Sebenzisa Ukulawulwa Kokuzalwa Ngemva Kokungabi Nakho ?! Yebo, Nansi isizathu.
Ngeke uzame ukukhulelwa kuze kube phakade. Kuzofika isikhathi lapho ungafuni ukukhulelwa. Kungenziwa ukuthi ube nezingane (emva kokukhulelwa ngemithi yokwelapha , mhlawumbe), noma ungase ufune ukuqeda ukucindezeleka kokuzama ukukhulelwa . Noma, ungase ululekwe ngezokwelapha ukuthi ungakhulelwa.
Uma ungafuni ukukhulelwa, kuzodingeka uhambe ngokulawulwa kokuzalwa noma ukhethe indlela yokukhulelwa.
Ukungenzi lutho akuwona ukulawulwa kokuzalwa. Lokhu kungaba ukuqonda okumangalisa nokukhathazayo imibhangqwana esebenzile izinyanga neminyaka ezama ukukhulelwa.
Ingabe udinga ngempela ukukhulelwa emva kokubeletha? Ngumuphi umqondo umbhangqwana ongenayo inzalo ongaqunta noma okudingeka asebenzise ukulawulwa kokubeletha? Futhi ukuqhubeka nokulawula ukuzalwa kwe-hormonal kulimaza kakhulu ukuzala kwakho , okwenze kube nzima nakakhulu ukukhulelwa uma ukhetha ukuzama ukuba nomunye ingane esikhathini esizayo?
Ngingayithola Ngempela Ukukhulelwa Ngokwemvelo Uma Ngingenayo I-Infertile?
Yebo, noma ngabe uthola ukuthi une-infertility, ungakwazi ukukhulelwa ngokwakho. Lokhu kuncike ekubambeni kwesizathu sokungasebenzi kwakho. Kubalulekile futhi ukwazi umehluko phakathi kokungabikho nokuhlukumeza.
Ukungabi namthetho kuchazwa ngokuthi ukungakwazi ukukhulelwa emva konyaka owodwa wokulala ocansini okungavimbelwe. Uma ungenakho ukubeletha, izingqinamba zakho zokukhulelwa ziphansi kunabantu abaningi.
Kodwa akunakwenzeka neze ukuba ukhulelwe ngokwakho.
Ngakolunye uhlangothi, uma ungekwazi ukukhulelwa (noma ukufaka umlingani wakho) ngaphandle kosizo lwezokwelapha. Isibonelo, uma zombili izigubhu zomama wesifazane zivinjelwe ngokuphelele , uyabumba. Noma, uma owesilisa enesibalo se-zero (azoospermia) , uyinyumba .
Ukuthola ngaphandle kosizo lokusiza ubuchwepheshe bokuzala ngeke kube nzima kulezi zimo.
Imibhangqwana eminingi enzima ukukhulelwa ayiyona eyinyumba. Kungakhathaliseki ukuthi isibalo esincane se-sperm noma i- ovulation engafanele , ngokuvamile kuhlale kungenzeka ukuthi umklamo wemvelo, ngisho noma lelo thuba liphansi. Abacwaningi baye babheka lezi zingqinamba.
Yiziphi Izimo Zokucabanga Ngemva Kokungabi Naso?
Kwesinye isifundo, imibhangqwana eyayinezokwelapha nge- IVF ezindaweni zokunakekelwa kwezibeletho zaseFrance yathunyelwa imibuzo elandelwayo ekulandeleni iminyaka engu-7 kuya kwengu-9 kamuva. Lezi zinhlolovo zithunyelwe kubo bobabili ababelethwe i-IVF nalabo ababengekho.
Emibhangqwana engu-1,320 eyakhulelwa ne-IVF, amaphesenti angu-17 (noma imibhangqwana engu-218) yaqala ukukhulelwa ngokwemvelo eminyakeni eyisikhombisa kuya kweyisishiyagalolunye eyalandela. Ezingu-814 imibhangqwana engazange iphumelele nge-IVF, amaphesenti angu-24 (noma imibhangqwana engu-193) yaqala ukukhulelwa.
Abacwaningi bathola ukuthi labo abangenalwazi olungenakuchazwa nalabo abancinyane babevame ukukhulelwa ngaphandle kosizo lwezokwelapha post-IVF.
Olunye ucwaningo lwathola ukuthi isilinganiso esilinganayo sokukhulelwa komzimba-amaphesenti angu-21.6 emibhangqwana yaqala ukukhulelwa ngaphandle kokwelashwa kokuzala eminyakeni eyangemva kokuthola i-IVF.
