Kuyaziwa kahle ukuthi abantu abakhuluphele babhekana nezinkinga eziningi zempilo. Basengozini enkulu yezifo zenhliziyo, umfutho wegazi ophezulu nokuguquguquka kwezinga likashukela emzimbeni. Kodwa okuthiwa kuvame ukukhohlakaliseka ukuthi abesifazane abakhuluphele baphinde babhekane nezinkinga zokungazali. Lezo zinkinga zingaba zimbi kakhulu zize ziholele ekungazaleni kwesikhathi eside; okungukuthi ukungakwazi ukuzala ngisho nasekusetshenzisweni kwezobuchwepheshe bokusiza ekuzaleni.

1. UKUKHULUPHALA KUTHINTA KABI UKUCHUMISA

Kunzima kakhulu kowesifazane okhuluphele ukuthi akhulelwe: amafutha aqoqekile azungeze isisu emzimbeni enza kube nzima ukuthi iqanda lichunyiswe ngendlela efanele isidoda esinempilo.

2. UKUKHULUPHALA KUTHINTA KABI UMJIBELO WOKUYA ESIKHATHINI

Kowesifazane ofuna ukukhulelwa, umjibelo wakhe wokuyesikhathini kudingeka ube njalo njalo. Nokho njengoba ukukhuluphala kuthinta umjibelo wokuyesikhathini, lokhu kwenza kube nzima ukubikezela ukuthi uzoba nesikhathi sokuzala nini.

3. UKUKHULUPHALA KUKHULISA UBUNGOZI BOKUFELELWA

Umphumela wokukhuluphala ekuzaleni nasekhukhulelweni uhlanganisa ubungozi obukhulu bokufelelwa. Amafutha azungeze isibeletho acindezela umbungu futhi adale izinkinga zokondleka.

4. UKUKHULUPHALA KUNGAHOLELA ESINDROMU YE-POLYCYSTIC OVARIAN

I-polycystic ovarian syndrome ingenye yemiphumela yokukhuluphala ekuzaleni nasekhukhulelweni. Kuyiphazamiseko yamahomoni ephazamisa umjikelezo ojwayelekile wokuyesikhathini nokuya esikhathini sokuchumisa (ovulation), ngaleyo ndlela kubangele ukungazali.

5. UKUKHULUPHALA KUNGAKHAHLAKISELA UKUDLULA KWE-OESTROGEN

Ukukhuluphala futhi kuzokhulisa inani lama-oestrogen, yize lo homoni ubalulekile ngesikhathi sokukhulelwa, ukuba nawo ngokweqile kuzothinta ukwazi ukuzala nokukhulelwa.

6. UKUKHULUPHALA KUNGAKHULISA IZINGA LAMA-ANDROGEN

I-Hyperandrogenism ukwedlula ngokweqile kwezinga lama-androgen, okubangelwa ukukhuluphala. Kubhekwa njengesimbangela yokuphazamiseka komjikelezo wesibeletho emjikelezweni wanyanga zonke kowesifazane.

7. UKUKHULUPHALA KUYEHLA UMPHUMELO WOKWELASHWA KOKUNGAZALI

Omunye umphumela wokukhuluphala ukwehla kwempumelelo yokwelashwa kokungazali nezinye izindlela zobuchwepheshe bokusiza ekuzaleni, njengokuchumisa iqanda ngaphandle kwesibeletho (in vitro fertilization, IVF), ukufakwa kwesidoda ngaphakathi kweqanda (ICSI) njalonjalo.

8. UKUKHULUPHALA KUNGADALA UKUMELANA NE-LEPTIN

I-Leptin iyiprotheni ekhona emzimbeni esiza ukulawula isisindo somzimba nokuzala. Kodwa omunye umphumela ongalindelekile wokukhuluphala ekuzaleni nasekhukhulelweni ukuthi yenza le protheni ye-leptin ingasebenzi, okwaholela ezinkingeni zokungazali.

ISIPHETHO

Ukukhuluphala kunomthelela oqondile ekuzaleni okungafanele ucatshangelwe kancane. Wonke ilingana elengeziwe phezu kwe-body mass index yakho enempilo lingaqala kancane kancane ukuthinta ukuzala kwakho futhi liholele ekukhuluphaleni. Lokho ngokwalo kungenza kube cishe nzima kakhulu ukuzala ingane. Izinkinga zokungazali zibhekene ngisho nabesifazane abanomjikelezo ojwayelekile wokuchumisa uma kwenzeka sebenesisindo esingaphezu kokuvamile. Kodwa akusikho nje ukuthi abesifazane kuphela okufanele bakhathazeke. Amadoda nawo athwala umthwalo wokukhuluphala: Izeluleko Zokuzala Zamadoda

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