Utywala lokuNxiliswa koMnxila, ukukhulelwa, kunye noKhuseleko lokuHlaliswa koTywala
Ngokutsho kweZiko loLawulo lweZifo (i-CDC), abathathu kwabasetyhini abane bayaqhubeka bedla utywala nangona bezama ukukhulelwa . Ngaba iiglasi zewayini zihamba kakuhle xa uzama ukukhulelwa ? Kuthiwani malunga nokusetyenziswa kotywala rhoqo?
Emva kokuba ukhulelwe, kufuneka ushiye ukusela. Umonakalo owenzayo kumntwana wakho okhulayo unzulu ngokwaneleyo ukuyeka iintsuku ezithoba.
I-CDC kunye ne-American Congress ye-Obstetrics kunye ne-Gynecologists (i-ACOG) icebisa ukuba abafazi mabaphephe ngokupheleleyo ukusela izidyo zombini xa bezama ukukhulelwa nangesikhathi sokukhulelwa.
Kodwa ngaba kunengqondo ukucela ukuzama ukukhulelwa kwabasetyhini ukuba banqunywe ngokupheleleyo? Ngokukodwa xa isibini sitshatile iminyaka, sihamba sisomile kakhulu ukuba sibuze.
Kwakhona kubalulekile ukuba kube yinto engokoqobo: amaninzi amabhinqa akhathalela nje ezi ngcebiso.
Kukho imiba emithathu omele uyiqwalasele xa wenza isigqibo:
- Ngaba unokusela xa uzama ukukhulelwa kubangele umntwana wakho ongakazalwa?
- Ngaba ukusela kunciphisa ukuzala kwakho, kwenza kube nzima ukukhulelwa?
- Ngaba ukusela ngexesha lokukhulelwa kwangaphambili kunokunyusa umngcipheko wokukhulelwa kwesisu?
Yiyiphi Ingozi Ebonakalayo Ekuphuzeni Xa Ukhulelwe?
Njengoko kuchaziwe ngasentla, nokuba unqumla ukusela xa uzama ukukhulelwa okanye awukho, kufuneka ufune ukuchasa iziyobisi xa ufumene umphumo wakho wokuvavanya.
Ngaloo nto, unokufuna ukunqumla iziphuzo xa ixesha lakho lide, nangona ungakhange ufumene umphumo wokuvavanya kokukhulelwa okulungileyo .
Akukho ndawo eyaziwayo yokusetyenziswa kotywala obuninzi ngexesha lokukhulelwa. Imingcipheko enokwenzeka kumntwana ongakazalwa unzima kakhulu ukungahoywa.
Ukusela ngexesha lokukhulelwa kudibaniswe ne:
- iziphoso zokuzalwa (kuquka ukubola kwesimo somzimba)
- bunzima bokuzalwa
- ukuhanjiswa kwangaphambili
- ukulibaziseka kokuphuhliswa kunye nokukhubazeka kwexesha elide
- i-botasal alcohol disorder disorder (FASD)
- Ukubeleka (kwiimeko ezinzima)
Kukho ukudideka kwesi sihloko, ngenxa yesifundo esifumene ukuba esinye isiselo esinxilisayo ngosuku asizange sikhulise umngcipheko wokunikezelwa kwangaphambi kokuzalwa okanye umntwana osisiswini sokuzalwa.
Olu pho nonongo luye lwafunyanwa ngokubanzi kwiimidiya, kwashiya abaninzi abantu besetyhini bebuza ukuba ukuyeka utywala ngexesha lokukhulelwa kuyimfuneko ngokwenene.
Ingxaki kukuba olu phando alukhange luchukumise ingcamango engqondweni kunye nengqondo. Nangona aba bantwana bazalwa ngokulinganisa okunzima, banokujamelana nemingeni yokufunda yonke ixesha elizayo.
Eyona nto: xa uyazi ukuba ukhulelwe, yeka ukusela.
Ngaba Unokuyiphuza Ngenyanga yokuqala ukulimaza umntwana wakho?
Konke okuthethileyo, kuthini ukuba utywala wadla ngaphambi kokuba wazi ukuba ukhulelwe?
Khumbula ukuba xa usufumana umphumo wokuvavanya ukukhulelwa kwangaphambili, sele sele (ubuncinci) iiveki ezine ezikhulelweyo. Umbungu, oya kuba nethemba lokukhula kumntwana ophilileyo, ubekho kwiiveki ezimbini okanye ngaphezulu.
Ngaba iziyobisi ezinxilisayo zidliwe ngeli xesha eliyingozi? Lo mbuzo unzima ukuphendula.
