Sonke siyazi imeko xa iminqweno yethu ingahambelani namakhono ethu. Ngale ndlela kulula ukudibanisa, ukuba ngumbuzo wezinto eziphathekayo. Kodwa xa kuziwa ekuzalweni, iingxaki zokukhulelwa zibangele ukukhathazeka okukhulu kwengqondo, kwaye ukuxilongwa "kokungabikho kwengqondo" kuyafana nesigwebo. Ngokuqhelekileyo, amadoda kunye nabasetyhini banenkinga yokungafumaneki kwinqanaba lesi-2. Yintoni ebangela la mazwi? Yintoni ukungabikho kwengqondo? Ngaba ukungabi nabantwana 2 degrees yokwelashwa?
Ulwahlulo lokungabikho
Oogqirha bahlula ukungabikho kolwazi olusisiseko nasesekondari, olupheleleyo kunye nolunxulumene. I-degrees 1 (yokuqala) ithetha ukuba indoda okanye ibhinqa ayizange ikwazi ukukhulelwa umntwana, ihlala ubomi bobulili obuqhelekileyo kunye namaqabane ahlukeneyo. Kuthetha ukungabikho kwengqondo kwama-2 degrees (okwesibini), xa ebomini bentombi ubuncinane kanye xa bekhulelwe (akunandaba nokuba uphelile ngokubeletha okanye akunjalo), kwaye loo ndoda yayinokungenani xa ikhulelwe umntwana. Ngelo xesha, baneengxaki zokukhulelwa. Ngokuchasene neengcamango ezixhaphakileyo zengcamango yokuba "ukungabikho kwengqondo 3 (4 kunye nabanye) isicatshulwa" kwimiyeza ayikho.
Ukuxilongwa "kokungabikho kwengqondo" kwenziwa xa isiguli sinesifo sokubeleka okanye sitholakale sisifo esingahambelani nesisu, umzekelo, ukungabikho kwamalungu omzimba. Ngokungahambi kakuhle, iimbangela zeengxaki zokukhulelwa zilele kwizifo zenkqubo yokuzala, okanye ukungabikho komntwana.
Yintoni ekhokelela ekungabikho kwengqondo?
Isizathu esiqhelekileyo sokungabikho kwesantya se-2 degrees, kokubini kwabesetyhini kunye namadoda, sisifo se-hormonal. Ngexesha elifanayo, inkqubo yokuhluthwa kweeseli zesini iphazamiseka, ayiyikuhleleka ekukhulelweni nokukhulelwa, utshintsho luvela kwimizimba yokuzala. Ukungenanto kunye ne-thyroid nazo zidibanisa, nokuba kunjalo, ukuphazamiseka emsebenzini wakhe: zombini i-hyper- kunye ne-hypothyroidism ye-thyroid gland ibangela ukuhluleka kwe-hormonal.
Kuyabasetyhini, ukungazinzi okwesibini kubangelwa emva kokukhipha isisu kunye nokukhutshwa komzimba. Ukupheliswa kokufakelwa kokukhulelwa kwimeko ezininzi kukhokelela ekuphuhliseni izifo ezivuthayo zesisu kunye neefowendages zayo, kubandakanya i- endometriosis kwaye, ekugqibeleni, ukungabi namandla.
Ezinye izizathu zokungabikho komntwana wesantya sesi-2 zingaba:
- ukuncipha kokuzala ngenxa yobudala (emva kweminyaka engama-30);
- ukukhulelwa kwe-ectopic kunye nokulahleka komzimba;
- ukuphazamiseka kwamathambo;
- i-myoma uterine;
- ovary polycystic;
- yangaphambili yomsebenzi;
- ukuphelelwa kwesisu kwangaphambili, ukungondleki kwe-ovarian;
- izifo;
- uxinzelelo kunye nokungondleki.
Ukungabi namalungelo ama-2 degrees kumadoda kwenzeka ngenxa yezi zizathu zilandelayo:
- ukuxhwaleka kunye nezifo (kubandakanywa nokusuleleka) kwezitho zangasese;
- imichiza okanye ukukhanya kweemitha;
- ukuthatha imithi ethile (ii-antibiotics, i-hormone);
- imikhwa emibi (ukutshaya, utywala, iziyobisi);
- Izimo zokusebenza eziyingozi, imiqathango engqongileyo engqongileyo;
- ubomi obungavamile, ukungondleki;
- uxinzelelo, ukudandatheka.
Ukungabikho kolwazi lwesibini - indlela yokunyanga?
Ngaphambi kokuqala unyango lwe-infertility, kubalulekile ukuseka imbangela yesifo. Ukwenza oku, bobabini bomtshato bavavanya kwaye bahlolwa. Emva kokufumana ulwazi malunga nemeko yemvelaphi ye-hormonal kunye nenkqubo yokuzala yezigulane, ugqirha umisela unyango ngamnye. Bobabini abatshatileyo banconywa ukuba balungise ukutya, umsebenzi kunye nokuphumla, ukuphepha ingcinezelo yengqondo, ukuyeka imikhwa emibi. Ngomntwana ongenasifo, ugqirha uya kubhala amalungiselelo akhethekileyo okuqhelanisa imvelaphi ye-hormonal.
Ngeziphumo ezingekho kakuhle ze-spermogram, ukunyamezela kwindoda kubasetyhini, ukuphazamiseka kwezigulane ze-fallopian zitshintshela ukudlulisa (ukusungulwa kwesondlo ngqo kwi-uterus), IVF, ICSI. Kwaye kunye nezifo ezibuhlungu kunye nokudinwa kwendawo yokugcina i-ovari, oogqirha bacebisa ukuba basebenzise iinkqubo zabaxhasi.