Ukufumanisa ukuxilongwa kokungabikho kwengqondo kunokubangela ubunzima bobubele kunye nokukhululeka. Ukufumana igama lento ojongene nayo kunokukunceda ufune uncedo olufunayo. Ngelo xesha, ukuvuma ukuba into engalunganga akulula.
Ukuxilongwa kokungabikho kwengqondo kudlalwa xa isibini esithile, emva komnyaka wokuzama ukukhulelwa, asikhulelwa.
Ukuba isibini sizama ukufumana umntwana wabo wokuqala , ukuxilongwa okunikezelwayo kukungabikho kobutyebi bokuqala . Ukuba bazama ukuba nomntwana olandelayo, ukuxilongwa kwe- econdary infertility kwanikwa.
Isibini esinesifo esiphathelene nokulahleka kwezinto eziqhelekileyo (ngokuqhelekileyo emva kokulahleka okulandelelanayo) kunikwa kwakhona ukuxilongwa kokungabikho komntwana.
Abantu abatshatileyo abanakho okanye abanakho iimpawu ezicacileyo ngaphandle kokuba bunzima ukukhulelwa.
Ingaba Unyaka Unyanzelekile Kwi-Diagnosis?
"Zama unyaka, kwaye emva koko, buya ukuba awukhulelwe," iyona mpendulo eqhelekileyo enikwa izibini ezizama ukukhulelwa, ngakumbi abo bangaphantsi kweminyaka engama-35.
Kodwa unyaka ixesha elide lokulinda. Ngaba kufuneka uzame unyaka ngaphambi kokufuna uncedo?
Hayi njalo.
- Khangela izinto ezinobungozi okanye iiflegi ezibomvu : Enye indlela yokukhawuleza inkqubo yokufumanisa ukuxilongwa kukuba kukhangelwe nayiphi na ingozi okanye iiflegi ezibomvu ezingabhekisela kwingxaki yokungabikho kwengqondo. Akukho sikhokelo sokulinda unyaka wonke ukuba kukho izibonakaliso, iimpawu, okanye iingxaki zempilo ezidlulileyo.
- Cinga ngetekisi : Enye indlela yokukhawulezisa ukuxilongwa kukuqwalasela ukutshintsha imijikelezo yakho . Ukutshintshela imijikelezo yakho kubandakanya, kwizinga eliphambili, ukurekhoda ukushisa kwakho kwasekuseni, nokubukela iipateni ezithile kwi-cycle yakho.
- Ukuba utshintshile imijikelezo yakho kwiinyanga ezintandathu kwaye unokwenza uxwebhu kumgqirha wakho ukuba ulale ngesondo ngexesha elidlulileyo leenyanga ezintandathu, kwaye nangona bengakhulelwe, banokukwazi ukuqhuba iimvavanyo ngaphambi kokuba "Unyaka" wokulinda uphakamileyo.
- Ukuba uneminyaka engama-35 okanye ngaphezulu, ungalinda ngaphezu kweenyanga ezintandathu : Ukuba uneminyaka engaphezu kwama-35 , akufanele ulinde ngaphezu kweenyanga ezintandathu ngaphambi kokuba ubone ugqirha . Ngenxa yokuba ukuzala kwakho ngokwemvelo kunciphisa njengoko uneminyaka yobudala (ukususela kwiminyaka engama-25 kumadoda, kwaye uneminyaka engama-30 kwabasetyhini), ixesha liyinto yokuqala xa usufumana iminyaka engama-35.
Ngubani Owenza I-Diagnosis Diagnosis?
Ngokuqhelekileyo, i-gynecologist yakho rhoqo iya kwenza uvavanyo lokuqala lokungabikho kwengqondo.
Nangona kunjalo, akusoloko kunjalo. Udokotela we-endocrino okanye ugqirha wakho wosapho rhoqo unokukuphawula ukuba kunokwenzeka ukuba iingxaki zokuzala, ukuba unengxaki zempilo ezingakhokelela ekungabikho kwengqondo, njengemiba ye-thyroid, isifo sikashukela okanye i- PCOS .
Emva kokuxilongwa kokuqala kokungabikho komntwana, u-gynecologist wakho rhoqo unokukuphatha, okanye ungathunyelwa kwi- endocrinologist yokuzala . I-endocrinologists yokuzala (i-RE) iyingcali ekuphatheni ukungabikho komntwana kwisibini.
