Ochwepheshe bezokwelapha ngokuvamile bazinkinga zokubeletha noma izazi ze-urologists eziye zaqeqeshwa okwengeziwe ukubhekana nezinkinga ezungeze izitho zokuzala.
Kunezizathu ezihlukahlukene zokuthi udokotela wakho angakutjhelela ochwepheshe bezala, ezinye zazo zihlanganisa:
- Ukubunzima ukukhulelwa izinyanga ezingaphezu kwezinyanga eziyisithupha uma uneminyaka yobudala engama-35 noma ngaphezulu , noma okungaphezu konyaka uma usemncane .
- Sebenokuhlukunyezwa kwamabili noma ngaphezulu.
- Ukuqala ukuzama ukukhulelwa ngezici eziyingozi noma izibonakaliso zokungazalwa, njengemijikelezo engavamile, izifo zofuzo noma izifo zangaphambi kocansi (ngisho noma sezivele ziphathwa).
- Amadoda noma abesifazane abane-diagnostic yomdlavuza abadinga isiqondiso sendlela yokulondoloza ukwelashwa ngaphambi kokwelashwa, noma labo abakulungele ukukhulelwa ngemva kokulashwa.
- Amadoda noma abesifazane abathintekayo ekukhethweni kokuzalwa kokugcina, njenge-tubal ligation noma i-vasectomy.
Nakuba udokotela wakho oyinhloko noma udokotela wezinkinga zokubeletha angase akwazi ukuqala inqubo yokuhlola, futhi abeke ngisho nezinqubo eziyisisekelo ezifana ne- Clomid , kungase kudingeke ubone udokotela wezibeletho zokuhlolwa okungaphezulu kwe-basics kanye nokwelashwa.
Odokotela Abenza Ngokwemvelo Ngokwemvelo
I-endocrinologists yokubeletha (ngezinye izikhathi ebizwa ngokuthi i-REs) yilokho abantu abaningi abakucabanga njengabachwepheshe bokuzala. I-endocrinologist yokubeletha i-gynecologist enokuqeqeshwa okungeziwe ekunakekelweni kokungazali nokuzala; baphatha kokubili izinkinga zesilisa nezesifazane zokuzala.
I-endocrinologists yokuzala ilawula, isebenza, futhi ihlinzekele ukuhlolwa okuhlukahlukene kokuzala nokufaka imithi, kuhlanganise ne- IUI ne- IVF . Lapho ochwepheshe bangaphandle beyadingeka esimweni esithile, i-endocrinologist yokubeletha ivame ukuba ngumxhumanisi oyinhloko.
Bangasiza futhi iziguli zomdlavuza ngokulondolozwa kokuzala, ukusebenza ne-oncologist ukuqondisa ukulondolozwa kokuzala ngaphambi kokuqala ukwelashwa komdlavuza wesifo sokuzala.
I-Andrologists yi-urologists eseqedile ukuqeqesha okwengeziwe ekuzaleni owesilisa. I-Andrologists ingase ihlolisise futhi iphathe izinkinga zesintu zokuzala, kuphela noma i-endocrinologist yokuzala. Bangase babheke phambili ukuze bathole imbangela yokubala okuncane noma okungabikho kwesidakamizwa futhi uma kungenzeka-baphathe inkinga, ngakho-ke lo mbhangqwana ungakhulelwa ngaphandle kwe-IVF.
I-andrologist ingenza futhi i- biopsy ye- testicular ukuze isetshenziswe ku-testicular sperm extraction (TESE). Yena futhi uphatha izifo zokubeletha, ukungasebenzi kahle kwe-erectile, ukuvuthwa kwe-testicular, kanye nezivivinyo ezingavunyelwe.
Olunye uhlobo lochwepheshe bezakhi zokubeletha ngudokotela ohlinzayo . Ngesikhathi i-endocrinologists yokubeletha nayo ihlinzeka ngokuhlinzwa, odokotela abahlinzayo baqeqeshwa okuqhubekayo ezinkambweni zokuhlinzeka futhi bangaphatha iziguli ngezinkinga ezingaphezu kokuzama ukuzama ukubeletha.
Ngokwesibonelo, odokotela abahlinzayo bangasusa ama-fibroids noma baphathe nge- endometriosis ngokuhlinzwa. Udokotela ohlinzayo angaphinda enze noma aguqule ama-vasectomies kanye nezigulane zamathambo, futhi ukuqeqeshwa kwakhe okuyinhloko kungase kube ukubeletha noma urology.
