Izindlela ezintathu zokulawulwa kokuzalwa zingathinta ukuzala kwakho emva kwakho ukuyeka ukuthatha
Ukulawula ukubeletha kungalimaza ukuzala kwakho ? Izinqumo eziningi zokuvimbela ukwelashwa kwe-hormonal zinezingozi, kodwa ukungabi nabantwana akuyona enye yazo. Ngokwezifundo eziningi, cishe ungazikhulelwa uma usebenzisa isilawuli sokubeletha esikhathini esidlule njengowesifazane ongakaze asebenzise izisu zokubeletha kwe-hormonal.
Eqinisweni, esinye sezifundo ezinkulu kakhulu sabheka abesifazane abasebenzisa ukulawula ukubeletha iminyaka eyisikhombisa.
Bathole ukuthi amaphesenti angu-21.1 akhonywe ngenyanga yabo evundile yokuqala. Kulabo abangazange baqale ukukhulelwa, amaphesenti angu-79.4 ayekhulelwe engakapheli unyaka.
Lokhu kufana nezindlela ezijwayelekile zomphakathi zokukhulelwa .
[Qaphela ukuthi lolu cwaningo luchaza ngokuqondile inyanga yokuqala yokuvuna yowesifazane ngemuva kokuyeka ukukhulelwa kweso. Kungaba nesikhathi esincane sokulinda phakathi kokuma ukuvimbela ukubeletha nokubuya kwakho kokuzala . Ngaphandle kokudubula kokuzalwa , lesi sikhathi sokulinda sivame ukufinyeleleka.]
Ngalokhu konke okushiwo, kunezinye izifundo ezincane eziphakamisa ukukhathazeka mayelana nezingozi zesikhathi eside zokulawula ukubeletha. Nokho, njengoba uzobona ngezansi, lezi zifundo kufanele zithathwe ngokusanhlamvu kasawoti.
Ukusetshenziswa Kwesikhathi Sokubeletha Kwesikhathi Eside kanye nokuLawulwa kwe-Endometrial
Ucwaningo olunyatheliswa ku- Obstetrics and Gynecology lwabikwa ukuthi abesifazane abasebenzisa amaphilisi okulawula ukuzalwa okuhlangene (estrogen and progesin) iminyaka emihlanu noma ngaphezulu babe nethuba elikhulu kakhulu lokuba ne-linometer mineral endometrial.
Imigqa ye- endometrium isibeletho futhi lapho i-embryo izozifaka khona ngesikhathi sokukhulelwa.
Nokho, kulolu cwaningo, iziguli ezingu-137 zase zivele zivele emtholampilo wokuzala . (Ukutadisha kwenziwa kwabesifazane abakulungiselela ukudluliswa kwebridi efriziwe. )
Laba besifazane sebevele bethola ukwelashwa kwe-IVF .
Le miphumela ingase ingasebenzi kulabo besifazane abanomsoco onempilo.
Futhi, nakuba abacwaningi baphetha ngokuthi amaphilisi okuvimbela ukubeletha ngomlomo isikhathi eside angakhuphula ingozi yokukhipha umjikelezo we-IVF (ngenxa yendwangu encane), izinga lokukhulelwa libonakala lifana phakathi kwamaqembu.
Ngamanye amazwi, uma nje ukwazi ukuqedela umjikelezo wakho we-IVF, izinkinga zakho zokukhulelwa zingafana nomuntu ongakaze asebenzise amaphilisi okulawula ukuzalwa.
Ukulawulwa Kokubeletha Nokushintsha Kwesikhashana Ukuhamba
Kwesinye isifundo esithakazelisayo kodwa esincane esanyatheliswa ku- Gynecological Endocrinology , iqembu labesifazane abangu-175 abayeke ukuvimbela izisu zomlomo laliqhathaniswa neqembu labesifazane abangu-284 ababengakaze baphathe amaphilisi okulawula ukubeletha.
Laba besifazane babhala izidumbu zabo zomzimba . Lokhu kwavumela abacwaningi ukuba babone ubude be-cycle, i- ovulation , nobude be-luteal . Isigaba sokwehlukanisa isikhathi yisikhathi esiphakathi kwe-ovulation kanye nesikhathi esilindelekile.
Ucwaningo lubuthole ukuthi amaphesenti angu-57,9 wabesifazane abayeka amaphilisi okulawula ukubeletha avuliwe futhi abe nezinyathelo eziphilile zokuphila emjikelezweni wabo wokuqala wepilisi.
