Kuwona Kachiwiri: Momwe Mungakulitsire Mpata Wanu Wokhala ndi Amapasa

Zamkati

• Zovuta zanu zitha kukhala zabwinoko kuposa momwe mukuganizira
• Kukhala ndi mapasa mwachilengedwe
• Mapasa ofanana
• Amapasa achibale
• Zinthu zomwe zimapangitsa kuti mukhale ndi mapasa mwachilengedwe
• Chibadwa
• Zaka
• Kutalika
• Kulemera
• Mpikisano
• Zakudya
• Mimba zam'mbuyomu
• Kukhala ndi mapasa ndi chithandizo chamankhwala
• IUI
• IVF
• Momwe mungakulitsire zovuta zanu
• Kutenga

Zovuta zanu zitha kukhala zabwinoko kuposa momwe mukuganizira

Kulota kawiri kakang'ono kakang'ono kakang'ono kakang'ono kakang'ono, koma kuganiza kuti sikungatheke? Zowona, lingaliro lokhala ndi mapasa mwina silingachitike. (Ingokumbukirani, ndizosinthanso kawiri matewera.)

Kubadwa kwa mapasa kwawonjezeka kuyambira 1980. Panopa pali ana amapasa pafupifupi 1,000 obadwa ku United States.

Koma musanakhale ndi zovala zofananira ndikusankha maina olumikizana, ndikofunikira kumvetsetsa momwe mapasa amapangidwira ndi zina zowonjezera zomwe zikukhudzidwa. Pali zochitika zina - kaya zimachitika mwachilengedwe kapena zimapezeka kudzera mu chithandizo cha chonde - zomwe zingakupangitseni kukhala ndi mapasa.

(Mukuyembekezera mapasa? Nazi zomwe muyenera kudziwa.)

Kukhala ndi mapasa mwachilengedwe

Akuyerekeza kuti 1 mwa amayi 250 amatenga pakati amapasa mwachilengedwe, ndipo pali njira ziwiri zowatengera.

Mapasa ofanana

Yoyamba imakhudza dzira limodzi lokhala ndi umuna umodzi. Kubereka 101, sichoncho? Komano, pena pake panjira, dzira logwidwa ukalawo limagawika pawiri, kutulutsa mapasa ofanana.

Mpata wokhala ndi mapasa ofanana ndi osowa - pafupifupi 3 kapena 4 mwa ana 1,000 aliwonse obadwa. Ndipo ngakhale zitha kukhala zowonekeratu, mapasa ofanana nthawi zonse amakhala amuna kapena akazi okhaokha, anyamata kapena atsikana onse, pakubadwa. Chifukwa chiyani? Eya, samangofanana - amagawana DNA yomweyo.

Amapasa achibale

Amapasa achibale, mbali inayi, zimachitika pamene mazira awiri osiyana amapatsidwa umuna ndi ziwalo ziwiri za umuna. Onse mazira olumikizidwa mu chiberekero ndipo - miyezi isanu ndi inayi pambuyo pake - ana awiri amabadwa.

Mapasa achibale atha kukhala anyamata awiri, atsikana awiri, kapena mnyamata ndi mtsikana. Atha kuwoneka kapena osawoneka ngati ambiri. Ndi chifukwa, mosiyana ndi mapasa ofanana, samagawana DNA yomweyo. M'malo mwake, kupatula zaka, sali ofanana ndi abale ndi alongo obadwa zaka zosiyana.

Zinthu zomwe zimapangitsa kuti mukhale ndi mapasa mwachilengedwe

Chibadwa

Mwina mwamvapo kuti amapasa "amathamanga m'mabanja." Izi ndizo pang'ono zoona. Mwayi wanu wokhala ndi mapasa achibale ukhoza kukhala wapamwamba ngati ndinu mapasa a abale anu kapena ngati mapasa achibale amathamangira kumbali ya amayi anu.

