Yiziphi izimpawu ezivamile zokungabi nenzalo okufanele uzazi?

Uzama ukuba nengane kodwa akwenzeki? Kungaba nzima kakhulu. Ukuqonda izimpawu zokungazali kungaba yisinyathelo sokuqala ekutholeni ukuthi kwenzekani. Ukungazali wukuthi uma umbhangqwana engakwazi ukukhulelwa ngemuva konyaka wocansi olujwayelekile, olungavikelekile. Noma ezinyangeni eziyisithupha, uma owesifazane engu\-35 nangaphezulu. Ukwazi izimpawu zokungazali kusenesikhathi kungaletha umehluko omkhulu. Ukuze ukwazi ukuthatha isinyathelo masinyane [1].

Kuyini Ukungazali?

Kulungile, pho, kuyini ukungazali vele? Incazelo yokungazali ilula kakhulu—wukuthi uma umbhangqwana engakwazi ukukhulelwa ngemuva kokuzama kakhulu. Kodwa kuyidlula lokho. Kusho ukuthi kukhona inkinga ohlelweni lokuzala lomunye wabalingani. Noma womabili. Ungase uzibuze, kusho ukuthini ukuthi umuntu akanamandla okuzala? Hhayi, ngokuvamile kusho ukungakwazi ukukhulelwa ingane ngokwemvelo noma ukuphatha ukukhulelwa kuze kufike esikhathini sokubeletha. Kulula kanjalo [2].

Izimpawu Zokungazali Kwabesifazane

Manje, ake sikhulume ngezimpawu zokungazali kwabesifazane. Ezinye zicacile, njengokungayi esikhathini nhlobo noma imijikelezo yokuyeka ukuya esikhathini engajwayelekile kakhulu. Izimpawu zokungazali kowesifazane zingafaka nokuhlungu okukhulu kwesikhathi noma ubuhlungu esiswini sezitho zangasese. Ngezinye izikhathi kuba yizifo ezifana ne\-PCOS noma i\-endometriosis ezibangela lezi zinkinga [3]. Lezi ezinye zezimpawu nezimpawu zokungazali kowesifazane. Kuhle ukuya kudokotela uma ubona lezi zimpawu. Ngoba ukungenelela kusenesikhathi kuyasiza.

Izimpawu Zokungazali Emadodeni

Futhi madoda, ningacabangi ukuthi nisinde engozini. Kunophawu lokungazali nakubantu besilisa. Izinkinga ezifana nenani eliphansi lesidoda, isivinini esimbi sokuhamba kwesidoda, noma ukuma okungajwayelekile kungaba yinkinga enkulu [4]. Wake uke wazibuza ukuthi wazi kanjani uma ungowesilisa ongenamandla okuzala? Ukuhlolwa kwesidoda kungaba ukuhlolwa okulula okukhombisa okuningi. Amadoda angase abe nokwehla kwesifiso socansi noma ubunzima bokuchama phakathi nocansi (ukuchama kwesidoda). Lezi izimpawu zesixwayiso okungafanele uzinganaki.

Izimpawu Zokungakwazi Ukuzala

Ungase uzibuze ukuthi, “ngingase ngingakwazi yini ukuzala”? Noma ucabange ngezimpawu zokungakwazi ukuzala. Lokhu kungakhathaza. Kubesifazane, kungasho ukuvulation okungajwayelekile noma ukungabe usaba nokuya esikhathini nhlobo. Kwabesilisa, kungaba mayelana nekhwalithi noma inani lesidoda sabo. Ukwazi lezi zimpawu kungakusiza ukuthi uthathe izinyathelo zokufuna usizo kusenesikhathi [5].

Ukwazi Kanjani Uma Ungakwazi Ukuzala?

Ngakho-ke, wazi kanjani ukuthi awunamandla okuzala? Umbuzo omuhle. Akulula njalo ukukuthola. Bobabili abangane bangase badinge ukwenza olunye uhla lokuhlolwa. Abesifazane bavame ukudinga ukuvavanywa kwegazi ukuze kubhekwe amazinga ama-hormone noma mhlawumbe i-ultrasound ukuze kubhekwe izitho zokuzala [6]. Kwabesilisa, imvamisa kuqala ngokuhlaziywa kwesidoda. Uma ubona izimpawu zokuthi awukwazi ukukhulelwa, ungabambezeli isikhathi eside ngaphambi kokukhuluma nodokotela.

