Uma ungumama futhi ufuna ukuqala umndeni, kubaluleke kakhulu ukwazi kahle ukuthi kuyini lokhu 'kukhulelwa' noma ukufika komntwana esibelethweni. Kungenzeka ukuthi uzwile izinto eziningi ngalokhu, futhi mhlawumbe unemibuzo emincane kanye nelukuluku engqondweni yakho. Ungakhathazeki, namuhla sizoxoxa ngakho konke lokhu kalula, ngendlela ongayiqonda kahle kakhulu.

Kuyini ukukhulelwa? Kalula nje...

Kalula nje, ukukhulelwa noma ukukhulelwa kuwukuhlangana kweqanda lowesifazane nesidoda sowesilisa. Lesi isinyathelo sokuqala esibaluleke kakhulu enkambisweni yokudala umntwana. Cabanga nje, impilo entsha iqala ngokuhlangana kwala maseli amabili amancane!

Le nqubo yokukhulelwa ihlobene kakhulu nomjikelezo wakho wokuya esikhathini . Ake sibone ukuthi lokho kusebenza kanjani.

Uyini umjikelezo wokuya esikhathini kanye nokuvuthwa kweqanda?

Uyazi, njalo ngenyanga umzimba wakho ulungiselela ukukhulelwa. Le nqubo yokulungiselela ibizwa ngokuthi umjikelezo wokuya esikhathini . Phakathi nalo mjikelezo, iqanda elivuthiwe liyakhishwa kwelinye lama-ovari akho. Lokhu kubizwa ngokuthi ukuvuthwa .

Cabanga nje, iqanda lakho lifana nesitolo esincane samaqanda. Njalo ngenyanga, iqanda elihle kakhulu liyakhethwa futhi likhishwe, njengasemncintiswaneni!

Iqanda elikhishwa ngale ndlela libanjwa yizingxenye ezithambile ezifana neminwe (esizibiza nangokuthi "i-Fimbriae" kwisayensi yezokwelapha) bese lihamba ngamapayipi e-Fallopian , okungukuthi, ngepayipi lapho iqanda lihamba khona, liye esibelethweni . Kuphakathi nalolu hambo lapho uma isidoda sihlangana naso, lokhu okubizwa ngokuthi ukukhulelwa kwenzeka.

Iyini indima yesidoda?

Amadoda akhiqiza isidoda emasendeni awo. Ngesikhathi sokukhipha isisu, izigidi zamaseli esidoda ziyakhishwa. Inhloso yawo kuphela ukuthola nokufaka iqanda esithweni sangasese sowesifazane. Uma wenza ucansi olungavikelekile, lawa maseli esidoda ayabhukuda angene esithweni sangasese sowesifazane angene emapayipini esitho sangasese sowesifazane.

Cabanga nje, kufana nomjaho omkhulu! Izigidi zezidoda zizama ukufinyelela iqanda, kodwa ekugcineni, isidoda esisodwa kuphela esikwazi ukubhoboza ungqimba lwangaphandle lweqanda.Kungenzeka ukungena esibelethweni. Yileyo ndlela ukukhulelwa okuqedwa ngayo lapho isidoda esisodwa sihlangana neqanda. Uma, ngesizathu esithile, isidoda singahlangani neqanda, iqanda liyancibilika.

Kwenzekani ngemva kokukhulelwa?

Kulungile, ake sithi isidoda sivundisa iqanda ngempumelelo. Sibiza leli seli elivundisiwe ngokuthi yi-zygote . Njengoba lihamba phansi ngepayipi le-fallopian liya esibelethweni, liqala ukuhlukana. Iseli elilodwa lihlukana libe amabili, amabili abe amane, njalo njalo, likhula ngenani. Cishe ngemva kwesonto isidoda sivundisa iqanda, i-zygote isifikile esibelethweni. Manje isiyiqoqo lamaseli angaba yi-100. Lokhu sikubiza ngokuthi i-blastocyst .

