"Ife sitingakhoze kutenga mimba ..." Ndichite chiyani ngati ine sindingakhoze kutenga mimba?

Mwamwayi, zaka zaposachedwapa kusabereka kumalepheretsa chisangalalo cha amayi kukhala amayi ambiri. Zinali ndi pempho: "Sitingathe kutenga mimba, thandizani!" Odwala ambiri m'madera opanga mankhwala opatsirana amatchula akatswiri. Inde, aliyense amadziwa kuti mtengo wa ntchito zoterozo ndi mazana ndi zikwi, ndipo kawirikawiri zikwi zambiri za madola, ambiri akuyang'ana njira zina zomwe zimakhala zotsika mtengo kwa anthu wamba.

Zomwe zimayambitsa kusabereka

Malingana ndi akatswiri, panthawi yopanda ana kwa anthu okwatirana, 70 peresenti ya matenda a chiberekero ndi olakwa. Pali zifukwa zambiri zomwe zimayambitsa kusabereka. Pankhaniyi, pamene banjali liwauza dokotala kuti: "Sitingathe kutenga mimba," katswiri akulangiza kuti azimvetsetse bwino. Ngati, ngati palibe ana, mkaziyo ndi "wodzudzula", dokotalayo adziwone zomwe zimayambitsa matendawa ndi kuika chidziwitso cholondola. Poyambitsa matenda osabereka, mimba yoyamba ndi yosatheka, ndipo yachiwiri, mavuto amayamba ndi malingaliro otsatizana. Madokotala amasiyanitsa zifukwa zofunika izi, chifukwa cha zomwe mkazi sangathe kutenga pakati:

• Matenda a ziwalo za akazi. Pankhaniyi, nthawi zambiri amadziwa zolakwika m'chiberekero (zikhoza kukhala zochepa, zozungulira, ziwiri).

• Kusintha mahomoni chifukwa cha matenda osiyanasiyana a endocrine.

• Kutentha thupi kwa ziwalo zoberekera (makamaka matenda). Chifukwa cha mavuto amenewa, nthawi zambiri ma spikes amapanga, zomwe zimachititsa kuti zisokonezeke, zomwe zimalepheretsa kutenga pakati.

Matenda opatsirana omwe ali ndi kachilombo ka HIV kamene kamakhudza kapangidwe kake ndi kachitidwe ka ubereki.

M'zaka zaposachedwapa, chiwerengero chokwanira cha amayi mu amai chimakonda ntchito yabwino, ndipo chifukwa cha msinkhu wa amayi omwe angakhalepo angapo mavuto ambiri amayamba ndi feteleza. Choncho, popeza atasowa nthawi yobereka, amayi ambiri amatha kutenga mimba pokhapokha atathandizidwa ndi njira zopangira. Mwayi wokhala ndi pakati pakatha zaka 30 ukuchepa, kotero madokotala samalangiza motalika kwambiri kuti achepetse kubadwa kwa mwana. Pankhani ya kusabereka kwachiwiri, ntchito zotsatirazi zikhoza kuchitika:

• Mankhwala otchedwa Hormonal, omwe amawunikira komanso amatsitsimutsa dongosolo la endocrine.

• Kuthetsa kusamalidwa m'machubu yamagulu pogwiritsa ntchito mankhwala opatsirana.

• Kutenga Eco.

Njira zopangira kutenga pakati

Pakalipano, pali njira zingapo zopangira mazira. Imodzi mwa yotchuka komanso yotsika mtengo ndi intrauterine insemination. Amayi ambiri amapita kwa madokotala ndi mawu akuti: "Ndikufuna kutenga mimba mwamsanga." Panthawi imodzimodziyo, iwo samvetsa kuti njira imeneyi imatengera nthawi yaitali ndipo sapereka chitsimikizo cha 100% cha zotsatira zabwino kuchokera kuyesayesa koyambirira. Kodi chimafunika bwanji intrauterine insemination? Njira iyi ya umuna imachokera pa kuyambitsidwa kwa mzimayi wapamtima wokonzeka kapena wopereka chithandizo (chifukwa cha kusabereka kwa mwamuna) mu chiberekero. Pambuyo pa njira imeneyi, pathupi pamakhala pafupifupi mimba. Pachifukwa ichi, spermatozoa imalowa mkati mwa chiwalo cha uterine kupita mumachubu, kumene umuna umayambira . Mu kugonana koyenera, ntchentche yomwe ili mu khola lachiberekero ikhoza kusokoneza mimba, monga spermatozoa imatha panthawiyi. Kuonjezera mwayi wa umuna, umuna umaloledwa mozama kwambiri mu chiberekero cha uterine (pafupi ndi machubu). Monga lamulo, intrauterine insemination amagwiritsidwa ntchito nthawi zambiri pochita mavitamini. Njirayi siikwera mtengo kwambiri, choncho imapezeka pafupifupi mkazi aliyense.

