Kusabereka Kwachiwiri: Zomwe Zimatanthauza ndi Zomwe Mungachite

Zamkati

• Kodi kusabereka kwachiwiri ndi chiyani?
• Nchiyani chimayambitsa kusabereka kwachiwiri?
• Matenda a ovulation
• Mavuto ndi chiberekero kapena mazira
• C-gawo zipsera
• Matenda
• Matenda osokoneza bongo
• Zaka
• Zifukwa zosamveka
• Chithandizo cha kubereka kwachiwiri
• Mankhwala
• Opaleshoni
• Ukadaulo wapamwamba wa uchembere (ART)
• Malangizo pakuthana ndi kusabereka kwachiwiri
• Kutenga

Ngati muli pano, mwina mukufufuza mayankho, chithandizo, chiyembekezo, ndi malangizo amomwe mungapitirire ndi kusabereka mutakhala ndi pakati kale. Chowonadi ndi chakuti, simuli nokha - kutali nazo.

Poyang'ana kusabereka konse, akuti azimayi ku United States amavutika kutenga pakati kapena kukhala ndi pakati. Ndipo kusabereka kwachiwiri - vuto ili limachitika pambuyo pathupi limodzi kapena angapo - nthawi zambiri limasokoneza anthu.

Tikumvetsetsa kuti kusabereka kwachiwiri kumatha kubweretsa zovuta zingapo monga kukhumudwa, kusowa chiyembekezo, kusokonezeka, kukhumudwitsidwa, komanso kudzimva wolakwa - pakati pa ena. Kaya mwapezeka kuti muli ndi vuto lakusabereka kwachiwiri, kapena mukuyenda pamavuto oyambilira ndikutenganso pakati, ano ndi malo abwino kuphunzira zambiri za izi.

Kodi kusabereka kwachiwiri ndi chiyani?

Pali mitundu iwiri ya kusabereka: pulayimale ndi yachiwiri. Kusabereka koyambirira kumafotokoza kuti sangathe kutenga pakati, nthawi zambiri pambuyo pa chaka chimodzi choyesera - kapena miyezi isanu ndi umodzi, ngati ali ndi zaka 35 kapena kupitilira apo.

Omwe amapeza kusabereka kwachiwiri, kumbali ina, amavutika kutenga pakati atakhala ndi pakati kamodzi kamodzi kale.

Monga kusabereka koyambirira, kusabereka kwachiwiri kumatha kuchitika chifukwa cha vuto nthawi iliyonse yachilengedwe - komanso zovuta - njira zofunika kuti mukhale ndi pakati. Kubereka kwanu kumatha kusintha ngakhale mwana atabadwa. (Ndipo mnzanuyo amatha kusintha ndi nthawi komanso - zambiri pa mphindi.)

Vuto limatha kuchitika ndi imodzi kapena zingapo mwa izi:

1. ovulation (dzira limasulidwa)
2. umuna wa dzira ndi umuna
3. kuyenda kwa dzira la umuna kupita ku chiberekero
4. Kuika dzira la umuna m'chiberekero

Tsopano, pali mndandanda wautali wa matenda ndi zikhalidwe - komanso kukhumudwitsa "kusabereka kosadziwika" komwe kumatha kubweretsa zovuta. Koma tisanakambirane, nkofunika kudziwa kuti akazi onsewa ndipo amuna atha kuthandizira kusabereka.

Nkhaniyi ikukamba za amayi, koma pali chinthu chachikazi ndi chachimuna mwa maanja omwe akusowa chamba. Ndipo mu 8 peresenti ya milandu, ndi chinthu chamwamuna chokha.

Nchiyani chimayambitsa kusabereka kwachiwiri?

Kusabereka koyambirira komanso kwachiwiri nthawi zambiri kumafanana chifukwa chimodzimodzi. Chofunikira kwambiri kudziwa ndikuti, nthawi zambiri, kusabereka ndiko osati vuto lanu. Tikudziwa kuti izi sizimapangitsa kukhala kosavuta kuthana nazo, koma zitha kukuthandizani kuti mukhale ndi mphamvu zokuthandizani kupeza mayankho okhudzana ndi umboni omwe angakuthandizeni kuti mukhale ndi pakati.

Nazi zina mwazomwe zimayambitsa kusabereka konsekonse, zomwe nthawi zambiri zimakhudzana ndi kusabereka kwachiwiri.

