Ingabe nawe ulahlekelwe ukuzala kwakho ngaphandle kwesizathu esicacile? (Ukungazali Okungachazeki) Ake sixoxe ngalokhu!

Ingabe wena nomyeni/umkakho nike naphupha ngokuba nomntwana, kodwa anikakwazi ukufeza lelo phupho? Ngezinye izikhathi, ngisho nangemva kokwenza zonke izivivinyo, ngisho nodokotela abakwazi ukusho ngokuqiniseka ukuthi, "Lesi yisona sizathu." Yilapho sikhuluma khona ngalesi simo esibizwa ngokuthi "ukungazali okungachazeki." Lokhu kuwumthwalo omkhulu ngempela, kodwa ake sixoxe ngakho ngokuningiliziwe, kulungile?

Kuyini Ukungazali Okungachazeki?

Kalula nje, ukungazali okungachazeki kwenzeka lapho kungekho sizathu esicacile sezokwelapha sokuba wena nomlingani wakho nibe nobunzima bokukhulelwa. Ngaphambi kokwenza lokhu, udokotela wakho uzokwenza uchungechunge oluphelele lwezivivinyo ukuze anqume ukuthi uyazala. Esikhathini esiningi, lezi zivivinyo zizoqinisekisa okulandelayo:

• Akukho ukuphazamiseka noma izinkinga zesakhiwo esibelethweni sakho .
• Ukuvuthwa kwenzeka ngezikhathi ezithile .
• Amapayipi akho e-fallopian awavaliwe futhi avulekile .
• I-ovarian reserve yakho ilungile .
• Ama-hormone adingekayo ukuze kukhiqizwe kabusha akhiqizwa ebuchosheni bakho .
• Ukuhlaziywa kwesidoda komlingani wakho ( inani lesidoda , usayizi, ukunyakaza, kanye nesimo) kuyinto evamile ngokuphelele .

Ngisho noma konke lokhu kufanele, uma ungaphansi kweminyaka engama-35 futhi ungakakwazi ukukhulelwa okungenani unyaka noma izinyanga eziyisithupha uma ungaphezu kweminyaka engama-35, odokotela bakubiza lokhu ngokuthi "ukungazali okungachazeki." Cabanga ngakho, ngezinye izikhathi lapho siya kofuna imithi yesifo esithile, odokotela benza izivivinyo eziningi, akunjalo? Lokhu kuyinto efanayo. Bazama konke, kodwa abakwazi ukuthola impande yenkinga. Kuyacasula kancane, kodwa akusona ukuphela komhlaba.

Sivame kangakanani lesi simo?

Kunzima ukusho ukuthi lokhu kuvame kangakanani. Ngoba lokho udokotela oyedwa akubheka “njengokuphelele” ekuhlolweni kokuzala kungahluka kuye ngodokotela. Lokho kusho ukuthi kunomehluko omncane endleleni okwenziwa ngayo ukuhlolwa, ngakho izibalo zingaba zimbi kancane. Umbiko owodwa uthi cishe u -10% wemibhangqwana ezama ukukhulelwa ingaba nalolu hlobo lokungabi nabantwana olungachazeki. Lokho kusho ukuthi zonke izivivinyo zayo zivamile. Kodwa-ke, eminye imibiko ithi leli naniKungaba phezulu kufike ku -30% . Ngakho-ke, lokhu akuyona into engakaze izwakale.

Kungenzeka yini ukuba nomntwana ngisho noma ungenaso isifiso sokuzala esingachazeki?

Yebo, ungakwazi! Lezi yizindaba ezinhle kakhulu engingakunika zona. Ukuthi nje utholakale une-"ukungabi nalutho okungachazeki" akusho ukuthi kufanele ulahle ithemba. Ucwaningo olwenziwe yi-National Institute of Health (NIH) luthole ukuthi ama-92% emibhangqwana enokungabambi lutho okungachazeki yaqhubeka nokuthola umntwana ngemuva kokuthola ukwelashwa kokungabi nalutho. Lokho kusho ukuthi kusenethuba elihle lokuthi iphupho lakho lizogcwaliseka.

" Ukungazali okungachazeki" akusho ukuthi awukwazi ukuba nomntwana. Kusho ukuthi kufanele uzame ngendlela ehlukile kancane.

Ingabe asikho ngempela isizathu? Yiziphi izizathu ezifihliwe ezingase zibangele lokhu?

