Ukungasebenzi okungaqondakali ukuxilongwa okucindezelayo ukuthola. Kuyinto evamile. Cishe eyodwa kokubili yokuzala inselele imibhangqwana iyokwaziswa ukuthi ayikho incazelo yokuthi kungani bengakwazi ukukhulelwa .
Ukungasebenzi okungaqondakali akusho, kodwa kusho ukuthi awunazo izinketho. Kukhona isizathu sethemba.
Eqinisweni, kuye ngokuthi uneminyaka yakho nokuthi ubuye wazama isikhathi esingakanani, izingqinamba zokukhulelwa ngokwakho zingase zibe ziphakeme kunezingcingo eziningi zokungaboni.
Ucwaningo olulodwa lwabesifazane abangaphezu kuka-1 300 abanesifo sokubeletha, abaneminyaka engu-28 kuya ku-36 ubudala, bathola ukuthi amaphesenti angu-43 alabo abangakaze bathole ukwelashwa kwesibeletho bagcina bekhulelwe futhi bazala.
Nakhu lokho okungahlongozwayo kokutholakala kwe-infertility ye-infertility kusho, ukuthi yini engenziyo, nezincazelo ezingenakuchazwa.
Ingabe Ukungabi Nakho Okungaqondile Kungaqondakali?
Ukungasebenzi okungaqondakali ukuxilongwa okuphikisanayo. Ngencazelo, ukuxilongwa kokuqedwa. Udokotela wakho uzimisele ukuthi awunawo lokhu, lokhu, nale nkinga, kodwa nokho, awukwazi ukukhulelwa.
Kodwa-ke, kanti udokotela oyedwa angase ahlaziye icala lakho ngokungachazi, isazi esithile sokuzala singasho ukuthi awukaze uhlolwe ngokugcwele. Futhi lo dokotela angase aqonde.
Ukungasebenzi okungaqondakali kungatholakala kuphela ngemva kokuhlolwa okuphelele nokuphelele kokuzala kokubili komlingani wesilisa nowesifazane.
Ukuxilongwa kwe-infertility engaqondakali kungase kulungiswe uma kubonisiwe ukuthi ...
- Uvuvuka njalo .
- Izindawo zakho zokugcina ama-ovari zilungile. (Kuhlolwe ngomsebenzi wegazi kanye / noma isibalo se- antral follicle .)
- Ama- tubes akho amathanga avulekile futhi aphilile. (Kuhlolwe nge-HSG .)
- Ukuhlaziywa komama wakho womlingani kuvamile ( kubalwa inani lokubala, ukunyakaza kwesidoda, nesimo somzimba .)
- Azikho izinkinga ezinkulu zokuzala uterine. (Kuhlolwe nge-hysteroscopy.)
Uma noma yikuphi okungenhla akuzange kuhlolwe, ukuxilongwa kwe-infertility engachazwanga kungenzeka kungakabi isikhathi.
Abanye bangase baphikisane ne- laparoscopy futhi kuyadingeka ukulawula i-endometriosis . I-Endometriosis ayikwazi ukutholakala ngegazi noma i-ultrasound.
Lokho kusho, ngaphandle uma uhlangabezana nezikhathi ezibuhlungu , udokotela wakho angase angacabangi ukuthi ingozi yokuthi i-laparoscopy yokuhlinzwa kufanele ihlolwe. (Okuningi ku-endometriosis njengesizathu sokungabonakali okungaqondakali ngezansi.)
Ukungenzi lutho okungaqondakali ngokumelene ne-Idiopathic Ukungafanisi kwamadoda noma abesilisa
Kubalulekile ukucacisa ukuthi ukungasebenzi okungahlongozwanga akufani nokuhlukunyezwa kwamantombazane noma i-idiopathic.
Idiopathic kusho ukungachazi. Kodwa uma udokotela ekhuluma nge-infertility ye-idiopathic yesilisa, ngokwesibonelo, sebevele bamnqume ukuthi indoda ayinamandla. Imiphumela yokuhlaziya isisu yakhe yayingavamile .
