Inyaniso Ngokuphathelele Ukukhulelwa Kufuneka Ixesha

by URachel Gurevich; Ukuhlaziywa ngu-Anita Sadaty, MD

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Indlela yokubala umhla owenziwe ngawo

Ukubala umhla ofunekayo kunzima kunokuba kubonakale. Cultura RM / Chev Wilkinson / Getty Izithombe

Ekugqibeleni, ufumana umphumo wokuhlola okhulelweyo ! Umbuzo wakho olandelayo uya kuba, "Ngumhla onikufaneleyo?" Ufuna ukwazi ixesha elide omele ulinde ukuze ubone lo mmangaliso.

Unokusebenzisa i-calculator date calculator. Uninzi lomsebenzi ngokucela ixesha lokugqibela lokuya esikhathini.

Nangona kunjalo, unako ukufumana umhla omele uwenze wena, ukuba ufuna.

Ukwenza oku entloko yakho, nje ...

Qaphela usuku lokuqala lwenkqubo yokuya esikhathini enyangeni kule nyanga
Yongeza iintsuku ezisixhenxe
Ngoku, susa inyanga emva kweenyanga ezintathu
Yongeza unyaka omnye

Emva koko, uya kuba nomhla wakho wokugqibela.

Nazi ezinye izibonelo.

Ukuba ixesha lokugqibela lokuhamba kwakhe lalingu-2/11/2015, kuqala, wongeza iintsuku ezisixhenxe: 2/18

Ngoku, buyela emva kweenyanga ezintathu: 11/18

Kwaye, unyaka owodwa ungumhla wakho wokugqibela: 11/18/2016

Ukuba ixesha lokugqibela lokuhamba kwakhe lalingu-10/15/2015, kuqala, wongeza iintsuku ezisixhenxe: 10/22

Ngoku, buyela emva kweenyanga ezintathu: 7/22.

Emva koko, tshintsha unyaka owodwa ukufumana umhla wakho wokugqibela: 7/22/2016

Umyinge oqhelekileyo wokukhulelwa kwe-singleton (ngokuqhelekileyo) uthathwa njengeentsuku ezingama-280 (okanye iiveki ezingama-40) ukusuka kwinyanga yokugqibela yokuhamba. Le ndlela izokunika ukukhulelwa kweeveki ezingama-40 .

Nangona kunjalo, imihla efunekayo iyinkimbinkimbi kwaye ingaphantsi kuneyo.

Kule nqaku, uya kufunda ...

Kutheni imihla efanelekileyo ifana nexesha elifanelekileyo
Izizathu onokuzihambisa kungekudala okanye emva kwexesha elifanelekileyo
Kutheni imihla efunekayo ibalwa ngethuba lokugqibela lokuhamba kwimihla kwaye ungenzi umhla wokuhlawula
Kutheni ukutshata kwe-ultrasound kulunge - ngamanye amaxesha
Kutheni akukho nto yale nto ifanelekile ukuba ukhulelwe nge-IVF
Kutheni ufuna ukunyamekela ngosuku lwakho olufanelekileyo - nokuba ngaba "nje" uluhlu

Qhubeka ufunda iimpendulo ...

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Ukukhulelwa Kwamaxesha Okudlulileyo Kuninzi Ngamaxesha Okuhlawula

Cinga ngelanga lakho elifanelekileyo njengokuba lixesha elifanelekileyo. Kuphela nje ukuqiqa. UJeffrey Coolidge / Getty Images

Ugqirha wakho uyakukunika umhla ofanelekileyo - kodwa iingxaki zakho zokubeletha ngaloo mini ziphantsi kakhulu.

Enyanisweni, ngokutsho kwesinye isifundo, kuphela i-4% yabasetyhini ababelelanga iintsuku ezingama-280 (okanye iiveki ezingama-40) ukusuka ekupheleni kokuhamba kwakhe.

I-70% kuphela iza kuhambisa kwiintsuku ezili-10 zomhla wazo.

