Funsani Katswiri: Nthawi Yomwe Muyenera Kuwona Katswiri Wobereka

Zamkati

• 1. Kodi katswiri wa chonde amatani?
• 2. Ndiyenera kutenga nthawi yayitali bwanji ndisanakumane ndi dokotala wobereka?
• 3. Kodi njira yoyamba yomwe katswiri wa chonde angatenge ngati wina sangatengere mimba ndi iti?
• 4.Kodi ndi mayeso otani omwe dokotala angabereke, ndipo amatanthauza chiyani?
• 5. Kodi ndizikhalidwe ziti zomwe zimakhudza kubala kwanga, ndipo kodi pali chilichonse chomwe ndingachite kuti ndikhale ndi pakati?
• 6. Kodi njira zanga zamankhwala ndi ziti ngati sindingathe kutenga pakati?
• 7. Kodi chithandizo chamankhwala ndichabwino bwanji?
• 8. Kodi katswiri wokhudza chonde angandithandize kuti ndipeze chilimbikitso chamalingaliro?
• 9. Kodi pali thandizo lililonse lopezera ndalama zothandizira anthu osabereka?

1. Kodi katswiri wa chonde amatani?

Katswiri wa chonde ndi OB-GYN wodziwa ukadaulo wa endocrinology komanso kusabereka. Akatswiri okhudzana ndi kubereka amathandizira anthu kudzera munjira zonse zakubereka. Izi zikuphatikiza chithandizo cha kusabereka, matenda amtundu omwe angakhudze ana amtsogolo, kuteteza chonde, komanso mavuto aziberekero. Amathandizanso pamavuto monga amenorrhea, polycystic ovarian syndrome, ndi endometriosis.

2. Ndiyenera kutenga nthawi yayitali bwanji ndisanakumane ndi dokotala wobereka?

Izi zimadalira momwe mumakhudzidwira komanso zomwe mukufuna. Amayi ambiri adzafuna kukayezetsa kubereka asanayese kutenga pakati, kapena ngati akuyesera kukonzekera tsogolo lawo lobereka.

Ngati mwakhala mukuyesera kuti musakhale ndi pakati, onani katswiri wazakulera patatha miyezi 12 ngati simunakwanitse zaka 35. Ngati muli ndi zaka 35 kapena kupitilira, onani umodzi pambuyo pa miyezi isanu ndi umodzi.

3. Kodi njira yoyamba yomwe katswiri wa chonde angatenge ngati wina sangatengere mimba ndi iti?

Nthawi zambiri, katswiri wazabereka amayamba kuwunika mbiri yanu yonse yazachipatala. Afunanso kuti awunikenso mayeso am'mbuyomu okhudzana ndi chonde kapena chithandizo chomwe mwalandira.

Monga gawo loyambirira, mudzakhazikitsanso zolinga zanu pakufunafuna chisamaliro cha chonde. Mwachitsanzo, anthu ena amafuna kukhala otanganidwa momwe angathere, pomwe ena amafuna kupewa chithandizo chamankhwala. Zolinga zina zitha kuphatikizira kuyesa kwa majini pa mazira kapena kuteteza chonde.

4.Kodi ndi mayeso otani omwe dokotala angabereke, ndipo amatanthauza chiyani?

Dokotala wobereka nthawi zambiri amayesa kwathunthu kuti adziwe zomwe zimayambitsa kusabereka ndikuwunika momwe mungathere kubereka. Dokotala wanu akhoza kuyesa mayeso a mahomoni tsiku lachitatu la msambo wanu. Izi zimaphatikizapo mahomoni olimbikitsa ma follicle, mahomoni a luteinizing, komanso kuyesa kwa anti-Mullerian hormone. Zotsatirazi zikuwonetsa kuchuluka kwa mazira m'mimba mwanu. A transvaginal ultrasound amathanso kuwerengera tinthu tating'onoting'ono tating'onoting'ono tomwe timapanga thumba losunga mazira. Kuphatikiza, mayesowa amatha kudziwa ngati malo anu osungira dzira ndiabwino, osakondera, kapena ochepa.

Katswiri wanu amathanso kuwerengetsa matenda a chithokomiro kapena zovuta za prolactin. Izi zitha kukhudza ntchito yobereka. Kuti muwone machubu ndi chiberekero, dokotala wanu atha kuyitanitsa mtundu wina wa mayeso a X-ray otchedwa hysterosalpingogram. Kuyesaku kumatsimikizira ngati machubu anu a fallopian ali otseguka komanso athanzi. Iwonetsanso mavuto ndi chiberekero chanu, monga ma polyps, fibroids, scar minofu, kapena septum (khoma) lomwe lingakhudze kuyika kapena kukula kwa mluza.

Kafukufuku wina wofufuza chiberekero amaphatikizaponso saline-infus sonography, office hysteroscopy, kapena endometrial biopsy. Kuwunika kwa umuna kumatha kuchitidwa kuti muwone ngati kuchuluka, kuchuluka kwa thupi, komanso mawonekedwe a umuna ndizabwino. Kuwonetseratu koyambirira kumapezekanso kuti ayese matenda opatsirana komanso zovuta zamtundu.

5. Kodi ndizikhalidwe ziti zomwe zimakhudza kubala kwanga, ndipo kodi pali chilichonse chomwe ndingachite kuti ndikhale ndi pakati?

