Okumele Ukwazi Ngokungachazeki Kokungazali Nezimbangela Zakhona?

Uma ufunda lokhu, kungenzeka uzizwa udangele futhi udidekile ngokuthi kungani ukukhulelwa kungenzeki kalula njengoba ubulindele. Ukungazali okungachazwanga yigama elingangeza kulowo mzwa wokudumala. Kuwukuthi zonke izivivinyo ezijwayelekile ozenzayo ukuze uthole ukuthi kungani ungakhuleli ziphuma zijwayelekile. Azikho izinkinga ezicacile, azikho izimpendulo ezicacile. Lolu hlobo lokungazali luvame ukubizwa ngokuthi ukungazali okunezizathu ezingaziwa ngoba, iqiniso, izizathu zalo azikaqondwa ngokuphelele. Kodwa ungapheli ithemba—kusenokuningi ongakwenza. Ake singene kahle ukuthi le ngxilongo isho ukuthini ngempela futhi yiziphi izinyathelo ongazithatha.

Kusho Ukuthini Ngempela Ukungazali Okungachazwanga?

Pho, kuyini ngempela ukungazali okungachazwanga? Ngamafuphi, kuwukuthi usufake umzamo wokukhulelwa isikhathi esingaphezu konyaka (noma izinyanga eziyisithupha uma unesikhathi esingaphezu kweminyaka engu-35) futhi, emva kwazo zonke izivivinyo, konke kubonakala kulungile ephepheni. Nayi into lezo zivivinyo ezivame ukuyibheka:

• Ingabe uyakhulula iqanda njalo (uyavulateza njalo)?
• Ingabe amashubhu akho e-fallopian avulekile futhi ahlanzekile?
• Ingabe kukhona inani elanele lamaqanda ema-ovari akho?
• Ingabe amazinga akho amahomoni ajwayelekile?
• Isidoda somlingani wakho sibukeka sinjani maqondana nenani, ukunyakaza nesimo?

Uma konke kuhlolwa kuvele kulungile, kodwa usangenzi ukukhulelwa, usubhekene nokungazali okungachazwanga. Lokhu kungazwakala njengenkinga yokukhulelwa engachazwanga lapho izizathu eziqondile zihlala ziyimfihlakalo. Ungase uzwe kuchazwa njengokungazali okunezizathu ezingaziwa, futhi yilapho ukucasuka okuningi kuvela khona—ukuthi awunampendulo ecacile.

Yini Engase Ibe Ngemuva Kokungazali Okungachazwanga?

Yize kubizwa ngokuthi ukungazali okungachazwanga, kukhona ezinye izimbangela ezingaba khona zokungazali okungachazwanga ezingase zifihlwe zingabonakali. Ezinye zezinto ezingaba yimbangela zifaka phakathi:

• Ukungalingani Okuncane Kwamahomoni: Amahomoni adinga ibhalansi ebucayi. Ngisho nokungalingani okuncane okungaveli ezivivinyweni ezijwayelekile kungenza umehluko omkhulu [1].
• Ikhwalithi Yamaqanda Nesidoda: Ngezinye izikhathi akukhona inani lamaqanda noma isidoda elibalulekile, kodwa ikhwalithi yawo. Izinkinga ezincane lapha zingase zingabanjwa ukuhlolwa okuvamile [2].
• Izinkinga Ezincane Zesibeletho Noma Zamashubhu E-fallopian: Ngezinye izikhathi, izinguquko ezincane noma izinkinga esibelethweni noma emashubhini e-fallopian azibonakali ezivivinyweni eziyisisekelo kodwa zisengabangela izinkinga [3].
• Izinkinga Zezitho Zomlomo Wesibeletho (cervical mucus): Umucu womlomo wesibeletho udlala indima enkulu ekusizeni isidoda sifinyelele eqandeni. Uma umucu mzima kakhulu noma unenhlaka engafanele, ungavimba isidoda ekufikeni lapho okufanele siye khona [4].
• Izinkinga Zokuhlela Isikhathi: Kungenzeka ukuthi nje uphuthelwa iwindi elifanele kakhulu lokukhulelwa. Isikhathi sibalulekile, futhi uma isikhathi singalungile kahle, ukukhulelwa ngeke kwenzeke [5].

Yini Ongayenza Ngokungazali Okungachazwanga?

