Zikuwoneka kuti zonse zili bwino ndi thanzi, kwa wokondedwa nayenso, ndipo palinso mzere umodzi pamayeso. Ndi zomwe izi zikuyenera kuchitika, akutero phungu wa sayansi ya zamankhwala, wothandizana nawo pulofesa wa maphunziro a endocrinology payekha ku dipatimenti ya Endocrinology, FUV Moscow Regional Research Clinical Institute. MF Vladimirsky (MONIKI), katswiri wa endocrinologist Irena Ilovaiskaya.
Avereji ya zaka za mkazi wa ku Russia yemwe amakhala mayi kwa nthawi yoyamba akuwonjezeka nthawi zonse ndipo wadutsa kale zaka 26. Izi zimagwirizanitsidwa ndi chikhumbo chofuna kulimbikitsa chuma ndi kumanga ntchito. Koma tsopano maphunziro alandiridwa, pali ntchito yabwino komanso yokhazikika, bwenzi lodalirika la moyo liri pafupi, wokonzeka kugawana nawo chisangalalo cha ubereki, koma mimba yofunidwa sikubwera. Ndipo ichi ndi chifukwa cholumikizana ndi endocrinologist ndikumufunsa mafunso osachepera asanu.
1. Kodi zizolowezi zoipa, makamaka kusuta, zimasokoneza mwayi wotenga mimba?
Tsoka, izi si nthano, koma zoona zachipatala. Kusuta ndi chinthu champhamvu kwambiri pazovuta za ubereki: chiwerengero cha kusabereka pakati pa amayi omwe amasuta fodya ndi ochuluka kwambiri kuposa omwe sasuta, pamene 10 peresenti ya amayi a msinkhu wobereka m'dziko lathu amasuta. Chifukwa cha chikonga, kubereka kwa mkazi kumachepa, ndipo kukalamba kwa mazira kumapita patsogolo. Ndi ndudu iliyonse yomwe imasuta, mwayi wokhala ndi pakati wopambana umachepetsedwa ndipo mwayi wanthawi yosiya kusamba ukuwonjezeka. Ngati mutapambanabe kutenga mimba, ndiye kuti zovuta zimatheka kale pa nthawi ya mimba. Komanso, mwana akhoza kubadwa wofooka, ndi gulu la zopatuka zosiyanasiyana amene adzakhala naye moyo wonse.
"Mayi amene akukonzekera kutenga pakati ayenera kusiya kusuta kwa miyezi 3-4, ndipo makamaka chaka chimodzi chisanafike," akutero katswiri wa endocrinologist Irena Ilovaiskaya.
2. Ndilibe vuto la thanzi, ndimakhala ndi moyo wathanzi, koma mimba sizichitika mwanjira iliyonse. Kodi kupanikizika kosalekeza kuntchito kungakhudze chonde kwambiri?
Azimayi amakono amapeputsa zotsatira za chonde za ndandanda ya moyo wotanganidwa, kuchita masewera olimbitsa thupi komanso kupanikizika kuntchito. Zikatero, chamoyo palokha, amene kwenikweni kumenyera kupulumuka, zimitsa ntchito zonse yachiwiri, kuphatikizapo kubereka. Chochitika cha "nthawi ya nkhondo amenorrhea" chimadziwika - kulephera kwa msambo kapena kusapezeka kwathunthu kwa msambo chifukwa cha kugwedezeka kwakukulu, kulimbikira, kusadya bwino komanso kupsinjika nthawi zonse. Komabe, masiku anonso nthaŵi yamtendere yafala kwambiri.
"Tikukumana ndi vuto la kusabereka - pamene palibe mavuto azaumoyo, koma kutenga pakati sikukuchitika. Ndipo nthawi zambiri zimachitika motere: mwamuna ndi mkazi akangosiya kudzizunza okha ndi nkhawa, kukambirana ndi madokotala ndi mayesero, amasiya "kuyesera" ndipo, mwachitsanzo, kupita kutchuthi kuti adzipatse mwayi wopuma, zonse zimayenda bwino! Chifukwa chake, kwa amayi omwe alibe matenda, koma omwe sangathe kutenga pakati, timalimbikitsa kusintha moyo wawo - kupewa masewera olimbitsa thupi ndi ntchito zambiri, kuyenda mochulukirapo, kusilira chilengedwe, kusewera ndi ana aang'ono - "kusintha" matupi awo kuti akhale ndi pakati ndi zomwe zikubwera. umayi, "akutero Irena Ilovaiskaya.
