I-Nulliparous yisigwebo sezokwelapha owesifazane ongakaze abelethe noma ngokuzikhethela noma nganoma yisiphi esinye isizathu. Leli gama liyasebenza nakwabesifazane abaye babeletha umntwana osanda kuzalwa, noma umntwana owayengenakukwazi ukuphila ngaphandle kwesibeletho.
Igama linezimpande zesiLatini, kusukela "null" okusho "hhayi" nesenzo "parere," okusho "ukuveza."
Abesifazane abangenayo imingcele engozini enkulu yezinye izimo zezempilo kunabalingani babo bokubeletha, kuhlanganise namagciwane okubeletha nokubeletha. Futhi abesifazane abangakaze babe nabantwana kodwa bangase bafune esikhathini esizayo badinga ukucabangela ngokucophelela ukuthi yiliphi uhlobo lokulawulwa kokuzalwa okufanele balisebenzise. Kunezinye izindlela ezingenza kube nzima ukukhulelwa emva kokusebenzisa isikhathi eside.
Abesifazane Abahlukumezekile Nengozi Yokunyuka Emdlalweni WeKhansela Yokuzala
Emashumini eminyaka, umphakathi wesayense uye wazi ukuthi abesifazane abano-nulliparous bangenengozi yegciwane lesandulela ngculazi, kuhlanganise ne-ovarian kanye ne-cancer ye-uterine. Ingozi eyandayo yayicatshangelwa ukuthi ngenxa yokuthi abesifazane abanezingane eziphilayo babenemjikelezo embalwa ye-ovulatory.
Kodwa ucwaningo oluqhubekayo olusuka ku-Centre for Human Reproduction luye lwathola imijikelezo embalwa ye- ovulatory cishe engabangeli imbangela ephezulu yomdlavuza, futhi lokho okuqhubekayo ukutadisha ubuhlobo kuyadingeka.
Ingozi Ekhulayo Yomdlavuza Wesibindi Phakathi Kwabesifazane Abangama-Nulliparous
Abesifazane abanezingane ngaphambi kweminyaka engama-20 banengozi ephansi yokuphila komdlavuza webele uma kuqhathaniswa nabalingani babo abangenayo i-nulliparous, kodwa omama abancane banengozini enkulu eminyakeni engu-15 yokuqala emva kokukhulelwa kwabo. Abomama abanezinyanga eziyisihlanu zokukhulelwa okugcwele bangamaphesenti angaba ngu-50 kunamaphesenti angamaphesenti angamatshumi ayisithupha ukuthuthukisa umdlavuza webele.
Ukubeletha, okuyinto abesifazane abangenayo abayitholayo, nayo itholakale ukunciphisa ingozi yomdlavuza webele.
Futhi phakathi kwabesifazane abaneminyaka engama-35 ubudala nangaphezulu ubudala, kunengozi enkulu yokuba nezingane ezingakazalwa, ngokucwaninga kwezigidi eziyi-1.8 zokukhulelwa ezibikiwe encwadini ethi Obstetrics & Gynecology.
Abesifazane abangenayo i-Nulliparous kanye nokusetshenziswa kwe-IUD
Ucwaningo lwangaphambili mayelana nokusetshenziswa kwe-IUD phakathi kwabesifazane abangenalutho lwaphakamisa ukuthi kwakunzima ngabo ukuba bakhulelwe okokuqala emva kokusetshenziswa kwesikhathi eside kwe-IUD (idivayisi yangaphakathi). Lokhu kuqhathaniswa nokusetshenziswa kwendlela yokuvimbela, njengengxube noma ikhondomu.
Kodwa ucwaningi olwengeziwe olwenziwa yiWorld Health Organization alutholanga ingozi eyengeziwe yokuntula ukungabi nabantwana phakathi kwabasebenzisi be-IUD abanobudlelwane obuqinile obuphathelene nobulili. Ngokuvamile abesifazane abangenayo i-nulliparous cishe babebenokubambisana nabalingani abaningi bezocansi, ngakho-ke kungenzeka ukuthi babhekene nesifo socansi (STD). Ukungenzi lutho kuyinto umphumela ohlangothini wama-STD amaningi.
Ukusebenza Kwabesifazane Abangama-Nulliparous
Izigaba zomsebenzi ngesikhathi sokuzalwa zinemithetho ehlukene yabomama nabesifazane abangenalutho. Ngama-moms okuqala, isigaba esilandelayo (uma kunezinqamuzana ezincane futhi ezingapheliyo) cishe amahora ama-1.5 ubude, isigaba sokusebenza esisebenzayo cishe cishe amahora ama-2 ubude nesigaba sesibili (isikhathi esiphakathi lapho umlomo wesibeletho uphazamisa ngokuphelele futhi umntwana ufika ngaphandle) cishe imizuzu engu-50 ubude.
> Imithombo:
> Gleicher, N. Ukukhiqizwa kwe-Biomedicine Online: Kungani Amakhansela Okuzala Avamile Kakhulu Kwabesifazane Abangenayo? (2013).
> Izitho zangasese kanye ne-Gynecology: Abadala abaNulliparous Abadala banengozi ephakeme yokushona (2015).
> I-American College yezidakamizwa namaGynecologists. "I-Bulletin Yokuzivocavoca # 121 - Ukubeletha Okubuyiselwayo Okude Kwakudala: Izimpande namadivayisi we-Intrauterine." I-Obstetrics & Gynecology. 2011. 118 (1): 184-196. A