Uzoba ngumama? Ake sifunde konke ngokukhulelwa ngendlela elula!

Sawubona! Ingabe ulindele umntwana omusha kulezi zinsuku? Uma kunjalo, kumelwe ukuthi ujabule kakhulu, akunjalo? Kuvamile ukuthi ube nemibuzo eminingi kanye nokwesaba okuncane phakathi nalesi sikhathi. Ngakho-ke, namuhla sizoxoxa ngokuthi ukukhulelwa kuyini, kwenzekani phakathi nalesi sikhathi, nokuthi yini okudingeka ukwazi. Ake sikuqonde konke lokhu kalula, njengokungathi ukhuluma nomngane wakho omkhulu.

Kuyini ukukhulelwa? Kwenzeka kanjani?

Kalula nje, ukukhulelwa yisikhathi lapho ingane eyodwa noma ngaphezulu zikhula ngaphakathi kwesibeletho sakho. Lokhu kuvame ukwenzeka ngemva kocansi. Kodwa-ke, ngezinye izikhathi ukukhulelwa kungenzeka futhi ngokusebenzisa ubuchwepheshe bokusiza ekuzaleni (ART) . Indlela elula yokwazi ukuthi ukhulelwe yini ukwenza ukuhlolwa kokukhulelwa ekhaya. Kodwa-ke, ukuhlolwa kwegazi nakho kungaqinisekisa lokhu. Izimpawu zokuqala abantu abaningi abaziqaphelayo ukungayi esikhathini, ukucasuka ekuseni, kanye nokukhathala.

Ukukhulelwa okuningi kugcina ngokuzalwa komntwana onempilo. Lokhu kungaba ukubeletha okuvamile kwesitho sangasese sowesifazane noma ukuhlinzwa ngokuhlinzwa. Kodwa-ke, kumelwe sikhumbule ukuthi ngezinye izikhathi, izinto zingahamba kabi, njengokuphuphuma kwesisu, ukukhipha isisu, noma ukuzalwa komntwana eseshonile.

Manje ake sibheke ukuthi le nqubo eyinkimbinkimbi ebizwa ngokuthi ukukhulelwa yenzeka kanjani. Konke kuqala ngokuhlangana kweqanda nesidoda. Cabanga ngale ndlela...

• Amaqanda: Lawa atholakala kuma-ovari akho. Inyanga ngayinye ngesikhathi somjikelezo wakho wokuya esikhathini, iqanda elilodwa likhishwa kwelinye lama-ovari akho. Leli qanda lihamba kancane kancane epayipini le-fallopian, lilinde ukuthi kufike isidoda. Le nqubo ibizwa ngokuthi i-ovulation . Lokhu kuthatha phakathi kwamahora ayi-12 nama-24.
• Isidoda: Isidoda sivela emasendeni endoda. Ngesikhathi sokuphuma kocansi, izigidi zesidoda zikhishwa epenis. Ngesikhathi socansi, lesi sidoda sidlula esithweni sakho sangasese sowesifazane siye emapayipini akho esitho sangasese sowesifazane.

Ukuze ukukhulelwa kwenzeke, isidoda neqanda kumele kuhlangane futhi kuhlangane. Lokhu kubizwa ngokuthi 'ukukhulelwa' . Isidoda sihlangana neqanda bese kwenzeka 'ukukhulelwa'. Manje leli qanda elivundisiwe lihlukana libe amaseli amaningi bese lihamba ngepayipi le-fallopian njenge -'blastocyst' . Ngemva kwezinsuku ezintathu, leli 'blastocyst' lifika esibelethweni sakho. Lapho, lizitshala odongeni lwesibeletho. Lokhu kubizwa ngokuthi 'ukufakelwa'.Manje sekuyilapho iba umbungu. Ngemva kokufakelwa, i-placenta iqala ukwakheka. Ezinsukwini ezimbalwa, lo mbungu uzoshintsha kakhulu ube umbungu , okuyinto odokotela abayibiza ngayo kuze kube yilapho umntwana ezalwa.