Uhlolisiso lwabasetyhini abangaphezu kwama-5 000 babujonga umbutho phakathi kokusela iziphuzo zotywala ngaphambi kokuba kufike kwiiveki ezi-15 zokukhulelwa. (Qaphela ukuba iiveki ezili-15 zindlela ezingaphezulu kweeveki zokuqala ezine, kodwa akukho nto ikhona isifundo sokusela kuphela ngexesha leeveki zokuqala ezine.)
Kulo qela labasetyhini, iipesenti ezingama-25 zibike ukusela phakathi kweesithathu kunye neesixhenxe zokusela iziyobisi ngeveki kwiinyanga ngaphambi nangesikhathi sokukhulelwa kwangaphambili. Uhlolisiso alufumananga nhlobo ubudlelwane phakathi kokusela utywala ngaphambi kokukhulelwa kweeveki ezili-15 kunye nesisindo sokuzalwa esincinane, ukukhula okunyanzelekileyo kwe-intrauterine , preeclampsia , okanye ukuzalwa kwangaphambili.
Nangona kunjalo, njengolu cwaningo olukhankanywe ngentla, abaphandi abazange baxele ngezinga lokukhulelwa kwexesha lokuqala, okanye iingcamango zokuziphatha emva kokubeletha.
Asinakuqinisekisa ukuba ukusela ngexesha lwenyanga yokuqala akukho mpembelelo.
Ngaba Ukusela Xa Uzama Ukufumana Ingozi Yakho Yokutshatyalaliswa?
Ngaba ukusela kunokunyusa umngcipheko wokukhulelwa kwangaphambili ? Impendulo mhlawumbi, kwaye kuxhomekeka.
Izifundo zinika iziphumo ezingqubanayo. Olunye uphando luthi akukho ncipheko eyingozi, kodwa abanye bathi, ewe, ukusela kunokukhokelela ekuphumuleni, ngakumbi ukuba ukusela kunokudlula ezintathu okanye ezinye iziphuzo ngosuku.
Uphando olukhulu lwabafazi ababalelwa ku-18,000 babheka indlela yokuphuza kunye nobungozi bokuphuphuma komzimba. Bafumanisa ukuba ukusela ngaphambi kokukhulelwa kwakungekho nxu lumngcipheko lokusweleka kwesisu kwabesetyhini ngaphandle kwembali yangaphambili yokukhulelwa.
Olunye uphando lufumanise ukuba ingozi yokuphuphuma komzimba ayizange ikhulise abesetyhini de babegqithise iziselo ezimbini ngosuku (ngaphambi kokukhulelwa.)
Nangona kunjalo, uphando olujongene nokusetyenziswa kotywala kwizigulane ze-IVF lubonisa umphumo ohluke kakhulu.
Uphando olubandakanya iikliniki ezininzi zokuzala eCalifornia zafumanisa ukuba abafazi babesela esinye okanye iziphuzo ezininzi ngosuku-xa kuthelekiswa nabasetyhini abaphuza ngaphantsi kwesiselo esisodwa ngemini-babenomngcipheko wokukhulelwa kwesibini kabini.
Lo mngcipheko okhuselekileyo wokulahleka kwexesha lokuqala lokukhulelwa wawusenyuka ngakumbi xa ukusela kwenzeka kwiveki ngaphambi kokuba unyango lwe-IVF luqale .
Ukusela kwamadoda kwafunyanwa ukuba yingxaki xa ukhangela izigulane ze-IVF. Amadoda atywala omnye utywala ngenye imini, naphi na iveki enye ukuya kwinyanga ngaphambi kokunyanga, wabona ingozi ephindwe kabini yokukhulelwa kwesisu.
Okukrakra ngakumbi, ukusela enye iveki ngaphambi kokuba iqoqo le-sperm lifumane unyango lwe-IVF kwandisa ingozi yokuphuphuma komzimba ngamaxesha angama-38 .
Ngaba Ukusela Ukunciphisa Ukunyamekela Kwakho?
Ekugqibeleni, mhlawumbi uyazibuza ukuba ukusela kunokuthintela kakubi ukuzala kwakho. Kwakhona, iimpendulo azicacanga.
Uphando olubandakanya abafazi abangama-7 000 bafumanisa ukuba ukusela ezimbini okanye ubuninzi bokunikwa kotywala ngemini kunyuke kakhulu ingozi yokungabikho . Kubasetyhini abaphuza ngaphantsi komntu omnye wokusela kotywala ngemini, ingozi yokungabikho kwengqondo yayingaphantsi.
Nangona kunjalo, isifundo malunga nama-29,000 aseDenmark abafazi bafumanisa ukuba abo basela iwayini bavame ukukhulelwa kungekudala kunabesifazane ababengaphuzanga niselo.
Kwaye ukufunda malunga nabafazi abangama-1 700 baseItali abazange baxhamle phakathi kokusela xa bezama ukukhulelwa kunye nexesha lokukhulelwa.
