Ucwaningo Lwezokwelapha Lithini Ngokuthathwa Kwe-Acupuncture for Infertility?

by URachel Gurevich

Ukusekela kanye nokuphikisana ngokuthi Kungakhathaliseki ukuthi Ukusebenza Ngokwenyama Kungakusiza Yini Ukuthola Okhulelwe

Ukwakhiwa kwe-Acupuncture for infertility cishe yindlela yokwelapha ethandwa kakhulu futhi evame ukujwayele kulabo abazama ukukhulelwa. Abezindaba babonakala bebika ucwaningo oluhlobene nokukhwabanisa nokuzala emva kwezinyanga ezimbalwa, nemitholampilo eminingi yokuzala inikezwa noma iphakamisa izinsizakalo zokukhwabanisa kanye nemithi yokwelapha evamile efana ne- IVF ne- IUI .

Ukwakheka kwamaphambo kuyindlela yemithi yendabuko yaseShayina, ngezinye izikhathi igcizelelwe njenge-TCM. Ukwakhiwa kwe-acupuncture kuhilela ukubeka izinwele ezincane ezinamaphuzu athile emzimbeni. La maphuzu, ngokweziko zesiShayina, agijima emigqeni yamandla, noma ama-meridians.

Kusukela kumbono we-TCM, umqondo wukuthi ukungalingani kwamandla emzimbeni kungaholela ekuguleni, kubandakanya ukungabi nabantwana. Ukulungisa ukungalingani ngokugqugquzela amaphuzu athile phakathi kwama-meridians kucatshangwa ukuthi kuthuthukiswe impilo.

Njengoba unikezwe yonke into ejabulisayo nenjabulo ngokukhwabanisa nokungaqiniseki, ungase ucabange ukuthi izinzuzo zibhalwe kahle.

Nokho, akunjalo ncamashi. Ezinye izifundo zibonise izinga eliphezulu lokukhulelwa kulabo abazama ukugubha umzimba, kuyilapho ezinye izifundo zibonisile cha noma imiphumela engabonakali embalwa.

Yikuphi konke okushiwo ngendaba?

Abacwaningi ngakulolu chungechunge lwempikiswano bayavuma ukuthi ukukhishwa kwesikhumba ngokuvamile akulimazi, futhi cishe wonke umuntu uyavuma ukuthuthukisa ukuphumula, ukunciphisa amazinga okucindezeleka, futhi kwandisa amabhethin-endorphins - ama-hormone azinhle, azizwa ubuhlungu.

Uma kungenakulimaza, kungani utshalwa isikhathi esiningi nokucwaninga kulokhu kudaba? Kungani ungathumeli wonke umuntu ukuze akhiphe ukwelashwa?

Yebo, uma ukukhwabanisa kungakwazi ukuthuthukisa izinga lokukhulelwa, ukwelashwa kwesikhumba kufanele kuhlanganiswe njengendaba yenkambiso yenqubo uma uphatha ukwelashwa. Odokotela kufanele bakhuthaze iziguli ukuba zibone i-acupuncturist yezokwelapha, futhi izinkampani zomshuwalense kufanele nazo zizimisele ukunyathela ezinye zezikweletu (uma zihlanganisa zonke izifo zokwelapha).

Nakuba kungabibizi, ukukhishwa kwamakhemikhali kungabizi kakhulu kunezokwelapha eziningi zokuzala. Uma ukukhwabanisa kungasiza imibhangqwana ukuba ikhulelwe, ngenkathi isebenzisa imali encane, isikhathi esingaphansi, futhi ibeka ingozi emiphumeleni emincane (ecabanga ukuthi bayodinga usizo oluthile oluvela emithini evamile), ngakho-ke ukukhishwa kwesikhumba kumele kususwe endaweni ehlukile okujwayelekile.

Kodwa-ke, uma ukukhishwa kwesikhumba kungabonakali ukuze kuthuthukiswe amazinga okuzala, khona-ke ukwelashwa akufanele kuhlanganiswe ngokuzenzakalelayo endleleni yokwelapha yaseNtshonalanga yokungabikho.

