Ingabe sekwephuze kakhulu ukuthola umntwana wesibili? Ake sifunde ngokuzala kwesibili

Usuvele unengane enhle nethandekayo. Kodwa manje iphupho lakho nomyeni wakho ukwengeza enye ingane emndenini. Kodwa sekwephuze kakhulu ukukhulelwa kulokhu kalula njengoba nenza ngengane yakho yokuqala? Ubelokhu uzama izinyanga kodwa awukaze uthole izindaba ezinhle ngomntwana? Lokhu kuyinto abantu abaningi abayizwayo. Awuwedwa. Namuhla sizokhuluma ngesihloko abantu abaningi abangathandi ukukhuluma ngaso, kodwa sibaluleke kakhulu. Lokho ukungazali kwesibili.

Kuyini ngempela ukungazali kwesibili?

Kalula nje, ukungazali kwesibili kwenzeka lapho uke waba nomntwana oyedwa noma ngaphezulu ngokuvamile, ngaphandle kokwelashwa kokuzala kwangaphambilini, njenge-IVF, bese ungakwazi ukukhulelwa omunye umntwana noma ukuthwala lokho kukhulelwa kuze kube yisikhathi sokukhulelwa.

Odokotela bavame ukusola lesi simo lapho umbhangqwana ubelokhu uzama ukuba nomntwana izinyanga eziyisithupha noma unyaka kodwa wehluleka.

Kungani lokhu kwenzeka? Ake sixoxe ngezizathu ezivamile

Kunzima ukukhomba isizathu esisodwa salokhu. Ngezinye izikhathi isizathu sisemfazini, ngezinye izikhathi sisendodeni. Ngezinye izikhathi, kungaba yinhlanganisela yezinkinga ezincane kuzo zombili izinhlangothi. Ngezinye izikhathi, kungenzeka ukuthi kungabikho sizathu esingatholakala.

Nazi ezinye zezizathu eziyinhloko ezithinta lesi simo:

• Ubudala: Wena nomyeni wakho nobabili senikhulile manje kunangesikhathi nithola umntwana wenu wokuqala. Ukuzala ngokwemvelo kuyehla njengoba iminyaka ikhula.
• Izinguquko ekhwalithini yesidoda noma yeqanda: Ikhwalithi kanye nenani lesidoda noma amaqanda kungashintsha ngokuhamba kwesikhathi.
• Izinkinga zokukhulelwa kwangaphambilini: Kungase kube nezinguquko ezithile esibelethweni, njengasesikhathini sokukhulelwa kwangaphambilini, noma mhlawumbe ukuhlinzwa kwesisu (C-section).
• Imiphumela yokuhlinzwa: Imiphumela ingase ivele nakwezinye izihlinzeko ezenziwa esiswini noma endaweni ye-pelvic.
• Ukwanda kwesisindo: Uma uthola isisindo esiningi ngemva kokuthola umntwana wakho wokuqala, kungathinta ama-hormone akho futhi kunciphise ukuzala kwakho.
• Ezinye izifo noma imithi: Izimo ezintsha zezokwelapha, njengesifo sikashukela noma izinkinga ze-thyroid, noma imithi esetshenziswa zona, kungaba yimbangela.
• Izifo ezithathelwana ngocansi (ama-STI):Ukutheleleka okungelashwa kungalimaza izingxenye zomzimba, njengemibhobho ye-fallopian.
• Izinguquko endleleni yokuphila: Izinto ezifana nokubhema nokuphuza utshwala ngokweqile zithinta ngqo ukuzala.

Yiziphi izimbangela eziqondile ezithinta abesifazane?

Ngokombono wabesifazane, kunezici eziningana ezingaba imbangela yalokhu.

Ubuningi kanye nekhwalithi yamaqanda

Uma sizalwa, sinenani elithile lamaseli amaqanda emizimbeni yethu. Amaqanda amasha awakhiqizwa. Njengoba sisondela eminyakeni yethu yokugcina yama-30, inani lamaqanda liyancipha, futhi amaqanda asele anamathuba amaningi okuba nezinkinga ze-chromosome. Lokhu kunciphisa ikhono lokukhiqiza amaqanda asezingeni elihle.

Izinkinga ngesibeletho noma ngamapayipi e-fallopian

• Ukutheleleka: Ukutheleleka okufana ne-Chlamydia, i-Gonorrhea, noma i-Pelvic Inflammatory Disease (PID) okungazange kuphathwe kahle esikhathini esidlule kungavimba amapayipi e-fallopian. Uma indlela yeqanda eya esibelethweni ivaliwe, ukukhulelwa akunakwenzeka.
• Izibazi ezivela ekuhlinzweni: Uma izicubu zesibazi zakheke odongeni lwesibeletho ngenxa ye-D&C yangaphambilini (ukwanda kanye nokususwa kwesibeletho) noma ukuhlinzwa, kungase kuvimbele umbungu ekufakweni.
• Izimila zesibeletho: Ama-fibroids noma ama-polyps esibeletho, kuye ngokuthi isibeletho sikuphi, angaphazamisa ukukhulelwa.

Ezinye izimo zezokwelapha

• I-PCOS (i-Polycystic Ovary Syndrome): Lokhu ukungalingani kwama-hormone. Lokhu kubangela ukuya esikhathini okungajwayelekile kanye nokukhishwa kwamaqanda. Uma iqanda lingakhishwa, ukukhulelwa akunakwenzeka.
• I-Endometriosis: Lokhu kwenzeka lapho izicubu okufanele zikhule ngaphakathi kwesibeletho zikhula ngaphandle kwesibeletho, njengakuma-ovari. Lokhu kungathinta nokuzala.
• Indlela Yokuphila: Izinto ezinjengokukhuluphala ngokweqile, ukubhema, kanye nokuphuza utshwala kuthinta ngqo ukukhiqizwa kwamaqanda kanye nokukhiqizwa kwamaqanda.

