Ingabe wena nomyeni wakho nilindele umntwana? Kodwa naphezu kwayo yonke imizamo yenu, ngaphandle kwanoma yiluphi uhlobo lokuvimbela inzalo, naphezu kokuba ndawonye njalo, lelo phupho alikagcwaliseki? Ngiyazi ukuthi lesi yisihloko esibucayi kakhulu. Lezi yizikhathi ezinzima kakhulu ngenxa yosizi, ukucindezeleka, nezinkinga ezivela emphakathini. Kodwa awuwedwa. Lesi yisimo abantu abaningi ababhekene naso. Namuhla, sizokhuluma ngokuzala kwabesifazane. Ungakhathazeki, sizokhuluma ngakho konke kalula nangokucacile.
Kuyini lokhu kungabi nabantwana?
Kalula nje, ukungazali kuyisimo sezokwelapha. Kusho ukuthi awukwazi ukukhulelwa. Odokotela baxilonga lesi simo ngezindlela ezilandelayo:
- Uma ungaphansi kweminyaka engama-35 ubudala: Uma ubulokhu uzama unyaka wonke ngaphandle kwemithi yokuvimbela inzalo, uye ocansini njalo, futhi awukhulelwanga.
- Uma uneminyaka engaphezu kwengu-35 ubudala: Uma usuzame izinyanga eziyisithupha kodwa ungakakhulelwa.
Ngezinye izikhathi, udokotela angasibona lesi simo kusenesikhathi uma unesinye isimo sezokwelapha.
Into ebalulekile ukuthi ukungazali akuyona inkinga yowesifazane kuphela . Isizathu salokhu kungenzeka ukuthi inkinga yomyeni wakho njengoba kunjalo neyakho. Ngakho-ke lokhu kuyinto okudingeka nibhekane nayo nobabili ndawonye.
Ingabe zikhona izinhlobo zokungazali?
Yebo, kunezinhlobo ezimbili ikakhulukazi.
1. Ukungazali Okuyinhloko: Lokhu kusho ukuthi awukaze ukhulelwe ngaphambili futhi awukwazanga ukukhulelwa ngemva kokuzama isikhathi esishiwo ngenhla (unyaka noma izinyanga eziyisithupha).
2. Ukungazali Kwesibili: Lokhu kusho ukuthi uke wazala ingane eyodwa ngempumelelo esikhathini esidlule, bese kuthi uma uzama ukukhulelwa futhi, kungaphumeleli.
Uma sibheka ukuthi lesi simo sivame kangakanani, cishe abesifazane abayi-10% emhlabeni babhekene nale nkinga. Le ngozi iyanda kancane ngokuhamba kweminyaka.
Yini ebangela ukungazali kwabesifazane?
Kungaba nezizathu eziningi zalokhu. Ngezinye izikhathi kunzima ukuthola imbangela eqondile. Sikubiza ngokuthi `(Ukungazali Okungachazeki)`. Ake sibone ukuthi yiziphi izizathu eziyinhloko.
1. Izinkinga Ngesibeletho
Isibeletho yilapho umntwana ekhulela khona, ngakho-ke uma kunenkinga lapho, ingakuvimbela ukuthi ukhulelwe.
- Ama-fibroids esibeletho:Lezi uhlobo lokukhula okungenalo umdlavuza. Akuzona zonke izimila eziyinkinga, kodwa kuye ngokuthi zikuphi nendawo kanye nosayizi wazo, zingaphazamisa ukukhulelwa.
- Ama-polyps: Ukukhula okuncane okwakheka odongeni lwesibeletho.
- Ukunamathela: Izicubu zezibazi ngezinye izikhathi ezakheka ngaphakathi kwesibeletho ngemva kwenqubo efana ne-D&C. Lokhu kungenza kube nzima ukuthi umbungu ufakwe esibelethweni.
2. Izinkinga ngama-Fallopian Tubes
Iqanda lihamba lisuka esibelethweni liye esibelethweni ngepayipi le-fallopian. Isidoda neqanda kuhlangana ngaphakathi kwaleli payipi. Uma la mapayipi evalekile, lokhu ngeke kwenzeke.
- Isifo Sokuvuvukala Kwesitho Sangasese Sowesifazane (PID): Lesi yisona sizathu esiyinhloko sokuvaleka kwamapayipi esitho sangasese sowesifazane. Singabangelwa izifo ezithathelwana ngocansi ezifana ne-Chlamydia ne-Gonorrhea engalashwa.
- I-Endometriosis: Kalula nje, izicubu okufanele zibe ngaphakathi kwesibeletho zikhula ngaphandle kwesibeletho, ezindaweni ezifana namapayipi e-fallopian nama-ovari. Lokhu kungaholela ekuvinjweni nasekunamatheleni.
