Ingabe nawe ukhungathekile ngephupho lakho lokuba nomntwana? Ake sixoxe ngokungakwazi ukuzala.

Wena nomyeni wakho kungenzeka ukuthi beniphupha ngokuba nomntwana isikhathi eside. Kodwa ngezinye izikhathi, kungakhathaliseki ukuthi nizama kangakanani, kungaba sekwephuzile ukufeza lelo phupho. Kuvamile ukuzizwa nidabukile futhi nikhathazekile lapho lokho kwenzeka. Kodwa awuwedwa. Lesi simo sisibiza ngokuthi "Ukungazali". Namuhla, sizoxoxa ngalokhu ngokuningiliziwe, kalula.

Kuyini ukungazali? Masikuqonde kalula!

Kalula nje, ukungazali ukungakwazi ukukhulelwa umntwana ngenxa yesimo esithile ohlelweni lwakho lokuzala. Lokhu kungathinta noma ubani, futhi kungaba nezizathu eziningi zalokho. Ukukhulelwa umntwana akulula njengoba ucabanga. Kudinga izinyathelo ezimbalwa okufanele zilandelwe.

Cabanga ngale ndlela:

• Okokuqala, ubuchopho bakho budinga ukukhiqiza ama-hormone okuzala . Lawa ma-hormone alawula ukusebenza kwama-ovari.
• Okulandelayo, iqanda kumele livuthwe kwelinye lama-ovari akho .
• Lelo qanda elivuthiwe lidinga ukukhishwa esibelethweni . Lokhu sikubiza ngokuthi i-ovulation.
• Ngemuva kwalokho, udinga ukukhipha leli qanda epayipini lakho le-fallopian .
• Okwamanje, isidoda kumele sidlule esithweni sangasese sowesifazane futhi sidlule esibelethweni siye epayipini le-fallopian .
• Lapho, isidoda kumele sihlangane neqanda (sivundise) ukuze sakhe umbungu .
• Ekugcineni, lo mbungu kumele uhambe ngepayipi le-fallopian bese uzifakela odongeni lwesibeletho .

Uma into eyodwa ingahambi kahle kule nqubo, ukukhulelwa ngeke kwenzeke.

Ngokuvamile, uma ungaphansi kweminyaka engama-35 ubudala futhi ungakakhulelwa ngemva konyaka (izinyanga eziyi-12) wocansi oluvamile nolungavikelekile , udokotela angase asole ukuthi awunanzalo. Uma uneminyaka engama-35 noma ngaphezulu futhi usuzame izinyanga eziyisithupha kodwa ungaphumeleli, kuwumqondo omuhle ukufuna iseluleko sezokwelapha.

Ukungazali kuyisimo esivame kakhulu kunalokho ongakucabanga. Kodwa izindaba ezinhle ukuthi kunezindlela zokwelapha ezitholakalayo namuhla ezingasiza abantu abaningi abanethemba lokuqala noma lokukhulisa imindeni yabo.

Yiziphi izinhlobo zokungazali?

Ukungazali kungahlukaniswa ngezinhlobo eziningana eziyinhloko:

• Ukungabi nabantwana okuyinhloko: Uma ungakaze ukhulelwe umntwana ngaphambili, futhi ubulokhu uzama unyaka wonke (izinyanga eziyi-6 uma uneminyaka engaphezu kwengu-35) futhi ungazange ube nomntwana, kuwela kulesi sigaba.
• Ukungabi nabantwana kwesibili: Lokhu kwenzeka lapho usuvele unengane eyodwa ngempumelelo bese ungasakwazi ukukhulelwa futhi.
• Ukungazali okungachazeki: Ngezinye izikhathi, naphezu kwakho konke ukuhlolwa okudingekayo, isizathu esithile sokungakwazi ukukhulelwa asitholakali.

Kuvame kangakanani ukungazali?

Lesi simo sithinta kokubili abesilisa nabesifazane. Empeleni sivame kakhulu kunalokho ongakucabanga. Isibonelo, e-United States, owesifazane oyedwa kwabahlanu abaneminyaka ephakathi kwengu-15 no-49 unesifo sokungazali kokuqala. Futhi owesifazane oyedwa kwabangu-20 unesifo sokungazali kwesibili. Emhlabeni wonke, imibhangqwana engaba yizigidi ezingu-48 iphila nokungazali. Ngakho-ke ungabona, lokhu kuyinkinga ethinta abantu abaningi.