Ngemva kokufakelwa, umzimba wakho uqala ukukhulula ama-hormone okukhulelwa. Lawa ma-hormone yiwo akuvimbela ukuthi ungaphinde uye esikhathini. Aphinde asize ekukhuleni kwengane esanda kuzalwa.

Ingabe kufanele sifunde okuncane ngobuchwepheshe bokuzala obusizayo (ART)?

Uma abanye abantu bekuthola kunzima ukukhulelwa ngokwemvelo, kunezindlela zokuthola abantwana ngosizo lodokotela. Lokhu yilokho esikubiza ngokuthi `(Ubuchwepheshe Bokuzala Obusizwayo - ART)`. Nalapha futhi, abalingiswa abayinhloko yiqanda kanye nesidoda. Kodwa-ke, esikhundleni sokukhulelwa okwenzeka ngokwemvelo, udokotela usiza laba ababili ukuthi bahlangane kalula. Ake sibheke ezinye zezindlela ezivame ukusetshenziswa `(ART)`:

• Ukufuthwa Kwesibeletho (IUI): Yilapho udokotela efaka khona isidoda ngqo esibelethweni sakho esebenzisa ithubhu elincane (i-catheter). I-IUI yenziwa ngesikhathi sokukhishwa kweqanda. Abanye besifazane banikezwa imithi yokuzala ukuze bandise amathuba abo okukhipha iqanda.
• Ukuvundiswa kwe-In Vitro (IVF): Ngale ndlela, udokotela uhlanganisa amaqanda nesidoda elabhorethri ukuze adale umbungu. Umbungu ube usufakwa esibelethweni sakho. Ngesikhathi somjikelezo we-IVF, udokotela wakho angakunika imithi ehlukahlukene. Lokhu kusiza ukulawula inqubo futhi kwandise amathuba okukhulelwa okuphumelelayo.

Zingaki izinsuku zokukhulelwa?

Ukukhulelwa okujwayelekile kuthatha cishe amasonto angu-40, noma izinsuku ezingu-280 . Kodwa-ke, indlela lokhu okubalwa ngayo ingaba yinto edidayo kancane.

Esikhathini esiningi, udokotela wakho uzokubala ukuthi usunesikhathi esingakanani ekukhulelweni kwakho ngokusekelwe osukwini lokugcina lokuya esikhathini (i-LMP) . Lokhu kungaba yinto edidayo kancane, ngoba ukuvuthwa kweqanda kuvame ukwenzeka cishe emavikini amabili ngemva kokuqala kokuya esikhathini. Ngakho-ke, uma uthatha ukuhlolwa kokukhulelwa emavikini amabili ngemva kokuvuthwa kweqanda, usuvele ukhulelwe amasonto amane!

Ungacabangi kakhulu ngalezi zibalo. Udokotela wakho uzokuchazela zona. Uzokwenza ne-ultrasound scan bese ekunikeza usuku lokugcina.

Ngisho noma ukhulelwa nge-IVF, inani lamasonto okukhulelwa liyafana. Kodwa-ke, indlela udokotela wakho akubalela ngayo ingase ihluke kancane. Lokhu kungenxa yokuthi yeqa ezinye zezinyathelo ezingathatha cishe amasonto amabili ekukhulelweni kwemvelo futhi ibeke umbungu ngqo esibelethweni.

Uthola kanjani usuku oluqondile lokuphelelwa yisikhathi?

Manje sekukhona "ama-calculator" aku-inthanethi ukuthola ukuthi ingane yakho izozalwa nini. Enye indlela yile:

• Bhala phansi usuku lokugcina lokuya esikhathini (`LMP`).
• Engeza izinsuku eziyisikhombisa kulokho.
• Bala izinyanga ezintathu ubuyele emuva kusukela kulolo suku.
• Bese wengeza unyaka.

Ngisho noma ubala usuku lwakho lokuzalwa ngale ndlela, udokotela wakho uzoqinisekisa usuku noma akunike usuku olusha ngokusekelwe emiphumeleni ye-ultrasound scan uma uya emtholampilo. Njengoba nje uya emitholampilo yangaphambi kokubeletha, udokotela wakho angahlola ukunemba kosuku lwakho lokuzalwa.

