Inzalo akuyona enkantolo sinqumo

Mozgovaya E.M., Ph.D., udokotela obelethisa izifo zabesifazane womnyango wokwelashwa kokuzala 

Ukungabi nenzalo akukhona nje ukungakwazi ukukhulelwa phakathi nonyaka wezenzo ezisebenzayo zocansi ngaphandle kokuvimbela inzalo, futhi kuwumthombo wosizi olukhulu nokukhungatheka emndenini. Uma kudlule unyaka wemizamo nemizamo, kodwa kungekho mphumela, ukuqala ngakunye kokuya esikhathini kuyaqeda ithemba elincane … Futhi, ngeshwa, singacabanga ukuthi ukungabi nenzalo kuyenzeka.

Kuyadingeka ukuthi usebenzise usizo lochwepheshe: ungasali wedwa nenkinga. Namuhla imibhangqwana engu-1 kwengu-8 ihlushwa ukungatholi abantwana e-Ukraine futhi, ngeshwa, isibalo semibhangqwana enjalo siyanda nje.

Kwabashadile abangaphezu kwama-35, kubonakala kaningi izikhathi ezimbili kunemibhangqwana emisha. Yingakho kubaluleke kakhulu emibhangqwaneni eyeqe ibanga eliyiminyaka engamashumi amathathu futhi ebhekene nobunzima ekukhulelweni, yenza isinqumo ngokushesha futhi ifuna usizo kochwepheshe. Lapho inkinga itholakala ngokushesha, maningi amathuba okuthi uyisuse.

Uma owesifazane ngemuva kweminyaka engu-1-2 enza ucansi njalo ngaphandle kokusebenzisa izinto zokuvimbela inzalo ehluleka ukukhulelwa, kufanele ubonane nodokotela ukuthola izeluleko ngokungabi nenzalo. Uma kunezizathu ezisobala zokungazali – ukungahambi kahle kokuya esikhathini, ukukhulelwa kwe-ectopic esikhathini esedlule, izifo zokuvuvukala – ngakho-ke akufanele ulinde unyaka, udinga ukwelashwa. Lokhu kungaba ukubonwa ngudokotela wezifo zabesifazane ojwayelekile, noma okungcono ngudokotela ogxile ngqo ekuhleleni umndeni.

Ngenxa yokuxilongwa okufanelekile kanye nokwelashwa okukhethwe ngokukhethekile, ngaphezu kwengxenye yemibhangqwana engenanzalo yakwazi ukukhulelwa ingane.

Ezimweni eziningi (cishe ingxenye eyodwa kwezintathu zemibhangqwana), le nkinga idalwa ukungabi nenzalo kwabesilisa, kwesinye isigamu sesithathu samacala, owesifazane uhlushwa ukungabi nenzalo, kanti kwengxenye yesithathu yokugcina yemibhangqwana, imbangela yokungabi nenzalo ayikatholakali. Kodwa-ke, okwamanje, ezinye zezizathu zokungatholi izingane azinakutholakala. Ezimweni ezinjalo, odokotela basebenzisa izindlela ezisizwayo zokukhiqiza ukunqoba le nkinga. Namuhla, bayanda abantu abafuna ukwelashwa okuzobasiza bakhiqize ingane. Ukungabatholi abantwana akusona isifo kuphela. Lesi yisimo esingadalwa yizizathu ezingamakhulu, zombili ohlangothini lowesifazane nasengxenyeni yendoda. Futhi into enzima kakhulu ukuthola imbangela yokungabi nenzalo kumbhangqwana othile. Lesi isihluthulelo sempumelelo. Ababaningi odokotela besifazane kanye nodokotela be-urologists abangakwenza lokhu. Lokhu akudingi isipiliyoni esihle kuphela, kepha futhi namathuba amaningi okuhlola iziguli.

Izimo ezinjalo zivame ukuhlangabezana nazo: umbhangqwana ongazaliyo uza ngokubonisana emtholampilo ongenakho ukuxilongwa kwanamuhla. Futhi izifundo zokwelashwa kwecala ziqala ngaphansi kwesiqubulo esithi “Kuthiwani uma unakho?” Amanye ama-hormone ashintshelwa kwabanye kaningana, futhi kunezifundo eziningana zemithi elwa namagciwane enamandla. Ekugcineni, konke kubuyela kokujwayelekile, kepha owesilisa nowesifazane basebevele besesimweni “sokuphulukiswa” kangangokuba ngisho nombhangqwana onempilo, oqinile awukwazi ukukhulelwa. Kulahleke isikhathi esiningi, kwasetshenziswa imali eningi, amathemba ayafa.

