Uma ucwaninga ukulahleka okungajwayelekile ku-intanethi, cishe uzothola imininingwane eminingi ephikisanayo nokudideka. Esinye isihloko singakutshela ukuthi odokotela bangaphatha amacala amaningi okuphutha okungajwayelekile lapho omunye engakutshela ukuthi odokotela abanakho ngisho nomqondo wokuthi yini ebangela ukuhlukumeza okuphindaphindiwe.
Ngaphezu kwalokho, uma ukhuluma nabanye besifazane emaqenjini okusekela ngokuphutha komzimba, ungafunda ukuthi abanye odokotela basebenzisa izindlela ezithile zokwelashwa nezindlela zokwelapha udokotela wakho angase azisho akusizi ngalutho - noma ungase ufunde ukuthi odokotela besifazane abathile babatshele ukuthi ukwelapha udokotela wakho ukukhuthaza akulinganayo.
Izihloko emaphephandabeni zingase zimemezele ukuthi ezinye izifo ezithinta isisu zibangelwa ukuthi "azikho ubufakazi" ngisho noma udokotela wakho ekutshela ukuthi kukhona isixhumanisi (noma ngokuphambene nalokho - udokotela wakho angase athi ukukhulelwa kwesisu okubangela ukuba ufunde ngaye ephephandabeni akunakho ubufakazi kuba yiqiniso elibangelwa ukukhulelwa kwesisu). Yini inikeza?
Ukungabi Nobunye Ngokuvumelana Nezinkinga Zokungathathi Ngaphandle
Iqiniso liwukuthi akukho ukuvumelana okuncane emkhakheni wezezokwelapha mayelana nezimbangela eziningi ezivezwayo zokukhubazeka okuphindaphindiwe . Izimbangela kuphela ezamukelwa iningi labangqakithi njengezimbangela zokukhulelwa kwesisu okuqinisekisiwe, ezithandwa kabanzi yi- antiphospholipid syndrome , isibeletho se-septate , kanye nokushintshwa okulinganisiwe komzali oyedwa noma bobabili abazali. Ngisho nalezi zici ezintathu, odokotela bayavumelani ukuthi bangabhekisa kanjani iziguli nokuthi ngabe ngamunye udlala indima ekucaleni nasekuhambeni kwesikhathi kwamaphutha.
Kodwa ezinye izinkolelo eziningi zikhona mayelana nezifo zezokwelapha ezingase zidale ukuphuma kwesisu - nakuba lezi zindatshana zingakabonakali.
Indlela Udokotela Ahlola Ngayo Ukwelashwa Kwangaphandle Kwamanye amazwe
Ngaphambi kokwamukela inkolelo njengesiqiniseko, odokotela ngokuvamile babheka izifundo eziningi ezibonisa ukuhlanganiswa okuqondile phakathi kwezici ezimbili - futhi ekubhekeni ukwelashwa, ngokuvamile bafuna ukubona ubufakazi obuqinile bokuthi ukwelashwa empeleni kusebenza kangcono kune-placebo.
Endabeni yokwelashwa kwezimo eziphuthumayo eziphindaphindiwe, lapho ngisho nama-placebos ngokuvamile anezinga eliphakeme lokuphumelela, ukufakazela ukuthi iziphi ukwelapha kokuphuphuma komzimba okungahambi kahle futhi akusizi kungaba umsebenzi onzima othatha iminyaka.
Okwamanje, ngethemba lokuthi kuzosiza iziguli zabo esikhathini esizayo esiseduze, odokotela abaningi basebenzisa izindlela zokwelashwa ezingenasifo lapho kungelashwa "okungenakulimaza futhi kungasiza," kucabanga ukuthi ucwaningo lungase lubonise ukuthi ukwelashwa ukusebenza abanye besifazane - nokuthi uma ukwelashwa okuhlosiwe kungenakwenzeka ukulimaza, kudingeke uzame ngethemba lokuthi lingasiza.
Odokotela abanemithwalo yemfanelo kaningi abenzi izithembiso ukuthi ukwelashwa kulesi sigaba kuzovimbela okunye ukuhlukumeza; Bethula ukwelashwa njengento yokuzama kodwa abakhuthazi iziguli ukuba ziphephe ithemba labo ekwelapheni okuphumelelayo. Ukusuka kwombono wesiguli, kungenzeka ukuthi kube nenzuzo engokwengqondo ukuzwa sengathi wenza into kunokushiya konke kuze kube yilezi zinsuku.
Ukwengeza, ukungabi nobufakazi obucacile bokuthi izinkomba zokwelashwa kokuphuphuma komzimba akufani nokufaka ubufakazi obucacile bokuthi akusebenzi - kusho ukuthi kusho ukuthi akunakwenzeka ukudweba iziphetho ngokususelwa ocwaningweni olutholakalayo.
Ngakho-ke, empeleni, noma yikuphi ukwelapha okungavumelekile kungase kungasebenzi noma kungasebenzi, lokhu kusho ukuthi isinqumo sokusebenzisa ukwelapha okungavumelekile kuphakathi kowesifazane nodokotela wakhe.
Izibonelo Zokuphathwa Kokuqothulwa Kwangaphandle Okungavinjelwe
Nazi ezinye zezibonelo zokwelashwa okungahambi kahle okungahambisani nokukhulelwa kanye nezinqubo zokuvimbela okubhekwa ukuthi akunakwenzeka ukuba zibe yingozi:
- Izithako ze-Progesterone
- I-aspirin ye -dose ephansi kubantu besifazane ngaphandle kokuphazamiseka kwe-clotting
- Ukunciphisa ukucindezeleka
- Ukunciphisa isisindo (ukukhuluphala ngokweqile kuhambelana nobungozi bokuphuphuma komzimba)
- Ukunciphisa ukudla kwe- caffeine noma ukugwema ezinye izinto zokuphila ezihlobene nokuhlukunyezwa
- Ukuthatha i-folic acid engeziwe namanye amavithamini B
Nazi ezinye izindlela zokwelapha okungahambi kahle okungahambi kahle okusetshenziselwa ezinye odokotela futhi ezithwala izingozi zempilo. Abanye odokotela bazizwa ngokujulile ngalezi zindlela zokwelapha futhi banomuzwa wokuthi bangakhuthaza lezi zindlela ngokuphepha ngenkathi behlinzeka ngemithi yokwelapha:
- Ukuxilongwa kwesandulela ngculaza kwangaphambili
- I-Heparin yabesifazane ngaphandle kokuphazamiseka kwe-clotting
- I-Metformin
- Immunotherapy
Khumbula ukuthi noma yiluphi uhlobo lokuvimbela ukukhulelwa kwesisu noma indlela yokwelapha kufanele ihlolwe kuphela ngokugunyazwa nodokotela.
Imithombo:
UJauniaux, u-Eric, uRoy G. Farquharson, u-Ole B. Christiansen, u-Niek Exalto, "Iziqondiso ezisekelwe ebufakazini nokuphenywa kokwelashwa okungajwayelekile." Ukukhiqizwa Kwesintu Ekuqaleni 17 Meyi 2006.
Ikhomishana yamaRoyal of Odestry and Gynecologists, "I-Investigation and Treatment of Couples ne-Recurrent Marriott". May 2003.