Abesifazane abathintekayo abane- primary ovarian insufficiency (eyaziwa ngokuthi ukuhluleka kwe-ovarian ngaphambi kwesikhathi) ngokuvamile badinga ukwelashwa kwe-IVF nge-egg donor ukuze bakhulelwe.
Kodwa-ke, ungase umangale ukuzwa ukuthi amaphesenti angu-5 ukuya kwangu-10 alaba besifazane abafanayo baqala ukukhulelwa ngamaqanda abo, ngezinye izikhathi ngosizo lwemithi yokuzala kodwa futhi ngezinye izikhathi ngokuzenzekelayo. Akekho ocacile ukuthi kungani.
Kukhona izigcawu ezimbalwa okufanele uzikhumbule:
- Okokuqala, eziningi zalezi zifundo zixhomeke emibhangqwaneni ebuyisela ukuhlola okuthunyelwe. Labo abathokozela ukukhulelwa bangase baphendule kangcono. Ngakho-ke, izindaba eziphelile-zingase zibekwe ngaphezulu.
- Okwesibili, la maphesenti awahlinzeki ngenani le-ngenyanga-odd, okungenzeka liphansi kakhulu. Lawa amaphesenti awakwazi ukukhulelwa eminyakeni eminingana .
- Okubalulekile lokhu: mhlawumbe awufuni ukuhlinzeka ngemithi yokwelapha nge-forego ngokusekelwe kulezi zibalo. Kodwa-ke, ngaphandle kokuthi udokotela wakho akutshele ngenye indlela, uma ungafuni ukukhulelwa, akufanele uthembele ekunganeni kwakho njengokulawulwa kokuzalwa. (Yebo, noma ngabe udinga i-egg donor ngaphambili ukukhulelwa.)
Izizathu Zokuya Ekulawulweni Kokuzalwa Ngemva kokungabi nalutho
Ukwenza isinqumo sokuya ekulawulweni kokubeletha noma ukusebenzisa ukuvimbela ukukhulelwa ngemuva kokungabikho komzimba kungaba inselele futhi kube nengxabano. Ngemuva komzabalazo wokuzama ukukhulelwa, kungani ufuna ukuvimbela ukukhulelwa ukuba kwenzeke?
Kunezizathu eziningana ezinhle.
Kulabo abakhulelwe (noma ngaphandle kosizo lwezokwelashwa), izizathu zokuvimbela ukukhulelwa zibandakanya:
- Izingane ezihlukanisayo : Isifiso esifanele sokungafuni izingane ezimbili ezincane kakhulu ngesikhathi esisodwa.
- Ukunquma ukumisa ukwakha umndeni wabo : Kungakhathaliseki ukuthi umisa ngemuva kwezingane eyodwa noma ezinhlanu, unganquma ukuthi usuqedile ukuthatha izingane.
- Ukungaqiniseki uma ufuna izingane eziningi: Mhlawumbe awukwazi uma ufuna okungaphezulu. Ungakhetha ukuvimbela uze unqume.
- Iseluleko sezokwelapha ngokuphathelene nokukhulelwa / ukuzalwa : Udokotela wakho angase akululekele ukuthi ungakhulelwa, ngezizathu eziningana.
Kulabo abangazange bakhulelwe ngemuva kokungazalwa, izizathu zokuvimbela ukukhulelwa zibandakanya lokhu:
- Ukuthatha ikhefu lesikhashana ukuzama ukukhulelwa : Kungaba nzima kakhulu ukuphumula ngokomzwelo ekucindezelekeni kokuzama ukukhulelwa uma kungenzeka ukuthi ukhulelwe.
- Ukunquma ngokuphila okungenabantwana : Ukuze ube nokuthula nokuxazulula, ungakhetha ukusebenzisa izisu emva kokunquma ngokuphila okungenasisindo emva kokungabikho .
- Iseluleko sezokwelapha ngokuphathelene nokukhulelwa / ukuzalwa : Isimo sakho singashintsha, futhi udokotela wakho angakutshela ukuthi ungaqhubeki ukuzama ukukhulelwa.
Ukusebenzisa ukukhulelwa kwengqondo ngemuva kokubeletha kungazizwa kungavamile. Akuvamile ukuthi amadoda nabesifazane bacabange ukuthi kufanele "vumela izinto zenzeke" ngemuva komzabalazo omkhulu. Abanye baze bazizwe benecala ngokuvimbela ngenkuthalo, becabanga ukuthi ngandlela-thile "bayenqaba" umqondo wokuthi "ingane" eyisimangaliso.