Chifukwa chimodzi cha izi ndikutulutsa magazi, komwe kumakhala komwe thupi limatulutsa mazira awiri kapena kupitilira nthawi yopuma - makamaka chofunikira chokhala ndi mapasa achibale.

Ndipo kutsekemera kungaperekedwe mu DNA yanu. (Zitha kuchitikanso kamodzi mwa amayi omwe samamasula dzira limodzi kapena kukhala ndi mapasa m'mabanja mwawo, ngakhale zili choncho.)

Zaka

Kodi muli ndi zaka zopitilira 35? Ngati mukufuna kukhala ndi mapasa, mutha kugunda jackpot ngati nanunso muli m'ma 30 kapena 40.

Amayi a "zaka zakubadwa zakubadwa" (tikupepesa kugwiritsa ntchito mawuwa, koma amagwiritsidwa ntchito kwambiri m'malo azachipatala kutanthauza kuti azaka zopitilira 35) amakhala ndi mwayi waukulu wobereka ana amapasa.

Kusintha kwa mahomoni komwe kumachitika mukamayandikira kusamba kumatha kulimbikitsa thupi kumasula dzira limodzi nthawi yopuma. Ngati awiri kapena kuposerapo atenga umuna ndipo zonsezo zimayikidwa, mungafunike makanda awiri muzipinda zanu.

Kutalika

Akazi ataliatali amawoneka kuti ali ndi chiwonetsero chachikulu chokhala ndi mapasa. Izi zitha kumveka ngati zachilendo, koma ofufuza amatcha kukula kwakukula kwa insulin ndi kuthekera uku. Kafukufuku wa 2006 adavumbulutsa kuti kuchuluka kwa mapasa ndiokwera mwa azimayi omwe ndiwotalika kuposa inchi imodzi kuposa dziko lonse, omwe anali 5 mapazi 3 3/4 mainchesi panthawi yomwe kafukufukuyu adasindikizidwa.

Kulemera

Amayi omwe ali onenepa kwambiri amakhala ndi mwayi waukulu wobereka mapasa mwachilengedwe. Makamaka, mwayiwo ndi wapamwamba kwambiri ngati cholozera cha thupi lanu (BMI) chaposa 30.

Pazithunzi, ma BMIs omwe ali pansi pa 18.5 amawonetsa kuchepa kwa mapasa. Lingaliro la chiphunzitsochi limabwereranso ku kukula kofanana ndi insulin komanso mphamvu yake pakubereka.

Chenjezo apa: Osati mwadala kunenepa kuti muwonjezere mwayi wanu wokhala ndi mapasa. Kukhala ndi BMI yoposa 30 kungakuikeni pachiwopsezo chotenga pakati, chifukwa chake lankhulani ndi dokotala wanu za kulemera kwanu musanakhale ndi pakati.

Mpikisano

Amayi aku Africa aku America ali ndi pakati pathupi pang'ono kuposa akazi aku Caucasus. Koma azimayi aku Asia ndi Spain ali ndi mwayi wokhala ndi mapasa kuposa magulu ena.

Izi zati, azimayi aku Caucasus azaka zopitilira 35 ali ndi ziwerengero zochulukirapo, zomwe zikutanthauza kuti katatu kapena kupitilira apo.

Zakudya

Wina akuti zomwe mumadya zitha kupangitsa kuti mapasa akhale othekera - mpaka kasanu, makamaka!

Amayi omwe amadya zopangira nyama, makamaka mkaka, atha kukhala ndi vuto lowonjezera la insulin. Ng'ombe zimatulutsa timadzi timeneti mumkaka wawo ndipo - tikamadya - zimatha kukopa kubereka kwa anthu.

Wina akuwonetsa kuti kudya zilazi zambiri kumawonjezeranso mwayi wokhala ndi mapasa. Zakudyazi zimatha kuthandizira mahomoni omwe amathandiza thupi kumasula dzira limodzi nthawi imodzi.

