"Asinako ukhulelwa ..." ndifanele ndenze ntoni xa ndingakwazi ukukhulelwa?

Ngelishwa, kwiminyaka yakutshanje, ukungachumi kusihlutha nolonwabo ngumama kwabasetyhini abaninzi. It ibuza: "Asinako ukufumana ukukhulelwa, kukunceda!" libhekisela iingcali, ezininzi izigulane Amaziko Reproductive Medicine. Kakade ke, wonk 'uyazi ukuba iindleko zeenkonzo ezinjalo kumakhulu amawaka, yaye maxa wambi amashumi amawaka eerandi, abaninzi kangaka ukhangela ezizezinye, ifikeleleke ngakumbi kubantu abaqhelekileyo.

Eyona eziphambili ezibangela ukungachumi

Ngokutsho kweengcali, kwi bengenamntwana sibini ukuya kuma-70% ityala elo ngezifo wenkazana sokuzala kwinkqubo. Zininzi izizathu ezibangela ukuba ukungachumi. Kulo mzekelo, xa umfazi ugqirha wathi: "Asinako ukhulelwa", ingcali lithethelela ukuba bapase iimviwo olubanzi omabini amaqabane. Ukuba akukho bantwana "akunatyala;" ziyafana zonke umfazi, ugqirha liya kugqiba ityala izifo uzenzele mbile ukuxilongwa. Xa nenzalo ephambili akunakwenzeka kwaye ukukhulelwa lokuqala kunye secondary - kukho iingxaki ukukhulelwa elandelayo. Oogqirha kuhlukaniswe zizathu zilandelayo eziphambili ngenxa apho umfazi akakwazi ukukhulelwa:

• isakhiwo okungaqhelekanga amalungu esini yabafazi. Kulo mzekelo, ezingaqhelekanga kwi isibeleko kakhulu ngokuqhelekileyo waphawula (kunokuba yinto encinane, egosogoso, bicornuate).

• Tshintsha ngenxa zizifo ezahlukahlukeneyo ezidalwe hormone.

• Iinkqubo ukudumba amalungu obuni (ingakumbi chronic). Ngenxa yoko, loo iimbandezelo basoloko ukusekwa azikhuli ekhokelela ukuvaleka tubes, nto leyo ethintela ukukhulelwa.

• ehlawulweyo nohlobo ezosulelayo esi sifo ezichaphazela notshintsho kubume kunye nokusebenza kwenkqubo ababhinqileyo okuzala.

Kwiminyaka yakutshanje, inani lwamabhinqa maternity ukhetha umsebenzi yimpumelelo, kwaye kanye ngenxa yobudala obunokubakho oomama kukho iingxaki ezininzi kunye kwezichumiso zendalo. Ngoko ke, isuka imitsi iminyaka zokuzala, ngokufuthi abafazi abaninzi ungafumana ukukhulelwa kuphela iindlela ngumntu. Amathuba okufumana ukukhulelwa emva kweminyaka 30 yehliswe ngokukhawuleza, ngoko oogqirha musa Siyaleza ukulibazisa ukuzalwa komntwana ixesha elide kakhulu. Xa nenzalo zasesekondari kufuneka kwenziwe la manyathelo alandelayo:

• hormone therapy, normalizing kunye uzinzo kwinkqubo yonyango.

• Ukususwa azikhuli kwi Imibhobho utyando.

• somyeni.

iindlela Artificial ukuba ukhulelwe

Ukuza kuthi ga ngoku, kukho iindlela ezininzi of amadlozi ngesirinji. Enye into ethandwa nezifikelelekayo intrauterine amadlozi. abafazi abaninzi babuyele koogqirha, esithi: "Ndiyathanda. ukukhulelwa ngokukhawuleza kangangoko kunokwenzeka ' Ngelo xesha linye Abaqondi ukuba nkqubo kuthatha ixesha elininzi kwaye asisiniki 100% isiqinisekiso salo yoko entle kuqala. Yintoni na le nto amadlozi intrauterine? Le ndlela isekelwe kulandelwe kwezichumiso elungiselelwe ngokukodwa iqabane amadlozi okanye donor (kwimeko indoda ukungachumi) ukuya wesibeleko. Emva kwale nkqubo, ukukhulelwa lwenzeka phantse ngokwendalo. Xa oku senye lweHo- zesibeleko angene kungena iityhubhu, yaye apho kukho isichumiso. Xa yencindi iintlobano eqhelekileyo, leyo emjelweni wesibeleko, unako ukuthintela ukukhulelwa, ekubeni yobudoda bangahlala kweli nqanaba. Ukunyusa amathuba kokukhulelwa, yenzala yaziswa nzulu kangangoko kunokwenzeka em- zesibeleko (kufutshane kumbhobho). Njengomgaqo, intrauterine amadlozi lisetyenziswa enkulu amaninzi kwezindlela amadlozi. Le nkqubo ayikho kubiza kakhulu, ngoko iyafumaneka phantse yonke umfazi.

