Iimpawu zokufumana iimbilini ngokuqhelekileyo okanye nge-Treatment Fertility
Yintoni eyenza iimeko zakho zibe namawele? Ukunyanga okunyanga okunjengeClomid , Gonal-F, kunye neFollistim kwenza ukuba kube lula ukuba uza kuba nemibilini, kodwa kwakhona, ukuphakama kwakho, ubudala, kunye nembali yentsapho inokunyusa imilinganiselo yakho yokutya ngaphezulu kweyodwa.
Izizathu Zamawele Ngaphandle Kwezonyango Zokunyanga
Utyando lwezonyango aluyena kuphela isizathu sokuba amawele. Ezinye izinto ezandisa amathuba akho okukhulelwa ngokuphindaphindiweyo ziquka ...
Ubudala
Abasetyhini abangaphezu kwama-30 banako ukukhulelwa amawele. Oku kungenxa yokuba i-hormone ye- FSH iphakama njengoko ibhinqa likhula. I-FSH, okanye i-follicle evuselela i-hormone, ixanduva lokuphuhlisa amaqanda kuma-ovari ngaphambi kokuba akhululwe.
Amanqanaba aphezulu e-FSH ayadingeka njengowesifazane osemdala kuba amaqanda adinga ukuvuselela ngakumbi kunokukhula kumfazi oselula.
Oku kunzima kakhulu, kuba kunikwe ukuba i-FSH eyongezelelweyo nayo ingenxa yokunciphisa ukuzala. Kodwa ngamanye amaxesha, iifollicle zigqithiseleyo kumanqanaba aphezulu e- FSH , kwaye amaqanda amabini okanye angaphezulu akhululwa, okubangelwa ukukhulelwa kwamawele.
Imbali Yentsapho
Imbali yentsapho yamawele afanayo ayifuni ukuba yenzeke ngokuphindaphindiweyo. Nangona kunjalo, ukuba unamawele omzimba (ongafaniyo) kwintsapho yakho, akho amathuba okukhulelwa amawele. Ukuba kukho amawele omzalwana kumacala omama nobawo, iingxaki zakho malunga namawele uya kunyuka.
Imbali yamawele kwinqanaba lesetyhini lentsapho libonisa ukuba kunokwenzeka ukuphakama ngaphezu kweqanda ngalinye kumjikelezo wesibini, kwaye imbali yamacangca omzimba kwinqanaba lomntu ibonisa ukuba kunokwenzeka ukuba umntu ovelisa i-sperm eyaneleyo ukuze azalise enye iqanda .
U bunzima
Abasetyhini abagqithiseleyo-abanama-BMI angaphezu kwama-30-banakho ukukhulelwa amawele ngama-bins anempilo ye-BMI. Le meko engummangaliso kuba besifazane abangaphezu kwamandla amaninzi nabo banakho ukufumana ubunzima bokukhulelwa .
Amanqina athile akhokelela kumanqanaba okwanda kwe-estrogen. Amanqanaba aphezulu e-estrogen angakhokelela ekukhuliseni ama-ovari.
Esikhundleni sokukhulula iqanda elinye kwi-ovulation , ii-ovari zingakhupha ezimbini okanye ngaphezulu.
Ukuphakama
Abasetyhini abade kunomyinge banamathuba okuba namawele. Olunye uphando lufumanise ukuba abafazi abalinganiselwa ku-164.8 cm ukuphakama (malunga ne-5 '4.8 ") banakho ukukhulelwa amawele angama-161.8 cm (malunga ne-5' 3.7").
Kutheni oku kwenzekayo akucaci, kodwa enye ingcamango kukuba ukutya okunomsoco (okungabangela ukuphakama okungaphezulu) kungaphantsi kwezinga lokunyuka kwamawele.
Inani labantwana
Amawele aqhelekileyo kubasetyhini abathwele ukukhulelwa okuninzi kunye neentsapho ezinkulu.
Uhlanga
Abantu baseMerika-baseMelika banakho ukukhulelwa amawele abafazi baseCaucasus. Abasetyhini base-Asiya banako ukufumana umama amawele.
Ukuncelisa
Abasetyhini abathandayo xa beluncelisayo banakho ukukhulelwa amawele ngaphezu kwabasetyhini abangenawo. Kuyinyaniso ukuba ukuncelisa unako ukunqanda ukukhulelwa nokukhusela ukukhulelwa, ngokukodwa ngexesha leenyanga ezintandathu zokuqala umntwana ukuba umntwana ubhekwe kuphela.
Nangona kunjalo, kunokwenzeka ukuba ukhulelwe xa uncelisayo-kunye namawele!
