Ukuqina Ukukhulelwa Yini? Izimpawu, Izimbangela, & Ukwelashwa

Ukuqina ukukhulelwa kwenzeka uma umbhangqwana ungakwazi ukukhulelwa ngemva kokuzimisela unyaka noma ngaphezulu ngokoqobo, ucansi olungenamviki. Uma uneminyaka engaphezu kuka-35, odokotela bavame ukubheka lokhu ngemva kwezinyanga eziyisithupha zokuzama. Lokhu kuthinta cishe omunye kubhangqwana eziyisishiyagalombili, ngakho-ke awuwedwa uma ubhekene nalesi sithi.

Uhambo lungazizwa lukhulu futhi lubucayi ngokomzwelo. Abaningi ababhangqwana bacabanga ukuthi ukukhulelwa kuzokwenzeka ngokushesha, ngakho-ke uma kungenziwa, kungaletha imizwa yokudideka, ukukhungatheka, ngisho nokuzihlukanisa. Ukuqonda ukuthi ukuqina ukukhulelwa kusho ukuthini nokuthi ziphi izinketho ezitholakalayo kungakusiza uzizwe ulawula kakhulu ngalesi sikhathi esinzima.

Ukuqina ukukhulelwa yini?

Ukuqina ukukhulelwa kusho ukuthi umzimba wakho uhlupheka ngenqubo yokukhulelwa noma ukuhlala ukhulelwe. Iyisimo sezempilo, hhayi ukwehluleka komuntu siqu noma into oyenzile okungalungile. Cishe ama-35% amacala ahilela izici zesifazane, ama-35% ahilela izici zeyeduna, kanti ama-30% ahilela bobabili abalingani noma izimbangela ezingaziwa.

Kunezinhlobo ezimbili eziyinhloko zokungakhulelwa. Ukuqina ukukhulelwa okuyinhloko kusho ukuthi awukaze ukhulelwe ngaphambili, kuyilapho ukuqina ukukhulelwa okwesibili kusho ukuthi uke waba nokukhulelwa okungenani okukodwa kodwa manje uhlupheka ukukhulelwa futhi. Zombili izinhlobo ziyimibandela yezokwelapha efanelekile efanelekile ukunakekelwa nokunakekelwa.

Uhlelo lwakho lokuzala lukhulu, luhilela izinyathelo eziningi ezidingeka ukusebenza ndawonye ngokuphelele. Kusukela ekuvuthweni kwama-ovule kuya ekukhulelweni kuya ekufakweni, noma yikuphi ukuphazamiseka endleleni kungenza ukukhulelwa kube nzima. Izindaba ezinhle ukuthi iningi lalezi zinkinga lingabonakala futhi liphelelwe.

Ziyini izimpawu zokungakhulelwa?

Isimpawu esiyinhloko sokungakhulelwa ukungakhulelwa nje ngemva kokuzimisela isikhathi esinconywayo. Noma kunjalo, umzimba wakho ungakunika amanye amacebo okuthi into ethile idinga ukunakekelwa. Lezi zimpawu zingakusiza wena nodokotela wakho ukuqonda ukuthi kungenzeka yini okwenzekayo.

Kubantu besifazane, izimpawu ezingase zibonise inselele yokukhulelwa zihlanganisa:

• Isikhathi esingajwayelekile noma isikhathi esifika ngaphansi kwezinsuku ezingu-21 noma ngaphezulu kwezinsuku ezingu-35
• Ubuhlungu obukhulu besikhathi obuphazamisa imisebenzi yansuku zonke
• Ayikho isikhathi nhlobo izinyanga eziningi lapho ungakhulelwa noma uncelisa
• Ukuphuza okungajwayelekile phakathi kwesikhathi noma ngemva kokuthandana
• Ubuhlungu ngesikhathi sokuthanda ubukhona ngaphambili
• Ukukhula okukhulu kwezinwele ebusweni noma emzimbeni
• Ukukhuluphala okungachazwanga noma ubunzima bokulahlekelwa isisindo

Amadoda angase aphawule izimpawu ezimbalwa ezicacile, kodwa ezinye izimpawu zingabandakanya izinkinga ngomsebenzi wezocansi, ubuhlungu noma ukukhula kwama-testicles, noma ukushintsha emaphethini okukhula kwezinwele. Kodwa-ke, izinkinga zokukhulelwa kwamadoda azibangeli izimpawu ezibonakalayo, kungakho ukuhlolwa kubalulekile.

