Ingabe nawe uphupha ngokuba ngumama? Singakhuluma ngokungazali kwabesifazane?

Ukuba ngumama kuyiphupho elikhulu nelihle kunawo wonke owesifazane. Kodwa ngezinye izikhathi, ukwenza lelo phupho ligcwaliseke akulula njengoba ucabanga. Mhlawumbe nawe ubhekene nale nkinga futhi uyahlushwa yiyo. Ngakho-ke namuhla, ake sixoxe ngale nkinga yokungazali kwabesifazane, okungukuthi, ikhono eliphansi lokuba nezingane, ngokuningiliziwe ? Ungakhathazeki, awuwedwa obhekene nalokhu.

Kuyini Ukungazali Kwabesifazane?

Kalula nje, ukungazali kuwukungakwazi noma ubunzima bokukhulelwa umntwana. Uma kwenzeka kowesifazane, nansi indlela odokotela abaxilonga ngayo lesi simo:

• Uma ungaphansi kweminyaka engama-35 ubudala, ube nocansi oluvamile unyaka wonke ngaphandle kokusebenzisa noma yiluphi uhlobo lokuvimbela inzalo futhi awukakhulelwa.
• Uma uneminyaka engaphezu kwengu-35 ubudala, lesi sikhathi sibhekwa njengezinyanga eziyisithupha .

"Ucansi olujwayelekile" kusho ukuthi wena nomlingani wakho niya ocansini ngaphandle kokuphazamiseka, ngaphandle kokusebenzisa izindlela zokuvimbela inzalo. Kodwa-ke, abanye abantu bangase babe nokungabi nabantwana kusenesikhathi uma benesinye isimo sezokwelapha noma inkinga ngesibeletho sabo.

Okunye ukuthi ukungazali akuyona inkinga yowesifazane kuphela. Uma sikhuluma iqiniso, lesi simo singabangelwa yizinkinga zabesilisa nabesifazane.

Ukungazali kwabesifazane kungabangelwa ubudala, izinguquko zamahomoni, ezinye izimo zezokwelapha, kanye nendlela yokuphila noma izici zemvelo. Lokhu ngezinye izikhathi kubizwa ngokuthi "isici sabesifazane" ukungazali.

Ingabe zikhona izinhlobo eziyinhloko zokungazali?

Yebo, kunezinhlobo ezimbili eziyinhloko zokungazali:

1. Ukungazali okuyinhloko: Lokhu kusho ukuthi awukaze ukhulelwe ngaphambili futhi awukwazanga ukukhulelwa ngemva kokuzama unyaka wonke uma ungaphansi kwezinyanga ezingu-35 noma eziyisithupha uma ungaphezu kweminyaka engu-35. Cabanga nje, kunemibhangqwana ethile eseshadile iminyaka eminingi kodwa engakabi nenhlanhla yokukhulelwa umntwana. Leso yisimo esifanayo.

2. Ukungazali kwesibili: Lokhu kwenzeka lapho usuvele unengane eyodwa ngempumelelo, kodwa ungakwazi ukukhulelwa futhi. Isibonelo, uma uzama ukuba nengane yesibili eminyakeni embalwa ngemuva kokuthola ingane yakho yokuqala, ungase ungakwazi ukukhulelwa, kungakhathaliseki ukuthi uzama kangakanani.

Sivame kangakanani lesi simo?

Ukungazali akwenzeki ngokungahleliwe njengoba ungase ucabange. Okungenani u-10% wabesifazane bahlushwa yile nkinga. Futhi, ingozi yokungazali iyanda njengoba iminyaka ikhula. Ngakho-ke, uma ukhathazekile ngalokhu, khumbula ukuthi awuwedwa.

Yiziphi izimpawu zokuthi owesifazane angase abe yinyumba?

Uphawu oluyinhloko luvame ukungakwazi ukukhulelwa naphezu kocansi oluvamile nolungavikelekile. Lena yinto yokuqala abantu abaningi ababhekana nayo.

