Okuqukethwe
Kungani kunzima ngabesifazane abakhuluphele ukukhulelwa
Ukungazali kusepuletini ngokoqobo. Isisindo sikhuphuka, kanye nalo - ingozi yezifo ezihlukahlukene, kodwa ukukhulelwa kuya kuba nzima nakakhulu.
Ziyanda izindaba zokuthi amantombazane kumele ehle kakhulu emzimbeni ukuze akhulelwe. Emzamweni wokuba ngumama, balahlekelwa amakhilogremu angu-20, 30, ngisho nama-70. Ngokuvamile, amantombazane anjalo nawo ahlushwa i-PCOS - i-polycystic ovary syndrome, eyenza ukukhulelwa kube nzima nakakhulu, futhi kube nzima nakakhulu indaba yokulahlekelwa isisindo. Futhi odokotela bathi: yebo, kunzima kakhulu ukuthi abesifazane abakhuluphele kakhulu bakhulelwe. Ukudla kuthinta imizimba yethu kakhulu kunalokho abantu abaningi abakucabangayo.
udokotela wokubelethisa, udokotela wezifo zabesifazane, uchwepheshe wenzalo emtholampilo we-REMDI
"Esikhathini sethu, isibalo sabesifazane abanesisindo somzimba esikhulayo - i-BMI ikhulile, ikakhulukazi kubantu abasha. Lokhu kubangelwa izici ezingavamile zokuziphatha ngendlela yokudla kanye nendlela yokuphila. Abesifazane abakhuluphele basengozini yokuthola izinkinga zempilo: izifo zenhliziyo, izifo zesistimu ye-musculoskeletal, isifo sikashukela. Umphumela omubi wesisindo esiningi emsebenzini wokuzala nawo ufakazelwe. “
Umbuthano ononya
Ngokusho kukadokotela, abesifazane abakhuluphele bahlakulela i-endocrine infertility. Lokhu kubonakaliswa ngama-ovulation angavamile noma ukungabikho kwawo okuphelele - i-anovulation. Ngaphezu kwalokho, ngokuvamile abesifazane abakhuluphele ngokweqile banezinkinga zokuya esikhathini.
“Lokhu kungenxa yokuthi izicubu ze-adipose ziyabandakanyeka ekulawulweni kwamahomoni ocansi emzimbeni. Kwabesifazane abakhuluphele ngokweqile, kunokuncipha okukhulu kwe-globulin ebopha amahomoni ocansi wesilisa - ama-androgens. Lokhu kuholela ekwenyukeni kwezingxenyana zamahhala zama-androgens egazini, futhi ngenxa yalokho, ama-androgens angaphezulu kwezicubu ze-adipose aguqulwa abe ama-estrogens - amahomoni ocansi wesifazane, ”kuchaza udokotela.
I-Estrogens, yona, ivuselela ukwakheka kwehomoni ye-luteinizing (LH) ku-pituitary gland. Le hormone inesibopho sokulawula i-ovulation kanye nomjikelezo wokuya esikhathini. Lapho amazinga e-LH ekhuphuka, ukungalingani kwamahomoni kukhula, okuholela ekungahambi kahle kokuya esikhathini, ukuvuthwa kwe-follicular, kanye ne-ovulation. Kunzima kakhulu ukukhulelwa kulesi simo. Ngaphezu kwalokho, ukucindezeleka ngenxa yemizamo engasebenzi yokukhulelwa, amantombazane avame ukuqala ukubamba - futhi umbuthano uvala.
U-Anna Kutasova uyanezela: “Abesifazane abakhuluphele ngokweqile bavame ukuba nokuphazamiseka kwe-carbohydrate metabolism, i-hyperinsulinemia kanye nokungakwazi ukumelana ne-insulin.
Ukulahlekelwa isisindo esikhundleni sokwelashwa
Ukuze uqonde uma abesifazane bekhuluphele, udinga ukubala inkomba yesisindo somzimba wakho. Ukuze wenze lokhu, udinga ukuzikala futhi ulinganise ubude bakho.
Abesifazane bayanconywa ukuthi balinganise ubude nesisindo ngesibalo se-BMI ngokuya ngefomula: BMI (kg / m2) = isisindo somzimba ngamakhilogremu / ukuphakama ngamamitha ayisikwele - ukukhomba ukukhuluphala ngokweqile noma ukukhuluphala (BMI enkulu noma elingana nama-25 - ukukhuluphala ngokweqile, i-BMI enkulu noma elingana nama-30 - ukukhuluphala).
Isibonelo:
Isisindo: 75 kg
Ukuphakama: 168 bheka
I-BMI = 75 / (1,68 * 1,68) = 26,57 (isisindo esikhulu)
Ngokusho kwe-WHO, ingozi yezinkinga zempilo yokuzala incike ngqo ezingeni lokukhuluphala ngokweqile / ukukhuluphala:
ukukhuluphala ngokweqile (25-29,9) - ingozi eyengeziwe;
ukukhuluphala kwezinga lokuqala (30-34,9) - ingozi enkulu;
ukukhuluphala kwezinga lesibili (34,9-39,9) - ingozi enkulu kakhulu;
ukukhuluphala kweziqu zesithathu (ngaphezu kwama-40) izinga eliphezulu kakhulu lengozi.
Ukwelashwa kokuzala, i-IVF - konke lokhu kungase kungasebenzi. Futhi futhi ngenxa yesisindo.
“Kufakazelwe ukuthi ukukhuluphala kuyingozi enciphisa ukusebenza ngempumelelo kwemithi yokwelapha inzalo kusetshenziswa ubuchwepheshe bokuzala obusizayo (ART). Ngakho-ke, ngesikhathi sokukhulelwa, abesifazane badinga ukuhlolwa, ”kuchaza uchwepheshe wethu.
Futhi uma ulahlekelwa isisindo? Kuvela ukuthi ukulahlekelwa isisindo ngisho no-5% kwandisa amathuba okuba nemijikelezo ye-ovulatory. Okungukuthi, amathuba okuthi owesifazane uzokwazi ukuzithwala, ngaphandle kokungenelela kwezokwelapha, asevele ekhula. Ngaphezu kwalokho, uma umama okhulelwe engakhuluphele ngokweqile, izingozi zezinkinga ngesikhathi sokukhulelwa ziyancipha kakhulu.
Konje
Ingxabano evamile evuna isisindo esiningi phakathi komama ukuthi izingane zabo zizalwa zizikhudlwana. Kodwa lokho akukuhle ngaso sonke isikhathi. Phela, ukukhuluphala kungakhula enganeni, futhi lokhu kakade akuyona into enhle. Ngaphezu kwalokho, ukubeletha ingane enkulu kunzima kakhulu.
Kodwa kaningi kunokuzalwa kwezingane ezinkulu, ukuzalwa ngaphambi kwesikhathi kwenzeka komama abakhuluphele. Izingane zizalwa ngaphambi kwesikhathi, zinesisindo esincane, kufanele zinakekelwe endaweni yokunakekelwa okuphuthumayo. Futhi lokhu akukuhle.