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Ukukhulisa ukukhulelwa Ngaphambi kokubeletha Ukukhulelwa oi-Shivangi Karn Ngu UShivangi Karn ngoFebhuwari 17, 2021 Ukukhulelwa amawele kungaba namandla futhi kujabulise kubazali abaningi. Izici eziningi zidlala indima ebalulekile ekwandiseni amathuba okukhulelwa amawele.
Ezinye zalezi zinto zingokwemvelo njengomlando womndeni wamawele kanti ezinye zincike ezindleleni zokwelashwa nasempilweni yabesifazane. Ukuqaphela, kunezinhlobo ezimbili zamawele: amawele afanayo nawomndeni. Amawele afanayo azalwa njengomphumela weqanda elilodwa elihlanganisiwe elihlukaniswa libe imibungu emibili ngenkathi amawele omndeni ezalwa ngenxa yamaqanda amabili avundiswa ngezidoda ezimbili.
Ukukhulelwa kwamawele afanayo kungokwemvelo ngenkathi ukukhulelwa kwamawele wobuzalwane kuthonywa kakhulu yizinto eziningi. Le ndatshana izokunikeza umbono ngezici ezingakhuphula amathuba okukhulelwa amawele noma amawele omndeni. Bheka.
1. Izakhi zofuzo
Umlando womndeni wamawele uthathwa njengesizathu esikhulu sokukhulelwa amawele ngokwemvelo. Uma kunomlando wamawele omndeni ohlangothini lukamama, amathuba okukhulelwa amawele azophakama futhi uma izakhi zofuzo zisezinhlangothini zombili zemindeni (ubaba nomama bobabili), khona-ke amathuba angaphezulu kakhulu. Esinye isici yiminyaka yobudala bomama uma ingaphezu kweminyaka engama-30 inomlando wamawele, amathuba azovuka ngokuzenzekelayo. Emibhangqwaneni enomlando womndeni wamawele, ukwelulekwa ngezakhi zofuzo ngaphambi kokubeletha kubaluleke kakhulu ukuvimbela izinkinga zokukhulelwa.
2. Ngaphambi komlando wamawele
Ucwaningo luthi uma usuvele unamawele (mhlawumbe amawele omndeni) kusukela ekukhulelweni kwakho kwangaphambilini, kunamathuba amaningi okukhulelwa amawele omndeni futhi. Amathuba asesilinganisweni sika-1: 12. Kodwa-ke, uma unamawele afanayo, khona-ke amathuba elinye iwele elifanayo aphansi kakhulu ukuya ku-1: 70000. [1]
3. Iminyaka yokubelethisa
Ngokusho kocwaningo, amathuba okukhulelwa amawele ayanda ngokukhula komama. Imininingwane evela ocwaningweni ikhombisa ukuthi amawele azalwa ngamaphesenti angu-6.9 wezingane ezisanda kuzalwa ezizalwa ngabesifazane abaneminyaka engaphezu kuka-40, 5.0% kwabesifazane abaphakathi kweminyaka yobudala engama-35-39 kanye no-4.1 wamaphesenti kwabesifazane abaphakathi kuka-30-34, kulandele u-3.1 Amaphesenti angama-25-29, 2.2 ngamaphesenti ayi-18-24 no-1.3 ngamaphesenti ayi-15-17. [okubili]
4. Isisindo
Olunye ucwaningo luthi abesifazane abakhuluphele noma abesifazane abane-BMI ephezulu yama-30 bakhuphule izingqinamba zokuphambuka okuyisiyezi uma kuqhathaniswa nabesifazane abanesisindo esinempilo. Lokhu kungabangelwa amazinga akhuphukile e-estrogen ngenxa yamafutha athe xaxa angaholela ekukhishweni kwamaqanda amabili. [3] Kodwa-ke, ukukhuluphala kwangaphambi kokukhulelwa kuhlotshaniswa nobungozi obukhulayo bezinkinga ezifana nesifo sikashukela sokukhulelwa kanye ne-preeclampsia. [4]
5. Ukuphakama
Abesifazane abade, abanokuphakama okulingene ngamamitha ama-5 ubude be-4.8 inches, banamathuba andile okukhulelwa amawele. Kodwa-ke, izingqinamba azilingani nobukhulu obufanayo nabesifazane abakhuluphele. Futhi, abesifazane abade futhi abakhulelwe amawele basengozini eyehlisiwe yokuzalwa ngaphambi kokubeletha. [5]
