Bvunza Nyanzvi: Nguva yekuona Nyanzvi Yekubereka

Zvemukati

• 1. Inoitei nyanzvi yekubereka?
• 2. Ndinofanira kutora nguva yakareba sei kubata pamuviri ndisati ndaona chiremba wekubereka?
• 3. Ndeipi nhanho yekutanga inotorwa nenyanzvi yekubereka kana mumwe munhu asingakwanise kubata pamuviri?
• 4.Ndeapi miedzo ingangorayirwa nachiremba wekubereka, uye zvinorevei?
• 5. Ndeapi maitiro ehupenyu anokanganisa kubereka kwangu, uye pane chero chinhu chandingaite kuti ndiwedzere mikana yangu yekubata pamuviri?
• 6. Ndedzipi nzira dzangu dzekurapa kana ndikatadza kubata pamuviri?
• 7. Mishonga yekurapa inobudirira zvakadii?
• 8. Nyanzvi yekubereka ingandibatsire here kuwana rutsigiro rwepfungwa?
• 9. Pane rubatsiro here rwuripo rwekutsigira kurapa kwekubereka?

1. Inoitei nyanzvi yekubereka?

Nyanzvi yekubereka ndeye OB-GYN ine hunyanzvi hwekubereka endocrinology uye kushaya mbereko. Nyanzvi dzekubereka dzinotsigira vanhu kuburikidza nezvose zvine chekuita nekubereka. Izvi zvinosanganisira kurapa kushaya mbereko, zvirwere zvemajini zvinogona kukanganisa vana mune ramangwana, kuchengetedza kubereka, uye matambudziko echibereko. Dzinobatsirawo nenyaya dzekuvhara mazai senge amenorrhea, polycystic ovarian syndrome, uye endometriosis.

2. Ndinofanira kutora nguva yakareba sei kubata pamuviri ndisati ndaona chiremba wekubereka?

Izvi zvinoenderana nekuti une hanya sei uye ndeapi ruzivo auri kutsvaga. Vakadzi vazhinji vachatsvaga kuita ongororo yekubereka vasati vaedza kubata pamuviri, kana kana vari kuyedza kuronga ramangwana ravo rekubereka.

Kana wanga usingabudirire kuyedza kubata pamuviri, ona nyanzvi yekubereka mushure memwedzi gumi nemiviri kana uri pasi pemakore makumi matatu nemashanu. Kana iwe uine makore makumi matatu nemashanu kana kudarika, ona imwe mushure memwedzi mitanhatu.

3. Ndeipi nhanho yekutanga inotorwa nenyanzvi yekubereka kana mumwe munhu asingakwanise kubata pamuviri?

Kazhinji, nyanzvi yekubereka ichatanga nekuongorora nhoroondo yako yezvokurapa. Ivo zvakare vachada kuongorora chero epamberi yekubereka kuyedzwa kana kurapwa kwawakagamuchira.

Senhanho yekutanga, iwe zvakare unozoisa izvo zvinangwa zvako zvekutsvaga kuchengetwa kwekubereka. Semuenzaniso, vamwe vanhu vanoshuvira kuve vanoshanda sezvinobvira, nepo vamwe vachitarisira kudzivirira kupindira mune zvekurapa. Zvimwe zvinangwa zvinogona kusanganisira kuyedzwa kwemajini pamazai kana kuchengetedzwa kwekubereka.

4.Ndeapi miedzo ingangorayirwa nachiremba wekubereka, uye zvinorevei?

Chiremba wekubereka anowanzoita yakazara yekuyera pani kuti adzidze chinokonzera kushaya mbereko uye ongorora kugona kwako kubereka. Chiremba wako anogona kuitisa bvunzo dzehormoni pazuva rechitatu rekuenda kwako kumwedzi. Izvi zvinosanganisira follicle-inomutsa mahormone, luteinizing hormone, uye anti-Mullerian mahormone bvunzo. Mhedzisiro yacho inoratidza kugona kwemazai mumazai ako. Iyo transvaginal ultrasound inogona zvakare kuverenga idiki antral follicles mumazai. Yakasanganiswa, bvunzo idzi dzinogona kufanotaura kuti yako yekuchengetedza mazai akanaka, akanaka, kana kuderera.

Nyanzvi yako inogona zvakare kuita endocrine kuongorora kwechirwere chetachiona kana kuti prolactin kusagadzikana. Aya mamiriro anogona kukanganisa kubereka basa. Kuti uongorore fallopian machubhu uye chibereko, chiremba wako anogona kuraira yakasarudzika mhando yeX-ray bvunzo inonzi hysterosalpingogram. Uyu muedzo unotarisa kana yako fallopian machubhu akavhurika uye aine hutano. Icharatidzawo matambudziko nechibereko chako, kunge polyps, fibroids, vanga zvinyoro, kana septum (madziro) izvo zvinogona kukanganisa kuiswa kana kukura kwe "embryo".

Zvimwe zvidzidzo zvekuongorora chibereko zvinosanganisira saline-yakapinza sonography, hofisi hysteroscopy, kana endometrial biopsy. Kuongorora kwemurume kunogona kuitiswa kuti uone kana kuverenga, motility, uye kutaridzika kwehurume zvakajairika. Kufungidzira kwekufungidzira kunowanikwawo kuyedza zvirwere zvinopfuurika uye kusagadzikana kwemajini.

5. Ndeapi maitiro ehupenyu anokanganisa kubereka kwangu, uye pane chero chinhu chandingaite kuti ndiwedzere mikana yangu yekubata pamuviri?

