Ukulinda umntwana kusoloko kuvivinywa umzimba womfazi ngenxa yamandla, ngokukodwa xa kuziwa kubazali abanomdla kuneminyaka engama-30-35. Kodwa kukho iimeko xa "isikhundla esithakazelisayo" salo "unyaka" Umama ufuna ulawulo olucwangcisekileyo. Yintoni omele uyayizi malunga nokukhulelwa emva kwexesha emva kwe-IVF kunye nokuphuphuma kwesisu, kwaye kwenzeke nxamnye nemvelaphi yezifo ezingapheliyo?
ECO: iteknoloji ukunceda
Ukukhulelwa, okubangelwa yi-IVF, kufuna rhoqo ukunyamekela. Emva koko, ngelishwa, akunakwenzeka njalo ukuyigcina. Ngokwezixhobo ezahlukahlukeneyo, malunga ne-30% yokukhulelwa okunjalo ziphazamisekile phambi kweeyure eziyi-12-14.
Iinjongo eziphambili ezikhokelela ekulahlekeni kokukhulelwa emva kwe-IVF:
- i-immunogenetic (umzekelo, utshintsho lwe-chromosomal kwiiseli zabazali);
- usuleleke (ubukho kumzimba womama wesifo sengcinezelo okanye isifo sesandulela ngculaza - i-herpes simplex virus, i-cytomegalovirus, i-enterovirus, njl njl.
- endocrine. Ukukhuthazwa kwe-ovulation kukhokelela ekutshintsheni kwe-hormone. Ukuxhaswa kwe-hormonal yokukhulelwa, okwenzekileyo ngoncedo lwe-IVF, kuyimfuneko ukubeka rhoqo kwigazi umxholo wama-hormone onoxanduva lokulondolozwa kwayo-estradiol kunye neprogesterone.
- I-ultrasound yexesha eliphambili kunye nexesha eliqhelekileyo ukuvavanya intshukumo ye-fetus, ovary kunye nesisu. Kwakhona, i-ultrasound ihlolisisa indawo yombungu (indawo ephantsi ingabangela ukuphuma kwesisu), ukungabikho okanye ubukho kwi-uterine cavity ye-fluid ezamahala (umz., I-clots yegazi), i-detache ye-egg fetal, njl njl. Konke oku kuvumela ukufumana ingozi yokuphazamiseka kwangaphambili kwaye kuthathe amanyathelo afanelekileyo.
- Ukuxilongwa kwangaphambili kwe-preimplantation yokufumanisa i-chromosomal pathologies kunye nezifo ezithile ze-genetic, ukuhamba kwezinto eziphilayo kunye ne-ultrasound screenings ukwenzela ukunciphisa umngcipheko wokungabikho kokuzalwa komntwana emva kokuba i-IVF (inokuthi idibanise kunye nobunzima bomama kunye nezimbangela zokungabikho komntwana).
- Ukujonga okusemgangathweni komlomo wesibeleko (kwi-trimester yesibini, ukungafihli komlomo wesibeleko kudla ngokukhawuleza kwaye kuqhubela phambili ngokukhawuleza, apho imeko enzima kakhulu ingabangela ukuphuphuma kwesisu ngokukhawuleza).
- Ukuthintela ukuphuculwa kwentsholongwane ye-virus okanye ibhaktheriya.
- Ukutya kwamavithamini-antihypoxants (C, E, beta-carotene, kunye ne-folic acid) ukususela ekuqaleni kokukhulelwa.
- phinda;
- kunokwenzeka ukuphuphuma kwesisu;
- umngcipheko we-intrauterine fetal pathologies;
- inkcazo ephezulu.
Ukukhipha isisu ngokungaqhelekanga kunokuvusa izizathu ezihlukahlukeneyo: izifo eziphathekayo kunye nokuguquka kwimizila ye-hormonal, i-pathologies yomlomo wesibeleko, izinto zangaphandle kunye noxinzelelo. Ukongezelela, umzimba wesetyhini oneminyaka engama-30 ngokuqhelekileyo awukwazi ukuthatha umntwana ngaphandle kolwazi olufanelekileyo lweengcali zonyango. Kungenzeka ukuba akufanelekanga ngenxa yokuba indala ibhinqa, kunzima kakhulu ukunyamezela ngokwenene ukukhulelwa, kodwa kunye nokuba uneminyaka yobudala kwiqanda, abafazi banokuguquka kwemfuyo, kubangelwa ukuba umntwana azalwe ngendlela engafaniyo kunye nobomi .
Abaninzi abasetyhini baphumelela ukukhulelwa kwakhona ngonyaka emva kokukhipha isisu.
Umngcipheko wokuphuphuma kwesisu uxhomekeke kubini uhlobo lwe-pathology ekhokelela ekungabikho komntwana kunye neneminyaka yowesifazane: iminyaka engama-35-10.5%, iminyaka eyi-35-39-16.1%, ngaphezulu kweminyaka engama-40 -42.9%.
Yintoni okufuneka uyikhumbule?
- Ngokuqhelekileyo ukulahleka kwamathambo kubangelwa ngenxa ye-chromosomal engafanelekanga yeembungu, kwaye ngokudala bahlala behlala rhoqo. Ngexesha locwangciso lokukhulelwa, kucetyiswa ukuba ufumane ukululekwa ngezofuzo: i-geneticist iya kuhlolisisa imeko yakho kwaye ifumene ukuba iimeko ezinobungozi zesicwangciso sezofuzo zingakanani.
- Xhumana nogqirha wakho ukuba ukhulelwe ngokutsha phantsi kolawulo olusisigxina lwezokwelapha, ukususela kwixesha elifutshane kakhulu.
- Lungisa ukutya kwakho ukutya okunempilo, uphuze amanzi amaninzi, ungalibali malunga namavithamini kunye nokuphumla. Utywala kunye nokutshaya kuvaliwe!
- Gcina isimo sengqondo esihle. Ukukhulelwa okude kulindeleke kunzima kunokwenyama: iinkumbulo zokulahlekelwa kwangaphambili azipheli ngokukhawuleza.
Ukulinda umntwana luxinzelelo olunzulu emzimbeni, onokubangela ukuphindaphinda kwezinto ezininzi "zokulala" ngaphambi kwesi sifo. Okukhulu kuneminyaka yobudala bomama, iphakame amathuba okuba unezilonda ezingapheliyo. Kwizifo ezinzima ukuba zikhuphe iikholeji zibandakanya:
- izifo zesifo senhliziyo (uxinzelelo lwegazi, isifo senhliziyo);
- izifo zendlela yokuphefumula (i-bronchitis, i-asthma);
- Isifo sesifo (pyelonephritis, glomerulo-nephritis, urolithiasis);