Ukungenakuchazwa okungaxelwanga kukuxilongwa ukuphazamiseka ukufumana. Kukwaqhelekileyo. Phantse enye kwimilo emine inselele inqabileyo izakuxelelwa kungekho nkcazo sokuba kutheni bengakwazi ukukhulelwa .
Ukungabonakali kokungaxeleli, oko kuthetha ukuba awunakho ukhetho. Kukho isizathu sethemba.
Enyanisweni, kuxhomekeke kubudala bakho kwaye ude wazama kangakanani, iingxaki zokukhulelwa ngokwakho zingaba ziphakamileyo kunokuba zininzi zokuxilonga.
Uphando olunye lwabafazi abangaphezu kwe-1,300 abangenasifo, abaneminyaka engama-28 ukuya kuma-36 ubudala, bafumanisa ukuba ama-43 ekhulwini alabo abangazange bafumane unyango lwezobelethwa ekugqibeleni bazalwa waza bazala.
Nantsi into ekuchazwe ngayo ukungabonakali kwintsholongwane kuthetha ntoni, into engenziyo, kunye neenkcazelo ezingenakuchazwa.
Ngaba Ukungafihli Nakho Kuchanekile?
Ukungakwazi ukuchasana kukuchasene nokuxilongwa. Ngenkcazo, ukuxilongwa kokupheliswa. Ugqirha wakho uzimisele ukuba unalo, le nto, nale ngxaki, kwaye kunjalo, awukwazi ukukhulelwa.
Nangona kunjalo, ngelixa ugqirha othile angakufumanisa ityala lakho ngokungachazwanga, omnye onguchwepheshe wezityalo unokuthi awuzange uhlolwe ngokupheleleyo. Kwaye ugqirha unokuthi ulungile.
Ukungakwazi ukuchasana okunokuchazwayo kunokufumaneka kuphela emva kokuvavanya okupheleleyo kunye nokuzaliswa ngokupheleleyo kokuzaliswa kokuzala komntu wesibini nomfazi.
Ukuxilongwa kwe-infertility diagnostic kungachazwanga ukuba kuboniswe ukuba ...
- Utywala rhoqo .
- Iindawo zakho zokugcina ii-ovari zilungile. (Ukuhlolisiswa ngomsebenzi wegazi kunye / okanye ubungqina bokulandelelana kwintliziyo .)
- Iibhubhu zakho zokulala zivulekile kwaye ziphilile. (Kuhlolwe nge-HSG .)
- Uhlalutyo lomama weqabane lakho luqhelekileyo (kubandakanya inani elipheleleyo, intshukumo yesisu kunye nesimo sesisu .)
- Ayikho imiba ebalulekileyo yokuzala i-uterine. (Kuhlolwe nge-hysteroscopy.)
Ukuba kukho enye ingentla ingakhange ihlolwe, ukuxilongwa kwe-infertility engachazwanga kusenokuba yimva.
Abanye banokuphikisa i- laparoscopy kufuneka kwakhona ukulawula i-endometriosis . I-Endometriosis ayikwazi ukufunyanwa ngegazi okanye i-ultrasound.
Oko kwathiwa, ngaphandle kokuba ufumana iimeko ezibuhlungu , ugqirha wakho akayi kucinga ingozi yokuba i-laparoscopy yokugqirha ifanelekile ukuba ixilongwe. (Ngakumbi malunga ne-endometriosis njengesisombululo sokungabonakali kwangaphantsi.)
Ukungabikho okungacaciyo malunga ne-Idiopathic Owesifazana okanye oMntu ongenalucalulo
Kubalulekile ukucacisa ukuba ukungakwazi ukuchasana okungachazwanga akufani neydiopathic yindoda okanye isintu esingenalo intswela .
Idiopathic ithetha ukungachazwanga. Kodwa xa ugqirha uthetha nge-infaltility ye-idiopathic yindoda, umzekelo, sele sele imisele ukuba indoda ayinamandla. Uhlalutyo lwaso lwesisu lwengqondo aluqhelekanga .