Ngaphezu kwalokho, kungase kube nalezi zimpawu:

• Ukungayi esikhathini okungejwayelekile noma okungajwayelekile: Abanye abantu bangase bangabi nesikhathi sabo izinyanga eziningi ngesikhathi, noma isikhathi sabo singase singajwayelekile.
• Ngezinye izikhathi kungase kuvele nezinye izimpawu, kuye ngesimo sezempilo esibangela ukungazali.

Kungani lokhu kungabi nabantwana kwabesifazane kwenzeka? Ziyini izimbangela?

Eqinisweni, kungaba nezimbangela eziningi zokungazali. Eqinisweni, ngezinye izikhathi kunzima ukuthola imbangela, okuyilokho esikubiza ngokuthi "ukungazali okungachazeki." Kodwa-ke, kunezimbangela ezimbalwa eziyinhloko odokotela abangazibona:

Izinkinga ngesibeletho sakho

Lokhu kungafaka:

• Ama-polyp esibeletho: Lawa amahlumela amancane akheka odongeni lwangaphakathi lwesibeletho.
• Ama-fibroid: Lawa futhi uhlobo lwesimila esikhula esibelethweni.
• Ukunamathela (izibazi) esibelethweni: Ngezinye izikhathi, ngemva kokuhlinzwa kwesibeletho, njenge- D&C (Dilation and Curettage) , ukunamathela okuncane kungakheka ngaphakathi kwesibeletho. Lokhu kwenza kube nzima ukuthi umbungu ufakwe esibelethweni. Isibonelo, njenge-Niluka, abanye abantu bangase babe nokukhula okuncane (ama-polyps noma ama-fibroids) esibelethweni, okungabambezela ukukhulelwa ngokungazi.

Izinkinga ngamapayipi akho e-fallopian

Amapayipi e-fallopian yiwona mapayipi athwala iqanda lisuka esibelethweni liye esibelethweni, futhi yilapho isidoda sihlangana khona neqanda. Uma kunezinkinga ngala mapayipi, sikubiza ngokuthi "ukungazali kwe-tubal factor."

• Imbangela eyinhloko yalokhu yiSifo Sokuvuvukala Kwezitho Zangasese (PID) . I-PID ivame ukubangelwa izifo ezithathelwana ngocansi njenge- Chlamydia ne -Gonorrhea ezingelashwa.
• I-Endometriosis ingabangela nezibazi nokuvaleka kwamapayipi e-fallopian. Manje, bheka, amapayipi e-fallopian afana nomgwaqo iqanda nesidoda okudingeka kuhlangane nawo. Uma kukhona ukuvaleka noma ukuvaleka kulo mgwaqo, khona-ke kuzovela izinkinga.

Izinkinga nge-ovulation

Imbangela enkulu yokungazali yilapho ama-ovary wesifazane engakhiphi iqanda ngendlela efanele. Kungaba nezizathu eziningi zalokhu:

• Ukungalingani kwama-hormone
• Izinkinga zokudla
• Inkinga yokusebenzisa izidakamizwa
• Izimo ze-thyroid
• Ukucindezeleka okukhulu
• Izimila ze-pituitary

Izinto ezinjengalezi zingabangela ukukhishwa kwamaqanda okungajwayelekile kanye nokukhululwa.

Izinkinga ngenani lamaqanda kanye nekhwalithi yawo

Sonke sizalwa sinenani elithile lamaqanda. La maqanda ancipha kancane kancane futhi aphele njengoba sikhula. Lokhu kuvame ukwenzeka ngesikhathi sokunqamuka kokuya esikhathini (cishe eminyakeni engu-51). Kodwa kwabanye abantu, leli qanda eligciniwe lingaphela kusenesikhathi.

• Futhi, amanye amaqanda angase abe nokukhubazeka kuma -chromosome awo . Iqanda elinjalo alikwazi ukuhlangana nesidoda ukuze kwakheke umbungu onempilo.

Iyini imbangela eyinhloko yokungazali kwabesifazane?

Ezimweni eziningi, imbangela eyinhloko yokungazali kwabesifazane yizinkinga zokukhiqizwa kwamaqanda nokukhululwa kwawo (ukuvuthwa kwamaqanda) .