Kodwa khumbula, kunethuba elingu-5% kuphela lokuthola umntwana ngosuku olunikeziwe!

Iyini le 'nkathi yokukhulelwa'?

Ubudala Bokukhulelwa bumane buyisikhathi esithathayo ukukhulelwa. Lokhu kungaba yinto edidayo kancane, ngoba kubalwa kusukela esikhathini sakho sokugcina sokuya esikhathini (i-LMP). Lokho kusho ukuthi kufaka phakathi isikhathi ngaphambi kokuba ukhulelwe ngempela. Ukuze kube nembile, yisikhathi ngaphambi kokukhishwa kwamaqanda, lapho umzimba wakho ulungiselela ukukhulelwa.

Ubudala bokukhulelwa buyinhlanganisela yamasonto nezinsuku. Isibonelo, ukukhulelwa kuthiwa kunamasonto angu-22 kanye nezinsuku ezingu-3 zokukhulelwa. Ungakubona lokhu kubhalwe njengo-22 3/7, noma kungase kuthiwe "kungamaviki angu-22 okukhulelwa".

Le "minyaka yokukhulelwa" ibhekisela ekukhulelweni, hhayi eminyakeni yombungu. Ubudala bombungu akuyona indlela yokulinganisa evame ukusetshenziswa odokotela. Isizathu esiyinhloko salokhu ukuthi badinga ukwazi kahle ukuthi ukukhulelwa kwenzeke nini. Kunzima kakhulu ukwazi kahle.

Ziyini izikhathi zokukhulelwa ezi-trimester?

Ukukhulelwa kuhlukaniswe izingxenye ezintathu eziyinhloko, ezibizwa ngokuthi 'ama-trimester' : i-trimester yokuqala, eyesibili, neyesithathu. I-trimester ngayinye inezinyanga ezintathu, noma cishe amasonto ayi-13 ubude.

Yini ongayilindela ku-trimester ngayinye?

Ikota ngayinye yokukhulelwa ihlukile. Izimpawu ozibonayo nazo zihlukile. Umzimba wakho (nomntwana) uyashintsha futhi ukhula kakhulu phakathi nekota ngayinye yokukhulelwa. Cabanga nje, isibeletho sakho sikhula sisuka kusayizi kalamula siye kusayizi wekhabe!

I-Trimester yokuqala (kuze kube amasonto ayi-13)

I-trimester yokuqala iphela uma usuneviki eziyi-13 ukhulelwe. Bonana nodokotela ngokushesha nje lapho uthola ukuthi ukhulelwe.

Nazi ezinye izinto ongazilindela ngesikhathi se-trimester yokuqala:

• Ukuzizwa ukhathele njalo.
• Ukucasuka ekuseni (lokhu kungenzeka nganoma yisiphi isikhathi sosuku!)
• Ubuhlungu bebele nokuvuvukala.
• Ukuzizwa sengathi ufuna ukudla okuthile nokuzizwa unengwa abanye ('Ukulangazelela ukudla noma ukuzonda ukudla').
• Isilungulela.
• Ukuqunjelwa.
• Ukushintshashintsha kwemizwa ngokuzumayo.
• Ikhanda elibuhlungu.

Udokotela wakho uzokutshela ukuthi uthathe i-vitamin ekhethekile yokukhulelwa. Bazokunikeza nohlu lwezinto okufanele uzigweme ngesikhathi sokukhulelwa. Ezinye zalezi zifaka:

• Iziphuzo ezidakayo.
• Imikhiqizo kagwayi (njengogwayi).
• Izidakamizwa (kufaka phakathi insangu). Kufanele ukhulume nodokotela wakho mayelana nensangu yezokwelapha.
• Ukudla okuthile: imikhiqizo yobisi engaphekiwe, inhlanzi eluhlaza, inhlanzi eningi nge-mercury.

