Kurapa Kusabereka: 9 Mibvunzo Yekubvunza Chiremba Wako

Zvemukati

• Ndeupi mutsara wekutanga wekurapa kushaya mbereko?
• Hutano hunokanganisa sei kubereka usati wabata nhumbu?
• Murume vs.kadzi kurapwa kwekubereka
• Unyanzvi hwekubereka hunobatsira sei?
• Kuvhiya kunoshandiswa rini pakurapa kwekubereka?
• Ndeipi njodzi kumubereki nemwana?
• Ndeapi mikana yekuve nevazhinji vacheche?
• Ndeupi mukana wekubudirira wekurapa kwekubereka?
• Inguva yakareba sei kurapwa kwekubereka kunotora kushanda?
• Tora woenda nazvo

Kunyangwe kuve nepamuviri kunogona kuita kunge mhepo kune vamwe vanhu, kune vamwe inogona kuve imwe yenguva dzinonetsa zvikuru dzehupenyu hwavo. Iwe unogona kunge uine hama inofunga zvakanaka ichibvunza kana iwe uchikwanisa kunzwa iyo wachi wachi ichitamba, shamwari dzine vacheche, uye chishuwo chekutora uye kugara nepamuviri uchitora pfungwa dzako.

Nepo paine mukana we25 muzana pamwedzi wekuenda kumwedzi kwekuti mukadzi achabata pamuviri kana aine makore makumi maviri kana makumi matatu, hazvisi nyore kune vamwe. Uye kune vese vakadzi nevarume, mikana yekubata nenzira yechisikirwo inoderera nezera.

Kana iwe nemumwe wako muchisangana nenyaya dzekubereka, zvakakosha kuti uzive zvimwe zvekutanga nezvemhando dzakasiyana dzekurapa kuitira kuti ugone kuita zvakanyanya kubva pakurangana kwako nachiremba wako.

Shandisa inotevera mibvunzo segwara rekutora newe. Chiremba wako anogona kukupa rairo yakanakisa zvichienderana nemamiriro ako ega.

Ndeupi mutsara wekutanga wekurapa kushaya mbereko?

Kunzwa izwi rekuti "kushaya mbereko" kunogona kukanganisa chose kune vakaroorana. Asi iyo huru nhau ndeyekuti kufambira mberi kwekurapa kunoita kuti zvive nemukana wakanyanya kuti iwe pakupedzisira uchakwanisa kuwana (kana kugara) nepamuviri nekupindira, zvinoenderana neyako mamiriro ezvinhu.

Mishonga inowanzo kuve yekutanga-kurapwa kurapwa kana chiremba wako akakuongorora uine kushaya mbereko. Iyi mishonga yakagadzirirwa kubatsira kuwedzera mukana wekubata uye kubata.

Vanogona kuuya muchimiro chehomoni kutsiva kukurudzira ovulation mune vakadzi, kana mishonga yekurapa erectile kudzvinyirira mune varume.

Vanachiremba vanokwanisa zvakare kunyorera mishonga kuti uwedzere mikana yako yekugara uine pamuviri kana uchinge wava nepamuviri, zvinoenderana nezvikonzero zvako zvekumbobvisa mimba.

Uye zvakare, chiremba wako anogona kukurudzira shanduko yemararamiro kune vese vaviri, senge kudya chikafu chine hutano, kudzora kunwa doro, kana kurega kuputa.

Hutano hunokanganisa sei kubereka usati wabata nhumbu?

Kunyange chiri chokwadi kuti kubereka kunogona kuderera nezera, dzimwe nguva izvi zvine chekuita nemamiriro ehutano anogona kukura paunenge uchikura. Semuenzaniso, mamiriro ehutachiona mumadzimai anogona kukanganisa kubereka. Zvirwere, gomarara, uye kudya kwakashata kunokanganisa mikana yekubereka yevarume neyevakadzi.

