Kulabo kini abazoba ngumama: Konke mayelana nokukhulelwa ngamagama alula

Ingabe ulindele ukuba ngumama? Noma usuvele uthole izindaba ezinhle? Phela, lesi yisikhathi esikhethekile nesimnandi empilweni yakho. Kodwa ngesikhathi esifanayo, kunemibuzo eminingi kanye nokwesaba okuncane okufika engqondweni, akunjalo? Kujwayelekile kakhulu ukucabanga izinto ezinjengokuthi "Kuzokwenzekani manje?", "Kufanele ngenzeni?", "Ingabe lokhu kuzizwa kujwayelekile?" Ngakho ungakhathazeki, sizoxoxa ngalolu hambo oluhle olubizwa ngokuthi ukukhulelwa ngendlela elula kakhulu ongayiqonda.

Kuyini ukukhulelwa nje?

Kalula nje, ukukhulelwa yisikhathi lapho umntwana (isisu) noma izingane eziningi zikhula ngaphakathi kwesibeletho sakho. Lokhu kuvame ukwenzeka ngemva kocansi, kodwa ngezinye izikhathi kungenzeka ngezinqubo zezokwelapha (Assisted Reproductive Technologies - ART).

Abantu abaningi baqala ngokuthola ukuthi bakhulelwe yini ngokuhlolwa kokukhulelwa ekhaya. Kodwa-ke, ukuhlolwa kwegazi kungaba nembe kakhulu ngo-100%. Ezinye zezimpawu zokuqala zifaka phakathi ukungayi esikhathini , ukucasuka ekuseni , kanye nokuzizwa ukhathele ngaso sonke isikhathi .

Ukukhulelwa okuningi kugcina ngokuzalwa komntwana ophilile. Lokhu kungaba ukubeletha ngesitho sangasese sowesifazane noma ukuhlinzwa ngokuhlinzwa. Kodwa-ke, ngezinye izikhathi kungaphela ngendlela ebuhlungu, njengokuphuphuma kwesisu, ukukhipha isisu, noma ukuzalwa komntwana eseshonile.

Uqala kanjani lolu hambo olumangalisayo?

Ukukhulelwa kuyinqubo eyinkimbinkimbi kakhulu futhi emangalisayo. Kodwa konke kuqala ngamaseli amabili amancane: iqanda lowesifazane kanye nesidoda sowesilisa. Ake sibheke ukuthi lokhu kwenzeka kanjani.

• Amaqanda avela kuma-ovari: Ama-ovari omzimba wakho aqukethe amaqanda. Inyanga ngayinye, ngesikhathi sokuya esikhathini, iqanda liyakhishwa esibelethweni. Leli qanda lihamba ngepayipi le-fallopian bese lilinda amahora ayi-12 kuya kwangu-24 ukuze kufike isidoda. Le nqubo ibizwa ngokuthi i-ovulation .

• Isidoda sivela emasendeni: Amasende endoda akhiqiza isidoda. Ngesikhathi sokuphuma kocansi, izigidi zesidoda ziyakhishwa. Ngesikhathi socansi, lesi sidoda sidlula esithweni sangasese sowesifazane bese siya emapayipini e-fallopian.

Ukuze ukukhulelwa kwenzeke, iqanda nesidoda kumele kuhlangane. Uma isidoda singena eqandeni, sikubiza ngokuthi ukukhulelwa . Manje, leli qanda elivundisiwe lihlukana libe yinqwaba yamaseli, lihamba ngepayipi le-fallopian, bese lifika esibelethweni sakho cishe ezinsukwini ezintathu. Libe selibizwa ngokuthi i-blastocyst. Bese leli nqwaba yamaseli inamathela odongeni lwesibeletho bese izifakela yona. LokhuLokhu kubizwa ngokuthi ukufakelwa. Yilapho isikhathi sokukhulelwa siqala khona ngempela.

Ngemva kokufakelwa, umzimba wakho uqala ukukhiqiza ama-hormone okukhulelwa. Lawa ma-hormone ayamisa ukuya kwakho esikhathini futhi asize umntwana akhule.

Uma kungenjalo ngokwemvelo, ingabe zikhona ezinye izindlela? (ART)

Abanye abantu bangase babe nobunzima bokukhulelwa ngokwemvelo. Ezimweni ezinjalo, odokotela bangasiza iqanda nesidoda ukuthi kuhlangane. Lokhu yilokho esikubiza ngokuthi i-Assisted Reproductive Technology (ART). Kunezindlela ezimbili eziyinhloko:

• IUI (Intrauterine Insemination): Lokhu kuhilela ukuthi udokotela afake isidoda esivela kumuntu wesilisa ngqo esibelethweni sakho ngepayipi ekhethekile (i-catheter). Lokhu kwenziwa ngosuku lokuvuthwa kweqanda.
• I-IVF (Ukuvundiswa kwe-In vitro): Lena inqubo eyinkimbinkimbi kancane. Lapha, amaqanda akho kanye nesidoda somlingani wakho kuhlanganiswa elebhu ukuze kudalwe umbungu. Udokotela ube esefaka umbungu esibelethweni sakho. Kusetshenziswa imithi ehlukahlukene ukwandisa izinga lempumelelo yale nqubo.

Ukukhulelwa kuthatha isikhathi esingakanani? Ungabala kanjani usuku lokuzalwa?

Isikhathi sokukhulelwa esimaphakathi singamaviki angu-40 , noma cishe izinsuku ezingu-280 . Kodwa-ke, indlela lokhu okubalwa ngayo ingabadida kancane kwabanye abantu.

