Ingabe iphupho lakho lokuba nomntwana liyaphazanyiswa? Ake sixoxe ngokungakwazi ukuzala

Wena nomlingani wakho cishe nilangazelela ukwengeza isivakashi esisha emndenini wenu ninethemba elikhulu. Kodwa uma lelo phupho lingafezeki ngemva kwezinyanga, mhlawumbe ngisho nonyaka wokuzama, kunzima ukusho amazwi usizi, ukukhathazeka, kanye nesizungu enikuzwayo? Lokhu kuba nzima nakakhulu ngemibuzo evela kulabo abanizungezile. Kodwa ungacabangi ukuthi ubhekene nalokhu wedwa. Namuhla sikhuluma ngale ndaba abantu abaningi abayigodlile ezinhliziyweni zabo, okungukuthi, ukungazali. Ake sixoxe ngayo ngokusobala nangokucacile.

Kalula nje, kuyini ukungazali?

Ukungazali ukungakwazi ukukhulelwa ngenxa yesimo esithile ohlelweni lwakho lokuzala. Kungathinta noma ubani. Ngokuvamile, akubangelwa yinto eyodwa, kodwa izinto eziningana.

Cabanga ngakho, ukukhulelwa kuyinqubo emangalisayo kakhulu, enezinyathelo eziningi. Kufana neketanga, uma iketanga elilodwa liphuka, lonke iketanga liyaphuka.

• Okokuqala, ubuchopho bakho budinga ukukhiqiza ama-hormone alawula ukusebenza kwama-ovari akho.
• Okwesibili, lawo ma-hormone kumele abangele ukuthi iqanda livuthwe kwelinye lama-ovari akho.
• Okulandelayo, iqanda elivuthiwe kumele likhishwe esibelethweni. Lokhu sikubiza ngokuthi i-ovulation .
• Ngemuva kwalokho, iqanda kudingeka libanjwe nge-Fallopian tube.
• Okwamanje, isidoda sowesilisa kumele singene esibelethweni ngesitho sangasese sowesifazane, sehle ngepayipi le-fallopian, bese sifika eqandeni.
• Lapho, isidoda kumele sihlangane neqanda bese silivundisa, sakhe umbungu .
• Ekugcineni, iqanda elivundisiwe kumele lihambe ngepayipi le-fallopian bese lifakwa odongeni lwesibeletho.

Uma noma yiziphi zalezi zinyathelo zingenziwanga kahle, ukukhulelwa ngeke kwenzeke.

Ngokuvamile, odokotela baxilonga ukungazali ngokuthi:

• Uma ungaphansi kweminyaka engama-35 ubudala futhi ungakakhulelwa ngemva konyaka owodwa (izinyanga eziyi-12) wocansi oluvamile ngaphandle kwemithi yokuvimbela inzalo.
• Uma uneminyaka engu-35 noma ngaphezulu futhi usuzame izinyanga eziyisithupha ngaphandle kokukhulelwa.

Yiziphi izinhlobo eziyinhloko zokungazali?

Ukungazali kungahlukaniswa ngezinhlobo ezintathu eziyinhloko. Ukuze ukuqonde kahle lokhu, bheka ithebula elingezansi.

Yini ebangela ukungazali?

Ngokuvamile ayikho impendulo eyodwa elula kulokhu. Ngezinye izikhathi kungaba inkinga yowesifazane, ngezinye izikhathi kungaba inkinga yendoda. Ngezinye izikhathi, kungaba inhlanganisela yakho kokubili. Nakhu okuboniswe ucwaningo:

• Ezimweni ezingama -33% , imbangela ihlobene nowesifazane .
• Ezimweni ezingama-33% , imbangela ihlobene nendoda .
• Ama- 33% asele amacala athintwa yizimbangela ezihlobene nazo zombili noma izimbangela ezingaziwa .

Izici ezivamile zengozi

Eminye imikhuba yokuphila kanye nezimo zempilo kungathinta ukuzala.