Khumbula, ukuba nesimpawu esisodwa noma ngaphezulu akusikho ukuthi unesifo sokungakhulelwa. Izimo eziningi ezilawulekayo zingabangela lezi zinkinga. Okubalulekile ukukhuluma nodokotela wakho ngalokho okubhekana nakho ukuze bakusize ukuthola izinyathelo ezilandelayo ezifanele kuwe.

Yini ebangela ukungakhulelwa?

Ukungakhulelwa kungenzeka ngezizathu eziningi ezahlukene, futhi ngezinye izikhathi izici eziningi zihilelekile. Ukuqonda izimbangela ezingaba khona kungakusiza uzizwe ulungile ngokukhuluma nodokotela wakho nanoma yiziphi izivivinyo abangase bazincoma.

Izimbangela ezivamile zabesifazane zihlanganisa izinkinga zokuvuthwa kwama-ovule, lapho ama-ovari akho engaqali amaqanda njalo noma nhlobo. Izimo ezifana ne-polycystic ovary syndrome (PCOS), izifo ze-thyroid, noma ukuba ngaphezulu noma ngaphansi kwesisindo esikhulu zingathinta ukuvuthwa kwama-ovule. Izithelo ze-fallopian ezivaliwe, ngokuvamile ngenxa yokutheleleka noma i-endometriosis, zingavimbela iqanda ne-sperm ukuthi zihlangane.

I-Endometriosis, lapho ithusi elifana nelinsimbi yomlomo wesbeleka likhula ngaphandle kwesbeleka, lithinta cishe ama-10% wabesifazane abaseminyakeni yokuzala. Lingabangela ukuvuvukala nokwenzakala okuvimba ukukhulelwa. Ama-fibroids, angukukhula okungelona umdlavuza esibeleni, angenza kube nzima ukukhulelwa kuye ngobuningi nendawo yawo.

Kubantu, izinkinga ezivamile zihilela izinkinga zokukhiqizwa kwesidoda, ukuhamba, noma isakhiwo. Lokhu kungenzeka ngenxa yokutheleleka, ukungalingani kwamahomoni, izimo zezakhiwo, noma ukubhekana nezinto ezithile noma ukushisa. Ama-Varicoceles, angama-veins amakhulu esikhwameni, angathinta ikhwalithi yesidoda futhi atholakala cishe ku-15% yabantu.

Ubudala buqala indima ebalulekile kokubili kubalingani, kodwa ikakhulukazi kwabesifazane. Ikwalithi yeqanda lakho nobuningi buyancipha njengoba ukhula, ngezinguquko ezibonakalayo eziqala ngokuvamile phakathi namakhulu-30 akho. Ukukhulelwa kwabesilisa kuphinde kunciphe ngokukhula, nakuba ngokuvamile kancane kancane.

Ngezinye izikhathi, naphezu kokuhlolwa okuphelele, odokotela abakwazi ukuthola imbangela ethile. Lokhu kubizwa ngokuthi ukungakhulelwa okungachazeki, futhi kuhlanganisa cishe ama-10-15% ezimo. Nakuba lokhu kungase kuzwakale kubuhlungu, izibini eziningi ezingakhulelwa ngaphandle kwesizathu zingasakwazi ukukhulelwa ngokwelashwa okufanele.

Nini kufanele ubona udokotela ngokungakhulelwa?

Kufanele ucabange ukuya kudokotela uma ungaphansi kweminyaka engu-35 futhi uzama ukukhulelwa izinyanga eziyi-12, noma uma uneminyaka engu-35 noma ngaphezulu futhi uzama izinyanga eziyi-6. Ungazizwa sengathi udinga ukulinda uma unezinkinga ngaphambi kwalokhu, ikakhulukazi uma unezinkathi ezingavamile noma ezinye izimpawu.

