Ungakhulelwa kanjani amawele? Ungawandisa kanjani amathuba okuthi ukhulelwe amawele???

Uma uhlela ukuba nomntwana maduzane, futhi uphupha ngokuba namawele, namuhla siyakutshela ukuthi kungenzeka kakhulu.

Muva nje izinga lokukhulelwa kwamawele linyukile eminyakeni yamuva kunangaphambili ngenxa yezinto eziningi ezahlukene njengokubambezeleka komshado, kanye nokwenyuka kwamaphesenti abantu abasebenzisa izindlela ezahlukene zokwelapha inzalo. amawele angahlukaniswa abe izingxenye ezimbili ezibalulekile, okungukuthi; Amawele afanayo kanye namawele angamaFraternal, lapho amawele afanayo akhulelwa khona ngokuhlukanisa iqanda elivundisiwe libe izingxenye ezimbili ezifanayo ngokuphelele, okuholela ekukhuleni kwemibungu emibili ethwele izakhi zofuzo ezifanayo, kanti imibungu emibili kulokhu inezici zofuzo ezifanayo, futhi bangabantu bobulili obufanayo.Ngokuqondene nokukhulelwa kwamawele angama-asymmetric, kwenzeka ngenxa yokukhiqizwa kwamaqanda amabili ngowesifazane futhi ahlanganiswe ngokuhlukana, futhi umbungu ngamunye unezici ezihlukile komunye umbungu kulokhu, futhi kufanele kuqashelwe ukuthi udokotela angakwazi ukubona ukukhulelwa okungamawele ngokusebenzisa inqubo I-Ultrasound scans phakathi nenkathi ephakathi kwamaviki angu-8-14 okukhulelwa.

 Kumele kuqashelwe ukuthi ayikho indlela eqondile engalandelwa ukukhulelwa amawele, kodwa ziningi izinto ezingase zandise amathuba okukhulelwa kwamawele, okuhlanganisa nalezi ezilandelayo:

Umlando womndeni: Amathuba okukhulelwa kwamawele ayanda uma kukhona umlando wangaphambilini wokukhulelwa kwamawele emndenini, ikakhulukazi uma kukhona ukukhulelwa kwamawele asymmetric, futhi amathuba okukhulelwa amawele ayanda uma umama enewele. Iminyaka yobudala: Amathuba okukhulelwa amawele ayanda lapho umama edlula iminyaka engamashumi amathathu ngenxa yokwanda kokukhiqizwa kwe-follicle-stimulating hormone (FSH), okuholela ekukhuthazeni ukukhiqizwa kwamaqanda amaningi kowesifazane ngesikhathi sokuvuthwa. Inani Lokukhulelwa: Amathuba okukhulelwa amawele ayanda ngokwanda kwenani labakhulelwe ngaphambilini.

Umjuluko:

Ucwaningo oluningi lubonise ukuthi uhlanga lunomthelela emathubeni okukhulelwa amawele, njengoba abesifazane base-Afrika baseMelika kanye nabamhlophe benethuba eliphezulu lokukhulelwa amawele kunabesifazane bezinye izinhlanga.

Izithako zokudla okunomsoco:

Nakuba abanye abantu bekholelwa ukuthi ukuthatha izithasiselo zokudla okunomsoco eziqukethe i-folic acid kwandisa ithuba lokukhulelwa amawele, izifundo ezifakazela ukufaneleka kwalezi zimangalo zinomkhawulo futhi zidinga uphenyo nocwaningo olwengeziwe ukuze zikuqinisekise.

Umzimba wabesifazane:

Lapho ucwaningo oluningi lubonise ukuthi owesifazane one-body mass index (BMI) edlula ama-30 unethuba elikhulayo lokukhulelwa amawele; Njengoba ukwanda kwephesenti lamafutha omzimba kukhuthaza ukukhiqizwa kwenani elikhulu le-estrogen, okungase kubangele ukugqugquzelwa okukhulu kwe-ovulation, futhi ngaleyo ndlela ukukhiqizwa kweqanda elingaphezu kwelilodwa, kanye nolunye ucwaningo luye lwabonisa ukuthi amathuba okukhulelwa amawele ayanda. kwabesifazane abade kunesilinganiso ubude obujwayelekile.

Ukuncelisa Ibele:

Nakuba ukuncelisa ngokugcwele kwengane kuvimbela ukukhulelwa ukuba kwenzeke ngokwemvelo, ukukhulelwa kwezinye izimo kwenzeka phakathi nalesi sigaba, futhi ithuba lokukhulelwa amawele phakathi nalesi sigaba liphezulu.

Ukukhulelwa okwenziwe ngamawele

Kumele kuqashelwe ukuthi ziningi izindlela ezisetshenziswayo ekwelapheni inzalo, ezandisa namathuba okukhulelwa kwamawele, kanti phakathi kwalezi zindlela kukhona lezi ezilandelayo:

Umgomo Wokwenziwa:

Izinga lokukhulelwa kwamawele likhuphuka kakhulu kwabesifazane abathola i-in vitro fertilization, okungenye yezindlela ezisetshenziswa ekwelapheni inzalo, lapho kukhishwa amaqanda amaningana kowesifazane ahlanganiswe nesidoda endaweni yokucwaninga kuze kube yilapho umbungu uqala ukuzala. khula, bese uphinda Udokotela ufaka iqanda elivundisiwe ngaphakathi kwesibeletho, futhi ukwandisa izinga lokuphumelela lenqubo, udokotela ufaka iqanda elivundisiwe elingaphezu kwelilodwa ngenqubo efanayo, futhi lokhu kwandisa ithuba lokukhulelwa amawele.

