Ingabe Ukutshalwa Kwemvelo, Ukuqothulwa Kokuqala, Noma Okunye Okunye?
Ukuveza uma uzama ukukhulelwa kungabangela ukwesaba enhliziyweni yakho. Ingabe lokhu kubi? Kungaba kuhle? Ingabe lokhu kuhlanganiswa kubonakala, isibonakaliso sokuqala sokukhulelwa ? Noma nje ukuqala kwesikhathi sami ?
Uma uthola izindlela zokwelapha-ikakhulukazi i- IUI noma i- IVF- izinkinga zakho zokubona indawo ziphakeme.
Kunezizathu eziningi ezikhona zokuphuma kwegazi okungavamile noma ukuphawula.
Qhubeka ufunda ukuze ufunde kabanzi mayelana nokufaka indawo yokutshala indawo, ukuphawula nokusabalalisa kokuqala, nokubona lokho akuhlangene nokukhulelwa kokuqala.
Ukutshalaliswa Kwamafutha: Isikhathi Sokuqala Sokukhulelwa Kwangasese
Ukukhanya okukhanyayo okwenzeka phakathi kwe- ovulation kanye nesikhathi sakho okulindelekile ngezinye izikhathi kuthiwa "ukufaka indawo yokufaka indawo."
Imfundiso ephindaphindiwe ngokuphindaphindiwe kuyi-intanethi yukuthi lapho umbungu uzifaka emgodini we- uterine , i-lining kule ndawo ihamba kancane nje, iholela ekuboneni kamuva ukuthi ukukhanya okulula.
Akukho bufakazi bokuthi yilokho okwenzeka ngempela. Futhi akunakwenzeka. (Cabanga ukuthi i-embryo encane kangakanani, futhi yeka ukuthi kuncane kangakanani ukulala kulowo mkhakha, futhi uzobona indlela le mbono ekhishwe ngayo.)
Noma kunjalo , kungenzeka ukuthi umbungu ozifaka emgodini ubangela ukusabela kwe-hormonal okuholela ekukhanyeni okukhulu.
Ukuphaphaza noma ukuphuma ngegazi lesisu ngesikhathi sokukhulelwa kuqala akuyona into evamile; kwenzeka noma kuphi phakathi kwamaphesenti angu-15 no-25 wesikhathi.
Abesifazane abathola ukwelashwa kokuzala kungase kube khona amathuba okubona.
Ucwaningo olulodwa lwathola ukuthi ngesikhathi sokujikeleza kwe-IVF, ukukhulelwa kokukhulelwa kwangaphambi kwesikhathi kwenzeka kaningi, noma yikuphi kusuka amaphesenti angama-29 kuya kwangu-36 esikhathi.
Ngakho, ubona uphawu oluhle? Kungabe kungabonakalisa ukukhulelwa kokuqala ?
Akucacile.
Ucwaningo olulodwa lwathola ukuthi abesifazane abathatha uhlobo oluthile lwe-progesterone bekungaba amathuba okuthola indawo kunelabo abathatha elinye ifomu.
Ngenkathi ukubonakala bekuvame kakhulu eqenjini elilodwa, izinga lokukhulelwa lalifana.
Ngamanye amazwi, ukubona ukuthi kwakungeyona into enhle noma embi kulolu cwaningo.
Ukutshala njengesiqalo sokuthatha isisu sokuqala
Uma ukubonakala kubonakala ngemva kokuhlolwa kokukhulelwa okuhle , ungase ukhathazeke ngokuthi kungukuqala kokukhulelwa kwesisu.
Njengoba kushiwo ngenhla, ukubonakala ngesikhathi sokukhulelwa kuqala akuyona into evamile. Ukuhlola emva kokuhlolwa okuhle kokukhulelwa akusho ukuthi ulahlekelwa phansi.
Amaphesenti angaba ngu-50 abesifazane abanesifo sangasese phakathi kwezinyanga ezintathu zokukhulelwa bazoqhubeka nokukhulelwa kwabo.
Ngenkathi amaphesenti angu-50 engabonakali njengemikhakha enkulu, kuyacaca ukuthi ukuphawula akusho ukuthi uzothatha kabi. Kukhona okuhle amathuba okuba kuhle.
Ngomuntu siqu, ngiye ngaba ne-spotting ngesikhathi sokukhulelwa okunempilo, ukukhulelwa okunempilo okungenayo i-spotting, ne-spotting okwaholela ekusenikeni komzimba. Angikwazi ukukutshela umehluko phakathi kwalawo mathathu.
Ungazigibeli oziqamayo uzama ukuthola ukuthi ukubonakala kwakho kungumusa "omubi" noma uhlobo "oluvamile".
Qinisekisa ukuthi ushayele udokotela wakho uma unesifo sokugoma kwesisu emva kokuthola ukuhlolwa kokukhulelwa okuhle. Bangase bafune ukuqhuba umsebenzi wegazi othile, bahlele i-ultrasound, noma banikeze ukwesekwa kwe-progesterone (uma ungayitholi kakade.)
Uma ungenalo umlando wokungazalwa noma ukukhulelwa kwesisu, udokotela wakho akakwazi ukwenza lutho futhi aphakamise ukuphumula.
Uma izinto ziba zimbi nakakhulu, noma-noma uqala ukuzwa ubuhlungu noma ubuhlungu -bizela udokotela wakho futhi.