Isimo esithile siyalwela ukubona udokotela ngokushesha kunokuzidela. Uma unembali yesifo sokuvuvukala se-pelvic, i-endometriosis, noma ukuhlinzwa kwesisu esidlule, kufanele uhlolwe ngokushesha. Kufana nalokho uma uthole ukwelashwa komdlavuza, unezinkathi ezingavamile, noma uma umlingani wakho unembali yezinkinga zesikhumba.

Qala ngodokotela wakho oyinhloko noma udokotela wezesifo sobufazi, ongenza ukuhlolwa kokuqala futhi akuqondise kudokotela wezinkinga zokukhulelwa uma kudingeka. I-endocrinologist yokuzala ngudokotela oqeqeshwe ngokukhethekile ezindabeni zokukhulelwa futhi anganikeza izinketho zokuhlolwa nokwelashwa eziphambili.

Khumbula, ukufuna usizo ngokushesha akusho ukuthi uyalahla ithemba lokukhulelwa ngokwemvelo. Kusho nje ukuthi uthatha isinyathelo sokuqonda umzimba wakho nokucwaninga zonke izinketho zakho. Izibini eziningi zithola ukuthi ukuthola izimpendulo, ngisho noma nje ukuqinisekiswa kokuthi konke kubukeka kuhle, kusiza ekunciphiseni ukukhathazeka noxinzelelo.

Iyini imikhakha yokusongela ukukhulelwa?

Izici eziningi zingandisa amathuba akho okuhlangabezana nezinselele zokukhulelwa. Ukwazi le mikhakha yokusongela kungakusiza ukwenza izinqumo ezinolwazi mayelana nempilo yakho yokuzala nokuthi nini kufanele ufune iseluleko sezokwelapha.

Ubudala yiyona mikhakha enkulu yokusongela, ikakhulukazi kwabesifazane. Ukukhulelwa kwakho kuqala ukwehla kancane ekupheleni kwawo-20 wakho futhi kubonakala kakhulu ngemuva kwawo-35. Ngo-40, amathuba akho okukhulelwa ngokwemvelo inyanga ngayinye ahlala cishe ku-5%. Kwabesilisa, ukukhulelwa nakho kwehla ngokwanda kobudala, kodwa ukwehla kuvame ukuba kancane.

Izici zesitayela sokuphila zidlalela indima ebalulekile ekukhulelweni kokubili abalingani. Ukubhema kungalimaza amaqanda nama-sperm, futhi ngisho nokubhema okwesibili kungaba yingozi. Ukusebenzisa utshwala ngokweqile, ukuba ngokweqile noma ukukhuluphala, kanye namanqanaba aphezulu oxinzelelo konke kungathinta ikhono lakho lokukhulelwa.

Izimo ezithile zezokwelapha zikhuphula ingozi yokukhulelwa. Kwabesifazane, lokhu kuhlanganisa i-PCOS, i-endometriosis, izifo ze-thyroid, nezimpawu zokuziphatha komzimba. Ukutheleleka kwangaphambili kwesisu noma ukutheleleka ngocansi kungabangela amabala avala imiqhele ye-fallopian. Kwabesilisa, izimo ezifana nesifo sikashukela, i-cystic fibrosis, noma umlando we-testicles ezingahleli kahle zingathinta ukukhulelwa.

Ukudla kwamandla emvelo nasemsebenzini kungadlala indima futhi. Ukudla njalo amakhemikhali, imisebe, noma ukushisa okukhulu kungathinta ukukhiqizwa kwesidoda. Amanye amaphilisi, kuhlanganise nezinye izidakamizwa zokucindezeleka kwegazi, angathinta isikhathi esithile ukukhulelwa.

Ukuba nobungozi obubodwa noma ngaphezulu akusho ukuthi uzoba nezingqinamba zokukhulelwa. Abantu abaningi abanobuningi bezinto ezingozi bakhulelwa ngaphandle kokubhekana nezinselele, kanti abanye abangenazo izinto ezingozi ebonakalayo bangase bahlupheke. Okubalulekile ukwazi lezi zinto ukuze ukwazi ukuzixoxa nodokotela wakho.

Ziyini izinhlupheko ezingase zenzeke ngenxa yokungakhulelwa?

