Kuthatha ixesha elingakanani iqanda lokufakelwa liyakuchukumisa ukukhulelwa kwakho
Xa uhamba, ujikeleza kwinqanaba lakho lokuya esikhathini, iqanda likhishwa kwi-ovary yakho ibe yintonga ye-fallopian. Iqanda, ngokwemyinge, linamahora angama-24 ukuba lizaliswe ngaphambi kokuba lingasasebenzi. Ngethuba lokukhulelwa, iqanda lixutywa kwiphubhu ye-fallopian kwaye lihamba nge-tube fallopian ukuze lenze indlela yalo kwisibeletho. Ngesinye isibeleko, iqanda lizifaka kwisibilini (endometrium) yesisu.
Ukususela ekuqaleni ukuya ekugqibeleni, ukufakwa kwendawo kuthatha malunga neeyure ezingama-48. Uhambo ukusuka ekukhulisweni ukuya ekutheni lube khona lunokuthabatha ukuya kwiintsuku ezintandathu ukuya kwezi-12. Ukufakelwa komsebenzi okwenzeka emva kokuphela kwesiganeko kuyaziwa ngokuthi ukufakelwa kwexesha elide.
Indawo apho i-embryo idibanisa ngaphakathi kwe-endometrium inokuphazamisa imithambo yegazi, leyo ingabangela ukuphuma kwegazi emva kweentsuku ezintlanu ukuya kweyishumi emva kokuba ukhulelwe, kodwa ngaphambi kokuba ixesha lakho lenzeke. Nangona kunjalo, kungekhona wonke umntu ophuma egazini. Ngoko ukuba awunalo ukuphuma kwegazi okuthethi ukuba awukho ukhulelwe okanye ukuba awunakho ukufakelwa kwangoko.
Ngaba ukuveliswa kwexesha elidlulileyo kuthetha ukuba unganxiba?
Iziphumo eziliqela zifumene umngcipheko ophezulu wokukhulelwa kwesisu ekukhulelweni apho ukufakela khona kwenzeka ngaphezu kweentsuku ezisibhozo ukuya kwi-10 emva kokuvuthwa . Uphando olupapashwe kwi-New England Journal of Medicine (NEJM) lufumene ukuba amathuba okukhulelwa kwesisu ayenyuka kakhulu nangemihla yokuhlonywa emva kwexesha lesithoba.
Ngomhla wesithoba, ubuninzi bokuphuphuma kwesisu kwaba ngama-13 ekhulwini, ngosuku lwe-10 bekuyi-26 ekhulwini, kwaye ngomhla we-11 umyinge ube ngama-52 ekhulwini. Naliphi na iintsuku ezingaphezulu kwe-11 kunye nomngcipheko wokukhulelwa kwesisu kuye kwanda kuma-82 ekhulwini. Ziyintoni na ezi zinto zifunyanisiweyo, nangona kunjalo, zifanelekile.
Ukufakelwa kwexesha elide, ngokwalo, akunakwenzeka ukuba yintoni imbangela echanekileyo yokukhulelwa kwesisu.
Iimbrusi ezinokukhubazeka kwe- chromosomal , njenge-trisomi okanye ukuhanjiswa kwezinto, ziyakwazi ukuphazamiseka. Ukuba i-embryo ine-chromosomal anomaly, i-genetic material engafanelekanga inokubangela ukuba imbryo ibekwe emva kwexesha eliqhelekileyo. Enye ingcamango kukuba enye into ebalulekileyo kwimbumba ye-uterine inokubangela iingxaki ngexesha lokumiselwa kunye nokuba oku kungakhokelela ekuphumuleni, kodwa abaphandi bafunda le ngxaki.
Kukho nawuphi na umzekelo, ixesha lokumiswa alikho phantsi kolawulo lomntu. Ngaphandle kokuba nenqubo yokuchumisa i-in vitro eyayiza kufaka iqanda ngokucwangcisa ngqo kwisibeleko sakho, akukho ndlela yokukhawuleza uhambo lweqanda phantsi kwee- tublopian tubes ukuya kwisibeletho. Kwaye emva kokuba iqanda lisebunzini, akukho ndlela yokuyinyanzela ukuba ingene kwi-uterine.
Ukuba unamathuba amaninzi, ukungafaki ukufakela ngokukhawuleza kuyona yeso sizathu. Akukho bubungqina bokuthi ukufakelwa kwexesha elide ngokwayo kubangela ukuba sisweleke. Nangona kunjalo, kamva iqanda elifakela ukukhulelwa kwesisu kuya kwenzeka. Sekunjalo, ukuba unesitenxo sokuya esikhathini okanye ukuba unzima ukukhulelwa, xela ugqirha ukuba ubone ukuba kukho na iingxaki ezinokuphazamisa ukukwazi kwakho ukukhulelwa .
Ukuvavanywa okuqhubekayo kunokufumanisa isizathu sokuba ama-embrasi akho afakwe emva kwexesha eliqhelekileyo.
Imithombo:
IMacklon NS, iJPM Geraedts ne-BCJM Fauser. "Ukukhulelwa kwiNgqumbo eqhubekayo: 'Ibhokisi leNtsundu' yokulahlekelwa kwangaphambili. Ukuhlaziywa koBuntu, iVol.8, No.4 iphe.333-343, 2002
Norwitz, uErrol R., uDanny J. Schust kunye noSusan J. Fisher. "Ukuphunyezwa kunye nokuSinda koBubulo bokuqala." N Engl J Med. 2001 Nov 8; 345 (19): 1400-8.
UWilcox, u-Allen J, u-Donna Day Baird kunye noClarice R. Weinberg. "Ixesha lokuzaliswa kweConceptus and Loss of Pregnancy." N Engl J Med. 1999 Juni 10; 340 (23): 1796-9.