Ubungqina obubonakalayo buxela ukuba intrauterine amadlozi

Ukuba iqalise le nkqubo uthe unalo okukhomba zilandelayo:

• inani elingonelanga amadlozi umntu okanye ukungabikho epheleleyo yayo.

• Amathuba High yokosulela eyingozi kwezifo zamafa.

• nenzalo.

• Ukwehluleka-ejaculatory uhlobo ngokwesini.

• Ukungabikho oliqabane umfazi.

• vaginismus and "factor wesibeleko."

izinga ukusebenza

Nangona izinga eliphezulu nemithi yenzalo, ukusebenza indlela amadlozi ngesirinji uvela-5 ukuya ku-35%. Yintoni na amathuba okufumana le ndlela ukhulelwe? Ngokutsho manani, kuba-15% kuphela. Ngelo xesha linye amadlozi ngesirinji ibonisa iziphumo ezintle ngexesha inkqubo kwabasetyhini abasebatsha. Ngeminyaka, amathuba ekukhawulweni liyancipha ngenxa ukuvuthuluka umgangatho yamaqanda. Xa kunjalo, xa zabanjwa 4-6 amalinge kwezichumiso, kunye nokukhulelwa lwenzeke, oogqirha bacebisa ukuba babuyele-in vitro (IVF).

Methods zefta nesipho

Abo izibini abaye batyhubela iinkqubo eziliqela, amadlozi ngesirinji, kodwa akazange afumane iziphumo ezidibanisayo, sibheka kuzo iziko lonyango kunye nesicelo: "Asinako ukufumana ukukhulelwa, kusinceda nangayiphi na indlela." Kulo mzekelo, iingcali ukuncoma iindlela ezimbini kwezichumiso intratubaturnyh:

1. zygotes Transfer (zefta), apho iseli aqhamileyo yaziswa ithumbu Imibhobho.

2. Transfer gametes (ISIPHIWO), xa iqanda (enye okanye ngaphezulu) ugalelwe sperm kwangena neetyhubhu.

Ngeli nkqubo, zonke imisebenzi zilawulwa ngokusebenzisa ultrasound okanye laparoscopy. Kukho iindlela ezimbini ezahlukeneyo lokufakela imbewu. E US kweqanda okanye elilodwa yaziswa nge wesibeleko, ngelixa laparoscopy - ukusuka eludongeni esiswini.

Ubungqina obubonakalayo buxela ukuba zefta nesipho

Ezi nketho walisebenzisa neqanda ngenxa nenzalo, oonobangela ezingaphunyezwanga nako ukumisa, njengoko kunjalo endometriosis. Zefta SIPHO nolusebenzayo kokulungileyo patency of the Imibhobho. Amathuba aphezulu kwesisu kukho ukusungulwa elilodwa (zefta). I-avareji ngenxa-30%. Ukuba isibini kwaye emva kokuba nkqubo kwakhona baye kugqirha ne umbuzo: "? Asikwazi ukufumana ukukhulelwa, sifanele senze ntoni", Iingcali bacebisa ukuba in vitro.

iingenelo IVF

Kufuneka senze ntoni ukuze ukukhulelwa ngale ndlela? Izigulane kufuneka kuphela Iqanda umfazi esempilweni kunye sperm umyeni wakhe (onikelayo). Ngethuba le nkqubo (emva konyango ekhethekileyo izinto imbewu) zixubene esipilini dish okhethekileyo kubushushu we 37 ° C. Emva kokufumana imibungu (2-4 iinyama) nokukhetha yeyona inokwenzeka kwaye usebenzisa okhethekileyo catheter Yazisa kubo kungena wesizalo ibinomthwebeba. Iiseli afunyaniswa emkhenkceni ivundiswe. Kwiveki emva kokuba inkqubo, wenze uvavanyo lokukhulelwa.