Oku kuyinyaniso nangemihla efunekayo ebalwe nge-ultrasound, enokuthi ichaneke ngakumbi. (Ngakumbi malunga nalo maduze.)

Ufanele ubone usuku lwakho olufanelekileyo ngexesha elifanelekileyo , kunye nomhla wakho wokuba ungakanani phakathi.

Unako ukuhambisa kwi-4 ukuya kweyiveki, kwaye awuyi kuqwalaselwa ngaphambi kwexesha okanye emva kwexesha .

Kutheni imihla efanelekileyo ingenjalo?

Kukho izizathu ezintathu ezinkulu.

Enye, imihla efunekayo ibalwa ngokusekelwe kwimizuzu yokugqibela yokuthatha ixesha lokuthatha ixesha kwaye icinga ukuba uyisondeza ngokugqibeleleyo iintsuku eziyi-14.

Kodwa a baninzi abafazi bavutha ngokukhawuleza okanye kamva .

Kwakhona, ukufakwa kwesibindi kuhluka. Ixesha lokumiswa liyakuchukumisa nokuba uza kuba nexesha elingakanani.

Nangona unyango lwenzala , asikwazi ngokwenene xa ukhulelwe ngaphandle kokuba wenze i-IVF.

NgeComomid okanye i- IUI , unokwazi ukuba uliphi i- trigger yakho . Unokwazi ukuba unesiphumo sokuvavanya , okanye ungayazi ukuba i -chart yakho yesibhakabhaka yomzimba esezantsi ibonisa ukuvuthwa.

Kodwa ke loo nto ayikho ichanekileyo eyi-100%. Izifundo ziye zafumanisa ukuba i-ovulation inokuvela iintsuku ezimbalwa ukuvavanya ukuvavanywa kwe-ovulation okanye i-chart yeBBT ibonisa.

Okwesibini, asazi ngokuqinisekileyo ukuba ubude bomntu bude kangakanani.

Okokuqala, oku kungenxa yokuba umzuzu wokukhulelwa ufihliwe. Akusihloko esilula ukufunda. Ngaphandle kwe-IVF , asikwazi ukuba kwenzeka ntoni.

Okwesithathu, kwaneeveki ezingama-40 zithuba zengxaki.

Ezinye izifundo zithi iintsuku ezingama-280 (okanye iiveki ezingama-40) ziqikelele kakhulu umhla omele. Ezinye izifundo zithi iintsuku ezingama-282 (okanye iiveki ezingama-40 kunye neentsuku ezimbini) zingcono.

Imihla efunekayo iyinkimbinkimbi.

Ngaphezulu kwako konke, kukho inani lezinto ezinokubangela ukuba ubeleke kungekudala okanye emva kwexesha eliphakathi ...

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Unokuhambisa ngokukhawuleza okanye kamva kunokuba umyinge ukuba ...

Yikholwa okanye akunjalo, ubunzima bakho ekuzalweni bunokuchaphazela ukuba uza kuthwala ixesha elingakanani umntwana wakho. Layland Masuda / Getty Izithombe

Abasetyhini ababini bayakhulelwa ngosuku olufanayo. Kodwa omnye ubeletha ngaphambili okanye kamva kunomnye. Ngoba?

Ewe, asisoloko siyazi isizathu sokuba. Nangona kunjalo, ngokwecandelo lophando, nasi zizathu ezimbalwa.

Ubudala : Ngokuqhelekileyo, abafazi abaneminyaka engama-35 okanye ngaphezulu bavame ukubeleka ngaphambi okanye emva kwexesha elifanelekileyo.

Enyanisweni, okhulileyo ukhona, mhlawumbi ufanele uhambe ngosuku lwakho olusemthethweni.

Imbali yokungabikho komntwana : abafazi abazama ukukhulelwa banakho amathuba okubeletha kusasa. Bakusemngciphekweni ophezulu wokusebenza kwabangaphambi kwesikhathi , ongasongela impilo yengane yakho.