Ziyini izimpawu zokungazali?

Uphawu oluyinhloko ukwehluleka ukukhulelwa ngemva kwezinyanga eziyisithupha noma unyaka wocansi olujwayelekile, olungavikelekile . Kungase kungabi khona ezinye izimpawu. Kodwa-ke, abanye besifazane noma amadoda bangase babe nezimpawu zomzimba ezifana nalezi:

• Ubuhlungu be-pelvic noma besisu .
• Ukopha okungajwayelekile kwesitho sangasese sowesifazane, ukuya esikhathini okungajwayelekile, noma ukulahlekelwa ngokuphelele ukuya esikhathini .
• Izinkinga zepenisi noma izinkinga zokukhipha isidoda kwabesilisa .

Yiziphi izimbangela zokungazali?

Kungaba nezizathu eziningi zokungazali. Ngezinye izikhathi, kunzima ukuthola impendulo elula yokuthi kungani ungenakuthola umntwana. Udokotela kuphela onganquma imbangela eqondile futhi anqume ukwelashwa okungcono kakhulu kuwe.

Kungakhathaliseki ukuthi yiziphi izizathu, izifundo zikhombisile ukuthi:

• Izimbangela zokungazali ezingama-33% zivela kwabesifazane.
• Izimbangela zokungazali ezingama-33% zivela kwabesilisa.
• Ama-33% asele amacala okungabi nabantwana abangelwa yizinkinga zombili izinhlangothi noma izimbangela ezingachazeki.

Kwabanye abashadile, ukungazali kungabangelwa yizizathu ezingaphezu kweyodwa.

Izici ezivamile zengozi yokungazali

Ezinye izimbangela zithinta umuntu oyedwa kuphela, kanti ezinye zingathinta zombili. Nazi ezinye zezinto ezivame ukubangela ukungabi nabantwana:

• Ubudala : Ikakhulukazi kwabesifazane abaseminyakeni yabo yo-30 noma yo-40. Ubudala buqala ukuthinta ukuzala kwabesilisa cishe eminyakeni engu-50.
• Izinkinga zokudla : Izimo ezifana `(i-Anorexia nervosa)` kanye `(i-bulimia)`.
• Ukuphuza utshwala ngokweqile .
• Ukuchayeka ebuthi bemvelo : Izinto ezifana namakhemikhali, umthofu, izibulala-zinambuzane.
• Ukuzivocavoca ngokweqile .
• Ukuthola ukwelashwa ngemisebe noma nge-chemotherapy .
• Izifo ezithathelwana ngocansi (STIs) .
• Ukubhema nokusebenzisa imikhiqizo kagwayi : Lo mkhuba ubangela phakathi kuka-13% no-15% wokungabi nabantwana.
• Ukusetshenziswa kwezidakamizwa .
• Ukukhuluphala ngokweqile noma ukuba mncane kakhulu .
• Ukuphazamiseka kwemisebenzi ezindaweni ezikhiqiza ama-hormone ebuchosheni (i-hypothalamus noma i-pituitary gland) .
• Izifo ezingamahlalakhona .

Izimbangela zokungazali kwabesifazane

Imbangela enkulu yokungazali kwabesifazane ukuphazamiseka kokukhishwa kwamaqanda . Ukukhishwa kwamaqanda inqubo lapho iqanda likhishwa esibelethweni sakho ukuze livundiswe yisidoda.

Lezi zici zingaba nomthelela ekungazalini kwabesifazane:

• I-Endometriosis : Ukukhula kwezicubu ezimboze ingaphakathi lesibeletho (i-endometrium) ngaphandle kwesibeletho.
• Ukuphazamiseka kwesakhiwo se-vagina, isibeletho, noma amashubhu e-fallopian .
• Izifo zesimiso somzimba sokuzivikela : Izimo ezifana `(Isifo se-Celiac)` noma `(Lupus)`.
• Isifo sezinso .
• Isifo Sokuvuvukala Kwezitho Zangasese (PID)
• Ukuphazamiseka kwe-hypothalamus kanye ne-pituitary gland .
• I-Polycystic Ovary Syndrome (PCOS) .
• Ukungasebenzi kahle kwesibeletho noma ikhwalithi yeqanda elibi .
• I-anemia yamaseli esikele .
• Ama-fibroids esibeletho noma ama-polyps esibeletho .
• Izifo ze-thyroid .
• Ukuvaleka kwamapayipi e-fallopian ngenxa yokuhlinzwa kwangaphambilini (ukuhlinzwa kokungabi nabantwana - `(ukubopha amapayipi)` noma `(ukuhlinzwa kwe-salpingectomy)`) .
• Ukukhubazeka kofuzo noma kwe-chromosome .
• Izinkinga zokusebenza kocansi .
• Ukungabikho kwama-ovari ngenxa yokuhlinzwa noma ukuzalwa .
• Ukuya esikhathini kaningi kakhulu noma ukungabi khona nhlobo .

