Chilichonse Chimene Muyenera Kudziwa Zokhudza Kusabereka

Zamkati

• Tanthauzo la kusabereka
• Zomwe zimayambitsa kusabereka kwa abambo
• Zowopsa
• Zochitika zamankhwala
• Mankhwala ndi mankhwala
• Mfundo yofunika
• Zomwe zimayambitsa kusabereka kwazimayi
• Zowopsa
• Zochitika zamankhwala
• Mankhwala ndi mankhwala
• Mfundo yofunika
• Kuyesedwa kwa kusabereka
• Amuna
• Akazi
• Mankhwala osabereka
• Amuna
• Akazi
• Mfundo yofunika
• Kusabereka ndi chithandizo chachilengedwe
• Kutema mphini
• Yoga
• Mavitamini
• Tiyi
• Mafuta ofunikira
• Zakudya zobereketsa
• Kutulutsa kwachibale
• Zambiri ndi ziwerengero za kusabereka
• Maonekedwe a kusabereka

Timaphatikizapo zinthu zomwe timaganiza kuti ndizothandiza kwa owerenga athu. Ngati mutagula maulalo omwe ali patsamba lino, titha kupeza ndalama zochepa. Nayi njira yathu.

Tanthauzo la kusabereka

Kuzindikira kusabereka kumatanthauza kuti simunathe kutenga pakati patatha chaka chimodzi ndikuyesera. Ngati ndinu mayi wazaka zopitilira 35, zikutanthauza kuti simunathe kutenga pakati patatha miyezi 6 mukuyesa.

Azimayi omwe amatha kutenga pakati koma osakhala ndi pakati mpaka nthawi yayitali amathanso kupezeka osabereka.

Mzimayi yemwe sanatengepo mimba adzapezeka ndi vuto la kusabereka. Mzimayi yemwe anali ndi pakati ngakhale kamodzi bwino m'mbuyomu adzapezeka ndi vuto lakusabereka kwachiwiri.

Kusabereka si vuto la amayi chabe. Amuna amathanso kukhala osabereka. M'malo mwake, abambo ndi amai amathanso kukhala ndi zovuta zakubereka.

Malinga ndi a, pafupifupi gawo limodzi mwa magawo atatu amilandu yosabereka imatha kukhala chifukwa cha kusabereka kwazimayi pomwe mavuto amwamuna amatenga gawo limodzi mwa magawo atatu amilandu yosabereka.

Magawo atatu otsala atha kubwera chifukwa cha kusabereka kwa amuna ndi akazi, kapena sangakhale ndi chifukwa chodziwika.

Zomwe zimayambitsa kusabereka kwa abambo

Nthawi zambiri, kusabereka mwa amuna kumakhudzana ndi zovuta ndi izi:

• kupanga bwino umuna
• kuchuluka kwa umuna, kapena kuchuluka kwa umuna
• mawonekedwe a umuna
• kusuntha kwa umuna, komwe kumaphatikizaponso kuyenda kwa umuna wokha komanso mayendedwe a umuna kudzera m'machubu zamwamuna zoberekera

Pali zifukwa zosiyanasiyana zoopsa, matenda, ndi mankhwala omwe angathandizenso kubereka.

Zowopsa

Zowopsa zomwe zimakhudzana ndi kusabereka mwa abambo zimaphatikizapo, koma sizingokhala pa:

• ukalamba
• kusuta ndudu
• kumwa kwambiri mowa
• kukhala wonenepa kwambiri kapena wonenepa kwambiri
• kukhudzana ndi poizoni, monga mankhwala ophera tizilombo, herbicides, ndi zitsulo zolemera

Zochitika zamankhwala

Zitsanzo zina zamankhwala zomwe zingayambitse kusabereka kwa amuna ndi monga:

• kubwezeretsanso kukonzanso
• varicocele, kapena kutupa kwa mitsempha mozungulira machende
• machende omwe sanatsike mu chikopa
• wokhala ndi ma antibodies omwe amamenya umuna wako ndikuwononga
• Kusamvana kwa mahomoni, monga testosterone yochepa