Ukwamukela umzimba akuyona yindlela kuphela yokuthola ukuphumula, kanti ngenkathi odokotela kufanele basize iziguli zabo uma kuziwa ekunciphiseni ukucindezeleka, ukuphoqa ukuhlinzwa ngokwezinye izindlela kungenakwenzeka. Ukuzindla, i-yoga, isithombe esiqondisiwe, nokuqeqeshwa okuyisisekelo sokuphumula kungasiza labo abanenkinga yokucindezeleka ekucindezeleni, futhi ngezindleko eziphansi kakhulu kunezokwelapha.

Ngaphezu kwalokho, uma udokotela wokuzala - noma noma yimuphi udokotela, ngenxa yalolu daba - uncoma ukwelashwa, isiguli sithatha isincomo sisekelwa ngokucwaninga okusekelwe ebufakazini. Ngaphambi kokuncoma iziguli, odokotela bafuna ukuqinisekisa ukuthi baphakamisa ukwelashwa okuzosiza ngempela, hhayi nje ukuchitha isikhathi, imali, noma ukunikeza umqondo wamanga wethemba elandayo.

Ngokusekelwa kwe-Acupuncture

Abacwaningi e-Centre for Integrative Medicine, e-University of Maryland's School of Medicine, bahlaziye ucwaningo lwezinguquko zocwaningo eziningana mayelana nemiphumela yokukhwabanisa emiphumeleni ye-IVF. (Ukuhlaziywa kwe-meta isifundo sokucwaninga esiqoqa ulwazi oluvela ezifundweni eziningana futhi sibahlole ndawonye.) Ukuhlaziywa kwe-meta kubhekwa ukuvivinywa okuyisikhombisa, okuhlanganisa bonke abesifazane abangu-1,366.

Abacwaningi bathola ukuthi uma ukukhwabanisa kwenzeka ngosuku lokudluliswa kombungu , ukuthuthukiswa kwezibalo eziphawulekayo kutholakala emazingeni okukhulelwa kliniki, ukukhulelwa okuqhubekayo, nokuzalwa okuphilayo.

Baphinde bathola ukuthi owesifazane oyedwa kuzodingeka aphathwe nge-IVF futhi aphumule ukuze abone ukukhulelwa okunye.

Kwesinye isifundo, esivame ukubizwa ngokuthi "isifundo seJalimane," umtholampilo waseJalimane wokuzala wanikeza iziguli eziyi-160 ze-IVF ezaziphethe ama-embryos aphezulu ithuba lokuba nengxenye ekutadisheni ngemiphumela ye-acupuncture ne-IVF. Ingxenye yeziguli zithole ukwelashwa kokuhlinzwa, imizuzu engu-25 ngaphambi kokuhamba kombungu nangemva kokubeletha. Iqembu lokulawula alitholanga noma yiluphi ukwelashwa okusekelayo.

Emkhakheni we-acupuncture, iziguli ezingu-34 kwezi-80 zakhulelwe. Eqenjini lokulawula, abangu-21 kwabangu-80 bakhulelwe.

Kuye kwaba nokunye okunye, izifundo ezincane zokucwaninga ngokucubungula nokuzala. Ngenxa yobukhulu bawo obukhulu, imiphumela yalezi zifundo iphikisana. Okuncane nje kokuxhumana okukhona phakathi kwe-acupuncture nokuzala okutholakala ezinfundweni ezincane:

Ukwakhiwa kwe-acupuncture kungathuthukisa ikhwalithi yesidoda futhi kubalwa kumadoda angenalutho.
Ukwakhiwa kwe-acupuncture kungathuthukisa uketshezi lwe- endometrium , kufaka phakathi ukwanda kwegazi kwegazi.
Ukwakhiwa kwe-acupuncture kungasiza ukulawula amazinga we-hormone, ikakhulukazi i- horonone ekhulula i-gonadotropin , okuzokwenza ngcono amazinga wokuvota.
Ukwakhiwa kwe-Acupuncture kungasiza abesifazane nge- PCOS kanye nemigqa ehambayo.
Ukwakhiwa kwe-acupuncture kungasiza labo abanezinkinga ze-thyroid. (Futhi izinkinga nge-thyroid zingabangela izinkinga ngokuzala.)
Ukwakhiwa kwe-acupuncture kungandisa inani le- follicles ekhiqizwa ngesikhathi se-IVF.