Olunye uphando lufumanise ukuba izinga lamawele liba ngama-11,4 ekhulwini phakathi kwabasetyhini abancelisayo, xa kuthelekiswa ne-1.1% kuphela kwabasetyhini abangabelisi.
Ukutya
Nangona uphando luqhubeka, ezinye iifundo zifumene ukuba abafazi abadla ezininzi iimveliso zobisi banakho ukukhulelwa amawele.
Enye imfundiso yokuba ama-hormone okukhula anikwa iinkomo achaphazela amazinga e-hormone kubantu.
Amathuba okuba neamawele ngokunyanga
Ukunyanga okunyanga okunyusa i-ovulation kunokukhokelela kumawele, ama-triplets, okanye i-multiply order order. Ukufumana ukuphindaphinda kwimiba yonyango yokuzala , enye inganciphisa ngokunyamekela, ukutshatyalaliswa kwesisu esisodwa (ukulungiselela unyango lwe-IVF), kunye nomlinganiselo ophantsi kakhulu onokwenzeka (xa unyanga ne-gonadotropins.)
Unokuzibuza ukuba kutheni ukukhulelwa kweempepha kuthathwa njengengozi "kwaye akusiyo inzuzo yokufumana unyango. Emva kwakho konke, ingakumbi ukuba unzima ukukhulelwa, akunakwenzeka ukuba intsikelelo kabini okanye kathathu ibe yinto entle?
Ingongoma yeso sizathu kukuba ukukhulelwa okuninzi kuza nomngcipheko kumama neentsana. Injongo yakho ugqirha kukukuba ukhulelwe kwaye uzalele umntwana ophilileyo ngexesha.
Ayikho yonke imithi yokwelapha inzala iyandisa ukwanda kweentlobo zakho, kodwa ininzi yenza. Ukunyanga iziyobisi kunye nokunyanga okungakhokelela kumawele kubandakanya ...
- Clomid
- Femera
- I-Gonadotropins (eyaziwa ngokuba yi-injection) njengeGonal-F ne-Follistim
- I-IUI yonyango , xa isetyenziselwa kunye neziyobisi zokuzala
- Lwe-IVF unyango
I-Clomid ne-Femera inenani eliphantsi kakhulu lamawele, ukususela kuma-5 ukuya kuma-12 ekhulwini. Isilinganiselo sesithathu kunye nokuphindaphinda kwee-multiply order under 1 percent. I-Gonadotropins, ingaba isetyenziswe okanye ngaphandle kwe-IUI yonyango, inezinga eliphezulu lamawele. Ngokwezifundo ezithile, ukuya kwi-30 ekhulwini yokukhulelwa ezithwele i-gonadotropins zikhokelela ekuphindaphindeni. Uninzi lwezi khulo zikhulelwa ngamawele, kodwa ukuya kuma-5 eepesenti zi-triplet okanye ukukhulelwa kwe-oda eliphezulu.
Ngokuchasene neenkolelo eziqhelekileyo, unyango lwe-IVF alukho umthombo oyintloko wokukhulelwa kwe-triplet kunye nokukhulelwa okuphezulu. Idata eqokelelwe yi-CDC ibonisa ukuba izinga le-IVF-conceived triplets ngo-2014 laliyi-1.5 yokukhulelwa (kodwa i-0.9 ekhulwini kuphela yokuzalwa okuphilayo, ephantsi ngenxa yokulahleka kokukhulelwa.)
Iimpondo ze-IVF ziqhelekile, kunye namazinga aphezulu ama-bhinqa angaphantsi kwama-35, kwi-12.1 yeepesenti nganye yokutshintshwa ngo-2014. I-IVF ye-twin rate isezantsi kubafazi abangaphantsi kweminyaka engama-35-9 ukuya kweyabesetyhini abaneminyaka engama-35 ukuya kwe-37 kunye no-5.3 kwabasetyhini abaneminyaka 38 ukuya ku-40-mhlawumbi ngenxa yokuphela kwezinga lokuphumelela njengowesifazane osemdala.
Ziyafana Njani Eziqhelekileyo Zizibilini?
Ngokweenkcukacha eziqokelelwe ngamaziko okuLawula izifo, kwakukho ama-133,155 amawele azalwe e-United States ngo-2015. Ngama-33.5 kwaba-1 abazalwa ngokuzalwa, okanye bafaka enye indlela, malunga neepesenti ezingama-3,35 zokuzalwa okuphilayo.
Kwakukho ukuzalwa kwama-tripel 3,871, ii-228 zokuzalwa kwe-quadruplet kunye ne-quintuplet engama-24 okanye ukuzalwa kwe-oda eliphezulu. Ezi manani ziquka iiplani ezenzeka ngokuqhelekileyo, kunye nalabo abakhwelwe ngokunyanga .