• Kungenzeka ukuthi uke wezwa nge- Polycystic Ovary Syndrome (PCOS) . Leso ngesinye sezizathu eziyinhloko zalokhu. I-PCOS yisimo lapho ama-ovari engasebenzi kahle ngenxa yokungalingani kwama-hormone.
• Kukhona nesimo esibizwa ngokuthi i-Primary Ovarian Insufficiency (POI) . Lokhu kwenzeka lapho ama-ovari eyeka ukusebenza ngaphambi kweminyaka engama-40 ngenxa yokuntuleka kwamaqanda amaningi.

Yiziphi izinto ezibangela ukungabi nabantwana?

Kunezici eziningi ezandisa ingozi yakho yokungazali. Lezi zifaka phakathi izimo zempilo ezijwayelekile, izici zofuzo, izinketho zendlela yokuphila, kanye nobudala. Bheka ukuthi lezi ziyasebenza yini kuwe:

• Ubudala: Ukuzala kuvame ukuqala ukwehla ngemva kweminyaka engu-30.
• Izinkinga zama-hormone ezivimbela ukukhiqizwa kwamaqanda.
• Umjikelezo wokuya esikhathini wanyanga zonke ongajwayelekile.
• Ukukhuluphala ngokweqile.
• Ukuba nesisindo esingaphansi kwesisindo.
• Ukuvivinya umzimba ngokweqile noma ukuvivinya umzimba okunamandla.
• I-Endometriosis.
• Izinkinga zesakhiwo: Izinkinga zomzimba ngamapayipi e-fallopian, isibeletho, noma ama-ovari.
• Ama-fibroids esibeletho.
• Ama-cyst esibeletho.
• Izimila ezingezona ezomdlavuza.
• Izifo zokuzivikela komzimba: Izibonelo zifaka phakathi `(Lupus)`, `(Rheumatoid Arthritis)`, `(Hashimoto's disease)`.
• Isifo sokuvuvukala kwe-pelvic (PID) sibangelwa izifo ezithathelwana ngocansi (STIs) .
• I-Polycystic ovary syndrome (i-PCOS).
• Ukuntuleka kwe-ovarian okuyisisekelo (POI).
• Ukusetshenziswa ngokweqile kwezidakamizwa notshwala.
• Ukubhema.
• Njengoba ngike ngaba nokukhulelwa okungavamile ngaphambilini .

Ubudala buthinta kanjani ukungazali?

Sonke siyazi ukuthi ukuzala kuyancipha njengoba iminyaka ikhula. Ucwaningo lukhombisile ukuthi ubudala buyimbangela enkulu yokungazali, njengoba imibhangqwana eminingi ihlehlisa ukuzala kuze kube yilapho ineminyaka engu-30 no-40. Abantu abangaphezu kweminyaka engu-35 basengozini enkulu yokuthola izinkinga zokuzala. Izizathu zalokhu yilezi:

• Ukwehla kwenani lamaqanda eliphelele.
• Ukuba nenani elikhulu lamaqanda anezinkinga ze-chromosome.
• Ingozi eyengeziwe yezinye izimo zempilo (ingozi yokuthola ezinye izifo iyanda njengoba ukhula).

Wazi kanjani ukuthi unesiqiniseko sokuthi ukhulelwe noma cha?

Lokhu akukwazi ukuxilongwa ekhaya. Udokotela kuphela ongakuhlola lokhu. Uma ubulokhu uzama ukukhulelwa futhi usenenkinga, noma uma unokungabaza, kufanele nakanjani ubone uchwepheshe wokuzala. Bangenza izivivinyo zokuxilonga lesi simo. Ungesabi noma wesabe. Abantu abaningi bathole imiphumela ephumelelayo ngokwelashwa.

Hlobo luni lwemibuzo oluyibuzayo uma uya kudokotela?

Udokotela uzokubuza ngomlando wakho wezokwelapha ophelele. Lokhu kufaka phakathi:

• Mayelana nokuya kwakho enyangeni (ukuthi kuthatha isikhathi esingakanani, ukuthi kungakanani ukopha, njll.).
• Ngokuphathelene nokukhulelwa kwangaphambilini, ukuthi ngabe kukhona yini ukuphuphuma kwezisu.
• Ingabe unezinhlungu ze-pelvic ?
• Ingabe unesifo sokuphuma kwegazi noma uketshezi olungavamile esithweni sangasese sowesifazane ?
• Uke wahlinzwa isisu noma i-pelvic ngaphambilini ?
• Uke waba nanoma yiziphi izifo zesibeletho noma zesitho sangasese sowesifazane ngaphambilini, okuhlanganisa izifo ezithathelwana ngocansi (STIs)?

