Omnye unokufihla kwitafile yakho yokudla isidlo
Kwabazali abathile, umba wokuba namawele uyonwabile. Kwabanye, kuyatshisa. Ngandlela-thile, emva kokuba kufike umqulu wesibini wovuyo, omama abatsha nabazali baya kuba novuyo kwaye baxakekile (kwaye bephelile) ukujonga emva kokuba bazive njani ngaphambi kokuba abantwana babo bazalwe.
Amabhinqa ayenzeka xa iqanda elityalisiweyo lihlukanisa kwiimbumba ezimbini, ukudala i- monozygotic , okanye amawele afanayo, okanye xa amaqanda amabini ehlanjululwa yi-sperm eyahlukileyo, edala i-dizygotic , okanye amawele okuzalwa. Nangona kungekho ndlela yokwenene yokwazi kwangaphambi kwexesha ukuba ngaba enye yeziganeko ziya kwenzeka ngexesha lokukhulelwa, ukuba ungumfazi okhulelwe okanye uceba ukukhulelwa, nakhu ezinye izinto ezinokunyusa iingxaki ozifumanayo ukutya ezintathu.
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Zakho izilwanyanaI-Genetics idlala indima enkulu ekunqumeni ukuba ngaba uya kuba namawele okanye awukho. Uphando lubonisa ukuba ithuba lomfazi lokuba namawele liphindwe kabini ukuba unina okanye udade wakhe unamawele.
Kodwa, ngokuthakazelisayo ngokwaneleyo, oku kusebenza kuphela kumawele omzalwana. Phakathi kweentsapho ezineembali zeewele , zimbalwa ezinamawele afanayo.
Oko oku kuphakamisa ukuba i-genetics idlale indima ekutheni i-ovulation ephezulu (eyaziwa nangokuthi i-hyperovulation), apho enye iqanda likhutshwa ngexesha lomjikelezo wesini.
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Ubukhulu bakho okanye ubunzimaUphando olupapashwe kwiphephancwadi Ukhuseleko kunye nobutyebi bufumanise ukuba oomama abane-BMI ephezulu (index mass mass index) bekunokwenzeka kakhulu ukuba babe namawele omzimba kunabesifazana abanesisindo esifanelekileyo.
Kuyabasetyhini abangaphezu kwe-30 (inkcazo yeklinikhi yokunyanyala ), iziganeko zamaduna (kodwa angabonakaliyo) zikhule ngamaphesenti angama-30 ukuya kuma-60 ekhulwini. Ukuphakama kwakhona kuyinkalo: Abafazi abakhulu, abawa ephezulu kwi-25 ye-percentile , banamathuba okuba babe namawele kunabo abancinane abaontanga.
Ewe, oku akuthethi ukuba ukufumana isisindo kuya kukwandisa iziganeko zakho zokuba namawele. Oko kuyenyukayo, nangona kunjalo, ngumngcipheko wokusweleka kwesisu kunye nesifo sikashukela xa i-BMI yakho iwela umda wokunyanyisa.
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Iminyaka yakhoIzifundo ezininzi ziye zabonisa ukuba abafazi abaneminyaka engama-35 nangaphezulu banakho ukukhulelwa amawele angamaqabane kunabalingane babo abancinci. Kucingelwa ukuba utshintsho lwezofuzo ezenzeka ngokuguga lunokukhawuleza kwaye luguqulwe indlela apho owesifazane ehamba ngayo.
Ngokwe-American College of Obstetricians kunye namaGynecologists, abafazi "abaneminyaka engama-12 ubudala" banakho ukukhulula ngaphezu kweqanda elinye ngexesha le-ovulation.
Kubalulekile ukuqaphela ukuba ukukhulelwa njengowesifazane "omdala" kubangela ingozi ethile kuquka ukukhulelwa kwesisu, isifo sikashukela, kunye ne-chromosomal engafanelekanga njenge-Down syndrome.
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Ukuba Namawele NgaphambiliEmva kokuba unesisu esithile sokukhulelwa , ubukhulu becala ukuba ube namawele kwakhona. Uphando lubonisa ukuba unina wamamawele amaxesha amane aphindaphindiwe ukuba aphinde abe namawele ngaphezu koomama abanama-singleton okanye abo bangakaze bakhulelwe.
Kwakhona, le nto ibonakala inxulumene nemfuza kwaye isebenza kuphela kumawele omzalwana. Ukwahlukana okungaqhelekanga kubandakanya inkwenkwezi ye-tennis uRoger Federer kunye nomkakhe uMicka obeneentloko ezimbini zeewele ezifanayo ( ezifanekisiwe ).
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Isidlo esityebi kwiiYamsIsizwe saseYoruba eNigeria sinamazinga aphezulu azalwa ngamawele ehlabathini. Abaphandi baye badibanisa le ngxaki, ngokuyinxalenye, kwisondlo esinotye kwi-cassava (uhlobo lwe-yam). I-peel yale mifuno kucingelwa ukuba iqulethe i-compound (phytoestrogen) enokukhuthaza ukuxhatshazwa.
