Izimo Zokuthwala Amawele Ngokwemvelo noma Nge-Treatment Treatment
Yini eqinisa izimo zakho zokuba namawele? Imithi yokwelapha efana ne-Clomid , i- Gonal -F, ne-Follistim yenza kube lula ukuthi uzokhulelwa, kodwa futhi, ukuphakama kwakho, iminyaka yakho, nomlando womndeni kungakwandisa izinkinga zakho zokugqoka okungaphezu kweyodwa.
Izimbangela Zamawele Ngaphandle Kwezinkinga Zokuzala
Imithi yokwelapha akuyona nje isizathu samawele. Ezinye izici ezandisa amathuba akho okukhulelwa ngezimpande zifaka ...
Ubudala
Abesifazane abangaphezu kuka-30 banamathuba amaningi okukhulelwa amawele. Lokhu kungenxa yokuthi i-hormone FSH iphakama njengoba owesifazane ekhula. I-FSH, noma i-follicle evuselela i-hormone, inesibopho sokuthuthukiswa kwamaqanda kuma-ovari ngaphambi kokuba akhululwe.
Amazinga aphezulu e-FSH adingekayo njengowesifazane wesifazane ngoba amaqanda adinga ukugqugquzela okunye ukukhula kunokuba owesifazane osemncane.
Lokhu kuyinkimbinkimbi, ngoba kunikezwe ukuthi i-FSH eyengeziwe yenzelwe ukunciphisa ukuzala. Kodwa ngezinye izikhathi, i-follicles igxile kumazinga aphezulu we- FSH , futhi amaqanda amabili noma ngaphezulu akhululwa, okuholela ekukhulelwe okubili.
Umlando womndeni
Umlando womndeni wamawele afanayo awukwenzi kube lula ukuthi uzoba nezimpande. Kodwa-ke, uma unamawele omndeni (ongafani) emndenini wakho, amathuba akho okukhulelwa amawele avuka. Uma kukhona amawele omndeni ohlangothini lomama nobaba, izinkinga zakho zamawele zikhuphuka nakakhulu.
Umlando wamawele ohlangothini lwesifazane omndeni ukhombisa ukuthi kungenzeka ukuthi ama- ovulating angaphezu kwesisodwa umjikelezo ngamunye, futhi umlando wamawele ohlangothini ohlangothini lwabesilisa ubonisa indlela ephakeme yomuntu okhiqiza isidoda esanele ukondla amaqanda angaphezu kweyodwa .
Isisindo
Abesifazane abakhuluphele-abane-BMI engaphezu kuka-30-banamathuba amaningi okukhulelwa amawele kunabesifazane abane-BMI enempilo. Lesi yisimo esibuhlungu ngoba abesifazane abakhuluphele ngokweqile banamathuba amaningi okuthola ubunzima bokukhulelwa .
Amafutha engeziwe athola amazinga okwanda we-estrogen. Amazinga aphezulu e-estrogen angabangela ukugqugquzelwa kwama-ovari.
Esikhundleni sokukhulula iqanda elilodwa nje ekukhuleni , ama-ovari angakhulula amabili noma ngaphezulu.
Ukuphakama
Abesifazane abade kunamaphesenti banamathuba okuba namawele. Ucwaningo olulodwa lwathola ukuthi abesifazane ababalelwa ku-164.8 cm ukuphakama (cishe ngo-5 '4.8 ") babevame ukukhulelwa amawele kunabesifazane ababalelwa ku-161.8 cm (cishe ngo-5' 3.7").
Okwenza lokhu kungacacile, kodwa enye inkolelo ukuthi ukudla okunomsoco okungcono (okungaholela ekuphakameni okungaphezulu) kuyingxenye ngemuva kwesilinganiso sezinga lamawele.
Inani lezingane
Amawele amabili avame kakhulu kubantu besifazane abaye bakhulelwa abaningi futhi banemindeni emikhulu.
Umjaho
Abantu base-Afrika baseMelika banamathuba amaningi okukhulelwa amawele kunabesifazane baseCaucasia. Abesifazane base-Asia bancane amathuba okukhulelwa amawele.
Ukubeletha
Abesifazane abakhulelwe ngenkathi bebeletha cishe banomama wokubeletha amawele kunabesifazane abangekho. Kuyiqiniso ukuthi ukubeletha nakho kunganciphisa ukuzala futhi kuvimbele ukukhulelwa, ikakhulukazi phakathi nezinyanga eziyisithupha zokuqala uma umntwana ebelethwe ngamabele kuphela.
Kodwa-ke, kungenzeka ukuba ukhulelwe ngenkathi ukondla-nangamawele!
Ucwaningo olulodwa lwathola ukuthi izinga lamawele liba ngamaphesenti angu-11,4 phakathi kwabesifazane abancancisayo, uma kuqhathaniswa namaphesenti angu-1.1 kuphela kwabesifazane abangenalo ukubeletha.