Kodwa-ke, abesifazane abaningi emkhakheni wokujikeleza wepilisi baphinde babe nemijikelezo ende yokuya esikhathini kunokusebenzisa abasebenzisi abangasebenzi. Lokhu kwaphela izinyanga ezingu-9. Futhi, abesifazane abaningi eqenjini le-post-pilisi babebafushane kunezigaba ezivamile zokulinda.
Lezi ziphazamiso zomjikelezo zagcina zizilungiselela ngezinyanga ezingu-9 zokusetshenziswa kokulawula kokuzalwa.
Ngalokho kusho, kubalulekile ukuthi uqaphele ukuthi lolu cwaningo alubukali izinga lokukhulelwa komtholampilo nokuthi ngabe lezi zingqinamba zomjikelezo zanele ukuba zithinte ukuzala.
Futhi, abanye besifazane bahamba ngokulawula ukubeletha ukusiza ukulawula imijikelezo yabo engavamile. Asazi ukuthi bangaki abesifazane abasithatha ukulawula ukubeletha babe nemijikelezo engavamile ngaphambi kokuqala. Ukuba nemijikelezo engavamile kungakwandisa ingozi yemiphumela yesikhathi eside.
I-Amenorrhea yePill Post: Uma Ungavumeli Ukwelashwa Emva Kokubeletha
Kufanele ube nomjikelezo phakathi nezinyanga ezintathu kuya kwezintathu zokuyeka izinhlobo eziningi zokulawulwa kokuzalwa okuguquguqukayo.
Uma uyeka ukulawulwa kokubeletha futhi ungakatholi isikhathi okwamanje, ungase uthande ukuthatha ukuhlolwa kokukhulelwa kuqala. Kungenzeka ukuthi wakhulelwa!
Yebo, ungakwazi ukukhulelwa ngenyanga ezayo kanye ngemuva kokuyeka ukulawula ukubeletha.
Uma ungakhulelwe, kungenzeka ukuthi uhlangabezana ne-amenorrhea ye-post-pilill. Lokhu kungukuthi awutholi isikhathi izinyanga ezingu-6 ngemuva kokuyeka amaphilisi okulawula ukuzalwa. Naphezu kwegama layo, lokhu kungabikho kokuvuthwa kungenzeka akubangelwa ukusetshenziswa kokulawulwa kokuzalwa.
Ukulawulwa kokuzalwa kudala umjikelezo "wokukhohlisa" wesimiso. Ngisho noma owesifazane enenkinga yokuzala engabangela ukugcoba , ama-hormone emiphilisi yokulawula ukuzalwa angabangela isikhathi. Kubonakala sengathi unemijikelezo evamile yokuya esikhathini.
Kodwa lokhu kusebenza kuphela uma nje esithatha. Uma unezinkathi ezingavamile ngaphambi kokuqala ukulawula ukubeletha, cishe uzobaphinde ngemva kokuyeka.
Kukhona iphutha eliphikisayo lokuthi amaphilisi okulawula ukubeletha "ukuphulukisa" imijikelezo engavamile. Akunjalo. Bakha umjikelezo wokufakelwa, kodwa abaxazulula imbangela yangempela yemijikelezo engavamile.
Qinisekisa ukubona udokotela wakho uma ungenayo i-ovulating ngemuva kwamaphilisi okulawula ukuzalwa noma uma imijikelezo yakho ingavamile noma engekho. Udokotela wakho cishe uzohlola ezinye izivivinyo zokuzala .
Udokotela wakho angabeka uComomid ukuthi "gxuma uqale" ukuzala kwakho.
Ukuzala nenzalo yokuLawula ukuzalwa
Ngenhla, sitshele ukuthi imijikelezo yakho kufanele ibuyele ngaphakathi kwezinyanga ezintathu zokuyeka ukulawula ukubeletha, uma kungekudala. Okuhlukile okukhulu ekubuseni kwenyanga eyodwa kuya kwezintathu kungukuthi ngabe ngabe ukulawulwa kokuzalwa kudutshulwa.
Uma ngabe udubule uDepo-Provera (noma i-DMPA), kufanele uthole umjikelezo emva kwezinyanga ezingu-6 kuya kwezingu-12 zokujola kwakho kokugcina .