Noma iyiphi indlela yokwelashwa inohlangothi lwe-flip lohlamvu lwemali, ngakho-ke akwamukelekile ukukwenza ngokungahleliwe. Ukuze usize ngempumelelo, udokotela kufanele abe nguchwepheshe wokuzala. Kumele abe nolwazi oluningi kule ndawo, iziqu eziphakeme, akwazi ukwenza ucwaningo oludingekayo, abonisane nabanye ochwepheshe. Ngaphezu kwalokho, kufanele athumele indoda ukuba ihlolwe futhi yelashwe, ngoba ku-30-40% yemibhangqwana engazali, ikhono lokukhulelwa linciphile kumuntu wesilisa. Kuyize ukuthi ucansi olunamandla luzama ukuziqhelelanisa nenkinga. Ngakho-ke, kungcono ukuza ekubonisaneni ndawonye, ​​kanye nomyeni wakho.

Konke lokhu kungenzeka ngokuphelele kuphela ezikhungweni ezikhethekile ezibhekene nokwelashwa kokuzala. Yilapho kusebenza odokotela ababhekana nalolu daba ezingeni eliphezulu kakhulu. Iphoyinti lesethenjwa elihle kakhulu udumo lwesikhungo, igama laso. Ungacela udokotela wezifo zabesifazane wangakini noma umngani wakho ukuthi ancome isikhungo esikhethekile sokwelashwa kokuzala. Uma ungaxhumani ngokushesha nesikhungo esinjalo, ungahlala uphuthuma usuka kudokotela uye komunye, ulahlekelwa yisikhathi, imali nethemba. Lesi yisimo esijwayelekile kakhulu seziguli ezingenanzalo, ngoba kunzima ukuzisiza.

Uma ungahlali edolobheni elikhulu, cishe-ke akukho mtholampilo wokuzala ongasondele. Ngemuva kwalokho ungabhala incwadi eya ekhelini lesikhungo esikhethekile. Chaza isimo, bhala ucwaningo olwenziwe nemiphumela yalo, ukwelashwa nomphumela walo. Uma isikhungo sazisa idumela laso, uzotshelwa ukuthi yini okufanele uyenze ngokulandelayo, ukuthi yiziphi ezinye izivivinyo okufanele uzenze nokuthi kufanele uze nini lapho kuqokwa khona.

Cishe zonke izindlela zokwelashwa nokuhlolwa okuhlobene nokungazali kuyakhokhelwa. Kepha, ngeshwa, emithini yesimanje yokuhweba yasekhaya, ikhwalithi yokunakekelwa ayihambelani ngaso sonke isikhathi nezindleko, futhi izindleko azihambelani ngaso sonke isikhathi nezinga lezinsizakalo. Ngakho-ke, lapho ukhetha umtholampilo, umuntu akakwazi ukwenza ngokomgomo “lapho kubiza kakhulu” noma, ngakolunye uhlangothi, “lapho kushibhile khona.” Unganikeza imali eningi ukukhangisa okuhle. Futhi ungangena kolayini emtholampilo mahhala. Isisho esidumile saseBrithani ngezinto ezishibhile singachazwa ngokuthi: “Asinothile ngokwanele ukuthi siphathwe lapho kushibhile khona.”

Ngakho-ke thatha okukhethile. Noma ngokushesha, noma ngabe kubiza kakhulu, kepha kusebenza ngempumelelo. Noma ekuqaleni kushibhile, bese kuthi izikhathi eziningi kushibhile (sekukonke kusabiza). Kuze kube, ekugcineni, ufika ngengozi kuchwepheshe omuhle noma ukhulelwe ngentando yesiphetho.

Kunezizathu eziningi zokuzala, futhi ukuze uzikhombe, kuzofanele udlule kulo lonke uhlelo locwaningo: i-hormonal, i-ultrasound, iyathathelana, i-immunological. Kanye ne-hysterosalpingography (ukubheka ubuqili bamashubhu we-fallopian), i-spermogram nokunye okuningi, uma kunesidingo. Kwezinye izimo, kufanele “ufike ezansi” kwezinqubo zamangqamuzana, zofuzo nezokuzivikela komzimba.

