Ukuthola ukuxilongwa kokungabi nalutho kungaba nzima ngokomzwelo futhi kukhululeke. Ukuthola igama ngalokho okubhekene nayo kungakusiza ufune usizo oludingayo. Ngesikhathi esifanayo, ukuvuma ukuthi kukhona okungalungile akulula.
Ukuxilongwa kokungabi nabantwana kuvame ukunikezwa lapho umbhangqwana, emva konyaka wokuzama ukukhulelwa, ungakhulelwa.
Uma umbhangqwana uzama ukuba nomntwana wabo wokuqala , ukuxilongwa okunikezwayo kungukungabikho komuntu oyinhloko . Uma bezama ukuba nengane elandelwayo, ukuxilongwa kwesifo se- econdary s infondtility sinikezwa.
Umbhangqwana obhekana nokuhlukunyezwa okuphindaphindiwe (ngokuvamile emva kokulahlekelwa okulandelanayo okulandelanayo) unikezwa ukuxilongwa kokungazalwa.
Abashadile abanezinkinga bangakwazi noma bangenayo izimpawu ezibonakalayo ngaphandle kokuthola ubunzima bokukhulelwa.
Ingabe Unyaka Uyimfuneko Yokuthola I-Infertility Diagnosis?
"Zama unyaka, futhi emva kwalokho, buya uma ungakhulelwe," yimpendulo evame kakhulu enikezwa imibhangqwana ezama ukukhulelwa, ikakhulukazi labo abangaphansi kweminyaka engama-35.
Kodwa unyaka isikhathi eside ukulinda. Ingabe kufanele uzame unyaka ngaphambi kokufuna usizo?
Hhayi ngaso sonke isikhathi.
- Bheka izici zobungozi noma amafulege abomvu : Indlela eyodwa yokusheshisa inqubo yokwamukela ukuxilongwa ukuthi ihlolwe noma yiziphi izici ezingozini noma amafulege abomvu angase akhombe inkinga yokungenasifo. Asikho isizathu sokulinda unyaka wonke uma kunezibonakaliso zokuxwayisa, izimpawu, noma izinkinga zezempilo ezedlule.
- Cabanga nge-charting : Enye indlela yokusheshisa ukuxilongwa ukucabangela ukulinganisa imijikelezo yakho . Ukudweba imijikelezo yakho kuhlanganisa, ezingeni eliyisisekelo, ukurekhoda ukushisa kwakho ekuseni, nokubuka amaphethini athile emjikelezweni wakho.
- Uma ngabe ubhadele imijikelezo yakho izinyanga eziyisithupha futhi ungabhalela udokotela wakho ukuthi ubulale ucansi phakathi nesikhathi sokuvuthwa ngalezi zinyanga eziyisithupha, kanti namanje abakhulelwe, kungenzeka ukuthi bangase bahlole ezinye izivivinyo ngaphambi kokuba "Unyaka" wokulinda usuphelile.
- Uma uneminyaka engama-35 noma ngaphezulu, ungalindi izinyanga ezingaphezu kwezinyanga eziyisithupha : Uma ungaphezu kweminyaka engu-35 , akufanele ulinde isikhathi esingaphezu kwezinyanga eziyisithupha ngaphambi kokubona udokotela . Ngenxa yokuthi ukuzala kwakho ngokwemvelo kunciphisa njengoba usudala (ukuqala eneminyaka engu-25 kumadoda, futhi uma uneminyaka engama-30 kubafazi), isikhathi sinesisindo uma usufika eminyakeni yobudala engama-35.
Ubani Owenza Ukutholakala Kokungabi Nabuthakathaka?
Ngokuvamise, isazi sakho sezinkinga zokubeletha sizokwenza kuqala ukuxilongwa kokungazalwa.
Nokho, lokho akusiyo njalo. I-endocrinologist noma udokotela wakho womndeni ojwayelekile angakuqaphela ukuthi kungenzeka izinkinga zokuzala, uma unezinkinga zempilo ezingabangela ukungasebenzi, njengezinkinga ze-thyroid, isifo sikashukela, noma i- PCOS .
Ngemuva kokuba uhloliswe kokuqala kokugula, isazi sakho sezinkinga zokubeletha singase sikuphathe, noma ungathunyelwa ku- endocrinologist yokuzala . I-endocrinologists yokubeletha (RE) ngokukhethekile ekuphatheni ukungabi nabantwana emibhangqwaneni.