Zonke IVF, iquka oku kulandelayo manyathelo:

• Hyperstimulation ye zamaqanda ukuvelisa zoboya ezininzi.
• Ukukhethwa kwembewu kunye nokususwa amaqanda.
• Ukulinywa imibungu vitro iintsuku 2-5.
• Intshayelelo kwi isibeleko imibungu eziliqela.
• Ukulawulwa ukukhulelwa iiveki 10-12.

Le zibonisa ukuba neqanda

kusetyenziswa le ndlela amadlozi ngesirinji, yaye ababhinqileyo kunye ukungachumi eyindoda. Kwakhona, oko kumiselwe amabhinqa kunye nezithintelo kwemibhobho kunye xa nezinye iindlela unyango zange ukuzisa nawuphi umphumo. Ukusebenza ECO liphezulu kakhulu (malunga ne30-50%). Isiphetho kakhulu ngumona kunobangela nenzalo, lo mfazi ubudala, umzimba ngokwelitye. Ngelo xesha, xa isicelo yeengcali nako ukungena iimbumba isibeleko besini esithile ngabazali (ukunqanda izifo kunokwenzeka amafa).

Iipilisi ukukhulelwa

Nangona yokuba kwiimeko ezininzi le gynecologists amayeza elimisiweyo engazisi iziphumo ezinqwenelekayo, abafazi abaninzi bakholelwa ukuba ngoncedo lonyango olungummangaliso, baya kuba nako kumitha ngokukhawuleza. ladies ezininzi nibuyele iingcali: ndiya dwelisa iipilisi ukukhulelwa ... Noko ke, nokuba onamava ugqirha ayiyi kunika 100% isiqinisekiso lwamandle ngokorhwebo ezikhoyo nezixhobo. Kulo mzekelo, yeendleko zezi imithi liphezulu kakhulu, kwaye linokuba ekukhawulweni lisezantsi kakhulu. Kuyinto kwenzeke ukuba uphendule umbuzo zingaphi ungafumana ukukhulelwa emva iziyobisi ezizodwa. Nangona unyango olunjalo kuyandisa kakhulu amathuba kwesisu (ingakumbi xa zidityaniswe kunye nezinye iintlobo zonyango wenzala).

Zonke ezo asethi bohlulwa babe ngamaqela 3 eziphambili:

1. FSH (agents follicle-ushukumisa) kunye LH (luteinising ihomoni) ekhuthazayo ovulation. Ezi ziquka amayeza afana "Puregon", "Clomid", "menogon".

2. Amalungiselelo of hCG (chorionic human gonadotropin), ukunceda follicle inkulu ukukhulula eqandeni. Ezi ziquka: "Pregnil", "Profazi", "Horagon", "Gonakor".

3. imithi equlethe yiprogesterone. Bayenza ke endometrium (umaleko engaphakathi isibeleko) ukuqinisa oku elilodwa (bungu) kunye noncedo kokumitha. Ezi zibandakanya ezi machiza alandelayo: "Djufaston", "Utrozhestan".

Ukusebenzisa zonke ezi iziyobisi uvumelekile kumiselwe kuphela ngugqirha.