Ukudla
Ngesikhathi ucwaningo luqhubeka, ezinye izifundo zithole ukuthi abesifazane abadla imikhiqizo eminingi yobisi cishe banomama wokukhulelwa amawele.
Enye inkolelo yokuthi amahomoni okukhula anikezwa izinkomo aphazamise amazinga e-hormone kubantu.
Amathuba Okuba Namawele Ngamayeza Okuzala
Imithi yokwelapha eyenza ukukhuphula i-ovulation ingabangela amawele, ama-triplets noma ama-multiple multiples oda. Ukwamukela ukuphindaphinda kungengozini yokuthola ukwelashwa , okungahle kuyancipha ngokuqapha ngokucophelela, ukudluliswa kombungu oyedwa (ukwelashwa kwe-IVF), kanye nesilinganiso esincane kunazo zonke esingahle (lapho ukwelapha nge-gonadotropins.)
Ungase uzibuze ukuthi kungani ukukhulelwa i-multiples kubhekwa "engozini" futhi akusiyo inzuzo yokuthola imithi yokwelapha. Ngemuva kwakho konke, ikakhulukazi uma ubenzima ukukhulelwa, ngabe isibusiso esiphindwe kabili noma kathathu singaba into enhle yini?
Iqiniso lendaba ukuthi ukukhulelwa okuningi kuza nezingozi kumama nezingane. Umgomo wakho udokotela wukuthi ukhulelwe futhi ubelethe ingane eyodwa enempilo ngesikhathi esisodwa.
Akuzona zonke izifo zokwelapha ezenzeni ukwandisa izinkinga zakho zamawele, kodwa iningi liyakwenza. Imithi yokwelapha kanye nokwelashwa okungase kuholele emawele kuhlanganisa ...
- I-Clomid
- I-Femera
- I-Gonadotropins (eyaziwa nangokuthi i-injection) njenge-Gonal-F ne-Follistim
- Ukwelashwa kwe-IUI , uma kusetshenziselwa izidakamizwa zokuzala
- Ukwelashwa kwe-IVF
I-Clomid ne-Femera inezinga eliphansi kunazo zonke lamawele, kusukela kumaphesenti angu-5 ukuya kwangu-12. Isilinganiso sezintathu kanye neziphindaphindiwe ze-oda eliphakeme lingaphansi kwamaphesenti angu-1. I-Gonadotropins, noma isetshenziswe noma ngaphandle kwelashwa i-IUI, inenani eliphakeme lamawele. Ngokwezifundo ezithile, amaphesenti angaba ngu-30 okukhulelwa akhulelwe ama-gonadotropini aholela ekuphindeni. Iningi lalezi zikhukhula zikhulelwa ngamabili, kepha amaphesenti angama-5 yi-triplet noma ngaphezulu kokukhulelwa kwe-oda.
Ngokuphambene nenkolelo evamile, ukwelashwa kwe-IVF akuwona umthombo oyinhloko we-triplet nokukhulelwa okuphezulu kwe-oda. Idatha eqoqwe yi-CDC ibonisa ukuthi izinga lezintathu ezine-IVF ezikhulelwe ngo-2014 laliyi-1.5 yokukhulelwa (kodwa kuphela amaphesenti angu-0.9 okuzalwa okuphilayo, okuphansi ngenxa yokukhulelwa kokukhulelwa.)
Ama-IVF amawele ajwayelekile, kanti amawele amabili aphezulu kakhulu kwabesifazane abangaphansi kuka-35, ngamaphesenti angu-12.1 ngokudluliswa kwawo ngonyaka ka-2014. I-IVF ijubane izinga lalingaphansi kwabesifazane abaneminyaka engama-35 kuya kwangu-9.1 kwabesifazane abaneminyaka engama-35 kuya ku-37 no-5.3 kwabesifazane abaneminyaka yobudala 38 kuya ku-40-cishe ngenxa yokunciphisa izinga lokuphumelela njengowesifazane oseminyaka.
Yeka ukuthi Zivame kangakanani Ukubeletha Okubili?
Ngokusho kwedatha eqoqwe yiCenter for Disease Control, kwakukhona amawele angu-133 155 azalwa e-United States ngonyaka ka-2015. Yilokho kuzalwa okungama-33.5 ku-1,000, noma ukubeka enye indlela, cishe ngamaphesenti angu-3,35 wokuzalwa okuphilayo.
Kube nokuzalwa kwezintathu ezingu-3,871, ukubeletha okungu-228 kwe-quadruplet, ne-quintuplet engu-24 noma ukuzalwa kwe-oda eliphezulu. Lezi zinombolo zihlanganisa izimpande ezivela ngokwemvelo, kanye nalabo abakhulelwe ngezokwelapha .
Izinga lezibalo eziningi zanda futhi zanda phakathi nama-1990, kodwa zinciphile eminyakeni eyishumi edlule. Iphesenti ye-triplet nokukhulelwa kwe-oda eliphezulu liye lahla ngamaphesenti angu-36 kusukela ngo-2004.
