Wena nomlingani wakho mhlawumbe benilokhu nizama ukuba nomntwana isikhathi esithile. Kodwa uma lelo phupho lingakafezeki, kuyinto evamile ukuzizwa nidabukile futhi nikhathazekile. Ungase uzibuze nokuthi, "Kungani lokhu kwenzeka kithi sodwa?" Kodwa ungakhathazeki, awuwedwa. Abantu abaningi balwa nalezi zinkinga. Ngenhlanhla, ngokuthuthuka kwesayensi yezokwelapha, kunezindlela eziningi zokusiza ekutholeni izixazululo zalokhu. Olunye usizo olunjalo ukuhlolwa kokuzala , noma lokho esikubiza ngokuthi `(Ukuhlolwa Kokuzala)`.

Kuyini Ukuhlolwa Kokuzala? Kungani kwenziwa?

Kalula nje, lezi yizivivinyo ezisetshenziswa odokotela ukuthola ukuthi kungani wena nomlingani wakho ninenkinga yokukhulelwa. Uma usuyazi imbangela eqondile, kulula ukunquma ukuthi yikuphi ukwelashwa okufanele wena. Kufana nokuthola imbangela yesifo. Kusebenza kangcono ukuthola imbangela nokuyelapha kunokumane unikeze imithi ngaphandle kokwazi imbangela, akunjalo?

Ngezinye izikhathi imbangela ilula kunalokho ocabanga. Mhlawumbe ukungalingani okuncane kwama-hormone , noma enye inkinga encane yezempilo. Lokhu kuhlolwa kungakhomba lezo zinto.

Udokotela angakusikisela nini lolu hlobo lokuhlolwa?

Ochwepheshe bokuzala bavame ukuncoma lokhu kuhlolwa ezimweni ezilandelayo:

• Uma ungaphansi kweminyaka engama-35 ubudala , futhi ungakaze ukhulelwe ingane ngemva kokuya ocansini unyaka wonke ngaphandle kwemithi yokuvimbela inzalo.
• Uma uneminyaka engaphezu kwengu-35 ubudala futhi ungakakhulelwa ngemva kwezinyanga eziyisithupha zobulili obungavikelekile (lesi sikhathi sifinyezwa ngoba ukuzala kuncipha kancane ngobudala).
• Uma umjikelezo wakho wokuya esikhathini ungajwayelekile (okungukuthi, uma wephuze kakhulu noma ungavamile kakhulu).

Esimweni esinjalo, kungcono ukubona udokotela ukuze uthole iseluleko. Kubalulekile ukuthola ukuthi kunenkinga yini ngokushesha kunokuchitha isikhathi.

Yiziphi izinto zokuqala uchwepheshe akubuza zona?

Uma uya kobona uchwepheshe wezenzalo, bazokubuza imibuzo embalwa. Kufana nomseshi oqoqa ubufakazi. Ulwazi obanika lona lubaluleke kakhulu ekunqumeni ukuthi yiziphi izivivinyo okufanele zenziwe.

Nazi ezinye zezinto abavame ukuzibuza ngazo:

• Imininingwane mayelana nomjikelezo wakho wokuya esikhathini: Okusho ukuthi, iminyaka owaqala ngayo ukuya esikhathini , inani lezinsuku zomjikelezo wakho, ukuthi uhlala isikhathi esingakanani, ukuthi wopha kakhulu yini, nokuthi ubuhlungu kangakanani.
• Umlando Wezifo Zabesifazane:Izinto ezinjengokuthi ngabe kukhona yini ukukhulelwa kwangaphambilini, ukuphuphuma kwesisu, noma izifo ezithathelwana ngocansi.
• Umlando wezempilo : Ezinye izimo zezokwelapha onazo (isib. isifo sikashukela, izinkinga ze-thyroid), ukuhlinzwa oye wakwenza, kanye nanoma yimiphi imithi yesikhathi eside oyithathayo.
• Imithi oyithathayo: Eminye imithi ingathinta ukuzala.
• Ukusetshenziswa kwe -caffeine notshwala: Inani lalezi zinto ezidliwayo.
• Indawo yokusebenza: Kungakhathaliseki ukuthi ubhekene namakhemikhali anobuthi emsebenzini.
• Ulwazi mayelana nempilo yakho yocansi : Izinto ezifana nokuthi ulala kangaki.