Ikota Yesibili (amasonto ayi-13 kuya kwangu-28)

I-trimester yesibili iqala ngesonto le-13 futhi iphela ngesonto lama-28.

Abesifazane abaningi ababenesicanucanu nokukhathala ku-trimester yokuqala bazizwa bengcono kancane ku-trimester yesibili. Kodwa-ke, ezinye zezimpawu ze-trimester yokuqala zingase zivele phakathi nalesi sikhathi. Abesifazane abaningi baqala ukuzwa ukunyakaza komntwana ('ukunyakaza kwe-fetus') ku-trimester yesibili. Cishe emavikini ayi-17, iningi labesifazane selikhuphuke okungenani amakhilogremu ayi-10.

Ezinye izimpawu ongazilindela ku-trimester yesibili:

• Ubuhlungu bomzimba, ubuhlungu bemisipha.
• Ukwanda kwesisindo.
• Ukufiphala kwesikhumba esinombala esizungeze ingono (ama-areola).
• Ukuvela komugqa omnyama (`linea nigra`) ogeleza phakathi kwesisu.
• Kuvela amabala amnyama esikhumbeni.

Ikota yesithathu (amasonto angu-29 kuya kwangu-40)

Manje sekuyisigaba sokugcina! I-trimester yesithathu iqala emavikini angama-29 futhi iphela emavikini angama-40. Ungalindela izinhlungu ezithile njengoba ingane yakho (nesisu sakho) iqhubeka nokukhula. Uzokhula kancane isisindo njengoba ingane yakho ithola amafutha amaningi ukuze ihlale ifudumele ngemva kokuzalwa.

Nazi ezinye izinto ongazilindela ku-trimester yesithathu:

• Ukuzizwa uphelelwa umoya.
• Ubuhlungu emhlane. (Lokhu kuvamile ngoba umhlane uyaqina ngokwemvelo njengoba isisu sikhula).
• Ukudinga njalo ukuchama.
• Ubunzima bokuthola indawo yokulala ekhululekile.
• I-Colostrum - uhlobo lokuqala lobisi lwebele - luvuza emabeleni.
• Ukukhanyisa . Lokhu kusho ukuthi umntwana usekulungele ukuzalwa futhi wehlela phansi ethangeni.
• Ukubonisa izimpawu zokubeletha . Isibonelo, ukuba nokufinyela noma ukuphuma kwe-mucus plug.

Kuyini 'Ukukhulelwa Kwesikhathi Esigcwele'?

Odokotela bakhuluma nangokuthi "isikhathi" uma bekhuluma ngokukhulelwa. Ukukhulelwa kwesikhathi esigcwele ukukhulelwa okuhlala phakathi kwamasonto angu-39 nezinsuku ezingu-0 (39w0d) kanye namasonto angu-40 nezinsuku ezingu-6 (40w6d). Izingane ezizalwa ngesikhathi esigcwele cishe ziphilile. Kunezinye izindlela odokotela abazisebenzisayo:

• Ukubeletha kusenesikhathi: Ingane yakho izalwa phakathi kwamasonto angu-37 nezinsuku ezingu-0 (37w0d) kanye namasonto angu-38 nezinsuku ezingu-6 (38w6d).
• Ukuphela kwesikhathi sokubeletha: Ingane yakho izalwa phakathi kwamasonto angu-41 nezinsuku ezingu-0 (41w0d) kanye namasonto angu-41 nezinsuku ezingu-6 (41w6d).
• Ngemva kwesikhathi: Ingane yakho izalwa ngemva kwamasonto angu-42.

Hlobo luni lokunakekelwa kwezokwelapha oludingayo ngesikhathi sokukhulelwa?

Ukunakekelwa kwangaphambi kokubeletha kubaluleke kakhulu empilweni yakho nasempilweni yengane yakho. Ngokuya emihlanganweni yakho evamile yokukhulelwa, udokotela wakho angahlola impilo yakho futhi athole noma yiziphi izinkinga zokukhulelwa kusenesikhathi. Angahlola futhi ukuze abone ukuthi ingane yakho ikhula njengoba kulindelekile.