Oko kwathiwa, njengokuba kusemngciphekweni wokukhulelwa komntwana kwangaphambili, konke oko kutshintsha xa ukhangela uphando kwizigulane ze-IVF.
Kuhlolisiso lwezibini ezi-2,908, umngcipheko wokungafezeki kwe-IVF kwaphindaphindwa kabini xa abafazi besela utywala omnye ngenyanga ngaphambi kokunyanga, kwaye umngcipheko wesibini xa isiselo siphula ngeveki yonyango.
Amadoda aphuza ngaphakathi kwiveki ukuya kwinyanga yonyango nayo yathintela kakubi ixabiso lempumelelo ye-IVF yesibini.
Umxholo ophantsi kokusela xa uzama ukuqonda
Siyazi ukuba ukusela ngexesha lokukhulelwa kungalimaza umntwana ongakazalwa. Ngolunye usuku, uphando lunokufumanisa ukuba isiphuzo esisisigxina sininzi. Nangona kunjalo, njengoko limiyo ngoku, akukho ubungqina obaneleyo bokuthi nayiphina imali ikhuselekile ngokupheleleyo.
Kodwa kukho umehluko phakathi kokusela ngexesha lokukhulelwa nokusela ngaphambi kokukhulelwa-xa uzama ukukhulelwa.
Kulabo abanomzimba oqhelekileyo, kubonakala ukuba isiphuzo esisinye ixesha xa bezama ukukhulelwa kungase kulungile. Oku akuqinisekanga, kodwa akukho ubungqina obuninzi obubonisa ukuba kuyingozi.
Ibali alixhomekekanga xa lijonga izigulane zenzalo zihamba nge-IVF.
Emva koko, isiselo esisodwa nje ngosuku, ngaphakathi kwinyanga yokonyango, sinokulimaza iimbambano zesibini kunye nempumelelo.
Yintoni omele uyenze?
Kakade, kufuneka uxoxe ngesigqibo sakho kunye nogqirha wakho. Ngoxa i-CDC ne-ACOG ngokusemthethweni bangacetyisi ukusela xa bezama ukukhulelwa, oogqirha abaninzi banengcamango yabo ngolu hlobo.
Ukuba uzama ukugqiba indlela yokusebenzisa utywala ngexesha uzama ukukhulelwa, nantsi ezinye iindlela zokuqwalasela:
- Yidlale ukhuselekile-uyeke ukusela nasiphi na isiselo esinxilisayo xa uzama ukukhulelwa.
- Okanye uphuze kakhulu, kaninzi. (Ngaphantsi kwesinye ngeveki.)
- Okanye ucinge ukuba uphuze kanye ngeveki-kodwa akukho ngaphezu koko.
Kwakhona, thabathe ingqwalasela yakho (yexesha elizayo) isimo sengqondo .
Ukuba unayo ibhiya, kwaye umjikelezo wakho uyaphela, okanye uhamba ngokukhawuleza kwangaphambili, ngaba lowo uselayo uya kukuhlambalaza ? Nangona uphando uthi akunakwenzeka ukuba ibhiya enye ibangela ingxaki? Emva koko mhlawumbi kungcono ukuthi cha.
Ukuba uya kusela xa uzama ukukhulelwa, unokufuna kwakhona
- Gwema ukusela ngexesha leveki ezimbini zokulinda (emva kokugqithisa kwaye ngaphambi kokuba ixesha lakho liqale.)
- Gwema zonke iziphuzo ezinxilisayo ngexesha lenyanga enye yojikelezo lwezonyango .
Nini kwaye xa usela xa uzama ukukhulelwa, qaphela ubungakanani besabelo kunye nomxholo wokusela utywala.
Kwaye ixesha lakho ixesha elide-okanye ufumana uvavanyo lokukhulelwa okulungileyo-vele uthi cha utywala. Usebenze kanzima ukuba loo ntsana ithathe nayiphi na ingozi.
> Imithombo:
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> I-Klonoff-Cohen H1, uLam-Kruglick P, uGonzales C. "Iimpembelelo zokusetyenziswa kotywala kotywala kunye noomntwana kwimpumelelo ye-Vitro Fertilization kunye neGamete Intrafallopian Transfer. "Fertil Steril. 2003 Feb; 79 (2): 330-9.
> McCarthy FP1, O'Keeffe LM, Khashan AS, North RA, Poston L, McCowan LM, Baker PN, Dekker GA, Roberts CT, Walker JJ, uKenny LC. "Ukubambisana phakathi kokusetyenziswa koTywala koMama ngexesha lokukhulelwa kwangaphambili kunye neziphumo zokukhulelwa. "I-Obstet Gynecol. 2013 Oct; 122 (4): 830-7. i-doi: 10.1097 / AOG.0b013e3182a6b226.