Ngisho noma kuthiwa "imbangela ayicaci," ngezinye izikhathi kukhona imbangela ngempela. Kodwa-ke, leyo mbangela ingaba yinto engenakulinganiswa noma engenakutholakala ngokuhlolwa kwamanje. Noma, ingaba yinto ecashile kangangokuthi ayitholakali. Ake sibheke ezinye zezizathu ezingaba khona:

Isimo sezokwelapha esingabonakali kahle, esingaqondakali kahle

Abacwaningi basafunda ukuthi izimo ezithile zezokwelapha zithinta kanjani ukuzala. Isibonelo, isifo se-Celiac (ukungezwani komzimba ne-gluten), isifo sikashukela, kanye nezimo ze-thyroid konke kungathinta ukuzala. Ungase ube nesinye salezi zimo, kodwa kungenzeka singabonwa ngokugcwele.

Isimo se-Endometriosis

I-Endometriosis yisimo lapho izicubu ezivame ukukhula ngaphakathi kwesibeletho (i-endometrium) zikhula ngaphandle kwesibeletho. Ngisho nasezimweni ezincane kakhulu, lokhu ngezinye izikhathi kungabangela ukungazali. Ukuze wazi ngokuqinisekile ukuthi une-endometriosis noma cha, udinga ukuhlinzwa (njenge-laparoscopy). Ngisho noma ungenazo izimpawu, lesi simo singathinta ukuzala kwakho.

Izinkinga ze-mucus yomlomo wesibeletho

Ngesikhathi sokuvuthwa kweqanda , i-mucus yomlomo wesibeletho isiza isidoda ukuthi sihlangane neqanda. Uma le-mucus iba nkulu kakhulu, noma uma iqukethe izingxenye ezithile, isidoda singase singakwazi ukudlula emlonyeni wesibeletho siye esibelethweni.

Ikhwalithi yeqanda

Odokotela bangasebenzisa i-ultrasound ukubheka ama-follicle kuma-ovari akho futhi balinganise ukuthi unawo amaqanda amangaki. Kodwa-ke, i-ultrasound ayikwazi ukutshela ikhwalithi yalawo maqanda. Nakuba ukuhlolwa kwegazi kanye ne-ultrasound kungakunikeza umbono othile ngekhwalithi yamaqanda akho, kunzima ukusho ngokuqinisekile.

Ikhwalithi yesidoda

Njengasemaqandeni,Ukuhlaziywa kwesidoda kungabona izinkinga eziningi ngesidoda. Kodwa-ke, ngezinye izikhathi ezinye izinkinga ezicashile ngesidoda nazo zingabangela ukungazali okungachazeki.

Izinkinga ngolwelwesi lwangaphakathi lwesibeletho (i-Endometrium)

I-endometrium iwungqimba olungaphakathi kakhulu lwesibeletho sakho. Iqanda elivundisiwe liyafakwa bese likhula libe umbungu kulolu ngqimba. I-luteal phase defect yisimo lapho i-endometrium ingajiyile ngokwanele noma ingakulungele ngokwanele ukuthola iqanda elivundisiwe. Uma lokhu kwenzeka, noma ngabe iqanda livundisiwe, ngeke likwazi ukufakwa esibelethweni. Ukukhulelwa ngeke kwenzeke.

Isikhathi esingaguquguquki socansi

Ngezinye izikhathi, ukuvama kocansi, noma isikhathi socansi, kungase kungahambisani nokuvuthwa kwakho. Lokhu kungase kubonakale kuyinto encane, kodwa kungathinta amathuba akho okukhulelwa. Ngezinye izikhathi kungenzeka ngaphandle kwesizathu esicacile, noma imbangela ingaba nzima ukuyithola noma ukuyiphatha. Izinto eziningi kudingeka zihambe kahle ukuze umntwana akhulelwe. Uma kukhona into encane engahambi kahle kuleyo nqubo, yonke into ingahamba kabi. Kodwa izindaba ezinhle ukuthi abacwaningi bahlala bethola izindlela ezintsha zokuxilonga izinkinga zokuzala ezihlobene nezinto ezifana nekhwalithi yeqanda, ukusebenza kwezitho zokuzala, kanye nokusebenza kwesidoda.

Uyibona kanjani ngokunembile le nkinga?

Akuzona zonke izinkinga zokungazali ezingatholakala ngokuhlolwa okukodwa. Futhi, akukho ukuhlolwa okunembe ngokuphelele (isibonelo, ukukhubazeka okuncane kakhulu kungase kungatholakali). Ngokusho kwe-American Society of Reproductive Medicine (ASRM), ukuhlolwa kokuzala kufanele kufake:

• Ukubuyekezwa komlando ophelele wezokwelapha nowezocansi .
• Ukwenza ukuhlolwa ngokomzimba .
• Ukuhlolwa kwegazi ukuhlola amazinga ama-hormone .
• Ukuhlolwa kwezitho zakho zokuzala, njengezitho zakho zokuzala, amashubhu e-fallopian, kanye nesibeletho . Lokhu kungafaka i-ultrasound noma ukuhlolwa okuthuthukile njenge- hysterosalpingogram noma i-laparoscopy .
• Ukuhlaziywa kwesidoda somlingani.
• Ukuhlolwa kokugodla kwama-ovary .
• Ukuhlola ukuthi ukuvuthwa kwakho kwenzeka kahle yini.

