Ukusetyenziswa kolawulo lokuzalwa emva kokungenzi lutho ?! Ewe, Nasi isizathu.
Awuyi kuzama ukukhulelwa ngonaphakade. Kuza kufika ixesha apho ungafuni ukukhulelwa. Unokwenzelwa ukuba ube nabantwana (emva kokukhulelwa ngokunyanga , mhlawumbi), okanye ufuna ukuphelisa uxinzelelo lokuzama ukukhulelwa . Okanye, unokuthi ucetyiswe ukuba ungazikhulelwa.
Ukuba awufuni ukukhulelwa, kuya kufuneka uhambe ngokulawulwa kokuzalwa okanye ukhethe indlela yokukhulelwa.
Ukungabi naluphi uhlobo aluyilo lolawulo lokuzalwa. Oku kunokuba kukumangalisa kunye nokuphazamiseka kokubambisana okuye kwachitha inyanga kunye neminyaka bezama ukukhulelwa.
Ingaba ufuna ngokwenene ukukhulelwa emva kokusweleka? Sisiphi isizathu esinokuthi isigqibo esithile esinokukhulelwa sisigxina okanye sisidinga ukusebenzisa ulawulo lokuzalwa? Kwaye ukuqhubeka nokulawula ukuzalwa kwe-hormonal kwonakalisa ngakumbi ukulimala kwakho , okwenze kube nzima ukukhulelwa ukuba ukhetha ukuzama ukufumana omnye umntwana esikhathini esizayo?
Ngaba Ndiyakwazi Ukuzikhusela Ngokuqhelekileyo Ukuba Ndiyifumba?
Ewe, nangona ufumene unyanzelekile, unokukwazi ukukhulelwa ngokwakho. Oku kuxhomekeke kwinqanaba le-infertility yakho. Kwakhona kubalulekile ukwazi ukumahluko phakathi kokungabikho komntwana kunye nokuthobeka.
Ukungabi nalutho kuchazwa ngokuba ukungakwazi ukukhulelwa emva konyaka omnye wokulala ngesondo esingakhuselekanga. Ngenxa yokungabikho kwengqondo, ubunzima bakho bokukhulelwa buncinci kunabantu bonke.
Kodwa akunakwenzeka ukuba ukwazi ukukhulelwa ngokwakho.
Uthobekile, ngakolunye uhlangothi, xa ungenakukwazi ukukhulelwa (okanye ukumisa umlingane wakho) ngaphandle koncedo lwezonyango. Ngokomzekelo, ukuba zombini iibhobho zomfazi zivaliwe ngokupheleleyo , ungeyinyumba. Okanye, ukuba indoda inesisindo somnxeba (azoospermia) , uyinyumba.
Ukucinga ngaphandle koncediso lokuncedisa ubuchwepheshe bokuzala kuza kuba nzima kulezi zimo.
Uninzi lwezibini ezikhuselekileyo zokukhulelwa azizinyanga. Ingaba i- low sperm count okanye i- ovulation ephosakeleyo , ihlala ihlala ingenako ukuveliswa kwemvelo, nangona ukuba ithuba liphantsi. Abaphandi baye bajonga ezi ngxaki.
Ziziphi iingxaki zokuCinga emva kokungenzi lutho?
Kwisifundo esithile, izibini ezinesifo se-IVF kwiiFransi zonyango zonyango zithunyelwe imibuzo ekulandelelweyo emva kweminyaka eyisi-9 ukuya kweyisithoba. Uphando lwathunyelwa kubo bobabini abakhulelwe nge-IVF kunye nabangenalo.
Izibini ezi-1,320 ezikhulelwe nge-IVF, iipesenti ezili-17 (okanye iibini ezi-218) zaza zaza zaza zaza zaza zaza zaza zaza zaza zaza zaza zaza zaza zaza zaza zaza zikhulelwe ngokwemvelo kwiminyaka esixhenxe ukuya kwi-9. Izibini eziyi-814 ezingazange ziphumelele nge-IVF, iipesenti ezingama-24 (okanye iibhangqa ezingu-193) zaqala ukukhulelwa.
Abaphandi bafumanise ukuba abo abangenalwazi abangenalwazi kunye nalabo abasebancinci banokukhulelwa ngaphandle konyango lwe-post-IVF.