Nakuba ukungakhulelwa ngokwakho kungabi yingozi empilweni yakho yomzimba, kungabangela izinselele zomzwelo nobudlelwano okuyigugu ukuzibona nokubhekana nazo. Ukuqonda lezi zinhlupheko ezingase zenzeke kungakusiza ukuba ulungiselele futhi ufuna usizo olufanele.

Umphumela womzwelo wokungakhulelwa ungaba nzima futhi akufanele ucatshangelwe kancane. Abantu abaningi baye baba nosizi, ukucindezeleka, ukukhathazeka, nemizwa yokulahlekelwa ukulawula. Isikhathi esinyangeni ngasinye sethemba nokudumala kungase kube nzima ngokomzwelo. Abanye abantu nabo baye bahlupheka ngemizwa yecala, ihlazo, noma ukungafaneleki, ngisho noma ukungakhulelwa kuyisimo sezokwelapha, hhayi ukwehluleka komuntu siqu.

Ubudlelwano bungase buhlupheke ngenxa yezinselele zokukhulelwa. Abalingani bangase babhekane ngokuhlukile noxinzelelo, okubangela izinkinga zokuxhumana noma imizwa yokungabi nabantu. Uxinzelelo lokwenza ucansi ngesikhathi esifanele, ukuya kudokotela, kanye nezisombululo zokwelashwa kungathinta ubulili nokuphulukela ebuhlotsheni bakho.

Uxinzelelo lwemali yingxenye enye evamile, njengoba ukwelashwa kokukhulelwa kungabiza futhi akuhlale kuhlanganiswe yinshurensi. Lo mthwalo wemali ungangeza enye ingxenye yoxinzelelo esimweni esiyinselele kakade.

Ezinye izindlela zokwelapha ukungakhulekeli zingaba nemiphumela emibi noma izinhlupheko. Imithi yokwelapha ukungakhulekeli ingabangela ukuguquguquka kwesimo sengqondo, ukushisa komzimba, nezinye izimpawu. Izindlela zokwelapha ezinzima njenge-IVF zithwala ubungozi obuncane bezingozi, nakuba izinkinga ezinzima zingekho uma zenziwa ochwepheshe abanolwazi.

Izingozi zenhlalo zingaphakama, njengoba abangane namalungu omndeni bengase bangaqondi ukuthi uhamba ngani. Amazwi anemihlobiso kodwa angenasizathu angalimaza, futhi imihlangano yenhlalo ebandakanya izimemezelo zokukhulelwa noma imibuthano yabantwana ingaba nzima ukuyilawula.

Izindaba ezinhle ukuthi ukwesekwa kukhona kuzo zonke lezi zinselele. Ukwelulekwa, amaqembu wokusekela, nezindlela zokulawula ukucindezeleka kungaba usizo kakhulu. Eziningi izikhungo zokwelapha ukungakhulekeli zinabemi basebenzi bezenhlalo noma abaluleki abaqeqeshwe ngokukhethekile ukusiza izibhangqwana ukuzulazula lezi zici zomzwelo zokwelashwa.

Ukuxilongwa kokungakhulekeli kwenziwa kanjani?

Ukuxilongwa kokungakhulekeli kuhilela indlela ehlelekile yokubona noma yiziphi izici ezingavimbela ukukhulelwa. Udokotela wakho ngokuvamile uzoqala ngomlando wezokwelapha onemininingwane kanye nokuhlolwa komzimba kokubili abalingani, bese uqhubekela ekuhlolweni okuqondile ngokusekelwe kulokho abakutholayo.

Kwabesifazane, ukuhlolwa kokuqala kuvame ukubandakanya ukuhlolwa kwegazi ukuhlola amazinga e-hormone nokuqonda ukuthi ukhulelwa njalo yini. Lokhu kungafaka ukuhlolwa kwe-follicle-stimulating hormone (FSH), i-luteinizing hormone (LH), i-estrogen, i-progesterone, ne-hormone ye-thyroid. Udokotela wakho angase futhi ahlole izimo ezifana ne-PCOS noma ahlole i-ovarian reserve yakho, okunika umbono wokuthi unezinye amaqanda kangaki.