Mimba zam'mbuyomu

Kodi muli kale ndi mwana yemwe akuyang'ana kukhala mchimwene kapena mlongo wamkulu? Amatha kukhala chifukwa chomwe mumadzipangira mapasa. Ndichoncho! China chomwe chimatchedwa "mgwirizano waukulu" - chomwe chimatanthauza kuti anali ndi pakati kale - chitha kukulitsa mwayi. Iwo bwanji sizikudziwika bwinobwino, koma mwina chifukwa chakuti chifukwa cha mimba iliyonse, ndinu okalamba pang'ono.

Ndipo ngati muli kale ndi ana amapasa, muli ndi mwayi wochulukirapo kasanu wobwereranso, malinga ndi a Twins and Multiples Birth Association ku United Kingdom (ngakhale sitinathe kutsimikizira chiwerengerocho kwina kulikonse). Ngati ndi zoona, imeneyo ndi bonasi yozungulira!

Kukhala ndi mapasa ndi chithandizo chamankhwala

Ngati mumadziwa zaukadaulo wobala (ART), in-vitro feteleza (IVF), ndi njira zina zothandizira kubereka - monga in-utero insemination (IUI) - mwina mukudziwa kale kuti mapasa ndiwotheka.

IUI

Ngakhale njira ya IUI yokha sikuwonjezera mwayi wanu wokhala ndi mapasa, mankhwala ena omwe amapezeka nawo atha. Clomiphene citrate (Clomid) ndi letrozole (Femara) ndi mankhwala olimbikitsa ovulation.

Mankhwala onsewa nthawi zambiri amaperekedwa mu mayendedwe a IUI ndipo amatha kuthandiza thupi kupanga mazira angapo omwe amatha kumasula nthawi yomweyo. Ngati awiri (kapena kupitilira apo) ali ndi umuna ndikukhazikika, mapasa ali otheka.

Mmodzi, mlingo wa mapasa ndi Clomid anali 7.4 peresenti. Femara anali ndi mitengo yotsika ya 3.4 peresenti yokha. Ziwerengerozi zingawoneke ngati zapamwamba, komabe ndizochulukirapo kuposa mwayi wokhala ndi mapasa mwachilengedwe.

Ndipo palinso zina. Gonadotropins, monga ma follicle othandizira ma hormone (FSH), amalimbikitsa kukula kwa ma dzira. Mankhwala ojambulidwawa amagwiritsidwanso ntchito mu IUI ndi njira zina zothandizira kubereka, ndipo kuchuluka kwa mapasa omwe akugwiritsa ntchito mankhwalawa ndi 30%.

IVF

Mankhwala osokoneza bongo nawonso ndi gawo la IVF. Koma chimodzi mwazinthu zazikulu zomwe zimakulitsa mwayi wanu wamapasa ndi ukadaulo woberekawu ndi kuchuluka kwa mazira omwe mungasankhe kuwachotsa. Mabanja ena amasankha kusamutsa imodzi. Ngakhale kamwana kameneka kakhoza kugawikana ndikusanduka mapasa ofanana, izi sizotheka kwenikweni.

Zomwe zikuchitika kwambiri ndizokhudza mapasa achibale. Ngati mutumiza mazira awiri (kapena kupitilira apo) ndipo onse amakula bwino ndikukula, amapasa (kapena kupitilira apo) ali panjira.

Kuchuluka kwa mimba zamapasa ndi IVF ndi mazira atsopano ndi azimayi ochepera zaka 35 komanso azimayi azaka 35 mpaka 37. Mwayi umatsika ndi zaka (mosiyana ndi mapasa achilengedwe), popeza azimayi 38 mpaka 40 amakhala ndi mapasa okha. Ndipo kwa iwo omwe ali ndi zaka 43 kapena kupitilira apo, mulingowo ndi wachilungamo.

Ndipo taganizirani izi: Mabanja ena angasankhe kusamutsa mazira awiri panthawi ya IVF. Nenani amodzi mwa mazirawo agawike kenako ndikuyika zonse zitatu mchiberekero. Zotsatira zake zidzakhala zitatu - mapasa awiri ofanana ndi m'bale m'modzi wa abale.