Kutheni ukuba uhlalutyo lwemihla lungabonakali? Oku ku ngaziwa. Ukuba ugqirha akakwazi ukucacisa isizathu, banokuthi unesifo esingenalucalulo lwendoda.
U-Idiopathic wesifazane ongenako ukungabikho komntwana kungenzeka xa ibhinqa lingekho i-ovulating rhoqo okanye ngokuqhelekileyo , kodwa akucaci isizathu sokuba i-ovulation ingenzeki xa kufanelekile.
Kuzo zombini imizekelo engentla, kwaziwa ukuba kutheni isibini esingeke sikwazi ukukhulelwa-asiyi-ovulating, okanye isisu sakhe asikho kwibala elivundisayo.
Ngokungabonakali kokungazalanga, amaqanda ayeza, isidoda sihamba kakuhle, kodwa isibini esisazokhulelwa.
Iinkcazo ezinokuthi zingabonakali
Ukungakwazi ukuchasana akusiyo imimoya yemilingo. Kukho isizathu ; asikwazi nje ukuba yintoni.
Nangona iingcali ziye zaphucula ngokucacileyo ulwazi lwabo lokuzala kwiminyaka emininzi edlulileyo, kuninzi esingazi.
Kukho izinto esiziwayo zingabangela iingxaki, kodwa azinayo indlela yokulinganisa okanye ukuvavanya okwamanje. (Okanye indlela ephela yongena kwaye ibiza, eninzi kwizantsi.)
Nazi ezinye iinkcazo ezinokwenzeka zokungabonakali kokungazalanga:
Ingxaki engazange ihlolwe ( ingengabantwana). Kodwa sifunda ngakumbi nangaphezulu.
Ngokomzekelo, isifo esingasaphathwa yi-Celiac sinokuthi kwezinye iimeko zingabonakali. Ucwaningo oluthile lufumene ukuba izifo zeCeliac zifunyanwe ukuba ziphindwe kabini kwizihlandlo eziphindwe kabini kubasetyhini abanengxaki yokungachazi kakuhle xa kuthelekiswa noluntu jikelele.
Ezinye izimo ezinokuthi zingabangela ukungabikho komntwana zibandakanya isifo sikashukela, ingxaki ye-thyroid engaziwayo kunye nezinye izifo ezizimele.
I-endometriosis enomzimba : I-endometriosis enobukhulu inokubangela iingxaki zokuzala ezibonakalayo ngaphandle kwe-laparoscopy. Ngokomzekelo, i-cysts endometrial inokuphazamisa i-ovulation okanye idale i-fallopian tube blockages.
Ukuphela kwe-endometriosis akunakuphazamisa ukugqithisa okanye isicace esicacileyo seqanda. Akunakho na iimpawu ezibonakalayo.
I-Endometriosis inokuthi ilandele iimeko ezingabonakaliyo zokungakhulelwa. Nangona kunjalo, iingcali azivumelani nokuba i-endometriosis enobungozi ingabangela ukungapheli, kwaye ukuba ewe, nokuba utyando lwe-laparoscopic ukuxilongwa kunye nokusola i-deposometer deposits inenzuzo.
Ukusebenzisana phakathi kwendawo yokulala kunye nesidoda : Emva kokunyuka, i-sperm kufuneka yenze indlela yokuphuma kwidoda kunye nenqindi yomlomo wesibeleko. Emva koko, kufuneka badonwe kwi-vagina, baye kuvulo lomlomo, kwaye ekugqibeleni baye kwisibeleko.
Ngamanye amaxesha, kunokubakho iingxaki ngeli xesha lokutshintsha, ukusuka kwimbuni, ukuya kumkhuhlane wesibeleko, kunye ne-cervix. Ngokomzekelo, kunokubakho izifo ezinqamlekileyo kwi-mucus yomlomo okanye nokuba nenambuzane ehlasela isityalo.
