Ingabe wena nomlingani wakho niphupha ngokuqala umndeni, kodwa nikuthola kunzima ukufeza lelo phupho? Ngezinye izikhathi, ngisho nangemva kokwenza zonke izivivinyo encwadini, odokotela basalokhu bengakwazi ukukhomba isizathu esicacile sokungazali. Uma lokhu kwenzeka, sikubiza ngokuthi "Ukungazali Okungachazeki." Kungazwakala njengomthwalo omkhulu enhliziyweni yakho, kodwa ake sixoxe ngalokhu ndawonye, akunjalo?
Kuyini ngempela ukungazali okungachazeki?
Kalula nje, ukungazali okungachazeki kusho ukuthi wena nomlingani wakho benilokhu nilwela ukukhulelwa, kodwa akukho sizathu esithile sezokwelapha esitholiwe. Ngaphambi kokufinyelela kulesi sifo, udokotela wakho uzokwenza ukuhlolwa okuphelele kokuzala. Ezimweni eziningi, lezi zivivinyo ziqinisekisa ukuthi:
- Isibeletho sakho asibonisi ukuphazamiseka kwesakhiwo .
- Ukuvuthwa kwenzeka ngezikhathi ezijwayelekile nezinempilo.
- Amapayipi akho e-fallopian acacile futhi avulekile.
- I-ovarian reserve yakho isezingeni elifanele.
- Ubuchopho bakho bukhiqiza ama-hormone okuzala adingekayo ngendlela efanele.
- Ukuhlaziywa kwesidoda komlingani wakho (inani lesidoda, ivolumu, ukunyakaza, kanye nokwakheka kwaso) kungaphakathi ngokuphelele ebangeni elijwayelekile.
Uma zonke lezi zici zivamile, futhi ubulokhu uzama ukukhulelwa okungenani unyaka owodwa (uma ungaphansi kweminyaka engu-35) noma izinyanga eziyisithupha (uma ungaphezu kweminyaka engu-35) kodwa ungaphumeleli, odokotela bahlukanisa lokhu ngokuthi "ukungazali okungachazeki."
Cabanga ngakho njengokuvakashela udokotela ngenxa yokugula okuqhubekayo—benza izivivinyo, kodwa ngezinye izikhathi, abakwazi ukuthola imbangela. Kuyacasula impela, kodwa sicela wazi ukuthi lokhu akusona ukuphela kwendlela.
Sivame kangakanani lesi simo?
Kunzima ukusho inani eliqondile ngoba lokho udokotela oyedwa akubheka njengokuhlolwa kokuzala "okuphelele" kungase kuhluke komunye. Ngenxa yokuthi izindlela zokuxilonga ziyahlukahluka, izibalo zingase zishintshe.
Eminye imibiko iphakamisa ukuthi cishe u-10% wemibhangqwana ebhekene nobunzima bokukhulelwa ibhekene nokungabi nabantwana okungachazeki, kanti eminye iphakamisa ukuthi leli nani lingafinyelela ku -30% . Awuwedwa neze kulokhu okuhlangenwe nakho.
Usengakwazi yini ukukhulelwa nge-Unexplained Infertility?
Yebo, impela! Lezo yizindaba ezinhle kakhulu esingabelana ngazo. Ukuthola ukuxilongwa "kokungazali okungachazeki" akusho ukuthi kufanele ulahlekelwe yithemba. Ucwaningo olwenziwe yiNational Institutes of Impilo (NIH) luthole ukuthi ama-92% emibhangqwana enokungazali okungachazeki ithole ukukhulelwa ngemuva kokulandela ukwelashwa kokuzala. Iphupho lakho lokuba nomntwana lisafinyeleleka kalula.
"Ukungazali okungachazeki" akusho ukuthi awukwazi ukuba nomntwana. Kusho ukuthi kungase kudingeke ukuthi usondele ohambweni lwakho lokuba ngumzali ngendlela ehlukile.
Ingabe ngempela asikho isizathu? Yiziphi ezinye zezinto ezifihliwe?
Nakuba kubizwa ngokuthi "okungachazeki," kuvame ukuba nenkinga eyisisekelo; ukuthi nje ukuhlolwa kwezokwelapha kwamanje kungase kungabi bucayi ngokwanele ukukuthola, noma imbangela ingabonakali kakhulu. Ake sibheke ezinye zezinto ezingaba khona:
Izimo Eziyisisekelo Ezingatholakali
Abacwaningi basafunda ukuthi izimo ezahlukene zempilo zithinta kanjani ukuzala. Isibonelo, isifo se-Celiac (ukungabekezelelani ne-gluten), isifo sikashukela, kanye nezimo ze-thyroid zingathinta ukuzala. Kungenzeka ukuthi kukhona inkinga eyisisekelo kodwa ayikatholakali.
