Awukwazi ukuba nomntwana ngenxa yengxaki yesibeleko? Masithethe nge (Ukuzala kweZinto ezibangela ukungakwazi ukuzala)

Xa sizama ukwenza iphupha lokuba nomntwana libe yinyani, ngamanye amaxesha kufuneka sijongane neengxaki ezingalindelekanga. Mhlawumbi ugqirha wakho ukuxelele ukuba ingxaki ikwisibeleko? Kuqhelekile ukuba uzive ulusizi kwaye wothukile xa usiva into efana nale. Kodwa ungakhathazeki. Masiyiqonde kakuhle le nto, kuba ukuqonda linyathelo lokuqala kolu hambo.

Yintoni i-Uterine Factor Infertility?

Ngamafutshane, oku kwenzeka xa umntu engakwazi ukukhulelwa. Isizathu soku kukuba isibeleko sakhe asibikho ukususela ekuzalweni okanye, nokuba sikhona, asisebenzi kakuhle. Sonke siyazi ukuba umntwana uyazalwa aze akhulele esibelekweni sikanina, oko kukuthi, esibelekweni. Ngoko ke ukuba kukho ingxaki kwesi sibeleko, ichaphazela ngqo ukukhulelwa.

Kukho iintlobo eziphambili zale meko.

Le meko inokwahlulwahlulwa ibe ziindidi ezimbini eziphambili: kuxhomekeke kwindlela eyenzeka ngayo.

Zithini izizathu zoku? Makhe sijonge nzulu.

Makhe sithethe ngeenkcukacha ezithe vetshe malunga nokuba kutheni oku kusenzeka.

Ukuzalwa ungenasibeleko

Le yimeko engaqhelekanga kakhulu yokuzalwa. Ngokwezonyango, ibizwa ngokuba yi-`(Mayer-Rokitansky-Küster-Hauser syndrome - MRKH)`. Umntu onesi sifo unelungu lobufazi kunye nesibeleko ezingaphuhliswanga ekuzalweni, okanye ezincinci kakhulu. Kodwa okumangalisayo kukuba, ama-ovari ahlala esempilweni.Ngenxa yokuba ama-ovari ayasebenza, iihomoni zikhutshwa ngokuqhelekileyo, ngoko ke izinto ezifana nokutshintsha kweemvakalelo ezinxulumene nomjikelo wokuya esikhathini zinokwenzeka. Nangona kunjalo, ngenxa yokuba akukho sibeleko, akukho ukopha kokuya esikhathini. Le meko idla ngokufunyaniswa isemncinci, oko kukuthi, xa ukuya esikhathini kungekaqali xa uneminyaka eli-15-16.

Utyando lwe-Hysterectomy

Isizathu esiphambili soku kukuba ngaxa lithile ebomini, isibeleko kuya kufuneka sisuswe ngotyando. Kunokubakho izizathu ezininzi zotyando olunjalo.

• Ukopha kakhulu (ukopha kakhulu): Ngamanye amaxesha, ukuba kukho ukopha okukhulu okungenakuyekiswa ngexesha lotyando lwe-C-section okanye olunye utyando, isibeleko sinokufuna ukususwa njengesisombululo sokugqibela ukusindisa ubomi. Oku kunqabile kakhulu.
• Umhlaza wesibeleko: Isibeleko siyasuswa ukuze kuthintelwe iiseli zomhlaza ukuba zingasasazeki kwezinye iindawo zomzimba.
• Ezinye iimeko ezimandundu: Xa iintlungu zesisu ezinzima kunye nokopha kakhulu okubangelwa zizifo ezifana ne-endometriosis, i-uterine fibroids, okanye i-adenomyosis zingenakulawuleka ngezinye iindlela zonyango, oogqirha bacebisa ukususa isibeleko njengendlela yokunceda.
• Ukuvaleka kwesibeleko: Usulelo oluthile, unyango ngemitha, okanye utyando lokucoca isibeleko (iDilation kunye neCurettage - D&C) lunokubangela ukuba izicubu zesibeleko zakheke ngaphakathi kwesibeleko kwaye zibangele ukunamathelana. Le meko ibizwa ngokuba yi-Asherman's syndrome. Le mvalo yenza kube nzima ukuba umntwana ongekazalwa afakelwe eludongeni lwesibeleko.