Oku kuyinyaniso naphezu kokukhulelwa kwe-singleton. (Akunakufuneka ube namawele ngomngcipheko wezabasebenzi bexesha elide ukunyuka.)

Iingcamango kukuba nayiphi na ukungalingani kwe-hormonal ebangela ukuba ukungabikho kwengqondo kubangele ama-hormone alawula ukukhulelwa nokubeletha.

Amabini okanye ngaphezulu : abaninzi abantu bayazi ukuba iintsana ezininzi zikhula kwisibeleko sakho, mhlawumbi uza kubeleka kusasa.

Amawele ajwayele ukuzalwa ngaphambi kweengoma. Iintathu zintathu zivame ukuzalwa ngaphambi kwamawele. I-quadruplets zivame ukuzalwa ngaphambi kweentathu.

Ugqirha wakho unokukunika nemihla emibini: umhla olungelelanisiweyo kunye nomhla ongaphambanga ngaphambili, ngeenkcazelo ukuba amawele afike ngokukhawuleza.

(Oku akuthethi ukuba iintsana zakho ziya kulungela ihlabathi ngokuzalwa kungekudala nje ukuba akufanele umangaliswe ukuba uya kuvuka kuqala.)

Ubunzima kangakanani ubunzima bokuzalwa : yebo, isisindo sakho sokuzalwa singathintela kangakanani ixesha okhulelwe ngalo.

Ngokutsho kwesinye isifundo, ubunzima bakho bokuzalwa bube buninzi, ixesha elide ungayithwala umntwana wakho.

Abaphengululi bathi inkulu ekuzalweni kunokuthetha ukuba ububele bakho okanye ubukhulu be-pelvic bukhulu.

Ikamelo elingakumbi lokuba umntwana akhule, ixesha elithile kwi-oven.

Kamva kufakwa : ukukhulelwa yilapho isibinzana sithatha iqanda. Oku kwenzeka xa iqanda lihamba ngaphantsi kwebhubhu ye-fallopian . Ekugqibeleni, iqanda elichumayo liya kufumana indlela yalo kwisibeleko kwaye lifake kwi-endometrium .

Ixesha eliphakathi kokuchumisa kunye nokufakelwa kwendawo kufana phakathi kokukhulelwa. Olunye uphando lwafumanisa ukuba ama-embry owafakelwa kamva ayenokuba amathuba okuba athathe ixesha elide.

Ukwanda okwenyukayo okanye ngokukhawuleza kwiprogesitone : i- corpus luteum - eyakhiwa ukusuka kwintolli ekhuphe iqanda-ivelisa i-progesterone emva kokuvavanya.

Xa ukhulelwe, i-hormone yokukhulelwa ibonisa ukuba i-corpus luteum iqhubeke nokuvelisa i-progesterone kwaye ikhulise loo manqanaba.

Kwabesifazana abathile, amazinga akhula ngokukhawuleza. Abanye baphucula kwaye kamva bavuka.

Uphando lufumene ukuba abafazi abanokukhuphuka kweprogesterone bavame ukubeletha ngaphambili.

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Amanqaku amaninzi afanelekileyo athatyathwa ngokusekelwe kwixesha lokugqibela lokunyuka

Akwenzeki ngokwenene ukwazi ixesha elifanelekileyo lokukhulelwa. nguChristopher Wesser - www.sandbox-photos.com / Getty Izithombe

Ukuba ukhulelwe ngokwakho, usuku lwakho olufunekayo luya kusekelwe kwixesha lokugqibela lokuya esikhathini (okanye i-LMP). Oku kuya kwenzeka ukuba umhla wakho wokugqibela uza kubalwa ukuba uthathe iComidid okanye iziyobisi zonyango .

Kutheni imihla efunekayo isekelwe kwi-LMP kwaye ingabi yimini ? Ngaba ubungenakucinga usuku lube luchanile ngakumbi?

