Ukuphuza Kokuphuza Kokuphuza Kokudakwa Kokulimala, Ukukhulelwa, nokuHlala Kwengozi
Ngokusho kwesikhungo sokulawulwa kwezifo (CDC), abesifazane abathathu kwabayisishiyagalombili bayaqhubeka bedla utshwala naphezu kokuzama ukukhulelwa . Ingabe ingilazi yewayini evamile lapho uzama ukukhulelwa ? Kuthiwani ngokusetshenziswa kwezidakamizwa kaningi?
Uma ukhulelwe, kufanele ushiye ukuphuza. Ukulimala okungenzeka kumntanakho okhulayo kunzima ngokwanele ukuyeka izinyanga eziyisishiyagalolunye.
I-CDC ne-American Congress of Obstetrics kanye ne-Gynecologists (ACOG) batusa ukuthi abesifazane kufanele bagweme ngokuphelele iziphuzo ezidakayo kokubili lapho bezama ukukhulelwa futhi ngesikhathi sokukhulelwa.
Kodwa ingabe kunengqondo ukucela ukuzama ukukhulelwa abesifazane ukuba banqume ukuphuza ngokuphelele? Ikakhulukazi uma umbhangqwana uzama iminyaka, ukuma ngokuphelele kuyinto eningi okufanele uyibuze.
Kubuye kubalulekile ukuba kube ngokoqobo: abesifazane abaningi bamane bezinaki lezi zincomo eziqinile.
Kunezinkinga ezintathu okufanele uzicabangele uma uzenza lesi sinqumo:
- Ingabe ukuphuza uma uzama ukukhulelwa kungalimaza ingane yakho engakazalwa?
- Ingabe ukuphuza kunciphisa ukuzala kwakho, okwenza kube nzima ukukhulelwa?
- Ukuphuza ekukhulelweni kokuqala kungakwandisa ingozi yokukhulelwa kwesisu?
Iyini Ingozi Ebonakalayo Ekuphuzeni Lapho Ukhulelwe?
Njengoba kushiwo ngenhla, noma ngabe unquma ukuphuza ngenkathi uzama ukukhulelwa noma cha, kufanele nakanjani utshele iziphuzo ezidakayo uma uthola imiphumela yakho yokuhlola okukhulelwe.
Ngenxa yalokhu, ungase uthande ukusika iziphuzo uma isikhathi sakho sekwephuzile, ngisho noma ungakafiki umphumela wokuhlola okhulelwe .
Ayikho izinga lokusetshenziswa kwezidakamizwa eziphephile ngesikhathi sokukhulelwa. Izingozi ezingenzeka kumntanakho ongakazalwa zikhulu kakhulu ukungazinaki.
Ukuphuza ngesikhathi sokukhulelwa kuhlotshaniswa nalokhu:
- ukukhubazeka kokuzalwa (kubandakanya ukukhubazeka kobuso)
- isisindo sokuzalwa esincane
- ukulethwa kwangaphambi kwesikhathi
- ukulibaziseka ukuthuthukiswa kanye nokukhubazeka kwesikhathi eside
- i-fetal alcohol spectrum disorder (FASD)
- ukubeletha (ezimweni ezinzima)
Kukhona ukudideka ngalesi sihloko, ngenxa yocwaningo oluthola ukuthi ukuphuza utshwala ngosuku ngalunye akuzange kwandise ingozi yokubeletha kwangaphambi kokubeletha noma umntwana osindayo wokuzalwa.
Lolu cwaningo lwaluhlanganiswa kakhulu emithonjeni yezindaba, beshiya abaningi besifazane bebuza ukuthi ukugwema utshwala ngesikhathi sokukhulelwa kuyadingeka ngempela.
Inkinga yukuthi lo cwaningo aluzange lubheke umthelela ongenakucabangela kanye nengqondo. Ngisho noma lezi zingane zizalwa ngesisindo esinempilo, zingase zihlukane nezinselele zokufunda impilo yonke esikhathini esizayo.