Kuphela emva kokuthola isizathu, ungaqala ukwelashwa. Uhlelo lokuzala lusebenza ngokunethezeka kakhulu, futhi ukwelashwa okunolaka, okungafanele kungasandisa isimo kuphela. Kepha ungakhohlwa: ngeminyaka, amandla okukhulelwa nokuphatha ingane ayancipha. Amathuba okukhulelwa ancipha kakhulu lapho owesifazane esekhulile kanye nokwelashwa okude kokungazali akwenzile. Uma welashwa isikhathi eside kakhulu, lapho-ke ungafinyelela eminyakeni lapho umzimba ungasakwazi ukukhulelwa.

Ezikhungweni ezikhethekile, isikhathi sokuhlolelwa ukungabi nenzalo akufanele sidlule izinyanga ezingama-2-3, kanti ukwelashwa kufanele kunikeze imiphumela kungakadluli iminyaka emibili kusukela osukwini lokuxhumana nomtholampilo.

Ukulungiselela ukwelashwa, ungonga kancane. Yenza olunye ucwaningo oludingekayo ukuthola izimbangela zokungazali lapho uhlala khona. Lokhu kungaba ukuhlolwa kwe-ultrasound, i-spermogram, isifundo sokutheleleka ngokobulili. Lapho-ke izindleko zokuhlolwa zizokwehla. Kuzodingeka ukuthi uvivinywe ngokukhethekile okunikezwe ngokuya ngezinkomba zikadokotela – i-hormonal, immunological. Ukwazi lezi zinto ezibonakala zizincane kuzosiza kakhulu yonke inqubo yokulungiselela nokwelashwa.

Kumele sikulungele ukuthi iqiniso lokuthi ukwelashwa kokungazali kuyathinta umzimba wowesifazane. Esikhathini esiningi kuba nokushintsha kwemizwelo, ukwehluleka kucatshangwa kahle kakhulu, kuvela ukuzisola ngemali esetshenzisiwe, futhi ekugcineni owesifazane uyayeka ukuzama ukubeletha okungenani ingane eyodwa.

Kunombono wokuthi cishe noma ikuphi ukungabi nenzalo kunganqandwa ngokusebenzisa indlela yokukhulelwa kwe-in vitro, ukuthola umntwana kubhubhu yokuhlola. Ngabe kunjalo? Ingabe kufanelekile ukushaya ondlunkulu ngenganono?

Uma ukwephulwa komthetho kungalungiseki, ukungabi nenzalo kungahle kubhekwane nakho ngemithi ejwayelekile, ngokulungisa isizinda se-hormonal kanye namathonya amancane angaphandle emzimbeni, noma ngokusebenzisa ukuhlinzwa kwe-laparoscopic. In vitro fertilization ivame ukusetshenziswa njengesixazululo sokugcina. Le yindlela ebizayo futhi enzima. Umzamo owodwa wokukhulelwa ubiza izinkulungwane zamaRandi, kanti eYurophu kubiza izikhathi eziningana. Imizamo eminingana ivame ukudingeka, ngoba ukusebenza komunye kungaphezudlwana kwama-30%. Ngaphezu kwalokho, abaningi bamiswa yisithiyo esingokwengqondo kule ndlela engajwayelekile. Kepha uma ezezimali zivumela, akukho okuphazamisayo, ungazama ukwedlula imvelo.

Vele, umuthi awunamandla onke, futhi akuwona wonke umuntu okwazi ukusiza. Amanani okukhulelwa ngemuva kokwelashwa kokuzala avela ku-20 kuya ku-80%. Lokhu kuncike kakhulu esimweni sokwephulwa komthetho. Isibonelo, ukuphazamiseka kwamahomoni kubolekisa kahle ekulungisweni, futhi ukuvinjelwa kwamashubhu e-fallopian kudinga imizamo ephindaphindwayo yokufakelwa kwezidoda ngokufakelwa. Ngemuva kokuhlolwa okuphelele emibhangqwaneni engu-5-10%, imbangela yokungazali ayikacaci.

Kumele kuqashelwe futhi ukuthi ukuxhumana nochwepheshe wenzalo cishe njalo kudlula izincomo zochwepheshe. Kubalulekile ukwethemba udokotela, udokotela oveza inzalo ngokwengxenye ungudokotela wezengqondo ongakuthulisa, abeke ithemba lokwelashwa okuyimpumelelo. Into esemqoka ukungaphambuki emgomweni ohlosiwe futhi ukholwe kumphumela omuhle wokwelashwa nokuqala ukukhulelwa! Ngakho-ke, kholwa ukuthi konke kuzolunga. Futhi ufisela ingane.

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