Asikho isizathu sokuzizwa unecala ngokudinga noma ukufuna ukuvimbela ukukhulelwa okwesikhashana noma unomphela. Ngokuvamile kuyindlela kuphela yokuqhubekela phambili noma ukubuyisela ukuthula kwengqondo. Lokhu kubaluleke kakhulu, uma kungenjalo, kunokuba kube khona "ukumangala."
Ingabe Ukulawula Ukuzalwa Kulimaza Ukuzala Kwami, Uma Ngifuna Ukuzama Ukuphinde Ngizizwe?
Ikakhulu kulabo abangase bafune ukuzama ukukhulelwa futhi, ukukhathazeka okwenzeka ekulawulweni kokubeletha kungalimaza ukuzala kwabo esikhathini esizayo kungabenza bangacabangi ngisho nokucabangela ukuzala.
Nazi izindaba ezinhle: Iningi locwaningo lokulawulwa kokuzalwa lubonisa ukuthi ukulawulwa kwama-hormonal akubanga imbangela yokuzala .
Nazi izindaba ezinhle kakhulu: Izifundo ezincane ezimbalwa zibonisa umthelela omncane kwezinye izici zokuzala. Ngenkathi le miphumela ibonakala iyesikhashana, kungenzeka ukuthi izenzeke kubantu besifazane abanenkinga yokuzala.
Ucwaningo olulodwa lwathola ukuthi ukusetshenziswa kwangaphambili kokulawulwa kokubeletha kungabangela ukukhanya kwe-endometrile encane, kepha lokhu kwakubonakala kungathinti izinga lokukhulelwa. Olunye ucwaningo lwathola ukuthi abanye besifazane bathola imijikelezo encane engavamile kuze kube yizinyanga eziyisishiyagalolunye ngemuva kokuyeka iphilisi.
Lokhu akusho ukuthi akufanele ucabange ukulawulwa kwama-hormonal, kodwa kufanelekile ukuxoxa nodokotela wakho. Kunezimo ezithile lapho udokotela wakho angancoma ukulawulwa kokuzalwa kwe-hormonal. Isibonelo, uma uhlinzwa ukuze ususe izilonda ze-endometrial , ukulawulwa kokuzalwa kwe-hormonal kunganciphisa ukwakheka kwamakhokhethi amasha e-endometrial.
Olunye uhlobo lokulawulwa kwama-hormonal okumele ulugweme uma unenhloso yokuzama futhi eminyakeni emibili yi-Depo-Provera (noma i-depot medroxyprogesterone acetate, noma i-DMPA) edutshulwa. Ngenkathi ezinye izinhlobo zokulawula ukubeletha zivuthisa ukuzala kwakho izinyanga ezimbalwa emva kokuyeka, isibhamu singaqhubeka sisebenze kuze kufike ezinyangeni ezingu-18 emva kokujola kwakho kokugcina.
Uma ukhathazekile ngemiphumela emibi engaba yingozi yokukhulelwa kwe-hormonal, ungasebenzisa indlela yokuvimbela. Amakhondomu noma i-diaphragm ene-spermicide ingase ibe ukukhetha okungcono.
> Imithombo:
> Lande Y1, Seidman DS, Maman E, Baum M, Dor J, Hourvitz A. "Imibono elandelanayo emva kwe-ART ephumelelayo ayihlotshaniswa nokuthunyelwa ngaphambi kwesikhathi. " Uhlehlisiwe. 2012 Aug; 27 (8): 2380-3. doi: 10.1093 / humrep / des202. Epub 2012 Jun 12.
> Soave I1, Lo Monte G, Marci R. "Ukukhulelwa okungajwayelekile nokungazalanga kahle: isipho eziningi > kunganis >. " N Am J Med Sci . 2012 Oct; 4 (10): 512-3. i-doi: 10.4103 / 1947-2714.102010.
> Troude P1, Bailly E, Guibert J, Bouyer J, de la Rochebrochard E; I-DAIFI Group. "Ukukhulelwa okungajwayelekile phakathi kwemibhangqwana eyayiphathwa ngaphambilini nge-in vitro fertilization. " Fertil Steril . 2012 Jul; 98 (1): 63-8. doi: 10.1016 / j.fertnstert.2012.03.058. I-Epub 2012 Apr 21.