Mankhwala ndi mankhwala

Mankhwala ndi mankhwala osiyanasiyana amathanso kukhudza kubereka kwa amuna, monga:

• chemotherapy kapena radiation radiation, yomwe imagwiritsidwa ntchito khansa
• sulfasalazine (Azulfidine, Azulfidine EN-Tabs), omwe amagwiritsidwa ntchito pa nyamakazi (RA) kapena ulcerative colitis (UC)
• calcium channel blockers, yomwe imagwiritsidwa ntchito kuthamanga kwa magazi
• mankhwala opatsirana pogonana a tricyclic
• anabolic steroids, omwe amagwiritsidwa ntchito pochita masewera othamanga kapena zovuta zam'madzi monga kuchedwa msinkhu
• mankhwala osangalatsa monga chamba ndi cocaine

Mfundo yofunika

Zina mwa zinthu izi, kapena kuphatikiza, zitha kubweretsa kusabereka mwa amuna. Phunzirani za zizindikilo za kusabereka kwa abambo.

Zomwe zimayambitsa kusabereka kwazimayi

Kusabereka kwazimayi kumatha kuyambitsidwa ndi zinthu zingapo zomwe zimakhudza kapena kusokoneza zochitika zotsatirazi:

• ovulation, pamene dzira lokhwima limatulutsidwa m'chiberekero
• umuna, womwe umachitika umuna ukakumana ndi dzira mu chubu cha fallopian mutadutsa pachibelekeropo ndi chiberekero
• Kukhazikika, komwe kumachitika dzira la umuna likalumikiza m'mbali mwa chiberekero pomwe limatha kukula ndikukhala mwana

Zowopsa

Zowopsa za kusabereka kwa akazi ndizo:

• Kukula msinkhu
• kusuta ndudu
• kumwa kwambiri mowa
• kukhala wonenepa kwambiri, wonenepa kwambiri, kapena wonenepa kwambiri
• kukhala ndi matenda opatsirana pogonana omwe angawononge ziwalo zoberekera

Zochitika zamankhwala

Matenda osiyanasiyana amatha kukhudza njira zoberekera zazimayi ndikupangitsa kuti azimayi asabereke.

Zitsanzo ndi izi:

• Matenda ovulation, omwe amatha kuyambitsidwa ndi polycystic ovary syndrome (PCOS) kapena kusamvana kwama mahomoni
• matenda otupa m'mimba (PID)
• endometriosis
• chiberekero cha fibroids
• kulephera kwamchiberekero msanga
• kufooka kuchokera ku opaleshoni yam'mbuyomu

Mankhwala ndi mankhwala

Mankhwala ndi mankhwala omwe angakhudze kusabereka kwa amayi ndi awa:

• chemotherapy kapena radiation radiation
• Kugwiritsa ntchito mankhwala osokoneza bongo (NSAIDS) monga aspirin (Bayer) ndi ibuprofen (Advil, Motrin)
• mankhwala opatsirana pogonana
• mankhwala osangalatsa monga chamba ndi cocaine

Mfundo yofunika

Malinga ndi chipatala cha Mayo, zovuta za ovulation zimayambitsa gawo limodzi mwa magawo anayi a mavuto osabereka omwe amapezeka m'mabanja. Nthawi yosasamba kapena yopanda kutuluka ndi zizindikilo ziwiri zomwe mayi sangakhale akutulutsa mazira.

Dziwani zambiri zazizindikiro za kusabereka kwa amayi.

Kuyesedwa kwa kusabereka

Ngati mwakhala mukuyesera kutenga pakati ndipo simunathe, mukuganiza kuti muyenera kukonzekera liti kukaonana ndi dokotala.

Werengani kuti mupeze mayesero omwe angayese kuti muwone momwe mungakhalire chonde ndi mnzanu.