Zizindikiro za intrauterine insemination

Zisonyezero zotsatirazi zikupezeka pochita izi:

• Kusakwanira kwa spermatozoa mwa mwamuna kapena kusakhala kwathunthu.

• Kutheka kwakukulu kofalitsa matenda opatsirana.

• Kupanda mphamvu.

• Mavuto okhudzana ndi kugonana.

• Kusakhala ndi mnzanu mwa mkazi.

• Vaginismus ndi "chiberekero".

Chiwerengero cha bwino

Ngakhale kuti pali chitukuko chochuluka cha mankhwala opatsirana, njira yopezeramo njira yoperekera kubereka ikuchokera pa 5 mpaka 35%. Kodi ndizotheka bwanji kutenga mimba motere? Malingana ndi chiwerengero, ndi 15% yokha. Pachifukwa ichi, insemination yopangira maonekedwe imasonyeza zotsatira zabwino pochita ndondomeko ya atsikana. Ndili ndi msinkhu, kuthekera kwa mimba kumachepa, chifukwa cha kuwonongeka kwa mazira abwino. Pa nthawiyi, kuyesa kwa feteleza 4-6 kuyambidwa, ndipo mimba siinabwere, madokotala amalimbikitsa kutembenukira ku vitro fertilization (IVF).

Njira za GIFT ndi GIFT

Mabanja awo omwe anali ndi njira zingapo zopangira insemination, koma sanalandire zotsatira zabwino, pitani ku chipatala ndi pempho lotsatira: "Sitingathe kutenga mimba, tithandizire mwanjira iliyonse." Pachifukwa ichi, akatswiri angalimbikitse njira ziwiri za umuna:

1. Kusamutsidwa kwa zygotes (ZIFT), kumene khungu la feteleza limayambitsidwa m'machubu ya falsipian.

2. Kusamutsidwa kwa gametes (GIFT), pamene mazira (amodzi kapena angapo) akuphatikizidwa ndi umuna ndi jekeseni m'machubu.

Panthawiyi, ntchito zonse zimayang'aniridwa ndi ultrasound kapena laparoscopy. Pali njira ziwiri zofotokozera mbeu. Ndi mazira a ultrasound, mazira kapena zygotes amayiramo kudzera mu chiberekero, komanso ndi laparoscopy - kuchokera kumbali ya khomo la m'mimba.

Zisonyezo za MPHATSO ndi CHIFUNDO

Mitundu yambiri ya insemination yamagetsi imagwiritsidwa ntchito chifukwa cha kusabereka, chifukwa chake sichikhazikitsidwa, komanso endometriosis. ZIFT ndi GIFT zimagwira bwino ntchito yabwino yamatope. Pangakhale vuto lalikulu la kubala pakati pamene zygote imayambitsidwa (ZIFT). Zotsatira zake ndi 30%. Ngati banjali komanso atatha njirayi adakambirananso ndi dokotalayo ndi funso lakuti: "Sitingathe kutenga mimba, tifunika kuchita chiyani?", Akatswiri amalimbikitsa kutembenukira ku vitro fertilization.

Ubwino wa IVF

Kodi zimatengera bwanji kutenga mimba motere? Kuchokera kwa odwala okha mazira abwino a mkazi ndi umuna wa mwamuna (wopereka) amafunika. Potsatira njirayi (mutatha kumwa mankhwala), zimasakanizidwa mu kapu ya galasi pa kutentha kwa 37 ° C. Mutalandira mazira (2-4 zidutswa), sankhani zogwiritsidwa ntchito kwambiri ndikuziika m'kati mwa uterine pogwiritsa ntchito catheter yapadera. Maselo otsala omwe ali ndi mazira amatha kuzizira. Pakatha mlungu umodzi, yesani kuyesa mimba.