Matenda a ovulation

Amayi ambiri osabereka amayamba chifukwa cha zovuta za ovulation. M'malo mwake, azimayi 40 pa 100 aliwonse omwe ali osabereka samatulutsa nthawi zonse. Mavuto okhala ndi ovulating amatha kuyambitsidwa ndi zinthu zingapo, monga:

• matenda a polycystic ovary (PCOS)
• kusakwanira koyambirira kwa ma ovari (POI)
• amachepetsa kupanga dzira kokhudzana ndi ukalamba
• chithokomiro kapena zovuta zina za endocrine zomwe zimakhudza kapangidwe ka mahomoni
• zinthu zina pamoyo wanu, monga kulemera, kudya, kumwa mowa mwauchidakwa kapena kugwiritsa ntchito mankhwala osokoneza bongo

Chimodzi mwazinthu zomwe zimayambitsa kusabereka kwa amayi ndi PCOS, zomwe zimapangitsa kuti thumba losunga mazira kapena ma adrenal gland apange mahomoni ochulukirapo omwe amalepheretsa mazira kutulutsa mazira. Zitha kuchititsanso kuti ma cyst akhale ndi mazira ambiri omwe amatha kusokoneza kutulutsa kwamimba.

Nkhani yabwino ndiyakuti pali mankhwala othandiza a PCOS. M'malo mwake, chithandizo chamankhwala (zambiri pamunsimu) zitha kubweretsa mimba yabwino kwa azimayi omwe ali ndi PCOS.

Mavuto ndi chiberekero kapena mazira

Mavuto amangidwe angakhudze kuthekera kwanu kutenga pakati. Mwachitsanzo, ngati pali chotchinga m'machubu, umuna ndi dzira sizingakumane. Chiberekero chimathanso kukhala ndi vuto linalake lomwe limalepheretsa kuyika.

Nazi zina mwazomwe zimakhudza mazira kapena chiberekero.

• endometriosis
• uterine fibroids kapena polyps
• chibayo cha chiberekero
• kusakhazikika kwa chiberekero, monga chiberekero cha unicornuate

Endometriosis ndikofunikira kuyitanira, chifukwa imakhudza mpaka 10 peresenti ya azimayi.

Kuphatikiza apo, iyi ya endometriosis komanso kusabereka imagawana ubale wolimbikitsa - 25 mpaka 50% ya azimayi omwe alibe chonde ali ndi endometriosis.

Kusabereka kwachiwiri chifukwa cha endometriosis kumatha kubwera pambuyo pochiyera kapena kuchita opaleshoni ya uterine, pomwe ma cell a uterine amatha kusokonekera ndikuyamba kuyamba kapena kukulira.

C-gawo zipsera

Ngati munali ndi nthawi yobereka ndi mimba yapitayi, ndizotheka kukhala ndi zipsera m'mimba, yotchedwa isthmocele. Isthmocele imatha kubweretsa kutupa m'chiberekero komwe kumakhudza kuyika.

Ndemanga momwe isthmocele ingachiritsidwe bwino kuti ipititse patsogolo chonde. Poterepa, mayiyu adatenga pakati kudzera mu vitro feteleza (IVF) pambuyo poti isthmocele ithe ndi opaleshoni.

Matenda

Matenda - kuphatikizapo matenda opatsirana pogonana - amatha kuyambitsa matenda am'mimba. Izi zitha kubweretsa zipsera komanso kutsekeka kwamachubu oyambira. Matenda a papillomavirus (HPV) a anthu (ndi mankhwala ake) amathanso kukhudza ntchofu ya khomo lachiberekero ndikuchepetsa kuberekanso.

Nkhani yabwino: Matendawa atachiritsidwa msanga, kubereka kumachepa.

Matenda osokoneza bongo

Chiyanjano pakati pa zovuta zama autoimmune ndi kusabereka sichimamveka bwino. Mwambiri, zovuta zama autoimmune zimapangitsa kuti thupi liziukira matupi athanzi. Izi zitha kuphatikizanso ziwalo zoberekera, nazonso.

Matenda a autoimmune monga Hashimoto's, lupus, ndi nyamakazi yam'mimba imatha kukhudza kubereka poyambitsa kutupa m'chiberekero ndi m'mimba. Ndipo, mankhwala omwe amathandizira pamavutowa atha kuthandizanso.