Ukuphikisana nokungahambi kahle

Nakuba ucwaningo olusekela lubukeka lukhulu, abagxekayo bathi izifundo zingaphansi kunokwanele ukukhombisa uxhumano lweqiniso phakathi kwama-acupuncture namazinga okukhulelwa okuthuthukisiwe. Akekho kulezi zifundo ezisetshenzisiwe okuthiwa i-Standard Standard yezocwaningo zocwaningo - okungahleliwe, okuyizinhlangothi ezimbili eziyimpumputhe ze-placebo.

Futhi, eziningi zalezi zifundo zazincane kakhulu ukuthi zingabhekwa njengokucacile. Isibonelo, zonke izifundo zokucwaninga kwamadoda ezingenasifo kanye nokukhwabanisa zibandakanya noma yiziphi iziguli ezingu-10 kuya kwezi-20. Akusikho okwanele ukwahlulela ukuphumelela kwemiphumela.

Mhlawumbe okubaluleke nakakhulu, ezinye izifundo zocwaningo ziye zahluleka ukuthola imiphumela efanayo. Ucwaningo olwenziwa yi-Alice Domar, umgqugquzeli omkhulu wokuxhumano kwengqondo yomzimba, wabheka umphumela wokukhishwa kwamathambo emiphumeleni ye-IVF. Kulesi sifundo, iziguli ezingu-150 ze-IVF ezilindele ukudluliselwa kombungu zifakiwe. Izihloko zafakwa ngezikhathi ezithile eqenjini lokulawula noma iqembu labafundi, futhi abasebenzi be-IVF "babengaziphulukisi" ukuthi ngubani othola ukwelashwa kwe-acupuncture.

Iqembu le-acupuncture lathola ukwelashwa amaminithi angu-25 ngaphambi nangemva kokudluliswa kombungu. Baphinde bagcwalise amafomu babuza ngokukhathazeka kwabo kanye nemizwa yokuthemba. Iqembu le-acupuncture libike ukuthi lizwa lingakhathazeki futhi linethemba elikhulu kuneqembu elilawulayo. Nokho, ngokungafani no "Isifundo SeJalimane," lolu cwaningo alutholanga ukuthuthukiswa kwamazinga okukhulelwa.

Olunye ucwaningo, lolu oluqhutshwa uDkt. LaTasha B. Craig ngenkathi ephethe neYunivesithi yaseWashington, wathola ukuthi ukwelashwa kwamapulangwe ngosuku lokudluliswa kombungu empeleni kunciphise izinga lokukhulelwa. Kulesi sifundo, ikhwalithi ephezulu ye-embryo yayingadingeki ukuthi ifakwe kwisifundo.

Indlela yokukhishwa kwesikhumba yayiyinto efanayo efanayo esetshenziswa ngesikhathi esifundweni saseJalimane, ekwelapheni amaminithi angu-25 ngaphambi nangemva kokudluliswa kombungu. Nokho, ngokungafani nesifundo seJalimane, ukwelashwa kwamapulangwe kwenzeka endaweni ethile ngaphandle komtholampilo wokuzala. Lokhu kuyinto engokoqobo, ucabanga ukuthi imitholampilo embalwa yokuzala ihlinzeka ngemithi yokwelashwa kokuhlinzwa.

Kulesi sifundo, labo abathola ukwelashwa kokuhlinzwa kwamapulangwe babe nesilinganiso sokukhulelwa komtholampilo esingu-46%, uma kuqhathaniswa nesilinganiso sama-76% kulabo abatholanga ukwelashwa. Izinga lokubeletha okuphilayo ezigulini eziphathwe nge-acupuncture kwakungu-39%, uma kuqhathaniswa nesilinganiso sokuzalwa sokuzalwa esingama-65% labo abangaphathwa nge-acupuncture. UDkt. Craig uchaza ukuthi ukushayela ku-acupuncturist kungenzeka ukuthi kwandise amazinga okucindezeleka, okuholela ekutheni izinga lokukhulelwa eliphansi.