Izimbangela Zokungafihli
Ukuxilongwa kokungazalwa kahle kuvame ukungena ezinyathelweni ezimbili, isigaba sokuqala sibe yisifo esijwayelekile sokuxilongwa kwezingane, kanti isigaba sesibili sixilongwa ngesibangela esithile sokungasebenzi. Ukungabi nalutho kungaba uphawu olulodwa. Ukuphatha ukwelashwa ngendlela engcono kakhulu, ukuthola imbangela kuyasiza.
Ngokusho kwe-American Society of Medicine Reproductive, ingxenye eyodwa kwezintathu zamacala angenasifo esibangelwa ukungabi nabantwana kubangelwa inkinga emaceleni kowesifazane, ingxenye yesithathu isuka ohlangothini lomuntu, kanti okwesithathu okushiwo kubandakanya izinkinga zombili zombili noma izizathu ezingachazwanga. Eqinisweni, ku-20% wezehlakalo zokungabikho, imbangela yokungabi namuntu isaziwa.
Izimbangela ezimbili ezivame kakhulu zesibalo sokungakhulelwa kwabesifazane zihlanganisa:
- Ukuphazamiseka kwe-Ovulatory: ukubalwa kwe-18% kuya ku-30% kokungabikho kwabesifazane.
- Ukuphazamiseka Kwe-Anatomical: njengezivalo ezivinjiwe ze-fallopian, ngokuvamile zibangelwa izifo noma ukuvuvukala, njenge-endometriosis noma isifo sokuvuvukala kwe-pelvic.
Izimbangela ezimbili ezivame kakhulu zesilisa ezingenayo ukungabi nabantwana zihlanganisa:
- I-Sperm Low Production: Ukubizwa ngokwemithi ngokuthi i-azoospermia (ukuntuleka okuphelele kwamangqamuzana omdlwane) noma i-oligospermia (ambalwa esakhiweni se-sperm akhiqizwa), lokhu kuyimbangela ejwayelekile kunazo zonke zesintu esingenasifo.
- I-Sperm Ukuchithwa: Ngisho noma inani lobisi lingaphakathi kobubanzi obujwayelekile, isidoda esingasebenzi kahle, kanye nekhono le-sperm lokwenza iqanda ngaphambi kokufa, kungaba imbangela yokungasebenzi .
Ngemuva kokuthola i-Infertility
Isinyathelo esilandelayo ngokuvamile kuvame ukuhlolwa , ukucacisa imbangela yenkathazo. Ukuqaphela ukuthi yini engalungile kungasiza udokotela wakho eze nehlelo lokuphatha kangcono kakhulu.
Kwezinye izimo, udokotela wakho ngeke akwazi ukunquma ukuthi kungani ungakwazi ukukhulelwa. Lokhu kwaziwa ngokuthi ukungabonakali okungahlongozwayo noma okungaqondakali kwe-idiopathic . Kwenzeka kufika ku-30% wesikhathi.
Kulesi simo, udokotela wakho cishe uzosikisela ukuzama ukwelashwa okuphansi kakhulu kwe-tech fertility (njenge- Clomid ), bese uphakamisa isiteji uma ukwelashwa kungaphumeleli.
Kungakhathaliseki ukuthi imbangela yenzalo yakho, kufanele wazi ukuthi kukhona isizathu sethemba.
Ngokusho kwe-American Society of Medicine Reproductive, ama-85% angama-90% angama-infertility amacala angaphathwa ngokusebenzisa ukwelashwa okuvamile, njengemithi noma ukukhanda okuhlinzekwayo. Iziguli ezingaphansi kuka-3% zezifo ezingenasifo zidinga ukwelashwa okuphambili, njenge-in vitro fertilization.
> Imithombo
> Ngubani ongenayo? Us? I-American Fertility Association. Kufinyelelwe ngoJanuwari 21, 2008. http://www.theafa.org/conceive/whosinfertile.html
> Imibuzo evame ukubuzwa mayelana nokungenzi lutho. UmNyango we-American for Medicine Reproductive. http://asrm.org/awards/index.aspx?id=3012
> Izinguquko ekudleni kanye nokuphila komzimba kungasiza ekuvimbeleni ukungenzi lutho kusuka ekuhluphekeni kwe-Ovulatory. Isikole se-Harvard sezempilo yomphakathi, i-Press Release. Ifinyelele ngoJanuwari 21, 2008. http://www.hsph.harvard.edu/news/press-releases/2007-releases/press10312007.html
> FAQ Okujwayelekile Yokungahambi. Umkhandlu we-InterNational on Information Infertility Dissemination.http: //www.inciid.org/faq.php? Cat = infertility101 & id = 1
> Weschler, T. (2002). Ukubheka Ukukhiqiza Kwakho (Edition Olubuyekeziwe) . I-United States of America: HarperCollins Publishers Inc.