Amathuba Okuba Namawele Asehlukeneyo
Emphakathini jikelele, ukukhulelwa okubili okufanayo kufana nesilinganiso esingu-0.45% sesikhathi, noma 1 kwabalelwa ku-250.
Nakuba iningi lokukhulelwa okuningi okukhulunywa ngezokwelashwa kuyizinwele zomzimba, ukusetshenziswa kokwelashwa kwenzalo kuyandisa ingozi yokuba namawele afanayo. Ngokwesinye isifundo, amawele afanayo awakhiwe ngamaphesenti angu-0.95 wokukhulelwa aphethwe ukwelashwa. Lokhu kuphindwe kabili ingozi yomphakathi jikelele.
Akucaci ukuthi kungani ukwelashwa kokuzala kubangela amawele amaningi afanayo. Enye imfundiso yukuthi imibungu yamasiko ifakwe phakathi ne-IVF yandisa ingozi yokuwafana okufanayo. Enye inkolelo yukuthi ukwelashwa usebenzisa i-gonadotropin kuholela engozini yokwanda kwamawele afanayo.
Izwi elivela ku-Verywell
Izithuba zakho zokuba namawele ngeke zixhomeke ekusebenziseni kwakho izidakamizwa zokuzala, kodwa nomlando womndeni wakho, ubuhlanga, ubudala, nezinye izinto eziningi. Lezi zici zisebenza ndawonye. Ngamanye amazwi, owesifazane omude onomlando womndeni wamawele womfowabo cishe ukukhulelwa amawele ngesikhathi sokubeletha kunomuntu omncane ngaphandle komlando womndeni wamawele.
Amathuba akho okukhulelwa amawele azophinde athintshwe yisisusa sakho sokungabikho. Owesifazane osemusha onamaqanda anempilo cishe angakhulelwa amawele kunowesifazane oneminyaka engaphezu kwengu-40, ikhwalithi yamaqanda ayimpofu.
Amanani amawele nama-multiple ahlukahluka emtholampilo we-fertility kuya emtholampilo. Amanani ama-Twin ahluke ngokususelwa ekulandeleni ngokucophelela ukulandelela i-ovulation stimulation ngesikhathi sokusetshenziswa kwezidakamizwa zokuzala kanye nokuthi bangaki ama-embryos adlulisa phakathi ne-IVF.
Nakuba amawele azwakala sengathi uhlobo lwezinhlangothi zombili luzobhekana nanoma yikuphi umbhangqwana ongathanda ukuthatha emva kokungakhulelwa, kuhle kakhulu ukuhlolisisa ingane eyodwa enempilo. Udokotela wakho anganciphisa izingqinamba ze-multiples ngokuqapha ngokucophelela nokudluliswa komuntu oyedwa ngesikhathi se-IVF.
Kodwa-ke, uma ukhulelwa amawele noma ngaphezulu, wazi ukuthi ukunakekelwa okuhle kokubeletha kunganciphisa ingozi yakho yezinkinga. Kunezinzuzo eziningi ezinhle zokuba namawele .
> Imithombo:
> Umbiko wezokuThuthukiswa koBuchwepheshe (Reproductive Technology) . I-National Summary Report: 2014. Isikhungo Sokulawula Izifo.
> Kawachiya S, Bodri D, Shimada N, Kato K, Takehara Y, Kato O. "Isiko le-Blastocyst lihlotshaniswa nesiphakamiso esiphakeme sewele le-monozygotic ngemva kokudluliswa kombungu ongashadile." Ukuzala nokuhlunga. 2011 Meyi; 95 (6): 2140-2. Epub 2011 Jan 7.
> Iziqu: amawele, ama-triplets nangaphezulu. March we-Dimes.
> Schachter M, Raziel A, Friedler S, Strassburger D, uBern O, uRon-El R. "I-twinning ye-Monozygotic emva kokusiza amasu okuzala: isenzo esizimele esakhiwe yi-micromanipulation." Ukukhiqizwa kwabantu. 2001 Jun; 16 (6): 1264-9.
> Steinman G. "Izindlela zokugubula. IV. Umagazini weMithi Yokuzala. 2001 Nov; 46 (11): 1003-7.
> Steinman G. "Izindlela zokuwahlukanisa: VII. Umphumela wokudla nokuzidla ngezinga lokugubula lomuntu." Umagazini weMithi Yokuzala. 2006 May; 51 (5): 405-10.
> Steinman G. "Izindlela zokuwahlukanisa: VIII. Ukuphakama komama, ukukhula kwe-insulin okufana nokukhula kwejubane." Umagazini weMithi Yokuzala. 2006 Sep; 51 (9): 694-8.
> Steinman G. "Izindlela zokuwahlukanisa: X. Into ebesilisa." Umagazini weMithi Yokuzala. 2008 Sep; 53 (9): 681-4.