Lapho Uqala khona

Kubukeka sengathi bukhona ubufakazi bokuthi ukukhishwa kwesikhumba kwenziwa ngosuku lokudluliswa kombungu kungathuthukisa amathuba akho okuphumelela. Mhlawumbe, uma ungatholi ukushayela okucindezelekile uye ku-acupuncturist.

Kodwa-ke, ukukhishwa kwesikhumba kwenziwa ngezinye izikhathi ngenkathi ukwelashwa, futhi ukwenziwa kwe-acupuncture ngaphandle kokwelashwa kwe-IVF, kungenzeka noma kungenze umehluko. Ucwaningo luyaphikisana futhi alucacile.

Kodwa lokho akusho ukuthi i-acupuncture ayifanele. Ucwaningo olwengeziwe luyadingeka, futhi akekho osho ukuthi ukukhishwa kwesikhumba kuwenza ngokuphelele umehluko, noma nakanjani akunjalo. Akukatholakali, noma kunjalo.

Ngaphezu kwalokho, impendulo yokuphumula ekunakekeleni ukwelashwa ayikho emthethweni. Ngisho nasezifundweni lapho ukukhwabanisa okwakungakhulumi khona izinga lokukhulelwa, abacwaningi baphawula ukuthi iziguli zazikhululekile futhi zithembeke kakhulu ngemva kokwelapha. Njengoba kunikezwe amazinga aphezulu okubambisana okucindezelekayo ngesikhathi sokunakekelwa kokuzala, ukuphumula okuncane nokunciphisa ukucindezeleka okulethwa ukwelashwa kwamakhompiyutha cishe ngeke kuphumele, futhi kungase kusize.

Okuningi ngokukhwabanisa nokungasebenzi

Izihloko zokuthuthukisa impilo nokuzala:

_Imithombo:

_{Domar AD, Meshay I, uKelliher J, Alper M, Amandla RD.} _{"Umthelela wokugonywa kwe-in vitro umphumela wokukhulelwa."} _{Ukuzala nokuhlunga .} _{Mar 1, 2008. [I-Epub ngaphambi kokuphrinta]}

_{I-Huang ST, i-Chen AP.} _{"Umuthi waseShayina wendabuko kanye nokungasebenzi."} _{Ama-Opinions amanje ku-Obstetrics and Gynecology .} _{Juni 2008;} _{20 (3): 211-5.}

_{Manheimer E, Zhang G, Udoff L, Haramati A, Langenberg P, Berman BM, Bouter LM.} _{"Umphumela wokukhwabanisa ngamazinga okukhulelwa nokuzalwa okuzalwa phakathi kwabesifazane abakhona ekufakweni kwe-in vitro: ukubuyekezwa okuhlelekile nokuhlaziywa kwe-meta."} _{I-British Medical Journal .} _{Mashi 8, 2008;} _{336 (7643): 545-9.} _{Epub 2008 Feb 7.}

_{Ng EH, Ngakho WS, Gao J, Wong YY, Ho PC.} _{"Indima yokukhwabanisa ekuphathweni kwe-subfertility."} _{Ukuzala nokuhlunga .} _{Julayi 2008;} _{90 (1): 1-13.} _{Epub 2008 Apr 28.}

_{UPaulus WE, Zhang M, Strehler E, El-Danasouri I, Sterzik K. "Umthelela wokukhwabanisa ngesilinganiso sokukhulelwa ezigulini ezithola ukwelashwa okusizayo."} _{Ukuzala nokuhlunga .} _{April 2002;} _{77 (4): 721-4.}

_{USullivan, uMikhele G. "Imibuzo Yokufundwa Ngemibuzo Yokutholwa Kwama-IVF."} _Ob. _I-Gyn. _Izindaba. _{Umqulu 42, Issue 21, Page 21 (1 Novemba 2007).} _{Kufinyelelwe ngo-Okthoba 19, 2008. http://www.obgynnews.com/article/PIIS0029743707709217/fulltext}

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