Uma ungeke ukwazi ukukhulelwa ngemuva kokuphazamiseka, ungase ube nenkinga engaphansi
Uma usuqumile ukuzama futhi emva kokukhulelwa kwesisu , isikhathi esithathayo kuze kube yilapho ukhulelwe futhi ungase uzizwe unomphela, ngisho noma usuqeda ukukhulelwa maduzane. Emibhangqwaneni engakhulelwa ngokushesha, ukulinda kungenakubekezela. Noma kunjalo, kunikezwa ukuthi izinkinga zokukhulelwa kunoma iyiphi inyanga ethile zingamaphesenti angaba ngu-30 kuya ku-40 kuphela, ngisho nalapho ulala ocansini phakathi nezinsuku zakho ezivundile, akusona isibonakaliso sokuthi noma yini engalungile uma kuthatha isikhashana ukukhulelwa futhi.
Okufanele Ukwenze Uma Uthola Ukubhekana Nezinkinga
Uma ngabe uzama ukukhulelwa izinyanga ezimbalwa ngaphandle kokuphumelela, ungase ufune ukukhuluma nomchwepheshe wenzalo noma u-endocrinologist wokubeletha. Iziqondiso zamanje zincoma ukukhuluma nomchwepheshe wokhula uma:
- Uneminyaka engaphansi kwengu-35 futhi awuzange ukhulelwe kungakapheli unyaka ngemuva kokuba ubulili obuvamile buphelelwe yisikhathi ukuhambisana nokuvuthwa
- Uneminyaka engaphezu kwezingu-35 futhi awuzange ukhulelwe zingakapheli izinyanga eziyisithupha ukulala ngokocansi kuphelelwe yisikhathi ukuhambisana nokuvuthwa
- Usuke wabhekana nokuhlukumeza okubili kokubili okulandelanayo futhi awuzange uhlolwe ngezizathu eziyaziwayo zokuhlukunyezwa okuphindaphindiwe
Ungangena ngokushesha nodokotela wakho uma ungakhulelwa futhi unenkinga ethile, njengokungathi unesikhathi sokungena esikhathini esingavamile . Uma kubuye kuthathe isikhathi eside ukuba ukhulelwe ukukhulelwa owaphulukisiwe, kungase kudingeke ukuba ukhulume nomchwepheshe wezibeletho ngokushesha kunokuba kamuva.
Kunezizathu eziningi zokuthi kungani ungase ukhulelwe. Lokhu kufaka:
- Izinkinga ngododa lomlingani wakho
- Ukuvinjelwa kwamatayipi akho angama-fallopian
- I-Endometriosis-isimo sokuzala esingabangela ubuhlungu obungapheli nokungazalwa
- Isifo esibelethwayo sezinyosi, njenge-bicornuate-noma isibeletho esifana nenhliziyo
- Izinkinga zofuzo ezihlobene nokukhulelwa
- Ukungabonakali kokungazalwa-ukungabi nalutho ngaphandle kwezizathu eziwaziwayo
Uma ungeke ukwazi ukukhulelwa, i-endocrinologist yokubeletha noma i-gynecologist ngolwazi lokungazalwa kungasiza ukuxilonga lezi zinkinga.
Ukwelapha Ukungabi Nesimo Sokukhuthazwa Kwama-Ovarian ne-IVF
Ngokuvamile, isinyathelo sokuqala ekwelapheni okungenasifo sokubeletha ukuvuselelwa kwama-ovari usebenzisa ama-hormone ama-FSH ne-chorionic gonadotropin noma i- clomiphene citrate . Le nqubo ilandelwa ukuchithwa okulindelekile. Umphumela ophawulekayo wokuvuselela ama-ovariy ukukhulelwa okuningi. Ngokuqondile, ukuhlolwa kuka-2012 kuphakanyisiwe ukuthi amaphesenti angu-28.6 namaphesenti angama-9,3 omama abavuselela ama-ovarian abhekana nokukhulelwa okuphindwe kabili nangaphezulu, ngokulandelana.
Ngamanye amazwi, amaphesenti angaba ngu-10 wabesifazane abaphumelela ekuthuthukiseni i-ovarian baphela ukuba nezingane eziningi ngesikhathi sokukhulelwa okukodwa. Ukukhulelwa kwe-Multifetal kungabhekisana, futhi okwamanje, abacwaningi bazama ukuthola indlela yokukhuphula izinga lokukhulelwa ngenkathi kunciphisa ukubeletha kwe-multifetal.
Abanye besifazane abaphenduli ekugqugquzelweni kwama-ovarian futhi ngaleyo ndlela banqunyelwe ukuvundiswa kwe- in vitro (IVF) . Nge-IVF, iqanda nesidoda zihlangene endishini yokubhubhisa. Emva kwalokho, cishe izinsuku ezintathu kuya kwezinhlanu emva kokukhulelwe, iqanda elikhulelwe lidluliselwa esibelethweni.
Njengamanye amafomu okusiza ubuchwepheshe bokuzala, i-IVF ingabangela nokugqoka okuningi. Emzamweni wokunciphisa amathuba okuthiwa yi-multifetal gestations, i-American Society for Medicine Reproductive ivuselele izincomo zabo mayelana nemibungu yombhalo okufanele idluliselwe kwabesifazane abangaphansi kweminyaka engama-35 ubudala. Izincomo ezintsha zinciphisa inani lemibungu elidluliselwe emibungu emibili nje.
Imithombo:
- Ukuthola Ukukhulelwa. March we-Dimes.
- IMacklon, NS, JPM Geraedts ne-BCJM Fauser. "Ukukhulelwa ekukhulelweni okuqhubekayo: 'ibhokisi elimnyama' lokulahlekelwa kokukhulelwa kokuqala." Ukuvuselela Ukukhiqizwa Komuntu, Vol.8, No.4, pp.333-343, 2002.
- Cunningham F, Leveno KJ, Bloom SL, Spong CY, Dashe JS, Hoffman BL, Casey BM, Sheffield JS. Ukukhulelwa kwe-Multifetal. Ku: Cunningham F, Leveno KJ, Bloom SL, Spong CY, Dashe JS, Hoffman BL, Casey BM, Sheffield JS. ama-eds. Williams Obstetrics, I-Twenty-Fourth Edition . ENew York, NY: McGraw-Hill; 2013.