Izimbangela zokungazali kwabesilisa

Imbangela evame kakhulu yokungazali kwabesilisa izinkinga ngesimo sesidoda, ukunyakaza, noma inani eliphansi lesidoda .

Ezinye izizathu zingase zihlanganise:

• Ukwanda kwemithambo ezungeze amasende (esikhwameni esibamba amasende) `(varicocele)` .
• Izifo zofuzo : njenge-`(i-cystic fibrosis)`.
• Ukukhubazeka kwe-chromosome : njengokuthi `(i-Klinefelter syndrome)`.
• Ukuchayeka kwamasende ekushiseni okukhulu ngenxa yokugqoka izingubo eziqinile, ukusebenzisa njalo ama-hot tub nama-sauna, kanye nokugcina ama-laptop noma ama-heating pad kumasende noma eduze kwawo .
• Ukulimala kwamasende noma ama-scrotum .
• Amazinga aphansi e-testosterone (i-hypogonadism) .
• Ukusetshenziswa kabi kwama-steroid e-anabolic .
• Izinkinga zokusebenza kocansi : njengokungasebenzi kahle kwe-erectile, ukukhishwa kwe-ejaculation, ukuphuma kwe-ejaculation ngaphambi kwesikhathi, noma ukuphuma kwe-ejaculation emuva.
• Amasende angakafiki phansi .
• Njengoba ngike ngathola ukwelashwa ngemisebe noma ngamakhemikhali omdlavuza ngaphambilini .
• Ukungabikho kwamasende ngenxa yokuhlinzwa noma ukuzalwa .
• Inqubo yokuhlinzwa yangaphambilini yokuvimba intambo yesidoda (i-vasectomy) .

Indlela yokuxilonga ukungazali kwabesifazane?

Okokuqala, udokotela wakho uzokucela umlando ophelele wezokwelapha kanye nemininingwane mayelana nempilo yakho yocansi.

Ukuzala kowesifazane kuncike ekuvuthweni okunempilo kwamaqanda. Lokho kusho ukuthi ubuchopho bakho buthumela izimpawu zamahomoni esibelethweni, esikhipha iqanda, sihambe ngepayipi le-fallopian, bese sifinyelela odongeni lwesibeletho. Ukuhlolwa kokuzala kubheka izinkinga ngalezi zinqubo.

Lezi zivivinyo zingasiza ekuboneni izinkinga noma ziqinisekise ukuthi ayikho inkinga enjalo:

• Ukuhlolwa kwe-pelvic : Udokotela wenza lokhu kuhlolwa ukuze ahlole izinkinga noma izimpawu zesakhiwo.
• Ukuhlolwa kwegazi : Amazinga ama-hormone angahlolwa ukuze kubonakale ukuthi kukhona ukungalingani kwama-hormone nokuthi ngabe ukukhishwa kwamaqanda kwenzeka kahle yini.
• I-ultrasound ye-Transvaginal : Udokotela ufaka idivayisi ye-ultrasound esithweni sangasese sowesifazane ukuze ahlole izinkinga ohlelweni lokuzala.
• I-Hysteroscopy : Udokotela ufaka ipayipi elincane, elikhanyayo (i-hysteroscope) esithweni sangasese sowesifazane bese ehlola isibeletho.
• I-saline sonohysterogram (SIS) : Udokotela ugcwalisa isibeletho sakho nge-saline (amanzi anosawoti ahlanziwe) bese enza ukuhlolwa kwe-ultrasound ngesitho sakho sangasese sowesifazane.
• I-Sonohysterosalpingogram (HSG) : Ngesikhathi sokuhlolwa kwe-(SIS), udokotela ugcwalisa amashubhu e-fallopian ngamabhamuza kasawoti nomoya ukuze ahlole ukuvaleka.
• I-X-ray hysterosalpingogram (HSG) : Kuthathwa isithombe se-X-ray sedayi efakwe ngamapayipi e-fallopian ukuhlola ukuvaleka.
• I-Laparoscopy : Udokotela wenza ukusika okuncane esiswini bese efaka i-laparoscope (ipayipi elincane elinekhamera) ngayo. Lokhu kusiza ekuxilongeni izinkinga ezifana ne-endometriosis, i-uterine fibroids, kanye nezicubu zesilonda.

