungazali okungachazwanga" akuthethi ukuba ufanele ulahlekelwe lithemba. Uphononongo olwenziwe yiNational Institutes of Impilo (NIH) lufumanise ukuba ama-92% ezibini ezingenazo izibeleko ezingachazwanga zifumene ukukhulelwa emva kokulandela unyango lokuzala. Iphupha lakho lokuba nomntwana lisafikeleleka.
"Ukungafumani bantwana ngendlela engachazekiyo" akuthethi ukuba awunakuba nomntwana. Kuthetha nje ukuba unokufuna ukusondela kwindlela yakho yokuba ngumzali ngendlela eyahlukileyo.
Ngaba ngokwenene akukho sizathu? Zeziphi ezinye izinto ezifihlakeleyo?
Nangona ibizwa ngokuba "ayicaciswanga," kudla ngokubakho ingxaki esisiseko; kukuba uvavanyo lwezonyango lwangoku lusenokungabi nobuthathaka ngokwaneleyo ukuba luyifumane, okanye unobangela awucacanga kakhulu. Makhe sijonge ezinye zezinto ezinokubangela oku:
Iimeko Ezingafunyaniswanga Ezingafunyaniswanga
Abaphandi basafunda indlela iimeko ezahlukeneyo zempilo ezichaphazela ngayo ukuzala. Umzekelo, isifo seCeliac (ukunganyamezelani ne-gluten), isifo seswekile, kunye neemeko ze-thyroid zinokuchaphazela ukuzala. Kusenokwenzeka ukuba kukho ingxaki efihlakeleyo kodwa ayifunyaniswanga.
I-Endometriosis
I-Endometriosiskwenzeka xa izicubu ezifana nolwelo lwesibeleko zikhula ngaphandle kwaso. Nokuba kwiimeko ezincinci, oku kunokuchaphazela ukuzala. Rhoqo, inkqubo yotyando (efana ne-laparoscopy) iyafuneka ukuze kuchongwe ngokuqinisekileyo, njengoko isenokungabi nazimpawu zibonakalayo rhoqo.
Iingxaki zeSinqe soMqala
Ngexesha lokuvuthwa kweqanda , i-cervical mucus yakho inceda isidoda sifikelele kwiqanda. Ukuba le mucus ityebile kakhulu okanye inekhemikhali engalunganga, inokuthintela isidoda ukuba singadluli kwi-cervix siye kwi-uterus.
Umgangatho weqanda
Nangona i -ultrasound ivumela oogqirha ukuba babone ii-follicles baze balinganise inani lamaqanda akho, ayinakusixelela ngomgangatho waloo maqanda. Uvavanyo lwegazi kunye ne-ultrasound zibonelela ngomfanekiso jikelele, kodwa azinakuvavanya impilo yeqanda ngalinye nge-microscope.
Umgangatho weSidoda
Njengamaqanda, nangona uhlalutyo lwesidoda lufumanisa uninzi lweengxaki ezinkulu, alunakusoloko luchonga iingxaki ezincinci nezincinci ngaphakathi kwesidoda ezinokuthintela ukuchumisa.
Iingxaki ze-Endometrial
I -endometrium yingqimba yangaphakathi yesibeleko sakho apho iqanda elivundisiweyo kufuneka lifakwe khona ukuze likhule. I-Luteal phase defect yenzeka xa le ngqimba ingatyebi okanye ingalungiseleli kakuhle, nto leyo eyenza kube nzima ukuba i-embryo ifakelwe, nokuba i-fertilization iyenzeka.
Ixesha lokulalana
Ngamanye amaxesha, ukuba kwenzeka kangaphi okanye ixesha lokwabelana ngesondo alihambelani ne-ovulation window yakho. Kungabonakala ngathi yinto encinci, kodwa idlala indima ebalulekileyo ekukhulelweni.