Kungani ukuhlaziywa kwamaduna kungabonakali? Lokho kungase kungaziwa. Uma udokotela engakwazi ukucacisa imbangela, bangase bathi unesifo sokuhlukumezeka kwabantu besilisa.
Ukungabi nabesifazane okungenayo idiopathic kungenzeka uma owesifazane engekho ovulating njalo noma evamile , kodwa akucaci ukuthi kungani i-ovulation ingenzeki uma kufanele.
Kuzo zombili lezi zibonelo ezingenhla, kwaziwa ukuthi kungani lo mbhangqwana ungakwazi ukukhulelwa-akayena ovulating, noma isisu sakhe asikho ebangeni elivundile.
Nge-infertility engaqondakali, amaqanda ayeza, i-sperm ihamba kahle, kodwa lo mbhangqwana usalokhu ukhulelwa.
Izincazelo Ezingenzeka Zokungafaki Okungaqondakali
Ukungasebenzi okungaziwa akuyona isimo somlingo. Kukhona isizathu ; asikwazi nje ukuthi kuyini.
Nakuba ochwepheshe baye bathuthukisa ulwazi lwabo lokuzala eminyakeni engamashumi embalwa adlule, kuningi esingasazi.
Kukhona izinto esiziziyo ezingabangela izinkinga, kodwa awunayo indlela yokukala noma yokuhlola okwamanje. (Noma indlela kuphela ehlasela futhi ebiza kakhulu, ngaphezulu kwalokho ngezansi.)
Nazi ezinye izincazelo ezingenakuchazwa okungaqondakali:
Inkinga yezokwelapha engazange ihlolwe (engezona ukukhiqiza): Asisayiqondi ngokuphelele ukuthi impilo empofu ithinta kanjani ukulimala ezintweni ezicashile, ezingakabonakali okwamanje. Kodwa sifunda okwengeziwe nokuningi.
Isibonelo, isifo esingelashwa Celiac singase sibe kwezinye izimo zokungabonakali okungaqondakali. Ucwaningo oluthile luye lwathola ukuthi izifo zeCeliac zifunyanwa izikhathi ezimbili kuya kweziyisithupha ngokuphindaphindiwe kwabesifazane abanezinkinga ezingenakuchazwa ngokuqhathaniswa nomphakathi jikelele.
Ezinye izimo ezinzima ezingabangela ukungabi nabantwana zibandakanya isifo sikashukela, ukugula okungenakutholakali kwe-thyroid, kanye nezinye izifo ezizimele.
I-endometriosis ephansi : i- endometriosis ekhulu kakhulu ingabangela izinkinga zokuzala ezibonakalayo ngaphandle kwe-laparoscopy. Isibonelo, ama-cysts e-endometrial angaphazamisa ukuvuthwa kwemfuyo noma ngisho abangele ukuqhuma kwe-tublopian tube blockages.
Ukuphela kwe-endometriosis angeke kuphazamise ukuvuthwa noma ukucaca ukuhamba kweqanda. Kungase futhi kube nezimpawu ezibonakalayo.
I-Endometriosis ingase ibe ngemuva kwamacala amancane angacacisiwe. Kodwa-ke, ochwepheshe abavumelani ngokuthi i-endometriosis enobungozi ingabangela ukungasebenzi, futhi uma ebo, kungakhathaliseki ukuthi ukuhlinzeka i-laparoscopic ukuxilongwa nokusola ama-deposit endomitrikhi kuyasiza.
Ukusebenzisana phakathi kwemvelo yesisu nesidoda : Emva kokujula, isidoda kufanele siphume ngaphandle kwendoda bese singena emgqonyeni wesibeletho. Bese-ke, kumele badonsa besuka emzimbeni, baye emnyango wesibeletho, futhi ekugcineni bangene esibelethweni.
