Secondary Kusabereka: Zvinorevei uye Zvaunogona Kuita

Zvemukati

• Chii chinonzi kushaya mbereko kwechipiri?
• Chii chinokonzera kushaya mbereko kwechipiri?
• Ovulation kusagadzikana
• Zvinetso nechibereko kana fallopian machubhu
• C-chikamu chekucheka
• Zvirwere
• Autoimmune kusagadzikana
• Zera
• Zvikonzero zvisina kutsanangurwa
• Mishonga yekurapa kwechipiri kushaya mbereko
• Mishonga
• Kuvhiya
• Yepamberi yekubereka tekinoroji (ART)
• Matipi ekutsungirira kushaya mbereko kwechipiri
• Kutora

Kana iwe uri pano, unogona kunge uchitsvaga mhinduro, rutsigiro, tariro, uye nhungamiro yekuti ungaenderera mberi sei nekushaya mbereko mushure mekubata kamwechete kare. Ichokwadi ndechekuti, hausi wega - kure nazvo.

Tichitarisa kusabereka zvachose, inofungidzirwa yevakadzi muUnited States vane dambudziko rekubata kana kugara nepamuviri. Uye kushaya mbereko kwechipiri - kana dambudziko iri rikaitika mushure meimwe kana nhumbu dzakabudirira - dzinowanzo bata vanhu.

Isu tinonzwisisa kuti kushaya mbereko kwechipiri kunogona kuunza huwandu hweanonetsa manzwiro senge kusuwa, kusava netariro, kuvhiringidzika, kushungurudzika, uye kunyangwe kuve nemhosva - pakati pevamwe. Kunyangwe iwe wakawanikwa zviri pamutemo uine yechipiri kushaya mbereko, kana uri kufamba kwekutanga matambudziko nekuitisa nhumbu zvakare, ino inzvimbo yakachengeteka yekudzidza zvakawanda nezvazvo.

Chii chinonzi kushaya mbereko kwechipiri?

Kune mhando mbiri dzekushaya mbereko: chekutanga uye chechipiri. Kunyanya kushaya mbereko kunotsanangura kusakwanisa kutora nhumbu, kazhinji mushure megore rimwe rekuyedza - kana mwedzi mitanhatu, kana zera makumi matatu nemashanu kana kupfuura.

Avo vanoona kushaya mbereko kwechipiri, kune rimwe divi, vane dambudziko rekubata pamuviri mushure mekubata nhumbu kamwe chete kare.

Kungofanana nekutanga kushaya mbereko, yechipiri kushaya mbereko kunogona kuitika nekuda kwenyaya chero nguva mune yakasikwa - uye neimwe nzira yakaoma - maitiro anodikanwa kuve nepamuviri. Iko kubereka kwako kunogona kuchinja kunyangwe mushure mekuzvarwa kwemwana. (Uye zvemumwe wako zvinogona kuchinja nenguva futi - zvakawanda pane izvo sekondi.)

Dambudziko rinogona kuitika neimwe kana akati wandei anotevera matanho:

1. ovulation (zai rinoburitswa)
2. Kusangana kwezai nembeu
3. kufamba kwezai rakauchikwa kuenda muchibereko
4. kuiswa kwezai rakaiswa mudumbu

Ikozvino, pane runyorwa rurefu rwezvirwere nemamiriro - pamwe neyakaodza moyo "isingatsanangurwe kushaya mbereko" kubata - izvo zvinogona kukonzera nyaya. Asi tisati takurukura nezvazvo, zvakakosha kuti tizive kuti vakadzi vese uye varume vanogona kubatsira mukushaya mbereko.

Chinyorwa ichi chakanangana nevakadzi, asi pane zvese zviri zviviri zvechikadzi uye zvechirume mune zvevaviri vanosangana nekushaya mbereko. Uye mu8 muzana yezviitiko, chinhu chechirume chega.

Chii chinokonzera kushaya mbereko kwechipiri?

Kusabereka kwekutanga uye kwechipiri kunogovana zvikonzero zvakafanana. Chinhu chakanyanya kukosha kuziva ndechekuti, mune yakawanda kesi, kushaya mbereko kuri kwete mhosva yako. Tinoziva izvi hazviite kuti zvive nyore kutsungirira, asi zvinogona kukubatsira iwe kunzwa uine simba rekuwana humbowo-hwakavakirwa mhinduro dzinogona kukubatsira kuti ubate pamuviri.