Ngezansi: uma wazi ukuthi ukhulelwe, yeka ukuphuza.
Ingabe Ukuphuza Ngenyanga Yokuqala Kulimaza Ingane Yakho?
Konke okwakushoyo, kuthiwani uma utshwala kudliwe ngaphambi kokuba wazi ukuthi ukhulelwe?
Khumbula ukuthi uma uthola umphumela wokuhlola okhulelwe emuva, usuvele (okungenani) amasonto amane ukhulelwe. I-embryo, ezoba nethemba lokukhula ibe yintsana enempilo, ikhona emivikini emibili noma ngaphezulu.
Ingabe iziphuzo zokuphuza utshwala zidliwe ngesikhathi esiyingozi? Lo mbuzo kunzima ukuphendula.
Ucwaningo lwabasifazane abangaphezu kuka-5,000 babuke phakathi kobudlelwano phakathi kokuphuza utshwala ngaphambi kokufika kwamasonto angu-15 okukhulelwa. (Qaphela ukuthi amasonto angu-15 angaphezu kwamasonto amane okuqala, kodwa akakho isifundo sokuphuza kuphela kulawo maviki amane okuqala.)
Kuleli qembu labesifazane, amaphesenti angu-25 abika ukuphuza phakathi kweziphuzo ezidakayo ezintathu nesikhombisa ngesonto ezinyangeni ngaphambi nangesikhathi sokukhulelwa. Ucwaningo lwathola ukuthi akukho ukuhlangana phakathi kokuphuza utshwala ngaphambi kokukhulelwa kwamasonto angu-15 nokukhulelwa okuphansi, ukukhula kancane kwe-intrauterine , preeclampsia , noma ukuzalwa kwangaphambi kokuzalwa.
Kodwa-ke, njengocwaningo olukhulunywe ngenhla, abacwaningi abazange babike ngesilinganiso sokuqala kokukhulelwa kwesisu, noma izinkinga zokuzicabangela noma zokuziphatha ngemva kokubeletha.
Asikwazi ukuqinisekisa ukuthi ukuphuza ngenyanga yokuqala akunamthelela.
Ingabe Ukuphuza Lapho Uzama Ukuthola Ukwandisa Ingozi Yakho Yokushada Umshado?
Ingabe ukuphuza kuyanda ingozi yakho yokukhulelwa kwangaphambili ? Impendulo mhlawumbe, futhi kuncike.
Izifundo zinikeza imiphumela ephikisanayo. Olunye ucwaningo luthi akukho nengozi eyengeziwe, kodwa abanye bathi, yebo, ukuphuza kungaholela ekukhulelweni kwesisu, ikakhulukazi uma ukuphuza kudlula iziphuzo ezintathu noma ngaphezulu ngosuku.
Ucwaningo olunzulu lwabafazi abangaba ngu-18 000 babheka imikhuba yokuphuza kanye nengozi yokukhulelwa yisisu. Bathole ukuthi ukuphuza ngaphambi kokukhulelwa kwakungabandakanyeki ingozi yokukhulelwa kwesisu kwabesifazane ngaphandle komlando wangaphambili wokukhulelwa.
Olunye ucwaningo lwathola ukuthi ingozi yokukhulelwa komzimba ayizange ikhulise abesifazane kuze kudlule iziphuzo ezimbili ngosuku (ngaphambi kokukhulelwa.)
Kodwa-ke, ucwaningo olubheke ekudleni kokudakwa kweziguli ezine-IVF lubonisa umphumela ohluke kakhulu.
Ucwaningo oluhlanganisa imitholampilo eminingi yokuzala eCalifornia lithola ukuthi abesifazane abaphuza eyodwa noma ngaphezulu iziphuzo ngosuku-uma kuqhathaniswa nabesifazane abaphuza ngaphansi kwesisindo esisodwa ngosuku-babenezinkinga ezingaphezu kokuphindwe kabili.
