Indlela Yokubona Nokubhekana Nezimbangela Zokungazali Okwesibili?

Uzama ukuba nenye ingane kodwa akuphumeleli? Awuwedwa. Ukungabi nenzalo kwesibili kungaba isipiliyoni esimangazayo nesidumazayo kubabaningi bemibhangqwana. Kwenzeka uma unenkinga yokukhulelwa noma yokuphatha ukukhulelwa kuze kufike esikhathini ngemva kokuba usuvele ube nengane eyodwa noma ngaphezulu. Lokhu kungenzeka kokubili kwabesilisa nabesifazane, futhi ukuqonda izizathu ezahlukene zokungabi nenzalo kwesibili kungakusiza uqonde ukuthi kwenzekani nokuthi yiziphi izinyathelo ongazithatha ngokulandelayo.

Kuyini Ngempela Ukungabi Nenzalo Kwesibili?

Ngakho-ke, uke waba nengane phambilini, manje usazama futhi, kodwa izinto azihambi kahle njengoba ubukulindele. Lokho yilokho esikubiza ngokungabi nenzalo kwesibili. Kuyenzeka uma umbhangqwana ehluleka ukukhulelwa noma agcine ukukhulelwa ngemva kokuba sebevele bene ngane eyodwa ngokwemvelo. Lesi simo singakhathaza futhi sidide njengokungabi nenzalo kokuqala. Izindaba ezinhle? Ukwazi ukuthi yini engase ibangele lokhu kungakusiza uqondise izinyathelo zakho ezilandelayo [1].

Ithiphu Eyinhloko: Uma usuzame izinyanga eziyisithupha kuya konyaka ngaphandle kwempumelelo, cabanga ukukhuluma nodokotela ukuze uhlole ezinye izinketho.

Yini Engaba Izimbangela Zokungabi Nenzalo Kwesibili?

Iminyaka: Isici Esikhulu

Ake sikhulume iqiniso—iminyaka ibalulekile. Enye yezimbangela ezinkulu zokungabi nenzalo kwesibili wukuguga nje. Kwabesifazane, amandla okukhulelwa ayancipha kakhulu ngemva kweminyaka engu-35 [2]. Abesilisa nabo abakhethiwe; ikhwalithi nenani lesidoda kungancipha njengoba iminyaka ihamba.

Iseluleko: Uma uneminyaka engaphezu kwengu-35 futhi usuzame izinyanga eziyisithupha ungaphumeleli, cishe sekuyisikhathi sokubona udokotela okhethekile.

Ukungalingani Kwamahomoni

Ukungalingani kwamahomoni kungaba nomthelela omkhulu ezizathwini zokungabi nenzalo kwesibili. Izimo ezifana ne-polycystic ovary syndrome (PCOS) noma izinkinga ze-thyroid zingaphazamisa ukukhishwa kwamaqanda kwabesifazane noma zithinte ukukhiqizwa kwesidoda kwabesilisa. Lezi zinkinga zingavela kancane kancane ungazelele, noma izinto bezihamba kahle ngesikhathi sokuqala [3].

Ithiphu Eyinhloko: Ukuhlola izinga lakho lamahomoni njalo kungasiza ukubona ukungalingani kusenesikhathi futhi kugcine ukuzala kwakho kuhamba kahle.

Izinkinga Zomzimba noma Ukuhlinzwa Kwesikhathi Eside

Kwesinye isikhathi, inkinga ayihlangene neminyaka noma amahormone; iwukomzimba. Ukwelashwa kokuhlinzwa, izifo, noma izimo ezifana ne-endometriosis kungavimba amathumbu amaqanda noma kuthinte isibeletho, okwenza kube nzima ukuthi abesifazane bakhulelwe [4]. Abesilisa nabo bangase babhekane nezinkinga zomzimba ezifana ne-varicocele (imithambo emikhulu esikhumbeni se-scrotum) ethinta ikhwalithi yesidoda.

Ithiphu Ehamba Phambili: Ungazideli izivivinyo zezempilo ezijwayelekile; ukuthola izinkinga zomzimba kusenesikhathi kungaholela ekwelashweni okusheshayo nokusebenza kangcono.

Uma unentshisekelo yokuqonda umehluko phakathi kokungabi namandla okuphathelene nokuzala nokungazali, le ndatshana inikeza imibono ewusizo yokuthi kwehluka kanjani nokuthi kusho ukuthini ohambweni lwakho lokuzala.

Ukuthola Ukuxilongwa Kokungazali Kwesibili

Uma usola ukungazali kwesibili, kubalulekile ukubona umhlinzeki wezempilo. Kungenzeka enze izivivinyo ezimbalwa—njengezivivinyo zegazi zokuhlola amazinga ama-hormone, ukuhlaziywa kwesidoda kwabesilisa, ne-ultrasound noma ezinye izivivinyo zokubuka ngaphakathi ukubona ukuthi kukhona yini izinkinga zesakhiwo [5].

Iqiniseka: Ungalibambezeli ukuya ukuhlolwa. Uma wazi okwenziwayo kusenesikhathi, uyashesha ukuthatha izinyathelo zokukulunga.

