Chifukwa chiyani kuli kovuta kuti amayi onenepa kwambiri atenge mimba

Chifukwa chiyani kuli kovuta kuti amayi onenepa kwambiri atenge mimba

Kusabereka kuli kwenikweni m'mbale. Kulemera kumawonjezeka, limodzi nako - chiopsezo cha matenda osiyanasiyana, koma kutenga mimba kumakhala kovuta kwambiri.

Pali nkhani zambiri zomwe atsikana amayenera kuonda kuti athe kutenga pakati. Pofuna kukhala mayi, amataya makilogalamu 20, 30, ngakhale 70. Nthawi zambiri, atsikana oterewa amakhalanso ndi PCOS - polycystic ovary syndrome, yomwe imapangitsa kuti kutenga mimba kukhale kovuta kwambiri, komanso kumangopangitsa kuti muchepetse thupi. Ndipo madotolo akuti: inde, ndizovuta kwambiri kuti amayi onenepa kwambiri atenge mimba. Chakudya chimakhudza thupi lathu kuposa momwe anthu ambiri amaganizira.

obstetrician-gynecologist, katswiri wa chonde pa chipatala cha REMEDI

“Munthawi yathu ino, chiwerengero cha azimayi omwe ali ndi index yochulukitsa thupi - BMI yawonjezeka, makamaka pakati pa achinyamata. Izi ndichifukwa chamakhalidwe akudya ndi moyo wawo. Akazi onenepa kwambiri amakhala pachiwopsezo chazovuta zathanzi: matenda amtima, matenda amisempha, matenda ashuga. Zotsatira zoyipa zakulemera kwambiri pantchito yobereka zawonetsedwanso. "

Bwalo loipa

Malinga ndi dotolo, azimayi onenepa kwambiri amakhala ndi vuto la kusabereka. Izi zikuwonetsedwa ndi ma ovulation osowa kapena kupezeka kwawo kwathunthu - kudzoza. Kuphatikiza apo, nthawi zambiri amayi onenepa kwambiri amakhala ndi vuto losamba.

“Izi ndichifukwa choti minofu ya adipose imakhudzidwa ndikuwongolera mahomoni ogonana mthupi. Mwa akazi onenepa kwambiri, pali kuchepa kwakukulu kwa globulin yomwe imamangiriza mahomoni ogonana amuna - androgens. Izi zimabweretsa kuwonjezeka kwa tizigawo taulere ta ma androgens m'magazi, ndipo chifukwa chake, ma androgens ochulukirapo m'matumba a adipose amasandulika ma estrogens - mahomoni azimayi ogonana, "akufotokoza adotolo.

Estrogens, nawonso, amathandizira kupangika kwa luteinizing hormone (LH) m'matumbo a pituitary. Hormone iyi ndi yomwe imayambitsa kuyendetsa mazira komanso kusamba. Pamene milingo ya LH ikukwera, kusamvana kwama mahomoni kumayamba, komwe kumabweretsa kusakhazikika kwa msambo, kusasitsa kwamatumbo, komanso kutulutsa mazira. Zimakhala zovuta kutenga mimba pankhaniyi. Kuphatikiza apo, kupsinjika chifukwa chakuyesera kukhala ndi pakati, atsikana nthawi zambiri amayamba kulanda - ndipo bwalo limatseka.

Anna Kutasova akuwonjezera kuti: "Amayi onenepa nthawi zambiri amakhala ndi vuto la kagayidwe kazakudya, kuperewera kwa magazi m'thupi komanso insulin.

Kuchepetsa thupi m'malo mwa chithandizo

Kuti mumvetsetse ngati amayi ali onenepa kwambiri, muyenera kuwerengera kuchuluka kwamagulu anu. Kuti muchite izi, muyenera kudziyesa nokha ndikuyesa kutalika kwanu.

Amayi amalimbikitsidwa kuyeza kutalika ndi kulemera ndi kuwerengera kwa BMI malinga ndi chilinganizo: BMI (kg / m2) = thupi lolemera makilogalamu / kutalika kwa mita yolinganizidwa - kuzindikira kunenepa kwambiri kapena kunenepa kwambiri (BMI wamkulu kuposa kapena wofanana ndi 25 - onenepa kwambiri, BMI wamkulu kapena wofanana ndi 30 - kunenepa kwambiri).

Chitsanzo:

makilogalamu 75: kulemera

Kutalika: 168 mwawona

BMI = 75 / (1,68 * 1,68) = 26,57 (onenepa kwambiri)

Malinga ndi WHO, kuopsa kwa mavuto a uchembere wabwino kumadalira kuchuluka kwa kunenepa kwambiri / kunenepa kwambiri:

  • onenepa kwambiri (25-29,9) - chiwopsezo chowonjezeka;

  • kunenepa kwambiri (30-34,9) - chiopsezo chachikulu;

  • kunenepa kwambiri kwa digiri yachiwiri (34,9-39,9) - chiopsezo chachikulu;

  • kunenepa kwambiri kwa digiri yachitatu (yoposa 40) ndi chiopsezo chachikulu kwambiri.

Chithandizo cha kusabereka, IVF - zonsezi sizitha kugwira ntchito. Ndiponso chifukwa cha kulemera kwake.

"Zatsimikizika kuti kunenepa kwambiri ndikomwe kumachepetsa mphamvu ya chithandizo chamankhwala pogwiritsa ntchito matekinoloje othandizira kubereka (ART). Chifukwa chake, pakukonzekera kutenga pakati, amayi amafunika kupimidwa, ”akufotokoza katswiri wathu.

Ndipo ngati muchepetsa thupi? Zikuoneka kuti kuonda ndi 5% kumawonjezera kuthekera kwa mayendedwe a ovulatory. Ndiye kuti, mwayi woti mayi azitha kutenga pakati, popanda chithandizo chamankhwala, ukuwonjezeka kale. Kuonjezera apo, ngati mayi woyembekezera sali wonenepa kwambiri, kuopsa kwa zovuta panthawi yoyembekezera kumachepa kwambiri.

Ndisanayiwale

Mtsutso wofala pakulemera kwambiri pakati pa amayi ndikuti ana awo amabadwa okulirapo. Koma sizabwino nthawi zonse. Kupatula apo, kunenepa kwambiri kumatha kukhala mwa mwana, ndipo izi sizabwino kwenikweni. Kuphatikiza apo, kubereka mwana wamkulu kumakhala kovuta kwambiri.

Koma nthawi zambiri kuposa kubadwa kwa ana akulu, kubadwa msanga kumachitika mwa amayi onenepa kwambiri. Ana amabadwa asanakwane, ali ndi kulemera pang'ono, amayenera kuyamwitsidwa kuchipatala. Ndipo izi sizabwino.  

Siyani Mumakonda