Udokotela uthola ukuqonda okuyisisekelo ngesimo sakho ngokubuza imibuzo efana nale.

Yiziphi izivivinyo ezenziwayo ukuze kutholakale ukuthi umuntu akanayo inzalo?

Ukuhlolwa okuningi kungenziwa ehhovisi likadokotela. Lokhu kungafaka:

• Ukuhlolwa ngokomzimba.
• Ukuhlolwa kwesinqe.
• I-ultrasound ye-pelvic.

Ezinye izivivinyo kudingeka zenziwe elabhorethri. Izibonelo zifaka:

• Ukuhlolwa kwegazi: Uhlobo lokuhlolwa kwegazi oluzodingeka luzoncika emlandweni wakho wezokwelapha kanye nesimo udokotela wakho asola ukuthi sikhona. Isibonelo, ukuhlolwa kokusebenza kwe-thyroid, ukuhlolwa kokuhlola amazinga ama-hormone ahlobene nokuvuthwa kweqanda kanye nokuya esikhathini, kanye nokuhlolwa kokugcinwa kwamaqanda (ukunikezwa kwamaqanda) kungenziwa.Lokhu kusho ukuthi unamaqanda ambalwa kuma-ovari akho uma kuqhathaniswa nabanye abaneminyaka yakho.

• I-X-ray hysterosalpingogram (HSG): Lokhu kuhilela ukufaka idayi ekhethekile (idayi yokuhlukanisa) ngesibeletho sakho iye esibelethweni sakho bese usebenzisa i-X-ray ukuze ubone ukuthi ihamba kanjani emapayipini akho e-fallopian. Lokhu kungasiza ekuhloleni noma yikuphi ukuvaleka kwamapayipi .

• I-Laparoscopy: Lokhu ukuhlinzwa okuncane. Ithuluzi elincane elifakwe ikhamera elibizwa ngokuthi "i-laparoscope" lifakwa esiswini ukuze kubhekwe izitho zangaphakathi. Lokhu kungasiza ekuxilongeni izimo ezifana ne-endometriosis kanye nama-tubes avimbekile.

• I-ultrasound ye-Transvaginal: Lena futhi i-ultrasound. Kodwa-ke, esikhundleni sokubeka i-probe ebusweni besisu, ifakwa ngesitho sangasese sowesifazane ukuze ibuke isibeletho nama-ovari. Lokhu kuvumela isimo sesibeletho nama-ovari ukuthi sibonakale ngokucacile.

• I-saline sonohysterogram (SIS): Lokhu kuhilela ukugcwalisa isibeletho nge-saline nokusebenzisa i-transvaginal ultrasound ukuze kubonwe ulwelwesi lwesibeletho. Kungabonisa ngokucacile noma yikuphi ukukhubazeka kwesakhiwo, njenge-polyps kanye ne-fibroids. Kungabuye futhi ngezinye izikhathi kuhlole ukuthi amashubhu e-fallopian avulekile yini.

• I-Hysteroscopy: Futhi, ithuluzi elincane elinekhamera encane (i-hysteroscope) lifakwa ngesitho sangasese sowesifazane kanye nomlomo wesibeletho ukuze libuke ngaphakathi kwesibeletho. Lokhu kuvumela ukubona ngqo ingaphakathi lesibeletho, njenge-polyps, i-fibroids, noma izibazi.

Zonke lezi zivivinyo zenziwa ukuze kutholakale ukuthi inkinga yakho iyini ngempela.

Ukungabi namntwana kwabesifazane kuphathwa kanjani?