Izizathu zokungafihli
Ukuxilongwa kokungazinzi kubakho kwiinqanaba ezimbini, isigaba sokuqala siyi-diagnostic ye-infertility, kwaye isigaba sesibini sisifo sesifo esithile sokungabikho kwengqondo. Ukungabi naluphi na uphawu luba ngumqondiso ngokwawo. Ukunyanga ukungabikho komntwana ngendlela engcono kakhulu, ukufumana isizathu kubalulekile.
Ngokwe-American Society of Medicine Reproductive, inxalenye yesithathu yokungabikho komntwana kubangelwa yinkinga kwinqanaba lomfazi, enye yesithathu ivela kwicala lomntu, kwaye isithathu esele iquka iingxaki kumacala amabini okanye izizathu ezingachazwanga. Enyanisweni, kwi-20% yeemeko zokungabikho komntwana, imbangela yokungabi nantoni ingahlali.
Ezi zimbini zezona zizathu eziqhelekileyo zebhinqa zengxaki yokungabantwana ziquka:
- Izifo ze-Ovulatory: i-18% ukuya kwi-30% yokungabikho kwabantwana abasetyhini.
- Ukuphazamiseka kwe-Anatomical: njengezikhuni ezivaliweyo ze-fallopian, ngokuqhelekileyo zibangelwa izifo okanye izibilini, ezifana ne-endometriosis okanye isifo se-pelvic.
Izimbini ezibini eziqhelekileyo ezibangelwa yindoda engenabantwana zibandakanya:
- I-Sperm Yokuveliswa Ephantsi: Ukubizwa ngokugqithisileyo njenge-azoospermia (ukungapheli ngokupheleleyo kwee-cell cell) okanye i-oligospermia
- I-Sperm Imformations: Nangona isixa sembewu singaphakathi kwinqanaba eliqhelekileyo, isityalo esingenalimi, kunye nekhono lokwenza isilwanyana ukuba liyenze kwiqanda ngaphambi kokufa, lingabangela isizathu sokungabikho .
Emva kweSifo soKhuseleko
Isinyathelo esilandelayo ngokuqhelekileyo ukuhlolwa kovalo , ukuchonga isizathu sokuba nengxaki. Ukubonisa into engafanelekanga kunokunceda ugqirha wakho afike necebo lokunyanga elihle kakhulu kuwe.
Kwezinye iimeko, ugqirha wakho akayi kuba nako ukunquma ukuba kutheni ungakwazi ukukhulelwa. Oku kwaziwa njengengenakuchazwa okanye ukungabikho kwe-idiopathy . Iyenzeka ukuya kwi-30% yexesha.
Kule meko, ugqirha wakho uya kubonisa ukuba uzama ukuzama unyango oluphantsi kakhulu lwe-tech (njenge- Clomid ), kwaye ke usebenze phezulu kumanqanaba ukuba unyango aluphumelelanga.
Kungakhathaliseki ukuba yintoni isizathu sokungabikho kwengqondo, kufuneka wazi ukuba sisizathu sethemba.
Ngokutsho kweMerika Society of Medicine Reproductive, ama-85% ukuya kuma-90% angama-cases of infertility angaphathwa ngokusetyenziswa kwonyango oluqhelekileyo, njengamachiza okanye ukulungiswa kocwangco. Ngaphantsi kwe-3% yezigulane ezingenamntwana zifuna unyango oluphambili, njenge-in vitro fertilization.
> Imithombo
> Ngubani ongenasiphelo? Kuthi? Umbutho waseMelika waseZenzweni. Kufumaneka ngoJanuwari 21, 2008. http://www.theafa.org/conceive/whosinfertile.html
> Imibuzo ebuzwa rhoqo malunga nokungafihli. Umbutho waseMelika weMithi yokuzala. http://asrm.org/awards/index.aspx?id=3012
> Iinguqu zokutya kunye nendlela yokuphila Iingancede ukukhusela ukungabi naluphi uhlobo oluvela kwii-Ovulatory Disorders. ISikole saseHarvard seMpilo kaRhulumente, iDadio Release. Kufumaneka ngoJanuwari 21, 2008. http://www.hsph.harvard.edu/news/press-releases/2007-releases/press10312007.html
> I-FAQ engapheliyo. IBhunga leNational Council malunga neNgcaciso yolwazi lokuSasaza.http: //www.inciid.org/faq.php? Cat = infertility101 & id = 1
> Weschler, T. (2002). Ukunyamekela Ukunyamekela Kwakho (i-Revised Edition) . United States of America: HarperCollins Publishers Inc.