Iindlela ezi-3 zokuLawula ulwalamano zingabangela impembelelo yakho emva kokuba uyeke ukuYithatha
Ngaba ukulawula ukuzala kunokulimaza ukuzala kwakho ? Uninzi lwezigqibo zokukhulelwa kwe-hormonal zineengozi, kodwa ukungabi nantoni ayikho enye yazo. Ngokwezifundo ezininzi, unakho ukukhulelwa ukuba usebenzise ukulawula ukubeleka ngexesha elidlulileyo njengowesifazane ongeke asebenzise i-contraceptive ye-hormonal.
Enyanisweni, enye yezona zifundo zinkulu zibukele abafazi ababesetyenziselwa ukulawula ukuzala iminyaka engama-7.
Bafumene ukuba iipesenti ezingama-21.1 zithathwe ngenyanga yazo yokuqala. Kulabo abazange baveze ngokukhawuleza, iipesenti ezingama-79.4 zakhulelwa ngaphakathi konyaka.
Oku kufana neengxaki eziqhelekileyo zokubamba umntwana .
[Qaphela ukuba isifundo ngokubhekiselele sibhekisela kwinyanga yokuqala yokulimala yowesifazane emva kokuyeka ukukhulelwa. Kukho ixesha elincinane lokulinda phakathi kokuyeka ukulawula ukuzala nokubuyisela kwakho ukuzala . Ngaphandle kolawulo lokuzalwa lokudubula , eli xesha lokulinda lisoloko lifutshane.]
Kukho konke okuthethileyo, kukho ezinye iincwadana ezincinci eziphakamisa iingxakini malunga neengozi ezide zengqesho zokuzalwa. Nangona kunjalo, njengoko uza kubona ngezantsi, ezi zifundo kufuneka zithathwe ngqolowa yetyuwa.
Ukusetyenziswa kwexesha elide lokuLawulwa kweNkqubo kunye nokuLinwa kwe-Endometrial
Uphando olupapashwe kwi- Obstetrics ne-Gynecology luchaze ukuba abafazi ababesebenzisene kunye (i-estrogen kunye ne-progesin) iipilisi zokulawula ukuzalwa ukuphela kweminyaka emi-5 okanye ngaphezulu bekunokwenzeka kakhulu ukuba banokubambisa ubuncinci be-endometrial linings.
Imizila ye- endometrium isisu kwaye apho i-embryo iza kuzifaka khona ngexesha lokukhulelwa.
Nangona kunjalo, kulolu cwaningo, izigulane eziyi-137 sele zibonwa kwikliniki yokuzala . (Uhlolisiso lwenziwe kwabasetyhini balungiselela ukudluliselwa kwesibindi. )
La mabhinqa sele sele athola unyango lwe-IVF .
Ezi ziphumo zingahle zisebenzise kubasetyhini abanomnye wokuzala okunempilo.
Kwakhona, ngelixa abaphandi baphetha ukuba iipilisi zokulawula ukuzala ngomlomo ixesha elide zingakhuphula umngcipheko wokucinywa komjikelezo we-IVF (ngenxa yecala elincinci), ukukhulelwa kwezinga kubonakala kufana phakathi kwamaqela.
Ngamanye amagama, nje kuphela xa unako ukugqiba umjikelezo wakho we-IVF, iingxaki zakho zokukhulelwa ziya kufana nomntu ongazange asebenzise iipilisi zokulawula ukuzalwa.
Ulawulo lokuzalwa kunye nokuHluka kwexesha lokuhamba
Kwesinye isifundo esithakazelisayo kodwa esincinci esashicilelwe kwi- Gynecological Endocrinology , iqela labasetyhini abangama-175 abayeka ukukhulelwa komlomo baqhathaniswa neqela labasetyhini abangama-284 ababengakaze baphathe iipilisi zokulawula.
Abafazi bawubhenkceze umzimba wabo oshushu . Oku kwenza abaphandi baqwalasele ubude bemijikelezo , i- ovulation , kunye nobude besigaba . Isigaba esilungileyo sihlandlo phakathi kwe-ovulation kunye nexesha lakho elilindelekileyo.
Uphando lwafumanisa ukuba ama-57.9 ekhulwini kwabasetyhini abayeke ukulawula iipilisi ezivuthwe kwaye babe nezigaba ezinobungozi obuhle kwimigangatho yabo yokuqala yepilisi.