Udokotela wakho ubala ukuthi ukhulelwe isikhathi esingakanani kusukela ngosuku lokuqala kokuya esikhathini (i-LMP) . Yilapho abantu abaningi bedideka khona. Ngoba ukuvuthwa kwakho kwenzeka cishe emavikini amabili ngemva kokuqala komjikelezo wakho wokuya esikhathini. Lokho kusho ukuthi usunamasonto amabili kulokhu kubalwa ngaphambi kokuba ukhulelwe ngempela.

Kukhona indlela yokubala usuku lwakho lokuphelelwa yisikhathi:

1. Bhala usuku owaqala ngalo ukuya esikhathini kwakho kokugcina.

2. Engeza izinsuku eziyisikhombisa kulolo suku.

3. Bala izinyanga ezi-3 ubuyele emuva kusukela osukwini lokufika.

4. Bese wengeza unyaka.

Kodwa khumbula, lokhu kumane nje kuyisilinganiso esilinganiselwe. Usuku udokotela wakho akunikeza lona lunembe kakhulu. Futhi, iphesenti elincane kakhulu lezingane ezizalwa ngosuku lwazo oluqondile, cishe u-5% .

Isigaba sesithathu salolu hambo: ake sibone ukuthi kwenzekani

Lolu hambo lwamasonto angu-40 luhlukaniswe ngezigaba ezintathu eziyinhloko. Sibiza lezi zigaba ezintathu. Phakathi nesigaba ngasinye, umzimba wakho kanye nomntwana wakho badlula ezinguqukweni ezinkulu. Cabanga nje, isibeletho sakho, esiqala cishe ngobukhulu belamula, sikhula sibe ngobukhulu bekhabe ekugcineni!

Zigweme lezi zinto ku-trimester yokuqala!

Lesi yisikhathi esibaluleke kakhulu lapho izitho ezibalulekile zengane yakho zikhula khona. Yingakho udokotela wakho ezokucebisa ukuthi uzigweme ngokuphelele lezi zinto:

• Noma yisiphi isiphuzo esiqukethe utshwala .
• Imikhiqizo kagwayi (ukubhema).
• Izidakamizwa ezisetshenziswa ukuzijabulisa.
• Ukudla okuthile: Isibonelo, imikhiqizo yobisi engaphekiwe, inhlanzi eluhlaza, kanye nenhlanzi ene-mercury eningi .

Iyini ingane "ehlala isikhathi eside"?

Odokotela bahlukanisa ukukhulelwa ngenye indlela. Igama elithi "Full-term" lisho isikhathi esiphelele somntwana. Amathuba amahle kakhulu okuba nomntwana onempilo uma ezalwa ngalesi sikhathi.

• Isikhathi esigcwele: Uzalwe phakathi kwamasonto angu-39 nezinsuku ezingu-0 kanye namasonto angu-40 nezinsuku ezingu-6.
• Ukubeletha kusenesikhathi: Ukuzalwa phakathi kwamasonto angu-37 nezinsuku ezingu-0 kanye namasonto angu-38 nezinsuku ezingu-6.
• Ukubeletha sekwephuzile: Ukuzalwa phakathi kwamasonto angu-41 nezinsuku ezingu-0 kanye namasonto angu-41 nezinsuku ezingu-6.
• Ngemva kwesikhathi: Ukuzalwa ngemva kwamasonto angu-42.

Kungani kufanele ubonane nodokotela ngesikhathi sokukhulelwa?

Ukuthola ukunakekelwa kokubeletha njalo ngesikhathi sokukhulelwa kuyinto engcono kakhulu ongayenza empilweni yakho neyengane yakho . Ngokuya emtholampilo njalo , udokotela wakho angahlola impilo yakho, athole noma yiziphi izinkinga kusenesikhathi, futhi aqinisekise ukuthi ingane yakho ikhula njengoba kulindelekile.

Emtholampilo, udokotela wenza izinto ezifana nalezi:

• Ukuhlola umzimba wakho, ibele, ukuhlolwa kwe-pelvic.
• Ukubuza imibuzo mayelana nezimpawu zakho, indlela ophila ngayo, kanye nemikhuba yakho.
• Ukuhlola umfutho wegazi lakho kanye nesisindo sakho.
• Ukulalela ukushaya kwenhliziyo kwengane ngedivayisi ekhethekile (i-fetal Doppler).
• Kala ubukhulu besisu sakho (ukuphakama kwe-fundal) ukuze uthole umbono wokukhula komntwana.
• Ukuchaza ukuhlolwa kokuhlolwa kokukhulelwa ukuze kubonakale ukuthi ingane inezifo ezithile zofuzo, njenge-Down syndrome.
• Ukuhlolwa kwegazi kwenziwa ukuze kuhlolwe i-anemia kanye nesifo sikashukela sokukhulelwa.
• Ihlola izifo ezifana ne-syphilis kanye ne-HIV.
• Ukuskena nge-ultrasound.
• Bazokhuluma ngendlela umntwana azozalwa ngayo kanye nezifiso zakho.
• Uzophendula noma yimiphi imibuzo onayo.

Uhlelo lokuya emtholampilo

Ngokuvamile, ngesikhathi sokukhulelwa okunempilo ngaphandle kwezinkinga, uzobona udokotela wakho kanje:

• Kanye ngenyanga kuze kube amasonto angama-28.
• Kusukela emavikini angu-28 kuya kwangama-36Kanye njalo emavikini amabili.
• Kanye ngesonto kusukela emavikini angu-36 kuze kube yilapho umntwana ezalwa.