Ungayibona njani le meko?

Ugqirha wakho uza kulandela amanyathelo aliqela ukuze afumanise esi sifo.

• Imbali yezonyango: Okokuqala, uza kubuzwa malunga nomjikelo wakho wokuya exesheni, utyando lwangaphambili, kunye nezinye iimeko zempilo.
• Uvavanyo lomzimba: Indawo yesisu iyahlolwa.
• Iiskeni: Iskeni ye-ultrasound ingayibona ngokucacileyo imilo, ubungakanani, nokuba isibeleko sikhona na. Ngamanye amaxesha i -MRI scan inokwenziwa ukuze kuqinisekiswe ngakumbi.

Ziziphi iindlela zonyango kunye neendlela onokukhetha kuzo oku?

Kangangexesha elide, ekuphela kwendlela yokuba umntu ongenasibeleko abe nomntwana yayikukuthatha umntwana okanye ukumkhulisa umntwana ngaphambi kokukhulelwa.

Kodwa kutshanje, ngenxa yokuqhubela phambili kwesayensi yezonyango, kuye kwavela ithemba elitsha: ukufakelwa kwesibeleko .

Oku akukabi yinto eqhelekileyo kumazwe amaninzi kwihlabathi liphela, kodwa kukho iimeko ezininzi apho kuye kwaphumelela khona.

Kwenzeka njani ukufakelwa kwesibeleko?

Olu lutyando oluntsonkothileyo, njengokufakelwa ilungu elifana nesibindi okanye izintso.

• Ukufakelwa kwesibeleko: Isibeleko esisempilweni sifakwa kumntu ophilayo (umz., isalamane esisondeleyo njengomama okanye udade) okanye kumntu oswelekileyo (umxhasi oswelekileyo engqondweni).
• Ukulungiswa kwe-embryo: Ngaphambi kokuba isibeleko sidluliselwe, ii-embryo zenziwa kusetyenziswa ubuchwepheshe be-IVF kusetyenziswa amaqanda omfazi oza kwamkelwa kunye nesidoda seqabane lakhe, kwaye ziyaqandiswa.
• Ukufakelwa: Emva kotyando, xa umzimba sele uqhelene nesibeleko esitsha, iimbumba ezilungiselelwe ngaphambili zifakwa kwisibeleko ngasinye.
• Ukufakelwa isilwanyana okwexeshana: Le ayisiyonkqubo ethatha ubomi bonke njengezinye iindlela zokufakelwa amalungu omzimba. Ngokwesiqhelo, emva kokuba umntwana omnye okanye ababini bezelwe, isibeleko esifakelweyo siyasuswa ngotyando.
• Kutheni isuswa kwakhona?: Ukuthintela umzimba ukuba ungalamkeli ilungu elitsha elifakwe kwenye indawo, kufuneka uthathe amayeza obomi bonke (ii-immunosuppressants). La mayeza anemiphumo emibi. Ngoko ke, emva kokuba usukelo lokuba nabantwana lufezekisiwe, isibeleko esifakelweyo sisuswa ngale ndlela ukunciphisa umngcipheko wokuqhubeka nokuthatha la mayeza.

Ngaba le meko ingathintelwa?

Akukho ndlela yokuthintela le meko yokuzalwa, njengoko yenzeka ngelixa umntwana esesesibelekweni. Ayinakubonwa kwangaphambili ngokusebenzisa iiskeni ngexesha lokukhulelwa.

Kodwa singalumka kancinci malunga neemeko esizifumanayo ebomini bethu. Umzekelo, ngaphambi kokuba ususwe isisu ngenxa yemeko efana ne-uterine fibroids, kubalulekile ukuthetha ngokukhululekileyo nogqirha wakho malunga namaphupha akho exesha elizayo. Emva koko, singaxoxa ngokuba kukho na ezinye iindlela zonyango ezingadingi ukususwa kwesibeleko.

Kodwa khumbula, ngamanye amaxesha ukususwa kwesibeleko lutyando olungxamisekileyo olusindisa ubomi. Kwimeko enjalo, kusenokungabikho xesha lokucinga ngezinye iindlela.