Ungakuthola kanjani ukungazali kwabesilisa?

Ukungazali kwabesilisa kuvame ukutholakala ngokubheka ukuthi ngabe bakhipha isidoda esinempilo yini. Ukuhlolwa okuningi kokuzala kuhlola izinkinga ngesidoda.

Lezi zivivinyo zingasiza:

• Ukuhlaziywa kwesidoda : Lokhu kuhlola inani eliphansi lesidoda kanye nokunyakaza kwesidoda okungekuhle. Amanye amadoda kungadingeka ukuthi ahlolwe ngenaliti ukuze kuthathwe isidoda emasendeni ukuze sihlolwe.
• Ukuhlolwa kwegazi : Lokhu kungahlola amazinga e-thyroid namanye ama-hormone. Ukuhlolwa kwegazi kwezakhi zofuzo kubheka ukukhubazeka kwe-chromosome.
• I-ultrasound ye-scrotal: I-ultrasound ye-scrotum ingabona ama-varicoceles noma ezinye izinkinga zamasende.

Kuphathwa kanjani ukungazali?

Ukwelashwa kokungazali kuncike kakhulu esibangweni kanye nokulindela kwakho. Ubudala bakho, ukuthi ubulokhu uzama isikhathi esingakanani ukuba nomntwana, kanye nezintandokazi zakho kuzodlala indima ekunqumeni ukuthi yiluphi ukwelashwa ozolusebenzisa. Ngezinye izikhathi umlingani oyedwa kuphela odinga ukwelashwa, kanti ngezinye izikhathi bobabili abalingani badinga ukwelashwa.

Ezimweni eziningi, abesifazane kanye nemibhangqwana engakwazi ukuzala banethuba elikhulu lokuthola umntwana. Bangathola usizo ngezinto ezifana nemithi, ukuhlinzwa, noma ubuchwepheshe bokusiza ekuzaleni (ART). Ezimweni eziningi, ukwenza izinguquko endleleni yokuphila noma ukulungisa imvamisa nesikhathi sokulala ngokocansi kungandisa amathuba okuthola umntwana. Ngezinye izikhathi, kusetshenziswa izindlela ezingaphezu kweyodwa yalezi zinhlanganisela.

Ukwelashwa kokungabi nabantwana kwabesifazane

Ukwelashwa kwabesifazane kuhlanganisa:

• Izinguquko endleleni yokuphila : Ukwehlisa noma ukukhuluphala, ukuyeka ukubhema noma ukusebenzisa izidakamizwa, kanye nokulawula ezinye izimo zempilo kungandisa amathuba akho okuthola umntwana.
• Imithi : Imithi yokuzala ivuselela ama-ovari ukuthi akhiphe amaqanda amaningi, okwandisa amathuba okuba nomntwana.
• Ukuhlinzwa : Ukuhlinzwa kungenziwa ukuze kuvulwe amashubhu e-fallopian avaliwe, kususwe ama-polyps, ama-fibroids, noma izicubu zesilonda.

Odokotela bangaphakamisa nezindlela zokwandisa amathuba akho okukhulelwa umntwana. Isibonelo:

• Ungathola umbono wokuthi ukhipha nini amaqanda ngokulinganisa izinga lokushisa lomzimba wakho oyisisekelo, usebenzisa uhlelo lokusebenza lokulandelela ukuzala, kanye nokuqopha i-mucus yomlomo wesibeletho sakho.
• Ukusebenzisa ikhithi yokukhipha amaqanda ekhaya, etholakala ekhemisi noma ku-inthanethi, kungasiza ekubikezeleni ukuthi ukukhishwa kwamaqanda kuzokwenzeka nini.

