Ingabe wena nomkakho benilokhu nizama ukuthola umntwana isikhathi eside? Kodwa akukabikho miphumela? Esikhathini esiningi, ezimweni ezinjalo, umphakathi wethu ukhomba owesifazane ngomunwe. Kodwa sidinga ukuqonda ukuthi inkinga ingaba futhi ohlangothini lwabesilisa. Ukungazali kuyinto engathinta bobabili abalingani. Namuhla sikhuluma ngesihloko abantu abaningi abangafuni ukukhuluma ngaso, kodwa kuyisihloko esibaluleke kakhulu: Ukungazali Kwabesilisa.
Kalula nje, kuyini ukungazali kwabesilisa?
Kalula nje, ukungazali kwabesilisa ukungakwazi kwendoda ukukhulelisa umlingani wayo ngenxa yenkinga ohlelweni lwayo lokuzala. Ngokwezokwelapha, uma umbhangqwana ube nocansi olujwayelekile unyaka wonke ngaphandle kokusebenzisa noma yiluphi uhlobo lokuvimbela inzalo kodwa uhluleka ukukhulelwa, sidinga ukuphenya.
Lokhu kuvame kakhulu emhlabeni kangangokuthi abantu ababalelwa ezigidini ezingu-186 emhlabeni wonke bahlushwa yile nkinga. Ezimweni eziningi, uma ufuna isizathu sokungazali, inkinga iba ngumuntu wesilisa noma zombili izinhlangothi cishe kwengxenye yamacala . Ngakho ungabi namahloni noma uphelelwe amandla, ucabange ukuthi lena inkinga yakho nje.
Ukukhulelwa umntwana akulula njengoba ucabanga!
Eqinisweni, ukukhulelwa umntwana kuyinqubo eyinkimbinkimbi kakhulu. Ngisho nakubabili abasebasha abaphilile, amathuba okukhulelwa ngemva kokuzama inyanga eyodwa aphansi kakhulu njengo- 20-25% . Ngakho-ke cabanga ukuthi zingaki izinto okufanele zihambe kahle ukuze lokho kwenzeke.
Lezi zinto kumele zenzeke ukuze ukhulelwe ngempumelelo:
- Ukukhiqizwa kwesidoda esinempilo emzimbeni wesilisa.
- Ukukhiqizwa kweqanda elinempilo emzimbeni wowesifazane.
- Amapayipi esibeletho sowesifazane kumele angavalwa , okuvumela isidoda ukuthi siye eqandeni.
- Isidoda siyakwazi ukuhlangana neqanda bese silivundisa .
- Iqanda elivundisiwe (umbungu) lidinga ukutshalwa kahle esibelethweni.
Uma kukhona ukuntuleka ngisho nakwesinye salezi zici, ukukhulelwa kungase kubambezeleke noma kungenzeki.
Ziyini izimpawu zokungazali?
Uphawu oluyinhloko nolusobala kakhulu lokungazali kwabesilisa ukungakwazi ukuba nguyise wengane. Kodwa-ke, ngaphezu kwalokhu, umthelela wengqondo walesi simo uphakeme kakhulu. Kungaba ukugula ngokomzimba njengoba kunjalo nangengqondo.
| Uhlobo oluyisici | Izimo ezingenzeka |
|---|---|
| Izici zomzimba | Ngokuvamile azikho izimpawu ezinkulu zangaphandle, kodwa ngezinye izikhathi izinkinga zamahomoni zingabangela izinto ezifana nokukhathala okukhulu, ukungasebenzi kahle kocansi, kanye nokukhuluphala. |
| Izici zengqondo nezingokomzwelo |
|
Uma wena noma umlingani wakho nibhekene nalolu hlobo lokucindezeleka, kubaluleke kakhulu ukukhuluma nodokotela, udokotela wezifo zengqondo, noma umeluleki ngakho.
