Posachedwa, matenda a "kusabereka" amawoneka ngati chigamulo. Ngati mkazi anakwatiwa ndipo sanabereke mwana, amangolembera ngati "wosakhala namwali", ndipo amakhala kunja kwa moyo wake kuti alandire alongo. Lero tikudziwa kuti nthawi zambiri vuto liri pa wokondedwa. Malinga ndi chiwerengero, mabanja osakwatiwa ndi 45%. Ngakhale kusabereka chifukwa cha kusabereka kwa amayi - 40% okha. Muzochitika zina zonse, mavutowa ndi ofanana ndi onse awiri, koma ngakhale panthawi yovutayi, madokotala amatha kuthandiza anthu kuzindikira maloto awo. Nkhaniyi ili ndi malangizo othandiza kwambiri okhudza chithandizo cha infertility ndi mankhwala ochizira komanso ndi chithandizo chamankhwala.
Nchifukwa chiyani chinachake cholakwika ndi iwe?
"Sindingathe kutenga mimba chaka ndi theka. Wapita kukafufuzidwa. Mkazi wa zachipatala amandiuza kuti ndili bwino, ndipo anandiuza kuti ndiwone mwamuna wanga. Ndinamukakamiza kuti apange spermogram. Zotsatira zake, zinapezeka kuti iye ali ndi teratozoospermia, sikuti zonse zokhala ndi spermatozoa zili ndi chizolowezi chokhazikika. Zikomo Mulungu, patapita miyezi itatu ya chithandizo, adauzidwa kuti ali bwino. Koma sindinakhale ndi pakati! Kenaka tinaganiza zopita kuchipatala. Ndipo pokhapokha atafufuza kalekale anapeza kuti ndi ine sizinali zonse. Kawirikawiri, ndinkachita laparoscopy. Pa tsiku limene anandiuza ndendende kuti: "Woyembekezera!" - zinandiwoneka kuti chozizwitsa chinachitika. " Nkhani zofananazi zimapezeka m'mabwalo a amayi pa intaneti. M'nkhaniyi zonse zinayendera bwino: choyamba anapita kukamuwona mwamuna, ndipo kenako ndiye mkaziyo. Kufufuza munthu ndi wotchipa komanso kosavuta. Kuonjezerapo, muyenera kuchotsa mwamsanga njirayi, pamene mimba yomwe ikukhumba sichipezeka pa "kulakwitsa" kwa munthuyo. Pokhapokha pakakhala vutoli, ngati mimba sichikuchitika, mukhoza kuyamba kuyesa kwa nthawi yaitali komanso kofunika kwambiri. Ndiponsotu, zifukwa za kusabereka kwa amayi ndizopitirira kawiri konse monga kusabereka kwa amuna. Choncho, kuti mufike ku choonadi, muyenera kuyesedwa ndi mayesero ambiri ndi mayesero.
Choncho, matendawa amapangidwa. Zinaoneka kuti vuto lirilonse liri mu thupi lachikazi, ndipo "mlanduwo" wa mwamuna wake ndi wabwino. Tsopano dokotala ayenera kulamula, malinga ndi zomwe zimayambitsa kusabereka, njira yothetsera. Ndipo pano ndi kofunikira kuti onse omwe ali nawo pamsonkhanowu akhale oleza mtima. Popeza sizowona kuti mankhwala omwe akuyenera kupatsidwa adzapambana nthawi yomweyo. Ngati njira imodzi sikuthandizira, muyenera kuyesa ina. Ndipo mpaka pansi pa njira yotsiriza yotsiriza, yomwe ingakhoze kuonedwa ngati umayi wolowa mmimba ndi umuna wa donor (ndi khola lopereka). Koma izi ndizomwe mungachite!
Kuchiza kwa kusabereka ndi matope
Chithandizo cha kusabereka ndi matope chikhoza kutchedwa njira yowerengeka. Yakhala ikugwiritsidwa ntchito kwa zaka zambiri. Thandizo la matope lingathandize mwapadera chifukwa cha zifukwa zina za kusabereka - polepheretsa ma tubes, nthawi zina kudzoza. Zifukwa zina zonse (ndi mavuto omwe ali nawo) zimasiyidwa. Pakalipano, machiritso a matope ndi akasupe amchere sanasinthe kuyambira zaka zapitazo. Pakalipano akazi ambiri amapita "kumbuyo kwa mwana" kwinakwake ku Saki, ndipo chithandizo chotere chimathandiza. Ndi kusiyana komwe lero mungathe kupitiliza kafukufuku ndikupeza pasadakhale ngati padzakhala paliponse poyendera malowa.
Kulimbikitsidwa kwa ovulation
Masiku ano, pofuna kuchiza matenda ovulation (kawirikawiri izi ndizopanda mphamvu), madokotala amagwiritsa ntchito njira imodzi. Amapereka chithandizo cha kumwa mankhwala, kuwasankha malinga ndi zomwe zimayambitsa matendawa. Zitha kukhala mankhwala osokoneza bongo, mankhwala osokoneza bongo, osadziletsa. Pa chithandizochi, ultrasound ikuyang'anitsitsa kuti zomwe endometriamu zimachita ndi kukula kwa follicle (ovule). Ngati kusamba kwa nthawi yoyamba sikulephera, zotsatirazi zimapatsidwa njira yatsopano.
