Ukuzala: Izinto ezi-5 Okumele Ukwazi

The questions young women face aren’t easy. How do we deal with our declining fertility and staying competitive with our male colleagues during our 20s and 30s? USelvaratnam uthatha indlela enokulinganisela, enengqondo kulokhu akhuluma ngakho; akakhuthazi muntu ukuthi aphuthume aye ukuzitholela ukukhulelwa engakakulungeli ngokuphelele. Kodwa okagcizelela ngakho kakhulu ukuthi ingxoxo mayelana nokuzala kwabesifazane ithule kakhulu. Kufanele sikhulume ngalezi zinto — noma umqondo wokuba nezingane ubukeka ukude kakhulu. Kufanele sithathe ukulawula isiphetho sempilo yethu, siqonde iqiniso le-IVF, futhi sivume iwashi lomzimba elingaguquki. Ngezansi, kunezindlela ezinhlanu ongathatha ngazo ukulawula ukuzala kwakho, manje manje. “Khuluma nodokotela wakho futhi ubheke amawebhusayithi e-Centers for Disease Control, Guttmacher Institute, Planned Parenthood, ne-RESOLVE, ukusho ambalwa. Inani lamaqanda esinalo ngesikhathi sokuqala ukuya esikhathini lisukela ku-300,000 kuya ku-400,000. Lapho uneminyaka engu-30, selisehlele phakathi kuka-39,000 no-52,000 (okungaba ngu-13% wamaqanda esasinawo ngesikhathi sokufikisa). Lapho uneminyaka engu-40, sehlele phakathi kuka-9,000 no-12,000 (okungaba ngu-3% wamaqanda esasinawo ngesikhathi sokufikisa) — futhi akuwona wonke la maqanda akwazi ukukhula abe yisisu. Lapho uneminyaka engu-15, owesifazane unethuba elingu-40% kuya ku-50% lokukhulelwa ngomjikelezo ngamunye cycle, kodwa ngemva kweminyaka engu-35, unethuba elingu-15% kuya ku-20%. Lapho eneminyaka engu-45? Unethuba elingu-3% kuya ku-5%.” “Kufanele sizibuze thina uqobo, ‘Ingabe ufuna ukuba umzali wesifazane, umama? Ingabe ufuna ukuba nomsebenzi/umsebenzi omkhulu? Ukuvumelana okuphelele kubukeka kanjani kuwena, futhi yiziphi izinyathelo okudingeka uthathe ukuze ukukufeza?’ Ngicabanga ukuthi kubaluleke kakhulu ukuthi izingxoxo ngalawa maphuzu zijwayeleke ukuze abantu bakwazi ukukhuluma ngokuvuleleka. Ngoba kaningi, lezi zingxoxo zizwakala zinengxabano kakhulu. Njengalapho omama nothisha batshela amantombazane, ‘Isikhathi sokuba nezingane sesifikile; ungabambezeli,’ — kuzwakala kuwukuphoqa ngokweqile. Ngicabanga ukuthi uma abantu bengavula izingxoxo ngendlela eqotho, beqonda, lapho bebhekana khona ngeqiniso bephethe izinhloso zabo — khona-ke ngikholelwa ukuthi nentuthuko ingenziwa. Endabeni yami, ngifisa sengathi kwakukhona umuntu owayengangitshela, ‘Kungenzeka ungafuni ingane eminyakeni yakho yama-20, kodwa kungafika isikhathi esizayo lapho uzoyifuna khona, ngakho cabanga ngezindlela ongazilungiselela ngazo kusenesikhathi.’ Ngokwesibonelo, manje, amantombazane aneminyaka emincane anemithombo eminingi kakhulu angayisebenzisa. Kunolwazi oluningi kakhulu olutholakalayo abangalufuna. Bavele bangazi ukuthi baqale kuphi. Akekho okutshela ukuthi uye kule sayithi ubuke lawa mashadi okuzala. Futhi, abakutsheli ukuthi mhlawumbe kufanele ucabangele ukugandaya (ukubanda) amaqanda akho ngesikhathi esesimweni esihle kakhulu. Lapho usufika eminyakeni yama-30, leyo khwalithi iyaqala ukwehla, ngakho mhlawumbe ungafuna ukuwagandaya useminyakeni yama-20 ukuze ube nezinketho eziningi esikhathini esizayo. Ukugandaya amaqanda akusiwona umqinisekiso. Kungenzeka kungasebenzi ngoba uzobe usuthembela kwisayensi yokuzala (reproductive science) ngoba ngeke ukwenze ngendlela yemvelo. Kodwa, kunikeza umuzwa owengeziwe wokuphepha ukube uzamile indlela yokugcina amandla akho okubamba ukhulelwe ngesikhathi usenkingeni yakho ephezulu yokuzala.” “Cabanga ukwenza ukuhlolwa okuphelele kokuzala (fertility workup) ukuze uthole umbono ongcono wesikhathi sakho somzimba (biological timeline) nezinkinga ezingaba khona ezifihlekile. Khuluma nodokotela wakho ukuthi lokhu kuhlolwa kungabandakanya ini futhi ubuze kusengaphambili ukuthi kuzokubiza malini. Ngokwesibonelo, ungahlolwa amazinga akho e-AMH (Anti-Mullerian Hormone), angasiza ukubikezela inani