Heano zvimwe zvezvikonzero zvinowanzoitika zvekushaya mbereko mune zvakawandisa, izvo zvinowanzoenderana nechechipiri kushaya mbereko, futi.

Ovulation kusagadzikana

Vazhinji kushaya mbereko kunokonzerwa nekudzivirira ovulation. Muchokwadi, makumi mana muzana evakadzi vane kushaya mbereko havaite ovulate nguva dzose. Matambudziko neovulating anogona kukonzerwa nemamiriro akati wandei uye zvinhu, senge:

• polycystic ovary syndrome (PCOS)
• primary ovarian insufficiency (POI)
• yakaderera kugadzirwa kwemazai ane chekuita nekukwegura
• utachiona kana zvimwe zvinokanganisa endocrine zvinokanganisa kugadzirwa kwehomoni
• mamwe maitiro ehupenyu, senge huremu, chikafu, uye doro kana kushandisa zvinodhaka

Chimwe chezvikonzero zvinowanzoitika zvekushaya mbereko kwevakadzi ndeye PCOS, izvo zvinoita kuti maovari kana adrenal gland abudise mahormone akawandisa ayo anodzivirira mazai kubva pakuburitsa mazai. Inogona zvakare kukonzera cysts kukura pane maovari ayo anogona kuramba achipindira neovulation.

Nhau dzakanaka ndedzekuti kune kurapwa kunoshanda kwePCOS. Muchokwadi, kurapwa nemishonga (zvimwe pane izvi pazasi) kunogona kukonzeresa kubudirira kuita nhumbu kusvika kune vakadzi vane PCOS.

Zvinetso nechibereko kana fallopian machubhu

Matambudziko echimiro anogona kukanganisa kugona kwako kubata pamuviri. Semuenzaniso, kana paine kuvharika mumatumbu, chirume nezai zvinogona kutadza kusangana. Chibereko chinogona zvakare kuve nehurema hwesimba kana hwenyama hunodzivirira kuisirwa.

Heano mamwe mamiriro akasarudzika anokanganisa fallopian machubhu kana chibereko.

• endometriosis
• uterine fibroids kana polyps
• uterine vanga
• kusagadzikana muchimiro chechibereko, senge unicornuate chibereko

Endometriosis yakakosha kushevedzera, nekuti inobata kusvika gumi muzana yevakadzi.

Uyezve, iyi yeendometriosis uye kushaya mbereko inowirirana hukama - 25 kusvika 50 muzana yevakadzi vasina mbereko vane endometriosis.

Chechipiri kushaya mbereko nekuda kwe endometriosis kunogona kukonzeresa mushure mechikamu chekusiyiwa kana kuvhiyiwa kwechibereko, apo masero eterine anogona kukanganiswa uye zviratidzo zvinotanga kana kuwedzera.

C-chikamu chekucheka

Kana iwe uine cesarean kuburitsa nepamuviri nhumbu, zvinokwanisika kuve uine vanga muchibereko, inonzi isthmocele. Isthmocele inogona kutungamira mukuzvimba muchibereko iyo inobata kuisirwa.

Rondedzero yekuti isthmocele inogona kurapwa sei zvinobudirira kusimudzira kukwidziridzwa kwekubereka. Mune ino kesi, mukadzi akabudirira kubata nhumbu kuburikidza ne in vitro fertilization (IVF) mushure mekunge ismochimendi yagadziriswa nehurongwa hwekuvhiya.

Zvirwere

Utachiona - kusanganisira hutachiona hwehutachiona - hunogona kukonzera chirwere chekupomba. Izvi zvinogona kukonzeresa kukuvadzwa uye kuvharika kwe fallopian machubhu. Utachiona hwevanhu papillomavirus (HPV) hutachiona (uye marapirwo ayo) zvinogona kukanganisa hutachiona hwechibereko pamwe nekuderedza kubereka zvakare.

Nhau dzakanaka: Kana chirwere chikakurumidza kurapwa, kubereka kushoma kuchabatwa.

Autoimmune kusagadzikana

Hukama pakati pe autoimmune kusagadzikana uye kushaya mbereko haina kunyatsonzwisiswa. Kazhinji, autoimmune kusagadzikana kunokonzera muviri kurwisa matukisi ane hutano. Izvi zvinogona kusanganisira matumbu ekubereka, zvakare.

Autoimmune kusagadzikana senge Hashimoto's, lupus, uye rheumatoid arthritis inogona kukanganisa kubereka nekukonzera kuzvimba muchibereko uye placenta. Uye, mishonga inobata kusagadzikana uku inogona kubatsirawo.