Njira yonse ya Eco ikuphatikizapo izi:

• Kuwonetseratu za mazira ochuluka kumapanga ma follicles angapo.
• Kusankhidwa kwa mbeu ndi kuchotsa mazira.
• Kulima mazira mu vitro kwa masiku 2-5.
• Kuika mazira angapo mu uterine.
• Kutenga mimba kwa milungu 10-12.

Zizindikiro za mu vitro feteleza

Njira imeneyi yopezeramo ntchito ikugwiritsidwa ntchito mwachisawawa. Komanso, amauzidwa kwa amayi omwe ali ndi vuto la chubu komanso ngati njira zina zothandizira mankhwala sizinapangitse zotsatira. Mphamvu ya IVF ndi yaikulu (30-50%). Chotsatira chotsiriza makamaka ndi kaduka chifukwa cha kusabereka, msinkhu wa mkazi, kulemera kwa thupi. Komabe, pempho la makolo, akatswiri amatha kulongosola kuti mwana wakhanda amayamba kugonana mu uterine (kuteteza matenda omwe angakhale nawo).

Mapiritsi kuti Apeze Mimba

Ngakhale kuti nthawi zambiri mankhwala operekedwa ndi amayi azimayi sakubweretsa zotsatira, amayi ambiri amakhulupirira kuti mothandizidwa ndi machiritso ena amtheradi amatha kulera mwana mwamsanga. Amayi ambiri amapita kwa akatswiri: nenani mapepala anga kuti ndipepatse ... Komabe, ngakhale dokotala wodziwa bwino sangapereke chitsimikizo cha 100% cha ndalama zomwe zilipo. Mtengo wa mankhwala oterowo ndi wamtali kwambiri, ndipo mwinamwake kutenga pakati kuli kochepa kwambiri. Ndizosatheka kuyankha funso la momwe mungatenge mimba mutatha kumwa mankhwala apadera. Ngakhale mankhwalawa amatha kuwonjezera mwayi wodwala mimba (makamaka kuphatikizapo mitundu ina ya chithandizo cha kuchipatala).

Ndalama zonsezi zimagawidwa m'magulu atatu:

1. FSH (mankhwala osokoneza bongo) ndi LH (luteinizing hormone), kutulutsa ovulation. Izi zikuphatikizapo mankhwala monga Puregon, Klostilbegit, Menogon.

2. Kukonzekera kwa hCG (chorionic gonadotropin) ya munthu, yomwe imathandiza chithunzithunzi chachikulu kutulutsa dzira. Izi zikuphatikizapo: "Mimba", "Profazi", "Horagon", "Gonakor".

3. Mankhwala omwe ali ndi progesterone. Amakonza endometrium (mkati mwa chiberekero) kukonza zygote (embryo) mmenemo ndikuthandiza kubereka mwanayo. Izi zikuphatikizapo mankhwala awa: "Dufaston", "Utrozhestan."

Kugwiritsidwa ntchito kwa mankhwala omwe ali pamwambawa amaloledwa pokhapokha ngati adokotala akupezekapo.