I-Endometriosis
I-Endometriosiskwenzeka lapho izicubu ezifana nolwelwesi lwesibeletho zikhula ngaphandle kwaso. Ngisho nasezimweni ezincane, lokhu kungathinta ukuzala. Ngokuvamile, inqubo yokuhlinzwa (njenge-laparoscopy) iyadingeka ukuze kutholakale ukuthi iyatholakala yini, njengoba ingase ingabi nezimpawu ezibonakalayo ngaso sonke isikhathi.
Izinkinga Zezinsini Zesibeletho
Ngesikhathi sokuvuthwa kweqanda , i-mucus yomlomo wesibeletho yakho isiza isidoda ukuthi sifinyelele eqandeni. Uma le-mucus ijiyile kakhulu noma inokwakheka okungafanele kwamakhemikhali, ingavimbela isidoda ukuba sidlule emlonyeni wesibeletho siye esibelethweni.
Ikhwalithi Yeqanda
Nakuba i -ultrasound ivumela odokotela ukuthi babone ama-follicle futhi balinganise inani lamaqanda akho, ayikwazi ukusitshela ngekhwalithi yalawo maqanda. Ukuhlolwa kwegazi kanye ne-ultrasound kunikeza isithombe esijwayelekile, kodwa abakwazi ukuhlola impilo encane yeqanda ngalinye.
Ikhwalithi Yesidoda
Njengoba kunjalo ngamaqanda, nakuba ukuhlaziywa kwesidoda kuthola izinkinga ezinkulu kakhulu, akukwazi njalo ukuhlonza izinkinga ezincane nezicashile ngaphakathi kwesidoda ezingase ziphazamise ukukhulelwa.
Izinkinga ze-Endometrial
I -endometrium ungqimba lwangaphakathi lwesibeletho sakho lapho iqanda elivundisiwe kufanele lifakwe khona ukuze likhule. Iphutha lesigaba se-luteal lenzeka lapho lolu ngqimba lungajiyi noma lungalungiseleli kahle, okwenza kube nzima ngombungu ukuthi ufakwe, noma ngabe kwenzeka ukukhulelwa.
Isikhathi Sokuhlangana Kwezocansi
Ngezinye izikhathi, ukuvama noma isikhathi socansi akuhambisani nefasitela lakho elithile lokuvuthwa kwamaqanda. Kungase kubonakale njengento encane, kodwa kudlala indima ebalulekile ekukhulelweni.
Ngezinye izikhathi asikho isizathu esibonakalayo, noma inkinga kunzima ukuyithola noma ukuyiphatha. Ukukhulelwa kuyinqubo eyinkimbinkimbi yezinto eziphilayo; uma isinyathelo esisodwa esincane singalungiswa kahle, yonke inqubo ingaphazamiseka. Izindaba ezinhle ukuthi abacwaningi eNirogi Lanka nasemhlabeni wonke bahlala bethuthukisa izindlela ezintsha zokuqonda kangcono ikhwalithi yeqanda, impilo yokuzala, kanye nokusebenza kwesidoda.
Lesi simo sihlolwa kanjani ngokunembile?
Akukho ukuhlolwa okukodwa okungaveza zonke izimbangela zokungazali, futhi ayikho indlela yokuxilonga engaba yiqiniso ngokuphelele. Ngokusho kwe-American Society for Reproductive Medicine (ASRM), ukuhlolwa okufanele kokuzala kufanele kufake okulandelayo:
- Ukubuyekezwa okuningiliziwe komlando wakho wezokwelapha nowezocansi .
- Ukuhlolwa okuphelele ngokomzimba .
- Ukuhlolwa kwegazi ukuhlola amazinga akho ama-hormone .
- Ukuhlolwa kwezitho zakho zokuzala, okuhlanganisa ama-ovari akho, amashubhu e-fallopian, kanye nesibeletho . Lokhu kungase kuhilele izinqubo ezithuthukisiwe zokuthwebula izithombe noma zokuxilonga njenge -ultrasound , i- hysterosalpingogram , noma i-laparoscopy .
- Ukuhlaziywa kwesidoda somlingani wakho.
- Ukuhlolwa kwe -ovarian reserve yakho.
- Ukuhlolwa kwemijikelezo yakho yokuvuthwa kwamaqanda ukuqinisekisa ukuthi ijwayelekile.
Uma uchwepheshe wezenzalo noma udokotela wezifo zabesifazane eqeda zonke lezi zivivinyo futhi engakwazi ukuthola imbangela ecacile, lesi simo sihlukaniswa ngokuthi “ukungazali okungachazeki.” Sicela ukhumbule ukuthi izindlela zokuhlola zingahluka phakathi kodokotela. Uma uthola lokhu kuxilongwa, akukho okubi nhlobo ekufuneni umbono wesibili.