3. Izinkinga nge-Ovulation
Ukuze ukhulelwe, iqanda elinempilo kumele likhishwe esibelethweni njalo ngenyanga. Le nqubo ibizwa ngokuthi "Ukuvuthwa." Uma lokhu kungenzeki kahle, awukwazi ukukhulelwa.
- Ukungalingani Kwama-Hormonal: I-PCOS (i-Polycystic Ovary Syndrome) iyisibonelo esihle salokhu. Kulesi simo, ukungalingani kwama-hormone kubangela ukuthi ama-ovari angavuthwa futhi akhiphe amaqanda ngendlela efanele.
- Izinkinga ze-thyroid: I-hormone ye-thyroid encane kakhulu noma eningi kakhulu ithinta ngqo ukukhishwa kwamaqanda.
- Izinto ezifana nokucindezeleka ngokweqile, imikhuba emibi yokudla, kanye nokuzivocavoca ngokweqile nazo zingathinta lokhu.
4. Izinkinga ngenani lamaqanda kanye nekhwalithi yawo
Owesifazane uzalwa enenani lamaqanda azowadinga impilo yakhe yonke. Njengoba ekhula, leli nani lamaqanda (i-egg pool) liyancipha, futhi ikhwalithi yamaqanda asele nayo iyancipha.
- Ngezinye izikhathi, iqanda eligciniwe lingaphela ngaphambi kokunqamuka kokuya esikhathini (ngaphambi kweminyaka engu-40). Lokhu kubizwa ngokuthi "Ukungakwazi Okuyinhloko Kwesibeletho - POI``.
- Njengoba iminyaka ikhula, amathuba okuba nokukhubazeka kwe-chromosome emaqandeni ayanda. Iqanda elinjalo ngeke likhule libe umbungu onempilo.
Yiziphi izinto ezibangela ukungabi nabantwana?
Nakuba kunezinto esingenakuzilawula, kunezinto esingazishintsha. Kubalulekile ukuqaphela lezi zinto eziyingozi.
| Isici sengozi | Incazelo |
|---|---|
| Ubudala | Ukuzala kuncipha kancane kancane ngemva kweminyaka engama-30. Lokhu kwehla kuyashesha ngemva kweminyaka engama-35. Lokhu kungenxa yokwehla kwenani kanye nekhwalithi yamaqanda. |
| Ukubhema | Ukubhema kulimaza amaqanda akho, kunciphisa inqwaba yamaqanda akho ngokushesha, futhi kunciphisa kakhulu amathuba akho okukhulelwa. |
| Ukusetshenziswa kotshwala ngokweqile | Kungaphazamisa inqubo yokuvuthwa kwamaqanda futhi kubangele ukungalingani kwama-hormone. |
| Isisindo somzimba | Ukukhuluphala ngokweqile kanye nokukhuluphala ngokweqile kokubili kuthinta ukusebenza kwamahomoni futhi kuphazamise ukukhiqizwa kwamaqanda. |
| Izifo ezithathelwana ngocansi (ama-STI) | Uma ingelashwa, amapayipi e-fallopian angonakala futhi avaleke. |
| Ezinye izimo zezokwelapha | Izimo ezifana ne-PCOS, i-Endometriosis, izifo ze-Autoimmune (isib. i-Lupus), kanye nezinkinga ze-thyroid. |
Ngingazi kanjani ukuthi anginazo inzalo?
Lokhu akuyona into ongazinqumela yona wedwa. Ngokuqinisekile udinga ukubona udokotela ngalokhu. Uma uya kobona udokotela, uzokubuza imibuzo embalwa.
- Mayelana nomjikelezo wakho wokuya esikhathini (ubude bawo, ukopha okungakanani, ubuhlungu)
- Mayelana nokukhulelwa noma ukuphuphuma kwesisu kwangaphambilini
- Mayelana nobuhlungu besisu
- Mayelana nokukhishwa koketshezi olungavamile esithweni sangasese sowesifazane
- Mayelana nokuhlinzwa kwangaphambilini
- Mayelana nokuthi unezifo ezithathelwana ngocansi noma cha
Ngemva kwalokho, udokotela uzokuxilonga futhi, uma kudingeka, akuthumelele ukuhlolwa okwengeziwe.
Ziyini lezi zivivinyo?
Ungakhathazeki, zonke lezi zivivinyo zenziwa ukuthola imbangela eqondile yenkinga yakho nokunikeza ukwelashwa okufanele.
- Ukuhlolwa Komzimba Nesitho Sangasese: Ukuhlolwa kokuqala okujwayelekile okuzokwenziwa udokotela.
- I-Ultrasound Scan: I-scan yesisu noma i-ultrasound ye-transvaginal ingasetshenziswa ukuhlola isimo sesibeletho nama-ovari (ama-cyst, izimpawu ze-PCOS).