Zaka

Tikudziwa kuti iyi ndi nkhani yovuta, koma mwatsoka, palibe njira yozungulira. Sayansi imati m'badwo umenewo amachita amatenga gawo pobereka. M'badwo wolumikizanawu monga chinthu chofunikira kwambiri pakubala kwachiwiri poyerekeza ndi kusabereka koyambirira. Pakafukufuku, azaka zapakati pa mabanja anali okwera pakati pa omwe anali osabereka.

Mwachilengedwe, kubereka kumakwera pafupifupi zaka 20 kwa azimayi ndipo kumayamba kuchepa ali ndi zaka 30 - ndikuchepetsa kwakukulu pofika zaka 40. Izi sizikutanthauza kuti kukhala ndi pakati kwabwino sangatero zimachitika pazaka zapakati kwambiri za amayi. Zingatenge nthawi yayitali kapena zovuta kwambiri.

Zifukwa zosamveka

Ndi yankho lomwe palibe mkazi amene amafuna kumva, koma nthawi zina (ndipo zomvetsa chisoni kuti nthawi zambiri) madokotala sangapeze chifukwa chodziwikiratu cha kusabereka kwachiwiri. Pambuyo pa kuyesa kwa mabatire, chithandizo ndi "mayesero" ambiri, timadziwa kuti zingakhale zosavuta kutaya chiyembekezo.

Koma chonde kumbukirani kuti thupi lanu limatha kusintha, zidziwitso zatsopano zamankhwala zitha kuwonekera, ndipo tsogolo likhoza kugwira chilichonse chomwe mwakhala mukuyembekezera. Chifukwa chake gwirani ntchito ndi dokotala wanu kuti musasiyire pomwepo paulendo wanu woyembekezera.

Chithandizo cha kubereka kwachiwiri

Ngati mudakhala ndi pakati mosavuta, izi zitha kukhala zowopsa komanso zosazolowereka - komanso zovuta. Koma chithandizo cha kusabereka chimayamba ndikazindikira chomwe chimayambitsa. Chifukwa chake, adotolo angakulimbikitseni mayeso ena. Mayesowa atha kukhala:

• kuyesa magazi kuti muwone kuchuluka kwa mahomoni anu
• mayesero ovulation
• kuyeza m'chiuno
• X-ray kuti muwone machubu anu oyambira
• ultrasound yakunja
• mayesero ena kuti muwone chiberekero ndi khomo pachibelekeropo

Ngati mayesero anu abweranso opanda mbendera zofiira, dokotala wanu atha kupereka lingaliro loyang'ana mayeso a kusabereka kwa abambo. (Pepani, amayi: Ndizowona m'moyo kuti tidayikidwa pansi pa maikulosikopu poyamba.)

Mukadziwa chifukwa chake, dokotala wanu akhoza kupanga njira yothandizira kuti mukulitse mwayi wokhala ndi pakati. Nawa mankhwala ena wamba osabereka azimayi.

Mankhwala

Mankhwala nthawi zambiri amagwiritsidwa ntchito kuti mahomoni azolowereka. Nthawi zina, mankhwala opititsa patsogolo chonde amalimbikitsidwa kuti athandizire ovulation.

Chifukwa PCOS ndi yomwe imayambitsa kusabereka, ndikofunikira kudziwa kuti chithandizo chamankhwala chimatha kuphatikizira mankhwala othandizira kutulutsa mazira owonjezera kuwonjezera pa njira zamoyo, monga kulemera bwino ngati dokotala angaganize kuti kulemera ndichinthu china.

Opaleshoni

Nthawi zina, mungafunike kuchitidwa opaleshoni. Pali njira zingapo zopangira opaleshoni zomwe zitha kuthana ndi vuto monga uterine fibroids, uterine scarring, kapena advanced endometriosis. Zambiri mwa njirazi zimachitidwa mosavomerezeka.

Hysteroscopy imagwiritsidwa ntchito pozindikira ndikuchiza zovuta za chiberekero, monga ma polyps ndi endometriosis. Laparoscopy ndi njira yothandizira kuzindikira kusabereka pomwe njira zina sizinapambane ndipo zitha kugwiritsidwa ntchito ndi hysteroscopy ngati chithandizo chothandiza.

Kuchita maopaleshoni kumawopsa, koma kuuzidwa kuti pali njira yothetsera kusabereka kwanu ndi nkhani yolimbikitsa kwambiri.

