Ingabe Ukukhuluphala Kuthinta Ukuzala? Ukukhuluphala ngokweqile kanye nokwelashwa kwe-IVF

Buyini Ubudlelwano Phakathi Kokukhuluphala Ne-IVF?

Ukukhuluphala ngokweqile kungaba nomthelela omkhulu ekuvundeni nasekuphumeleleni kokwelashwa kwe-in vitro fertilization (IVF). Ucwaningo luye lwabonisa ukuthi abesifazane abane-body mass index (BMI) basengozini enkulu yokungabi nabantwana futhi babe namazinga aphansi okukhulelwa uma kuqhathaniswa nabesifazane abane-BMI evamile. Kulesi sihloko, sizohlola ubudlelwano phakathi kokukhuluphala kanye ne-IVF kanye nezingozi nezinselelo ezingaba khona ezihlobene nalokhu kuhlobana.

Okokuqala, ake siqonde ukuthi ukukhuluphala kukuthinta kanjani ukuzala kwabesifazane. Ukukhuluphala kuhlotshaniswa nokungalingani kwamahomoni, ikakhulukazi amazinga aphezulu e-estrogen, angaphazamisa umjikelezo we-ovulatory futhi ehlise izinga lamaqanda akhiqizwayo. Lokhu-ke kunciphisa amathuba okukhulelwa futhi kwandisa ingozi yokuphuphuma kwesisu.

Ngaphezu kwalokho, ukukhuluphala kuvame ukuhambisana nezinye izimo zezokwelapha ezifana ne-polycystic ovary syndrome (PCOS) nesifo sikashukela sohlobo 2, zombili ezingaba nomthelela omubi ekuvundeni. I-PCOS yisimo esivamile kwabesifazane abaneminyaka yobudala yokuzala futhi ibonakala ngokungajwayelekile, amazinga aphezulu e-androgen, nama-ovarian cysts. Isifo sikashukela sohlobo 2, ngakolunye uhlangothi, singabangela ukumelana ne-insulin, okungaphazamisa ukuphuma kweqanda futhi kunciphise namathuba okukhulelwa.

Uma kukhulunywa nge-IVF, ukukhuluphala kungadala izinselele ezimbalwa. Okokuqala, i-BMI ephakeme yenza kube nzima kakhulu kudokotela ukuthi athole futhi abuyise amaqanda ngesikhathi senqubo yokubuyisa amaqanda. Lokhu kungehlisa inani lamaqanda abuyisiwe, okungase kunciphise amathuba omjikelezo we-IVF ophumelelayo. Ukwengeza, izinga lamaqanda atholiwe lingase libe sengozini ngenxa yokungalingani kwama-hormone okubangelwa ukukhuluphala, okuqhubeka kunciphisa amathuba okukhulelwa.

Ngaphezu kwalokho, ukukhuluphala kungathinta impumelelo yokudluliselwa kombungu. Ngesikhathi sokudlulisa umbungu, imibungu idluliselwa esibelethweni kusetshenziswa i-catheter. Kwabesifazane abane-BMI ephakeme, kungaba inselele kakhulu ukuzulazula nge-catheter esibelethweni, okungaba nomthelela ekunembeni kokudluliselwa.

Ngaphezu kwalokho, ukukhuluphala ngokweqile kwandisa ingozi yezinkinga ngesikhathi sokukhulelwa, njengesifo sikashukela sokukhulelwa, umfutho wegazi ophakeme, ne-preeclampsia. Lezi zinkinga azigcini nje ngokubeka engcupheni kumama kodwa nakumntwana ongakazalwa. Ukwengeza, i-BMI ephakeme ingenza kube nzima kakhulu ukuqapha ukukhulelwa, kwandise amathuba okopha kwangemva kokubeletha kanye nesidingo sokuhlinzwa.

