Amaxesha atshintshe kakhulu, namhlanje abantu basetyhini banokuthatha isigqibo sokuba babe nomntwana nini kwaye phantsi kwaziphi iimeko. Ukuba phambi kombuzo webhayiloji unyanzelwe ukuba akhawulezise amaxesha namhlanje umfazi uthathe isigqibo sokuba ubengumama nini kubonga ulondolozo lwenzala.
Phakathi kwezinye izinto, isayensi inike abasetyhini inkululeko. Njengoko sisazi kakuhle, amaqanda "anobomi obuluncedo". Nangona owasetyhini enokukhupha amaqanda kude kube emva kweminyaka engama-50, umgangatho wamaqanda awuzukufana kwaye yiyo loo nto kunzima kakhulu ukuba akhulelwe.
Ukuchuma iminyaka engaphezulu
Ndiyabulela kwisayensi namhlanje abafazi banako ukhethe ukuba ngoomama nini Enkosi kwi iqanda leqanda. Ndifuna ukuba ngumama ngoku? Ngaba ndiya kufuna ukuba ngumama kwixesha elizayo? Ngaba ndingathanda kuqala ukukhula ngobungcali ngaphambi kokuqalisa indlela yobumama?
Xa uneminyaka engamashumi amabini ubudala, ngekhe uzibuze le mibuzo. Kodwa njengoko siwela umda we-30s, le mibuzo iqala ukuvela. Kwaye ukuba ngaphambi kokuba le mibuzo ifune impendulo ngexeshana elincinci ukuze basebenzise impilo entle yamaqanda, namhlanje abafazi banethuba lokolula iimpendulo zabo. Oku kubulela kumathuba abantu basetyhini gcina ukuchuma.
Enkosi kubuchwephesha bamuva obenziwe yinzululwazi, namhlanje kunokwenzeka qanda amaqanda ukuzisebenzisa kwiminyaka kamva. Oku kuvula umnyango wenzala ngaphandle kwesidingo sokukhulelwa ngaphambi kokuba ukhuseleke ngokupheleleyo. Yinkqubo elula ngokuya isiba kwifashoni. Iphunyezwa linani elikhulayo labasetyhini, ngakumbi abo banamandla athile okuthenga ukuxhasa unyango.
Amathuba
Namhlanje akuyomfuneko ukunikezela iphupha lokuba ngumama kodwa umane uqandisa amaqanda ukulibazisa ukuba kunokwenzeka. Unyango luvumela ukwandisa oko kulandelelana ngokobudala kwaye ke ngoku umfazi angakwazi ukhulelwe emva kwama-40 ngaphandle kokuphazamiseka. Kungenxa yokuba kuyinyani ukuba, ukusukela kwiminyaka ye-35, abasetyhini bayasokola a inzala esezantsi. Le nkqubo inyuka ngokukhawuleza emva kweminyaka engama-40, ngeepesenti ezili-10 kuphela ze- amathuba okuba ukhulelwe.
La ulondolozo lokuchuma yenziwa ngu ukugcinwa kweqanda, ubuchule obufanayo In vitro isichumiso (IVF) nangona umahluko osisiseko. Kule meko, endaweni yokuchumisa amaqanda ngesidoda, eyokuqala ibekwa kwindawo yokugcina ukuze isetyenziswe kamva.
Unyango lokugcina ukuchuma
Ngubani onokuthi kumashumi ambalwa eminyaka eyadlulayo ukuba umfazi oneminyaka engama-35 ubudala uya kuba kwinqanaba eliphezulu lomsebenzi wakhe wobuchwephesha okanye ngaphandle kweqabane. Inyani ibonisa ukuba oku kuya kusiba rhoqo kwaye yiyo loo nto ithuba le Umfazi uthatha isigqibo sokuba abengumama nini ngenxa yolondolozo lwenzala iboniswa njengenguquko yenkcubeko eguqula ubunyani bendalo yonke yabasetyhini.
Mthathe isigqibo sokumisa amaqanda Ayisoloko iyinto elula kuba nangona iyinkqubo entsonkothileyo ephantsi, ifuna ukuthatha amanyathelo okhuseleko kunye nokuvavanya isigqibo ngocoselelo. Ngaphambi kokuthatha isigqibo, kuyacetyiswa ukuba ubonane nogqirha ukuze ufunde malunga nenkqubo kwaye wenze uvavanyo lokuchuma ukuze wazi imeko yamaqanda, isifundo esibandakanya i-ultrasound. Iziphumo zivumela ukwazi uqikelelo lwe-ovarian reserve yomfazi ukumisela amandla akhe okuphendula kwiziyobisi zokuchuma.
Indawo yokugcina amaqanda
Ubudala buchaphazela ubudala bendawo yokugcina ii-ovari kodwa kukho neminye imilinganiselo eyenziwayo yokuqinisekisa ukuba ngaba umfazi uya kusabela kakuhle kwiziyobisi ezisetyenziselwa njalo zivelise amaqanda amaninzi. Ke, amanqanaba e-FSH (yeHollone ekhuthaza i-Follicle) kunye ne-estradiol alinganiswa ekuqaleni komjikelo wokuya esikhathini, inqanaba le-AMH (Antimullerian Hormone), kunye novavanyo lwe-transvaginal gynecological ultrasound yenani leefollic ze-ovari. Kuqhelekile kubafazi abanamanqanaba aphezulu e-FSH, amanqanaba asezantsi e-AMH, kunye nenani eliphantsi le-antral follicle count ukuba inganyangeki ngakumbi kukhuthazo lwe-ovari kwaye ivelise amaqanda ambalwa.
Nangona imingcipheko yonyango iphantsi, kuya kufuneka uwazi wonke umfanekiso ngaphambi kokuba uthi ewe, njengoko kukho abantu basetyhini abaye bafumana iziphumo ezithile emva kokukhutshwa. Thatha isigqibo sokuba ubengumama nini ngokubonga kulondolozo lwenzala kwaye uphande iintlobo zenkqubo ukuba ufuna ukulinda ukuze ube ngumama.