I-ultrasound ingasiza ukuhlola ama-ovari akho no-uterus, ukubuka izinkinga ezifana ne-fibroids, ama-polyps, noma ama-cysts. I-hysterosalpingography (HSG) uhlolo olukhulu lwe-X-ray lapho i-dye isetshenziswa nge-cervix yakho ukuhlola ukuthi ama-fallopian tubes akho avulekile yini no-uterus wakho unomumo ovamile.

Kubantu besilisa, ukuhlolwa okuyinhloko yikuhlolwa kwesidoda, okuhlola inani le-sperm, ukuhamba kwayo, nendlela elikhiqizwe ngayo. Lolu hlolo lungase luphindwe njengoba ikhwalithi yesidoda ingashintsha. Uma kukhona ukungapheleli okufunyanwe, ukuhlolwa okuqhubekayo kungafaka ukuhlolwa kwezinga lama-hormone, ukuhlolwa kwe-genetic, noma i-ultrasound yamalungu okukhiqiza izingane.

Ngezinye izikhathi kudingeka ukuhlolwa okukhethekile. Kwabesifazane, lokhu kungafaka i-laparoscopy, ubuyekezo obungenawo ubuhlungu obukhulu obunika ithuba lokubona ngqo amalungu okukhiqiza izingane. Kubantu besilisa, ukuhlolwa okuningiliziwe kokusebenza kwesidoda noma i-biopsy ye-testicular kungase kunconywe ezimweni ezithile.

Inkqubo yokuxilonga ingathatha amasonto ambalwa kuya ezinyangeni, okungase kuzwakale kukhungathekisa uma ufuna izimpendulo. Khumbula ukuthi ukuhlolwa okuphelele kusiza uqinisekise ukuthi uthola ukwelashwa okulungile kakhulu esimweni sakho.

Iyini impilo yokuqina?

Ukwelashwa kokungakhoni ukuqina kuya ngesizathu esiyimbangela, iminyaka yakho, isikhathi sokuzama ukuthola ingane, kanye nezifiso zakho. Izindaba ezinhle ukuthi cishe u-85-90% wezimo zokungakhoni ukuqina zingaphathwa ngezindlela zokwelapha ezivamile, futhi kuphela u-3% ezidinga amasu athuthukile afana ne-IVF.

Kwabesifazane abanezinkinga zokukhishwa kweqanda, imithi yokwandisa ukuqina iyindlela yokuqala yokwelapha. I-Clomiphene citrate (Clomid) ivame ukusetshenziswa ukuvuselela ukukhishwa kweqanda futhi ithathwa njengephilisi. Imithi yokwandisa ukuqina eyenziwe ngezibopho ebizwa nge-gonadotropins ingase isetshenziswe uma imithi yomlomo ingasebenzi. Lezi zindlela zokwelapha zivame ukuhlanganiswa nokuqapha okucophelelayo ukuze kuqiniswe isikhathi.

Uma izintambo ze-fallopian ezivaliwe ziyinkinga, ubuyekezo bungase kunconywe ukususa izithiyo noma ukulungisa umonakalo. Ubuyekezo lwe-laparoscopic lungaphatha i-endometriosis ngokususa inyama ephukile nokwanda kwesicubu esingavamile. Ngokuqondene ne-fibroids, ukwelashwa kuya ngosayizi nendawo yazo, kusukela emithini kuya ekususweni ngokusebenza.

Izinkinga zokukhulelwa kwabesilisa zingase ziphathwe ngokwelashwa kwamahomoni, ama-antibiotics ukwelapha ukutheleleka, noma ukuhlinzwa ukulungisa ama-varicoceles noma ukuphahlazeka. Ukushintsha indlela yokuphila njengokuthuthukisa ukudla, ukuzivocavoca njalo, nokugwema ukubhema notshwala oluningi kungasiza futhi ekuthuthukiseni ikhwalithi yesikhumba.

Izindlela zokuzala ezincediswayo (ART) ziyatholakala uma ezinye izindlela zingasebenzi. Ukufakwa kwesikhumba esilungisiwe (IUI) kuhilela ukufaka isidoda esilungisiwe ngqo esibelekweni ngesikhathi sokuvuthwa. Ukufakwa kwesikhumba esiqandiswe (IVF) kuhilela ukuthola amaqanda, ukuwakhulelisa ngesidoda elabhorethri, nokudlulisela i-embryo ephumayo emuva esibelekweni.

