Zomwe Muyenera Kudziwa Zokhudza Kusabereka ndi Momwe Mungakulitsire Mavuto Oberekera

Zamkati

• Kutanthauzira kwachonde
• Zomwe zimayambitsa kusabereka
• Mavuto ovuta
• Kutsekeka kwa chubu la fallopian
• Zovuta za chiberekero
• Mavuto opanga umuna kapena ntchito
• Mavuto pakubwera kwa umuna
• Zowopsa
• Kuzindikira kusabereka
• Chithandizo cha kubereka
• Kulimbikitsa zovuta zakutenga pakati
• Chithandizo chamankhwala
• Chithandizo cha amuna
• Chithandizo cha amayi
• Tekinoloje yothandizira kubereka
• Kulera
• Kuyesera kutenga pakati mwachilengedwe motsutsana ndi kuyamba chithandizo chamankhwala
• Tengera kwina

Kutanthauzira kwachonde

Mawu oti kusabereka komanso kusabereka amagwiritsidwa ntchito mosinthana, koma sizofanana. Chonde ndikuchedwa kutenga pakati. Kusabereka ndiko kulephera kutenga pakati mwachilengedwe patatha chaka chimodzi kuyesera.

Pobereka, kuthekera koyembekezera mwachilengedwe kulipo, koma kumatenga nthawi yayitali kuposa pafupipafupi. Mwa kusabereka, mwayi wokhala ndi pakati popanda chithandizo chamankhwala sichingachitike.

Malinga ndi kafukufuku, maanja ambiri amatha kukhala ndi pakati mwakanthawi mkati mwa miyezi 12 atagonana mosadziteteza.

Zomwe zimayambitsa kusabereka

Zambiri mwazomwe zimayambitsa kubereka ndizofanana ndi kusabereka. Kuvuta kutenga pakati kumatha kukhala chifukwa cha zovuta za kusabereka kwa amuna kapena akazi, kapena kuphatikiza zonse ziwiri. Nthawi zina, chifukwa chake sichidziwika.

Mavuto ovuta

Chifukwa chofala kwambiri chobzala ndi vuto la ovulation. Popanda ovulation, dzira silimasulidwa kuti likhale ndi umuna.

Pali zinthu zingapo zomwe zingalepheretse ovulation, kuphatikizapo:

• polycystic ovary syndrome (PCOS), yomwe imatha kuteteza ovulation kapena kuyambitsa ovulation mosasinthasintha
• kuchepa kwa malo osungira mazira (DOR), komwe kumachepetsa kuchuluka kwa dzira la mayi chifukwa cha ukalamba kapena zina, monga matenda kapena opaleshoni yam'mbuyomu
• Kulephera kwa mazira msanga (POI), komwe kumatchedwanso kusamba msanga, kumene mazira ambiri amalephera asanakwanitse zaka 40 chifukwa cha matenda kapena mankhwala, monga chemotherapy
• mikhalidwe ya hypothalamus ndi pituitary gland, yomwe imalepheretsa kutulutsa mahomoni ofunikira kuti azitha kugwira bwino ntchito

Kutsekeka kwa chubu la fallopian

Machubu olepheretsa mazira amalepheretsa dzira kukumana ndi umuna. Itha kuyambitsidwa ndi:

• endometriosis
• matenda otupa m'mimba (PID)
• zilonda zofiira kuchokera ku opaleshoni yapita, monga opaleshoni ya ectopic pregnancy
• mbiri ya chinzonono kapena chlamydia

Zovuta za chiberekero

Chiberekero, chomwe chimatchedwanso chiberekero, ndi kumene mwana wanu amakulira. Zovuta kapena zopindika m'chiberekero zimatha kusokoneza kuthekera kwanu kutenga pakati. Izi zitha kuphatikizira kubadwa kwa chiberekero, komwe kumakhalapo pakubadwa, kapena vuto lomwe limayamba pambuyo pake.