Impendulo engokoqobo kukuba abaninzi abafazi abanalo ulwazi xa bekhutshwe. Kodwa abaninzi bayazi ukuba ixesha labo lokugqibela laliphi.

Kodwa kuthekani ukuba uyazi xa ususwe? Oku kunokwenzeka ukuba uthayibhile ukushisa komzimba wakho osisiseko okanye ukuba ugqirha wakho wayejongene nomjikelezo wakho, ngenxa yonyango lokuzala.

Ugqirha omuhle uya kuthatha ingqalelo umhla ovuthayo. Ukuba uyazi ukuba uqhutywe kufuphi neCycle Day 21, xelela ugqirha wakho. Oku kunokunyanzelisa umhla ofunekayo ngeveki epheleleyo.

(Khawukhumbule - ingaba uthabatha ukukhulelwa kwakho ngexesha lokugqibela lokuhamba kwakhe okanye ixesha lokugqibela, usuku lwakho olufanelekileyo luyilo lweentsuku.)

Nangona kunjalo, kukho indlela echanekileyo yokukhupha ukukhulelwa kunokuba ubale ukusuka kwi-ovulation. Kwaye kuhamba nge-ultrasound ...

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I-Ultrasound Ingona Eyona Ntle Imigaqo Yokukhulelwa Ukuthandana

I-Ultrasound yindlela echanekileyo yokutshekisha nokubala umhla ofunekayo. John Fedele / Getty Izithombe

Ukuqhawula ukukhulelwa ngokusekelwe kwi-ovulation kuchanekile ngakumbi kunokusebenzisa ixesha lokugqibela lokuya esikhathini. Kodwa ukuthandana ne-ultrasound kulunge ngakumbi.

Akuqhelekanga ukuba ibhinqa linikezwe umhla ofunekayo, hamba ukuya kwintshukumo ye-ultrasound yexesha elide okanye eliqhelekileyo, kwaye uphume "ngomhla omtsha uphuculo" wokugqibela.

Kweneke ntoni?

Uphando lufumene ukuba sinokufumana umhla ochanekileyo ngokulinganisa indlela enkulu ngayo umntwana.

Enye indlela yokuthandana isekelwe kwimilinganiselo yesithsaba. Ngokufanelekileyo, oku kufuneka kwenziwe phakathi kweeveki ezili-9 neye-13 (ngokusekelwe kwisithuba sokugqibela sokuhamba kwakhe.)

Ukuba umhla oqikelelweyo we-ultrasound ungumhla ongaphantsi kweentsuku ezi-7 ezahlukeneyo kumjikelezo wokugqibela wesigxina ngenxa yomhla, usuku lwakho olufunekayo aluguquki.

Ukuba ikhutshwe ngaphezu kweentsuku ezingama-7, umhla wakho wokugqibela ungalungiswa.

Kuthekani ukuba uthe wadlula iiveki ezi-13?

Kukhona olunye umlinganiselo we-ultrasound ongasetyenziselwa ukuhlawula ukukhulelwa. Iyaziwa njengebiparietal ububanzi (BPD).

Kukho ingxoxo malunga noko kukuchanekileyo ngakumbi-imilinganiselo yekratshi-to-rump kwi-trimester yokuqala, okanye imilinganiselo ye-BPD kwi-trimester yesibini.

Olunye uphando lwaluthelekisa ukulinganisa imihla ejoliswe kwixesha lokugqibela lokuya esikhathini, isithsaba sokwenza umlinganiselo, kunye nobubanzi biparietal.

Babhekise ukuba ziphi ukukhulelwa ezidlulileyo kwiimpawu zeeveki ezingama-41 ezisekelwe kwiimali eziqikelelwayo.

I-31% yadlulela kwiiveki ezingama-41 xa usebenzisa ixesha lokugqibela lokuya esikhathini
I-25.1% yadlulela kwiiveki ezingama-41 xa usebenzisa isithsaba sokurhola ubude
Kuphela i-17.3% yadlulela kwiiveki ezingama-41 xa ububanzi biparietal besetyenziswe

Enyanisweni, ugqirha wakho kufuneka axoxe nayiphi na utshintsho kumhla ofunekayo kwaye kutheni.