Sengiphetha, ubudlelwano phakathi kokukhuluphala ngokweqile kanye ne-IVF bunzima, futhi ukukhuluphala kungaba nomthelela omubi ekuzaleni nasekukhuleni. impumelelo yokwelashwa kwe-IVF. Nakuba ukwehlisa isisindo kungase kungabi njalo inketho esebenzayo kwabesifazane abafuna i-IVF, kubalulekile ukuxoxa nganoma yikuphi ukukhathazeka mayelana nokukhuluphala nochwepheshe wezenzalo. Ngokusebenzisana, odokotela neziguli bangakha isu elenziwe ngokwezifiso lokwandisa amathuba okukhulelwa kanye nokukhulelwa okunempilo.

Ingabe Ukukhuluphala Kwesisindo Emadodeni Kuvimbela Ukuba Nezingane?

Isisindo esiningi akukona nje ukukhathazeka kwabesifazane uma kuziwa endabeni yokuzala kanye nokuzala - kungase kuthinte amadoda. Ucwaningo lubonise ukuthi isisindo esiningi emadodeni singathinta ikhwalithi yesidoda kanye nenani, okungase kuholele ezinseleleni ekufezeni ukukhulelwa. Kulesi sihloko, sizohlola ubudlelwano phakathi kwesisindo eseqile emadodeni kanye nokuzala izingane nokuthi yiziphi izici ezingase zibe khona.

Okokuqala, ake siqonde ukuthi isisindo esiningi singakuthinta kanjani ukuzala kwabesilisa. Isisindo esiningi sihlotshaniswa nezinkinga zezempilo ezihlukahlukene, okuhlanganisa ukungalingani kwamahomoni, ukumelana ne-insulin, nokuvuvukala, konke okunganciphisa ikhwalithi nenani lesidoda. Amadoda ane-BMI ephakeme angase abe namazinga aphansi e-testosterone namazinga aphezulu e-estrogen, okungase kuphazamise nakakhulu ukulingana kwamahomoni adingekayo ekukhiqizweni kwesidoda. Ukwengeza, isisindo esiningi singaholela ekukhuphukeni kwezinga lokushisa le-scrotal, elingathinta nekhwalithi yesidoda.

Ngaphezu kwalokho, ucwaningo luhlobanise isisindo esiningi emadodeni nezinguquko zofuzo ku-DNA yesidoda ezingakhinyabeza inzalo futhi ezingase zibe nemiphumela emibi empilweni yenzalo. Lezi zinguquko zingase zingathinti nje kuphela ikhono lokukhulelwa kodwa nempilo yengane.

Lapho uzama ukukhulelwa, ikhwalithi nenani lesidoda yizici ezibalulekile. Isisindo eseqile singanciphisa inani eliphelele lesidoda oketshezini lwe-ejaculatory, kanye ne-motility kanye ne-morphology yesidoda. Lokhu kunganciphisa amathuba okuthi isidoda sifinyelele futhi sivundise iqanda, kwenze kube inselele ukufeza ukukhulelwa.

Kuyaphawuleka ukuthi umthelela wesisindo esiningi ekuzaleni kwabesilisa awugcini nje ngokukhuluphala. Ngisho namadoda angase angabonakali njengabantu abakhuluphele kodwa abe namaphesenti aphezulu amafutha omzimba angase abe nokuncipha kokuzala. Lokhu kungase kube ngenxa yokuthi amafutha engeziwe, ikakhulukazi azungeze ingxenye emaphakathi, angaba nomthelela ekushintsheni kwe-metabolic okunomthelela omubi ekukhiqizeni isidoda.

Sengiphetha, isisindo esiningi emadodeni singaba nomthelela omubi ekuzaleni nasekuzaleni izingane. Amadoda afuna ukukhulelwa nomlingani wawo kufanele acabangele umthelela ongaba khona wesisindo eseqile ekuzaleni kwawo futhi akhulume nomhlinzeki wezokunakekelwa kwempilo uma enokukhathazayo. Ngokubhekana nanoma yiziphi izinkinga zempilo eziyisisekelo nokwenza izinguquko zokuphila, amadoda angakwazi ukuthuthukisa ikhwalithi yawo yesidoda futhi andise namathuba awo okukhulelwa.

Ingabe Isisindo Esingaphezu Kwesisindo Kuthinta Ukuzala Kwabesifazane?