Ngemva kokuqoqa lonke lolu lwazi, udokotela uzonquma ukuthi yiziphi izivivinyo ezikufanele. Akuwona wonke umuntu ozonikezwa uchungechunge olufanayo lwezivivinyo. Kuzonqunywa ngokusekelwe esimweni sakho.

Yiziphi Izivivinyo Zokuzala Kwabesifazane?

Kunezinhlobo ezahlukene zokuhlolwa ezingenziwa ukuhlola izinkinga zokuzala kwabesifazane. Ake sibheke ezinye zezivivinyo eziyinhloko ezenziwayo.

Ukuhlolwa kwegazi `(Ukuhlolwa kwegazi lokuzala)`

Ukungalingani kwama-hormone athile kungaphazamisa ukukhiqizwa nokuvuthwa kwamaqanda. Lokhu kuhlolwa kwegazi kubheka amazinga ala ma-hormone ezinsukwini ezithile zomjikelezo wakho wokuya esikhathini wanyanga zonke. Isibonelo, kuhlola amazinga ama-hormone afana ne-`( Progesterone )`, `(Estradiol)`, `(Thyroid Stimulating Hormone - TSH)` kanye ne-`(Prolactin)`. Lokhu kungakunikeza umbono wezinto eziningi, njengokuthi ngabe ukuvuthwa kweqanda kwenzeka kahle yini nokuthi isibeletho sikulungele yini ukusekela umbungu.

Ukuhlolwa kokugcinwa kwe-ovary (ukuhlolwa kwe-AMH)

Lokhu kuhilela inhlanganisela yokuhlolwa kwegazi kanye ne-ultrasound ye-transvaginal. Lokhu kulinganisa inani lamaqanda kuma-ovari akho (inani le-antral follicle - AFC) kanye nezinga le-hormone ekhiqizwa ama-ovari ebizwa ngokuthi i-Anti-Mullerian Hormone - AMH. Lokhu kungakunikeza umbono wokuthi ukutholakala kweqanda lakho kuqhathaniswa kanjani nabanye abantu abaneminyaka yakho. Kodwa-ke, lokhu kuhlolwa akudingekile kuwo wonke umuntu. Ngokuvamile kuyadingeka kakhulu kulabo abathola ukwelashwa okufana ne-In-Vitro Fertilization - IVF.

Ukuhlolwa kofuzo

Ngezinye izikhathi, izinguquko ezithile ezakhiweni zofuzo (ukuguqulwa kwezakhi zofuzo) nazo zingathinta ukuzala. Lokhu kuhlolwa kwezakhi zofuzo kungasiza ekunqumeni ukuthi ikhona yini into enjalo.

I-ultrasound yesitho sangasese sowesifazane

Abanye abantu bakubiza nangokuthi lokhu yi-sonogram. Lokhu ukuskena kwesistimu yakho yokuzala (isibeletho, ama-ovari,Ingathatha izithombe ezinemininingwane zama-fallopian tubes . Ingahlola ukukhubazeka okufana nama-uterine fibroids kanye nama-ovarian cysts.

I-Sonohysterogram

Lolu futhi uhlobo lokuhlolwa 'olusebenzisa izithombe'. Luvumela udokotela ukuthi abheke ingaphakathi lesibeletho sakho eduze. Lokhu kungasiza ekutholeni ukuthi yini ebangela ukungazali kwakho.

I-Hysterosalpingogram

Lokhu kuhlola kusebenzisa inqubo ebizwa ngokuthi i-fluoroscopy ukuthatha izithombe zesibeletho sakho kanye nama-fallopian tubes. Kungaphinde kutholakale izinkinga zokuzala njengokuvaleka kwama-fallopian tubes, ngoba iqanda kumele lidlule kuma-fallopian tubes ukuze lihlangane nesidoda.

