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Siyini isifinyezo somusho owodwa salesi sihloko esilandelayo? Imibhangqwana eminingi kuyodingeka ilinde isikhashana ngaphambi kokukhulelwa, futhi lokhu kuyinto evamile! Kodwa uma wena noshade naye nizama unyaka owodwa ningakhulelwa, sekuyisikhathi sokuxoxa ngezinkathazo zenu nodokotela wakho wezibeletho. Bangakhuluma ngezimbangela ezingase zibe khona zokungazali futhi bakusize ucabange ngezinyathelo zakho ezilandelayo. Nakuba kungewona umqondo omuhle ukuphendukela ekwelashweni kokungazali ukuze nje ukhulelwe amawele, kufanele wazi ukuthi lokhu kwelashwa kuzonyusa kancane amathuba akho okuba nezingane eziningi. Ngezinye izikhathi kungaba nzima ukuthola ukuthi yini ngempela ebangela izinkinga zokungazali kwabashadile. Cishe u-25% wokungazali uhlala ungachazeki ngisho nangemva kokuhlolwa. Ukuze anqume izinkinga ezivamile zokuzala, udokotela wakho uyokubuza ngomlando wakho nokomlingani wakho wezokwelashwa, ubulili, izimpawu, imithi, nokukhetha indlela yokuphila (njengamazinga okucindezeleka, ukubhema, noma ukuphuza utshwala). Udokotela wakho angase futhi enze lokhu kuhlolwa okulandelayo: Ukuhlolwa kwegazi ukuze kuhlolwe amazinga ama-hormone ashukumisa ukuvuthwa kwamaqanda. Ukuhlolwa kwe-chlamydia (ukuhlolwa komchamo kwabesilisa kanye ne-cervical swab kwabesifazane), njengoba lesi sifo esithathelwana ngocansi singathinta ukuzala. Ukuhlolwa kwe-ultrasound ukuze kubonakale ukuthi azikho yini izihibe, izibazi, noma ezinye izinkinga (njenge-endometriosis noma i-fibroids) kuma-ovari, esibelethweni, noma emigqonyeni ye-fallopian. Uma udokotela ebona izinkinga ezingase zibe khona, angase acele ukuba kwenziwe i-X-ray noma i-laparoscopy. Ukuhlaziywa kwesidoda ukuze kuhlolwe inani elincane lesidoda noma isidoda esihamba ngendlela engafanele. Wena nodokotela wakho niyonquma ndawonye ukuthi ingabe imithi yokuvimbela inzalo ilungele wena yini. Niyosebenza futhi ndawonye ukuze nikhethe ukuthi imuphi umuthi okufanele niwuthathe. Qaphela ukuthi iningi lale mithi liyokwandisa amathuba akho okukhulelwa izingane eziningi. Ngokuvamile kuzodla imali ephakathi kuka-$1000 no-$6000 USD ukwenza lokhu kwelashwa ngaphansi kokuqashelwa udokotela (ukuhlolwa okuvamile kwe-ultrasound nokuhlolwa). Ezinye izinketho ezivamile zihlanganisa: I-clomiphene citrate (CC), evame ukuthathwa ngemithamo engu-50 mg/ ngosuku imijikelezo yokuya esikhathini engu-3-6. I-Human Chorionic Gonadotropin (hCG) yokwenziwa, okuwumjovo. Lolu hlobo lomuthi alunawo imiphumela emibi eyaziwayo, ngokungafani neminye imithi yokunciphisa inzalo. I-Follicle Stimulating Hormone (FSH), nayo ewumjovo. I-Human Menopausal Gonadotropins (hMG), nayo ewumjovo futhi ewumuthi onamandla kakhulu wokuvimbela ukukhipha amaqanda ongawuthatha. Ukuhlinzwa kungase kunconywe uma uneziphazamiso noma izibazi emithonjeni yakho ye- fallopian, noma uma une- endometriosis noma i- fibroids. Uma kukhona ukuvaleka okuvimbela isidoda ukuba sikhiphe isidoda ngendlela evamile, ukuhlinzwa kungase kukwazi ukulungisa nalokhu. Odokotela bangakhipha isidoda ngokuhlinza, uma kudingeka. Okunye kwalokhu kuhlinzwa kungase kuhlanganiswe nomshwalense wakho. Xoxa nodokotela wakho nomhlinzeki wakho womshuwalense ngezindlela ongakhokha ngazo ngaphambi kokuba uzibophezele ekwelashweni okuthile. I - Intrauterine Insemination (IUI) ihilela ukubeka isidoda esibelethweni sowesifazane ukuze asize ekukhulelweni. Kungase kunconyelwe amadoda anenani eliphansi lesidoda noma ukuhamba kwesidoda okulinganiselwe. Libuye libe inketho yemibhangqwana enezinkinga ezingachazeki zokungazali. I-IUI ngokuvamile ibiza phakathi kuka-$300-$1000 USD. Ngokuvundiswa kwe - In Vitro (IVF), umama uzoqala ngokuqeda umjikelezo wemithi yokunciphisa inzalo ukuze akhuthaze ukuvuthwa kwamaqanda. Khona - ke iqanda liyothathwa lihlanganiswe nesidoda sikayise. Lo mbungu ovundisiwe uyobe usufakwa esibelethweni sikamama. Ukwelashwa nge - IVF kungase kunconywe uma umama enezihibe ezindleleni zakhe zokuzala. Futhi ngokuvamile kuyindlela yokugcina yokwelapha imibhangqwana enenkinga yokungazali okungachazeki. Njengoba odokotela abaningi manje sebefakela umbungu owodwa ngesikhathi, amathuba okuba nemibungu eminingi ngenxa yokwelashwa nge-IVF aye ancipha kakhulu kusukela ngasekupheleni kwawo-1990. I-IVF iyindlela yokwelapha ebizayo, ngokuvamile ebiza okungenani u-$30,000 USD.  Isifinyezo:
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Xoxisana nodokotela wakho wezifo zabesifazane nababelethisi ngezinkinga zakho zokuzala ngemva konyaka uzama. Xhumana nodokotela wakho ukuze uthole izimbangela ezingase zibe khona zokungazali. Sebenzisa imithi yokuvimbela inzalo ukuze usize ngezinkinga zokuvuthwa kweqanda. Bheka izindlela zokuhlinza ukuze kulungiswe izinkinga zangaphakathi. Zama i-IUI ukuze ubhekane nezinkinga zesidoda noma ukungabi nenzalo okungachazeki. Sebenzisa i-IVF ngemva kokuzama ezinye izindlela zokwelapha.