Nazi ezinye zezinto udokotela wakho azokwenza:

• Kuzokwenziwa ukuhlolwa ngokomzimba, ukuhlolwa kwamabele, ukuhlolwa kwesitho sangasese sowesifazane, noma ukuhlolwa kwe-Pap (uma isikhathi sikulungele ukuthi ukwenze)
• Babuza ngezimpawu zakho, indlela ophila ngayo, kanye nemikhuba yakho.
• Umfutho wegazi lakho kanye nesisindo sakho kuyahlolwa.
• Isilinganiso senhliziyo yengane silinganiswa kusetshenziswa i-fetal Doppler.
• Ukuze kuqashwe ukukhula kwengane yakho, kulinganiswa usayizi wesisu sakho ('ukuphakama kwe-fundal').
• Sikhuluma futhi sincoma ukuhlolwa kwangaphambi kokubeletha okunganquma ukuthi ingane isengozini yokuthola izimo zokuzalwa ezifana ne-Down syndrome.
• Kwenziwa umsebenzi wegazi ukuze kuhlolwe i-anemia kanye nesifo sikashukela sokukhulelwa, futhi amazinga ama-hormone ayahlolwa.
• Bahlola izifo ezifana ne-syphilis kanye ne-HIV.
• Kuyenziwa ukuskena nge-ultrasound. Ekukhulelweni okunobungozi obukhulu, ukuskena nge-ultrasound kuvame ukwenziwa kabili.
• Sizoxoxa nawe mayelana nokubeletha, ukubeletha, kanye nezinye izici zokunakekelwa kwakho.
• Ngizophendula noma yimuphi umbuzo onawo.

Uhlelo Lokuqokwa Kwangaphambi Kokubeletha

Inani lokuvakasha ozokuthola ngesikhathi sokukhulelwa kwakho liyahlukahluka. Abesifazane abanezimo ezithile zezokwelapha noma izinkinga kungadingeka ukuthi babonane nodokotela wabo kaningi. Uma ukukhulelwa kwakho kunempilo futhi kungekho zinkinga, udokotela wakho uvame ukukubona:

• Njalo emavikini amane kuze kube amasonto angama-28 okukhulelwa.
• Njalo emavikini amabili kusukela emavikini angu-28 kuya kwangama-36.
• Kanye ngesonto kusukela emavikini angu-36 kuze kube yilapho umntwana ezalwa.

Kufanele uthole isisindo esingakanani ngesikhathi sokukhulelwa?

Akukho silinganiso esiqondile salokhu, njengoba umzimba womuntu wonke uhlukile. Odokotela abaningi batusa ukuthi owesifazane okhulelwe andise phakathi kwamakhilogremu angu-25 no-35 (cishe amakhilogremu angu-11 no-16) .

Okokugcina, izinto okufanele uzikhumbule

Ukukhulelwa yisikhathi sezinguquko eziningi empilweni yakho, futhi kungaba nzima ngezinye izikhathi. Ungase uzizwe ujabule, ukwesaba, kanye nokulindela. Umzimba wakho udlula ezinguqukweni eziningi kakhulu! Ngakho-ke, kungaba nzima ukwazi ukuthi yini okufanele uyilindele nokuthi yini ongayilindele. Kuvamile ukuba nemibuzo eminingi mayelana nokuthi yini okufanele uyenze nokuthi yini okufanele uyilindele ngokukhulelwa okunempilo.

Into engcono kakhulu ongayenza ngesikhathi sokukhulelwa ukubonana nodokotela wakho ngesikhathi. Ungumthombo wakho ongcono kakhulu njengoba ubhekene noshintsho olukhulu empilweni yakho. Khuluma naye nganoma yikuphi ukukhathazeka noma ukwesaba ongase ube nakho, futhi uzozizwa ungcono kakhulu. Ungesabi ukubuza imibuzo!

Ngikufisela impilo enhle wena nomntwana wakho!

Ukukhulelwa , ukubeletha, umntwana, umama, impilo, i-trimester, ukunakekelwa kwangaphambi kokubeletha