I-Hysteroscopy `(i-Hysteroscopy)`

Kulesi sivivinyo, udokotela ufaka ithubhu elincane, elikhanyayo elibizwa ngokuthi i-hysteroscope esibelethweni sakho. Lokhu kuvumela udokotela ukuthi ahlole umlomo wesibeletho kanye nengaphakathi lesibeletho.

Ziyini Izivivinyo Zokuzala Kwabesilisa?

Nakuba ngokuvamile kugxilwa kwabesifazane uma kukhulunywa ngokuzala okulibazisekile, ukuzala kwabesilisa kubaluleke ngendlela efanayo. Yingakho kunezivivinyo ezithile zamadoda.

Ukuhlaziywa kwesidoda

Lesi isivivinyo esibaluleke kakhulu nesivame kakhulu sokuzala kwabesilisa. Sihlola inani lesidoda esibonelweni sakho sesidoda, ukuhamba kwaso, kanye nesimo saso, phakathi kwezinye izinto. Ukuba nenani elanele lesidoda esisezingeni elihle nesinempilo kubalulekile ekukhulelweni.

Ukuhlolwa kwegazi `(Ukuhlolwa kwegazi lokuzala)`

Uma kunenkinga ngokuhlaziywa kwesidoda, udokotela uzohlola amazinga amahomoni athile egazini lakho. Isibonelo, bazohlola amazinga amahomoni afana ne-`(Testosterone)`, `(I-Thyroid-Stimulating Hormone - TSH)`, `(I-Luteinizing Hormone - LH)`, `(Prolactin)`, `(Estradiol)` kanye ne-`(I-Follicle-Stimulating Hormone - FSH)`. Lawa mahomoni athinta ngqo ukukhiqizwa kwesidoda.

Ukuhlolwa kofuzo

Njengakwabesifazane, ukuzala kungathinteka ukushintshashintsha kwezakhi zofuzo kwabesilisa. Lokhu kuhlolwa kungasiza ekunqumeni ukuthi ikhona yini into enjalo.

I-ultrasound yamasende

Uma kunezinkinga ngokuhlaziywa kwesidoda, lokhu kuskena kwenziwa ukuze kutholakale izithombe ezinemininingwane zamasende nendawo ezungezile. Lokhu kungasiza ekuboneni izimbangela zokungazali (isibonelo, imithambo evuvukele emasendeni - `varicocele`).

Ukuhlolwa komchamo ngemva kokukhipha isidoda

Ngezinye izikhathi, isimo esibizwa ngokuthi "i-Retrograde ejaculation" singavela, lapho isidoda singaphumi khona kodwa sibuyele esinyeni. Ezimweni ezinjalo, lokhu kuhlolwa kungasikiselwa ukuze kubonwe ukuthi kukhona isidoda emchameni wakho.

Lezi zivivinyo zenziwa kanjani? Ingabe ziyafana kuwo wonke umuntu?

Lokhu kuncike kakhulu ekuhlolweni okwenzayo. Ezinye izivivinyo zidinga igazi elincane, ezinye zidinga ukuskenwa. Isikhathi esiningi kuba yinhlanganisela yakho kokubili.

Into ebalulekile ukuthi ngezinye izikhathi ukuhlolwa okukodwa kungayithola imbangela yokungazali. Kodwa ngezinye izikhathi, kuthatha isikhathi ukuthola imbangela, futhi kudingeka kwenziwe ukuhlolwa okuningana.

Ukuhlolwa okufanele kukuwe kuncike ezintweni eziningi, okuhlanganisa ubulili bakho, umlando wezempilo, kanye nempilo yocansi. Udokotela wakho uzokunikeza ulwazi olwengeziwe mayelana nokuhlolwa abakuncomayo, ukuthi kwenziwa kanjani, ukuthi ungazilungiselela kanjani, kanye nezinketho zokwelapha.