Ukwelashwa kokungabi nabantwana kwabesilisa

Ukwelashwa kwabesilisa kufaka phakathi:

• Imithi : Imithi inganikezwa ukwandisa amazinga e-testosterone noma amanye ama-hormone. Kukhona nemithi yokungasebenzi kahle kwe-erectile esiza ukugcina i-penis imile ngesikhathi socansi.
• Ukuhlinzwa : Amanye amadoda adinga ukuhlinzwa ukuze kuvulwe ukuvaleka kwamapayipi athwala isidoda noma ukulungisa izinkinga zesakhiwo. Ukuhlinzwa kwe-varicocele kungathuthukisa impilo yesidoda futhi kwandise amathuba okukhulelwa umntwana.

Yiziphi izindlela zokwelapha zokuzala ezisetshenziswa kakhulu?

Eminye imibhangqwana idinga usizo olwengeziwe ukuze ibe nomntwana ngokusebenzisa ubuchwepheshe bokusiza ekuzaleni (ART). I-ART yinoma yiluphi uhlobo lokwelashwa kokuzala lapho udokotela elawula khona isidoda noma amaqanda. Ukuze wandise amathuba akho okuba nomntwana, ungathatha imithi yokukhuthaza ukuvuthwa kwamaqanda ngaphambi kokuzama enye yalezi zindlela.

• Ukukhulelwa kwe-in vitro (IVF) : Lokhu kuhilela ukuthatha amaqanda avela kuma-ovary akho bese uwahlanganisa nesidoda elabhorethri. Isidoda sibe sesivundisa amaqanda. Udokotela ube esedlulisela iqanda elilodwa kuya kwamathathu alawa avundisiwe (imibungu) esibelethweni sakho.
• Umjovo wesidoda we-Intracytoplasmic (ICSI) : Le nqubo ingenziwa ngesikhathi se-IVF. Udokotela we-embryologist ujova isidoda esisodwa ngqo eqandeni. Umbungu owodwa kuya kwemithathu ube usudluliselwa esibelethweni.
• Ukufakwa kwesidoda ngaphakathi kwesibeletho (IUI): Udokotela usebenzisa ipayipi elide nelincane ukufaka isidoda ngqo esibelethweni sakho. I-IUI ngezinye izikhathi ibizwa ngokuthi ukufakelwa kwesidoda okwenziwe ngokwenziwa.
• Ukusiza ukuchamisela : Inqubo evula ungqimba lwangaphandle lombungu, okwenza kube lula ukuthi ufakwe odongeni lwesibeletho.
• I-ART yomuntu wesithathu : Eminye imibhangqwana isebenzisa amaqanda anikelayo, isidoda esinikelayo, noma ama-embryo anikelayo. Eminye imibhangqwana idinga umuntu othwala ingane noma umuntu ozoyimela ukuze athwale umntwana.

Yiziphi izinkinga ezingaba khona ngenxa yokwelashwa?

Ukwelashwa kokungabi nabantwana kungabangela izinkinga ezifana nalezi:

• Amathuba akhulayo okuba namaqanda amaningi (amawele, amawele amathathu, noma ngaphezulu) : Ukukhiqizwa kwamaqanda amaningi kanye nokudluliselwa kwamaqanda angaphezu kwelilodwa kwandisa ingozi yokukhulelwa okuningi. Izinkinga ezifana nokuphuphuma kwesisu, ukubeletha ngaphambi kwesikhathi, ukuzalwa kwesisindo esiphansi, ukufa kosana olusanda kuzalwa, kanye nezinkinga zempilo zesikhathi eside zivame phakathi kwabesifazane abathwala amaqanda amaningi.
• I-Ovarian hyperstimulation syndrome (OHSS) : Isimo lapho ama-ovari evuvukala kabuhlungu ngenxa yemithi yokuzala. Lokhu kungaba kubi kakhulu futhi kudinga ukunakekelwa kwezokwelapha okusheshayo.
• Ukukhulelwa kwesisu: Kukhona ingozi enkulu yokukhulelwa kwesisu ngesikhathi sokwelashwa nge-IVF.
• Imijikelezo ehlulekile : Ukwehluleka ukukhulelwa ngemva kokuqeda umjikelezo wokwelashwa.

Ingabe ukungazali kungalapheka?