Amuna

Amuna ayenera kukonzekera kukaonana ndi dokotala patatha chaka chimodzi akuyesera kutenga pakati kapena ngati zotsatirazi zingagwiritsidwe ntchito:

• Kulephera kwa erectile (ED)
• mavuto ndikutulutsa umuna, monga kuchedwa kutulutsa umuna kapena kubwezeretsanso
• kugonana kotsika
• kupweteka kapena kutupa kumaliseche
• atachitidwapo opaleshoni m'mbuyomu kumaliseche

Dokotala wanu amatenga mbiri yanu yoyamba. Munthawi imeneyi, adzafunsa zaumoyo wanu wonse, mbiri yanu yakugonana, komanso zomwe zingakhudze chonde. Ayeneranso kuyesa thupi komwe amayang'ana kumaliseche kwanu kuti ali ndi zovuta kapena zotupa zilizonse.

Kusanthula kwa umuna mwina kumachitika. Dokotala wanu adzakufunsani kuti mupereke nyemba za umuna. Chitsanzochi chidzafufuzidwa mu labotale kuti tiwone kuti ndi umuna angati komanso ngati umuna umapangidwa bwino ndikuyenda moyenera.

Kutengera zotsatira za mayeso anu oyamba ndi kusanthula umuna, dokotala wanu angafune kuyesa zina.

Mayesowa atha kuphatikiza:

• kuyezetsa mahomoni
• maliseche ultrasound
• kuyesa majini

Akazi

Kubereka kwa mayi kumayamba kuchepa potsatira zaka 30. Amayi ochepera zaka 35 ayenera kukaonana ndi dokotala patatha chaka chimodzi akuyesera kutenga pakati pomwe azimayi a zaka 35 kapena kupitilira apo ayenera kukaonana ndi dokotala atatha miyezi 6 akuyesera.

Dokotala wanu amatenga mbiri yanu yoyamba. Afunsa za momwe moyo wanu ulili pakadali pano, mbiri yanu yakugonana, ndi zikhalidwe zilizonse kapena matenda omwe angapangitse kusabereka.

Kenako adzayesa m'chiuno mwanu kuti muwone ngati pali zovuta monga fibroids kapena zinthu monga endometriosis kapena PID.

Dokotala wanu adzafuna kuwona ngati mukuwombera mwezi uliwonse. Izi zitha kutsimikiziridwa ndi zida zoyeserera ovulation kunyumba kapena kudzera kukayezetsa magazi kuofesi ya dokotala.

An ultrasound ingagwiritsidwenso ntchito kuyesa thumba losunga mazira ndi chiberekero.

Mayesero ena ofala kwa amayi ndi awa:

• hysterosalpingography, womwe ndi mtundu wa X-ray yomwe imagwiritsidwa ntchito pofufuza mazira ndi chiberekero
• laparoscopy, yomwe imagwiritsa ntchito kamera pofufuza ziwalo zamkati
• kuyezetsa kosungira mazira, komwe kumagwiritsa ntchito mayeso amtundu wa mahomoni kuti mudziwe kuthekera kwa amayi kuti atenge pathupi - mayeso oyenera amaphatikizapo kuyesa kwa ma follicle-stimulating hormone (FSH)

Mankhwala osabereka

Ngati inu ndi mnzanu mwakhala mukuyesera kutenga pakati ndipo simunathe, mungafunefune chithandizo. Mtundu wa chithandizo chomwe tikulimbikitsidwa chimadalira pazinthu zosiyanasiyana, kuphatikizapo:

• chifukwa chosabereka, ngati chikudziwika
• mwakhala mukuyesera kutenga nthawi yayitali bwanji
• mibadwo yanu
• thanzi la inu nonse ndi mnzanu
• zokonda zanu ndi mnzanu, kutsatira kufunsa pazomwe mungasankhe

Amuna

Kusabereka kwa abambo kumatha kuchiritsidwa m'njira zosiyanasiyana, kutengera chifukwa. Njira zochiritsira amuna zimatha kuphatikizira opaleshoni, mankhwala, ndi ukadaulo wothandizira kubereka (ART).