Ngaloo nto uthe, ukuba ukhulelwe ngonyango lwe-IVF, umhla wakho wokugqibela awuyi kutshintsha ....

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Ukuba Unayo i-IVF, Usuku Lakho Olufanele Ungalokothi Utshintshe

Kuphela kwinyanga yokwelashwa kwe-IVF siyazi ixesha elifanelekileyo lokukhulelwa. I-Photo Photo Library / Getty Izithombe

Njengoko kuthethwe ngaphambili, ngokuqhelekileyo akunakwenzeka ukuba wazi kakuhle xa kuqalwe ukukhulelwa.

Akunjalo ne-IVF.

I-IVF - emele i- vitro fertilization - iguqulelwe ngolu hlobo ngokuthi "ukuchumisa ebhodini."

Ukuba ukhulelwe nge-IVF, ugqirha wakho uyazi kakuhle xa ukhulelwe.

Kodwa imihla efanelekileyo ye-IVF ayibalwa ngokusekelwe kumhla wokuchumisa. Zibalwa ngokusekelwe kumhla wokutshintshwa kwembungu .

Ukuba unomdla wokutshatyalaliswa kwe-Day 5, umhla ofunekayo kufuneka ube ngama-261 iintsuku kamva.

Ukuba wawunokutshintshwa kwe-Day 3 embryo, umhla ofunekayo kufuneka ube yiintsuku ezingama-263 kamva.

Sebenzisa le-calculator IVF yokubala ukufumana umhla ofunekayo.

IYunivesithi yaseMississippi yeZonyango: I-IVF Date Date Calculator

Ukuba i-ultrasound ezayo ibonisa "usuku olungafanelekanga umhla," umhla wakho wokugqibela awuyi kutshintsha. Kungakumbi, ugqirha wakho uya kujonga ngokukhawuleza ukukhulelwa kwithuba elithile. Umntwana akayi kuphuhlisa njengoko kulindeleke.

Kodwa, unokuba uzibuza, kutheni ukuba umhla ochanekileyo ufanelekile?

Ukuba imihla efanelekile "ngamaxesha afanelekileyo" nokuba kunjalo, kutheni ukukhathazeka ukutshintshisa enye okanye iiveki ezimbini?

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Ukuba iinyanga ezenziweyo ziyiNtlobo, Kutheni Kuchanekile?

Xoxa nodokotela wakho nayiphi na inkxalabo okanye imibuzo onayo ngosuku lwakho olufanelekileyo. Iifoto zeHero / i-Getty Izithombe

Umhla wakho wokugqibela awusetyenziswe kwilitye. Nangona kunjalo, usafuna loo mhla ukuba ube nechanileyo ngokunokwenzeka.

Izigqibo zonyango ezibalulekileyo zisekwe ngaloo mhla. Ukuba iiveki okanye ezimbini kubangele kukhokelela kwizenzo eziphosakeleyo. Ezi zenzo zinokuba nemiphumo emibi.

Ngokomzekelo, ukuba uqala ukuya emsebenzini, ugqirha uya kuqwalasela umhla ofunekayo ngaphambi kokuba ugqibe ukuzama ukuyeka umsebenzi wakho okanye avumele ukuba kwenzeke. Bangafuna kwakhona ukuba bathathe isigqibo ngokukhawuleza nokuba bakunike ii-injection ze-steroid ukuze bavuthise imiphunga yengane yakho (ukuba bacinga ukuba uza kuzalwa ngaphambi kwesikhathi.)

Ukuba ugqirha wakho ucinga ukuba uhamba phambili kunokuba ukhona, akanako ukuyeka ukusebenza xa kufuneka kupheliswe. Ukuba ugqirha wakho ucinga ukuba uphambi kwakho, unokufumana unyango olungenasidingo.