• Ubudala: Ukuzala kwehla ngokushesha, ikakhulukazi kwabesifazane abaseminyakeni yabo yokugcina yama-30 noma yama-40. Kwabesilisa, umphumela uyanda ngemva kweminyaka engama-50.
• Ukubhema nokusebenzisa izidakamizwa/utshwala: Lokhu kulimaza ngqo isimo sesidoda namaqanda.
• Ukukhuluphala ngokweqile noma ukukhuluphala ngokweqile: Isisindo somzimba esingajwayelekile sithinta ibhalansi yamahomoni.
• Izinkinga zokudla: Izimo ezifana `(i-Anorexia nervosa)` kanye `(i-Bulimia)`.
• Ukuvivinya umzimba ngokweqile:Ukuzivocavoca ngokweqile kungathinta nama-hormone.
• Ukuchayeka ebuthi bemvelo: Izinto ezifana nezibulala-zinambuzane, amakhemikhali, njll.
• Ukucindezeleka: Ukucindezeleka kwesikhathi eside kutholakale ukuthi kuthinta ukuzala.
• Izifo Ezithathelwana Ngocansi (STI): Izifo ezingalashwanga zingalimaza uhlelo lokuzala.
• Ukwelashwa komdlavuza: Ukwelashwa ngemisebe noma i-chemotherapy.

Izizathu ezithile ezithinta abesifazane

Imbangela eyinhloko yokungazali kwabesifazane izinkinga nge -ovulation . Lokhu kusho ukuthi iqanda alivuthwa noma alikhishwa kahle. Ngaphezu kwalokho, lezi zinto zingathinta:

• I-Endometriosis: Izicubu okufanele zikhule ngaphakathi kwesibeletho zikhula ngaphandle kwesibeletho (ezindaweni ezifana nama-ovari nama-fallopian tubes).
• I-Polycystic ovary syndrome (PCOS): Ukungalingani kwama-hormone okubangela ukwakheka kwama-cysts amancane kuma-ovari kanye nokukhishwa kwama-ovulation okungajwayelekile.
• Amapayipi e-fallopian avaliwe: Amapayipi e-fallopian avaliwe, ngenxa yokutheleleka (isb., Isifo Sokuvuvukala Kwe-Pelvic - PID) noma ukuhlinzwa, kuvimbela iqanda nesidoda ukuthi singahlangani.
• Izinkinga zesibeletho: Ama-fibroids noma ama-polyps esibeletho noma izinkinga zokuzalwa ngesimo sesibeletho.
• Ezinye izimo zezokwelapha: Izimo ezifana nesifo se-thyroid, isifo sikashukela, isifo sezinso, kanye nezimo zokuzivikela komzimba.
• Izinga lamaqanda elibi: Izinga lamaqanda liyancipha njengoba ekhula.

Izizathu ezithile eziqondene namadoda

Imbangela eyinhloko yokungazali kwabesilisa yizinkinga zesidoda . Lokhu kufaka phakathi:

• Inani eliphansi lesidoda.
• Ukungasebenzi kahle kwesidoda.
• Ukwakheka kwesidoda okungajwayelekile.

Ngaphezu kwalokhu, izizathu ezilandelayo zingase zihileleke:

• Izinkinga zamasende: I-Varicocele, ukulimala kwamasende, noma amasende angakhuli.
• Ukuchayeka emazingeni okushisa aphezulu: Ukugqoka izingubo zangaphansi eziqinile kakhulu, ukugeza ngamanzi ashisayo njalo, ukusebenza ne-laptop emathangeni akho, njll.
• Izinkinga zama-hormone: I-testosterone ephansi.
• Izifo zofuzo: Izimo zofuzo ezifana `(i-Klinefelter syndrome)`.
• Ukuvaleka komsele wokukhipha indle.
• Ukungasebenzi kahle kwe-Erectile noma izinkinga zokukhipha isidoda.
• Ukusetshenziswa kabi kwezinto ezifana nama-anabolic steroid .

Kuhlonzwa kanjani ukungazali? Yiziphi izivivinyo zezokwelapha?

Uma wena nomlingani wakho nibona udokotela, uzoqala ngokukubuza ngomlando wempilo yakho, impilo yakho yocansi, kanye nendlela yakho yokuphila. Ngemuva kwalokho, bazo-oda uchungechunge lwezivivinyo ukuthola imbangela. Nobabili kuzodingeka nenze lezi zivivinyo.

Yiziphi izindlela zokwelapha ezitholakalayo?

Ngemva kokuthola imbangela, udokotela wakho uzoncoma ukwelashwa okungcono kakhulu kini nobabili, ecabangela iminyaka yenu, imbangela yokungazali kwenu, nokuthi sekuyisikhathi esingakanani nizama.