Oku kuyaziwa njengobunqunu bomlomo wesibeleko . Indlela yokuxilonga ngokufanelekileyo le ngxaki ayicacile, ukushiya iimeko ezifana nalezi zichazwe rhoqo.
Ubunjani bezinga leqanda : Sineemvavanyo zokujonga ukuba ngaba utyhubela, kunye nokuvavanya ukuba ufumane ingcamango jikelele ukuba kukho ubungakanani bamaqanda kuma-ovari.
Kodwa akukho mvavanyo ukujonga ukuba amaqanda aphezulu. Amaqanda asemgangathweni asemgangathweni angabangelwa ngumdala, imeko yonyango, okanye esinye isizathu esingaziwa.
Impumelelo yekhwalithi yeqanda ingafunyanwa ngexesha lonyango lwe-IVF. Emva kokufunyanwa kweqanda, amaqanda aya kuhlolwa phantsi kwe-microscope.
Umgangatho ongasondelanga wesilwanyana : Ezinye iintlobo zeempawu zentlobo emdeni ziyabonakala. Ngokomzekelo, ukuma kwesimo sesisu (esaziwa nangokuthi i-morphology) kunokubangela iingxaki zokuzala. Ubuncwane bendoda (okanye ukunyakaza) kungabangela ukungabikho.
Kodwa ezi zixilongwa. Ziyakubonwa ngexesha lohlalutyo lwesisu.
Kukho iimeko ezinxulumene nomgangatho wesilisa ongabonakali ngexesha lohlalutyo lomzimba.
Ngokomzekelo, i-sperm ingaba ne-DNA esemgangathweni. Imiba ye-DNA ikhula njengendoda eneminyaka emininzi, yintoni eyenza ukuba abantwana basebadala asebekhulile basengozini yokwanda kweengxaki zokuzalwa kunye neengxaki zempilo yengqondo.
Umgangatho wesimo sentsholongwane ungasifumana ngonyango lwe-IVF. Ukuba isibindi esilungileyo singabonakali ukutshiza amaqanda aphilileyo, oku kunokubonisa iingxaki ngeqanda okanye umgangatho wesilisa.
Iingxaki nge-endometrium: unokuba neemeko zentsholongwane enempilo, amaqanda aphilileyo, kunye nesidoda esinempilo ... kodwa ukuba i-embryo ephilileyo ayikwazi ukuchaphazela i-endometrium, sinenkinga.
Kukho into engaziwayo malunga neengxaki ezinokuthi zivelise i-endometrium .
Ngokomzekelo, uphando oluthile lufumene ukuba intsholongwane esanda kufunyanwa ifunyanwa ngokuqhelekileyo kwiisisu ze-endometrial yabasetyhini kunabesifazane abanobubele bokuvakala. Kodwa indlela yokuxilonga nokuphatha le ngxaki ayengaziwa.
Iziphene zesigaba se-Luteal nazo ziyafaneleka phantsi kweengxaki ezinokwenzeka nge-endometrium kwaye ingaba yimpendulo kwezinye iimeko ezingenakuchazwa.
Iingxaki ngeqanda elichumayo eliya kumbindi onempilo : Masithi sithi sifumana iqanda elijongene nepilo kunye nesidoda, kwaye ziba ngumbungu. Emva koko, iiseli ngaphakathi kwimbungu ndizahlula kwaye ekugqibeleni ndibe ngumntwana.
Ngamanye amaxesha, oku kuhamba kakubi. Le ngenye ingxaki enokuthi ifunyanwe ngexesha lokunyanga kwe-IVF kuba ama-embryos aya kujongwa ngokuhlukana kweeseli eziqhelekileyo.
Enye into esaziwayo engaziwa kwiingcali zenzalo: Kungenzeka ukuba imbangela yokungakwazi ukuchasana kwakho engachazwanga yinto engaziwayo kwiingcali zonyango ngeli xesha.
Asazi yonke into ekhoyo malunga nokuzala.
