9 Izinyathelo Wonke Amalungu Omshado Kufanele Awathathe
Ukungakwazi ukukhulelwa uma uzama isikhathi esithile kungabangela ukukhathazeka. Kodwa kunezinyathelo ongazenza, futhi kufanele, uthathe. Ngesinye isikhathi imbangela yokungabi nalutho kulula ukuyihlolisisa futhi ingaphathwa.
Uyazi kanjani ukuthi ufuna nini usizo? Uma ungaphansi kweminyaka engu-35 futhi uzama ukukhulelwa unyaka , noma uma ungaphezu kuka-35 futhi uzama izinyanga eziyisithupha, sekuyisikhathi sokuthola usizo.
Uma uke wahamba emuva kokuphindaphinda kwamabili noma ngaphezulu, kufanele ubone ochwepheshe. Okufanayo kuya uma uthola izimpawu ezibuhlungu noma unobungozi bokungakhulelwa, ngisho noma ungazange uzame ingane yonke unyaka.
Isinyathelo soku-1: Yenza ukhetho nge-OB / GYN yakho
Isimiso sakho sokuqala kufanele sibe se-gynecologist yakho evamile-asikho isidingo sokuya ngqo emtholampilo wokuzala . Eqinisweni, imitholampilo eminingi inithanda ukuthi ube nokudluliselwa kusuka ku-gynecologist oyinhloko noma udokotela. Ungase ufune ukushayela umlingani wakho, nakuba kungadingeki ngempela kuleli phuzu.
Ukuze ulungiselele ukuqokwa kwakho, hlanganisa ulwazi olulandelayo:
- Izinsuku zezikhathi zakho eziyisithupha zokugcina, ngisho noma uhamba esikhathini sokuhamba njenge-clockwork.Uma ugcine ikhalenda yokuzala noma ishadi lokushisa lomzimba , ulethe ulwazi lwezinyanga eziyisithupha zokugcina.
- Uhlu lwazo zonke izidakamizwa wena-kanye nomlingani wakho-zihlale njalo: Ezinye izidakamizwa zingaphazamisa ukuzala, kufaka phakathi izidakamizwa ezithile zokulwa nokucindezeleka kanye nokuphathwa kwezifo zokwelapha ezingaphezu kwamandla.
- Uhlu lwazo zonke izibonakaliso zokungabi namntwana noma izinkinga oziphetheyo .
- Noma yimiphi imibuzo onayo. Uma ubhala phansi, cishe uzobabuza.
Uma uxoxa ngezibonakaliso zakho, qiniseka ukuthi usho "amahloni" nawo, njengalapho ubulili obubuhlungu , ukukhula kwezinwele okungadingeki, noma i-libido ephansi. Lezi zikhona zonke ngezimpawu zenkinga yokuzala.
Faka noma yiziphi izimpawu umlingani wakho wesilisa angase abe nazo. Amaphesenti angaba ngu-40 emibhangqwana engenamandla abhekana nokungazalwa komuntu .
Isinyathelo sesi-2: Qala ukuhlolwa kokuqala kokuzala
Lokhu kuhlanganisa nokusebenza kwegazi kowesifazane kanye nokuhlaziywa kwesilisa kumuntu. Kuye ngezibonakaliso zakho, ukuhlolwa kungabandakanya i- HSG , i-ultrasound yangasese, noma i- laparoscopy yokuxilonga . Udokotela wakho uzophinde ahlele ukuhlolwa okuyisisekelo kwe-pelvic, i-pap smear, nokunye ukuhlola ngezifo ezithile noma izifo ezithathelwana ngocansi.
Lezi zivivinyo zingase ziholele noma zingaholela ekuxilongweni . Kuze kube ngamaphesenti angama-30 emibhangqwana engazange ikwazi ukuthi kungani engakwazi ukukhulelwa, lapho kwenzeka khona ukuthi itholakale ukuthi i- infertility engaqondakali .
Kuyinto evamile ukuzizwa ukhathazekile futhi ukhathazekile njengoba uthola ukuhlolwa kokuzala. Funa usizo oluvela kubangani, emndenini, noma ochwepheshe . Iqembu lokusekela ngaphakathi komuntu noma isithangami sokuzala inthanethi futhi linganikeza ukusekelwa ngokomzwelo.