lamaqanda asele emaqandeni (ovarian reserve), ngokuhlolwa kwegazi. Empeleni yilezi zinga le-AMH nezinga le-FSH okufanele uzihlolwe — i-AMH okungama-anti-müllerian hormone kanti i-FSH okungama-follicle stimulating hormone — womabili alezi zinto zinkomba zenani lamaqanda asesele emaqandeni kanye nekhwalithi yawo. Izindaba ezinhle ukuthi lezi zivivinyo zegazi azibizi kakhulu. Uzokhokha cishe amakhulu ambalwa amadola. “Uma uthanda ukuba nezingane nomlingani, vula ingqondo kumlingani ozoba umzali omuhle. Ngaphambi kokwenza izibopho ezinzima kumlingani, cabangani futhi nikhulume ngezifiso zenu mayelana nokuzala (reproductive goals) nendlela enifuna ukukhulisa ngayo izingane. Kubalulekile ukuthi abantu babe nezingxoxo ezivulekile nomlingani wabo ngoba bobabili ebudlelwaneni akufanele bazizwe bangodwa ekuphishekeleni kwabo . Futhi akufanele bazizwe sengathi umlingani nje uhamba nomfutho wabo; kufanele kube yisinqumo enibambisene ngaso. Ngicabanga ukuthi ungafunda lukhulu ngomuntu ohamba naye ngokuba nalezi zingxoxo. Ngibona kaningi ukuthi amabhangqa ahlupheka uma ethola ubunzima bokuba nezingane ngoba abangezi nezinhloso ezibhekisisiwe kusenesikhathi mayelana nomthelela lowo mzamo ongaba nawo ebudlelwaneni babo. Bavele “bawing’e” izinto, bethi kuzohamba noma ngeke kuhambisane. Kodwa, kubeka ingcindezi enkulu yengqondo uma kungahambi kahle. Ngakho-ke, sengibone ubudlelwane obuningi, nobami buhlanganisa, obuwohloka ngesikhathi somzamo wokuba ngabazali, futhi ngivame ukuzibuza, “Ingabe kwakukhona izindlela esingazigwema ngazo lezo zimo eziyingozi (minefields) ukube sasingaxoxa kusengaphambili ngalokho esikufunayo ngempela nalokho esikulungele ukubhekana nakho, esikhundleni sokudinga ukusiphatha ngesikhathi sesimo?” Kunezikhathi lapho kuwuhlelo oluhle ukuhamba nje ngesikhathi, ungahlele, kodwa kukhona nezinye izikhathi — lapho umthwalo wengqondo umkhulu — lapho kungcono ukulungele kusenesikhathi.” “Qiniseka ukuthi unomshwalense wezempilo omuhle, futhi wazi ngezinqubomgomo eziphathelene nokuzala nokuzalana lapho uhlala khona futhi usebenza khona. Umshwalense uyinkinga eyinkimbinkimbi kakhulu, futhi wehluka isimo kuya kwesinye nesinqubomgomo kuya kwesinye. Kodwa imvamisa, ngaphandle kokuthi usuxilongwe ngokungabi nabantwana (infertility) (njengokwakuwumqondo wami), izivivinyo zivame ukubhekwa njengezokuzikhethela. I-IVF ibiza u-$10,000 kuya ku-$20,000 ngomjikelezo owodwa (per cycle), futhi uma ucabangela ukuthi kudinga imijikelezo eminingi, . Uma uhlala kwelinye lamazwe angu-15 adinga ukuthi kube nomshwalense wokungabi nabantwana, kungenzeka ukuthi ukwelashwa kwakho kwe-IVF kuzosekwa. Kodwa kukhona imikhawulo ngenani lemijikelezo ye-IVF ongayenza kanye nesikhathi okufanele uyenze ngaso. Ngokwesibonelo, ungavunyelwa ukwenza imijikelezo ethile kuphela ngaphakathi kwesikhathi esithile. Akulula ukukuqonda. Futhi, akukhona nje kuphela izindleko zezezimali, kodwa nezindleko ezingokomzwelo. Inqubo inzima kakhulu, futhi abantu abaqapheli size sibhekane nayo. Uzofaka umzimba wakho kumahomoni amaningi futhi uhlolwe ngezivivinyo eziningi, kuze uzizwe sengathi ungumenzelo welabhorethri. Futhi kuyacindezela kakhulu nakubabhangqa.” Uma uzama ukukhulelwa, ukusebenzisa i-Conceive Plus fertility lubricant kungasiza ukwandisa amathuba, ngendlela yemvelo. Sebenzisa esikhundleni se-lube ojwayele ukuyisebenzisa, i-Conceive Plus uwukuthambisa okuthambile okusiza ngempela inqubo yokukhulelwa. Thola lapho ongathenga khona lapha

Ulwazi mayelana ne-Conceive Plus

Uma usanda kuqala ukuzama ukukhulelwa noma usuvele uzama isikhathi esithile, Conceive Plus® ingangakusiza ukwandisa amathuba akho okukhulelwa ngendlela yemvelo! Inconywa odokotela, odokotela bama-chemist (pharmacists) kanye namaklinikhi okuzala (fertility clinics) emazweni angaphezu kuka-60, lokhu kuyithambisa elihambisana nokuzala eligunyazwe yi-FDA futhi awudingi umyalelo kadokotela (prescription).