Chimene mukufuna kuti mukhale ndi pakati popanda mankhwala osokoneza bongo

Amayi ambiri atachita zovuta zingapo amatha kukhala ndi pakati paokha chifukwa cha kuyang'ana kwawo kwa mwezi ndi kukhazikitsa ndondomeko ya kutentha. Atsikana ena aang'ono samadziwa thupi lawo komanso thupi lachiberekero. Choncho, nthawi zambiri amamva funso lakuti: "Kodi ndingatenge mimba tsiku lachisana?" Inde, zimachitika, koma ndizosowa kwambiri (ndi zolakwika zomwe zimagwira ntchito kachitidwe ka kubereka). Kudziwa makhalidwe a amayi, mungasankhe nthawi yabwino kwambiri yobereka, yomwe nthawi zambiri imakhala ndi mwayi wokhala ndi pakati pambiri. Manyowa a dzira amapezeka pa masiku osamveka bwino a msambo. Amatchedwa kutsekemera. Choncho, nthawi yabwino kwambiri yobereka mwana ndi masiku atatu okha. Akatswiri ena amanena kuti ngakhale mayi wokhala ndi thanzi labwino amakhala ndi masentimita 2-3 pa chaka akhoza kukhala opanda mphamvu (kutsekemera kulibe). Kumayambiriro kwa nyengoyi, mkazi wathanzi mu ovary amayamba kukula ndikufulumira dzira. Pakatikati (patatha masiku 14 kuchokera pamene amayamba kusamba), mazira amachoka pa ovary ndipo amapita kudutsa m'chigwachi kupita kumimba. Kumeneko amakumana ndi umuna. Chifukwa cha umuna, mwana amamulera. Dzira lopangidwa ndi feteleza, lotchedwa zygote, limadutsa mu chubu kupita ku chiberekero cha uterine, kumene "chimalowetsedwa" mkati mwake (endometrium). Mkwatibwi wokhala ndi pathupi pa nthawi ya ovulation ndi yapamwamba kwambiri, choncho mkazi yemwe akufuna kutenga pakati ayenera nthawi zonse kutentha kutentha m'mawa. Kawirikawiri, ntchito yake m'gawo loyambalo ili pansi pa 37 ° C. Kuphulika kwa 0,4 ° C kapena kupitirira kumasonyeza kuti kuphulika kwachitika. Ndipo kale 1-2 masiku isanafike kusamba kuli kuchepa kwakukulu mu basal kutentha. Pamene graph imawoneka ngati yolota yokhala ndi zosasintha zapakati pa 36.9 ° C, kuyamwa sikuchitika, zomwe zikutanthauza kuti mwayi wokhala ndi pakati ndi wochepa kwambiri.

Nzeru zazing'ono zazikazi

Pali njira zina zowonjezera. Kugonana panthawi yogonana kumathandizanso kuti pakhale pathupi. Ngati mkazi akufuna kutenga pakati, ayenera kusankha malo omwe pulojekiti imalowa. Malo opambana amalingalira momwe chiuno cha wokondedwa chikukwera. Pankhaniyi, umuna umatha msanga, womwe umalola kuti spermatozoa ifike mkati. Komanso musamatsuke mwansangamsanga, chifukwa amuna ambiri amatuluka m'mimba ndipo amatsuka ndi madzi. Azimayi ena amagwiritsa ntchito soda, zomwe zimachepetsa umoyo wa mucus acidity. Choncho, spermatozoa ali ndi mwayi waukulu kwambiri wolowera m'chiberekero. Njirayi ikuchitika kwa mphindi 20-25 musanayambe kugonana.

Momwe mungapezere mimba (njira zamakono)

Azimayi ambiri omwe safuna kugwiritsira ntchito mankhwala osokoneza bongo kapena alibe ndalama zowonetsera njirayi, ayambitsenso maphikidwe a anthu. Musanayambe kudzipangira mankhwalawa, nthawi zonse muzifunsira kwa dokotala, chifukwa kugwiritsa ntchito mankhwala ambiri omwe amachititsa mankhwala kumayambitsa kuwonongeka kwa thanzi la mkazi. Kawirikawiri maphikidwe a mankhwala amathandizira kuti adziwe kuti ali ndi kachilombo kochepa. Poyambirira, mwatsoka, njira zoterezi zimasonyeza zotsatira zotsika kwambiri. Alder ndi othandiza kwambiri pochiza kusabereka. M'munsimu muli maphikidwe okhala ndi gawoli.

Kulowetsedwa kwa mizu ya alder

Zopangira izi zingagulidwe ku pharmacy. Muzuwo uli pansi pa chopukusira khofi ku powdery. Mu thermos iwo akugona 3 tbsp. Spoons zipangizo ndi kuthira 1 lita imodzi ya madzi otentha. Kulowetsedwa kuyenera kukhala mu dziko la uporennom kwa maola khumi osachepera. Madzi otsekemera amajambulidwa ndipo amagwiritsidwa ntchito popanga mankhwala. Njirayi imapangidwa bwino musanakagone. Njira ya mankhwala ndi masabata atatu. Pambuyo masiku asanu ndi awiri osokonezeka, mankhwala akhoza kubwerezedwa. Ngati pali njira zothandizira, mungafunikire maphunziro 5-6. Ndi njirayi, mukhoza kuwonjezera kwambiri mwayi wokhala ndi pakati. Masiku omwe ma douching amathandizidwa amatsutsana ndi maubwenzi apamtima.