Okwenzekayo ngokulandelayo kubaluleke kakhulu. Lo mbungu uzifakela odongeni lwangaphakathi lwesibeletho, i-endometrium , njengoba nje isitshalo sitshalwa emhlabathini. Le nqubo ibizwa ngokuthi ukufakelwa . Kodwa-ke, lokhu kufakelwa akwenzeki njalo lapho ukukhulelwa sekwenzekile. Ngezinye izikhathi, esikhundleni sokufakelwa, iqanda elivundisiwe lingaphuma ngesikhathi sokuya esikhathini esilandelayo.

Okubalulekile: Ngisho noma ukukhulelwa kwenzeka, ukukhulelwa ngeke kwenzeke uma umbungu ungafakwanga kahle esibelethweni.

Uma lokhu kufakelwa kuphumelela ngandlela thile, lawo maseli ayaqhubeka nokuhlukana. Amanye amangqamuzana aba ingane yakho, kanti amanye amangqamuzana aba yi-placenta . Umzimba wakho uqala ukukhulula ama-hormone . La ma-hormone atshela umzimba wakho ukuthi, "Kukhona umntwana okhula ngaphakathi kuwe." Aphinde atshele isibeletho sakho ukuthi siqhubeke nokugcina ulwelwesi lwaso (i-endometrium) futhi singalukhiphi njengesikhathi. Yingakho uyeka ukuya esikhathini. Lokhu kuvame ukuba uphawu lokuqala lokuthi ukhulelwe.

Unjani umjikelezo wokukhulelwa?

Sibala umjikelezo wokuya esikhathini kusukela osukwini lokuqala lokuya esikhathini kwakho kuya osukwini lokuqala lokuya esikhathini kwakho okulandelayo. Iningi labantu linomjikelezo wokuya esikhathini othatha cishe izinsuku ezingu-28. Kodwa-ke, lokhu kungahluka kumuntu nomuntu. Isikhathi sokuvuthwa kweqanda siyahlukahluka kuye ngobude bomjikelezo wakho.

Inqubo yokukhulelwa komuntu onomjikelezo wokuya esikhathini wezinsuku ezingu-28 ivame ukuba kanje:

• Usuku lokuqala: Usuku oluqala ngalo ukuya esikhathini.
• Ngemva kwezinsuku ezingaba ngu-14: Kuvela ukuvuthwa.
• Phakathi namahora angu-24 emva kokukhishwa kweqanda: Isidoda siyahlangana neqanda (kuyenzeka ukukhulelwa).
• Cishe ezinsukwini eziyisithupha ngemva kokukhulelwa: Iqanda elivundisiwe (manje eliyimbungu) lizitshala odongeni lwesibeletho.
• Ngemva kwezinsuku ezingaba ngu-21:Uma ukukhulelwa nokufakelwa kwenzeka phakathi nalesi sikhathi sokuya esikhathini, usukhulelwe manje. Kodwa-ke, kungathatha ezinye izinsuku ezinhlanu kuya kweziyisikhombisa ukuze ukuhlolwa kokukhulelwa komchamo ekhaya kubonise umphumela omuhle.

Ukuhlolwa Kokukhulelwa Nokukhulelwa

Ngemva kokukhulelwa, iqanda elivundisiwe (manje elibizwa ngokuthi umbungu ) lihamba liye phansi ngepayipi le-fallopian bese lizitshala odongeni lwesibeletho. Yilapho i-placenta iqala khona ukwakheka. I-placenta yakho iqala ukukhiqiza i-hormone ebizwa ngokuthi i-Human Chorionic Gonadotropin (hCG) bese iyikhipha egazini nasemchameni wakho.

I-hormone ye-hCG ngokuvamile ingatholakala egazini lomuntu cishe ezinsukwini eziyi-11 ngemuva kokukhulelwa. Ukuhlolwa komchamo ekhaya (okuphinde kulinganise amazinga e-hCG emchameni) kuthatha isikhathi eside ukukhombisa lokhu.

Iyini amathuba okukhulelwa?