Yebo, kodwa kuncike esibangweni. Phakathi kuka-85% no-90% wamacala , owesifazane angakhulelwa umntwana ngokwelapha ukungazali ngokushintsha indlela yokuphila, imithi, i-ART, noma ukuhlinzwa.

Khumbula: Ukungazali akusona ukuphela komhlaba. Ngesayensi yezokwelapha ethuthukisiwe yanamuhla, abantu abaningi bakwazile ukuthola izixazululo zale nkinga.

Yini engingayenza ukuze ngivimbele ukungabi nabantwana?

Ukuze uvikele ukuzala kwakho, ikakhulukazi uma uzama ukukhulelwa, ungathatha lezi zinyathelo:

• Yidla ukudla okunempilo futhi ugcine isisindo esinempilo esikufanele.
• Ungabhemi, ungasebenzisi kabi izidakamizwa, futhi ungaphuzi utshwala .
• Thola ukwelashwa kwezifo ezithathelwana ngocansi (ama-STI) .
• Nciphisa ukuchayeka ebuthi bemvelo .
• Hlala uvivinya umzimba, kodwa ungaweqisi .
• Ungalibazisi ukuba nabantwana uze ukhule .
• Cabanga ngezinqubo zokulondoloza inzalo (ukuqandisa iqanda noma isidoda) .

Yini okufanele ngiyilindele uma ngingenabo abantwana?

Cishe imibhangqwana engu-9 kweyishumi ethola ukwelashwa kokuzala izoba nezingane. Izinga lempumelelo liyahlukahluka kuye ngembangela yokungazali, iminyaka yombhangqwana, nezinye izici.

Ukungazali kungaba yinto enzima ngokwengqondo, ngokomzimba, ngokwezezimali nangokwengqondo. Khumbula ukuzinakekela wena nomlingani wakho kulo lonke lolu hlelo, futhi ubekezele . Ukungazali akulula. Ngakho-ke zizungeze nabantu abakusekelayo, noma ujoyine iqembu lokusekela eliku-inthanethi. Ngezinye izikhathi, kungaba usizo kakhulu ukwabelana ngemizwa yakho nomuntu oqondayo ukuthi ubhekene nani.

Ingabe kukhona umshwalense wokwelashwa kokungabi nabantwana?

Izinqubomgomo zomshuwalense wezempilo ziyahlukahluka, ngakho-ke kufanele uhlale uhlola inkampani yakho yomshuwalense. Lokhu kungahluka eSri Lanka. Kodwa-ke, isibonelo, emazweni afana ne-United States, izinkampani eziningi zomshuwalense zinikeza ukumbozwa kwezinqubo ezidingekayo kwezokwelapha njengokuhlinzwa ukwelapha i-endometriosis kanye ne-uterine fibroids. Ezinye izinqubomgomo zingamboza izinqubo zokuzala ezifana ne-"IUI", kodwa zingambozi "ukukhulelwa kwe-in vitro" noma "IVF".

Kwamanye amazwe e-US, kunemithetho edinga abaqashi ukuthi bahlinzeke ngesembozo sokungabi nabantwana njengengxenye yezinqubomgomo zomshuwalense wezempilo zabasebenzi babo. Kusukela ngoJuni 2022, iNational Infertility Association (Resolve) ithi:

• Izifundazwe ezingamashumi amabili ziphasise imithetho yomshuwalense wokuzala; engu-14 yaleyo mithetho ihlanganisa ukumbozwa kwe-IVF; kanti izifundazwe ezingu-12 zinemithetho yokulondolozwa kokuzala yokuzala okubangelwa ukwelashwa (ukungabi nabantwana okubangelwa yi-iatrogenic).

Nakuba lolu lwazi lungase lungasebenzi eSri Lanka, kubalulekile ukuqaphela ukuthi izikhungo ezinjalo ziyatholakala kwezinye izingxenye zomhlaba. Qiniseka ukuthi uhlola ukuthi inqubomgomo yakho yomshuwalense iyazimboza yini lezi zinto.

Kufanele ulufune nini usizo lokungabi nabantwana?