Yiziphi Izinketho Zokwelashwa?

Uma ubhekene nokungazali kwesibili, ziningi izindlela ongabhekana ngazo nokwelashwa kuye ngesizathu esiyisisekelo:

• Imithi Yokuzala: Le mithi ingasiza ukuvuselela ukuchuma kwamaqanda kwabesifazane futhi ithuthukise ikhwalithi yesidoda kwabesilisa.
• Izindlela Zokuzala Ezisizwa Ngobuchwepheshe (ART): Izinqubo ezifana ne-Intrauterine Insemination (IUI) noma i-In Vitro Fertilization (IVF) zingakhulisa amathuba akho.
• Ukuhlinzwa: Uma kukhona izinkinga zesakhiwo, njengokuvinjelwa kwemithambo noma ama-fibroid, kungase kudingeke ukuhlinzwa ukuze kusulwe lokho kuvinjelwa.

Ithiphu Ehamba Phambili: Impilo enhle ihambisane nokwelashwa okufanele kwezokwelapha ingenza umehluko omkhulu emathubeni akho okuphumelela.

Uma ungaqiniseki ukuthi ngabe uhlangabezana nezimpawu zokungazali yini, lo mhlahlandlela uzokusiza ukubona izimpawu ezivamile ezingase zikhombise inkinga yokuzala.

Imicabango Yokugcina

Ukuqonda izimbangela zokungachumi kwesibili kuyisinyathelo esibalulekile kunoma yimuphi umbhangqwana ozama ukukhulelwa futhi. Ngokubona lezi zinto nokuthatha izinyathelo ezisebenzayo—kungaba ukuya kudokotela, ukwenza izinguquko endleleni yokuphila, noma ukuhlola imikhiqizo esekela inzalo—ungakhulisa amathuba akho okwandisa umndeni wakho. I-Conceive Plus inikeza uhla lwemikhiqizo yokusekela inzalo, ikunikeze umfutho owengeziwe kuhambo lwakho.

Imibuzo ejwayele ukubuzwa

Kuyini ukungachumi kwesibili, futhi kubathinta ubani?

Ukungachumi kwesibili wukuthi umbhangqwana akakwazi ukukhulelwa noma ukuphatha ukukhulelwa kuze kufike esikhathini sokuzalwa ngemva kokuba sebevele benezingane eyodwa noma ngaphezulu. Kuthinta abesilisa nabesifazane futhi kungadalwa izizathu ezahlukene ezifana neminyaka yobudala, izinguquko endleleni yokuphila, noma izinkinga zezokwelashwa.

Ingabe amadoda angaba nokungachumi kwesibili?

Yebo, amadoda nawo angabhekana nokungachumi kwesibili ngenxa yokwehla kwenani lesidoda, ukunyakaza kabi kwesidoda, ukungalingani kwamahomoni, noma izinguquko endleleni yokuphila ezifana nokukhuluphala noma ukubhema.

Ingabe indlela yokuphila iyithinta kanjani inkinga yokungachumi kwesibili?

Izinto zendlela yokuphila ezifana nokubhema, ukuphuza utshwala, ukudla okungelona elinempilo, nokukhuluphala ngokweqile zingathinta kabi inzalo kwabesilisa nakwabesifazane. Ukwenza izinqumo zokuphila ezinempilo kungakhulisa amathuba akho okukhulelwa.

Kufanele sifune usizo nini ngokungachumi kwesibili?

Uma uneminyaka engaphansi kwangu-35 futhi usuvele uzama ukukhulelwa unyaka wonke, noma uneminyaka engaphezu kwengu-35 futhi uzama izinyanga eziyisithupha, sekuyisikhathi sokubonana nochwepheshe ukuze uthole isiqondiso.

Izinkomba

1. Gnoth C, Godehardt E, Frank-Herrmann P, Friol K, Tigges J, Freundl G. Incazelo nobuningi bokungachumi nokungazali. Hum Reprod. Kutholakala ku: https://pubmed.ncbi.nlm.nih.gov/15802321/
2. te Velde ER, Pearson PL. Umehluko ekugugeni kokuzala kwabesifazane. Hum Reprod Update. Kutholakala ku: https://pubmed.ncbi.nlm.nih.gov/12099629/
3. Witchel SF, Oberfield SE, Peña AS. Isifo se-Polycystic Ovary Syndrome: i-pathophysiology, ukuvela, nokwelashwa ngokugcizelela amantombazane asakhula. J Endocr Soc. Kutholakala ku: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6676075/
4. D'Hooghe TM, Debrock S, Hill JA, Meuleman C. I-Endometriosis nokungachumi: ingabe lobu budlelwane sebuchaziwe? Semin Reprod Med. Kutholakala ku: https://pubmed.ncbi.nlm.nih.gov/12917793/
5. Ikomidi Elisetshenziswayo le-American Society for Reproductive Medicine. Ukuhlolwa kokuxilongwa kowesifazane ongenazo inzalo: umbono wekomidi. Fertil Steril. Kutholakala ku: https://pubmed.ncbi.nlm.nih.gov/25936238/