Ukwelashwa kwabesifazane

• Imithi: Imithi yokuzala inikezwa ukuze kukhuthazwe ukuvuthwa kwamaqanda futhi kukhuthazwe ukukhululwa kweqanda elilodwa noma ngaphezulu elinempilo.
• Ukuhlinzwa: Kwenziwa ukuhlinzwa ukuze kuvulwe amapayipi e-fallopian uma evalekile, ukuze kususwe ama-fibroids esibelethweni, noma ukuze kwelashwe i-endometriosis.
• Izinguquko endleleni yokuphila: Ukugcina isisindo esinempilo, ukudla ukudla okunempilo, nokugwema ukubhema.

Ukwelashwa kwabesilisa

• Imithi: Ukunikeza imithi yokulungisa amazinga ama-hormone noma yokwelapha ukungasebenzi kahle kocansi.
• Ukuhlinzwa: Ukuhlinzwa kwenziwa ukuze kususwe ukuvaleka kwentambo yesidoda noma ukulungisa imithambo evuvukele emasendeni (i-Varicocele).
• Izinguquko endleleni yokuphila: yeka ukubhema nokuphuza utshwala, gwema izingubo zangaphansi eziqinile, yidla ukudla okunempilo.

Ubuchwepheshe Bokuzala Obusizayo (ART)

Kwezinye izimo, uma ukwelashwa okungenhla kungabi nemiphumela ephumelelayo noma uma inkinga iyinkimbinkimbi kakhulu, odokotela basebenzisa ubuchwepheshe bokusiza ekuzaleni. Ezinye zezindlela eziyinhloko yilezi:

• Ukubelethwa Kwangaphakathi Kwesibeletho (IUI): Kulokhu, isidoda sendoda silungiselelwa ngokukhethekile bese sifakwa ngqo esibelethweni sowesifazane ngepayipi elincane kakhulu ngesikhathi esifanayo ne-ovulation. Lokhu kwenza kube lula ukuthi isidoda sifinyelele eqandeni.
• Ukuvundiswa kwe-In Vitro (IVF): Lokhu kuvame ukubizwa ngokuthi "ukuvundiswa kwe-in vitro." Kule ndlela, amaqanda owesifazane asuswa emzimbeni wakhe, avundiswe ngesidoda sendoda elabhorethri, bese kuthi umbungu owodwa noma ngaphezulu ophilile ufakwe esibelethweni.
• Umjovo Wesidoda Esingaphakathi Kwe-cytoplasmic (ICSI):Lena inqubo ekhethekile eyenziwa ngesikhathi senqubo ye-IVF. Ezimweni lapho ukunyakaza kwesidoda kuphansi kakhulu noma inani liphansi kakhulu, kukhethwa isidoda esisodwa esinempilo bese sifakwa ngqo eqandeni.

Kufanele ubonane nini nodokotela?

Lona umbuzo obaluleke kakhulu. Ukucela usizo ngesikhathi esifanele kungandisa amathuba okuphumelela.

• Uma ungaphansi kweminyaka engama-35 ubudala: Uma ubulokhu uzama njalo unyaka wonke ngaphandle kwemithi yokuvimbela inzalo futhi ungakhulelwanga, bona udokotela.
• Uma uneminyaka ephakathi kuka-35 no-39 ubudala: Funa iseluleko sezokwelapha ngemva kwezinyanga eziyisithupha uzama.
• Uma uneminyaka engu-40 noma ngaphezulu: Kubalulekile ukufuna iseluleko sezokwelapha ngokushesha okukhulu, noma ngabe ubulokhu uzama isikhathi esingaphansi kwezinyanga eziyisithupha, njengoba ukuzala kwehla ngokushesha njengoba ukhula.
• Uma wena noma umlingani wakho ninenkinga yezempilo eyaziwayo: isibonelo, ukuya esikhathini okungajwayelekile, i-endometriosis, ukutheleleka kwe-pelvic kwangaphambilini, bona udokotela ngokushesha ukuze uthole iseluleko.

Ukungazali kuwuhambo olunzima kakhulu, ngokomzimba nangokwengqondo. Kubaluleke kakhulu ukuthi wena nomlingani wakho nisebenzisane kulolu hambo ngokusekelwa nokuqonda. Unganqikazi ukufuna iseluleko sengqondo uma kudingeka.