Isisindo esiningi siyinkinga enkulu kwabesifazane uma kukhulunywa ngokuzala kanye nempilo yokuzala. Ucwaningo luye lwabonisa ukuthi abesifazane abane-body mass index (BMI) basengozini enkulu yokubhekana nezinselele zokuzala kanye nethuba elinciphile lokukhulelwa, uma kuqhathaniswa nabesifazane abane-BMI evamile. Kulesi sihloko, sizohlola ubudlelwano phakathi kwesisindo esiningi nokuzala kwabesifazane nokuthi yiziphi izici ezingaba nomthelela kulokhu kuhlobana.

Okokuqala, ake siqonde ukuthi isisindo esiningi singakuthinta kanjani ukuzala kwabesifazane. Isisindo esiningi singabangela ukungalingani kwamahomoni, ikakhulukazi amazinga aphezulu e-estrogen, angaphazamisa umjikelezo we-ovulatory futhi ehlise izinga lamaqanda akhiqizwayo. Lokhu-ke kunciphisa amathuba okukhulelwa futhi kwandisa ingozi yokuphuphuma kwesisu.

Ukwengeza, isisindo esiningi sivame ukuhambisana nezinye izimo zezokwelapha ezifana ne-polycystic ovary syndrome (PCOS) nesifo sikashukela sohlobo 2, kokubili okungaba nomthelela omubi ekuzaleni. I-PCOS yisimo esivamile kwabesifazane abaneminyaka yobudala yokuzala futhi ibonakala ngokungajwayelekile, amazinga aphezulu e-androgen, nama-ovarian cysts. Isifo sikashukela sohlobo 2, ngakolunye uhlangothi, singabangela ukumelana ne-insulin, okungaphazamisa ukuphuma kweqanda futhi kunciphise namathuba okukhulelwa.

Ngaphezu kwalokho, umthelela wesisindo esiningi ekuzaleni awukhawulelwe ekushintsheni kwamahomoni. Isisindo esiningi singabangela nokuvuvukala ngaphakathi kwesistimu yokuzala, okubangela izinguquko olwelweni lwesibeletho futhi kube nomthelela omubi ekufakweni. Lokhu kungase kubangele ukwanda kwengozi yokungazali, ukuphuphuma kwesisu, kanye nezinkinga ngesikhathi sokukhulelwa.

Lapho ufuna imithi yokwelapha inzalo, efana ne-in vitro fertilization (IVF), isisindo esiningi singadala izinselele eziningana. Okokuqala, i-BMI ephakeme yenza kube nzima kakhulu kudokotela ukuthi athole futhi abuyise amaqanda ngesikhathi senqubo yokubuyisa amaqanda. Lokhu kungehlisa inani lamaqanda abuyisiwe futhi kunganciphisa amathuba omjikelezo we-IVF oyimpumelelo. Ukwengeza, ikhwalithi yamaqanda abuyisiwe ingase ibe sengozini ngenxa yokungalingani kwama-hormone okubangelwa isisindo esiningi, okuqhubeka kunciphisa amathuba okukhulelwa.

Ngaphezu kwalokho, isisindo esiningi singathinta impumelelo yokudluliselwa kombungu. Ngesikhathi sokudlulisa umbungu, imibungu idluliselwa esibelethweni kusetshenziswa i-catheter. Kwabesifazane abane-BMI ephakeme, kungaba inselele kakhulu ukuzulazula nge-catheter esibelethweni, okungaba nomthelela ekunembeni kokudluliselwa.

Sengiphetha, isisindo esiningi singaba nomthelela omubi ekuzaleni kwabesifazane kanye nempumelelo yokwelashwa kokuzala. Abesifazane abafuna ukukhulelwa kufanele bacabangele umthelela ongaba khona wesisindo sabo ekuzaleni kwabo futhi bakhulume nomhlinzeki wezempilo uma benokukhathazeka.