Ngokungapheli komthamo wokuzala kwabesilisa, ukufakwa kwesidoda esiqandiswe (ICSI) kungase kube nomphumela omuhle nge-IVF. Le ndlela ihilela ukufaka isidoda esisodwa ngqo eqandeni. Lezi zindlela eziphambili ziye zasiza izigidi zabantu emhlabeni wonke ukuthi zikhulelwe.

Amakhetho okuzala ngabanye ahlanganisa ukusebenzisa amaqanda onikezi, isidoda sonikezi, noma ukukhulelwa ngumuntu oqashwe. Lezi zinketho zingashintsha impilo yabantu abangakwazi ukuqala ngamaqanda abo noma isidoda, noma lapho ukuthwala ukukhulelwa kungekho khona noma kuphephile.

Indlela yokuphatha ukungakwazi ukuzala ekhaya?

Nakuba ukwelashwa kwezokwelapha kuvame ukudingeka ngokungakwazi ukuzala, kunezinto eziningi ongenza ekhaya ukuze usekele impilo yakho yonke yokuzala kanye nokuthula kwakho kwengqondo. Lezi zindlela zisebenza kangcono uma zidibene nokunakekelwa kwezokwelapha okufanele.

Ukugcina indlela yokuphila enempilo kungathinta kakhulu ikhono lakho lokuzala. Dla ukudla okulinganiselayo okunama-fruits, imifino, ukudla okugcwele, namaprotheni aphansi. Cabanga ukuthatha i-vitamin yokuqala nge-folic acid, ngisho nalapho uzama ukuqala. Ukuzivocavoca okuvamile okumaphakathi kunenzuzo, kodwa gwema ukuzivocavoca okukhulu okungase kuphazamise ukuvuthwa kwamaqanda.

Ukuphathwa kwengcindezi kubalulekile ngalesi sihambo. Nakuba ingcindezi ingayikubangela ngokuqondile ukungakhulelwa, ukuyilawula kungathuthukisa impilo yakho jikelele futhi kukusize ukubhekana kangcono nokwelashwa. Zama amasu okuphumula afana nokuphefumula okujulile, ukucamngca, noma i-yoga. Abantu abaningi bathola ukuthi ukubhala iphepha lokuqopha imizwa yabo kuwusizo.

Landelela umjikelezo wakho wokuya esikhathini kanye nezimpawu zokuvuthwa kweqanda ukuze uthuthukise isikhathi sakho. Lokhu kungafaka ukulandelela ubushushu bomzimba wakho obukhulu, ukushintsha kwe-mucus yomphimbo, noma ukusebenzisa ama-kit okuqagela ukuvuthwa kweqanda. Kodwa-ke, ungavumeli lokhu kube yimithombo yengcindezi eyengeziwe uma kuzwakala kukucindezela kakhulu.

Dala indawo yokusekela ekhaya ngokukhulumisana ngokukhululekile nomlingani wakho ngezimvo zakho nokukhathazeka kwakho. Cabanga ngokuqoka imingcele ezingxoxweni mayelana nohambo lwakho lokukhulelwa, ikakhulukazi nabangane nomndeni abanobubele abangase babe nemibuzo eyingxaki.

Limita ukusetshenziswa kotshwala futhi ugweme ukubhema ngokuphelele, njengoba kokubili kungathinta kabi ukukhulelwa kokubili abalingani. Amadoda kufanele agweme ama-hot tub, ama-sauna, nezambatho ezicindezelayo ezingase zikhulise ubushushu be-testicular futhi zithinte ukukhiqizwa kwesikhumba.

Cabanga ngokujoyina amaqembu wokusekela ku-inthanethi noma ngokomzimba lapho ungaxhumana khona nabanye ababhekana namava afanayo. Ngezinye izikhathi ukukhuluma nabantu abaqonda ngempela ukuthi uhamba ngani kungaba usizo kakhulu kunamacebiso avela kubangane abanobubele abangakahlangani nokungakhulelwa.

Kufanele ulungiselele kanjani ukubona udokotela wakho?