Zera

Isu tinoziva iyi inyaya inobata, asi zvinosuwisa, hapana nzira yekutenderedza. Sayenzi inoti zera iro zvinoita ita basa rekubereka. Iyi zera rakabatana sechiverengero chakakosha kuita kushaya mbereko kwechipiri zvichienzaniswa nekutanga kushaya mbereko. Muchidzidzo, avhareji zera revakaroora yaive yakakwira pakati peavo vanowana kushaya mbereko kwechipiri.

Biologically, kubereka kunokwira kutenderera makore makumi maviri evakadzi uye kunotanga kudzikira pazera makumi matatu - kuderera kukuru nezera makumi mana. Izvi hazvireve kuti nhumbu inobudirira haikwanise zvinoitika pamazera epamusoro ekubereka. Zvinongotora nguva yakareba kana kuva zvinonetsa.

Zvikonzero zvisina kutsanangurwa

Ndiyo mhinduro hapana mukadzi anoda kunzwa, asi dzimwe nguva (uye zvinosuruvarisa kazhinji) vanachiremba havagone kuwana chikonzero chekuziva chekushaya mbereko kwechipiri. Mushure memabhatiri ebvunzo, kurapwa uye akawanda "kuyedza," tinoziva kuti zvinogona kuve nyore kurasikirwa netariro.

Asi ndokumbirawo urambe uchifunga kuti muviri wako unogona kuchinja, ruzivo rutsva rwekurapa runogona kubuda, uye ramangwana rinogona kubata zvese zvawanga uchitarisira. Saka shanda nachiremba wako kuti usasiya dombo risina kushandurwa parwendo rwako rwekubata.

Mishonga yekurapa kwechipiri kushaya mbereko

Kana iwe wakambove nepamuviri nyore, izvi zvese zvinogona kunzwa zvinotyisa uye zvisina kujairika - uye zvakaoma. Asi kurapwa kwekushaya mbereko kunotanga nekutarisa chakakonzera. Saka, chiremba wako anogona kukurudzira kumwe kuyedzwa. Iyi bvunzo inogona kusanganisira:

• kuongororwa kweropa kutarisa mahormone ako
• ovulation bvunzo
• bvunzo dzechiuno
• X-ray kuona yako fallopian machubhu
• inonzi transvaginal ultrasound
• mimwe miedzo yekutarisa chibereko chako nemuromo wechibereko

Kana bvunzo dzako dzikadzoka pasina mireza tsvuku, chiremba wako anogona kukurudzira kutarisa mumiedzo yekushaya mbereko kwevanhurume. (Ndine urombo, madzimai: Ichokwadi chehupenyu chatinoiswa pasi pe microscope kutanga.)

Kana iwe uchinge waziva chikonzero, chiremba wako anogona kukudziridza chirongwa chekurapa kuti uwedzere mikana yako yekubata. Heano mamwe marapirwo akajairika ekushaya mbereko muvakadzi.

Mishonga

Mishonga inowanzo shandiswa kugadzirisa mahormone. Dzimwe nguva, mishonga inosimudzira kubereka inokurudzirwa kubatsira kukurudzira ovulation.

Nekuti PCOS ndiyo inowanzo konzeresa kushaya mbereko, zvakakodzera kutaura kuti kurapwa kunogona kusanganisira mishonga kubatsira kukurudzira ovulation mukuwedzera kune ekurarama maitiro, sekusvika kuhuremu hune hutano kana chiremba wako afunga huremu chinhu.

Kuvhiya

Mune zvimwe zviitiko, ungangoda kuvhiyiwa. Kune akatiwandei ekuvhiya anoshanda anogona kubata nyaya senge uterine fibroids, uterine scarring, kana advanced endometriosis. Mazhinji eaya maitiro anoitwa zvishoma zvisingaiti.

Hysteroscopy inoshandiswa kuongorora nekurapa kusagadzikana kwechibereko, senge polyps uye endometriosis. Laparoscopy inzira yekubatsira kuongorora kushaya mbereko kana mamwe matanho asina kubudirira uye anogona kushandiswa ne hysteroscopy semushonga unoshanda.

Kuvhiya kunonzwika kunotyisa, asi kuudzwa kuti kune mhinduro yekuvhiya kushaya mbereko yako inhau dzakanaka dzinokurudzira.