Laparoscopy
Ngati njira zamachiritso sizibweretsedwe zotsatira, ndiye zitsatirani njira yotchedwa minimally invasive technique. Pamene opaleshoniyi imachitidwa popanda kugwiritsidwa ntchito pamimba pamimba, chithandizo choterocho chimatchedwa laparoscopy. Pambuyo pa punctures zitatu zochepa, laparoscope (kamera ya kanema) ndi zida zimalowetsedwera mumtambo. Kupita patsogolo kwa opaleshoni kumakulolani kuti muzitsatira hardware zovuta pazenera. Pachiyambi choyamba, matendawa amachitika, pomwe zifukwa zomwe zimayambitsa kusabereka zimafotokozedwa. Kenaka ikutsatira gawo lachiwiri la opaleshoni - ndiko kuchotsa iwo. Mwachitsanzo, kusokonezeka kwa ziwalo pakati pa ziwalo, kuchotsa mazira a chiberekero ndi zina zotero zikuchitika. Mkwatibwi wa mimba pambuyo pa izi imakula nthawi zambiri.
Insemination yobongoletsera
Chimachitika ndi chomwecho: mwamuna ndi mkazi apitiliza kufufuza konse. Iwo adapeza kuti ali bwino, ndipo n'kosatheka kutenga pakati. Izi nthawi zambiri zimakhala chifukwa cha kusagwirizana kwa anthu okwatirana (kutengeka kwa immunological) - chomwecho pamene thupi lachikazi limayamba kukana umuna wa munthu wanu. Kwa awiriwa, pali njira zothandizira kubereka, zomwe zimatchedwa insemination. Ndipotu, madokotala amathandiza mbewuyo kuti ilowe mu khola lachilendo - feteleza zimatsatira njira yachilengedwe pambuyo pa njirayi. Mofananamo, n'zotheka kuthana ndi vuto ngati okwatirana ali ndi mpikisano wa Rh. Kapena pali chiopsezo chochokera kwa mwamuna yemwe ali ndi matenda owopsa. Kapena iye ali wosabereka kwambiri. Pankhaniyi, mmalo mwa umuna wa munthu wokondedwa, mayiyo amalowetsedwa ndi umuna wopereka.
IVF: ana omwe amachokera ku test tube
Nthawi zina, kusachiritsika kumachiritsidwa ndipo sikutheka kuti munthu akwaniritsidwe. Mwachitsanzo, poletsedwa kwathunthu ma tubes. Muzochitika izi, ndizowonjezereka kwambiri kuti mutha kusankha nthawi yomweyo mu vitro feteleza (zofupikitsidwa - IVF). Mawu omalizira akuti "obadwa" amatanthauzira mophweka - "kunja kwa thupi." Izi zikutanthauza kuti, umuna wokhawo umapezeka mumtundu uwu osati mu thupi la mkazi, koma m'malo ena apadera, monga akuti "in vitro". Pogwiritsiridwa ntchito kwake, mkazi amatenga mazira angapo, ndi mwamuna wake. Ngati feteleza ili bwino, mazira omwe amapezeka amamera m'madera apadera, kenako amaikidwa m'chiberekero.
Mayi wodalirika
Ngati ndi mwana wa IVF ali ndi pakati pa makolo awiri, mwanayo amatha kupititsa pachiberekero kwa mkazi wathanzi. Njira imeneyi imatchedwa kuti mayi wamwamuna. Ichi ndi chiwongoladzanja kwa iwo omwe sangakhoze kubereka mwana mwa njira iliyonse. Mwalamulo, kuti mukhale mayi wamwamuna, muyenera kukhala wathanzi ndi wamng'ono kuposa zaka 35. Vuto limakhalapo chifukwa chakuti mayi wolowa mwaufulu ali ndi ufulu mwalamulo kusiya mwana amene wabadwa. Choncho, ngati panthawiyi okwatirana adakalipo, amayi ochita bwino ndiwo ayenera kufufuza pakati pa achibale awo: Mulimonsemo, mwanayo sadzasiya banja.
Njira zothandizira anthu kuti asamalandire chithandizo
M'mayiko osiyana pakhala njira zowonongeka za kuchotsa kusabereka. Azimayi a ku South America anayesera kuti azichitiridwa ndi mwamuna kapena mkazi wawo. Ku China, nthawi yomwe anthu osabereka amatha kudya mbale za shrimp ndi ginger. Mudziko lathu, zozizwa zozizwitsa zinayesedwa ndi mbewu za Angelo (Angelo). Anthu amakhulupirira kuti mumayenera kumwa mkaka wa mkaka kuti mukwaniritse mimba yomwe mukufuna. Amayambitsa mahomoni ena omwe amachititsa kuti azikhala amayi.
Chimodzi mwa zofunika pazochitika zamtundu ndi zamankhwala pa chithandizo cha kusabereka ndiko zakudya zabwino. Zimatsimikiziridwa kuti ngati mayi amamatira zakudya zina komanso amakhala ndi moyo wosasinthasintha, chiopsezo cha kuchepa kwachepetsa kuchepa ndi 80%. Mu zakudya, mapuloteni a zinyama ndi ndiwo zamasamba ayenera kukhala ambiri. Pa nthawi yomweyo, payenera kukhala mafuta osachepera. Kwa zizoloŵezi zabwino, opatsirana maganizo amagwiritsanso ntchito. Malingaliro awo, amayi nthawi zambiri amamva kusabereka komanso kupanikizika kwambiri chifukwa cha kusabereka. Ndikofunika kukumbukira kuti pamene mukuchiza kusabereka ndi mankhwala ochizira, munthu ayenera kumvetsera malangizo a madokotala.