Uma usunikezwe isahluzo sokungabi nenzalo okungachazwanga, kujwayelekile ukuzizwa udidekile. Kodwa kukhona izinto eziningana ongazizama ukuze uthuthukise amathuba akho okukhulelwa:

• Izinguquko Zendlela Yokuphila: Ngezinye izikhathi, ukwenza izinguquko ezimbalwa eziphilayo kungaletha umehluko omkhulu. Ukudla kahle, ukugcina isisindo esinempilo, ukuyeka ukubhema, ukunciphisa utshwala, nokwehlisa i-stress konke kungasiza. Akusona isixazululo esisheshayo, kodwa lezi zinguquko zingadala indawo esekelayo kakhulu yokukhulelwa [6].
• Imithi: Imithi yokusiza ukuzala enjenge-Clomiphene (Clomid) noma i-Letrozole ingasiza ukuvuselela ukuvuthwa kwamaqanda. Le mithi ivamise ukuhlanganiswa ne-intrauterine insemination (IUI), uhlelo lapho isidoda sifakwa ngokuqondile esibelethweni ukuze kwandiswe amathuba okuchumisa [7].
• Ubuchwepheshe Obusizwa Ekuzaleni (ART): Uma ezinye izindlela zingakasebenzi, kunezinketho ze-ART ezifana ne-IUI kanye ne-in vitro fertilization (IVF). I-IVF ihilela ukukhipha amaqanda nokuwachobozela ngamanzi esidoda elabhorethri, bese umbungu ubuyiselwa esibelethweni. Lokhu kungasiza kakhulu uma izizathu ezingaziwa zokungabi nenzalo zihilela izinkinga zamaqanda noma esidoda ezingatholakali kalula [8].
• Ukulitshela Ngesikhathi Esifanele: Ngezinye izikhathi kumayelana nokuwuthola kahle nje umgudu wesikhathi. Ukusebenzisa ama-ovulation predictor kits noma ukulandelela izinga lokushisa komzimba wesisekelo kungakusiza uthole izinsuku ezinhle kakhulu zokuzama ukukhulelwa. Le ndlela ingasiza ukukhulisa amathuba akho, ikakhulukazi uma ukungabi nenzalo okungachazwanga kwenza izinto zibe nzima kakhulu kunalokho obukulindele.

Iseluleko Esiphezulu: Kungakusiza ukuba ugcine i-journal yokuzala ukuze ulandele umjikelezo wakho, izimpawu, nanoma yiziphi izindlela zokwelashwa noma izinguquko zendlela yokuphila ozizamayo.

Ingabe Usengakhulelwa Uma Unokungabi Nenzalo Okungachazwanga?

Yebo impela. Ukuba nokungabi nenzalo okungachazwanga akusho ukuthi ngeke ukhulelwe. Imibhangqwana eminingi enalesi sigaba iyakhulelwa, kungaba ngokwemvelo noma ngosizo oluthile. Kungase kuthathe isikhathi eside, futhi kungazwakala sengathi ugibele i-rollercoaster, kodwa kubalulekile ukuhlala unethemba. Khumbula ukuthi ukubekezela, ukuqhubeka nokuzama, futhi kwesinye isikhathi ubuciko ekukhetheni izindlela zokwelapha, kungakusiza kakhulu.

Iseluleko Esiphezulu: Gcina umqondo omuhle futhi ukhumbule ukuthi awuwedwa. Imibhangqwana eminingi ebhekene nokungabi nenzalo okungachazwanga ithola impumelelo ngezindlela ezahlukene.

Imicabango Yokugcina

Ukuhamba udlule enyameni yokungabi nenzalo okungachazwanga kunzima, kodwa akusho ukuphela kwendlela. Kukhuluma ngokuzama ukuqonda ukuthi yini engase ibangele inkinga, noma izimbangela zokungabi nenzalo okungachazwanga zingabonakali ngokushesha. Ukusebenza eduze nodokotela wakho, ukuhlola izindlela ezahlukene zokwelashwa, nokwenza ezinye izinguquko endleleni yakho yokuphila konke kungakusiza uqhubekele phambili. Khumbula, akukho mpendulo efana nawo wonke umuntu lapha, kodwa ngokuzimisela nokusekelwa, imibhangqwana eminingi iyathola indlela.

Imibuzo Evame Ukubuzwa

Kuyini ukungabi nenzalo okungachazwanga?

Ukungabi nenzalo okungachazwanga kuba khona lapho yonke imiphumela yokuhlolwa kokuzala ijwayelekile, kodwa isibini sisahluleka ukukhulelwa ngemuva konyaka omningi sizama.

Kungani kuba khona ukungabi nenzalo okungachazwanga?

Kunezizathu eziningi ezingaholela ekungabini nenzalo okungachazwanga, okuhlanganisa ukungalingani kwamahomoni, izinkinga zekhwalithi yamaqanda noma yesidoda, noma izinkinga ezincane zesakhiwo somzimba ezingatholakali kalula ekuhlolweni.

Yiziphi izinketho zokwelashwa kokungabi nenzalo okungachazwanga?