Ngezinye izikhathi, kungase kube nezinkinga phakathi naleso sikhathi sokuguquka, kusukela esitsheni, kuya emgqonyeni wesibeletho, kuze kube sekhondleni. Isibonelo, kungase kube nama-antibodies embukilini wesibeletho noma ngisho nembongolo ehlasela insimu.
Lokhu kuyaziwa ngokuthi i- mucus enesihluku somlomo wesibeletho . Indlela yokuxilongwa ngokuphumelelayo le nkinga ayicacisi, ukushiya amacala afana nalawa ajwayelekile.
Ikhwalithi leqanda elimpofu: Sinezivivinyo zokunquma ukuthi u-ovulating, nokuhlola ukuthola umbono ojwayelekile wokuthi kunamaqanda amancane kakhulu emaqanda.
Kodwa akekho ukuhlolwa ukunquma ukuthi amaqanda ayimfanelo enhle yini. Amaqanda amancane asemqoka angabangelwa ukudala, isimo esingokwempilo esibhedlela, noma esinye isizathu esingaziwa.
Ikhwalithi yamaqanda empofu ingahlolwa ngesikhathi se-IVF. Ngemuva kokuqanda amaqanda, amaqanda azohlolwa ngaphansi kwe-microscope.
Ikhwalithi ye-sperm empofu : Ezinye izinhlobo zekhwalithi yesilisa empofu ziyabonakala. Isibonelo, ukuma kwesimpo esibi (esaziwa nangokuthi i-morphology) kungabangela izinkinga zokuzala. Ukuntuleka kwesidoda sezinambuzane (noma ukunyakaza) kungabangela ukungabi nalutho.
Kodwa lezi zixilongwa. Angabonakala ngesikhathi sokuhlaziywa kwesilisa.
Kungase kube khona izinkinga ezihlobene nekhwalithi yesilisa ezingabonakali ngesikhathi sokuhlaziywa kwesilisa.
Isibonelo, i-sperm ingaba ne-DNA yezinga eliphezulu. Lezi zinkinga ze-DNA zanda njengoba umuntu esesimdala, yingakho izingane zabazali asebekhulile zisengozini enkulu yokuthola izinkinga ezithile zokuzalwa nezinkinga zempilo yengqondo.
Ikhwalithi ye-sperm empofu ingahlolwa ngesikhathi se-IVF. Uma isibindi esibheka kahle singabonakali ukutshala amaqanda aphilile, lokhu kungabonisa izinkinga ngekhwalithi noma izinga lomuthi.
Izinkinga nge-endometrium: ungaba nemvelo enempilo yomlomo wesibeletho, amaqanda aphilile, nempilo enempilo ... kodwa uma umbungu ophelile ungenakuthinta i-endometrium, sinenkinga.
Kukhona okungakaziwa kakhulu mayelana nezinkinga zokuzala ezihlobene ne-endometrium .
Isibonelo, isifundo esisodwa sathola ukuthi igciwane elisha elitholakale livame ukutholakala kwezicubu ze-endometrial zabesifazane abangenalutho kunabesifazane abanesizalo esiqinisekisiwe. Kodwa indlela yokuxilongwa nokuphatha le nkinga aziwa.
Iziphambeko zesigaba se-Luteal nazo zihambisana nezinkinga ezingenzeka nge-endometrium futhi kungaba yimpendulo yamanye amacala okungaziwa okungaqondakali.
Izinkinga ngeqanda elikhulelwe elikhulela embryo enempilo : Asho ukuthi sithola iqanda elibukeka kahle ne-sperm, bese iba umbungu. Ngokulandelayo, amangqamuzana angaphakathi embumbeni ngahlukana futhi akhule ukuze ekugcineni abe nomntwana.
Ngezinye izikhathi, lokhu kuhamba kahle. Lena enye inkinga engase itholakale ngenkathi ukwelashwa kwe-IVF kusukela imibungu ihlolwe ngokuhlukaniswa kwamaseli avamile.
Esinye isici esaziwayo okwamanje ochwepheshe bokuzala: Kungenzeka ukuthi imbangela yokungasebenzi kwakho okungaziwa engaziwa ngokuphelele ochwepheshe bezokwelapha ngalesi sikhathi.