I-immunologists yokuzala ihlanganisa ulwazi lwe-immunology nemithi yokuzala. I-immunologist yokubeletha ingabonisana uma kwenzeka ukukhulelwa kwesisu okuphindaphindiwe, ukungasebenzi okungaqondakali, noma ukuhluleka okuphindaphindiwe kwe-IVF.
Bangabuye babonisane uma owesifazane ene-endometriosis noma isifo esizimele, njenge-lupus noma i-rheumatoid arthritis. I-immunologists yokuzala ingaba odokotela noma ososayensi futhi ngokuvamile, isebenze ne-endocrinologist yokubeletha ukuphatha imibhangqwana engenamandla.
Abachwepheshe bezokwelapha kanye nemitholampilo
Imitholampilo eminingi yokuzala iqondiswa yi-endocrinologist yokuzala noma iqembu le-endocrinologists yokuzala. Ezinye, kodwa hhayi zonke, imitholampilo ine-andrologist yabasebenzi.
I-immunologists yokubeletha ayinamathuba okuba abe ngabasebenzi, kodwa lokho akusho ukuthi ngeke bahlanganyele nenye ezimweni ezikhethekile. (Kodwa-ke, ezinye izici zokuzivikela ngokuzala izitho ezintsha, futhi akuyona yonke ingcweti yezolimo ezitholakala ebhodini enezokwelapha zakamuva zokuzivikela nge-immunology.)
Ngaphandle kodokotela bokuzala, umtholampilo wokuzala ungase ube nabahlengikazi abaqeqeshwe futhi abanolwazi emithini yokuzala, embryologists, sonographers, kanye nabanye ochwepheshe belebhu kubasebenzi. Ezinye imitholampilo ingase ibe nama- acupuncturists , izondlo zokudla, nabacebisi .
Ngaphandle kochwepheshe bezokwelapha, imitholampilo ngokuvamile inebacebisi bezezimali abazokusiza ukuba uqonde izinketho zokukhokha futhi ubhekane nomshuwalense wakho (uma kusebenza).
Ukuba nabasebenzi abakhulu akwenzi umtholampilo ube mkhulu, njengokuthi abasebenzi abancane abenzi imitholampilo encane. Uma ukhetha umtholampilo wokuzala, udinga ukucabangela izidingo zakho ezithile zokuzala kanye nesimo.
Isibonelo, imitholampilo eminye inqaba ukusebenza nabesifazane abangaphezu kuka-40 ngaphandle uma bevuma ukusebenzisa amaqanda abaxhasi kusukela ekuqaleni, ngenkathi eminye imitholampilo ihlose ekusizeni abesifazane abangaphezu kuka-40. Esinye isibonelo singase sibe uma ubhekene nokungasebenzi komuntu , lapho kwenzeka khona umtholampilo nomuntu we-andrologist kwabasebenzi bazoba kuhle.
Ngaphambi kokuba ukhethe imitholampilo yokuzala, qiniseka ukuthi uhlangana nabasebenzi futhi uthathe isikhathi sokuxoxa nodokotela ongase abe khona. Thola ukuthi abasebenzi bahlangabezana nezinkinga zakho zokuzala, nokuthi bahlela kanjani ukusebenza nawe.
Uma unquma ukuphishekela ukuhlolwa nokwelashwa, kungenzeka ukuthi usebenza eduze nabasebenzi bekliniki isikhathi eside-ngakho ufuna abasebenzi abangakhathaleli kuphela kodwa futhi bayazi ukuthi bangakusiza kanjani.
Imithombo:
Ukuthola Amadokhumenti Okufanele Okwenziwe Ngama-Male Factor Izinkinga Zokuzala. PreSeed.com. http://www.preseed.com/news/finding-the-right-doc-for-male-factor-fertility-issues
Ukwelashwa Kwamafilosofi Nokuzala. Penn Medicine. http://www.pennmedicine.org/fertility/patient/clinical-services/pelvic-reproductive-surgery/
I-immunology yokuzala. I-Human Fertilization & Embryology Authority .. http://www.hfea.gov.uk/fertility-treatment-options-reproductive-immunology.html
Yini eyenziwa yi-endocrinologist yokuzala? Ifayili Yokuzala. http://fertilityfile.com/2008/02/24/what-does-a-productive-endcrinologist-really-do/