Powder wa alders

Azimayi ambiri omwe amadandaula: "Kwa nthawi yaitali sinditha kutenga pakati, ndiuzeni mankhwala othandiza kwambiri," musamvetsetse kuti kudzipiritsa koteroko sikungathetsere zotsatira za 100%. Kwa iwo omwe akufunabe kuyesa maphikidwe a mankhwala, mukhoza kulangiza kulandirira ufa wa m'kati mkati. Chifukwa cha mphamvu zake zodana ndi zotupa, mankhwalawa amathandiza kwambiri pa umoyo wa mayi. Tengani ufawo motere: mu kapu yamadzi otentha amawonjezera supuni 1 ya alder ndi supuni 2. Supuni za uchi. Pambuyo kusanganikirana bwino, nkhaniyi imwedzeredwa ndi sips zing'onozing'ono. Mankhwalawa amachotsedwa kawiri pa tsiku (m'mimba yopanda kanthu m'mawa komanso asanagone). Pa nthawi yomweyi, munthu sayenera kuiwala kuti zotsatira zabwino zitha kuperekedwa kokha ndi mankhwala ovuta a infertility. Kwa ichi, kuwonjezera pa kutenga ufa, ndikofunikira kuchita douching molingana ndi momwe tafotokozera pamwambapa.

Imwani mavitamini kuti mutenge mimba

Akatswiri onse amachiza obeleka amanena kuti mwayi wa umuna umawonjezeka nthawi zambiri chifukwa cha kusintha kwa chikhalidwe cha mayi wamtsogolo. Pofuna kulimbikitsa kubereka (kuthekera kwa kubala ana) zimapereka mavitamini ambiri. Amaonjezera chikhalidwe chonse cha kubereka ndikuthandizira kukhala ndi thanzi la wodwalayo. Nthaŵi zambiri, phwando lawo likuwonetsedwa kwa amuna. Mavitamini kuti atenge mimba:

• E ndi masoka achirengedwe omwe amachititsa kuti thupi likhale labwino. Mkazi aliyense yemwe akufuna kukakhala mayi ayenera kuphatikizapo zakudya zake pamtundu waukulu wa mankhwala omwe ali olemera mu tocopherol. Izi zikuphatikizapo: thupi la dzungu, zipatso ndi madzi a buckthorn madzi. Ngati chiwerengero cha zakudya zoterezi ndizochepa, muyenera kumwa vitamini E, yomwe imagulitsidwa ku pharmacy. Monga lamulo, iye aledzera katatu patsiku. Ngakhale atatha kubadwa, madokotala amalimbikitsa kuti apitirize kugwiritsa ntchito.

• B9 (folic acid) - amapezeka masamba (kabichi, anyezi anyezi, broccoli, nandolo, katsitsumzukwa, nyemba) ndi zitsamba (parsley, sipinachi). Ndi mu citrus, mapichesi, walnuts, chiwindi chiwindi ndi ng'ombe, kanyumba tchizi, caviar, tchizi. Vitamini ndi chinthu chofunika kwambiri kuti pakhale mimba yabwino, choncho, ngati ili yoperewera, mankhwala a pharmacy ayenera kutengedwa.

Mavitamini A, B2, B1, C, D ndi ofunikira kuti phindu likhale lokonzekera.

Zimakhala zovuta kunena kuti ndizotheka bwanji kutenga mimba mutagwiritsira ntchito njira zotchulidwa pamwambapa zotsutsana ndi kusabereka, koma okhawo omwe akulimbana ndi vutoli mwa njira yonse adzapambana ndi kubala mwana wathanzi. Njirayo idzayendetsedwa ndi kupita. Kupambana kwa iwe ndi thanzi!