Izimpawu Nezimpawu Zokungabi Nenzalo Okuphelele

Kukhona futhi umqondo wezimpawu nezimpawu zokungabi nenzalo okuphelele. Kuzwakala kwesabeka, akunjalo? Kuyindlela nje enye yokukhuluma ngokungabi nenzalo okukhulu lapho ukukhulelwa ngokwemvelo kungase kungenzeki. Kubesifazane, lokhu kungasho amapayipi ama-fallopian avalekile noma izinkinga ezinkulu ekuvulation. Kwabesilisa, kungasho ukuthi akekho nhlobo isidoda esinempilo. Lezi zimo zidinga ukunakwa okujulile kwezokwelapha kanye nezinhlobo ezahlukene zokwelashwa [7].

Ukungabi Nenzalo Kwabesilisa: Okubalulekile Okufanele Kucatshangelwe

Ake singene kujule kancane ekungabi nenzalo kwabesilisa. Imvamisa kudalwa yisidoda. Wake wezwa umuntu ebabuza ethi, “kungani uma ngichama esidodeni kungaphumi lutho” noma ubuze ukuthi kusho ukuthini uma indoda ichama kungaphumi sidoda esinempilo? Lokho kuba lapho isidoda sendoda sincinci kakhulu noma singekho nhlobo, noma isidoda singasenampilo. Lokhu kungabangelwa ukuvinjelwa kwemithambo, amazinga ama-hormone aphansi, noma nezinkinga zofuzo. Kunzima, kodwa ukwazi ukuthi yini inkinga kungasiza ukuthola ukwelashwa okufanele.

Indlela Yokubona Uma Indoda Ikhona Amandla Okuzala

Kulungile, manje mhlawumbe uyazibuza, ukuthi ungakwazi kanjani ukubona ukuthi indoda iyakwazi ukuzala? Noma ukuthi, ungakwazi kanjani ukubona ukuthi indoda inamandla okuzala? Okokuqala, cishe uzolithola ukuhlolwa kwesidoda. Lena yindawo enhle yokuqala kuyo. Lolu vivinyo lubheka impilo yesidoda—liningi kangakanani, linyakaza kanjani, nokuthi libukeka lijwayelekile yini. Kodwa ngezinye izikhathi kudingeka kubhekwe namazinga ama-hormone. Ukuqinisekisa nje ukuthi akukho okunye okungahambi kahle.

Izimpawu Zezinkinga Zokuzala

Kokubili amadoda nabesifazane bangaba nezimpawu zezinkinga zokuzala. Kungaba ukungalingani kwamahomoni, izinqumo zendlela yokuphila njengokubhema noma ukuphuza kakhulu, noma izimo ezifana ne-PCOS kwabesifazane noma i-varicocele emadodeni. Kwesinye isikhathi abantu bafunda bengazi ukuthi bangazenza kanjani bengenalo ikhono lokuzala ngokungazinaki impilo yabo noma bavezwa kumakhemikhali ayingozi. Lokhu kuyisikhumbuzo esihle sokwenza izinqumo ezinempilo.

Indlela Yokwazi Uma Indoda Iyakwazi Ukuzala

Ufuna ukwazi ukuthi umuntu angazi kanjani ukuthi indoda iyakwazi ukuzala? Ngaphandle kokuhlolwa kwezokwelapha njengokuhlaziywa kwesidoda, ukugcina impilo enhle kubalulekile. Ukudla, ukuzivocavoca, nokugwema ubuthi kubalulekile. Futhi uma ucabanga, ukuthi ungabona kanjani ukuthi umfana uyakwazi ukuzala, kumayelana nokubheka izinombolo kanye nendlela yokuphila. Kokubili kubalulekile kakhulu.

Izimpawu Zokuzala Emadodeni

Ufuna ukubona izimpawu zokuvundeka emadodeni? Inani lesidoda elinempilo, ukuhamba kahle (motility), nokuma okujwayelekile kubalulekile. Amadoda avame ukubuza, umuntu angazi kanjani ukuthi indoda iyakwazi ukuzala noma indoda ingazazi kanjani ukuthi iyakwazi ukuzala. Izimpendulo zitholakala ezivivinyweni ezilula nasekuthatheni imikhuba emihle yokuphila. Ukugwema ukubhema, ukuphuza utshwala ngokweqile, nokugcina ukudla okunempilo nohlelo lokuzivocavoca kubaluleke kakhulu.

Umfana Wami Akananzalo, Ngabe Ngingakhulelwa?

Lokhu kuwukukhathazeka okuvamile: "umfana wami akakwazi ukuba nenzalo ngingakhulelwa na". Impendulo ayisolokhu ingu-cha. Kukhona izinketho ezifana ne-IVF noma i-IUI ezingasiza. Ngisho noma kunezinkinga ngesidoda, ubuchwepheshe bezokwelapha banamuhla busezingeni eliphezulu. Izibini zinemizila eminingi abangayihlola.