Yiziphi izindlela zokwelapha ezitholakalayo?
Ngenxa yokuthi udokotela wakho akakwazi ukukhomba imbangela eyodwa yokungazali kwakho, izincomo zokwelashwa ngokuvamile zisekelwe emiphumeleni yakho yokuhlolwa kokuzala, ulwazi lomtholampilo lukadokotela wakho ngemibhangqwana efanayo, iminyaka yakho, nokuthi ufisa ngokushesha kangakanani ukuthola ukwelashwa okusebenzayo.
Ukwelashwa okunconywayo ngokuvamile kuvame ukuwela kulezi zigaba:
Ubuchwepheshe Bokuzala Obusizayo (ART)
Ubuchwepheshe Bokuzala Obusizayo (ART)kubhekisela ekwelashweni kokuzala lapho ingxenye yenqubo yokukhulelwa yenzeka khona elabhorethri. Lokhu kufaka phakathi ukufuya i-Intrauterine (IUI) kanye nokufuya i-In Vitro (IVF) .
- I-IUI ihilela ukugeza nokugxilisa isidoda somlingani wakho elebhu bese usifaka ngqo esibelethweni sakho ngesikhathi sokuvuthwa kweqanda.
- I-IVF ihilela ukusebenzisa amaqanda akho kanye nesidoda somlingani wakho (noma somnikeli) ukudala ama-embryo elabhorethri, abese edluliselwa esibelethweni sakho ukuze akhule. Ngokuvamile, i-IVF ihlanganisa i-Intracytoplasmic Sperm Injection (ICSI) , lapho isidoda esisodwa sijovwa khona ngqo eqandeni. Uma kusolwa ukuthi ikhwalithi yesidoda ephansi ibangela ukungazali okungachazeki, i-ICSI ingandisa kakhulu amathuba okukhulelwa.
Imithi
Imithi yokuzala ekhuthaza ukukhiqizwa kwamaqanda kanye nokukhishwa kwamaqanda iyasebenza kakhulu. Le mithi ingasetshenziswa yodwa noma kanye nokwelashwa kwe-IUI noma i-IVF. Imithi evame ukusetshenziswa kakhulu ifaka phakathi i-gonadotropins kanye ne-clomiphene (Clomid®) . Abanye odokotela bangase banikeze ne-letrozole (Femara®) , yize lokhu kuyindlela yokusetshenziswa engafanele yokuzala.
Ama-Gonadotropin aqukethe ama-hormone akhulisa ukukhiqizwa kwamaqanda futhi angalapha nenani eliphansi lesidoda. I-Clomiphene isebenza ngokuvuselela ama-ovari ukuthi akhiqize amaqanda engeziwe. Udokotela wakho uzoncoma inketho efaneleke kakhulu ngokusekelwe kuphrofayili yakho yezempilo ethile.
Sicela ukhumbule ukuthi uma usebenzisa imithi yokuzala, kungenzeka ukuthi kukhiqizwe amaqanda angaphezu kwelilodwa ngomjikelezo ngamunye, okwandisa amathuba okukhulelwa okuningi (njengamawele).
Izinguquko Zendlela Yokuphila
Imikhuba ethile yokuphila ingathinta ukuzala. Nazi ezinye izinyathelo ongazithatha ukuze uthuthukise amathuba akho okukhulelwa:
- Gwema ngokuphelele ukubhema, utshwala, nokusebenzisa izidakamizwa ngokuzijabulisa.
- Gcina isisindo somzimba siphilile.
- Landela ukudla okunempilo nokulinganiselayo.
- Zibekele okungenani imizuzu engama-30 yokuzivocavoca nsuku zonke .
- Nciphisa ukudla kwakho i-caffeine (itiye, ikhofi).
- Gxila ekunciphiseni amazinga akho okucindezeleka.
Isikhathi Sokuhlangana Kwezocansi
Unesikhathi esincane kakhulu sokuya esikhathini. Udokotela wakho angakusiza ukuthi uthole lesi sikhathi ukuze andise amathuba akho okukhulelwa. Lokhu kungenziwa ngezindlela ezifana nokulandelela izinga lokushisa lomzimba eliyisisekelo, ukuqapha umjikelezo wakho wokuya esikhathini, noma ukusebenzisa ama-predictor kits .
Kwezinye izimo, udokotela wakho angase asikisele "ukuzama isikhathi eside." Nakuba lokhu kungaba uhlelo olunzima ukwamukela—ikakhulukazi uma ufisa ukuqala umndeni—ngezinye izikhathi inkinga ixazululeka yodwa. Kodwa-ke, uhlala unelungelo lokufuna umbono wesibili noma ukhethe ukulandela ukwelashwa kokuzala ngokushesha uma lokho kuyindlela oyithandayo.