Yini okufanele uyenze uma imiphumela yokuhlolwa ingajwayelekile? Ingabe kuyinto okufanele uyesabe?

Uma imiphumela yokuhlolwa ingajwayelekile, udokotela wakho uzokhuluma nawe ngalokho okufanele ukwenze ngokulandelayo. Abanye abantu bangadinga ukuhlolwa okwengeziwe ngaphambi kokuqala ukwelashwa. Abanye bangase bakwazi ukuqala ukwelashwa kokuzala ngokushesha. Udokotela wakho uzochaza ukuthi kuzokwenzekani kuye ngesimo sakho.

Khumbula, umphumela ongavamile awusho ukuthi uhambo lwakho seluphelile. Ukukhulelwa ngokwemvelo kungaba nzima, kodwa uchwepheshe wakho wokuzala angakusiza ukuthi ukhulelwe. Kunezindlela eziningi zokwelapha ezisizayo zokuzala ezitholakalayo namuhla, njenge-IVF (In-Vitro Fertilization) kanye ne-IUI (Intrauterine Insemination). Udokotela wakho angakusiza ukuthola izinsiza kanye nokusekelwa okudingayo.

Ingabe kukhona ukuhlolwa kokuzala ekhaya? Kusebenza kangakanani?

Yebo, ungathenga ama-kit okuhlola ukuzala ku-inthanethi noma ekhemisi yangakini ongawasebenzisa ekhaya. Kunezivivinyo zomchamo ezikukhombisa ukuthi uvundile nini inyanga ngayinye (ama-kit okuhlola ukuvuthwa). Kukhona nama-kit ahlola impilo kanye nobuningi besidoda sakho.

Kodwa kubalulekile ukukhumbula ukuthi lezi zivivinyo zasekhaya azithathi indawo yokubonana nochwepheshe. Uma imiphumela yakho yokuhlolwa ekhaya ibonisa ukuthi ukukhulelwa kungaba yinselele, bonana nochwepheshe wokuzala ngokushesha okukhulu. Bangenza izivivinyo ezengeziwe futhi bancome ukwelashwa okufanele wena.

Ngingakwazi yini ukwenza izivivinyo zokuzala ezinjengalezi ngenkathi ngine-IUD endaweni?

Lokho kuyinto okufanele uyicabangele. I-IUD (I-Intrauterine Device) ayithinti ukuzala kwesikhathi esizayo. Kodwa-ke, ukuba nayo endaweni yayo kungathinta imiphumela yokuhlolwa kokuzala. Ngezinye izikhathi i-IUD yakho kungadingeka isuswe futhi ihlolwe ngemva kwesikhashana. Uma usebenzisa i-IUD, qiniseka ukuthi ukhuluma nodokotela wakho ngaphambi kokwenza noma yikuphi ukuhlolwa kokuzala.

Into ebaluleke kakhulu okufanele uyikhumbule (Umyalezo Wokuya Ekhaya)

Ukuqala umndeni kuyinto abantu abaningi abayiphuphayo. Kodwa uma unenkinga yokukhulelwa, ungase uzibuze ukuthi lelo phupho liyoke ligcwaliseke yini. Kodwa ungalilahli ithemba.

Uma unenkinga yokukhulelwa, into yokuqala okufanele uyenze ukukhuluma nodokotela wakho. Bangakutshela ukuthi yiziphi izivivinyo zokuzala okudingeka uzenze, futhi uma kudingeka, bakuthumele kuchwepheshe ukuze uthole ukwelashwa.

Khumbula, awuwedwa kulolu hambo. Ngolwazi olufanele, ukwesekwa, kanye neseluleko sezokwelapha, kukhona indlela yokwenza iphupho lakho lifezeke.

Ukuzala , Ukubeletha, Ukukhulelwa, Ukungazali, Ukuhlolwa Kokuzala, Impilo Yabesifazane, Impilo Yabesilisa