Akukho nto ingasilunganga kakuhle : Ezinye izibini ezinesifo esingenakuchazwa siya kukhulelwa ngaphandle kwonyango loncedo kwisithuba seminyaka emibini ukuya kuhloliswa. Akukho mntu uyazi ukuba kutheni okanye yintoni ephosakeleyo, kodwa kwenzeka.
Isibini esilungileyo, esinesiqhamo sinamathuba angama-30% okukhulelwa kwinyanga nayiphi na inyanga. Phawula ukuba iimpendulo aziyi 100%. Abayi-100% nabani na .
Kungenzeka ukuba unenkinga enobuncwane bokuzala, kodwa kungabi nakakhulu kangangokuba awukwazi ukukhulelwa ngokwakho ixesha elininzi. (Ngamanye amaxesha ubizwa ngokuba yi-subfertility.)
Kungenzeka ukuba wena kunye neqabane lakho nilungele inhlanhla.
Kuphazamisekile, kodwa yinkcazelo enokwenzeka ngabo bazama ukukhulelwa iminyaka engaphantsi kweyesibini ukuya kwimithathu.
Yiyiphi intsingiselo engachaziyo
Njengoko kubalulekile ukuxoxa ngezinto ezingabonakaliyo ukungabikho kwempilo, kubalulekile ukuthetha malunga noko kungenjalo .
Ukungabonakali kokungazalanga ...
- Hhayi nje "entloko yakho"
- Ubangelwa nguwe "uzama ngamandla" okanye "uxinzelelo"
- Ayikho into
Kulula kubantu, kubandakanye oogqirha abangenakukhathazeka, ukugxotha ukungabikho komntwana ukuba ingxaki ecacileyo ayifumaneki.
Unokuxelela uMama wakho uMarge ukuba akukho uphando olubonisa ukuba ukungabonakali kokungabonakali kungabangelwa "ukuzama kanzima" okanye "ukuphumula."
Umzabalazo wakho wokumama ukukhulelwa ungokoqobo ngaphandle kokuxilongwa ngokucacileyo. Abanye basenokuthi kakhulu, kuba, ngaphandle kwempendulo, unokuziva udideke ngakumbi ngimeko.
Ingxaki yakho yokwenyama inokuba yinto enyanisekileyo, nokuba ingenako okanye ayizange ifumaneke kwakhona.
Ufuna ukukhulelwa, kwaye awukwazi. Izibalo zithi kufuneka ube nomntwana ngoku. Yonke into ifanelekileyo ingqalelo kwaye ixhalabele.
Ukuba ugqirha wakho ukufumanisa ukuba unokungazalanga kakuhle, cinga ukufumana umbono wesibini. Kunokwenzeka ukuqhubeka nokuvavanywa kuya kufumana inkcazelo.
Ukuba ugqirha wakho ufumanisa ngento engenakuchazwa kwaye uyakuxelela ukuba "ufuna nje ixesha elingakumbi," unokufuna ukucinga ngombono wesibini. Nangona oku kuyiyo inye imibhangqwana, kwaye ingaba ngcebiso efanelekileyo kwezinye iimeko, akunjalo kuwo wonke umntu. Kuyafaneleka ukulandelwa.
> Imithombo:
> Herbert DL1, uLucke JC, uDobson AJ. "Iziphumo zokuzalwa emva kokuzibandakanya okanye ukuncedisa ukukhulelwa phakathi kwabasetyhini abangabantwana base-Australia abaneminyaka engama-28 ukuya kweyama-36 ubudala: isifundo esisekelwe kubemi." UFertil Steril . 2012 Mar; 97 (3): 630-8. i-doi: 10.1016 / j.fertnstert.2011.12.033. Epub 2012 Jan 21.
> GL Schattman et al. (i-eds.), Ukungabikho kokungenzi lutho, INGXELO 10.1007 / 978-1-4939-2140-9_1, i-Springer Science + ye-Business Media, LLC 2015.