Ukukhulelwa akwenzeki njalo lapho iqanda nesidoda kuhlangana. Ngokwesilinganiso, ukukhulelwa kwenzeka phakathi kuka-25% no-30% wesikhathi kuphela. Leli phesenti lingase lehle nakakhulu ngemva kweminyaka engu-35. Ngakho-ke, uma unethemba lokuthola umntwana, kunezikhathi lapho kungadingeka ubekezele kakhudlwana futhi uzame.

Ukukhulelwa kwenzeka kanjani nge-IVF?

Umgomo wokukhulelwa ku- In Vitro Fertilization (IVF) uyafana – okungukuthi, isidoda kumele sihlangane neqanda. Kodwa-ke, ku-IVF, lokhu kuhlangana kwenzeka elabhorethri. Iqanda, kungaba elivela kumama ohlosiwe noma kumnikeli, lihlanganiswa nesidoda esivela kuyise ohlosiwe noma kumnikeli. Lapho isidoda sihlangana neqanda, ukukhulelwa kwenzeka.

Ngemva kokukhulelwa, udokotela ufaka umbungu odalwe esibelethweni, lapho ukukhulelwa kuzokwenzeka khona.

Ukukhulelwa kwenzeka nini?

Ukukhulelwa kuvame ukwenzeka zingakapheli amahora ayi-12 kuya kwangu-24 ngemuva kokukhishwa kweqanda. Ngezinye izikhathi kungaba nzima ukwazi ukuthi uzokhipha nini iqanda. Ngakho-ke, kungaba usizo ukusebenzisa ama-predictor kits noma ukugcina idayari yomjikelezo wakho wokuya esikhathini.

Izici ezimbili eziyinhloko ezithinta ukukhulelwa yilezi:

• Ukulinganisa isikhathi sokuhlangana kocansi nokuvuthwa kweqanda.
• Impilo yeqanda nesidoda.

Yisiphi isikhathi esingcono kakhulu sokuya ocansini ukuze ukhulelwe?

Kungenzeka ukukhulelwa ngocansi olungavikelekile ezinsukwini ezinhlanu ngaphambi kokukhishwa kweqanda. Lokhu kungenxa yokuthi isidoda esithile singaphila ngaphakathi kwesimiso sokuzala sowesifazane kuze kube yizinsuku ezinhlanu.

Uma uzama ukuba nomntwana, izikhathi ezinhle kakhulu zokwenza ucansi yilezi:

• Izinsuku ezintathu ngaphambi kokuvuthwa kweqanda: Ngalesi sikhathi, isidoda sifika epayipini le-fallopian bese "silinda" ukuthi iqanda lifike.
• Ngesikhathi sokuvuthwa kweqanda, noma phakathi namahora angama-24 emva kokuvuthwa kweqanda: Iqanda lakho liphila amahora angama-24 kuphela. Ngakho-ke uma wenza ucansi olungavikelekile phakathi nalesi sikhathi, iqanda lingalinda ukuthi kufike isidoda, noma lokhu kokubili kungahlangana epayipini le-fallopian.

Ukukhulelwa kwenzeka kuphi?

Ngokuvamile, ukukhulelwa kwenzeka emapayipini akho e-fallopian . Yilapho iqanda lihamba khona ngemva kokuphuma esibelethweni, nalapho isidoda silinda khona iqanda ukuba lifike. Akuvamile kakhulu, ukukhulelwa kungenzeka ngaphakathi kwesibeletho ngemva kokuba iqanda liphume emapayipini e-fallopian.

Yiziphi izinto ezingaphazamisa ukukhulelwa?

Ezinye izimo zempilo zingathinta ikhono lakho lokukhulelwa. Ukukhulelwa akwenzeki njalo lapho isidoda neqanda kuhlangana. Ezinye zezici ezivame kakhulu zifaka:

• Ukuvuthwa: Lokhu kusho ukuthi ama-ovari akho awakhiphi amaqanda.
• Inani eliphansi lesidoda noma izinkinga ngokuhamba kwesidoda: Lokhu kusho ukuthi isidoda asikwazi ukubhukuda kahle.
• Ukuba nokuvinjelwa noma ukuvaleka kwamathambo, ama-ovari, noma amashubhu e-fallopian.
• Inani lamaqanda kanye nesidoda sekhwalithi enhle liyancipha njengoba iminyaka ikhula.