3. Mwina kuli koyenera kuyezetsa mwatsatanetsatane zachipatala musanatenge mimba?
"Sindichirikiza kupatsa anthu athanzi ambiri omwe alibe zizolowezi zoyipa kapena omwe amadziwikiratu ku matenda, popanda madandaulo, kuyezetsa mwatsatanetsatane. Zikatero, mikhalidwe yamunthuyo nthawi zambiri imawululidwa - mwa iwo okha si vuto kapena matenda, koma kudziwa kwawo kungayambitse nkhawa zosafunikira ndikuyambitsa zovuta zina zamaganizidwe pamene wodwalayo akhazikika mopanda pake. thanzi, "akutsindika Irena Ilovaiskaya.
Ngati mkazi wasankha kukhala mayi, choyamba ayenera kupita kwa gynecologist. Adzalemba algorithm yoyezetsa ndikupangira madokotala apadera: muyenera kupita kwa endocrinologist, cardiologist, allergenist, ndikupambana mayeso ena. Malingana ndi zotsatira za anamnesis zomwe zasonkhanitsidwa, mungafunike kukambirana ndi geneticist ndi akatswiri ena opapatiza. Koposa zonse, ngati tate wamtsogolo wa mwanayo akuyezetsa kuchipatala mofanana, dokotala adzalembera mndandanda wake wa mayesero ndi akatswiri.
4. Kodi ndi liti pamene makolo oyembekezera ayenera kuyamba kudera nkhaŵa za kulephera kukhala ndi ana?
Ngati makolo onse awiri ali ndi thanzi labwino ndipo ali ndi moyo wogonana popanda kulera, madokotala amasankha nthawi ngati chaka cha kalendala. Simuyenera kuchita mantha muzochitika izi, mwinamwake, "nyenyezi sizinapangidwe", komabe, patatha chaka choyesera kukhala ndi mwana pakalibe mavuto odziwika bwino achipatala, ndi bwino kuti muyambe kufufuza zina. Mwina pali zobisika endocrinological matenda.
"Masiku ano ndizozoloŵera kuchedwetsa kukhazikitsidwa kwa ndondomeko zoberekera, komabe, anthu okalamba, ndi nthawi yochuluka kuti athe kutenga pakati. Pakati pa zaka zapakati pa 20 ndi 30, mwayi wa mimba mkati mwa chaka cha "zoyesa" ndi 92 peresenti, ndiyeno umatsikira ku 60 peresenti. Chinthu chofunika kwambiri - zaka 35: kubereka kumachepa kwambiri, osati mwa amayi okha, komanso mwa amuna, ndipo mwayi wa kubadwa kwa mwana ukuwonjezeka. Choncho, makolo amtsogolo pa msinkhu uwu akulangizidwa kukaonana ndi dokotala pambuyo pa miyezi 6, kuti asawononge nthawi yamtengo wapatali, "adalangiza Irena Ilovaiskaya.
5. Kodi kupezeka kwa matenda a endocrine kumakhudzadi uchembere wabwino?
Endocrine infertility ndi chimodzi mwazomwe zimayambitsa kusabereka kwa amayi. Zinthu za Endocrine zingayambitse kusokonezeka kwa mahomoni, mwachitsanzo, kuchulukitsidwa kwa prolactin ndi pituitary gland kumayambitsa kusagwira bwino ntchito kwa ubereki, ndipo kusakhazikika kwa msambo kumatha kuchitika. Choncho, ngati kusamba kumachitika zosakwana kamodzi pa masiku 38-40, ndiye kuti pali chifukwa chachikulu cha kufufuza kwa mahomoni. Mwachitsanzo, mukhoza kupereka magazi kuti mudziwe mlingo wa prolactin.
"Zinthu za endocrine zimawonekeranso pakuphwanya ovulation. Ngati, malinga ndi zotsatira za kafukufuku, mkazi ali ndi ovulation osowa kapena palibe, dokotala adzapereka mayeso oyenerera, malinga ndi zotsatira zomwe chithandizo cha munthu aliyense chidzasankhidwa. Zotsatira zake, ovulation modzidzimutsa idzabwezeretsedwa kapena ikhoza kukondoweza. Thandizo lotere limatha kutenga miyezi ingapo mpaka chaka, koma zotsatira zake - mwana wathanzi yemwe akuyembekezeredwa kwa nthawi yayitali - ndizoyenera nthawi ndi khama, "Irena Ilovaiskaya atsimikiza.