Maitiro mazhinji ehupenyu anokanganisa kubereka. Hupenyu hune hutano hunogona kuwedzera kubata, kuvandudza kubereka kurapwa kurapwa, uye kuchengetedza nhumbu. Izvi zvinosanganisira kudya chikafu chakaringana uye kudzivirira chikafu chakagadziriswa. Pane data rinoratidza kuti kurasikirwa uremu kunotungamira kune zvirinani zvibereko zvekurapa mhedzisiro. Kune vakadzi vane huturu hwegluten kana kunzwisisika kwelactose, kudzivirira kunogona kubatsira.

Tora mavitamini epamuviri, gadza caffeine, uye dzivisa kuputa, zvinodhaka, uye doro. Iwe unogona zvakare kubatsirwa kubva kune vhitamini D yekuwedzera. Izvi zvinodaro nekuti kushomeka kwevhitamini D kunogona kuve nehurombo mu vitro fertilization (IVF) mhedzisiro kana kutungamira mukuparara.

Kurovedza muviri zvine mwero zvakare kwakanakira hutano hwese uye kudzikisira kushushikana. Yoga, kufungisisa uye kufunga, uye kuraira uye rutsigiro zvinogona zvakare kubatsira.

6. Ndedzipi nzira dzangu dzekurapa kana ndikatadza kubata pamuviri?

Pane zvakawanda zvingasarudzwa zvekushaya mbereko kurapwa. Chiremba wako anogona kuraira ovulation kukurudzira mishonga senge clomiphene citrate uye letrozole. Mimwe mishonga inosanganisira follicle kukura kuongorora neropa basa uye ultrasound, ovulation inokonzeresa ne hCG (yemunhu chorionic gonadotropin), uye intrauterine insemination. Zvimwe zvinobatanidzwa kurapwa zvinosanganisira IVF, intracytoplasmic jekiseni jekiseni, uye preimplantation magene ekuyedza mazai.

Sarudzo yaunosarudza iwe nachiremba wako inoenderana nehurefu uye chikonzero chekushaya mbereko uye zvinangwa zvekurapa. Nyanzvi yako yekubereka ichakubatsira iwe kuona kuti ndeipi nzira yakanakira iwe kuona mhedzisiro yakanaka.

7. Mishonga yekurapa inobudirira zvakadii?

Kurapa kwekubereka kwakabudirira, asi mhedzisiro inoenderana nezvinhu zvakawanda. Zvinhu zviviri zvakakosha izera remukadzi uye chikonzero chekushaya mbereko.

Nomuzvarirwo, mamwe marapiro ekurapa ane akanyanya kubudirira mwero. Ovulation kukurudzira ne intrauterine insemination kurapwa inogona kuve nemabudiro ehuwandu hwe5 kusvika gumi muzana pairi kutenderera kusingatsanangurwe kushaya mbereko. Izvi zvinogona kukwira kusvika pa18 muzana mune vanhu vane kusagadzikana kweovulation kana kana donor sperm irikushandiswa uye hapana kana zvipi zvinoitika zvevakadzi. Kazhinji, IVF inogona kuve nehupenyu hwekuzvarwa huwandu hwe45 kusvika 60 muzana. Izvi zvinogona kuwedzera kurarama hupenyu hwekuzvarwa hunosvika makumi manomwe muzana kana mazai emhando yepamusoro akaendeswa.

8. Nyanzvi yekubereka ingandibatsire here kuwana rutsigiro rwepfungwa?

Ehe, nyanzvi yekubereka uye nechikwata chavo vanogona kupa rutsigiro rwepfungwa. Yako yekubereka nzvimbo inogona kunge iine inotsigira pane-saiti, sepfungwa-yemuviri chirongwa kana mapoka ekutsigira. Ivo vanogona zvakare kukuendesa iwe kune vanachipangamazano, mapoka ekutsigira, hutano uye kufunga kwepfungwa makochi, uye acupuncturists.

9. Pane rubatsiro here rwuripo rwekutsigira kurapa kwekubereka?

Kurapa kwekubereka kunogona kudhura, uye kuvapa mari kunogona kuomarara uye kunonetsa. Nyanzvi yekubereka ichawanzo kuti iwe ushande padhuze nemubatiri wezvemari. Munhu uyu anogona kukubatsira iwe kudzidza nezve inishuwarenzi kufukidza uye zvinogona kubuda-zvehomwe mari.

Iwe unogona zvakare kukurukura nzira dzekurapa nachiremba wako izvo zvinogona kudzikisa mutengo. Kemufesi yako inogona zvakare kunge iine zvirongwa zvinopa kubereka mishonga pamitengo yakadzikiswa, pamwe nezvirongwa zvakasiyana zvechitatu. Kurukura nezve sarudzo idzi nachiremba wako kana mutengo wekurapa chiri chinhu chinokunetsa iwe.

Dr. Alison Zimon ndiye mubatanidzwa uye mubatsiri wezvekurapa director weCCRM Boston. Iye bhodhi-anozivikanwa mune yekubereka endocrinology uye kushaya mbereko, uye mune zvekubereka uye gynecology. Pamusoro pechinzvimbo chake kuCCRM Boston, Dr. Zimon murapi wekiriniki muDhipatimendi re Obstetrics, Gynecology, uye Reproductive Biology kuHarvard Medical School uye ari chiremba wevashandi muOB / GYN kuBeth Israel Deaconess Medical Center uye Newton Wellesley Hospital muMassachusetts.