Momwe mungakulitsire zovuta zanu

Choyamba choyamba: Musanayambe kubaya ana okongola amapasa pa bolodi lanu la Pinterest, mvetsetsani kuti kutenga mapasa nthawi zonse sikusangalatsa komanso (masewera osamba). Kukhala ndi pakati pazochulukitsa kumatha kukhala ndi zovuta zina ndipo kumakupatsani mwayi woti mukhale pachiwopsezo chachikulu ndi dokotala kapena mzamba.

Mwachitsanzo, mapasa ali ndi mwayi wopitilira 12 kuposa ana osakwatiwa obadwa msanga. Ndipo ali ndi mwayi wochulukirapo ka 16 wokhala ndi ana ochepa obadwa nawo. Osati zokhazo, koma amayi omwe amakhala ndi mapasa amakhalanso pachiwopsezo chotenga preeclampsia komanso matenda ashuga.

Zonsezi sizikutanthauza kuti simungakhale ndi pakati kwathunthu ndi ana awiri. Zimangotanthauza kuti mungafunike kuyang'aniridwa pang'ono.

Kupatula zoopsa, zinthu zambiri zomwe zimakulitsa mwayi wokhala ndi mapasa sizili m'manja mwanu. Chifukwa chake ngakhale mutha kusankha kudya mkaka ndi zilazi zochulukirapo, simungasinthe ndendende kutalika kwanu, mtundu, kapena mbiri yakubadwa kwa ana obadwa kangapo. Kunenepa mozama musanatenge mimba sikulinso lingaliro labwino mwina.

Ndipo ngati mukubanki kuti mukhale ndi ana mochedwa kuti muwonjezere zovuta zanu zokhala ndi mapasa, mvetsetsani kuti msinkhu umabereka kuchepa komanso mwayi wambiri wama chromosomal.

Ngati mukukhalabe ndi lingaliro la awiri, ukadaulo wobereka ungakupatseni chiwongolero chachikulu. Koma akatswiri pakadali pano amalimbikitsa azimayi achichepere kuti azisamutsa gawo lililonse la IVF pazotsatira zabwino.

Mankhwala opitilira muyeso omwe amagwiritsidwa ntchito paokha kapena ndi IUI amafunikira mankhwala ndipo atha kukhala ndi zoopsa zazikulu, monga mwayi wochulukirapo wa ovarian hyperstimulation kapena ectopic pregnancy.

Mankhwala osokoneza bongo komanso njira ngati IVF ndizotsika mtengo ndipo zimasungidwa kwa maanja omwe amapezeka kuti alibe chonde. Kwa amayi ochepera zaka 35, kusabereka kumatanthauza kusakhala ndi pakati ndikugonana kwakanthawi mchaka chimodzi. Ndipo kwa azimayi opitilira 35, nthawi imeneyi ifupikitsa miyezi 6.

Sitikuyesera kukhala a Debbie Downer pano. Lankhulani ndi dokotala wanu - makamaka mayi wanu wobereka endocrinologist ngati mukuchita zothandizira kubereka - za mapasa. Amatha kukuwuzani za zovuta zilizonse zomwe mungakumane nazo komanso ngati mungasamutse mwana wosabadwayo ndi IVF.

Kutenga

Tsoka ilo, palibe mapiritsi apadera omwe mungamwe omwe angatsimikizire kuti mudzakhala mukuyendetsa oyendetsa awiri mozungulira oyandikira ngati abwana. (Koma tikuganiza kuti ndiwe bwana mosasamala kanthu.)

Izi sizikutanthauza kuti simungasangalale pang'ono poyesera kukulitsa zovuta zanu mwa kudya tchizi ndi batala la mbatata kapena kudutsa zala zanu za IUI yanu yotsatira.

Pali zowopsa zonse ndi mphotho ndi mapasa. Koma musanatengeke ndi kulota, yesetsani kuyembekeza kudzawona kawiri… ndi mizere yoyesa kwanu. Tikutumiza fumbi la ana!