Zvakare, kunwa doro, kusvuta, uye mimwe mishonga inogona kukanganisa kubereka. Tarisa uone kana rako rekunyora mishonga - pamwe neyawakaroorana naye - rinoenderana nekuedza kubata nhumbu (TTC, sezvaungave wakazviona zvakapfupikiswa mumaforamu eruzhinji).

Zvakanaka, iwe nemumwe wako muchada kuva noutano hwakanaka pamberi kubata pamuviri. Izvi hazvibatsire chete kuwedzera mikana yekuzvitakura, asi hutano hwevabereki hunobatawo zvakananga hutano hwemwana.

Ongororo ye2019 yezvidzidzo yakaratidza kuti kunwa doro nevarume kunyangwe mwedzi mitanhatu vasati vabata pamuviri kunogona kuwedzera njodzi yezvirwere zvepfungwa zvemwana mucheche. Masayendisiti akakurudzira kuti vakadzi vasiye kunwa gore risati rasvika TTC.

Chiremba wako achaita kurudziro chaiyo kuti ikubatsire kupinda muhutano hwakanakisisa paunovhenekwa.

Murume vs.kadzi kurapwa kwekubereka

Nepo vakadzi dzimwe nguva vachinetseka kuti ndivo chikonzero chekushaya mbereko, hazvigoneke kuziva pasina kuongororwa kwechiremba kune vese vaviri. Chiremba anogona kuona kuti murume kana mukadzi kushaya mbereko (kana zvese zviri zviviri) kuri kukutadzisa kubata nhumbu.

Yakaderera huwandu hwehurume kana kusakwanisa kuwana kana kuchengetedza erection panguva yepabonde kunogona kukanganisa kubereka muvarume. Mune zvimwe zviitiko, erectile kudzvinyirira mishonga inogona kubatsira. Kuverengeka kwembeu yehurume kana hunhu hazvireve kuti nhumbu haigone kuitika, asi zvinogona kuita kuti zviome kana kutora nguva yakareba.

Vakadzi vanowana kushaya mbereko vanogona kutora nyaradzo muchokwadi chekuti pane zvakawanda zvingasarudzwa zvekubatsira nematambudziko ekuvhara mazai, chinova chinokonzeresa nenyaya dzevakadzi kushaya mbereko.

Vamwe vakadzi vanongoda kukwidziridzwa neovulating, kana ovulating nguva dzose. Chiremba wako anogona zvakare kupa mahormone epamusoro-soro, senge estrogen, kubatsira kubatsira ovulation.

Mimwe mishonga ine simba inouya nenzira yejekiseni, maitiro anonzi anodzorwa ovarian hyperstimulation (COH).

Izvi zvinogona kurapwa ne in-vitro fetiraiza (IVF). Izvi zvinosanganisira kusanganisa urume nezai murabhoritari. Kamwe iyo yekudyara yapera, mazai (s) anotamisirwa muchibereko chako panguva yekuvhara.

IVF mhinduro yakanaka kune vamwe vakaroorana, asi inogona kutaridzika kunge isingasvike kune vamwe sezvo ichigona kudhura.

Imwe nzira nyowani uye isingadhuri kune IVF inonzi INVOcell (IVC). Izvi zvakaburitsa "IVF neICC zvakaburitsa zvakafanana blastocyst yekuchinjisa zvichikonzera huwandu hwakafanana hwekuzvarwa huripo."

Musiyano mukuru pakati pemaitiro maviri aya ndeyekuti neICC, nyini inoshandiswa seinodzivirira ye blastocyst (ramangwana mwana) kwemazuva mashanu asati aendeswa muchibereko. Maitiro acho anosanganisira mashoma emishonga yekubereka pane IVF, saka mutengo wepasi wakaderera.

Unyanzvi hwekubereka hunobatsira sei?

Kana varoorani vari TTC vachiona kurapwa kwekubereka, ivo vanowanzo funga nezve mushonga uye IVF, asi kune dzimwe sarudzo dziripo.

