Kutheni ndikwazi ukukhulelwa umntwana wesibini?

Ngokuqhelekileyo, abasetyhini bakhonkceza kwi-gynecologist ukuba abanakukwazi ukukhulelwa umntwana wesibili ixesha elide. Ukuze uqonde ukuba kutheni ukuba akunakwenzeka ukuba ukhulelwe umntwana wesibini, ugqirha kufuneka kuqala kuqala aqoke i-anamnesis. Njengomthetho, umfazi ubuzwa malunga naluphi uhlobo lwezifo zesifo somzimba ezadlulileyo, nokuba kukho na ukulimala kwimizimba yokuzala, qaphela indlela ukuzalwa kokuqala kwenzeka ngayo, nokuba ngaba kukho naziphi iingxaki.

Ngenxa yoko ukukhulelwa kwesibili akufiki ixesha elide?

Umbuzo ofanayo unomdla kumaninzi amabhinqa. Kwiimeko apho iminyaka engama-2 isibini esitshatileyo esiphila ubomi bobulili obuqhelekileyo, ngelixa singasebenzisi i-contraceptive, abakwazi ukukhulelwa, bathetha ngokungafumaneki. Kwiimeko ezinjalo, unyango olufanelekileyo lubekwe.

Nangona kunjalo, ukungabikho komntwana akusiyo rhoqo isizathu sokungabikho kokukhulelwa. Ngamanye amaxesha, abanye abafazi abakwazi ukukhulelwa umntwana wesibini, nangomhla wokuvuthwa. Kwiimeko ezinjalo, kubalulekile ukuba umntu ahlolwe.

Ukuba sithetha ngeziphi izizathu zokuba kungenakwenzeka ukuba ukhulelwe umntwana wesibini, okokuqala oko kuyimfuneko ukuba unake ingqalelo kwizinto ezifana nale:

• imeko yenkqubo yokuzala yobini iqabane;
• iimpawu zezifundo zokukhulelwa kokuqala nokubeletha;
• ubukho bezifo ezingapheliyo, ezivuzayo zezitho zokuzala;
• ixesha elidlulileyo emva kokukhulelwa koku-1.

Ngokubhekiselele kwimiba yokugqibela, abafazi bonke abazi ukuba xa usondeza umntwana umntwana usenza iprolactin, ekhusela i-ovulation, kwaye xa ukukhulelwa kungeke kwenzeke.

Kuthiwani ukuba ukukhulelwa okwesibini okulindelekileyo akulindelekanga?

Abasetyhini abaninzi, bezama ukukhulelwa umntwana wesibini, kwaye ngexesha elifanayo ukuba bengasebenzi ixesha elide, bawaxeka ngenxa Awazi ukuba wenzeni ukuba ube ngumama okwesibini. Musa ukwenza oku, kuba maxa wambi ngokuchasene nemvelaphi yamava onke, uxinzelelo, ukuphazamiseka kwenkqubo ye-hormone iyaqwalaselwa, eyonakalisa kakubi ukukhulelwa kwangaphambili.

Ngoko, kwiimeko ezininzi, ukuba unyaka omnye ungakhulelwa umntwana wesibini, oogqirha bancomela uviwo olupheleleyo. Ngokuqhelekileyo, emva kokuthatha izidakamizwa ze-hormonal, ukukhulelwa kwenzeka. Ukongezelela, ukuhlolwa kwe-ultrasound yeenxalenye zeplasvic yowesifazane imiselwe.

Kwakhona kubaluleke kakhulu ukuchonga ngokuchanekileyo xa kwenzeka ukugqithisa ngokukodwa, okuya kwandisa amathuba okukhulelwa.

Ukuba awukwazi ukukhulelwa umntwana wesibini emva kwe-30, ngoko ngaphambi kokuba usebenzise i-IVF, bancoma ukuba udlule uvavanyo kubo bobabini bomtshato. Okokuqala, ukuhlolwa kwegazi kuma-hormone kwenziwa, kwaye i-ultrasound ifunyaniswa.