Abesifazane abangaphansi kweminyaka engama-35 asebezame unyaka wonke futhi abangakakhulelwa kufanele babone udokotela. Uma uphakathi kweminyaka engama-35 no-39, kufanele ufune usizo ngokushesha ngangokunokwenzeka ngemva kwezinyanga eziyisithupha zokuzama. Uma uneminyaka engama-40 noma ngaphezulu, kufanele ufune iseluleko sezokwelapha ngemva kwezinyanga eziyisithupha zokuzama. Amathuba akho okukhulelwa ayancipha njengoba ukhula . Isibonelo, owesifazane oneminyaka engama-25 unethuba elingama-25% kuya kwangu-30% lokukhulelwa umjikelezo ngamunye wokuya esikhathini. Ngesikhathi uneminyaka engama-40, lelo thuba lehla liye ngaphansi kwama-5% umjikelezo ngamunye.

Kungakhathaliseki ubulili, uma unesifo esiyingozi noma isimo sezokwelapha esingathinta ukuzala kwakho, kufanele ufune usizo ngokushesha. Uma wazi noma usola ukuthi unesifo sokuhluleka kwesibeletho ngaphambi kwesikhathi, i-endometriosis enzima, noma isifo se-uterine/fallopian tube, thola ukuhlolwa kwezokwelapha ngokushesha.

Odokotela bomndeni kanye nodokotela bezifo zabesifazane bangase batuse ukubonana nochwepheshe wezenzalo, udokotela wezifo zomchamo, noma udokotela wezifo ezithinta i-endocrinologist ukuze kuhlolwe futhi kwelashwe ukungabi nabantwana.

Yimiphi imibuzo okufanele ngiyibuze udokotela wami?

Ungabuza udokotela imibuzo efana nale:

• Ingabe ngidinga ukubona uchwepheshe wezenzalo?
• Ingabe kufanele ngiyohlolwa ukuze kubonakale ukuthi mina nomlingani wami sinazo yini izinkinga zokuzala?
• Kuye ngeminyaka yethu, kufanele sithole ukuhlolwa kokuzala ngokushesha kangakanani?
• Yikuphi ukwelashwa okungcono kakhulu kithi?
• Lingakanani izinga lempumelelo yokwelashwa?
• Iyini imiphumela emibi noma izingozi zalokhu kwelashwa?
• Ingabe kufanele ngiqaphele izimpawu zezinkinga?

Eminye imibuzo emincane embalwa...

Ingabe i-Chlamydia ingabangela ukungazali?

I-Chlamydia iyisifo esithathelwana ngocansi esivamile. Uma singalashwa, i-chlamydia ingabangela isifo sokuvuvukala kwe-pelvic (PID). I-PID iyisifo esingalimaza unomphela amashubhu akho e-fallopian, isibeletho, noma ama-ovari. Ngakho-ke, yebo, i-chlamydia iyisici esiyingozi sokungabi nabantwana.

Ingabe izindlela zokuvimbela inzalo zingadala ukungazali?

Cha. Izifundo zikhombisile ukuthi ukusebenzisa izithibelo zokubeletha akulimazi ukuzala kwakho kwesikhathi esizayo.

Ingabe i-Endometriosis iyimbangela yokungazali?

Yebo, i-endometriosis iyisici esiyingozi sokungabi nabantwana. Phakathi kuka-30% no-50% wabesifazane abane-endometriosis bahlangabezana nokungabi nabantwana.

Okokugcina, cabanga ngalokhu (Umyalezo Wokuya Ekhaya)

Ukuhlangenwe nakho kokungazali kuyinselele. Kungaba umthwalo omkhulu kumuntu ophupha ngokuqala noma ukwandisa umndeni. Kungathinta ubudlelwano bakho kanye nempilo yakho yengqondo. Ngaphezu kwalokho, ukwelashwa kokungazali kungabiza kakhulu futhi kube nokucindezeleka ngokwezimali.

Uma usenenkinga yokukhulelwa naphezu kwayo yonke imizamo yakho, kungase kube yisikhathi sokubonana nodokotela. Banganquma ukuthi kukhona yini imbangela eyisisekelo futhi bakhulume nawe ngezinketho zokwelapha ezingase zikufanele.

Into ebaluleke kakhulu ukungalilahli ithemba. Imibhangqwana eminingi ekugcineni iba nezingane. Abanye baphendukela kubuchwepheshe bokusiza ekuzaleni, abanye bathatha izingane zokutholwa. Nawe uzothola indlela ekusebenzelayo.

Sifisela wena amandla nesibindi kulolu hambo!

` Ukungazali, ukuzala, ukukhulelwa, impilo yokuzala, i-IVF, i-IUI, impilo yabesifazane