Imithi yokuzala:

Lapho isimiso sokusebenza kwezidakamizwa zokuzala sikhuthaza ukukhiqizwa kwamaqanda kwabesifazane, futhi lokhu kwandisa amathuba okukhululwa kweqanda elingaphezu kwelilodwa kanye nokuvundiswa yisidoda sowesilisa, futhi lokhu kungase kuholele ekukhulelweni kwamawele noma ngaphezulu, futhi enye yalezi zidakamizwa i-clomiphene (i-Clomiphene, nezidakamizwa zomndeni we-gonadotropins, futhi le mithi idinga ukuqashwa kwemithi kanye nokuqapha impilo lapho isetshenziswa, nakuba le mithi ngokuvamile ibhekwa njengephephile futhi isebenza kahle, kodwa ingase ihambisane nemiphumela emibi kwezinye amacala. Izingozi zokukhulelwa kwamawele Ingozi yezinkinga ezithile zempilo ingase ikhule esimweni sokukhulelwa kwamawele, okuhlanganisa nalokhu okulandelayo:

Umfutho wegazi ophezulu: Abesifazane abakhulelwe izingane ezingaphezu kweyodwa banamathuba amaningi okuba nomfutho wegazi ophakeme ngesikhathi bekhulelwe, ngakho-ke kufanelekile ukuhlola izikhathi ngezikhathi kudokotela ukuze kusheshe kutholakale umfutho wegazi ophakeme kowesifazane okhulelwe.

Ukuzalwa ngaphambi kwesikhathi: Ingozi yokubeletha ngaphambi kwesikhathi iyanda ngokukhula kwenani lezingane ezisesibelethweni sikamama okhulelwe Ngokusekelwe kwizibalo, kwatholakala ukuthi izinga lokubeletha ngaphambi kwesikhathi - okungukuthi, ngaphambi kokuphela kwamasonto angu-37 ukukhulelwa - kuphakama ngaphezu kwama-50% ezimweni zokukhulelwa kwamawele, futhi udokotela angase anikeze umama imijovo ye-Steroid uma kwenzeka kuvela esinye sezibonakaliso zokuthi kungenzeka ukuzalwa ngaphambi kwesikhathi, ngoba le mithi isheshisa ukukhula nokuthuthukiswa kwamaphaphu. we-fetus, ngakho-ke kuyadingeka ukubonana nodokotela ngokushesha ngangokunokwenzeka uma kwenzeka izimpawu zokuzalwa ngaphambi kwesikhathi.

I-Pre-eclampsia: noma lokho okwaziwa nge-pre-eclampsia, futhi kuyinkimbinkimbi enkulu yezempilo ehambisana nomfutho wegazi ophakeme ngesikhathi sokukhulelwa futhi edinga ukungenelela kwezokwelapha okuqondile, futhi leli cala lingatholwa udokotela ekala umfutho wegazi owesifazane okhulelwe, ukuhlolwa komchamo kungase kwenziwe, futhi lesi simo singase sihambisane nokubonakala kwezimpawu ezithile, njengokuthi: ikhanda elibuhlungu, ukuhlanza, ukuvuvukala noma ukuvuvukala okungazelelwe kwezandla, izinyawo, noma ubuso, nokuhlupheka kokubona okuthile. iziyaluyalu.

Isifo sikashukela sokukhulelwa: Amathuba okuba nesifo sikashukela sokukhulelwa ayanda lapho ekhulelwe amawele, futhi lesi simo simelelwa ushukela ophezulu wegazi kowesifazane okhulelwe, okungase kubangele izinkinga ezithile zempilo kumama nosana, futhi kunenqwaba yezindlela zokwelapha kungalandelwa ukulawula lesi simo.

Ukuhlinzwa: Naphezu kokuba nokwenzeka kokuzalwa kwemvelo lapho ukhulelwe amawele uma ikhanda lomntwana wokuqala libheke phansi lapho lizalwa, amathuba okuhlinzwa ngokuvamile aphakeme lapho ekhulelwe amawele, futhi kufanele kuphawulwe ukuthi kwezinye izimo umbungu wokuqala ungase uzalwe Ukuzalwa kwemvelo, kanti omunye umbungu ngokuhlinzwa uma kwenzeka kuba nezinkinga ezithile zempilo.

I-Fetal blood transfusion syndrome: I-Twin-to-twin transfusion syndrome ingase yenzeke ezimeni lapho izingane ezimbili zihlanganyela i-placenta eyodwa. I-fetus ithola inani elikhulu legazi, kuyilapho enye ithola inani elincane kuphela, futhi lesi simo singase sibangele ukuvela kwezinye izinkinga zempilo enhliziyweni yombungu.