Opaleshoni imatha kukonza zoletsa zomwe zikulepheretsa umuna kupezeka mu umuna. Itha kukonzanso zinthu monga varicocele. Nthawi zina, umuna umatha kuchotsedwa m'matumbo kenako nkukagwiritsa ntchito mankhwala a ART.

Mankhwala atha kugwiritsidwa ntchito kuthana ndi zovuta monga kusamvana kwama mahomoni. Zitha kugwiritsidwanso ntchito kuthana ndi zovuta zina zomwe zingakhudze kubereka kwamwamuna, monga ED kapena matenda omwe amakhudza kuchuluka kwa umuna.

Ma ART amatanthauza mankhwala omwe mazira ndi umuna zimagwiridwa kunja kwa thupi. Zitha kuphatikizira chithandizo chamankhwala monga in vitro feteleza (IVF) ndi jakisoni wa umuna wa intracytoplasmic. Umuna wa mankhwala a ART ukhoza kulandilidwa kuchokera ku umuna, kuchotsedwa kwa machende, kapena wopereka.

Akazi

Chithandizo cha kusabereka kwa amayi chitha kuphatikizaponso opaleshoni, mankhwala, ndi chithandizo chobala monga ART. Nthawi zina mitundu ingapo yamankhwala imafunika kuthandizira kuthana ndi kusabereka kwa amayi.

Ngakhale opareshoni nthawi zina itha kugwiritsidwa ntchito kuthana ndi kusabereka kwa amayi, yakhala yochulukirapo tsopano chifukwa cha kupita patsogolo kwamankhwala ena obereka. Opaleshoni imatha kupititsa patsogolo chonde ndi:

• kukonza chiberekero chopangidwa modabwitsa
• kutsegula machubu oyambira
• kuchotsa fibroids

Thandizo lobereka lingaphatikizepo njira monga intrauterine insemination (IUI) ndi ART. Pakati pa IUI, mamiliyoni a umuna amalowetsedwa mchiberekero cha mkazi pafupi ndi nthawi yovundikira.

IVF ndi mtundu umodzi wa ART ndipo umakhudza kuchotsa mazira omwe kenako amakumana ndi umuna wa abambo mu labotale. Pambuyo pa umuna, kamwana kakuyikidwa m'chiberekero.

Mankhwala omwe amagwiritsidwa ntchito pochiza uchembere wa amayi amagwira ntchito ngati mahomoni omwe amapezeka mwathupi kuti alimbikitse kapena kuwongolera ovulation.

Mfundo yofunika

Pali mankhwala ambirimbiri obereka omwe amapezeka. Onani mitundu yosiyanasiyana ya mankhwala obereketsa pano.

Kusabereka ndi chithandizo chachilengedwe

Mankhwala achilengedwe atha kuphatikiza njira monga kutema mphini ndi yoga.

Kafukufuku wina wa 2018 adapeza kuti osachepera 29% a mabanja adayesapo njira yachilengedwe yothandizira kubereka, mwina okha kapena kuthandizira kuchipatala.

Kutema mphini

Kutema mphini kumaphatikizapo kuyika singano zing'onozing'ono, zopyapyala m'malo osiyanasiyana mthupi. Amakhulupirira kuti mfundozi zitha kuthandiza kulimbikitsa mphamvu zamthupi.

Palibe umboni wotsimikizika wothandizira kutema mphini ngati mankhwala osabereka.

A mayesero angapo azachipatala adapeza umboni wochepa wosonyeza kuti kutema mphini kumatha kutulutsa mazira komanso kusamba kwa azimayi omwe ali ndi PCOS. Pezani zambiri pokhudzana ndi kutema mphini ndi kusabereka.

Yoga

Yoga imaphatikizaponso njira zopumira komanso njira zopumira kuti zithandizire kupumula ndikuchepetsa kupsinjika.