Kungani lokhu kwenzeka? Izimbangela zokungazali
Kunezinto eziningi ezingabangela ukungazali kwabesilisa. Zingaba izakhi zofuzo, ezingokwenyama, kanye nezemvelo.
| Isizathu | Incazelo elula |
|---|---|
| Izinkinga zesidoda | Inani eliphansi lesidoda (i-Oligospermia), ukuntuleka kokuchama (i-Azoospermia), ukukhubazeka kwesimo sesidoda noma ukunyakaza. |
| Izifo zofuzo | Izimo zofuzo ezikhona lapho kuzalwa, njenge-Klinefelter syndrome. |
| Ezinye izifo | Isifo sikashukela, ezinye izifo ezizimele, i-cystic fibrosis. |
| Izifo | Ukutheleleka kwamasende (i-epididymitis, i-orchitis) kanye nezifo ezithathelwana ngocansi (ama-STI) njenge-gonorrhea noma i-HIV. |
| Ama-Varicocele (ama-varicocele) | Ukuvuvukala kwemithambo ezungeze amasende kubangela ukwenyuka kwezinga lokushisa futhi kuthinta ukukhiqizwa kwesidoda. |
| Ukwelashwa komdlavuza | Ukwelashwa ngamakhemikhali, ukwelashwa ngemisebe, noma ukususwa kwamasende ngokuhlinzwa (orchiectomy). |
| Izinkinga zama-hormone | Ukungalingani kwama-hormone ngenxa yezinkinga ngokusebenza kwezindlala ze-pituitary noma ze-hypothalamus ebuchosheni. |
Ezinye izinto ezandisa ingozi
Ngaphezu kwezizathu ezingenhla, imikhuba ethile yokuphila ingandisa nengozi yokungazali kwabesilisa.
- Ukwanda kwesisindo: Uma inkomba yakho yesisindo somzimba (i-BMI) ingaphezu kuka-25 (ukukhuluphala).
- Ukuba neminyaka engaphezu kwengu-40 ubudala.
- Ukubhema, utshwala kanye nokusebenzisa ezinye izidakamizwa.
- Ukuchayeka kumakhemikhali anobuthi njengezibulala-zinambuzane kanye nezinsimbi ezisindayo (umthofu, i-mercury).
- Izinto ezikhulisa izinga lokushisa kwamasende: ukusebenzisa njalo i-sauna noma i-hot tub, kanye nokusebenzisa isihlalo sabakhubazekile isikhathi eside.
- Ukusetshenziswa kwemithi ethile.
- Ukusetshenziswa kwama-steroid e-anabolic ekukhuleni kwemisipha.
Udokotela ukuxilonga kanjani lokhu?
Uma usuzame unyaka wonke kodwa ungakabi nomntwana, into engcono kakhulu ongayenza ukuthi wena nomkakho nibonane nodokotela ndawonye. Udokotela uzolandela izinyathelo eziningana ukuze axilonge lesi simo.
1. Ukubuza imibuzo ngawe nomkakho: Udokotela uzokubuza imibuzo eminingi mayelana nomlando wakho wezempilo, imikhuba yakho yocansi, umsebenzi, indlela yokuphila, njll. Kubaluleke kakhulu ukunikeza ulwazi oluqotho ngaphandle kokuba namahloni.
2. Ukuhlolwa komzimba:Udokotela uzohlola ukuthi kukhona yini izinkinga emzimbeni wakho ezingathinta ukuzala kwakho.
3. Ukuhlolwa okukhethekile: Ngemva kwalokho, kwenziwa izivivinyo eziningana ukuze kutholakale imbangela eqondile.
| Ukuhlolwa | Ubonani kulokho? |
|---|---|
| Ukuhlaziywa Kwamaduna | Lesi yisilingo esiyinhloko nesibaluleke kakhulu . Kuthathwa isampula yesidoda sakho bese kuhlolwa inani lesidoda, ukunyakaza, ukuma, kanye nezinye izici. |
| Ukuhlolwa Kwegazi | Hlola amazinga ama-hormone emzimbeni wakho (ikakhulukazi i-testosterone) kanye nezinkinga zofuzo. |
| Ukuhlolwa Kwezithombe | Kungenziwa i-ultrasound scan ukuze kuhlolwe noma yikuphi ukuvinjelwa emasendeni noma emigudwini yesidoda, njenge-varicocele. |
| i-biopsy yamasende | Kwezinye izimo ezingavamile, kuthathwa ingcezu encane kakhulu yezicubu esithweni sangasese sowesifazane bese kuhlolwa ukuze kubonakale ukuthi ukukhiqizwa kwesidoda kwenzeka kahle yini. |
Ungakhathazeki! Kukhona ukwelashwa kwalokhu.