Zinthu zambiri pamoyo zimakhudza chonde. Kukhala ndi moyo wathanzi kumatha kupititsa patsogolo pakati, kupititsa patsogolo chithandizo chamankhwala, komanso kukhala ndi pakati. Izi zikuphatikizapo kudya zakudya zopatsa thanzi komanso kupewa zakudya zopangidwa. Pali zambiri zomwe zikuwonetsa kuti kuchepa thupi kumabweretsa zotsatira zabwino zochizira chonde. Kwa amayi omwe ali ndi chidwi cha gluteni kapena chidwi cha lactose, kupewa kungakhale kothandiza.

Tengani mavitamini asanabadwe, muchepetse kumwa khofi, komanso kupewa kusuta, kugwiritsa ntchito mankhwala osokoneza bongo, komanso mowa. Muthanso kupindula ndi chowonjezera cha vitamini D. Izi ndichifukwa choti kuchepa kwa vitamini D kumatha kukhala ndi zotsatira zoyipa za vitro feteleza (IVF) kapena kungayambitse kupita padera.

Kuchita masewera olimbitsa thupi ndikofunikanso pakuchepetsa thanzi komanso kupsinjika. Yoga, kusinkhasinkha ndi kulingalira, ndi upangiri ndi chithandizo zitha kukhala zaphindu.

6. Kodi njira zanga zamankhwala ndi ziti ngati sindingathe kutenga pakati?

Pali njira zambiri zothandizira chithandizo cha kusabereka. Dokotala wanu akhoza kukupatsani mankhwala othandizira kutulutsa mazira monga clomiphene citrate ndi letrozole. Mankhwala ena amaphatikiza kuwunika kwa kukula kwa follicle ndimagazi ndi ma ultrasound, kutulutsa mazira oyambitsa ndi hCG (chorionic gonadotropin), komanso intrauterine insemination. Mankhwala ena okhudzana ndi mankhwalawa ndi IVF, jakisoni wa umuna wa intracytoplasmic, komanso kuyezetsa mazira asanabadwe m'mimba.

Njira yomwe inu ndi adotolo musankhe imadalira kutalika ndi chifukwa cha kusabereka komanso zolinga zamankhwala. Katswiri wanu wa chonde adzakuthandizani kudziwa njira yomwe ingakuthandizeni kuti muwonetsetse zotsatira zabwino.

7. Kodi chithandizo chamankhwala ndichabwino bwanji?

Chithandizo cha chonde chimayenda bwino, koma zotsatira zimadalira pazinthu zambiri. Zinthu ziwiri zofunika kwambiri ndi msinkhu wa amayi komanso chifukwa cha kusabereka.

Mwachilengedwe, njira zochiritsira zochulukirapo zimapambana. Kulimbikitsana kwa mavairasi ndi mankhwala opatsirana pogwiritsa ntchito intrauterine kumatha kukhala ndi chiwongola dzanja cha 5 mpaka 10 peresenti mkombero wosabereka. Izi zitha kukwera mpaka 18 peresenti mwa anthu omwe ali ndi vuto la ovulation kapena pomwe umuna wopereka ukugwiritsidwa ntchito ndipo palibe zovuta zilizonse zachikazi. Nthawi zambiri, IVF imatha kukhala ndi magawo obadwira a 45 mpaka 60%. Izi zitha kukwera mpaka kubadwa kwa 70% ngati mazira apamwamba atasamutsidwa.

8. Kodi katswiri wokhudza chonde angandithandize kuti ndipeze chilimbikitso chamalingaliro?

Inde, katswiri wa chonde ndi gulu lawo atha kupereka chilimbikitso. Malo anu obereketsa atha kukhala ndi zothandizira patsamba, monga pulogalamu yamaganizidwe kapena magulu othandizira. Akhozanso kukutumizirani kwa alangizi, magulu othandizira, othandizira azaumoyo komanso oyang'anira ntchito.

9. Kodi pali thandizo lililonse lopezera ndalama zothandizira anthu osabereka?

Chithandizo cha chonde chingakhale chodula, ndipo kuchilikiza ndalama kumatha kukhala kovuta komanso kovuta. Katswiri wokhudzana ndi chonde nthawi zambiri amakupatsani mwayi wogwira ntchito limodzi ndi wogwirizira ndalama. Munthuyu atha kukuthandizani kuti mudziwe za inshuwaransi komanso ndalama zomwe zingatuluke mthumba.

Muthanso kukambirana njira zamankhwala ndi dokotala zomwe zingachepetse ndalama. Mankhwala anu amathanso kukhala ndi mapulogalamu omwe amapereka mankhwala obereketsa pamitengo yocheperako, komanso mapulogalamu ena achitatu. Kambiranani izi ndi dokotala ngati mtengo wa chithandizo ndi chinthu chomwe chimakukhudzani.

Dr. Alison Zimon ndiye woyambitsa mnzake komanso wothandizira zamankhwala ku CCRM Boston. Iye ndiwotsimikiziridwa ndi board mu endocrinology yobereka komanso kusabereka, komanso azamayi komanso azachipatala. Kuphatikiza pa ntchito yake ku CCRM Boston, Dr. Zimon ndi mlangizi wa zamankhwala ku department of Obstetrics, Gynecology, and Reproductive Biology ku Harvard Medical School ndipo ndi dokotala ku OB / GYN ku Beth Israel Deaconess Medical Center ndi Newton Wellesley Hospital ku Massachusetts.