Uma uchwepheshe wezenzalo noma udokotela wezifo zabesifazane enza zonke lezi zivivinyo kodwa engakwazi ukuthola imbangela ecacile, khona-ke kubizwa ngokuthi "ukungazali okungachazeki." Khumbula ukuthi izindlela zokuhlola zodokotela ngamunye zingase zihluke kancane. Ngakho-ke, uma uthola ukuxilongwa okufana nalokhu, akukho lutho olungalungile ngokuthola "umbono wesibili" komunye udokotela.

Yiziphi izindlela zokwelapha ezitholakalayo?

Njengoba udokotela wakho engase angakwazi ukukhomba imbangela eyodwa yokungazali kwakho, cishe uzoncoma ukwelashwa ngokusekelwe emiphumeleni yakho yokuhlolwa kokuzala kanye nokuhlangenwe nakho kwakhe kokwelapha imibhangqwana efanayo. Ngaphezu kwalokho, izici ezinjengokuthi ufuna ukuqala ukwelashwa ngokushesha kangakanani kanye nobudala bakho nazo zizodlala indima. Ukwelashwa okuvame ukunconywa kuwela kulezi zigaba:

Ubuchwepheshe Bokuzala Obusizayo (ART)

Ubuchwepheshe Bokuzala Obusizayo (ART) uhlobo lokwelashwa kokuzala lapho ingxenye yenqubo yokukhulelwa yenziwa khona elabhorethri. Lokhu kufaka phakathi izinto ezifana nokufuya i-Intrauterine (IUI) kanye nokufuya i-In Vitro (IVF) .

• Ku -IUI , isidoda siyagezwa bese sigxishwa elabhorethri bese sifakwa ngqo esibelethweni sakho ngesikhathi sokuvuthwa kweqanda.
• I-IVF ihilela ukudala ama-embryo elabhorethri usebenzisa amaqanda akho kanye nesidoda somlingani wakho (noma somnikeli), esifakwa esibelethweni sakho ukuze sikhule. Ngokuvamile, i-IVF ihilela nenqubo ebizwa ngokuthi i-Intracytoplasmic Sperm Injection (ICSI) . Lokhu kuhilela ukufaka isidoda ngqo eqandeni. I-ICSI ingandisa amathuba okukhulelwa lapho ikhwalithi yesidoda kucatshangwa ukuthi iyimbangela yokungazali okungachazeki.

Izinhlobo zemithi

Imithi ekhuthaza ukuvuthwa kweqanda kanye nokuvuthwa kweqanda nayo iwusizo kakhulu. Le mithi ingasetshenziswa yodwa noma ihlanganiswe nemithi ye-IUI kanye ne-IVF. Imithi evame ukusetshenziswa kakhulu yi -gonadotropins kanye ne-clomiphene (Clomiphene - Clomid®) . Abanye odokotela banikeza nomuthi wokuzala obizwa ngokuthi i-letrozole (Femara®) , kodwa lokhu ukusetshenziswa okungekho emthethweni. Ama-Gonadotropins aqukethe ama-hormone akhulisa ukukhiqizwa kwamaqanda futhi asetshenziselwa ukwelapha inani eliphansi lesidoda. I-Clomiphene iphinde ikhuthaze ama-ovari ukuthi akhiqize amaqanda engeziwe. Udokotela wakho uzoncoma indlela efanele ngokusekelwe esimweni sakho. Kodwa-ke, khumbula ukuthi uma usebenzisa le mithi yokuzala, amaqanda angaphezu kwelilodwa angakhishwa emjikelezweni owodwa wokuya esikhathini. Uma lokho kwenzeka, kunethuba elikhulu lokuthola izingane ezingaphezu kweyodwa (njengamawele).

Izinguquko zendlela yokuphila

Eminye imikhuba yokuphila ingathinta ukuzala. Nazi ezinye izinto ongazenza ukuze wandise amathuba akho okukhulelwa umntwana:

• Gwema ngokuphelele ukubhema, ukuphuza utshwala nokusebenzisa izidakamizwa.
• Gcina isisindo somzimba siphilile.
• Yidla ukudla okuhle nokunomsoco.
• Zama ukuzivocavoca okungenani imizuzu engama-30 ngosuku.
• Nciphisa ukudla i-caffeine (itiye, ikhofi).
• Zama ukunciphisa ukucindezeleka kwakho .

Qaphela isikhathi socansi.