Olunye uphando lufumene umlinganiselo ofanayo wokukhulelwa komzimba-i-21.6 pesenti yezibini zaqala ukukhulelwa ngaphandle kwemithi yokwelapha kwiminyaka emva kokufumana i-IVF.
Abasetyhini abanokuxilongwa nge- ovarian primary failure (eyaziwa ngokuba yi-ovarian premature failure) bafuna unyango lwe-IVF nge-egg donor ukuze ukhulelwe.
Nangona kunjalo, unokumangaliswa ukuva ukuba ama-5 ukuya kwe-10 ekhulwini lawa mabhinqa aya kukhulelwa ngamaqanda awo, ngamanye amaxesha uncedo ngoncedo lweziyobisi kodwa nakwamaxesha athile. Akukho mntu ucacile ukuba kutheni.
Kukho imibala embalwa yokugcina engqondweni:
- Okokuqala, ezininzi zezi zifundo zixhomekeke kwizibini ezibuyisa uphando. Abo banwabileyo ukuba bakhulelwe banokukwazi ukuphendula. Ngako oko, amabali aphelileyo-aphela angamelwa.
- Okwesibini, ezi pesenti aziboneleli ngenyanga-engapheliyo, enokuthi iphantsi kakhulu. Ezi iipesenti ezikwazi ukukhulelwa iminyaka emininzi .
- Umgca weyona nto: mhlawumbi awufuni ukunyanga kwezilwanyana zonyango ngokusekelwe kule manani. Nangona kunjalo, ngaphandle kokuba ugqirha wakho akuxelele ngenye indlela, ukuba awufuni ukukhulelwa, akufanele uxhomekeke kukungabikho kolawulo lwakho lokulawula ukuzalwa. (Ewe, nokuba ngaba ufuna i-egg donor ngaphambili ukuba ukhulelwe.)
Izizathu zokuya kolawulo lokuzalwa emva kokungenzi lutho
Ukwenza isigqibo sokuya kulawulo lokuzalwa okanye ukusebenzisa inzalo emva kokungabikho kwengxaki kunokuba ngumngeni kunye nokuphikisana. Emva kwayo yonke imzabalazo yokuzama ukukhulelwa, kutheni ufuna ukukhusela ukukhulelwa ukuba kwenzeke?
Kukho izizathu ezintle.
Kulabo bakhulelwe (kunye okanye bengenakuncedo lwezonyango zokuzala), izizathu zokukhusela ukukhulelwa ziquka:
- Ukwahlula abantwana : Umnqweno osemthethweni wokungafuni abantwana ababini bancinci ngokukhawuleza.
- Ukugqiba ukuyeka ukwakha intsapho yabo : Ingaba unqamle emva komntwana omnye okanye onesihlanu, unokugqiba isigqibo xa usugqibile ukuba nezingane.
- Ukungaqiniseki ukuba ufuna abantwana abaninzi: Mhlawumbi awukwazi ukuba ufuna ezinye. Unokukhetha ukukhusela uze ugqibe.
- Iingcebiso zonyango malunga nokukhulelwa / ukuzalwa : Ugqirha wakho unokukucebisa ukuba ungakhulelwa, ngenxa yezizathu ezininzi.
Kulabo abangakhange balelwe emva kokungabikho, izizathu zokukhusela ukukhulelwa ziquka:
- Ukuthatha ikhefu lesigxina ekuzameni ukukhulelwa : Kunokuba nzima kakhulu ukuphulukana ngokomzwelo kwixinzelelo lokuzama ukukhulelwa ukuba kungenzeka ukuba ukhulelwe.
- Ukugqiba ngobomi obungenabantwana : Ukuba noxolo nesisombululo, unokukhetha ukusebenzisa inzalo emva kokuthatha isigqibo malunga nobomi obungenasiphelo sempilo emva kokusweleka .
- Iingcebiso zonyango malunga nokukhulelwa / ukuzalwa : Iimeko zakho zingatshintsha, kwaye ugqirha wakho unokukucebisa ukuba ungaqhubeki ukuzama ukukhulelwa.
Ukusebenzisa isisu emva kokungabikho kwintlungu kunokuziva kuvelele. Akuqhelekanga ukuba amadoda namabhinqa bacinge ukuba kufuneka "vumela izinto ukuba zenzeke" emva komzabalazo omkhulu. Abanye baze bazive benetyala ngenxa yokukhusela ngokukhuselekileyo, becinga ukuba ngandlela-thile "bayayichasa" ingcamango yokuba "ngummangaliso" umntwana.