Lokhu kwanda ingozi yokulahlekelwa kokukhulelwa kokuqala kwaba ngaphezulu nakakhulu uma ukuphuza kwenzeka ngesonto ngaphambi kokuba ukwelashwa kwe-IVF kuqala .
Ukuphuza abesilisa kutholakala ukuthi kuyinkinga lapho ubheka iziguli ze-IVF. Amadoda aphuza ukuphuza utshwala owodwa ngosuku, noma kuphi kusukela ngesonto elilodwa kuya kwenyanga ngaphambi kokwelashwa, wabona ingozi ephindwe kabili yokukhulelwa kwesisu.
Okushaqisayo nakakhulu, ukuphuza isonto elilodwa ngaphambi kokuba iqoqo le-sperm lithole ukwelashwa kwe-IVF kwanda ingozi yokukhulelwa kwesisu ngokuphindwe izikhathi ezingu-38 .
Ingabe Ukuphuza Ukunciphisa Ukuzala Kwakho?
Okokugcina, cishe uyazibuza ukuthi ukuphuza kuyothinta kanjani ukuzala kwakho. Futhi, izimpendulo azicacile.
Ucwaningo olubandakanya abesifazane abangaba ngu-7 000 bathola ukuthi ukuphuza izidakamizwa ezimbili noma ngaphezulu ngosuku kunyuke kakhulu engozini yokungabi nabantwana . Kwabesifazane abaphuza ngaphansi kokudakwa kotshwala ngosuku ngalunye, ingozi yokungabi nabantwana yayingaphansi.
Kodwa-ke, ukutadisha abesifazane abangaba ngu-29 000 baseDenmark bathola ukuthi labo abaphuza iwayini bavame ukukhulelwa ngokushesha kunabesifazane abaphuzanga utshwala nhlobo.
Futhi ukutadisha abesifazane abangaba ngu-1 700 base-Italy abazange bathole ukuxhumana phakathi kokuphuza lapho bezama ukukhulelwa kanye nesikhathi sokukhulelwe.
Lokho kusho, njengoba nje kungenxa yokungenwa kwesisu kokuqala, konke lokho kuyashintsha lapho ubheka ucwaningo ngeziguli ze-IVF.
Ekuhloliseni imibhangqwana engu-2,908, ingozi yokuhluleka kwe-IVF yaphindaphindwa kabili lapho abesifazane bephuza utshwala inyanga inyanga ngaphambi kokwelashwa, futhi ingozi yesine uma isiphuzo senzeke phakathi nesonto lokwelapha.
Amadoda aphuza ingakapheli isonto kuze kube yinyanga yokwelashwa nawo ayithinte kabi kabi amazinga omshado we-IVF womshado.
Okubalulekile Ekuphuzeni Uma Uzama Ukuthola
Siyazi ukuthi ukuphuza ngesikhathi sokukhulelwa kungalimaza ingane engakazalwa. Ngelinye ilanga, ucwaningo lungathola ukuthi isiphuzo saso sonke isikhathi asilimazi. Kodwa-ke, njengoba kumile okwamanje, abukho ubufakazi obanele bokuthi noma yimaphi inani liphephile ngokuphelele.
Kodwa kukhona umehluko phakathi kokuphuza ngesikhathi sokukhulelwa nokuphuza ngaphambi kokuba ukhulelwe-uma uzama ukukhulelwa.
Kulabo abanomuthi ovuthiwe, kubonakala sengathi ukuphuza ngezikhathi ezithile ngenkathi uzama ukukhulelwa kungenzeka kube kuhle. Lokhu akuqinisekile, kodwa abukho ubufakazi obuningi obubonisa ukuthi buyingozi kakhulu.
Le ndaba ayikho ithemba elikhulu uma ubheka iziguli ezibeletha zihamba nge-IVF.
Khona-ke, ngisho nesiphuzo esisodwa ngosuku, kungakapheli inyanga yokwelapha, kungalimaza izinkinga zomshado ngokuphumelela.