Nangona kunjalo, abaninzi abafazi kwiqela lokujikeleza iipilisi bexesha elide bebahamba ixesha elide kunabasebenzisi abangenayo ipilisi. Oku kwaphela kwiinyanga ezili-9. Kwakhona, a bafazi abaninzi kwiqela lepilisi labapostile belincinci kunezigaba eziqhelekileyo.
Ukuphazamiseka kwemijikelezo ekugqibeleni kwalungisa ngokwezigidi ezili-9 emva kokusetyenziswa kokulawula kokuzalwa.
Ngenxa yoko, kubalulekile ukuba uqaphele ukuba lo mboniso awuzange ukhange kwizinga lokukhulelwa kweklinikhi nokuba ingaba iziphene zomjikelezo zanele ukuba zibe nefuthe lokuzala.
Kwakhona, abanye abafazi baya kulawulo lokuzalwa ukuze bancede ukulawula imijikelezo yabo engafanelekanga. Asazi ukuba bangaphi abafazi abathatha ulawulo lokuzalwa abazange bajikeleze ngaphambi kokuba baqale. Ukuba neentshukumo ezingaqhelekanga kunokunyusa umngcipheko wexesha elide.
I-post-pilisi i-Amenorrhea: Xa Ungagqithisi emva kolawulo lokuzalwa
Kufuneka ube nomjikelezo kwisithuba esinye ukuya kweenyanga ezintathu ukuyeka ezininzi iindlela zokulawula ukuzalwa.
Ukuba unqamle ukulawulwa kokuzalwa kwaye ungafumani ixesha, ungafuna ukuthatha uvavanyo lokukhulelwa kuqala. Kungenzeka ukuba wakhulelwa!
Ewe, unokukhulelwa ngenyanga elandelayo emva kokuyeka ukulawula ukuzalwa.
Ukuba awukhulelwe, unokufumana i-postor pilrhea yepilisi. Yilapho ungayifumani ixesha elingangeenyanga ezi-6 emva kokuyeka ukulawula iipilisi zokuzalwa. Naphezu kwegama laso, ukungabi nalutho kwe-ovulation mhlawumbi kungenxa yokusetyenziswa kolawulo lokuzalwa.
Ulawulo lokuzalwa ludala umjikelo "wesinyanzelo" wesini. Nangona ibhinqa inenkinga yokuzala eya kubangela ukugcoba , ama-hormone kwiipilisi zokulalisa ukuzalwa kuza kubangela ixesha. Kuya kubonakala ngathi unesijikelezo sokuya esikhathini.
Kodwa oku kusebenza kuphela nje ngokuba ewathatha. Ukuba unamaxesha angaqhelekanga ngaphambi kokuba uqalise ukulawula ukuzala, uya kuba kwakhona emva kokuyeka.
Kukho ukungaqondi kakuhle ukuba ukulawulwa kweepilisi "ukunyanga" kungagqibekanga. Akunjalo. Benza umjikelezo wokufakelwa, kodwa abayicombululi imbangela yokuqala yentshukumo engavumelekanga.
Qiniseka ukuba ubone ugqirha ukuba awunayo i-ovulating emva kweepilisi zokulawula ukuzalwa okanye ukuba imijikelezo yakho ayifanelekanga okanye ayikho. Ugqirha wakho uya kuhlola iimvavanyo ezithile zokuzala .
Ugqirha wakho unokuyalela iComomid ukuba "gxuma kuqala" ukuzala kwakho.
Ukhuseleko kunye noKhuselo lokuLawula
Ngaphezulu, sathetha ukuba imijikelezo yakho kufuneka ibuyele malunga neenyanga ezintathu zokuyeka ukulawula ukuzalwa, ukuba kungekudala. Enye into ebalulekileyo kwimiqathango yeenyanga ukuya kweyesithathu kukuba ngaba ulawulo lokuzalwa ludubula.
Ukuba uneDepo-Provera (okanye i-DMPA) idutshulwa, kufuneka ufumane umjikelezo emva kweenyanga ezi-6 ukuya kwezi-12 zokujola kwakho kokugqibela .