Kafukufuku pa yoga ngati chithandizo cha kusabereka ndi ochepa. Komabe, akukhulupirira kuti kuchita maseŵera a yoga kungakhale kopindulitsa pothana ndi nkhawa zomwe zingagwirizane ndi chithandizo chamankhwala obereka.

Mavitamini

Mavitamini ndi mchere wosiyanasiyana atha kukhala othandiza polimbikitsa chonde.

Ena oti azisamala ndi awa:

• wachinyamata
• nthaka
• vitamini C
• vitamini E
• chitsulo

Muthanso kulingalira zowonjezera zina, monga maantibiobio, omwe amatha kulimbikitsa chimbudzi chathanzi ndikusintha kukhala wathanzi. Dziwani zowonjezera zina zomwe zingakuthandizeni kutenga pakati.

Tiyi

Ma tiyi osiyanasiyana obereka amapezeka kuti agulitsidwe, koma kodi amagwira ntchito?

Kafufuzidwe pazotsatira zakapangidwe ka tiyi pakubereka ndizochepa kwambiri. Komabe, kafukufuku wina waposachedwa adapeza kuti mankhwala a antioxidant omwe amapezeka mu tiyi wobiriwira angathandize kubereka posintha magawo monga kuchuluka kwa umuna ndi motility.

Mafuta ofunikira

Mafuta ofunikira amachokera kuzomera, makamaka kuchokera kumizu, mbewu, kapena masamba. Zitha kugwiritsidwa ntchito mu aromatherapy kulimbikitsa kupuma ndi kuchepetsa kupsinjika. Aromatherapy imatha kuphatikiza kusisita ndi, kusamba ndi, kapena kuwotcha mafuta ofunikira.

Kafukufuku wowonjezera amafunikira kuti muwone momwe mafuta ofunikira angakhudzire chonde.

Zakudya zobereketsa

Kwa azimayi, njira zolimbikitsira chakudya ndikulimbikitsa kusabereka komwe kumadza chifukwa cha zovuta za ovulation. Chifukwa chake, sizigwira ntchito yokhudzana ndi kusabereka komwe kumachitika chifukwa cha mikhalidwe yakuthupi monga chotchinga m'machubu kapena mazira a uterine.

Malangizo ena azakudya zolimbikitsira chonde ndi awa:

• kusankha ma carbs mwanzeru poyang'ana zakudya zopatsa mphamvu (monga ndiwo zamasamba ndi mbewu zonse) kwinaku mukupewa ma carb oyengedwa omwe ali ndi shuga wambiri
• kupewa mafuta opatsirana, omwe amapezeka muzakudya zambiri zokazinga komanso zopangidwa
• kusinthana ndi mapuloteni ena anyama zanu kuti mupeze mapuloteni omwe alibe nyama
• kusankha mkaka wamafuta ambiri (monga mkaka wathunthu) m'malo mwa mafuta ochepa

Kutsatira malangizowa, komanso kudya zakudya zokhala ndi michere yambiri, zitha kuthandizanso amuna kukonza thanzi la umuna wawo.

Kukhazikitsa kusintha kwa zakudya komanso kusintha kwa moyo monga kukhala wolimbikira kumathandizira kulimbikitsa chonde. Pezani maupangiri ena owonjezera kubereketsa posintha momwe mumadyera komanso masewera olimbitsa thupi.

Kutulutsa kwachibale

Azimayi amakhala achonde kwambiri nthawi yomwe amatulutsa mazira. Kutsata kuyamwa kwanu ndikuyang'anitsitsa zogonana nthawi ino kumathandizira kuti mukhale ndi pakati.

Kutulutsa mazira kumachitika tsiku limodzi pamwezi. Pakadali pano, thumba lanu losunga mazira limatulutsa dzira lokhwima, lomwe limayamba kuyenda kudzera m'machubu yanu ya mazira. Dzira likakumana ndi umuna paulendo wake, umuna ungachitike.