Yini okufanele uyenze?
Yiqiniso, kufanele uxoxe nodokotela wakho ngesinqumo sakho. Yize i-CDC ne-ACOG ngokusemthethweni bengasincoma ukuphuza nhlobo uma bezama ukukhulelwa, odokotela abaningi banombono wabo ngale ndaba.
Uma uzama ukunquma ukuthi ungayiphuza kanjani utshwala ngenkathi uzama ukukhulelwa, nakhu okunye ongakhetha ukucabanga ngakho:
- Yidlale ephephile-uyeke ukuphuza noma yikuphi uphuzo oludakayo lapho uzama ukukhulelwa.
- Noma uphuze kakhulu, ngezikhathi ezithile. (Ngaphansi kwesisodwa ngesonto.)
- Noma cabanga ukuphuza kanye ngesonto-kodwa hhayi ngaphezu kwalokho.
Futhi, cabangela isimo sakho (esizayo) somzwelo .
Uma unayo ubhiya, futhi umjikelezo wakho uhluleka, noma unesisu sokuqala sokuphumula, ingabe lowo ophuzayo uyakunxusa ? Ngisho noma ucwaningo luthi akunakwenzeka ukuthi ubhiya owodwa bangela inkinga? Khona-ke kungenzeka kungcono ukuthi cha.
Uma uzophuza uma uzama ukukhulelwa, ungase ufune futhi
- Gwema ukuphuza phakathi nesonto lakho lokulinda amaviki amabili (emva kokuvuthwa kwegazi futhi ngaphambi kokuba isikhathi sakho siqale.)
- Gwema zonke iziphuzo ezidakayo phakathi nenyanga eyodwa yomjikelezo wezokwelapha .
Uma futhi uma uphuza ngenkathi uzama ukukhulelwa, qaphela ukuphakama kwesilinganiso kanye nokuqukethwe okudakayo kwesiphuzo sakho.
Futhi umzuzwana isikhathi sakho sekwephuzile-noma ubuyela emuva ukuhlolwa okukhulelwe okuhle-vele uthi cha kuluphi utshwala. Usebenze kanzima ukuze lo mntwana athathe noma yiziphi izingozi.
> Imithombo:
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> Gaskins AJ1, Rich-Edwards JW2, Williams PL3, Toth TL4, Missmer SA5, Chavarro JE6. "Ukunciphisa Ukunciphisa Utshwala Okunciphisayo Akuhlangene Nengozi Yokukhipha Isisu Noma Ukubeletha. "J Nutriti. 2016 Mashi 9. pii: jn226423. [I-Epub ngaphambi kokuphrinta]
> Gaskins AJ1, Toth TL2, Chavarro JE3. "Ukuzikhethela Ukudla Okunomsoco kanye Nemiphumela Yokukhulelwa Ekuqaleni. "Isikhwama se-Curr Nutr. 2015 Sep; 4 (3): 265-272. I-Epub 2015 Jun 25.
> Klonoff-Cohen H1, uLam-Kruglick P, Gonzalez C. "Ukusetshenziswa Kokusetshenziswa Kokuphuza Utshwala Kwabazali Nabazali Emaphuzu Aphumelela Ngama-Vitro Fertilization neGamete Intrafallopian Transfer. "Fertil Steril. 2003 Feb; 79 (2): 330-9.
> McCarthy FP1, O'Keeffe LM, Khashan AS, North RA, Poston L, McCowan LM, Baker PN, Dekker GA, Roberts CT, Walker JJ, Kenny LC. "Ukusebenzisana Phakathi Kokusetshenziswa Kokudakwa Kokubeletha Kwabesifazane Ekuqaleni kokukhulelwa kanye nemiphumela yokukhulelwa. "I-Obstet Gynecol. 2013 Oct; 122 (4): 830-7. i-doi: 10.1097 / AOG.0b013e3182a6b226.