Ukulungiselela i-aphoyintimenti yakho yokukhulelwa kungakusiza ukwenza okuningi ngesikhathi sakho nomhlinzeki wakho wezempilo futhi kuqinisekise ukuthi uthola lonke ulwazi oludingayo. Ukuzilungiselela kancane kungakusiza futhi uzizwe uqinile futhi ungacindezeleki kakhulu ngesikhathi sokuvakasha.

Qala ngokuqoqa ulwazi lomlando wakho wezokwelapha. Bhala imininingwane mayelana neziqephu zakho zenyanga, kufaka phakathi ukuthi zaqala nini, isikhathi eside zingakanani, nokuthi ziyalungile yini. Qaphela ukukhulelwa okudlule, ukulahlekelwa izingane, noma ukwelashwa kokukhulelwa okuye wazzama. Faka imininingwane mayelana nanoma yimiphi imithi oyithathayo, kufaka phakathi izithasiselo.

Gcina ikhalenda lokukhulelwa okungenani izinyanga ezimbili kuya kwezintathu ngaphambi komhlangano wakho uma kungenzeka. Landelela iziqephu zakho, izimpawu zokuvuthwa kwama-ovule, nesikhathi lapho uhlangana khona. Lolu lwazi lungasiza udokotela wakho ukuthi aqonde izindlela zakho futhi athole izinkinga ezingase zibe khona.

Lungisa uhlu lwemibuzo okumele uyibuze udokotela wakho. Ungase ufune ukwazi ngezivivinyo ezithile abazincomayo, izinketho zokwelapha, amazinga ompumelelo, izindleko, nezikhathi. Unganqikazi ukubuza nganoma yini ongayiqondi, kufaka phakathi amagama ezokwelapha noma izinqubo.

Cabanga ukuthi ulethe umlingani wakho emhlanganweni, ngisho noma engaqondwa ngalolo suku. Ukungakhulelwa kuwathinta bobabili abalingani, futhi ukuba noxhaso ngesikhathi sokuxoxa kwezokwelapha kungasiza. Abantu ababili bangakhumbula nolwazi oluningi futhi babuze imibuzo ehlukene.

Qoqa ulwazi mayelana nokumbozwa kwe-inshorensi yakho yokuhlolwa kokukhulelwa nokwelashwa. Izinhlelo eziningi zinezidingo noma imikhawulo ethile, futhi ukuqonda lokhu kusengaphambili kungakusiza ukwenza izinqumo ezizwakalayo mayelana nokukhathalelwa kwakho.

Lungela ukuxoxa ngezihloko ezinzima ngokukhululekile nangokwethembeka. Udokotela wakho udinga ulwazi oluphelele ukuze akusize ngokuphumelelayo, ngakho-ke yabelana ngemininingwane mayelana nempilo yakho yocansi, imikhuba yokuphila, nanoma yiziphi izinkathazo ongazibe nazo.

Iyini into ebalulekile mayelana nokunga khulelwa?

Ukunga khulelwa kuyisimo sezempilo esivamile esithinta izigidi zabantu abashadile, futhi ukuhlangenwe nakho akusho ukuthi wenze into engafanele noma ukuthi ukukhulelwa akunakwenzeka. Ngokuqhubeka kwezokwelapha namuhla, abantu abaningi abafuna ukwelashwa kokungakhulelwa ekugcineni bangafinyelela umgomo wabo wokuba nomndeni.

Okubaluleke kakhulu ukukhumbula ukuthi awuwedwa kulolu hambo. Ukusekelwa kukhona ngezindlela eziningi, kusuka kubachwepheshe bezempilo abakhethekile ekuzalaneni kuya kubacebisi abaqonda izici zobuhlungu zokungazali. Unganqikazi ukufuna usizo uma usikudinga.

Uhambo lwabo bonke abantu lokuzala luhlukile, ngakho-ke zama ukungalinganisi isipiliyoni sakho nabanye. Okusebenza kubantu abashadile kungase kungasebenzi kwabanye, futhi izikhathi eziqondile zingase zihluke kakhulu. Gxila ekuzinakekeleni ngokomzimba nangokomzwelo ngenkathi usebenza neqembu lakho lezeMpilo ukuthola indlela engcono kakhulu yesimo sakho.