Ingabe ikhona indlela yokuvimbela lokhu?
Nakuba kunezinto eziningi ongazenza ukuze usekele ukuzala, ezinye izinto zingaphezu kwamandla akho. Izinyathelo ongazithatha zifaka:
- Isisindo: Gcina isisindo somzimba siphilile.
- Ukubhema Notshwala: Gwema ukubhema ugwayi futhi unciphise ukusetshenziswa kotshwala.
- Impilo Yocansi: Sebenzisa isivikelo ukuze ugweme izifo ezithathelwana ngocansi (ama-STI) , ezingathinta ukuzala.
Qiniseka ukuthi uxoxa ngokukhululekile nganoma yiziphi izinkinga mayelana nokuzala kwakho nodokotela wakho ukuze akwazi ukuncoma indlela engcono kakhulu yokunakekelwa kwakho eNirogi Lanka.
Lingakanani izinga lokukhulelwa kwemibhangqwana engakwazi ukuthola abantwana ngendlela engachazeki?
Ucwaningo lusikisela ukuthi cishe ama-43%yemibhangqwana enalesi sifo ikhulelwa ngokuhamba kwesikhathi ngaphandle kokungenelela kokuzala. Lokhu kubonisa ukuthi kwezinye izimo, ukukhulelwa kwemvelo kusengenzeka kakhulu.
Yimiphi imibuzo ebalulekile okufanele uyibuze udokotela wakho?
Ukuthola ukuxilongwa "kokungazali okungachazeki" kungaphakamisa imibuzo eminingi ngokwemvelo. Izindaba ezinhle ukuthi azikho izithiyo ezinkulu eziveziwe ekuzaleni kwakho. Ingxenye eyinselele ukuthi odokotela abakwazi ukusho ngokuqinisekile ukuthi kungani ukukhulelwa kungakafiki.
Zizwe ukhululekile ukuxoxa ngazo zonke izinkinga zakho nodokotela wakho. Cabanga ngokubuza imibuzo elandelayo:
- Yini oyincomayo njengesinyathelo sethu esilandelayo?
- Iyiphi indlela enginika ithuba eliphezulu lokukhulelwa?
- Ingabe kukhona ukuhlolwa kwegazi okusele noma izifundo zezithombe ezisasele okufanele zenziwe?
- Ingabe isimo sezempilo esiyimfihlo singaba nomthelela ekungazalini kwami?
- Ingabe kufanele ngithunyelwe kuchwepheshe wezokuzala?
Kufanele uzame isikhathi esingakanani ngaphambi kokuya kudokotela?
Odokotela abaningi batusa ukuzama okungenani izinyanga ezingu-12 (unyaka owodwa) ngaphambi kokufuna ukwelashwa kokuzala. Kodwa-ke, uma uneminyaka engu-35 noma ngaphezulu, kufanele uthintane nodokotela ngemva kwezinyanga eziyisithupha zokuzama. Ngokusekelwe emlandweni wakho wezokwelapha kanye nemigomo yakho, udokotela wakho angakunikeza uhlelo lokwelashwa oluqondene nawe.
Izinto zokugcina okufanele uzithathe (Umyalezo Wokuya Ekhaya)
Ukuthola ukuxilongwa 'kokungazali Okungachazeki' kungaba yinto edidayo kakhulu futhi ekhathazayo ngokomzwelo. Kusho nje ukuthi, naphezu kokuhlolwa okuphelele, isizathu esiqondile sobunzima bakho bokukhulelwa asikakatholakali. Kodwa-ke, sicela ungesabi noma ulahlekelwe yithemba—kunezindlela ezisebenzayo zokuqhubekela phambili. Imibhangqwana eminingi iphumelela ekutholeni ukukhulelwa ngemithi yokuzala eqondiwe, i-IUI (Intrauterine Insemination), noma i-IVF (In Vitro Fertilization).
'Ukungazali Okungachazeki' akusho ukuthi awusoze wakhulelwa; kusho ukuthi ithimba lakho lezokwelapha lidinga ukuhlola izinketho ezahlukahlukene ezisekelwe ebufakazini ukuze likusize ufinyelele ukukhulelwa okunempilo.
Phakathi nalolu hambo oluyinselele, sikukhuthaza ukuthi ufune uchwepheshe wezakhi zokuzala olalela izinkinga zakho futhi anikeze ukwesekwa okunesihawu nokwenzelwe wena. Ungalokothi ulahle amaphupho akho. Sonke eNirogi Lanka sisekela wena njengoba usondela ekufezeni umgomo wakho wokuqala umndeni.
Ukungazali, ubunzima bokukhulelwa, Ukungachazeki Ukungazali, ukuzala, ukukhulelwa, i-IVF, i-IUI