Uma udokotela wakho esekuxilongile ukungazali kwakho futhi ethola imbangela, uzophakamisa izinketho zokwelapha ezifanele wena. Izinketho zokwelapha ziyahlukahluka kuye ngembangela. Nakhu okutholakalayo:

• Ukuhlinzwa: Uma ukungazali kubangelwa inkinga yesakhiwo, ukuvaleka, noma isilonda, udokotela wakho angase akwenze ukuhlinzwa ukuze akulungise. Isibonelo, ukususa ama-fibroids noma ukulungisa ukuvaleka kwamapayipi e-fallopian.
• Imithi Yokuzala: Uma unezinkinga zokungalingani kwama-hormone noma ukukhishwa kwamaqanda, imithi yokuzala ingasetshenziswa. Eminye imithi yama-hormone ivuselela ama-ovari ukuba avuthwe futhi isize ekukhipheni iqanda.
• Ama-antibiotic: Uma unegciwane emzimbeni wakho wokuzala, unganikezwa ama-antibiotic ukuze uliphathe.
• Ukuqwashisa ngokuzala: Ngezinye izikhathi kuyasiza ukwazi ukuthi uzokhipha nini amaqanda. Lokhu kungenziwa ngokuhlola umucu womlomo wesibeletho sakho, ukukala izinga lokushisa lomzimba wakho, noma ukusebenzisa amakhithi okubikezela ukukhiqizwa kwamaqanda atholakala ekhemisi.Ungakwenza lokhu ngokusebenzisa. Abantu abaningi basebenzisa izinhlelo zokusebenza ze-smartphone ukulandelela umjikelezo wabo wokuya esikhathini kanye nezinsuku zokuvuthwa.

Abanye abantu badinga ukwelashwa okukhethekile.

• Ukubelethisa nge-Intrauterine (IUI): Kule nqubo, isidoda esitholwe kumlingani wesilisa siyahlanzwa bese sifakwa ngqo esibelethweni kusetshenziswa indlela ekhethekile.
• Ubuchwepheshe Bokuzala Obusizayo (ART): Kungenzeka ukuthi uke wezwa ngezingane ezisebenzisa i-test tube (IVF - In Vitro Fertilization) . I-IVF ingenye yalezi zindlela ze-ART. Kulokhu, amaqanda owesifazane nesidoda sendoda kuhlanganiswa elabhorethri, futhi ngemva kokwakheka kwe-embryo, ifakwa esibelethweni.

Ngaphandle kwalokhu, ukutholwa kanye nokudluliselwa kwengane ngesikhathi sokukhulelwa nakho kuyizinketho kulabo abangenazo inzalo zokuqala umndeni.

Ingabe zikhona izinkinga zokwelashwa?

Ukwelashwa, ikakhulukazi imithi esetshenziselwa ukukhuthaza ukuvuthwa kwamaqanda, ngezinye izikhathi kungabangela izinkinga ezincane:

• Amathuba okukhulelwa amawele amaningi (amawele, amawele amathathu) ayanda.
• I-Ovarian Hyperstimulation Syndrome (OHSS): Kulesi simo, imithi yokuzala ingabangela ukuthi ama-ovari avuvuke futhi abe buhlungu. Kodwa-ke, odokotela bazokwazisa ngalokhu kusenesikhathi.

Ingabe ukungazali kwabesifazane kungavinjelwa?

Uma sikhuluma iqiniso, isikhathi esiningi, kunzima ngathi ukubikezela nokuvimbela lesi simo. Kodwa-ke, singayinciphisa ingozi ngezinga elithile ngokwenza izinguquko ezithile endleleni yethu yokuphila.

• Ukunciphisa ukusetshenziswa kotshwala.
• Ukuyeka ukubhema ngokuphelele.
• Gcina isisindo esinempilo esikufanele.
• Yenza isimiso esihle sokuzivivinya umzimba. (Hhayi ukuvivinya umzimba ngokweqile, kodwa okulinganiselwe.)
• Ukudla ukudla okucebile ngezithelo nemifino.
• Zama ukulala okungenani amahora ayisikhombisa ebusuku.

Ngaphandle kwalokhu, kubaluleke kakhulu ukubona udokotela wezifo zabesifazane njalo ukuze ahlolwe . Uma usuqalile ukuya ocansini, ukuhlolwa kwezokwelapha okungenani kanye ngonyaka kungasiza ekuboneni izimo ezingathinta ukuzala esikhathini esizayo.