Yepamberi yekubereka tekinoroji (ART)

Kubata pamuviri kwakabudirira kunogona kusanganisira ART. Zvimwe zviviri zvakajairika ndeye intrauterine insemination (IUI) uye IVF.

NeIUI, chirume chinounganidzwa chobva chaiswa muchibereko panguva yekuvhara. MuIVF, mazai emukadzi anounganidzwa pamwe nehurume. Mubazi, zai rinosanganiswa nembeu kwainokura kuita mazai. Ipapo, nhumbu (kana inopfuura imwe) inoiswa muchibereko chemukadzi.

Idzi nzira dzinogona kuvimbisa. Iyo yakaratidza kuti 284,385 maART macircuit akaitwa muUnited States muna 2017 zvakakonzera 68,908 kuzvarwa kuripo uye 78,052 vacheche vakazvarwa (ehe, izvo zvinoreva mijenya yakawanda!). Ndiyo 24 muzana yekubudirira.

Matipi ekutsungirira kushaya mbereko kwechipiri

Kutsungirira kubereka kwechipiri kunogona kuva kwakaoma. Kusingaperi chiremba kugadzwa, bvunzo, maitiro, uye mishonga. Kurara husiku. Nguva uye simba kure nemudiki wako. Kuzvipa mhosva yekuda kuitazve imwe nhumbu apo vakadzi vazhinji vari kunetsekana kuti vave nazvo chete. Kushungurudzika pakati pako nemumwe wako. Kusuruvara kana iwe uchikokwa kune zvakadaro mumwe mucheche shawa - uye mhosva yekutonzwa zvakadaro.

Rondedzero yacho haiperi. Saka heano matipi mashoma ekukubatsira iwe kutsungirira.

• Dzivisa kuzvipa mhosva iwe kana mumwe wako. Muzviitiko zvakawanda, sekondari haibvi pane chero chinhu iwe kana mumwe wako chawakaita. Gara wakanangana nachiremba wako pane ako mamiriro ezvinhu uye humbowo-hwakavakirwa nzira dzekukunda.

• Ramba uine tariro. Tsvaga yekubudirira nyaya - kune vakawanda kunze uko. Tarisa mukati mewewe network kana mapoka ekutsigira kuti uwane vamwe vakadzi vane zviitiko zvakafanana nekushaya mbereko. Ungana navo uye ugovane nyaya dzako. Dzidza zvavakaita, zvii zvavakashanda navanachiremba, uye chii chakakonzera kubudirira kwavo kubata pamuviri.

• Batana nemumwe wako. Kushushikana kwekushaya mbereko kunogona kutora mutero kunyangwe hukama hwakasimba. Tora nguva yekubatana nemumwe wako. Taura nezvemanzwiro ako, taura zvaunonetseka, uye shanda pamwe chete nehurongwa hwekuenderera kumberi uchinzwa wakabatana. Imi mose muchave nesimba rekufamba uyu mugwagwa wakaomarara kana uchizviita padivi nedivi.

• Tarisa pane zvaunogona kudzora. Pane zvinhu zvakawanda zviri mukati mekutonga kwako kusimudzira kubereka kwako. Imwe yacho kuzvitarisira. Tora chikamu chinoshingairira mukugadzirisa kushushikana kwako, kurarama hupenyu hune hutano hwakanaka, uye kutsvaga mhinduro nyowani uye itsva dzinogona kukubatsira kuti uve nemimba. Uya nemazano matsva uye nekunzwisisa kune chiremba wako kuti akurukure.

• Tsvaga rutsigiro rwako. Munhu wese anofamba kuburikidza nekushaya mbereko anoda yakasimba rutsigiro system. Vimba nevanhu vaunovimba navo uye nguva dzose taura nachiremba wako kana iwe uchinzwa zviratidzo zvekiriniki yekuora mwoyo, sekushaya tariro uye kupererwa.

Kutora

Secondary kushaya mbereko kunogona kutora kuora muviri uye nemanzwiro kune chero munhu, kusanganisira iwe, mumwe wako, uye vadikanwa. Zvakakosha kutaura nachiremba wako nezve zvese Zvekunetsekana kwako, kutambudzika, uye zvinangwa.

Nenzira iyi, iwe unogona kutungamirwa kune izvo zviwanikwa izvo zvinogona kukubatsira iwe parwendo rwako rwekunamba zvakare. Ramba wakasimba (zvakanaka kuchema, futi), tsamira pane ako ekutsigira network, tsvaga inokurudzira yekubudirira nyaya, uye kwete kurasikirwa netariro.