Kodwa-ke, abanye besifazane bahlangabezana nokuphazamiseka ekuzaleni kwabo izinyanga ezingu-18. Ungethuki uma ungatholi ukuzala kwakho ngokushesha ngemuva kweDepo-Provera. Kungathatha izinyanga ezingu-22-noma cishe iminyaka emibili-ukuze imijikelezo yakho ibuye ngemuva kokudubula kokuzalwa. Akusilo isilinganiso, kodwa kungenzeka.
(Yingakho udokotela wakho bekufanele aqinisekise ukuthi awunayo izinhlelo zokwakha umndeni esikhathini esizayo esiseduze, ngaphambi kokubeka isibhamu.)
Uma ungatholi isikhathi ezinyangeni ezingu-22, khuluma nodokotela wakho.
Kuthiwani Uma Ungeke Uthole Ukukhulelwa Ngemuva Kwamaphilisi Okulawula Ukuzalwa?
Umeze amaphilisi okulawula ukubeletha, imijikelezo yakho ibuyele, kodwa awukakhulelwa.
Manje?
Nakuba ungase uzibuze ukuthi amaphilisi akho okulawula ukuzalwa adala izinkinga zakho, qiniseka ukuthi lokhu akunakwenzeka.
Kunezizathu eziningi zokuthi kungani unzima ukukhulelwa. Ukungazi lutho kuyathinta amaphesenti angu-12 emibhangqwana, futhi bobabili amadoda nabesifazane bangabhekana nezinkinga zokuzala. Ezimweni zokungenwa kwamantombazane, akuyona i-ovulating kuphela imbangela ekhona.
Uma ungakhulelwa emva kwezinyanga eziyisithupha (uma ungaphezu kweminyaka engu-35), noma ungacabangi emva konyaka, bheka udokotela wakho.
Ungalindi! Ukuyeka ukuhlolwa nokwelashwa kunganciphisa izinkinga zakho ngokuphumelela kokukhulelwa.
Kuthiwani Uma Angifuni Ukuthatha I-Hormonal Birth Control, Kodwa Angifuni Ukukhulelwa?
Ngisho noma iningi locwaningo lubonisa ukuthi ukuvimbela ukubeletha kwe-hormone akubangele ukungabi nabantwana, abanye besifazane bafuna ukukugwema. Ingabe lokhu kusho ukuthi manje banendlela yokuvimbela ukukhulelwa? Vele akunjalo!
Ungase uthande ukucabangela izinketho zezindlela zokuvimbela. Lokhu kufaka phakathi ukukhulelwa ngokweqile njengamakhondomu noma i-diaphragm. Izindlela zokuvimbela ukubeletha zidinga ukuthi uzisebenzise. Awukwazi ukuphumelela uma ukhohlwa noma ungawafaki kahle.
Kodwa-ke, kulawo ahambisanayo futhi aqaphele, anganikeza indlela ephumelelayo yokugwema ukukhulelwa, ngenkathi ungaphazamisi amahomoni akho.
> Imithombo:
Cronin M1, Schellschmidt I, Dinger J. "Isibalo sokukhulelwa emva kokusebenzisa i-drospirenone nezinye izivimbela zomlomo eziphathelene nesandulela ngculaza. "I-Obstet Gynecol. 2009 Sep; 114 (3): 616-22. i-doi: 10.1097 / AOG.0b013e3181b46f54.
Gnoth C1, Frank-Herrmann P, Schmoll A, Godehardt E, Freundl G. "Izimpawu zomjikelezo ngemuva kokuyeka ukukhulelwa komlomo." I-Gynecol Endocrinol. 2002 Aug; 16 (4): 307-17. http://www.ncbi.nlm.nih.gov/pubmed/12396560
Talukdar N1, Bentov Y, Chang PT, Esfandiari N, Nazemian Z, Casper RF. "Umthelela wokusetshenziswa kwamaphilisi okuvimbela ukukhulelwa komlomo wesikhathi eside ohlangene ekukhuleni kwe-endometrium. "I-Obstet Gynecol. 2012 Aug; 120 (2 Pt 1): 348-54. doi: 10.1097 / AOG.0b013e31825ec2ee.
Zieman, Mimi, MD. Ukwaziswa kwesineke: Izindlela zokwelapha zokuzalwa (ngaphandle kwezinto ezisisekelo). "UpToDate.com.