Yini ongayilindela uma ungenabo abantwana? (Outlook)

Lokhu kuyahlukahluka ngempela kumuntu nomuntu, kuye ngokuthi imbangela iyini. Uma izinkinga zokukhishwa kwamaqanda zihlelekile futhi zingelashwa, imiphumela ngokuvamile mihle. Lokho kusho ukuthi amathuba okukhulelwa umntwana aphezulu. Kodwa-ke, ezinye izimo ezihlobene nesibeletho, njenge-"uterine factor infertility", kungaba nzima kakhulu ukwelapha.

Khuluma nodokotela wakho ngomlando wezokwelapha womndeni wakho, izici zakho eziyingozi, kanye nanoma yiziphi izimo zezokwelapha eziyisisekelo ukuze ufunde kabanzi ngamathuba akho okukhulelwa okuphumelelayo.

Kufanele ubonane nini nodokotela mayelana nokungabi nabantwana?

Uma ubuya ocansini njalo , unemijikelezo yokuya esikhathini njalo, futhi ungazange ube nomntwana ngemva kokuzama cishe unyaka (noma izinyanga eziyisithupha uma uneminyaka engaphezu kuka-35), kungcono ukubona udokotela. Bangathola ukuthi kungani unenkinga yokukhulelwa futhi batuse ukwelashwa okufanele.

Yini engenziwa ukuze kwandiswe ukuzala kowesifazane?

Ezinye izinto, njengezimo esizalwa nazo, esingenakuzilawula. Kodwa-ke, singenza izinto endleleni yethu yokuphila ezingasiza ekukhuliseni:

• Sebenzisa amakhondomu ngesikhathi socansi ukuvimbela izifo ezithathelwana ngocansi (STIs).
• Hlola njalo izifo ezithathelwana ngocansi ezifana ne-chlamydia kanye ne-gonorrhea.
• Gwema ukuchayeka kumakhemikhali ayingozi, izibulala-zinambuzane, kanye nezinye izinto ezingcolisa imvelo.

Futhi, kubaluleke kakhulu ukubona udokotela okungenani kanye ngonyaka ngemuva kokuba usuqale ukuya ocansini. Ukuhlolwa njalo nokuhlolwa kokuvimbela kuyindlela engcono kakhulu yokugcina impilo yakho yocansi.

Ukungazali kuyinto ecindezelayo kakhulu futhi ecindezelayo. Siyaqonda lokho. Kodwa hlala uqinile. Awuwedwa. Ngeseluleko sezokwelapha esifanele kanye nokwelashwa, abantu abaningi bakwazile ukufeza leli phupho.

Izinto ezibaluleke kakhulu okudingeka uzikhumbule kulesi sihloko (Umyalezo Wokuya Ekhaya)

Kulungile, ake sikukhumbuze amanye amaphuzu ayinhloko esikhulume ngawo okudingeka uwakhumbule?

• Ukungazali kuyinto evamile: awuwedwa obhekene nalokhu.
• Ungesabi, funa iseluleko sezokwelapha: Uma ungakaze uzame unyaka wonke (izinyanga eziyisithupha uma uneminyaka engaphezu kuka-35), qiniseka ukuthi ubona udokotela.
• Kungaba nezimbangela eziningi, futhi kukhona izindlela zokwelapha: Ukungazali kungaba nezimbangela eziningi, futhi kuye kwasungulwa nezindlela zokwelapha ezifanele namuhla.
• Indlela yokuphila ibalulekile: Ungalawula ezinye izinto eziyingozi. Ukuphila ngendlela enempilo kubaluleke kakhulu.
• Cabanga kahle: Abantu abaningi baye bathola imiphumela ephumelelayo ngokwelashwa. Ungalilahli ithemba.

Uma uneminye imibuzo noma ukukhathazeka ngalokhu, ungangabazi ukukhuluma nodokotela. Bazokusiza.

Ukungazali , Ukungazali Kwabesifazane, Ukulahlekelwa Yingane, Ubunzima Bokukhulelwa, i-PCOS, i-Endometriosis, i-IVF, i-IUI, Amashubhu e-Fallopian, i-Ovulation