Ukudlulela umhla wakho ngumcimbi. Unokucinga ukuba ixesha elide umntwana "upheka", ungcono.

Nangona kunjalo, kunokubakho iingxaki ukuhamba emva kwemihla. Ngenye, i-placenta iqala ukuhla.

Ukuba ugqirha wakho ucinga ukuba ungomnye okanye iiveki zomsebenzi weeveki ezimbini, xa usenene ngokufanelekileyo ngexesha, unokucwangcisa ukuchithwa.

Kwimeko embi, umntwana wakho akanako ukulungele ihlabathi. Kungcono, nokuba umntwana wakho ulungele, wena kunye nosana lwakho uya kuhamba noxinzelelo lwe-induction . Okuza neengozi, kokubili.

Umhla ofunekayo awukho nje "wokuzonwabisa." Loo suku usetyenziselwa ukwenza izigqibo ezibalulekileyo.

Yingakho kufuneka uxoxe nomhla wakho wokugqibela kunye nodokotela wakho. Ukuba uhamba unyango lwe-fertility, qiniseka ukuba i-OB / GYN inayo yonke imihla yakho yonyango. Ukuba ugqirha ufuna ukutshintsha imihla yakho, cela isizathu.

Impilo yakho kunye nempilo yengane yakho ingathembela kuyo.

Oluthe xaxa xa ukhulelwa emva kokusweleka:

_Imithombo:

_{Jukic AM1, iBaird DD, Weinberg CR, uMcConnaughey DR, uWilcox AJ.} _{"Ubude bokukhulelwa kwabantu kunye negalelo ekutshintsheni kwendalo." U-Hum Reprod.} _{2013 Oct; 28 (10): 2848-55.} _{i-doi: 10.1093 / i-humrep / det297.} _{Epub 2013 uAgasti 6. http://humrep.oxfordjournals.org/content/28/10/2848}

_{Ulwabiwo lweMveli oluchazwe ngexesha elizayo kunye nokuThutyelwa kwexesha elide.} _{Iingxelo zeKomidi: Inani le-560. Ngo-Ephreli 2013. (Kuqinisekisiwe ngo-2015).} _ACOG.org. _{Ifikelele ngoFebruwari 28, 2016 http://www.acog.org/Imithombo-I-Publication/Ikomiti-Opinions/Ikomiti-on-Obstetric-Practice/Medically-Indicated-Luhlu-Lwimi-Lwimi-Lwimi-}

_{Indlela yokulinganisa uMhla wokuBala.} _{Iingxelo zeKomidi: Inombolo 611. Oktobha 2014. Kufikeleleka ngoFebruwari 28, 2016. I-ACOG.org.} _{http://www.acog.org/-/media/Ikomiti-Opinions/Ikomiti-on-Obstetric-Practice/co611.pdf?dmc=1}

_{Näslund Thagaard I1, iKrebs L1, iLausten-Thomsen U2, i-Olesen Larsen S3, i-Holm JC2, i-Christiansen M3, i-Larsen T1.} _{"Ukuthandana kokukhulelwa kokuqala ukuya kweyesiBini seThathu kwiSiXeko sokuzalwa kwexesha elide: Uvavanyo lweqela." I- PLoS One.} _{2016 Jan 13; 11 (1): e0147109.} _{i-doi: 10.1371 / iphephandaba.pone.0147109.} _{eCollection 2016. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4711898/}

_{Nguyen TH1, uLarsen T, u-Engholm G, uMøller H. "Ukuhlaziywa kwe-ultrasound-umhla wokuqikelelwa kweenkonzo kwi-17,450 ukuzalwa ngokuzenzekelayo: ngaba kufuneka sitshintshe u-Naegele?" I- Ultrasound Obstet Gynecol.} _{1999 Jul; 14 (1): 23-8.} _{http://onlinelibrary.wiley.com/doi/10.1046/j.1469-0705.1999.14010023.x/abstract}

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