Izinga lokuzalwa ezininzi liye lanyuka kwaye linyuka ngexesha lama-1990, kodwa liye lancipha kule minyaka elishumi edlulileyo. Ipesenteji ye-triplet kunye nokukhulelwa okukhuselekileyo kwe-oda kuye kwehla kuma-36 ekhulwini ukususela ngo-2004.
Amathuba okuba namawele angama-2
Kubantu abaqhelekileyo, ukukhulelwa okufanayo kufana ne-0.45 yeepesenti yexesha, okanye 1 ekuzalweni kwama-250.
Nangona ezininzi zokukhulelwa ezininzi ezikhulelwe ngonyango lwezityalo zinyango zomzimba, ukusetyenziswa kokonyango kwenzalo kukunyusa umngcipheko wokuba namawele afanayo. Ngokomnye uphando, amawele afana nama-0.95 ekhulwini ekhulelwe ayenyango. Oku kubini umngcipheko woluntu jikelele.
Akucaci ukuba kutheni unyango lwezonyango lukhokelela kumawele athile afanayo. Enye ingcamango kukuba iimbumba zenkcubeko zifakwa ngexesha le-IVF landisa umngcipheko wokwahlula okufanayo. Enye ingcamango kukuba unyango olusebenzisa i-gonadotropins lubangela ingozi ephezulu yokwabelana ngamawele.
Igama elivela kwi-Verywell
Amathuba akho okuba namawele akuyi kuxhomekeka nje ekusebenziseni kwakho iziyobisi, kodwa nakwimbali yakho yentsapho, ubuhlanga, ubudala, kunye nezinye izinto ezininzi. Ezi zinto zisebenza kunye. Ngamanye amagama, umfazi omude onomlando weentsapho zamadoda olamathandane unokukwazi ukukhulelwa ngamawele ngexesha lotyando lwezityalo kunomfazi omfutshane ongekho nentsapho yembali yamawele.
Amathuba akho okukhulelwa amawele aza kuchatshazelwa yinto enobangela bokungafumaneki. Umfazi osemncinci onamaqanda aphilileyo unakho ukukhulelwa ngamawele ngaphezu komfazi ongaphezu kwama-40, umgangatho weqanda onobuhlwempu.
Amanani amawele kunye namaqela amaninzi ayahluka ukusuka kwiklinikhi yokuzala kuya kwiklinikhi. Amanani ama-Twin ahluke ngokusekelwe kwindlela abajonga ngayo ngokukhawuleza ukunyuka kwe-ovulation ngexesha lokusetyenziswa kweziyobisi kunye nokuba mangaphi ama-embryo adlulisa ngexesha le-IVF.
Ngelixa amawele azwakala ngathi uhlobo lwembini kunye nolunye luyakubambisana nayiphi na isibini sinokuthanda ukufumana emva kokusweleka, kubaluleke kakhulu ukujolisa umntwana ophilileyo. Ugqirha wakho unokunciphisa imilinganiselo yeeplani kunye nokunyamekela ngokugqithiseleyo kunye nodluliselo olulodwa lwe-embryo ngexesha le-IVF.
Nangona kunjalo, ukuba uvakalela amawele okanye ngaphezulu, yazi ukuba ukunyamekela kokubeleka kunokunciphisa umngcipheko weengxaki. Kukho neenzuzo ezininzi zokuba namawele .
> Imithombo:
> Ingxelo yoLwazi lwezoLwazi (Reproductive Technology) . INgcaciso yeKharityhulam kaZwelonke: 2014. Isiko soLawulo lweZifo.
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> Ezininzi: amawele, ama-triplets nangaphezulu. Matshi weDimes.
> Schachter M, Raziel A, Friedler S, Strassburger D, uBern, O-Ron-El R. "Ukubhabhisa kwe-Monozygotic emva kokuncedisa ubuchule bokuzala: into eyenziwa ngokuzimela." Ukuzaliswa kwabantu. 2001 Juni; 16 (6): 1264-9.
> Steinman G. "Iinkqubo zokwahlula IV. Umbhalo weMithi yoBubele. 2001 Nov; 46 (11): 1003-7.
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> Steinman G. "Iinkqubo zokwahlula: VIII. Ukuphakama komama, ukukhula kwe-insulin kunye nokulinganisa i-twinning rate." Umbhalo weMithi yoBubele. 2006 uSept; 51 (9): 694-8.
> Steinman G. "Iinkqubo zokwahlula: X. Into ebesilisa." Umbhalo weMithi yoBubele. 2008 Sep; 53 (9): 681-4.