Kuthatha isikhathi esingakanani iqanda lokufakelwa kungathinta ukukhulelwa kwakho
Uma ugoqa, uhhafu phakathi komjikelezo wakho wokuya esikhathini, iqanda likhishwa e-ovary yakho libe yitayipi le-fallopian. Iqanda, ngokwesilinganiso, linamahora angu-24 okumele likhule ngaphambi kokuba lingasasebenzi. Ngesikhathi sokukhulelwa, iqanda likhulelwa emgodini we-fallopian bese uhamba eduze kwenduduvu ye-fallopian ukuze ingene ngaphakathi kwesibeletho. Uma esiswini esiswini, iqanda lizifaka emgqeni (endometrium) wesibeletho.
Kusukela ekuqaleni kuze kube sekugcineni, ukufakwa kwesitshalo kuthatha cishe amahora angu-48. Uhambo ukusuka ekukhulelweni ukuya ekutheni lube khona lungathatha noma kuphi kusukela ezinsukwini eziyisithupha kuya kwezingu-12. Ukutshalaliswa okwenzeka ngemuva kokuphela kombonakude kuyaziwa ngokuthi ukufakelwa kwamuva.
Indawo lapho i-embryo ihlangana khona ngaphakathi kwe-endometrium ingaphazamisa iminye imithwalo yegazi, engabangela ukuphuma kwegazi okunye ukusuka ezinsukwini ezinhlanu kuya kwezinshumi emva kokukhulelwa, kodwa ngaphambi kokuba isikhathi sakho senzeke. Nokho, akuwona wonke umuntu ophuma. Ngakho-ke uma ungenayo i-bleeding engasho ukuthi awukhulelwe noma ukuthi awunayo ukufakwa kwesimiso sekwephuzile.
Ingabe Ukufakelwa Kwesikhathi Esizayo Kusho Ukuthi Ungenandaba?
Ucwaningo oluthile luye lwathola ingozi ephezulu yokukhulelwa kwesisu ngesikhathi sokukhulelwa lapho kutholakala khona izinsuku ezingaphezu kwezinsuku eziyisishiyagalolunye kuya kwezingu-10 emva kokuvuthwa . Ucwaningo olunyatheliswa eNew England Journal of Medicine (NEJM) lwathola ukuthi amathuba okukhulelwa kwesisu ayenyuka kakhulu ngalunye nosuku lokufakelwa isikhathi esilandelayo ngemuva kosuku lwesishiyagalolunye.
Ngosuku lwesishiyagalolunye, amathuba okukhulelwa kwesisu ayengamaphesenti angu-13, ngosuku lwangama-26 ngamaphesenti angu-26, kanti ngosuku lwesithathu izinga lalingamaphesenti angu-52. Noma yisiphi isikhathi esingaphezu kwezinsuku ezingu-11 futhi ingozi yokukhulelwa kwesisu ikhuphuke ibe ngamaphesenti angu-82. Yikuphi ngempela lokhu okutholakele okushiwo, noma kunjalo, kungabonakala.
Ukufakelwa kwesikhashana, ngokwayo, akunakwenzeka ukuba imbangela eqondile yokukhulelwa kwesisu.
Imibubhiso enezinto ezingavamile , njenge-trisomies noma i-translocations, kungenzeka ukuthi ihlukumezeke. Uma i-embryo ine-chromosomal anomaly, impahla engavamile yezofuzo ingase ibangele ukuthi imbungu ikhule ngaphambi kokujwayelekile. Enye inkolelo ukuthi ezinye izinto ezithinta uketshezi lwebele zingabangela izinkinga ngenkathi kuhlanganiswa nokuthi lokhu kungabangela ukukhulelwa kwesisu, kodwa abacwaningi basacabanga ngalolu daba.
Kunoma yikuphi, isikhathi sokufakelwa kwesimo asikho ngaphansi kokulawula komuntu. Ngaphandle kokuba nenqubo yokufaka umanyolo e-vitro eyofaka iqanda elivundisiwe ngqo esibelethweni sakho, ayikho indlela yokusheshisa uhambo lweqanda phansi kwamatayipi angama - fallopian esibelethweni. Futhi uma iqanda lingaphakathi kwesibeletho, ayikho indlela yokuyiphoqa ukuba ifakwe emgqeni we-uterine.
Uma uke wahlaselwa amakhemikhali amaningana, akunakwenzeka ukuthi ukufakelwa kwesikhashana sekuwukuphela kwesizathu. Akukho bufakazi bokuthi ukufakelwa kwesikhashana emva kwesikhashana ngokwayo kubangela ukukhulelwa kwesisu. Kodwa-ke, ngokuhamba kwesikhathi iqanda lifaka ukuthi ukukhulelwa kwesisu kungase kwenzeke. Noma kunjalo, uma unenkinga yokuya esikhathini noma uma unzima ukukhulelwa, khuluma nodokotela wakho ukubona ukuthi kunezinkinga ezingase ziphazamise ikhono lakho lokukhulelwa.
Ukuhlolwa okuqhubekayo kungase kuvezwe isizathu sokuthi ama-embryo akho afakwe kamuva kunalokho okubhekwa njengokujwayelekile.
Imithombo:
I-Macklon NS, i-JPM Geraedts ne-BCJM Fauser. "Ukukhulelwa Ukukhulelwa Okuqhubekayo: 'Ibhokisi Elimnyama' Lokulahlekelwa Ngaphambi kokukhulelwa." Ukuvuselela Ukukhiqizwa Komuntu, Vol.8, No.4, pp.333-343, 2002
UNorwitz, u-Errol R., uDanny J. Schust noSusan J. Fisher. "Ukutshalaliswa nokusinda kokukhulelwa kwasekuseni." N Engl J Med. 2001 Nov 8; 345 (19): 1400-8.
UWilcox, u-Allen J, u-Donna Day Baird, noClarice R. Weinberg. "Isikhathi sokutshalaliswa kweConceptus and Loss of Pregnancy". N Engl J Med. 1999 Jun 10; 340 (23): 1796-9.