Izenzululwazi zijonge iziganeko zeewele phakathi kweYoruba zikholelwa ukuba i-genetics nayo inokudlala indima. Kubonakala ukuba ukukhwela ukuguqa kuhlala kuphakamileyo phakathi kwabasetyhini abahlala kwisizwe ngokuchasene nalabo baye bathuthela kwenye indawo baza baba nabantwana abangamadoda angewona amaYoruba.
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Ulwaphulo lokungahambiUbuchwepheshe bokuzala buye bandisa ngokukhawuleza izinga lokuzalwa ezininzi eMelika. Ngokomzekelo, izidakamizwa ezikhulayo iComidid (clomiphene) isebenza ngokuvuselela i-ovulation kwaye ngamanye amaxesha kubangela ukukhululwa kwamaqanda amaninzi kumjikelezo owodwa (obizwa ngokuba yi-superovulation).
Ngokomyinge, izinga lokugubula kweli lizwe lijikeleze iipesenti ezintathu. Kubasetyhini abathatha iComomid, elo nani linokunyuka liye lafikelela kwiipesenti ezithandathu, ngokutsho kwabaphandi beYale University School of Medicine.
Ukuzalwa okuninzi kunokwenzeka ukuba kubangelwe kwi-vitro fertilization (IVF) . Kule meko, akukhona nje ukuba ii-embrasi ezininzi zingeniswa; Iimbrusi ezidlulileyo zidla ngamanye amaxesha zidibanise kwaye zikhokele kumawele e-monozygotic.
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Ukuya PilisiKuye kwaphakanyiswa ixesha elide ukuba ukuyeka iipilisi zokulawula izibeleko kungabangela ukugqithiswa kwama-ovari kwaye kukhokelela ekukhuseleni. Kukholelwa ukuba ukupheliswa kwePilisi ngokukhawuleza kunokubangela i-spike ekwenzeni i-hormone evuselela i-hormone (FSH) ephambili ekukhutsheni i-ovulation.
Xa oku kwenzeka, umzimba ungaphendula kwaye ukhulule amaqanda amaninzi kanye. Uninzi lweengcaphephe lubonisa ukuba umphumo wukuphela kwexeshana kwaye uya kulungelelanisa ngexesha elifutshane.
Izifundo ziye zaphikisana neminyaka, kunye nokunyuka kwee-statistically ezibalulekileyo ukunyuka kwamawele omzalwana kunye nabanye abangabonakali nhlobo. Sekunjalo, ukuba unqwenela ukuba ungaba namawele, sebenzisa uhlobo oluthile lolawulo lokuzalwa malunga nemijikelezo embalwa emva kokuyeka ukuthatha iPilisi.
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InqabanqathaAbazali abaninzi abaphindaphindayo abahlangabezananga naluphi na umgaqo wokubhabhisa kodwa bafumana iintsana ezimbini ngaphandle kokuzama. Amawele e-Monozygotic ayimangalisa gqitha kuba akukho mntu uqinisekile ukuba yintoni eyenza iqanda lihlukane emva kokukhulelwe. Ihlala ingummangaliso.
Ufuna ukuzama ukuba namawele? Akukho ndlela eqinisekileyo yomlilo yokuphucula iziganeko zakho, kwaye nangona zikhona, gcinani engqondweni ukuba ingozi kunye neengxaki ezinxulumene nokukhulelwa okubaninzi kunokubaluleka. Ezi ziquka ukuzalwa kwangaphambi kokuzalwa, ukuzala okuphantsi, i-preeclampsia, nokukhulelwa kwesisu.
> Imithombo:
> Ikholeji yase-American College of Obstetricians and Gynecologists. "Izihlandlo ezininzi." Washington, DC; FAQ188, Julayi 2015.
> Hoekstra, C; Willemsen, G .; van Beijsterveldt, C. et al. "UkuBumbiswa kweBhunga, ukuSuba, kunye nokuHlanywa kweDiyogotic." UFertil Steril. 2010; 93 (3): 885-93; INGXELO 10.1016 / j.fertnstert.2008.10.012.
> Hoekstra, C; Zhao, Z; IMvana, C. et al. "I-Dizygotic Twinning." 2008; 14 (1): 37-47; INGXELO 10.1049 / i-humupd / dmm036.
> Legro, R .; Brzyski, R .; Diamond, M. et al. "I-Letrozole Versus Clomiphene ye-Infertility kwi-Polycystic Ovary Syndrome." N Engl J Med. 2014; 371: 119; INGXELO 10.1056 / NEJMoa1313517.
> I-Peek, i-P. Twins kwiindawo zase-Afrika nakwiiDaspora . Bloomington, Indiana: IYunivesithi ye-Indiana University. 2011.