Asazi konke okukhona mayelana nokuzala okwamanje.
Ayikho into engalungile kakhulu : Iminye imibhangqwana ene-infertility engaqondakali iyokhulelwa ngaphandle kokwelapha usizo phakathi kweminyaka eyodwa kuya kwemibili yokuxilongwa. Akekho owaziyo ukuthi kungani noma yini engalungile, kodwa kwenzeka.
Umbhangqwana onempilo, ovuthiwe unamathuba angama-30% okukhulelwa kunoma iyiphi inyanga enikeziwe. Qaphela ukuthi izinkinga azikho 100%. Awona 100% kunoma ubani .
Kungenzeka ukuthi unenkinga yokuzala inkohliso, kodwa hhayi kakhulu ukuthi awukwazi ukucabanga ngokwakho isikhathi esiningi. (Lokhu ngezinye izikhathi kuthiwa yi-subfertility.)
Kungenzeka ukuthi wena nomlingani wakho nithinte inhlanhla.
Kuyadabukisa, kodwa kuyincazelo engenzeka kulabo abazama ukukhulelwa iminyaka engaphansi kwemibili kuya kweyithathu.
Yikuphi ukungenzi lutho okungaqondakali akusiyo
Njengoba kubalulekile njengokuxoxa ukuthi yikuphi ukwehluleka okungaqondakali, kubalulekile ukukhuluma ngalokho akusikho .
Ukungasebenzi okungaziwa ...
- Hhayi nje "ekhanda lakho"
- Kubangelwe nguwe "ukuzama kanzima" noma "ukucindezeleka"
- A non-issue
Kulula kubantu, kuhlanganise nodokotela abathile abangenandaba, ukuxosha ukungasebenzi uma inkinga ecacile ingatholakali.
Ungatshela umalume wakho uMarge ukuthi akekho ucwaningo olubonisa ukuthi ukungasebenzi okungabonakali kungabangelwa "ukuzama kanzima" noma "ukuphumula."
Umzabalazo wakho womzwelo wokukhulelwa ungokoqobo ngaphandle kokuxilongwa ngokuqondile. Abanye bangase bathi bakhulume kakhulu, ngoba, ngaphandle kwezimpendulo, ungase uzizwe udidekile kakhulu ngesimo.
Inkinga yakho engokomzimba ingenzeka njengokwenyama, ngisho noma ingenakutholakali noma ingakaze itholakale okwamanje.
Ufuna ukukhulelwa, futhi awukwazi. Izibalo zithi kufanele ukhulelwe manje. Konke kufanelekile ukunakekelwa nokukhathazeka.
Uma udokotela wakho ekutholile ukuthi unesifo esingenakuchazwa, cabanga ukuthi uthole umbono wesibili. Kungenzeka ukuthi uqhubeke nokuhlola uzothola incazelo.
Uma udokotela wakho ekuthola ukuthi unesifo esingenalutho futhi utshela ukuthi "udinga isikhathi esengeziwe," ungase ufune ukucabangela umbono wesibili. Nakuba lokhu kuyiqiniso emibhangqwana ethile, futhi kungaba iseluleko esihle kwezinye izimo, akusiyo wonke umuntu. Kuyafaneleka ukulandelwa.
> Imithombo:
> Herbert DL1, uLucke JC, uDobson AJ. "Imiphumela yokuzalwa emva kokukhulelwa okuzenzekelayo noma okusizayo phakathi kwabesifazane abangenabantwana base-Australia abaneminyaka engama-28 kuya kwezingama-36: isifundo esizovela kubantu, " kusho uFertil Steril . 2012 Mar; 97 (3): 630-8. doi: 10.1016 / j.fertnstert.2011.12.033. Epub 2012 Jan 21.
> GL Schattman et al. (ama-eds.), Ukungenzi lutho okungaqondakali, DOI 10.1007 / 978-1-4939-2140-9_1, i-Springer Science + Business Media, LLC 2015.