Ngamanye amaxesha akukho sizathu sibonakalayo, okanye ingxaki kunzima ukuyifumana okanye ukuyinyanga. Ukukhulelwa yinkqubo entsonkothileyo yebhayoloji; ukuba inyathelo elinye elincinci lingalunganga, yonke le nkqubo inokuphazamiseka. Iindaba ezimnandi zezokuba abaphandi baseNirogi Lanka nakwihlabathi liphela bahlala bephuhlisa iindlela ezintsha zokuqonda ngcono umgangatho weqanda, impilo yokuzala, kunye nokusebenza kwesidoda.
Ifunyanwa njani le meko ngokuchanekileyo?
Akukho vavanyo lunye olunokufumanisa zonke izizathu zokungazali, kwaye akukho ndlela yokuxilonga engenakuphosisa ngokupheleleyo. Ngokutsho kwe-American Society for Reproductive Medicine (ASRM), uvavanyo olufanelekileyo lokuzalisa kufuneka luquke oku kulandelayo:
- Uphononongo olupheleleyo lwembali yakho yezonyango neyesondo .
- Uvavanyo olupheleleyo lomzimba .
- Uvavanyo lwegazi ukuze kuvavanywe amanqanaba eehomoni zakho.
- Uvavanyo lwamalungu akho okuzala, kuquka ama-ovari, iityhubhu ze-fallopian, kunye nesibeleko . Oku kunokubandakanya iinkqubo eziphambili zokujonga imifanekiso okanye zokuxilonga ezifana ne- ultrasound , i- hysterosalpingogram , okanye i-laparoscopy .
- Uhlalutyo lwesidoda seqabane lakho.
- Uvavanyo lwe -ovarian reserve yakho.
- Uvavanyo lwemijikelo yakho yokukhupha amaqanda ukuqinisekisa ukuba iyenzeka rhoqo.
Ukuba ingcali yokuzala okanye ingcali yokubelekisa-ugqirha wabasetyhini igqiba zonke ezi mvavanyo kwaye ingakwazi ukuchonga unobangela ocacileyo, imeko ihlelwa “njengokungazali okungachazwanga.” Nceda ukhumbule ukuba iindlela zovavanyo zingahluka phakathi koogqirha. Ukuba ufumana olu xilongo, akukho nto imbi ekufuneni uluvo lwesibini.
Ziziphi iindlela zonyango ezikhoyo?
Ngenxa yokuba ugqirha wakho engakwazi ukubona unobangela omnye wokungazali kwakho, iingcebiso zonyango zihlala zisekelwe kwiziphumo zovavanyo lwakho lokuchuma, amava onyango kagqirha wakho kunye nezibini ezifanayo, ubudala bakho, kunye nokuba ufuna ukuqala unyango olusebenzayo ngokukhawuleza kangakanani.
Unyango olucetyiswayo ludla ngokwala macandelo:
Iteknoloji yoNcedo lokuZala (i-ART)
Iteknoloji yoNcedo lokuZala (i-ART)ibhekisa kunyango lokuchuma apho inxalenye yenkqubo yokuchumisa yenzeka kwilebhu. Oku kuquka ukuNcitshiswa kwe-Intrauterine (IUI) kunye nokuNcitshiswa kwe-In Vitro (IVF) .
- I-IUI ibandakanya ukuhlamba nokufaka isidoda seqabane lakho kwilebhu uze usifake ngqo esibelekweni sakho ngexesha lokukhutshwa kweqanda.
- I-IVF ibandakanya ukusebenzisa amaqanda akho kunye nesidoda seqabane lakho (okanye somnikeli) ukwenza iimbumba kwilebhu, ezithi emva koko zidluliselwe kwisibeleko sakho ukuze zikhule. Rhoqo, i-IVF ibandakanya i-Intracytoplasmic Sperm Injection (ICSI) , apho isidoda esinye sifakwa ngqo kwiqanda. Ukuba umgangatho ophantsi wesidoda urhanelwa njengobangela wokungazali ngendlela engachazekiyo, i-ICSI inokunyusa kakhulu amathuba okukhulelwa.
