26 April 2023
Impilo yokuzala yombhangqwana iyisinqumo esisodwa esibaluleke kakhulu sempilo nenhlalakahle yezingane zabo. Indawo esezingeni eliphansi ngaphakathi kwesibeletho ibeka umuntu phambili ezifweni lapho esemdala, okuhlanganisa ukukhuluphala, isifo senhliziyo, isifo sikashukela kanye nesifo sohlangothi. Ukuphazamiseka kokuzala komama okufana ne-PCOS, ukukhuluphala, i-endometriosis, izifo ezithathelwana ngocansi kanye nokuphazamiseka kokukhipha ama-ovulation kuthonya izenzakalo ze-periconception kanye nokushintsha ukwamukela kwe-endometrial. Ukuthuthukiswa kombungu oshintshile noma ukungondleki kahle komama kungaholela ekuphuphumeni kwesisu noma ukukhula okungavamile kwe-placenta okuholela ekukhulelweni kwe-pre-eclampsia, ukuvimbela ukukhula kombungu ngaphambi kwesikhathi.
IZINTO EZITHINTA UKUZALA
Isisindo, ukuzivocavoca nokudla:
Ukusabalala kwemibhangqwana emisha ekhuluphele ngokweqile yeminyaka yokuzala kukhula kancane kancane. Ukukhuluphala ngokweqile kuye kwaxhunyaniswa nokuzala kwabesilisa ngenxa yokushintsha kwendlela yokuphila, ukushintsha kwamahomoni angaphakathi, nezici zofuzo zesidoda. Ukukhuluphala kwabesifazane kuye kwaboniswa ukuthi kuhlotshaniswa nemiphumela engemihle yokukhulelwa, ukungaphatheki kahle kokuzalwa, ukubeletha ngokuhlinzwa, i-preeclampsia, isifo sikashukela sokukhulelwa, i-fetus macrosomia, kanye nokubeletha.
Umsebenzi womzimba uyathuthuka:
• Izici eziyingozi zenhliziyo nemithambo yegazi.
• Iphrofayili yeHormonal.
• Yehlisa amafutha esiswini.
• Yehlisa ushukela wegazi, ama-lipids egazi, nokungazweli kwe-insulin .
• Ithuthukisa ukujikeleza kokuya esikhathini, ukuphuma kwamaqanda, nokuzala.
• Kuyanconywa futhi ukweluleka abantu besifazane abakhuluphele ngokweqile ukuthi behlise isisindo ngaphambi kokusebenzisa i-ART.
Amavithamini:
Abesifazane abasesigabeni sokuzala kumele bathathe kufikela ku-500mcg we-folate ngesikhathi sokukhulelwa kanye no-5mg kwabesifazane abasengozini enkulu.
Cabangela ukudla uvithamini D kanye nokuchayeka elangeni okwanele. Bonke abesifazane abakhulelwe, abancelisayo, noma abacabanga ukukhulelwa kufanele bathathe isithako se-iodine esingu-150 μ g usuku ngalunye. Ama-Antioxidants: Khulisa ukuthathwa kwezithelo nemifino ekudleni. Utshwala Ngisho nophuzo oluncane lophuzo oludakayo ngesikhathi ukhulelwe kwandisa ingozi yokuhushula isisu ngokuzenzakalelayo. Ngakho-ke, kungcono ukugwema utshwala ngesikhathi se-periconception.
Caffeine
Ukusetshenziswa okuphezulu kwe-caffeine kungase kuhlotshaniswe ne-fecundity ekhubazekile. Zama ukugcina lokhu kungaphansi kuka-200-300 mg ngosuku (ngaphansi kwezinkomishi ezimbili zekhofi ngosuku).
Ukusetshenziswa kwezinhlanzi
Izinhlobo ezithile zezinhlanzi ezine-mercury ephezulu kufanele zigwenywe, kuyilapho ukudla okune-polyunsaturated ephezulu, njengoba kunikezwe izinhlanzi, kuyadingeka.
Ukubhema
Ukubhema kuthinta kabi imiphumela yemijikelezo ye-in vitro fertilization (IVF). Ukubhema Okusebenzayo Nokungaguquki kungathinta zonke izigaba zokuzala. Ucwaningo lwesidoda lubonise ukwanda kwengcindezi ye-oxidative, inani eliphansi lesidoda, namandla angavamile wokuvundisa isidoda.
Izidakamizwa ezingekho emthethweni
Izidakamizwa ezifana nensangu, i-Cocaine, i-heroin, ne-methadone zandisa inzalo yabesifazane futhi zithinte kakhulu ukusebenza kwesidoda kanye nesimo. I-Anabolic steroids inganciphisa ukukhiqizwa kwesidoda se-testicular.
Ukucindezeleka
Ukucindezeleka kwengqondo kuhlotshaniswa nemiphumela emibi yokuzala. Kodwa-ke, ukwelulekwa okufanele kanye nokulungiswa kwendlela yokuphila kungayithuthukisa le miphumela.
Izifo ezithathelwana ngocansi: Bobabili abalingani kufanele bafune iseluleko mayelana nokuthola nokwelapha noma yikuphi ukutheleleka ngegciwane lendlela yokuzala.
Izici zomsebenzi Ukungalawuleki kwewashi lebhayoloji njengasemsebenzini weshifu, amahora okusebenza amade, ukuphakamisa, ukuma, nomthwalo osindayo womzimba, kanye nokuchayeka kumakhemikhali aphazamisa i-endocrine njenge-bisphenol A, ama-phthalates, izibulala-zinambuzane, neminye imikhiqizo engaba yingozi kungase kuthinte kabi imiphumela yokungenelela kokuzala.
UKULUNGISELELA UKUKHULELWA
l Ukwengezwa kwe-folic acid.
l Ukuguqulwa kokudla.
l Izinhlelo ezisebenzayo zokwehlisa isisindo.
l Ukuyeka ukubhema.
l Ukugwema ukusebenzisa utshwala nezidakamizwa.
l Ukwelapha izifo ezithathelwana ngocansi.
l Ukugwema izinto ezingcolisa imvelo kanye nezingozi emsebenzini.
Isixhumanisi esiyisethenjwa
https://www.thehansindia.com/life-style/health/periconception-lifestyle-and-fertility-794605?infinitescroll=1