Nakuba inqubo ingaba nzima futhi ikhathazayo ngokomzwelo, izibhangqwana eziningi zithola ukuthi ekugcineni kuqinisa ubuhlobo bazo futhi kubanikeza ukwazisa okujulile ngomndeni abawusebenzelayo ukuba bawuqambe. Khumbula ukuthi ukufuna usizo ngokungazali kuyisibonakaliso sobukhulu, hhayi ubuthakathaka, futhi ukuthatha izinyathelo ezisebenzayo ekuphishekeleni imigomo yakho kuyinto okufanele uzigqage ngayo.

Imibuzo evame ukubuzwa mayelana nokungazali

Kufanele sizame isikhathi esingakanani ngaphambi kokubona udokotela?

Uma uneminyaka engaphansi kuka-35, zama izinyanga eziyi-12 ngokuziphatha okuvamile okungavikelekile ngaphambi kokufuna usizo. Uma uneminyaka engu-35 noma ngaphezulu, bona udokotela ngemva kwezinyanga eziyi-6 zokuzama. Noma kunjalo, unganqikazi ukufuna usizo ngokushesha uma unezinkathi ezingavamile, izimo zezokwelapha ezaziwayo, noma ezinye izikhalo mayelana nempilo yakho yokuzala.

Ingabe ukucindezeleka kubangela ukungazali?

Nakuba ukucindezeleka kungabangeli ukungazali ngokuqondile, kungathinta impilo yakho yonke futhi kungenzeka ukuthi kuthonye ukukhishwa kweqanda nokukhiqizwa kwesidoda. Amazinga aphezulu okucindezeleka angase futhi athinte isifiso sakho sobulili kanye nokuvamile kokuziphatha. Ukuphatha ukucindezeleka ngezindlela zokupumula, ukuzivocavoca, noma ukwelulekwa kungaba usizo ekuphileni kwakho konke ngesikhathi sokwelashwa kokuzala.

Ingabe ukwelashwa kokuzala kuhlanganiswe yinshurensi?

Ukumbozwa kwe-inshurensi ngezindlela zokwelapha ukungakhulekeli kuyahlukahluka kakhulu kuye ngohlelo lwakho oluthile nendawo. Amanye amazwe afuna amakhampani e-inshurensi ukuba ahlanganise ezinye izindlela zokwelapha ukungakhulekeli, kuyilapho amanye engafuni. Xhumana nomhlinzeki wakho we-inshurensi mayelana nokumbozwa kwezivivinyo zokuxilonga, imithi, nezinqubo ezifana ne-IUI noma i-IVF ngaphambi kokuqala ukwelashwa.

Impumelelo yezindlela zokwelapha ukungakhulekeli ingakanani?

Amanani okuphumelela axhomekeke ezintweni eziningi, kufaka phakathi iminyaka yakho, imbangela yokungakhulekeli, nohlobo lokwelashwa olusetshenzisiwe. Ngokuphelele, cishe u-65% lwabantu abashadile abamukela ukwelashwa kokungakhulekeli bazoba ne-baby ekugcineni. Amanani okuphumelela kwe-IVF ahlukahluka ngeminyaka, ngamanani aphezulu okuphumelela kwabesifazane abasebancane. Udokotela wakho angakunika ulwazi oluqondile ngamanani okuphumelela ngokuya ngesimo sakho.

Ingabe ukushintsha indlela yokuphila kungathuthukisa ukukhulekela?

Yebo, ukushintsha okuthile kwesitayela sempilo kungaba nomthelela omuhle ekukhulekeleni kokubili abalingani. Ukugcina isisindo esinempilo, ukudla ukudla okulinganisekile, ukuzivocavoca njalo, ukugwema ukubhema, nokulinganisela ukusetshenziswa kotshwala konke kungasiza ekuthuthukiseni impilo yakho yokuzala. Nakuba ukushintsha kwesitayela sempilo kudwa kungase kungaxazululi izinkinga zokungakhulekeli, kungasekele impilo yakho jikelele futhi kungenzeka ukuthuthukisa imiphumela yokwelashwa.