Ukadaulo wapamwamba wa uchembere (ART)

Mimba yopambana imatha kukhala ndi ma ART. Zina mwazofala kwambiri ndi intrauterine insemination (IUI) ndi IVF.

Ndi IUI, umuna umasonkhanitsidwa ndikulowetsedwa muchiberekero nthawi yovundikira. Mu IVF, mazira azimayi amatengedwa komanso umuna. Mu labu, dzira limakumana ndi umuna momwe zimakhalira mazira. Kenako, mwana wosabadwa (kapena wopitilira m'modzi) amaikidwa mchiberekero cha mkazi.

Njirazi zitha kukhala zabwino. Idawonetsa kuti ma 284,385 ma ART omwe adachitika ku United States mu 2017 adabweretsa kubadwa amoyo 68,908 ndi ana 78,052 obadwa (inde, izi zikutanthauza kuchulukitsa!). Ndiko kupambana kwa 24 peresenti.

Malangizo pakuthana ndi kusabereka kwachiwiri

Kulimbana ndi kubereka kwachiwiri kungakhale kovuta. Kusankhidwa kwa madokotala kosatha, mayeso, njira, ndi mankhwala. Usiku wosagona. Nthawi ndi mphamvu kutali ndi mwana wanu. Kudziimba mlandu kuti ndikufuna kukhala ndi pakati pomwe azimayi ambiri akuvutika kuti akhale ndi izi. Kupsinjika pakati pa inu ndi mnzanu. Zachisoni mukaitanidwa china kusamba kwa ana - komanso kudziimba mlandu ngakhale kumva choncho.

Mndandandawu sutha. Ndiye nazi malangizo angapo okuthandizani kuthana ndi vutoli.

• Pewani kudziimba mlandu nokha kapena mnzanu. Nthawi zambiri, sekondale sizimachokera ku chilichonse chomwe inu kapena mnzanu mwachita. Khalani oganiza bwino ndi adotolo pazomwe mukukumana nazo komanso njira zochitira umboni kuti muthane nazo.

• Khalani otsimikiza. Sakani nkhani zopambana - alipo ambiri kunjaku. Yang'anani mkati mwa netiweki yanu kapena magulu othandizira kuti mupeze azimayi ena omwe amakumanapo ndi kusabereka. Lumikizanani nawo ndikugawana nkhani zanu. Phunzirani zomwe adachita, madotolo omwe agwirapo nawo ntchito, komanso zomwe zidawathandiza kuti akhale ndi pakati.

• Lumikizanani ndi mnzanu. Kupsinjika kwa kusabereka kumatha kuwononga ngakhale ubale wabwino kwambiri. Tengani nthawi yolumikizana ndi mnzanu. Lankhulani za momwe mukumvera, fotokozerani zomwe zikukudetsani nkhawa, ndipo gwirani ntchito limodzi ndi pulani yopitilira kumvana. Nonse mudzakhala olimba kuyenda msewu wovutawu ngati mukuchita nawo pafupi.

• Ganizirani pazomwe mungathe kuwongolera. Pali zinthu zambiri m'manja mwanu kuti muchepetse chonde. Chimodzi mwazodzisamalira. Tengani mbali pothandiza kuthana ndi nkhawa, kukhala ndi moyo wathanzi, komanso kufunafuna mayankho atsopano omwe angakuthandizeni kuti mukhale ndi pakati. Bweretsani malingaliro atsopano ndi kuzindikira kwa dokotala wanu kuti mukambirane.

• Pezani thandizo lanu. Munthu aliyense amene akudwala matenda osabereka amafunika kuthandizidwa molimba. Lankhulani ndi anthu amene mumawakhulupirira, ndipo nthawi zonse lankhulani ndi dokotala wanu ngati mukukumana ndi zodandaula zamatenda, monga kusowa chiyembekezo komanso kukhumudwa.

Kutenga

Kusabereka kwachiwiri kumatha kuvulaza wina aliyense, kuphatikiza inu, mnzanu, komanso okondedwa anu. Ndikofunika kulankhula ndi dokotala za zonse nkhawa zanu, zovuta zanu, ndi zolinga zanu.

Mwanjira iyi, mutha kutsogozedwa kuzinthu zoyenera zomwe zingakuthandizeni paulendo wanu woberekeranso. Khalani olimba (ndibwino kulira inunso), dalirani maukonde anu othandizira, yang'anani nkhani zopatsa chidwi, komanso ayi kutaya chiyembekezo.