Ngati dzira silikumana ndi umuna, limafa pakangotha ​​maola 24 kuchokera pa dzira. Komabe, umuna ukhoza kukhala mkati mwa thupi la mkazi mpaka masiku asanu, ndikuwonjezera mwayi wa umuna. Chifukwa cha izi, mumakhala achonde pafupifupi masiku asanu kapena asanu ndi amodzi mweziwo.

Kutulutsa mazira sikuchitika nthawi yomweyo mwezi uliwonse, motero ndikofunikira kuzindikira zizindikilo za ovulation. Izi zitha kuphatikizira kusintha kwa thupi monga kupunduka m'mimba komanso kukwera pang'ono kwa kutentha kwa thupi. Dziwani njira zina zodziwira mukakhala achonde kwambiri.

Zambiri ndi ziwerengero za kusabereka

Malinga ndi a, amayi 12.1% azaka za 15 mpaka 44 aku US amavutika kutenga pakati ndikunyamula mwana mpaka nthawi. Pafupifupi 7 peresenti ya azimayi okwatiwa omwe ali ndi zaka zambiri alibe ana.

Kuphatikiza apo, malinga ndi CDC, azimayi 7.3 miliyoni azaka zapakati pa 15 ndi 44 agwiritsa ntchito ntchito zosabereka. Izi ndi pafupifupi azimayi 12 pa 100 aliwonse amsinkhu wawo.

National Institutes of Health (NIH) akuti mzimayi wazaka za m'ma 30 ndi theka wachonde ngati mayi wazaka zoyambirira za 20.

Akuti pafupifupi azimayi 20 pa 100 aliwonse ku United States tsopano ali ndi mwana wawo woyamba atakwanitsa zaka 35. Izi zimapangitsa zaka kukhala gawo lomwe likukulitsa kusabereka.

Pafupifupi 9 peresenti ya amuna adakumana ndi zovuta zokhudzana ndi chonde. Ngakhale kubala kwamwamuna kumatha kutsika ndikukula, kumachepa pang'onopang'ono kuposa kubala kwazimayi.

Maonekedwe a kusabereka

Kupezeka ndi kusabereka sikutanthauza kuti maloto anu okhala ndi mwana afika kumapeto. Zitha kutenga nthawi, koma maanja angapo omwe ali ndi vuto lakusabereka amatha kukhala ndi mwana. Ena azichita izi pawokha, pomwe ena adzafunika chithandizo chamankhwala.

Chithandizo chomwe ndichabwino kwa inu ndi mnzanu chimadalira pazinthu zambiri, kuphatikiza zaka zanu, chifukwa cha kusabereka, komanso zokonda zanu. Mofananamo, ngati chithandizo cha kusabereka chimabweretsa mimba chimadalira pazinthu zambiri.

Nthawi zina, vuto lakubereka limatha kuchiritsidwa. Kutengera ndi momwe zinthu ziliri, adotolo angauze kuti inu ndi mnzanuyo muganizire za umuna kapena mazira omwe angakupatseni, kuberekera ena, kapena kukhazikitsidwa.

Malo oberekera ku United States akupitilizabe kusintha, ndikusintha kwamalingaliro ndi zikhalidwe. Onani lipotili pankhani yokhudza kubereka komwe kulipo.

Jill Seladi-Schulman ndi wolemba pawokha wochokera ku Atlanta, GA. Adalandira PhD yake mu Microbiology ndi Molecular Genetics kuchokera ku Emory pomwe zolemba zake zidakhazikitsidwa pa fuluwenza morpholoji. Amakonda kulumikizana ndi sayansi komanso zaumoyo ndipo amasangalala kulemba pamitu yonse yokhudzana ndi thanzi - ngakhale azikhala ndi malo ofewa a matenda opatsirana. Jill ndiwokonda kuwerenga, amakonda kuyenda, ndipo amakonda kuwerenga zopeka.