I-Nulliparous yigama lonyango lowesifazane ongakaze azalwe mhlawumbi ngokukhetha okanye nayiphi na isizathu. Eli gama lisebenza nakwabasetyhini abaye bazala umntwana oswelekileyo , okanye umntwana owayengenako ukuhlala ngaphandle kwesibeleko.
Igama linemiphumo yeLatin, ukusuka ku- "null" echaza "kungekhona" kunye nesenzi "parere," esithetha "ukuvelisa."
Abasetyhini abasetyulini banomngcipheko omkhulu kwiimeko ezithile zempilo kunabalingani babo bokuzala abantwana, kubandakanywa nemihlaza yebele kunye nokuzala. Kwaye nabasetyhini abangazange babe nabantwana kodwa banokufuna kwixesha elizayo kufuneka baqwalasele ngononophelo uhlobo lokulawulwa kokuzalwa ukusebenzisa. Kukho iindlela ezingenza kube nzima ukukhulelwa emva kokusetyenziswa kwexesha elide.
Abasetyhini abaNulliparous kunye neengozi eyandisiweyo yokuKhansela okuzalisa
Kwiminyaka emininzi, isayensi yoluntu sele yazi ukuba abafazi abangama-nulliparous banomngcipheko ophezulu weengcingo zenkqubo yokuzala, kuquka i-ovarian and uterine cancers. Ingozi eyongeziweyo yayicingelwa kukuba ngenxa yokuba abasetyhini abanezingane ze-biological abanemijikelezo embalwa yecala.
Kodwa uphando olutshanje olusuka kwiZiko loLuntu lokuBala lufumene imijikelezo encinci ye- ovulatory akunakwenzeka ukuba lube yimbangela yemilinganiselo ephezulu yomhlaza, kwaye oko kuqhutyelwa phambili ukuhlolisisa ubudlelwane kulungile.
Umngcipheko okhulayo weCanscer Breast phakathi kwabasetyhini abaNulliparous
Abasetyhini abanabantwana ngaphambi kokuba baneminyaka engama-20 banomngcipheko wobomi obungaphantsi komdlavuza webele xa kuthelekiswa nabalingani babo abangafaniyo, kodwa oomama abatsha banomngcipheko ophezulu kwiminyaka eyi-15 yokuqala emva kokukhulelwa kwabo. Oomama abanokukhulelwa kwexesha eli-5 bexesha elipheleleyo bangaphantsi kwama-50 ekhulwini kunokuba abafazi abangenanto bahlakulele umdlavuza webele.
Ukuxiliswa, okwenziwa ngabasetyhini abangaboniyo, sele kufunyenwe ukunciphisa ingozi yomhlaza wesifuba.
Kwaye phakathi kwabasetyhini abaneminyaka engama-35 ubudala nangaphezulu, kunomngcipheko omkhulu wokuba nomntwana osweleyo, ngokucwaninga kwezigidi eziyi-1.8 zokukhulelwa ezichazwe kwincwadi ethi Obstetrics & Gynecology.
Iisetyhini ze-Nulliparous kunye ne-IUD
Uphando lwangaphambili malunga nokusetyenziswa kwe-IUD phakathi kwamabhinqa angama-nulliparous cebisa ukuba kunzima kubo ukuba bakhulelwe okokuqala emva kokusetyenziswa kwexesha elide le-IUD (i-intrauterine device). Oku kuqhathaniswa nokusetyenziswa kwendlela yokukhawulela, njengentsimbi okanye ikhondom.
Kodwa uphando olungaphezulu lwangoku yi-World Health Organisation alufumananga mngcipheko wokungabikho kwintsebenziswano phakathi kwabasebenzisi be-IUD abasemgangathweni, olwalamano ngokwesini. Ngokuqhelekileyo abafazi abangenanto abaye bafumana ukuxhamla kwiinkwenkwezi zesini, kwaye ngoko ke kungenzeka ukuba baye bafumana isifo sesifo esithathelwana ngesondo (STD). Ukungabi naluphi na umphumo wecala lwe-STD ezininzi.
AbaSebenzi beTyulparparous Women
Izigaba zomsebenzi ngexesha lokuzalwa zinemiqathango eyahlukeneyo yoomama kunye nabasetyhini abafazi. Kwixesha lokuqala loomama, isigaba esifihlayo (xa kukho izicatshulwa ezinobunzima kunye nokungaqhelekanga) malunga ne-1.5 iiyure ezide, isigaba somsebenzi esisebenzayo siphantsi kweeyure ezingama-2 kunye nesigaba sesibini (ixesha eliphakathi kokuba umlomo wesibeleko uncibilike ngokupheleleyo kwaye umntwana uza ukuphuma) malunga nemizuzu engama-50.
> Imithombo:
> Gleicher, N. Ukuzalisa i-Biomedicine Online: Kutheni i-Cancers Yokuzalisa Eyona nto iqhelekileyo kwiNkwenkwekazi? (2013).
> I-Obstetrics & Gynecology: Abasetyhini abadala abaNulliparous bafumana ingozi ephezulu ye-Stillbirth (2015).
> Ikholeji yase-American College of Obstetricians and Gynecologists. "Yenza i-Bulletin # 121 - Ukukhulelwa okuKhuselekileyo okuPhatha ixesha elide: Izimpembelelo kunye namadivayisi ase-Intrauterine." I-Obstetrics & Gynecology. 2011. 118 (1): 184-196. A