6. Ubuhlanga
Izehlakalo zokuzalwa kwamawele zingaphesheya kwamazwe nokho, ezinye izifundo zikhombisa ukuthi inani lamawele liphezulu kakhulu eNigeria futhi iningi lamazwe aseCentral-Africa anezingane eziyi-18 kwabangu-1000 uma kuqhathaniswa namazwe afana neChina, Thailand, Vietnam, India naseNepal lapho isilinganiso samawele singaphansi kuka-9 kwabangu-1000 abazalwayo. [6]
7. Ukuncelisa ibele
Azikho izifundo eziningi ezisekela iqiniso lokuthi ukuncelisa ibele kungakhulisa amathuba okukhulelwa amawele. Lokhu kungenxa yokuthi ngesikhathi sokuncelisa ibele, i-hormone ebizwa ngeprolactin, ebhekele ukukhiqizwa kobisi, iphakanyisiwe emzimbeni, owaziwa futhi ukuthi uphazamisa ukusebenza kwe-ovarian futhi uvimbele ukukhulelwa kwasekuqaleni. Kodwa-ke, ezinye izifundo zithi abesifazane abakhulelwa ngesikhathi sokuncelisa banamathuba amaningi okukhulelwa ngamawele uma kuqhathaniswa nabesifazane abangancelisi. [7]
8. Izithasiselo
I-Folic acid namavithamini yizakhi zomzimba ezimbili ezibalulekile ezidingeka kwabesifazane abakhulelwe ukuze kukhule kahle futhi kukhule kahle izingane kanye nempilo yomama ethuthukisiwe. Ucwaningo lukhombisa ukuthi ama-supplements aphezulu e-folic acid nama-multivitamin angakhuphula kancane izehlakalo zokukhulelwa amawele uma kuqhathaniswa nabesifazane abangazitholi izithasiselo. [8]
9. Ukudla
Ukudla okunomsoco kungaba ngesinye sezici ezibalulekile zokukhulelwa kwamawele. Ukudla okuthile okufana nobisi, isoya nenhlanzi kuhlobene nokuzala okwandayo kwabesilisa nabesifazane. Ukusetshenziswa kwalokhu kudla kungakhuphula amathuba okukhulelwa amawele ngokwezifundo ezithile. Kodwa-ke, ukudla lokhu kudla akusho ukuthi uzokhulelwa amawele ngokuqinisekile. Kusho kuphela ukuthi amathuba okukhulelwa amawele angakhuphuka, kubhekwe nezinye izinto ezifana nomlando womndeni nokuphakama komama, isisindo nobudala. [9]
10. Ubuchwepheshe Bokusiza Obusizwayo
Abesifazane abahamba ngezindlela zokwelashwa kokuzala ngenxa yezinkinga zokungazali bathola amathuba amakhulu amawele. Le ndlela ayingeni ngaphansi kwezinto zemvelo kepha indlela ehlelelwe ukukhulelwa amawele. Ezinye zalezi zindlela zifaka:
- Imithi evuselela ama-ovulation: Abesifazane abangaphansi kwemithi ethile yokukhuthaza ukuvuthwa kwe-ovulation noma imishanguzo yokuzala efana ne-clomiphene citrate kanye ne-gonadotrophins bakhuphule izehlakalo zokuwa ngamawele uma kuqhathaniswa nabesifazane abangaphansi kwale mithi. Le mithi ijwayele ukukhulisa ama-ovari futhi iholele ekukhulelweni kwamawele. [10]
- IVF: Kubhekisa ku-In-vitro fertilization method lapho amaqanda nezidoda kukhulelwa khona ngaphandle komzimba bese kudluliselwa esibelethweni ukuze kuqhubeke ukukhula. Isidingo sokukhulelwa amawele nge-IVF siyakhula njengoba ukukhulelwa kwe-singleton IVF kuthwala ingozi enkulu kunama-singletons akhulelwe ngokwemvelo ngenkathi ukukhulelwa amawele nge-IVF kunengozi encane uma kuqhathaniswa namawele akhulelwe ngokwemvelo. [ishumi nanye]
- Umjovo wesidoda se-Intracytoplasmic (ICSI): Kuyindlela lapho isidoda esisodwa sifakwa khona ngemithambo ngqo eqandeni, ezimeni lapho ungqimba lwangaphandle lweqanda lukhulu kakhulu noma kunzima ukuthi isidoda singene.