Zina mwa chiberekero ndi monga:

• chiberekero chopatukana, momwe kanyama kakang'ono kamagawaniza chiberekero m'magawo awiri
• chiberekero cha bicornuate, momwe chiberekero chimakhala ndi zibowo ziwiri m'malo mwa chimodzi, chofanana ndi mawonekedwe amtima
• chiberekero chachiwiri, momwe chiberekero chimakhala ndi zibowo ziwiri zing'onozing'ono, chilichonse chimakhala ndi potseguka pake
• fibroids, zomwe zimakula modabwitsa mkati kapena pachiberekero

Mavuto opanga umuna kapena ntchito

Kupanga umuna kapena ntchito yachilendo kumatha kubweretsa kuchepa kwa thupi. Izi zitha kuyambitsidwa ndi zinthu zingapo, kuphatikiza:

• chinzonono
• chlamydia
• HIV
• matenda ashuga
• matumba
• khansa ndi chithandizo cha khansa
• mitsempha yowonjezera m'mayesero, otchedwa varicocele
• zolakwika zamtundu, monga matenda a Klinefelter

Mavuto pakubwera kwa umuna

Mavuto pakubwera kwa umuna atha kupangitsa kuti kukhale kovuta kutenga pakati. Izi zitha kuyambitsidwa ndi zinthu zingapo, kuphatikiza:

• zikhalidwe, monga cystic fibrosis
• Kutulutsa msanga msanga
• kuvulala kapena kuwonongeka kwa ma testes
• zolakwika, monga kutsekeka kwa machende

Zowopsa

Zinthu zina zimawonjezera chiopsezo chobereka. Zambiri mwaziwopsezo zomwezi ndizofanana poberekera kwa amuna ndi akazi. Izi zikuphatikiza:

• kukhala wamkazi wazaka zopitilira 35
• kukhala wamwamuna wazaka zopitilira 40
• kukhala wonenepa kwambiri kapena wonenepa kwambiri
• kusuta fodya kapena chamba
• kumwa mowa kwambiri
• kupsinjika kwakuthupi kapena kwamaganizidwe
• kukhudzana ndi radiation
• mankhwala ena
• kukhudzana ndi poizoni wa chilengedwe, monga lead ndi mankhwala ophera tizilombo

Kuzindikira kusabereka

Katswiri wokhudzana ndi chonde angathandize kuzindikira chomwe chimayambitsa kubereka. Dokotala ayamba kutolera mbiri ya zamankhwala komanso zogonana za onse awiriwo.

Dokotalayo ayang'ananso thupi, kuphatikiza kuyeza m'chiuno kwa azimayi komanso kuyesa maliseche kwa amuna.

Kuwunika kwa chonde kumaphatikizanso mayeso angapo. Mayeso omwe atha kulamulidwa kwa amayi ndi awa:

• transvaginal ultrasound kuti muwone ziwalo zoberekera
• kuyesa magazi kuyeza kuchuluka kwa mahomoni okhudzana ndi ovulation
• hysterosalpingography kuti muwone momwe matumba ndi chiberekero zilili
• malo osungira thumba losunga mazira amayesedwa kuti aone ngati mazira ali abwino kapena kuchuluka kwake

Kuyesedwa kwa amuna kungaphatikizepo:

• Kusanthula umuna
• kuyesa magazi kuti adziwe kuchuluka kwa mahomoni, kuphatikiza testosterone
• kuyerekezera kujambula, monga testicular ultrasound
• kuyesa majini kuti muwone zolakwika zomwe zingakhudze chonde
• testicular biopsy kuti izindikire zovuta

Chithandizo cha kubereka

Kukhala wosabereka m'malo mosabereka kumatanthauza kuti ndizothekanso kutenga pakati mwachilengedwe. Chifukwa chake chithandizo chobereka chimayang'ana kusintha kwa moyo ndi kuphunzira momwe mungakulitsire mwayi wanu woyembekezera.

Chithandizo chamankhwala ndi njira zina zimapezeka ngati zingafunike.

Kulimbikitsa zovuta zakutenga pakati

Nazi kusintha kwa moyo ndi malangizo omwe angapangitse mwayi wanu wokhala ndi pakati mwachilengedwe:

• Pewani kusuta, komwe kumakhudza kubereka kwa amuna ndi akazi.
• Siyani kumwa mowa.
• Pitirizani kulemera bwino, popeza kunenepa kwambiri kapena kunenepa kwambiri kumatha kukhudza kubereka.
• Gwiritsani ntchito zida zogwiritsira ntchito ovulation kuti mupeze nthawi yabwino panthawi yanu yogonana.
• Tsatirani kutentha kwa thupi lanu kuti mudziwe nthawi yomwe muli achonde kwambiri.
• Pewani kutentha kwambiri, monga ma saunas, omwe angakhudze umuna ndi motility.
• Chepetsani kumwa khofiine, yemwe amalumikizidwa ndi kusabereka kwa amayi.
• Lankhulani ndi dokotala zamankhwala anu, monga ena amadziwika kuti amakhudza chonde.