Kunesikhathi esincane kakhulu emjikelezweni wakho wokuya esikhathini lapho ungakhulelwa khona. Udokotela wakho angakusiza ukuthi ubone leli windi. Lokhu kungenziwa ngokulandelela izinga lokushisa lomzimba wakho eliyisisekelo, ukuhlela umjikelezo wakho wokuya esikhathini, noma ukusebenzisa ama-ovulation kit . Abanye odokotela bangase bathi, "Zama nje isikhashana." Lokhu kungaba uhlelo lokwelapha olunzima ukuluqonda, ikakhulukazi uma ungumuntu ophupha ngokuqala umndeni ngokushesha okukhulu. Kodwa-ke, ngezinye izikhathi inkinga iyazixazulula futhi ukwelashwa kungase kungadingeki. Kodwa-ke, akukho lutho olungalungile ngokubuza omunye udokotela ukuthi uyafuna yini, noma ukuqala ukwelashwa kokuzala ngokushesha kunokuba kamuva.

Ingabe ikhona indlela yokuvimbela lokhu?

Nakuba kunezinto ongazenza ukuze wandise amathuba akho okukhulelwa, kunezinto ezithile esingenakuzilawula ezithinta ukuzala. Ezinye zezinto ongazilawula yilezi:

• Isisindo: Gcina isisindo somzimba esinempilo esikufanele.
• Ukubhema notshwala: Gwema ukubhema ugwayi nokuphuza utshwala obuningi.
• Umlando wocansi: Sebenzisa amakhondomu ukuze uzivikele ezifweni ezithathelwana ngocansi (STIs) .

Khuluma nodokotela wakho ngezinkinga zakho zokuzala ukuze akwazi ukuncoma izinyathelo ezilandelayo ekunakekelweni kwakho.

Bangaki imibhangqwana engakwazi ukuthola abantwana ngendlela engachazeki ekhulelwayo?

Ucwaningo olulodwa luthole ukuthi cishe amaphesenti angu-43 alaba bantu bagcina bekhulelwe ngaphandle kokwelashwa kokuzala. Lokho kusho ukuthi ngezinye izikhathi kungenzeka ngokwako.

Yimiphi imibuzo ebalulekile okufanele uyibuze udokotela wakho?

Kuvamile ukuba nemibuzo eminingi uma kutholakala ukuthi "unesifo sokungazali okungachazeki." Izindaba ezinhle ukuthi ayikho inkinga enkulu ebangela ukungazali kwakho. Izindaba ezimbi ukuthi udokotela wakho akakwazi ukukutshela ngqo ukuthi kungani ungakhulelwa. Khuluma nodokotela wakho ngakho konke okusengqondweni yakho. Buza imibuzo efana nale:

• Yini ongincoma ukuthi ngiyenze ngokulandelayo?
• Iyiphi indlela enginika ithuba elihle kakhulu lokukhulelwa?
• Ingabe kukhona ukuhlolwa kwegazi noma ukuhlolwa kwezithombe okusadingeka kwenziwe?
• Ingabe isimo sezempilo esiyimfihlo singabangela ukungazali kwami?
• Ingabe kufanele ngibone uchwepheshe wezenzalo?

Sekuyisikhathi esingakanani uzama ukuthola udokotela?

Odokotela abaningi batusa ukuzama okungenani izinyanga ezingu-12 (ngonyaka) ngaphambi kokufuna ukwelashwa kokungabi nabantwana. Kodwa-ke, uma uneminyaka engu-35 noma ngaphezulu, bona udokotela ngemva kwezinyanga eziyisithupha . Udokotela wakho angase akuncome ukwelashwa ngokusekelwe emlandweni wakho wezempilo kanye nesifiso sakho sokuba nomntwana.

Okokugcina, izinto okufanele uzikhumbule (Umyalezo Wokuya Ekhaya)

Ukungazali okungachazeki kungaba ukuxilongwa okukhungathekisayo nokudidayo ngempela. Kusho ukuthi akekho ongathola ukuthi kungani ungakwazi ukukhulelwa. Kodwa ungakhathazeki, noma uphelelwe yithemba - kunezindlela zokwelapha ezingakusiza. Eminye imibhangqwana iyaphumelela ngemithi, i-IUI, noma i-IVF.

"Ukungazali okungachazeki" akusho ukuthi awusoze waba nomntwana. Kusho ukuthi odokotela bakho kuzodingeka bazame izindlela ezimbalwa ezahlukene zokukusiza ukuthi ukhulelwe.

Thola udokotela oqonda imizwa yakho futhi akusekele phakathi nalesi sikhathi esinzima. Ungalokothi ulahle ithemba. Sonke sikufisela inhlanhla ohambweni lwakho lokufeza iphupho lakho! Ukungazali, Ukulahlekelwa Yingane, Ukungazali Okungachazeki, Ukuzala, Ukukhulelwa, i-IVF, i-IUI