11. Amakhambi okuzala
Amakhambi athile angathuthukisa ukunikezwa kwegazi ezicutshini zokuzala, athuthukise imisebenzi yama-ovari futhi akhuthaze ukuzala nokuvuthwa okuholela ekukhulelweni amawele. Amanye ala makhambi afaka:
- Isihlahla esimsulwa noma i-Vitex agnus castus: Lesi sihlahla saziwa kabanzi ukuthuthukisa izingqinamba zokuzala nokwandisa amathuba okukhulelwa. Ucwaningo lukhuluma ngokukhishwa kwamaqanda amathathu kowesifazane owayelashwa ngaphansi kwe-IVF futhi uthathe lo muthi wemithi emjikelezweni wesine wokwelashwa kwe-IVF. [12]
- Impande ye-Maca: Impande yeMaca yindlela ejwayelekile yokwelashwa kwePeruvia yenzalo okukholelwa ukuthi ikhulisa kakhulu amathuba okukhulelwa amawele. Kodwa-ke, kunemiphumela emibi ejwayelekile embalwa engahle ihambisane nezimpande zeMaca njengokushintshashintsha kwemizwelo.
- Amafutha okuhlwa kusihlwa: Lo oyili udume ngomphumela wawo okhethekile ekuphathweni kwezifo zabesifazane, kufaka phakathi izingqinamba zokuzala. Uwoyela we-Primrose wakusihlwa uthuthukisa yonke imisebenzi yokuzala yabesifazane futhi kungakhuphula amathuba okukhulelwa amawele.
Qaphela: Imithi engamakhambi akufanele ibhekwe njengokuwukuphela kwendlela efanele yokukhulelwa amawele. Futhi, kufanele zithathwe kuphela ngemuva kokuchazwa ngungoti wezokwelapha ngoba zingadala imiphumela emibi.
12. Izikhundla zocansi
Azikho izifundo eziningi ezibuyisela emuva umbono wokukhulelwa amawele ngenxa yezikhundla ezithile zocansi. Kodwa-ke, ezinye izikhundla zobulili zingadala ukungena okungcono, ukukhuphuka kwe-ovulation futhi ngaleyo ndlela, kwandise amathuba okukhulelwa amawele. Kunjalo:
- Isikhundla sezithunywa zevangeli: Kuyisikhundla esiphezulu. Lesi sikhundla sisiza amadlozi ukuba abhukuthe abheke eqandeni ngokwemvelo ngenxa yomphumela wamandla adonsela phansi futhi andise izingqinamba zamawele.
- Izikhundla zocansi zokungena ngemuva: Kubandakanya izikhundla zocansi ezinjengezinja lapho indoda ingena khona ngemuva komfazi lesi sikhundla sibangela ukungena okujulile. Kodwa-ke, abukho ubufakazi obusekelwe ebufakazini bokuxhasa isimangalo.
- Izikhundla ze-Scissoring: Lesi sikhundla sibonakala kowesilisa nowesifazane bebhekene ngemilenze ebekwe njengezikele noma isiphambano. Lesi sikhundla sibanga ukungena okujulile futhi sandisa ukusikwa kwesibeletho ukuze isidoda sikwazi ukuhamba kalula siye emaqandeni.
Ukuphetha
Amathuba okuba namawele awancikile kokukodwa kwalezi zinto esesizibalile kodwa izinto eziningi zihlanganisiwe. Futhi, umuntu kufanele akhumbule ukuthi abanye abantu bakhulelwa amawele ngaphandle kwalezi zinto ezingenhla kanti abanye babhekana nobunzima nokuba nezici ezimbili noma ngaphezulu zalezi zinto ezingenhla.