Amayeza
Amayeza okukhulisa inzala akhuthaza ukuveliswa kwamaqanda kunye nokukhutshwa kwamaqanda asebenza kakhulu. La mayeza angasetyenziswa eyedwa okanye kunye nonyango lwe-IUI okanye lwe-IVF. Amayeza asetyenziswa kakhulu aquka i-gonadotropins kunye ne -clomiphene (Clomid®) . Abanye oogqirha banokunika i-letrozole (Femara®) , nangona oku kungasetyenziswanga kwileyibhile yokukhulisa inzala.
IiGonadotropins ziqulathe iihomoni ezikhuthaza ukuveliswa kwamaqanda kwaye zinokunyanga inani eliphantsi lesidoda. I-Clomiphene isebenza ngokuvuselela ama-ovari ukuba avelise amaqanda amaninzi. Ugqirha wakho uya kucebisa ukhetho olufanelekileyo ngokusekelwe kwiprofayili yakho yempilo.
Nceda ukhumbule ukuba xa usebenzisa amayeza okuzala, kukho ithuba lokuvelisa amaqanda angaphezu kwelinye ngomjikelo ngamnye, nto leyo eyandisa amathuba okukhulelwa amawele amaninzi (njengamawele).
Utshintsho kwindlela yokuphila
Imikhwa ethile yokuphila inokuchaphazela ukuzala. Nazi ezinye iindlela onokuzithatha ukuphucula amathuba akho okukhulelwa:
- Kuphephe ngokupheleleyo ukutshaya, ukusebenzisa utywala, kunye nokusebenzisa iziyobisi ngokuzonwabisa.
- Gcina ubunzima bomzimba busempilweni.
- Landela ukutya okunesondlo nokulinganiselayo.
- Zimisele ukwenza umthambo wemihla ngemihla ubuncinane imizuzu engama-30 .
- Nciphisa ukutya kwakho i-caffeine (iti, ikofu).
- Gxila ekunciphiseni amanqanaba oxinzelelo lwakho.
Ixesha lokulalana
Uyakwazi ukuba ne-ovulation encinci kakhulu ngexesha lokuya esikhathini. Ugqirha wakho angakunceda uchonge le window ukuze andise amathuba akho okukhulelwa. Oku kungenziwa ngeendlela ezifana nokulandelela ubushushu bomzimba obusisiseko, ukujonga umjikelo wakho wokuya esikhathini, okanye ukusebenzisa izixhobo zokulungiselela i-ovulation .
Kwezinye iimeko, ugqirha wakho unokucebisa ukuba "uzame ixesha elide." Nangona oku kunokuba nzima ukwamkela—ingakumbi ukuba unomdla wokuqala usapho—ngamanye amaxesha ingxaki iyazisombulula ngokwayo. Nangona kunjalo, uhlala unelungelo lokufuna uluvo lwesibini okanye ukhethe ukulandela unyango lokuzala ngokukhawuleza ukuba oko kukuthanda kwakho.
Ngaba ikho indlela yokuthintela oku?
Nangona zininzi izinto onokuzenza ukuxhasa ukuzala, ezinye izinto zingaphaya kwamandla akho. Amanyathelo onokuwathatha aquka:
- Ubunzima: Gcina ubunzima bomzimba busempilweni.
- Ukutshaya notywala: Kuphephe ukutshaya icuba kwaye unciphise ukusetyenziswa kotywala.
- Impilo Yesondo: Sebenzisa ukhuseleko ukuze uphephe izifo ezidluliselwa ngesondo (ii-STI) , ezinokuchaphazela ukuzala.
Qiniseka ukuba uxoxa ngokukhululekileyo ngayo nayiphi na inkxalabo malunga nokuzala kwakho ukuze bakwazi ukucebisa eyona ndlela ilungileyo yokunyamekela kwakho eNirogi Lanka.