Ukwelashwa kwe-IVF nge-Weight Control – Ukukhulelwa Ngemva Kokwelashwa Ukukhuluphala

Ukwelashwa kwe-IVF kube yindlela edumile nephumelelayo yobuchwepheshe bokusiza bokuzala emibhangqwaneni enenkinga yokungabi nabantwana. Kodwa-ke, amazinga empumelelo ye-IVF angase ehle kakhulu kwabesifazane abakhuluphele noma abakhuluphele ngokweqile. Lesi sihloko sihlola indima yokulawula isisindo ekwelashweni kwe-IVF nokuthi ingawandisa kanjani amathuba okukhulelwa kwabesifazane abanenkinga yokukhuluphala.

Okokuqala, ake siqonde ukuthi ukukhuluphala kungawathinta kanjani amazinga empumelelo ye-IVF. Ukukhuluphala ngokweqile kuhlotshaniswa nohlu lokungalingani kwamahomoni, okuhlanganisa amazinga aphezulu e-estrogen, ukumelana ne-insulin, nokuvuvukala, konke okungavimbela ukuvuthwa kweqanda futhi kunciphise izinga lamaqanda akhiqizwayo. Lokhu kunciphisa amathuba okukhulelwa futhi kwandisa ingozi yokuphuphuma kwesisu.

Futhi, i-BMI ephakeme kwabesifazane ingenza kube nzima kodokotela ukubuyisa amaqanda ngesikhathi senqubo yokubuyisa amaqanda. Lokhu kunganciphisa inani lamaqanda abuyisiwe futhi kunciphise amathuba emijikelezo ye-IVF ephumelelayo.

Ukulawulwa kwesisindo kuvame ukutuswa kwabesifazane abakhuluphele noma abakhuluphele ukuze kwandiswe ithuba lokukhulelwa ngemva kwe-IVF. Ucwaningo luye lwabonisa ukuthi ukulahlekelwa isisindo kungathuthukisa i-ovulation, ukubuyisela ibhalansi ye-hormonal evamile, futhi kwandise amathuba okukhulelwa. Ukwengeza, ukulahlekelwa isisindo kungakhuphula impendulo yama-ovari emithini, okuholela ekutheni inani eliphakeme lamaqanda likhishwe ngesikhathi senqubo yokubuyisela amaqanda.

Ukulawula isisindo kungasiza futhi ukunciphisa ingozi yezinkinga ngesikhathi sokukhulelwa, okuhlanganisa isifo sikashukela sokukhulelwa kanye ne-preeclampsia. Lezi zinkinga azibeki engcupheni kumama kuphela kodwa nakumntwana ongakazalwa. Ukwengeza, i-BMI ephansi ingase yenze kube lula ukuqapha ukukhulelwa, ukunciphisa amathuba okuphuma kwegazi ngemva kokubeletha kanye nesidingo sokuhlinzwa.

Kubalulekile ukuqaphela ukuthi ukulawula isisindo kufanele kusondele ngendlela enempilo futhi eqhubekayo. Ukwehla kwesisindo esisheshayo noma eseqile kungaba nomthelela omubi ekuvundeni, kuphazamise umjikelezo wokuya esikhathini, futhi kungahle kwehlise izinga lamaqanda akhiqizwayo.

I-IVF elawulwa ngesisindo ingaba yindlela ephumelelayo nephephile kwabesifazane abanenkinga yokukhuluphala nokungazali. Ngokubhekana nezinkinga zempilo eziyisisekelo, ukwenza izinguquko endleleni yokuphila, kanye nokufuna ukwelashwa okufanele, abesifazane bangathuthukisa amathuba abo okukhulelwa kanye nokukhulelwa okunempilo. Abesifazane abanenkinga yokukhuluphala ngokweqile noma abakhuluphele ngokweqile bayelulekwa ukuthi bathintane nochwepheshe bezempilo ukuze bathole isiqondiso mayelana nokuphathwa kwesisindo nokwelashwa kokuzala. Ungawahlehli amaphupho akho okuba umzali ngenxa yokukhuluphala ngokweqile. Ngokuxhumana nathi, ungalahlekelwa isisindo ngendlela enempilo futhi uphumelele ukwelashwa kokukhuluphala, bese ungathola isinyathelo esisodwa eduze namaphupho engane yakho ngokwelashwa kwe-IVF. Okufanele ukwenze ukufinyelela kithi.