Iqiniso Ngokungabi Nenzalo

Ukwazi amaqiniso athile ngomkhuba wokungabi nenzalo kungasiza ngempela ekulawuleni okulindelwe nokuhlela. Ukungabi nenzalo kungenzeka kunoma ubani—amadoda nabesifazane ngokulinganayo. Futhi akukhulunywa nje kuphela nge-ubudala bokuzala kwamadoda, yize iminyaka ibalulekile. Indlela yokuphila, umlando wezokwelashwa, ngisho nezinto ezisemvelweni zidlala indima. Ukwazi lokhu kungakusiza uthathe izinyathelo ezingcono kusenesikhathi.

Okufanele Ukukhumbule

Ukubona izimpawu nezimpawu zokungabi nenzalo kowesifazane noma ukuqaphela izimpawu zokuvundeka kowesilisa kuyisinyathelo sokuqala. Uma usuvele uzama ukukhulelwa unyaka wonke ngaphandle kwenhlanhla, kungenzeka sekuyisikhathi sokubona udokotela okhethekile ngezokuzala. Conceive Plus inomkhiqizo eminingi emihle enama-vitamin namaminerali asekelayo impilo yokuzala. Angasiza ngempela ukudala indawo engcono yokukhulelwa.

Imibuzo evame ukubuzwa

Yiziphi izimpawu eziyinhloko zokungazali?

Isibonakaliso esikhulu ukungakwazi ukukhulelwa ngemuva konyaka wokuzama. Ezinye izimpawu zingaba imijikelezo yokuya esikhathini engekho njalo kowesifazane noma isibalo esiphansi semenene kowesilisa.

Ingabe bobabili ozakwethu bangakwazi ukuba abangazali?

Yebo, kungenzeka. Ngezinye izikhathi bobabili ozakwenu bangaba nezinkinga ezenza kube nzima ukukhulelwa.

Yiziphi izindlela ezivamile zokwelapha ukungazali?

Kunezinketho eziningi: izinguquko zendlela yokuphila, imithi, kanye nokwelashwa okuthuthukile okwengeziwe njenge-IVF noma i-IUI.

Ngiyobona nini udokotela mayelana nokungazali?

Uma ungaphansi kweminyaka engu-35 futhi usuzame unyaka wonke, noma ungaphezu kweminyaka engu-35 futhi uzame izinyanga eziyisithupha kungaphumeleli, kuhle ukuya kudokotela.

Izinkomba

1. Mascarenhas MN, Flaxman SR, Boerma T, Vanderpoel S, Stevens GA. Izindlela zikazwelonke, zesifunda, nezomhlaba wonke ekwandeni kokusabalala kokungazali kusukela ngo-1990: ukuhlaziywa okuhlelekile kwezibalo zezempilo ezingu-277. PLoS Med. Kuyatholakala ku: https://pubmed.ncbi.nlm.nih.gov/23271957/
2. Zegers-Hochschild F, Adamson GD, Dyer S, Racowsky C, de Mouzon J, Sokol R, Rienzi L, Sunde A, Schmidt L, Cooke ID, Simpson JL, van der Poel S. I-International Glossary on Infertility and Fertility Care, 2017. Hum Reprod. Kuyatholakala ku: https://pubmed.ncbi.nlm.nih.gov/29117321/
3. Practice Committee of the American Society for Reproductive Medicine. Ukuhlolwa kokuxilonga kowesifazane ongazali: umbono wekomiti. Fertil Steril. Kuyatholakala ku: https://pubmed.ncbi.nlm.nih.gov/25936238/
4. Agarwal A, Mulgund A, Hamada A, Chyatte MR. Umbono oyingqayizivele ngokungazali kowesilisa emhlabeni jikelele. Reprod Biol Endocrinol. Kuyatholakala ku: https://pubmed.ncbi.nlm.nih.gov/25928197/
5. Rossi BV, Abusief M, Missmer SA. Izici Ezingenziwa Zishintshe Zobungozi Nokungazali: Zixhumene Ngani? Am J Lifestyle Med. Kuyatholakala ku: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5007064/
6. Barratt CLR, Björndahl L, De Jonge CJ, Lamb DJ, Osorio Martini F, McLachlan R, Oates RD, van der Poel S, St John B, Sigman M, Sokol R, Tournaye H. Ukuxilongwa kokungazali kowesilisa: ukuhlaziywa kobufakazi bokusekela ukuthuthukiswa kwemihlahlandlela yomhlaba ye-WHO – izinselelo namathuba ocwaningo lwesikhathi esizayo. Hum Reprod Update. Kuyatholakala ku: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5850791/
7. Collins JA, Van Steirteghem A. Ukubikezela okuphelele ngokwelashwa kwamanje kokungazali. Hum Reprod Update. Kuyatholakala ku: https://pubmed.ncbi.nlm.nih.gov/15192058/