Kufuneka senze ntoni ukuze ukukhulelwa ngaphandle amachiza

abafazi abaninzi, emva iinzame eziliqela aluphumelelanga nangoku ukukhulelwa kwi umbulelo zabo ukuba imigqaliselo komjikelo yabo yenyanga nokuzoba up itshathi lobushushu. Amanye young amankazana encinane ulwazi lwakho lomzimba zomzimba sokuzala kwinkqubo. Ngoko ke, bona badla ova mbuzo: "Ngaba ndiya ukhulelwa imini phambi kokuba nyanga?" Ewe, kwenzeka, kodwa abafane (ukuba izinto ezinxaxhileyo ngokusebenza eqhelekileyo inkqubo sokuzala). Ukwazi iimpawu amalungu obhinqileyo, kunokwenzeka ukuba ukhethe mzuzu kakhulu ukuba akhulelwe, nto leyo edla kwandisa amathuba okufumana izihlandlo abakhulelweyo eziliqela. Ukuchumisa iqanda kwenzeka ngemihla ngokungqongqo ezithile sexesheni. Zibizwa ngokuba ovulation. Ngoko, ixesha kakhulu nempumelelo ekumitheni ziintsuku 1-3 kuphela. Ezinye iingcali athi nokuba umfazi kunempilo 2-3 imijikelo ngonyaka ngamnye ukuze nenzalo (ovulation engekho). Ekuqaleni komjikelo amabhinqa abasempilweni isizalo iqala akhule ngokukhawuleza iqanda. Embindini (malunga neentsuku ezili-14 emva kokuqala sexesheni) ovulation kwenzeka, ngexesha apho iqanda iphume isizalo, ize udlula kulo Imibhobho ityhubhu kungena wesibeleko. Apho adibana kunye amadlozi. Ngenxa neqanda lwenzeka ekhulelwe umntwana. I ayaqhama Iqanda ubizwa ngokuba elilodwa, nge ityhubhu kungena isibeleko, apho "esifakelweyo" ku ayo aphakathi nwebu (endometrium). Amathuba wokukhulelwa ukusa kwixesha ovulation iphezulu kakhulu, ngoko abafazi efuna ukuba ukhulelwe, kufuneka ijongwe rhoqo lobushushu kusasa Basal. Ngokuqhelekileyo, ukusebenza kwayo kwisigaba sokuqala somjikelo ngezantsi 37 ° C. Ukuphakamisa kwi 0.4 ° C okanye ngaphezulu ibonisa ovulation yenzekile. Sele iintsuku 1-2 phambi kokuba sexesheni ukuhla olomeleleyo lobushushu emzimbeni Uhlobo Lokuqala. Xa igrafu ikhangeleka ngathi egopheni obungabangeli mdla kunye ukuhla ezincinane ngaphakathi 36,9 ° C, ovulation ayenzeki, ngoko ke amathuba livela wokukhulelwa lincinane kakhulu.

Little Women Tricks

Kukho nezinye iindlela ukukhulelwa. Ibonakala ngexesha ngesondo kwakhona ukwandisa amathuba ukukhulelwa. Ukuba umntu othile wasetyhini ufuna ukuba ukhulelwe, kufuneka ukhethe yena indawo apho kwii-ubuninzi lobudoda. Eyona engcono indawo apho kwamathanga yeqabane abavuki. Kulo mzekelo, amadlozi ngokukhawuleza egqitha isibeleko, sivumele inani elikhulu amadlozi ukungena ezinzulwini yayo. Kwakhona, musa kuhlamba kakuhle ngoko nangoko emva neentlobano, njengokuba uninzi iiseli lwegciwane eyindoda livela wesibeleko zesibeleko, wabahlamba ngamanzi. Abanye abafazi babhenele syringing soda, leyo kunciphisa kwinqanaba asidi yencindi yomlomo. Ngenxa yoko, Kukho ngcono ithuba madlozi sokungena kwi isibeleko. Le nkqubo yenziwa ukuba imizuzu 20-25 phambi kokuba neentlobano zesini.

Njengoko ukhulelwe (iindlela esizwe)

abafazi abaninzi abafuni ukuba babuyele amadlozi ngesirinji okanye hayi ukuba imali ezi nkqubo, thelekisa kwi zokupheka ezithandwayo. Phambi kokuba wenze oko ukuzeyisa, kufuneka usoloko udibane nogqirha icebiso, ngenxa yokuba ukusetyenziswa kweziyobisi ezininzi amayeza intsomi kusoloko kukhokelela ukonakala kweendlela impilo yoomama. Amaninzi, zokupheka amayeza emveli ukunceda luxilongo ukungachumi eziziisekondari. Eziziiprayimari, ngelishwa, ezi ndlela zibonisa japan ephantsi kakhulu. ngempumelelo kakhulu unyango ukungachumi uthathwa alder. Ngezantsi kukho zokupheka kunye nale nto.