Ukwelashwa kungahlanganisa ukuguqula indlela yokuphila, ukuthatha imithi, kanye nezindlela zokuzalisa ezisizwa ubuchwepheshe ezifana ne-IUI ne-IVF.

Ingabe kungenzeka ukukhulelwa ngokwemvelo uma kunokungabi nenzalo okungachazwanga?

Yebo, izibini eziningi ezinezingqinamba zokungabi nenzalo ezingachazwanga ekugcineni ziyakhulelwa ngokwemvelo, ikakhulukazi uma sekulungiswe isikhathi sokuzama kanye nendlela yokuphila.

Izinkomba

1. Vannuccini S, Clifton VL, Fraser IS, Taylor HS, Critchley H, Giudice LC, Petraglia F. Infertility and reproductive disorders: impact of hormonal and inflammatory mechanisms on pregnancy outcome \- Ukungabi nenzalo nezifo zokuzala: umthelela wezindlela zamahormone nezokuvuvukala emiphumeleni yokukhulelwa. Hum Reprod Update. Kutholakala ku-: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7289323/
2. Agarwal A, Majzoub A, Baskaran S, Panner Selvam MK, Cho CL, Henkel R, Finelli R, Leisegang K, Sengupta P, Barbarosie C, Parekh N, Alves MG, Ko E, Arafa M, Tadros N, Ramasamy R, Kavoussi P, Ambar R, Kuchakulla M, Robert KA, Iovine C, Durairajanayagam D, Jindal S, Shah R. Sperm DNA Fragmentation: A New Guideline for Clinicians \- Ucezwana lwe-DNA lwesidoda: Umhlahlandlela Omusha wochwepheshe bezokwelapha. World J Mens Health. Kutholakala ku-: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7502318/
3. Infertility Workup for the Women's Health Specialist: ACOG Committee Opinion, Number 781 \- Ukuhlolwa kokungabi nenzalo kochwepheshe bezempilo yabesifazane: Umbono weKomidi le-ACOG, Inombolo 781. Obstet Gynecol. Kutholakala ku-: https://pubmed.ncbi.nlm.nih.gov/31135764/
4. Daunter B, Khoo SK. Role of cervical mucus in human infertility \- Indima kawoyela wesibeletho ekungabini nenzalo kubantu. Aust N Z J Obstet Gynaecol. Kutholakala ku-: https://pubmed.ncbi.nlm.nih.gov/6398697/
5. Wilcox AJ, Weinberg CR, Baird DD. Timing of sexual intercourse in relation to ovulation. Effects on the probability of conception, survival of the pregnancy, and sex of the baby \- Isikhathi sokwabelana ngesondo maqondana nokuvuthwa kwamaqanda: umthelela emathubeni okukhulelwa, ekuphikeleleni kokukhulelwa, nasesini somntwana. N Engl J Med. Kutholakala ku-: https://pubmed.ncbi.nlm.nih.gov/7477165/
6. Anderson K, Nisenblat V, Norman R. Lifestyle factors in people seeking infertility treatment \- A review \- Izinto zokuphila kubantu abafuna ukwelashwa kokungabi nenzalo \- ukubuyekeza. Aust N Z J Obstet Gynaecol. Kutholakala ku-: https://pubmed.ncbi.nlm.nih.gov/20218991/
7. Legro RS, Brzyski RG, Diamond MP, Coutifaris C, Schlaff WD, Casson P, Christman GM, Huang H, Yan Q, Alvero R, Haisenleder DJ, Barnhart KT, Bates GW, Usadi R, Lucidi S, Baker V, Trussell JC, Krawetz SA, Snyder P, Ohl D, Santoro N, Eisenberg E, Zhang H; NICHD Reproductive Medicine Network. Letrozole versus clomiphene for infertility in the polycystic ovary syndrome \- i-Letrozole iqhathaniswa ne-clomiphene ekwelapheni ukungabi nenzalo kubantu abanesifo sama-polycystic ovary. N Engl J Med. Kutholakala ku-: https://pubmed.ncbi.nlm.nih.gov/25006718/#:~:text=Conclusions%3A%20As%20compared%20with%20clomiphene,gov%20number%2C%20NCT00719186.).
8. M. Brandes, C.J.C.M. Hamilton, J.O.M. van der Steen, J.P. de Bruin, R.S.G.M. Bots, W.L.D.M. Nelen, J.A.M. Kremer, Unexplained infertility: overall ongoing pregnancy rate and mode of conception \- ukungabi nenzalo okungachazwanga: izinga eliphelele lokukhulelwa eliqhubekayo nendlela yokukhulelwa, Human Reproduction. Kutholakala ku-: https://academic.oup.com/humrep/article/26/2/360/595834

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