Uma unokungabaza ngento efana nale, kungcono ukubona udokotela bese uthola iseluleko.

Uyakuzwa yini uma ukhulelwe?

Ngokuvamile akunjalo. Ungase uzizwe izimpawu ezithile zokuthi usukhiphe iqanda. Isibonelo, ungase uphawule ushintsho ku-mucus wesibeletho sakho noma ushintsho ekushiseni komzimba wakho okuyisisekelo. Kodwa abantu abaningi abazizwa sengathi iqanda seliphumile. Ungase ube nokuqaqamba okuncane noma ukubonakala emaqakaleni ezinsukwini ezimbalwa ngemva kokukhulelwa. Lokhu kungaba lapho iqanda elivundisiwe lingena esibelethweni.

Uqala nini ukuzizwa ukhulelwe?

Ukuthi kuthatha isikhathi esingakanani ukuzizwa "ukhulelwe" kuyahlukahluka kuye ngomuntu nomuntu. Abanye abantu bangase baqale ukuzwa izimpawu zokukhulelwa cishe ngokushesha ngemva kokukhulelwa. Abanye bangase bangabi nazo izimpawu amasonto amaningi ngemva kokuhlolwa okuqinisekisiwe.

Izimpawu ezivamile zokukhulelwa yilezi:

• Ukuyeka ukuya esikhathini.
• Ukuchama njalo.
• Ukuzizwa ukhathele.
• Ukucanuzela kwenhliziyo (ukuzizwa ugula).
• Ubuhlungu bebele noma ukuvuvukala.
• Ukopha okuncane kwesitho sangasese sowesifazane (ukubonakala kwamabala).
• Ikhanda elibuhlungu.
• Ukushintshashintsha kwemizwa.

Uma unalezi zimpawu futhi ucabanga ukuthi ukhulelwe, cabanga ngokwenza ukuhlolwa kokukhulelwa ekhaya. Udokotela wakho angenza ukuhlolwa kwegazi ukuqinisekisa ukukhulelwa.

Ukuhlolwa kokukhulelwa kuba nemiphumela emihle isikhathi esingakanani ngemva kokukhulelwa?

Ukuhlolwa kokukhulelwa okuhle kungenziwa phakathi kwezinsuku eziyi-11 neziyi-14 ngemva kokukhulelwa. Ukuhlolwa kwasekhaya kufuna i-hormone ebizwa ngokuthi i-hCG , ekhiqizwa yi-placenta. Kumelwe kube ne-hCG eyanele emchameni wakho ukuze uthole umphumela omuhle. Kodwa-ke, udokotela wakho angahlola igazi lakho ukuthi alinayo yini i-hCG kusenesikhathi, cishe ezinsukwini eziyi-10 ngemva kokukhulelwa.

Okokugcina, izinto okufanele uzikhumbule (Umyalezo Wokuya Ekhaya)

Ngakho-ke, manje usuyazi ukuthi ukukhulelwa kuwukuhlangana kwesidoda neqanda. Lesi yisinyathelo esibaluleke kakhulu enkambisweni yokukhulelwa kwengane. Ukukhulelwa kwengane kuyinqubo eyinkimbinkimbi kakhulu, futhi kunezinto eziningi ezithinta yona.

Ngezinye izikhathi, kuyinto evamile ukuzama kodwa ungakhulelwa. Ezikhathini ezinjengalezi, kunezindlela eziningi zokukhuluma ngezinto ezikukhathazayo nokuthola usizo ngaphandle kokukhathazeka.

Uma unenkinga yokukhulelwa, noma ufuna ukwazi okwengeziwe ngakho, qiniseka ukuthi ubona udokotela wakho. Angakuchazela inqubo, ahlole noma yiziphi izinkinga ezingase zikuvimbele ekukhulelweni nasekukhulelweni, futhi akunike usizo oludingayo. Khumbula, awuwedwa!

Ukukhulelwa , ukukhulelwa, umjikelezo wokuya esikhathini, ukuvuthwa kwamaqanda, isidoda, amaqanda, impilo yokuzala