Lingakanani izinga lokukhulelwa kwizibini ezingenabantwana abangachazekiyo?
Uphando lubonisa ukuba malunga ne -43%kwezibini ezinesifo esinjalo, zikhulelwa ngokuhamba kwexesha ngaphandle kokungenelela kokuzala. Oku kubonisa ukuba kwezinye iimeko, ukukhulelwa ngokwendalo kusenokwenzeka kakhulu.
Yeyiphi imibuzo ebalulekileyo omele uyibuze ugqirha wakho?
Ukufumana uxilongo "lokungafumani bantwana ngendlela engacacanga" kunokubangela imibuzo emininzi. Iindaba ezimnandi zezokuba akukho miqobo mikhulu echongiweyo ekuzaleni kwakho. Inxalenye enzima kukuba oogqirha abanakukwazi ukuchaza ngokucacileyo isizathu sokuba kungakhange kwenzeke ukukhulelwa.
Zive ukhululekile ukuxoxa ngazo zonke iingxaki zakho nogqirha wakho. Cinga ngokubuza le mibuzo ilandelayo:
- Yintoni oyicebisayo njengenyathelo lethu elilandelayo?
- Yeyiphi indlela enika ithuba eliphezulu lokukhulelwa?
- Ngaba kukho naziphi na iimvavanyo zegazi eziseleyo okanye izifundo zomfanekiso ezisaseleyo ekufuneka zenziwe?
- Ngaba imeko yezempilo engaphantsi kwayo ingaba negalelo ekungazali kwam?
- Ngaba kufuneka ndithunyelwe kwingcali yokuzala?
Ufanele uzame ixesha elingakanani ngaphambi kokuba uye kugqirha?
Uninzi loogqirha bacebisa ukuba uzame ubuncinane iinyanga ezili-12 (unyaka omnye) ngaphambi kokuba ufumane unyango lokuzala. Nangona kunjalo, ukuba uneminyaka engama-35 ubudala nangaphezulu, kuya kufuneka udibane nogqirha emva kweenyanga ezintandathu uzama. Ngokusekelwe kwimbali yakho yezonyango kunye neenjongo zakho, ugqirha wakho unokubonelela ngesicwangciso sonyango esilungiselelwe wena.
Izinto zokugqibela ekufuneka uzithathe (Umyalezo oya ekhaya)
Ukufumana uxilongo 'lokungazali okungachazwanga' kunokuba yinto edidayo kakhulu kwaye kudinise ngokweemvakalelo. Oku kuthetha ukuba, nangona uvavanyo olupheleleyo lugqityiwe, isizathu esichanekileyo sokuba unzima ukukhulelwa asikachongwa. Nangona kunjalo, nceda ungoyiki okanye uphelelwe lithemba—kukho iindlela ezisebenzayo zokuqhubekela phambili. Izibini ezininzi ziphumelela ekukhulelweni ngamayeza okuzala ajoliswe kuwo, i-IUI (Intrauterine Insemination), okanye i-IVF (In Vitro Fertilization).
'Ukungafumani bantwana' akuthethi ukuba awusoze ukhulelwe; kuthetha nje ukuba iqela lakho lezonyango kufuneka lihlolisise iindlela ezahlukeneyo ezisekelwe kubungqina ukuze likuncede ufikelele ekukhulelweni okunempilo.
Ngeli xesha lohambo olunzima, sikukhuthaza ukuba ufumane ingcali yokuzala ephulaphula iingxaki zakho kwaye inike inkxaso enovelwano neyobuqu. Ungaze ulahle amaphupha akho. Sonke eNirogi Lanka sixhasa wena njengoko usiya ekufezekiseni usukelo lwakho lokuqala usapho.
Ukungazali, ubunzima bokukhulelwa, Ukungacacisi Ukungazali, ukuzala, ukukhulelwa, i-IVF, i-IUI