Nokubandakanywa ezingcanjini alder

Le nto zingathengwa kwi ekhemesti. I ingcambu bayisile ngendlela yekofu grinder ukuya ngumgubo. Le thermos ubuthongo 3 tbsp. icephe ekrwada kwaye obegalelwe ilitha 1 yamanzi abilayo. Nokuhlanganiswa kufuneka ube ukwimeko etywiniweyo kwiiyure ezingama-10. Ulwelo iphela, na ecociweyo kunye esetyenziselwa ukunkcenkceshela. Le nkqubo kwenziwa kakuhle phambi kokuba lokulala. Ikhosi ye unyango - iiveki ezi-3. Emva kweentsuku 7 kophazamiseko unyango ingaphinda-phindwa. Phambi iglu iinkqubo ingathatha ukuya 5-6 khosi. Ngoncedo yale nkqubo ngokubonakalayo kwandisa amathuba okuba ukhulelwe. Iintsuku apho unyango yenziwa syringing, ukuba contraindicated ukuba nolwalamano olusondeleyo.

alder powder

abafazi abaninzi isikhalazo ukuba: "Kangangethuba elide andikwazi ukufumana ukukhulelwa, olungele ukusebenza iyeza abantu olusebenzayo" akayiqondi into umntu akakwazi ngqiniseko 100% result. Kuba abo usafuna ukuzama phandle i zokupheka amayeza emveli, siya ukuncoma reception alder umgubo ngaphakathi. Ngenxa yayo enamandla anti-yokukrala le mveliso yendalo kwamnceda kakhulu kurhulumente ngokubanzi yempilo yomfazi. Thatha umgubo ngolu hlobo lulandelayo: xa iglasi yamanzi ashushu abilayo dibanisa 1 h Spoon alder 2 tbsp.. nobusi. Emva Ukuxutywa olunzulu, iziqulatho nomnikelo SIP. Eli yeza kuthathwa kabini yonke imihla (ungatyanga kusasa ebusuku). Ngelo xesha ke kufuneka ungalibali ukuba iziphumo zazo ziphambili kunokufikelelwa kuphela ngokusebenzisa uthomalaliso entsonkothileyo ukungachumi. Ukuza kuthi ga ngoku, ngaphandle kokufumana umgubo, kuyimfuneko ukwenza douching yi ngendlela echazwe apha ngasentla.

Sela neevithamini ukukhulelwa

Zonke iingcali nemithi yenzalo bathi amathuba ukukhulelwa kwandisa izihlandlo eziliqela ngenxa ekuphuculeni imeko jikelele oomama eziphilayo elizayo. Ukukhuthaza lokuzala (ukukwazi ukuvelisa inzala oqhelekileyo) zabelwe ukufumana lonke uluhlu iivithamini. Bona ukwandisa isandi ngokuncomeka kwesixokelelwano yonke lokuzala nokuphucula impilo jikelele yesigulana. Kwinkoliso Kwiimeko, zabo ulwamkelo kunye kuboniswa abantu. Neevithamini ukukhulelwa:

• E - a stimulator yendalo yendalo yokusebenza okuqhelekileyo uhlelo zokuzala. Wonke umfazi izicwangciso ukuba abe ngunina, mababandakanye kwisidlo sakho inani eliphezulu zokutya isityebi tocopherol. Ezi zezi: inyama ithanga, amaqunube lesi elwandle juice. Ukuba inani iimveliso ezinjalo ekutyeni ziya kuba ncinci, kuyimfuneko ukuba ivithamin E, nto wathengisa ngayo ekhemesti. Njengomgaqo, ukuwasela kathathu ngemini. Nasemva kokuba akhulelwe, oogqirha bacebisa ukuba uqhubeke ukusetyenziswa kwayo.

• B9 (folic acid) - eyafunyanwa imifuno (ikhaphetshu, itswele eliluhlaza, broccoli, ertyisi, hlaza, iimbotyi) kunye imifuno (parsley, isipinatshi). Nguye ungeniselo citrus, yeepesika, walnuts, cod isibindi, neenkomo, itshizi, caviar, netshizi. Le vitamin luyimfuneko ukuze akheke ngempumelelo, ngoko xa ukungabikho kwakhe ezikhemisti kufuneka folic acid.

• Kubalulekile ukuba ukuvuselela ukubuyisela umsebenzi okuzala weevithamini A, B2, B1, C, D. I

Kunzima ukutsho oko kungenzeka ukuba ukukhulelwa emva ngokusebenzisa iindlela ngentla omzabalazo kunye nenzalo, kodwa kuphela abo ihamba umlo olubanzi oluchasene le ngxaki, bakwazi ukuzuza uze uzale nosana esempilweni. Indlela ngokuhamba. Akwaba impumelelo kunye nempilo entle!