- Ukuhlolwa Kwegazi: Lokhu kusiza ukuthola umbono wamazinga akho ama-hormone (ama-hormone e-thyroid, ama-hormone okuzala) kanye nokugcinwa kwama-ovari.
- Ukuhlolwa kwe-HSG (Hysterosalpingogram): Lokhu ukuhlolwa kwe-X-ray. Kufakwa uketshezi olukhethekile esibelethweni futhi lusetshenziselwa ukubona ukuthi luhamba yini ngamapayipi e-fallopian. Lokhu kungasiza ekunqumeni ukuthi amapayipi avaliwe noma cha.
- I-Laparoscopy: Kulokhu, kufakwa ikhamera encane esiswini ukuze kuhlolwe isibeletho, amashubhu e-fallopian, kanye nama-ovari ngaphandle. Lokhu kubaluleke kakhulu ekuxilongweni kwezimo ezifana ne-endometriosis.
Kukhona nezinye izivivinyo ezikhethekile ezifana ne-`(Hysteroscopy)` kanye ne-`(Saline Sonohysterogram)`. Udokotela wakho uzonquma ukuthi yikuphi ukuhlolwa okudingayo.
Yiziphi izindlela zokwelapha?
Izindaba ezinhle ukuthi kunezindlela zokwelapha ezisebenzayo zezimbangela eziningi zokungazali. Ukwelashwa kuncike embangela yenkinga yakho.
1. Imithi Yokuzala: Izinkinga zama-hormone, njengokungazali, zingelashwa ngemithi. Kunemithi enikezwa ukusiza amaqanda avuthiwe futhi ikhuthaze ukuvuthwa kwamaqanda.
2. Ukuhlinzwa: Ama-cyst esibeletho, ama-polyp, ukuvaleka kwama-tube fallopian, kanye ne-endometriosis kungasuswa futhi kulungiswe ngokuhlinzwa.
3. Ama-antibiotic: Uma kukhona ukutheleleka ohlelweni lokuzala, lawa anikezwa ukuze alaphe.
4. Ubuchwepheshe Bokuzala Obusizayo (ART):
- I-IUI (Intrauterine Insemination): Kulokhu, isidoda somyeni silungiselelwa ngokukhethekile bese sifakwa ngqo esibelethweni somfazi kusetshenziswa i-cannula ngosuku olufanayo lapho ekhipha khona amaqanda.
- I-IVF (In Vitro Fertilization): Indlela 'yokuhlola' sonke esiyaziyo. Ihilela ukuhlanganisa amaqanda nesidoda ngaphandle komzimba elabhorethri, bese kufakwa umbungu ophumayo esibelethweni.
Udokotela wakho uzonquma ukuthi yikuphi kwalokhu kwelashwa okufanele wena nomyeni wakho bese ekuchazela kona.
Yini engingayenza ukuze ngivimbele ukungabi nabantwana?
Asikwazi ukuvimbela ezinye izimbangela, isibonelo izici zofuzo. Kodwa-ke, singanciphisa ingozi yethu ngokushintsha indlela yethu yokuphila.
- Gcina isisindo esinempilo: Kubaluleke kakhulu ukugcina isisindo esinempilo ngobude bakho.
- Gwema ukubhema notshwala: Kokubili lokhu kulimaza ngqo ukuzala.
- Yidla ukudla okulinganiselayo: Yidla imifino eminingi, izithelo, kanye nemifino eluhlaza.
- Nciphisa ukucindezeleka: Zama izinto ezifana ne-yoga nokuzindla.
- Zivikele ezifweni ezithathelwana ngocansi.
- Thola ukuhlolwa njalo kwezokwelapha: Ikakhulukazi ngemva kokuba usuqale ukuya ocansini, ukubona udokotela wezifo zabesifazane okungenani kanye ngonyaka kungasiza ekutholeni izinkinga ezingaba khona kusenesikhathi.
Umlayezo Wokuya Nawe Ekhaya
- Ukungazali akulona iphutha lakho noma ukuntuleka kwakho. Kuyisimo esingelapheka.
- Le nkinga ingase ingabi inkinga yowesifazane kuphela, kodwa futhi neyomyeni. Ngakho-ke, nobabili kufanele nifune iseluleko sezokwelapha ndawonye.
- Uma usuzame unyaka wonke uma ungaphansi kweminyaka engama-35, noma izinyanga eziyisithupha uma ungaphezu kweminyaka engama-35, kodwa ungakayitholi imiphumela, bona udokotela ngokushesha.
- Ungaziphambanisi nalokho okufundayo kwi-inthanethi. Udokotela okuxilongayo kuphela ongakunikeza ikhambi elingcono kakhulu lenkinga yakho.
- Lolu hambo lunzima, kodwa hlala uqinile. Ngokwelashwa okufanele, abantu abaningi bakwazile ukufeza iphupho labo lokuba nomntwana.
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