Ezinye Izizathu Zokwakheka Kwegazi Okungajwayelekile
Ukusakaza kungenziwa ngezizathu ngaphandle kokukhulelwa kwangaphambi kwesikhathi. Izimbalwa ezimbalwa ezikhona zihlanganisa:
- Ukungalingani kwe-hormonal: Ukutshala kungase kwenzeke kaningi kubesifazane be-premenopausal, isibonelo. Izinkinga ze-thyroid kanye nemithi yokulawula ukubeletha nazo zingaholela ekuboneni phakathi kwemijikelezo.
- Ama-fibroid noma ama-polyps
- Imiphumela emibi yemithi yokuzala : Imithi eminingi yokuzala, kuhlanganise ne- Clomid , uhlu lwebala lokubonakala njengomphumela wecala.
- Ama-progesterone suppositories
- Izinqubo ze-gynecological: Njenge-pap smear.
- Izinqubo ze- IUI noma ze- IVF
- I-ultrasound eguquguqukayo: I-wand ingakwazi ukugoqa emgodini wesibeletho, okungaholela ekukhanyeni ukukhanya. Futhi, uma uthatha izidakamizwa zokuzala noma i-progesterone, isibeletho sakho sizwela kakhulu, okwenza kube lula kakhulu.
- Ubulili: Uma umlomo wesibeletho ushaywa, kungaholela ekukhanyeni kwezinye izindawo. Lokhu kungase kwenzeke uma uthatha izidakamizwa zokuzala.
Nini Ukukhathazeka
Ukubona ngezikhathi ngezikhathi akudingeki ukhathazeke ngakho. Nokho, kunezikhathi okufanele ubize udokotela.
Uma uhlale uthola ukubona phakathi kwezikhathi noma ngaphambi kokuba isikhathi sakho siqale . Ukuchitha izinsuku ezimbili noma ngaphezulu ngaphambi kokuba isikhathi sakho siqale sihlotshaniswa ne-endometriosis .
Ukusakaza kungabuye kube uphawu lokutheleleka , ukungalingani kwe-hormonal, fibroids, futhi, ezimweni ezingavamile, ezinye zegciwane. Yenza ukuthi ihlolwe uma uvame ukubona phakathi kwemijikelezo.
Ukhulelwe futhi uzwa ukuphuma kwegazi okukhulu . Uma uqala ukuba nokugeleza okufana kakhulu nesikhathi sakho, noma ukuguqulwa kwamathambo kuya ekugezeni okulukhuni, kufanele uxhumane nodokotela wakho.
Uma ukuphuma kwegazi kunzima kakhulu, thintana nodokotela wakho ngokushesha noma uye ekamelweni eliphuthumayo eliseduze nawe.
Ukuphaphaza noma ukuphuma kwegazi kuhambisane nobuhlungu be-pelvic noma ama-cramps . Izikhukhula ezincane noma ukugaya okujwayelekile kungavamile ngesikhathi sokukhulelwa kokuqala, kanye nesikhathi sakho. Ama- cramps amabi ajwayelekile awavamile .
- Imibuzo: Unayo Isikhathi Esivamile?
Uma ukhulelwe, ubona, futhi ube nama-cramps amancane, shayela udokotela wakho. Angase akuqinisekise ukuthi lokho okuhlangenwe nakho kuvamile, noma ukhethe ukusebenzisa umsebenzi wegazi noma i-ultrasound. Kodwa kungcono ukubiza ngaphandle kokucabanga ukuthi konke kuhle.
Uma ubuzwa ubuhlungu obukhulu, hamba ekamelweni eliphuthumayo eliseduzane bese uxhumana nodokotela wakho ngokushesha.
Ukuphuma kwegazi ngamagciwane amakhulu kungabonisa ukukhulelwa kwe - ectopic y noma, uma uthathe izidakamizwa zokuzala, isifo se- ovarian hyperstimulation syndrome (OHSS) . Kungaba futhi isibonakaliso se -PID esicacile . Thola ukunakekelwa kwezempilo ngokushesha ngangokunokwenzeka.
Imithombo:
U-Heitmann RJ1, uLangan KL1, uHuang RR2, u-Chow GE1, uBurney RO3. "Ukuqothulwa kokuqala kokuqala kwezinsuku ezingu-2 kuhlotshaniswa kakhulu ne-endometriosis eqondile kwabesifazane abane-infertility. "Am J Obstet Gynecol. 2014 Oct; 211 (4): 358.e1-6. doi: 10.1016 / j.ajog.2014.04.041. Epub 2014 Meyi 4.
I-Jabara S, i-Barnhart K, i-Schertz JC, i-Patrizio P. "Isigaba se-Luteal sokuphuma kwegazi ngemva kwemigqa ye-IVF: ukuqhathanisa phakathi kwe-gel progesterone yesiginja kanye ne-progesterone ye-intramuscular kanye nokulingana nemiphumela yokukhulelwa." J Exp Clin Assist Assist Reprod. 2009 Okthoba 20; 6: 6.
I-Snell BJ. "Ukuhlolwa nokuphathwa kokuphuma kwegazi esikhathini sokuqala sokukhulelwa." J Midwifery Womens Health. 2009 Nov-Dec; 54 (6): 483-91. doi: 10.1016 / j.jmwh.2009.08.007. http://www.ncbi.nlm.nih.gov/pubmed/19879521
Ukuphuma kwegciwane uma ukhulelwe. I-Medline Plus. http://www.nlm.nih.gov/medlineplus/ency/patientinstructions/000614.htm