Isinyathelo 3: (Mhlawumbe) Qala Ukwelashwa Okuyisisekelo Ukwelashwa
Ngokusekelwe emiphumeleni yokuhlolwa kwakho kokuzala, udokotela wakho angakutshela ukuthi uqhubeke nokwelapha uhlobo lokuzala. Kungase kube nomuzwa wokuthi ungaphumelela ngokuthatha imithi yokwelapha efana neComomid (clomiphene), i-Femara (i-letrazole), imithi yomdlavuza wesifuba eyandisa ama-estrogen, noma i- Metformin , isilonda esenza ukuba i-insulin isetshenziswe ngokuyinhloko ukuphatha isifo sikashukela esasetshenziselwa ukwelapha ukungasebenzi, ngezinye izikhathi kanye noClomid.
Uma ukuhlolwa kwembula ukuthi unempilo engavamile (kwesibeletho sakho, isibonelo), noma i- endometriosis , udokotela wakho angase asikise ukwelashwa futhi mhlawumbe akubhekise ngqo kumchwepheshe wokuzala noma udokotela ohlinzayo .
Khumbula ukuthi izinguquko ezithile zokuphila zingasiza kakhulu ukwandisa amathuba akho okukhulelwa ngenkathi uthola ukwelashwa (futhi ngisho noma ukhetha ukungenzi). Lokhu kufaka phakathi ukuyeka ukubhema , ukunciphisa ukuphuza utshwala, ukulahlekelwa isisindo uma ukhuluphele kakhulu noma uqhathanisa (inothi ukuthi ukukhuluphala nakho kungabangela ukungalingani kwe-hormonal), ngisho nokudayela emuva inani lemisebenzi oyenzayo uma uvame ukusebenza ngaphandle ngokweqile noma ngaphansi kwesisindo.
Isinyathelo 4: Ukuqeqesha emtholampilo wokuzala
Uma ukwelashwa okuyisisekelo okuphumelelayo kungaphumeleli, noma uma imiphumela yakho yokuhlola ibonisa ukuthi ukwelashwa okuhamba ngaphezu kwe-purview yakho yezinkinga zokubeletha, angase akubhekise kuchwepheshe wezitshalo noma umtholampilo wokuzala . Ngenxa yokuthi ukwelashwa kwakho kokubeletha cishe ngeke kuhlanganiswe umshuwalense, gxila usesho lwakho kudokotela noma emtholampilo ekutholeni ukunakekelwa okusemandleni ongakuthola.
Uma uqala ukubiza imitholampilo yokuzala noma ukubuka amawebhusayithi abo, qiniseka ukuthi uyacaca ukuthi ukubonisana kokuqala kuzodala kangakanani. Xoxa ngemali ngaphambi kwesikhathi uma unquma ukuqhubekela phambili ngemithi. Cabangela ukuhamba futhi ulahlekelwe isikhathi somsebenzi uma ucabangela umtholampilo ongasondelene nawo.
Isinyathelo sesi-5: Ukuhlolwa Okunye Kokuzala
Ngokuvamile (kodwa hhayi ngaso sonke isikhathi) umtholampilo wakho wokuzala uzofuna ukuhlola okuningi noma ubuyekeze ezinye izivivinyo ozenzile kakade. Isibonelo, i-gynecologist yakho kungenzeka ukuthi ihlolile amazinga akho e- FSH , kanti umtholampilo wokuzala uzothatha isinqumo sokuphinda wenze ukulandelana kwezintambo noma u- ovarian test reserve . Uma ngabe uke waphumula, isazi sakho sezinkinga zokubeletha kungenzeka ukuthi sithumele izicubu ezivela ekukhulelweni kwegazi, kanti umtholampilo wokuzala ungase ukhombise i- karyotyping noma i-hysteroscopy.
Isinyathelo 6: Dala uhlelo lokusebenza
Ngemuva kokuthola imiphumela yanoma yikuphi ukuhlolwa okuphindwe kabili noma okuphindaphindiwe, udokotela wakho wokuzala uzodlula ohlelweni lokunakekelwa oluphakanyisiwe. Ngemva kokuhlangana naye, ungase uhlale phansi nomeluleki wezezimali wekliniki ukuze uxoxe ngezinkokhelo zokukhokha kanye nezinketho.