Unyanzvi hwekubereka hunyanzvi (ART) izita rekurapa kubereka uko kunosanganisira maitiro epamberi nemaitiro. Izvi zvinosanganisira IVF. ART inosanganisirawo intrauterine insemination (IUI), rudzi rwemaitiro apo urume hunopinzwa muchibereko kuti ubatsire mazai.

Yeparty-inobatsira ART ndeimwe sarudzo apo vakaroorana vangasarudza kuve nezai, embryo, kana zvipo zvehurume. Sarudzo yekuwana zai rakapihwa, chirume kana embryo inogona kuita manzwiro, uye chiremba wako anogona kukutungamira kuburikidza nezvakanaka nezvakaipa zveiyi mhinduro inogadziriswa.

Musiyano mukuru uripo pakati peART neECH ndewekuti kubata kunoitika nekubatsira kwerabhoritari ine ART. COH inobvumira kubata pamuviri mumuviri pasina chikonzero chekuenda kuhofisi yechiremba.

Kuvhiya kunoshandiswa rini pakurapa kwekubereka?

Chiremba wako anogona kukurudzira kuvhiyiwa kana vakawana nyaya nenhengo dzako dzekubereka. Kuvhiya dzimwe nguva kunoshandiswa kugadzirisa maburi akatsemuka kana akavharika kuitira kuti zai ribudirire uye ribudiswe.

Kuvhiya kwevakadzi kubereka kunogona kubatsirawo kubata:

• mavanga ari munhengo yekubereka
• uterine fibroids
• endometriosis
• polyps

Muvarume, sarudzo dzekuvhiya dzinogona kushandiswa kugadzirisa varicose veins, inonzi varicoceles, mumachende ayo anogona kukonzera kushaya mbereko mune vamwe varume (kunyange varume vazhinji vane chirwere ichi vasina dambudziko nekubereka).

Kusvika kune varume vanowana varicoceles muhupenyu hwavo. Zvinoitika makumi matatu nezvishanu muzana evarume vane kushomeka kwekutanga.

Iyi ongororo ya2012 yezvidzidzo inoratidza kuti varicoceles kuvhiyiwa kunovandudza neimwe nzira isingatsanangurwe kushaya mbereko - kunyangwe vatsvagiridzi vanotaura zvimwe zvidzidzo zvinodiwa izvo zvinoratidzira kuzvarwa chaiko kana nhanho dzepamuviri semhedzisiro yakatarwa.

Kuvhiya zvakare dzimwe nguva kunoshandiswa kubatsira kuvhura machubhu anoendesa urume kuchombo.

Ndeipi njodzi kumubereki nemwana?

Kunyange nzira zhinji dzekurapa dziine imwe nhanho, tekinoroji yakashanduka zvekuti marapirwo mazhinji ekubereka ave kuonekwa sekuchengetedzeka kuvabereki uye nemwana mucheche.

Kuvhiya kunogona kusanganisira njodzi, senge hutachiona, uye kuvhiyiwa kwevakadzi mukati mevakadzi kunogona zvakare kuwedzera njodzi ye ectopic nhumbu (iyo inogona kunge yakakomba mamiriro apo zai uye inotevera fetus inokura kunze kwechibereko chako).

Kumbira chiremba wako mibvunzo yakawanda sezvaunoda kuti uone kuti iwe unoziva uye wakasununguka nechero njodzi inogona kutanga usati watanga kurapwa.

Masayendisiti ari kuyedza kuona kana kurapa kwekubereka kuchikonzera kutyisidzira kuhutano hwemwana kana achinge azvarwa. Mumwe akatsunga vacheche vakazvarwa mushure mechando embryo kuendesa kwaive nengozi yakati rebei yekenza yehucheche. Nekudaro, izvi zvinongoshanda chete kuchando chakaomeswa chembryo, kwete kuvacheche vanozvarwa mushure meIVF kana kumwe kurapwa.