Chithandizo chamankhwala

Chithandizo chamankhwala chimadalira chifukwa cha kusabereka kapena kusabereka. Chithandizo chimasiyanasiyana pakati pa amuna ndi akazi.

Chithandizo cha amuna

Chithandizo cha amuna chitha kuphatikizira kuchiza mavuto azaumoyo kapena:

• opaleshoni yokonza varicocele kapena blockage
• Mankhwala othandizira testicular ntchito, kuphatikiza kuchuluka kwa umuna ndi mtundu
• njira zobweretsera umuna kuti upeze umuna mwa amuna omwe ali ndi vuto lakuthira kapena pamene madzi otuluka alibe umuna

Chithandizo cha amayi

Pali zochiritsira zingapo zingapo zothandizira kubwezeretsa chonde kwa amayi. Mungafunike chimodzi kapena kuphatikiza zingapo kuti mukhale ndi pakati.

Izi zikuphatikiza:

• mankhwala obereketsa owongolera kapena opangitsa chonde
• Kuchita opaleshoni kuti athetse mavuto a chiberekero
• intrauterine insemination (IUI), yomwe ikuyika umuna wathanzi mkati mwa chiberekero

Tekinoloje yothandizira kubereka

Tekinoloje yothandizira kubereka (ART) imatanthawuza njira iliyonse yothandizira kubereka kapena njira yomwe imakhudza kusamalira dzira ndi umuna.

In vitro feteleza (IVF) ndiyo njira yofala kwambiri ya ART. Zimaphatikizapo kupeza mazira azimayi m'mimba mwake ndikuwaphatikiza ndi umuna. Mazirawo amaikidwa mchiberekero.

Njira zina zitha kugwiritsidwa ntchito panthawi ya IVF kuti zithandizire kukulitsa vuto la kutenga pakati. Izi zikuphatikiza:

• intracytoplasmic umuna (ICSI), momwe umuna wathanzi umalowetsedwa dzira
• kuthandizira kuthyola, komwe kumathandizira kuyika mwa kutsegula chophimba chakunja cha mluza
• umuna kapena mazira opereka, omwe atha kugwiritsidwa ntchito ngati pali zovuta zina ndi mazira kapena umuna
• chonyamulira, chomwe ndi chosankha kwa amayi opanda chiberekero chogwira ntchito kapena omwe amaonedwa kuti ndi oopsa pathupi

Kulera

Kutenga ndi njira yokhayo ngati simungathe kutenga pakati kapena mukuwunika zina zomwe zingachitike kupyola chithandizo chamankhwala osabereka.

Ma blogi olera ndi gwero lalikulu ngati mukufuna chidziwitso chokhudza kukhazikitsidwa ndi kuzindikira kuchokera kwa anthu omwe adakwaniritsidwa.

Kuti mudziwe zambiri zakulera ana, pitani:

• National Council for Adoption
• Zothandizira Kulera
• Mabanja Olera

Kuyesera kutenga pakati mwachilengedwe motsutsana ndi kuyamba chithandizo chamankhwala

Akatswiri ambiri amalimbikitsa kulankhula ndi dokotala mutayesa kutenga pakati chaka chimodzi kwa azimayi ochepera zaka 35, kapena patatha miyezi isanu ndi umodzi azimayi azaka zopitilira 35.

Anthu omwe ali ndi zikhalidwe zodziwika bwino zamankhwala kapena ovulala omwe angakhudze mimba ayenera kuwona dokotala asanayese kutenga pakati.

Tengera kwina

Kusabereka kumatanthauza kuti kuyesa kutenga pakati kumatenga nthawi yayitali kuposa momwe amayembekezera. Ngakhale izi zingakhale zokhumudwitsa, kusintha kwamachitidwe ena kumatha kukulitsa mwayi wakutenga pakati.

Lankhulani ndi dokotala ngati mukudandaula za kubereka kwanu.