Akukho sizathu sokuziva unetyala ngenxa yokufuna okanye ukufuna ukuthintela ukukhulelwa okwethutyana okanye ngokusisigxina. Ngokuqhelekileyo yindlela yokuphela okanye yokuphinda uxolo lwengqondo. Oku kubaluleke kakhulu, ukuba akuninzi, kunokuba "unothuka."
Ngaba Ukulawula Uzaliso Kulimaza Ukomelela Kwam, Ukuba Ndifuna Ukuzama Ukuphinda Ndaziqonda?
Ngokukodwa kulabo abanokufuna ukuzama ukukhulelwa kwakhona, ukukhathazeka okuya kulawulo lokuzalwa kungalimaza ukuzala kwabo kwimihla ngemihla kunokubenza bangacingi ukuba baqaphele ukukhulelwa.
Nali iindaba ezilungileyo: Uninzi lwaphando lokulawulwa kokuzalwa lubonisa ukuba ukulawulwa kwe-hormonal akubanga kubangelwa .
Nazi iindaba ezintle-ezilungileyo: Izifundo ezimbalwa ezincinane zibonisa impembelelo encinane kwezinye izinto zokuzala. Nangona ezi ziphumo zibonakala ngathi zisesigxina, zinokuthi zenzeke ngakumbi kubasetyhini abaneengxaki zokuzala.
Olunye uphando lubonise ukuba ukusetyenziswa kokulawula kokuzalwa kwangaphambili kunokubangela ukuba i-endometrium yincinci ibe yincinci, kodwa oku akuzange kubonakale kuthintela iqondo lokukhulelwa. Olunye uphando lufumanise ukuba abanye abafazi bafumana imijikelezo encinane engafanelekanga ukuya kwiinyanga ezilisithoba emva kokuyeka i pilisi.
Oku akuthethi ukuba awufanele uqwalasele ukulawulwa kokuzalwa kwe-hormone, kodwa kukufanele ukuxoxa nodokotela wakho. Kukho iziganeko xa ugqirha wakho angancoma ukulawulwa kokuzalwa kwe-hormonal. Ngokomzekelo, ukuba utyunjelwe ukususa izilonda ze-endometrial , ulawulo lokuzalwa kwe-hormonal lunganciphisa ukwakhiwa kweentlawulo ze-endometrial ezintsha.
Olunye uhlobo lwe-hormonal birth control olufanele uluphephe ukuba unenjongo yokuzama kwakhona emva kweminyaka emibili yiDepo-Provera (okanye i-depot medroxyprogesterone acetate, okanye i-DMPA). Nangona ezinye iindlela zokulawulwa kokuzalwa zichaphazela ukuzala kwakho emva kweenyanga ezimbalwa emva kokuyeka, ibhotile ingaqhubeka isebenza ukuya kwiinyanga ezili-18 emva kokunyanga kwakho kokugqibela.
Ukuba unenkxalabo malunga nemiphumo emibi yokukhulelwa kwe-hormonal, ungasebenzisa indlela yokukhawulela. Iikhondom okanye i-diaphragm ene-spermicide isenokukhetha okungcono.
> Imithombo:
> Lande Y1, Seidman DS, Maman E, Baum M, Dor J, Hourvitz A. "Iingcamango ezilandelayo emva kwe-ART eziphumeleleyo azihambelani nokuthunyelwa kwangaphambili. " Uhlambalaza. Ngo-Agasti ka-2012; 27 (8): 2380-3. i-doi: 10.1093 / i-humrep / des202. Epub 2012 Juni 12.
> Soave I1, Lo Monte G, Marci R. "Ukukhulelwa kwangaphandle kunye nokungabonakali kolwazi: isipho ezininzi > kutheni >. " N Am J Med Sci . 2012 Oct; 4 (10): 512-3. i-doi: 10.4103 / 1947-2714.102010.
> Troude P1, Bailly E, Guibert J, Bouyer J, de Rochebrochard E; Group DAIFI. Ukukhulelwa ngokukhawuleza phakathi kwezibini ezithe zaphawulwa ngaphambili nge-vitro fertilization. " Fertil Steril . 2012 Julayi; 98 (1): 63-8. i-doi: 10.1016 / j.fertnstert.2012.03.058. Epub 2012 Apr 21.