Udokotela wakho kufanele akunike wena nesikhathi sakho somlingani ukuba ucabangele ukwelashwa okuhlongozwayo bese uthola ukuthi yini ongayithola.
Isinyathelo sesi-7: Qala Amalungiselelo Wokunakekela Isibeletho
Imithi yokwelashwa ibhekene nokulula noma okunzima futhi ehilelekile. Isibonelo, uma une- endometriosis , udokotela wakho angenza ukuhlinzwa ukuze asuse kuqala imali yokugcina i-endometrial . Khona-ke, ngemva kokuthola isikhathi sokuthola, ungase uqale i-IVF noma uzame ngokwakho okwesikhashana.
Isinyathelo 8: Hlaziya kabusha izinhlelo zokuphathwa uma ungaphumeleli
Ukuphathwa kokwelashwa kungaphansi kwesisombululo se-pinpoint nokuzama okuningi-ke-ke-leyo ndlela yenqubo. Ungase ucabange ngomjikelezo wakho wokuqala wezokwelapha, kodwa kungenzeka ukuthi uzodinga imijikelezo embalwa ngaphambi kokuthi uphumelele. Khumbula ukuthi umjikelezo owodwa wehlulekile akuwona uphawu lokuthi ukwelashwa ngeke kusebenze. Ngisho nemibhangqwana engenayo izinkinga zokuzala izodinga izinyanga ezintathu ukuya kweziyisithupha ukukhulelwa .
Udokotela omuhle uzokusiza uqonde ukuthi ungamamathela kuphi uhlelo lwamanje lokwelashwa nokuthi nini ukwenza izinguquko ezinkulu noma ezincane. Kukhona nemingcele ephakanyisiwe yokwelapha. Isibonelo, akufanele uthathe i-Clomid ngemigqa engaphezu kweyisithupha .
Uma uzizwa ukhululekile, kodwa ungakulungeli ukuyeka, khuluma nodokotela wakho mayelana nokuthatha ikhefu . Kungenzeka ukhathazeke ukuthi ukubambezela ukwelashwa kuzonciphisa izinkinga zakho zokuphumelela, kodwa lokhu akulona iqiniso ngaso sonke isikhathi. Ngaphezu kwalokho, ngezinye izikhathi impilo yakho yengqondo ibaluleke kakhulu.
Isinyathelo 9-A: Uhlelo Lokukhulelwa Okunempilo
Uma ukwelashwa kuphumelela futhi uba ukhulelwe, umtholampilo wokuzala uzokuqapha amaviki ambalwa okuqala wokukhulelwa, futhi kungase kudingeke uqhubeke nezinye izindlela zokwelashwa noma izijovo.
Kuncike ekubambeni kokungazalwa kwakho, nokuthi ngabe ukhulelwa kaningi , ungase udingeke uqaphele ngokwengeziwe ngesikhathi ukhulelwe.
Ukukhulelwa emva kokungakhulelwa akufani nokukhulelwa kalula ". Ngisho nokunquma ukuthi uzotshela abantu obalindayo kungabangela ukucindezeleka. Uma unabangane abangenalutho, ungase ube nomuzwa wecala lokusinda noma uzizwe sengathi uwashiya ngemuva.
Isinyathelo 9-B: Ukunquma Ukuhamba
Akuyona yonke imibhangqwana engaphelele iyokhulelwa. Uma ekugcineni ungakwazi ukukhulelwa noma kufanele uke ukwelashwa ngezizathu zezezimali, kungase kube buhlungu. Uma udumala kakhulu, qiniseka ukuthi ubona umeluleki noma ujoyine iqembu lokusiza.
Umthombo:
UDanielle L. Herbert, Jayne C. Lucke, u-Annette J. Dobson. " Imiphumela Yokuzalwa Ngemva kokuqanjwa okungajwayelekile noma okusiziwe Phakathi Kwabesifazane Abangenalutho Abase-Australia Abayiminyaka Engama-28 kuya Kwengu-36: Isifundo Esithintekayo, Isibalo Sabantu. " Ukuzala Nokuthobeka . Mashi 2012 (Umqulu 97, Issue 3, Amakhasi 630-638, DOI: 10.1016 / j.fertnstert.2011.12.033)