Yiziphi izimbangela eziqondile ezithinta amadoda?

Le nkinga ithinta kokubili abesifazane nabesilisa. Nazi ezinye zezizathu ezingathinta amadoda.

Ukwehla kwe-hormone ye-testosterone

I-Testosterone iyi-hormone ebalulekile ekukhiqizweni kwesidoda. Ukuguga, ukulimala kwamathambo, isifo sikashukela, isifo se-thyroid, kanye nokucindezeleka okukhulu kungabangela amazinga aphansi ale hormone. Lesi simo saziwa ngokwezokwelapha ngokuthi "i-Hypogonadism".

I-Varicocele Yamasende

Lokhu kwenzeka lapho imithambo yegazi (imithambo yegazi ) ezungeze amasende ivuvukala futhi ikhula. Lokhu kungandisa izinga lokushisa lamasende, okungathinta ukukhiqizwa kwesidoda kanye nekhwalithi. Lokhu kuyimbangela evamile kakhulu yokungazali kwabesilisa.

Izinkinga zesidoda

• Ukwehla kwekhwalithi yesidoda: Ngemva kweminyaka engu-40, ikhwalithi yesidoda iqala ukwehla kancane.
• Inani eliphansi lesidoda: Uma inani lesidoda lingaphansi kwezigidi ezingu-15 ngemililitha ngayinye yesidoda, kubhekwa njengeliphansi. Odokotela babiza lokhu ngokuthi "i-Oligospermia".

Ezinye izizathu

• Izinkinga ze-prostate: Ukususwa kwe-prostate gland ngenxa yokukhula kwe-prostate noma umdlavuza kungathinta inqubo yokukhipha isidoda.
• Imithi ethile: Eminye imithi esetshenziswa umfutho wegazi ophakeme, izifo ezibangelwa yisikhunta, kanye nomdlavuza ingathinta ukukhiqizwa kwesidoda.
• Indlela yokuphila kanye nezici zemvelo: Ukukhuluphala ngokweqile, ukuchayeka kumakhemikhali afana nezibulala-zinambuzane, kanye nokuchayeka emazingeni okushisa aphezulu (isibonelo, ukugeza ngamanzi ashisayo isikhathi eside, ukugqoka izingubo eziqinile) nakho kungaba nomthelela.

Wenzani uma unokungabaza ngalokhu?

Uma wena noma umyeni wakho ninokukhathazeka ngalokhu, into engcono kakhulu ongayenza ukungesabi . Okulandelayo, bonana nodokotela ofanelekayo. Udokotela wezifo zokuzala noma udokotela wezifo zomchamo kungcono kakhulu.

Udokotela uzokubuza nobabili ngomlando wempilo yakho, indlela ophila ngayo, kanye nomjikelezo wakho wokuya esikhathini. Ngemuva kwalokho, uzonquma ukuthi yiziphi izivivinyo ezidingekayo.

Yiziphi izindlela zokwelapha lokhu?

Izindaba ezinhle ukuthi kunezindlela eziningi zokwelapha eziphumelelayo zokungabi nabantwana kwesibili. Uma imbangela yenkinga yakho isitholakele, udokotela wakho uzoncoma ukwelashwa okufanele kakhulu kuwe.

• Imithi: Kwabesifazane abangakhiphi ama-ovulation, imithi efana neClomiphene noma iLetrozole inikezwa ukulawula ukuvuthwa kwama-ovulation.
• IUI (Intrauterine Insemination): Lokhu kuhilela ukukhetha isidoda esingcono kakhulu esidodeni somyeni bese usifaka ngqo esibelethweni somfazi ngepayipi ekhethekile ngosuku lokukhishwa kweqanda. Lokhu kwandisa amathuba okuba isidoda sihlangane neqanda.
• I-IVF (In Vitro Fertilization): Lena inqubo eyinkimbinkimbi kancane. Kulokhu, amaqanda omfazi akhishwa emzimbeni wakhe, ahlanganiswe nesidoda somyeni wakhe elabhorethri ukuze kudalwe umbungu. Umbungu ophilile ube usubuyiselwa esibelethweni.
• Ukuhlinzwa: Uma kukhona ama-fibroids, ama-polyps, noma izicubu zesilonda esibelethweni, zingasuswa ngokuhlinzwa. I-Varicocele emadodeni nayo ingelashwa ngempumelelo ngokuhlinzwa.

Ubhekana kanjani nokucindezeleka okuhambisana nalokhu?

Mhlawumbe lena yingxenye enzima kakhulu. Uma unengane eyodwa, ungase uzizwe sengathi akekho oqonda usizi, intukuthelo, kanye nokungabi namandla okuzizwa lapho ungakwazi ukukhulisa ingane yesibili.

Ngezinye izikhathi, izihlobo nabangane bangase bathi izinto ezinjengokuthi, “Kunengane eyodwa kuphela, kwanele lokho.” Bangase bangasho lokho benezinhloso ezimbi, kodwa lokho akwenzi ubuhlungu obuzwayo bube buthakathaka.

Lolu uhambo oludinga ukuthathwa kancane. Kungathatha isikhathi ukuze ukwelashwa kuphumelele. Kubalulekile ukuhlala uqinile engqondweni phakathi naleso sikhathi. Uma kudingeka, ukufuna iseluleko kuchwepheshe wezempilo yengqondo nakho kungaba usizo kakhulu.