Ukuba awukwazi ukukhulelwa emva kokuphazamiseka, unokuba nombango ongundoqo
Emva kokuba unqume ukuzama kwakhona emva kokuphuma kwesisu , ixesha elithathayo de ukhulelwe kwakhona unokuvakalelwa ngonaphakade, nangona usuphelile ukukhulelwa ngokukhawuleza. Izibini ezingakhange zikhulelwe ngokukhawuleza, ukulinda kungenakubekezeleka. Sekunjalo, kunikezelwa ukuba iingxaki zokukhulelwa kwinyanga ethile ethile ziphela malunga ne-30 ukuya kuma-40 ekhulwini, nangona xa ulala ngesini kwiintsuku zakho ezivundileyo, akusona uphawu lokuba nayiphi na into engalunganga ukuba kuthatha ixesha elithile ukuba ukhulelwe kwakhona.
Yintoni enokuyenza Ukuba Unenkinga yokuThola
Ukuba uzama ukukhulelwa iinyanga eziliqela ngaphandle kwempumelelo, unokufuna ukuthetha nomcebisi wenzalo okanye u-endocrinologist wokubeletha. Izikhokelo zangoku zincoma ukuthetha kunye neengcali zokuzala ukuba:
- Uneminyaka engaphantsi kwe-35 kwaye awuzange ukhulelwe ngaphakathi konyaka emva kokuba uhlale ulala nomntu ohlala rhoqo uhambelana nokuhamba
- Uneminyaka engaphezulu kwama-35 kwaye awuzange ukhulelwe ngaphakathi kweenyanga ezintandathu ukulala rhoqo kufikelelwe ekuhambeni ukuhamba
- Uye waba neengcambu ezimbini ezilandelelanayo ezilandelelanayo ezintathu kwaye awuzange uvivinywe ngenxa yezizathu eziqhelekileyo zokulahleka kweenqwelo
Unokuzijonga ngogqirha wakho ngokukhawuleza ukuba ungeyakholelwa kwaye unenkxalabo ethile, njengokuba unesiqhelo senyanga . Ukuba kwakuthatha ixesha elide ukuba ukhulelwe ukukhulelwa oye waphazamiseka, kungenangqiqo ukuthetha nomcebisi wenzalo kungekudala.
Kukho izizathu ezininzi zokuba ungenako ukukhulelwa. Ezi ziquka:
- Iingxaki kunye nesidoda somlingani wakho
- Ukucinywa kwii-tublopian tubes
- I-Endometriosis-imeko yokuzala engabangela ubuhlungu obungapheliyo nokungabikho kwengqondo
- Umonakalo wezilwanyana, ezifana ne-bicornuate-okanye ye-heart-shaped-uterus
- Imiba ye-Genetic ehlobene nokuchumisa
- Ukungabonakali-ukungabikho kwengqondo-ukungabikho komntwana ngaphandle kwezizathu eziyaziwayo
Ukuba awukwazi ukukhulelwa, i-endocrinologist yokubeletha okanye i-gynecologist ngolwazi lokungabikho kwengqondo kunokunceda ukuxilonga le micimbi.
Ukunyanga Ukungenasiphelo kunye ne-Ovarian Stimulation kunye ne-IVF
Ngokuqhelekileyo, isinyathelo sokuqala kunyango lokungabikho komntwana kukunyusa ama-ovari usebenzisa ama-hormone ama-FSH kunye ne-chorionic gonadotropin okanye i- clomiphene citrate . Le nkqubo ilandelwa ukuchithwa kwangethuba. Impembelelo ephawulekayo yokuvuselela i-ovari yindlela yokukhulelwa. Ngokukodwa, uphando olwenziwe ngo-2012 luphakanyisiwe ukuba i-28.6 yepesenti kunye ne-9.3 ekhulwini yabamama abaqhutywe nge-ovarian stimulation bafumana ama-twin kunye nokukhulelwa okuphezulu, ngokulandelana.
Ngamanye amazwi, malunga neepesenti ezili-10 zabasetyhini abaphumelele ekukhuthazeni i-ovarian kugcina kuba nabantwana abaninzi xa bekhulelwe. I-Multifetal gestation ingabhekisela kuye, kwaye ngoku, abaphandi bazama ukufumana indlela yokwandisa amazinga okukhulelwa ngexesha lokunciphisa ubunzima be-multifetal.
Amanye amabhinqa awaphenduli ukuvuselela i-ovarian kwaye ngaba ngabaviwa be- vitro fertilization (IVF) . Nge-IVF, iqanda kunye nesidoda zihlangene kwisitya sebhubhoratri. Emva koko, malunga neentsuku ezintathu ukuya ezintlanu emva kokukhulelwa, iqanda elikhulelweyo lidluliselwa kwisibeleko.
Njengaye nezinye iindlela zokuncedisa ubuchwepheshe bokuzala, i-IVF ingakhokelela ekusebenziseni i-multifetal gestations. Ngomzamo wokunciphisa ithuba lokuxhaswa kwe-multifetal, i-American Society ye-Medicine Reproductive ihlaziye iziphakamiso zabo malunga neenambuzane ezimele zihanjiswe kubasetyhini abangaphantsi kweminyaka engama-35 ubudala. Iinqununu ezintsha zinciphisa inani leembrusi ezihanjiswe kwimibusi emibili nje.
Imithombo:
- Ukukhulelwa. Matshi weDimes.
- IMacklon, NS, iJPM Geraedts ne-BCJM Fauser. "Ukukhulelwa ekukhulelweni okuqhubekayo: 'ibhokisi elimnyama' lokulahleka kokukhulelwa kwangaphambili." Ukuhlaziywa koBuntu, iVol.8, No.4 iphe.333-343, 2002.
- Cunningham F, Leveno KJ, Bloom SL, Spong CY, Dashe JS, Hoffman BL, Casey BM, Sheffield JS. Ukukhulelwa kweMattifetal. Ku: Cunningham F, Leveno KJ, Bloom SL, Spong CY, Dashe JS, Hoffman BL, Casey BM, Sheffield JS. eds. U-Williams Obstetrics, i-Twenty-Fourth Edition . New York, NY: McGraw-Hill; 2013.