Yebo, impela! Kunezindlela eziningi zokwelapha ezisebenzayo ezitholakalayo namuhla zokungazali kwabesilisa, kungakhathaliseki ukuthi imbangela iyini. Asikho isizathu sokulahla ithemba.
1. Izinguquko zendlela yokuphila
Ngokuvamile, izinguquko ezilula zendlela yokuphila zingenza umehluko omkhulu.
- Gcina isisindo esinempilo: Uma ukhuluphele ngokweqile, vivinya umzimba futhi usilawule.
- Ukudla okuhle: Yidla izithelo, imifino kanye nemifino eminingi.
- Ukuyeka ukubhema notshwala: Lokhu kulimaza isidoda ngokuqondile.
- Ukunciphisa ukucindezeleka:Izinto ezifana ne-yoga nokuzindla zizosiza.
- Ukuvikela amasende ekushiseni okukhulu.
2. Imithi
Uma kunenkinga efana namazinga aphansi noma aphezulu ama-hormone, ingalinganiswa nemithi. Futhi, ama-antibiotic anganikezwa izifo. Uma eminye imithi oyithathayo ithinta ukuzala, udokotela wakho angayishintsha.
3. Ukuhlinzwa
Kwezinye izimo, ukuhlinzwa kungadingeka.
- I-Varicocelectomy: Isimo se-varicocele, okuwumthambo osontekile, singalungiswa ngokuhlinzwa.
- Ukuguqulwa kwe-Vasectomy: Uma uke wahlinzwa i-vasectomy ngaphambilini ukuze uvimbele ukuba nezingane, kungaguqulwa ngokuhlinzwa okuphindaphindiwe.
- Ukubuyiswa Kwesidoda: Uma kukhona ukuvaleka komsele wokukhipha isidoda, isidoda singathathwa ngqo esithweni sangasese bese sisetshenziselwa ukwelashwa.
4. Ubuchwepheshe Bokuzala Obusizayo (ART)
Lezi izindlela zokwelapha ezithuthuke kakhulu ezitholakalayo namuhla.
- Ukuvundiswa Kwe-Vitro (IVF): Kalula nje, amaqanda owesifazane nesidoda sowesilisa kuhlanganiswa ngaphandle komzimba, elabhorethri, ukuze kudalwe umbungu, ozobe usufakwa esibelethweni sikamama.
- Umjovo Wesidoda Esingaphakathi Kwesitho Sokuzala (ICSI): Lena enye indlela ethuthukisiwe ye-IVF. Uma inani lesidoda liphansi kakhulu noma ukunyakaza kuphansi, kukhethwa isidoda esisodwa esinempilo bese sijovwa ngqo eqandeni.
Udokotela wakho uzoxoxa nawe futhi anqume ukuthi iyiphi indlela yokwelapha engcono kakhulu kuwe.
Umlayezo Wokuya Nawe Ekhaya
- Ukungazali kwabesilisa kuyisimo esivamile. Akuyona inkinga yakho kuphela. Ngakho-ke ungabi namahloni noma uphelelwe yithemba.
- Ukungabi nabantwana kuyinkinga yombhangqwana, hhayi iphutha lanoma ubani. Wena nomkakho kudingeka nibhekane nalokhu ndawonye.
- Indlela yokuphila enempilo (ukudla kahle, ukuzivocavoca, ukugwema ukubhema notshwala) ingakuthuthukisa kakhulu ukuzala kwakho.
- Uma usuzame unyaka wonke kodwa ungakaboni miphumela, bona udokotela ngokushesha. Uma uthola imbangela ngokunembile futhi uyelapha, amathuba okuphumelela ayanda.
- Impilo yakho yengqondo nayo ibaluleke kakhulu kulolu hambo. Uma kudingeka, funa iseluleko. Ungalilahli ithemba!
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