Nangona kunjalo, abanye abafazi banokuphazamiseka ekuzaleni kwabo kwiinyanga ezili-18. Ungesabi xa ungafumani umva wakho emva koko emva kweDepo-Provera. Ingathatha iinyanga ezi-22-okanye phantse iminyaka emibili-ukuze imizila yakho ibuye emva kokulawulwa kolawulo lokuzalwa. Akunjalo umyinge, kodwa kunokwenzeka.
(Kungenxa yoko ugqirha wakho kwakufuneka aqinisekise ukuba awunaso isicwangciso sokwakha intsapho kwikamva elizayo, ngaphambi kokumisela ukutshiza.)
Ukuba awufumani ixesha eliphakathi kweenyanga ezingama-22, xela ugqirha wakho.
Kuthiwani Ukuba Awukwazi Ukufumana Umzimba Emva kokuLawula iipilisi?
Unqamle iipilisi zokulawula ukuzalwa, ujikelezo lwakho lubuyele, kodwa awukhulelwa.
Ngoku kuthweni?
Ngelixa unokuba uzibuze ukuba iipilisi zakho zokulawula ukuzalwa zibangele iingxaki zakho, qiniseka ukuba oku akunakwenzeka.
Kukho izizathu ezininzi zokuba unokuba nzima ukukhulelwa. Ukungabikho kokuchaphazeleka kunokuchaphazela iipesenti ezili-12 zezibini, kwaye amadoda kunye nabasetyhini banokufumana iingxaki zokuzala. Kwiimeko zokungabikho kwabasetyhini, akuyikho i- ovulating enye yeso sizathu.
Ukuba awukwazi ukukhulelwa emva kweenyanga ezintandathu (ukuba ungaphezu kweminyaka engama-35), okanye ungakhange ukhulelwe emva konyaka, khangela ugqirha wakho.
Musa ukulinda! Ukulahla ukuvavanywa kunye nonyango kunokunciphisa iingxaki zakho zokuphumelela ukukhulelwa.
Kuthiwani Ukuba Andifuni Ukuthatha Ulawulo Lokuzalwa KwamaHormon, Kodwa Awufuni Ukukhulelwa?
Nangona uninzi lophando lubonisa ukulawulwa kwe-hormonal lungabangela ukungabikho, abanye besetyhini bafuna ukuwuphepha. Ngaba oku kuthetha ukuba banokukhusela ukukhulelwa kwangoku? Akunjalongo noko!
Unokufuna ukuqwalasela iindlela zokukhetha iindlela. Oku kubandakanya ukukhulelwa kwekhondomu njengamakhondom okanye i-diaphragm. Iindlela zokurhoxiswa kweendlela zokuzalwa zifuna ukuba uzisebenzise. Awukwazi ukusebenza xa uyalibala okanye ungawafaki kakuhle.
Nangona kunjalo, kulabo abanobuchule kunye nokunyamekela, banokukubonelela ngendlela efanelekileyo yokuphepha ukukhulelwa, ngelixa kungaphazamiseki amahomoni akho.
> Imithombo:
Cronin M1, Schellschmidt I, uDinger J. "Umlinganiselo wokukhulelwa emva kokusebenzisa i-drospirenone kunye nezinye izithintelo zokukhulelwa komlomo nge-progestin. "I-Obstet Gynecol. 2009 Sep; 114 (3): 616-22. i-doi: 10.1097 / AOG.0b013e3181b46f54.
UGnoth C1, uFrank-Herrmann P, uSmmoll A, u-Godehardt E, u-Freundl G. "Iziganeko zokujikeleza emva kokuyeka ukukhulelwa komlomo." UGynecol Endocrinol. 2002 Aug; 16 (4): 307-17. http://www.ncbi.nlm.nih.gov/pubmed/12396560
Talukdar N1, Bentov Y, Chang PT, Esfandiari N, Nazemian Z, Casper RF. "Impembelelo yexesha elide lokudibanisa umlomo wepilisi yokusetyenziswa kwe-endometrial thickness. "I-Obstet Gynecol. Ngo-Agasti ka-2012; 120 (2 Pt 1): 348-54. i-doi: 10.1097 / AOG.0b013e31825ec2ee.
Zieman, Mimi, MD. Ulwazi olunezigulane: Iinkqubo ze-Hormonal zokulawula ukuzalwa (ngaphaya kweZiseko). "UpToDate.com.