Dzimwe njodzi dzinogona kuunzwa kumwana, uko huremu hwekuberekwa hushoma hunogoneka. Sekureva kwa, kune zvakare mukana wepamusoro wekuzvarwa nguva isati yakwana apo ART inoshandiswa pakubereka. Kuzvarwa nguva isati yakwana kunoitika kana mwana wako achinge azvarwa kwadarika mavhiki makumi matatu nemanomwe ekubata. Njodzi yacho yakatokura kana iwe uchitakura vana vakawanda.

Ndeapi mikana yekuve nevazhinji vacheche?

Mishonga yeART inogona kuburitsa nhumbu dzakawanda panguva imwe chete. Nepo zviitiko zvakadaro zviri kudzikira, vaongorori vakafungidzira kuti panosvika gore ra2011 vangangoita makumi matatu neshanu kubva muzana yemapatya uye makumi manomwe nenomwe kubva muzana evatatu kana vana vepamusoro muUnited States zvakakonzerwa nepamuviri pakabatsirwa nemishonga yekurapa.

Vanachiremba ikozvino vanogona kudzora izvi nekudzikamisa huwandu hwemazai anotamisirwa muchibereko panguva imwechete.

Ndeupi mukana wekubudirira wekurapa kwekubereka?

Sekureva kweAmerican Society for Reproductive Medicine, pakati pe85 ne90 muzana yematambudziko ekushaya mbereko anorapika. Idzi inhau dzinogamuchirwa kumhuri dzakawanda dzinotsvaga kukurira kushaya mbereko muAmerica. Asi kunze kwezera uye hutano, iyo yekubudirira mwero zvakare zvinoenderana nerudzi rwekurapa iwe rwaunosarudza.

Semuenzaniso, IUI inogona kuva ne20 muzana yekubudirira kwehuwandu hwekuzvitakura uchienzaniswa ne50 muzana muzana yekubudirira kubva pamubhadharo wemubereki. Chiremba wako anogona kubatsira kukupa iwe irinani zano reako wega mikana yekubudirira zvichibva pane dzakasiyana marapirwo.

Inguva yakareba sei kurapwa kwekubereka kunotora kushanda?

Nehurombo, hapana mhinduro yakatwasuka apa. Vamwe vakaroorana vanobudirira mwedzi wekutanga wavanowana rubatsiro rwekurapa, nepo vamwe vanoedza kwemakore. Maitiro ekurapa kwekubereka anogona kuva akareba uye anonetesa, izvo zvinogona kuwedzera kushushikana kana wanga uchiedza kuve nepamuviri.

Kuti ikubatsire kusarudza sarudzo dzakanakisisa dzekurapa dzinogona kuitika, chiremba wako anoongorora nhoroondo yako yehutano uye otarisa chero zvingangoita matambudziko ekubereka mukati mako iwe nemumwe wako.

COH inogona kuyedzwa pamberi peART, zvichienderana nezvakabuda mukuferefeta kwachiremba wako. Kunyangwe kana ART ichiedzwa, zvinogona kutora kuyedza kwakawanda mimba isati yaitika. Pamusoro pezvo, izvi zvinoitwa kamwe chete pamwedzi, sezvo mukadzi achizadza kamwe chete mumazuva makumi maviri nemasere paavhareji.

Kusarudza kurapwa kwekubereka harisi basa riri nyore, asi chiremba wako anogona kukubatsira kuti uone nzira chaiyo yemhedzisiro inobudirira.

Tora woenda nazvo

Kune vakaroorana vari kuyedza kubata mwana, tarisiro yacho yakanaka kuve nepamuviri noutano uye kunakirwa nemashiripiti ekuva mubereki.

Kusvika pa9 pavanhu gumi avo vakaonekwa sevasina mbereko vanogona kubatsirwa nemishonga yekurapa. Nepo kumwe kurapa kungave kuchidhura uye kunetsa, uye kune dzimwe njodzi, zvichiri kufanira kuteedzera hurukuro nachiremba wako nezve yakanakisa nzira yekuita.

Kupindira kwekurapa kwakashanduka, uye ndiyo imwe yenguva dzakanakisa munhoroondo yekugamuchira rubatsiro murwendo rwekubata.