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Kubereka ndikuthekera kwachilengedwe kutenga pakati ndikupanga mwana. Zimatengera zinthu zosiyanasiyana monga zakudya, machitidwe ogonana, chikhalidwe, endocrinology, nthawi, njira yamoyo komanso momwe akumvera. Kuchuluka kwa kubereka kwa amayi kumayambiriro kwa zaka za m'ma 20 ndipo nthawi zambiri kumatsika pambuyo pa 30 [1] .
Kafukufuku wochuluka wasonyeza kuti kubereka kwachepa m'zaka zaposachedwa. Kafukufuku wofalitsidwa mu nyuzipepala ya Reproductive Biology ndi Endocrinology adati pafupifupi 10 mpaka 15% ya maanja amakhudzidwa ndi kusabereka [ziwiri] . Bungwe la World Health Organization (WHO), linanena kuti amayi okwana 80 miliyoni padziko lonse akhala akukhudzidwa ndi kusabereka mpaka pano ndi chiwerengero chokwanira cha 50% m'mayiko omwe akutukuka [3] .
Kafukufuku adawonetsa kuti amuna ndi okhawo omwe ali ndi vuto la 20 mpaka 30% ya milandu ya kusabereka ndipo amathandizira milandu pafupifupi 50% [4] . American Society of Reproductive Medicine (ASRM) imafotokoza kusabereka monga kulephera kutenga pakati pakatha chaka chimodzi kapena zingapo zoyeserera za umuna wachilengedwe.
Banja lingakonzekere kutenga pakati potsatira malangizo ena omwe tili nawo pano kuti tipeze zotsatira zabwino.
1. Tsatirani mwezi wanu
Msambo wamayi ndi wamasiku 28. Onetsetsani kusamba kwanu ndikuwone ngati mukusamba nthawi zonse kapena mosasinthasintha. Chongani kalendala yanu momwe zingakuthandizireni kudziwa nthawi yomwe mungakhale ovulation, ndi nthawi yomwe thumba losunga mazira limatulutsa dzira lokonzekera umuna.
Mzimayi amatha kutenga pakati ngati agonana masiku atatu asanafike mpaka tsiku lokonzekera. Kutsekula kumachitika nthawi ya 14 ya kusamba kwa masiku 28 [5] .
2. Kugonana pafupipafupi
Malinga ndi kafukufuku wofalitsidwa mu The New England Journal of Medicine, kugonana mkati mwa masiku asanu ndi limodzi kutha patsiku la ovulation kumatha kuwonjezera mwayi wokhala ndi pakati [6] .
3. Siyani kusuta
Kusuta kumakhudza chonde mwa abambo ndi amai [7] , [8] . Ikhoza kutsitsa umuna, kutsitsa umuna komanso kuonjezera chiopsezo cha umuna wopangidwa modabwitsa, potero umuna umatha kutulutsa mazira.
4. Pewani kumwa mowa
Pewani kumwa mowa chifukwa umalumikizidwa ndi kuchepa kwa libido ndikuchepetsa kuchuluka kwa umuna mwa amuna. Azimayi omwe amamwa mowa wochuluka amakhala ndi chiopsezo chowonjezeka cha kusabereka. Chifukwa chake, ngati mukukonzekera kutenga pakati, muchepetse kumwa mowa [9] .
5. Muzigona mokwanira
Kusagona mokwanira komanso kugona kwa nthawi yayitali kapena kugona nthawi yayitali kumatha kusokoneza chonde. Kafukufuku adawonetsa kuti abambo omwe ali ndi vuto logona usiku komanso omwe amagona kwakanthawi kochepa kapena kwakanthawi amachepetsa mwayi wokhala ndi pakati [10] .
6. Idyani zakudya zopatsa thanzi
Kudya zakudya zokhala ndi mavitamini ndi michere yambiri monga mbewu zonse, zipatso, ndiwo zamasamba ndi mtedza zitha kuthandizira kuti mukhale ndi chonde. Idyani chakudya chopatsa thanzi kuti mukonzekeretse thupi lanu kukhala ndi pakati poti kudya zakudya zopanda thanzi kumawonjezera kulemera, komwe kumayambitsa kusinthasintha kwa ntchito yamchiberekero, potero kumawonjezera mwayi wosabereka [khumi ndi chimodzi] .
7. Khalani ndi thupi labwino
Kukhala wonenepa kapena wonenepa kwambiri kudzawonjezera mwayi wosabereka. Kafukufuku adanenanso kuti nthawi yoti akhale ndi pakati imatenga nthawi yayitali mwa azimayi omwe ali ndi index ya thupi (BMI) yopitilira 25 kg / m2 kapena ochepera 19 kg / m2 [khumi ndi chimodzi] .
8. Chepetsani kumwa tiyi kapena khofi
Ngati mukuyesera kutenga pakati, muyenera kuchepetsa kumwa khofiine. Kudya kwambiri caffeine kumawonjezera nthawi yobereka komanso chiopsezo chotaya mimba [12] .
9. Pewani zolimbitsa thupi zolimbitsa
Ngakhale, kuchita masewera olimbitsa thupi ndikofunikira kuti thupi lanu likhale lokwanira komanso lathanzi, kuchita masewera olimbitsa thupi kwambiri kapena kuchita zolimbitsa thupi pafupipafupi kumatha kusokoneza chiwombankhanga. Funsani dokotala wanu wazachipatala mtundu wanji wa masewera olimbitsa thupi omwe angakutsatireni ngati mukufuna kutenga pakati.
10. Dziwani za kuchepa kwa chonde m'zaka
Msinkhu wa mkazi ndi gawo lofunikira pakukopa mwayi wokhala ndi pakati, womwe wayamba kale kutsika ndi zaka 25 mpaka 30. Komanso kusabereka kumalumikizidwa ndi ma oocyte okalamba. Deta yaku United States idawonetsa kuti chiopsezo cha kusabereka chikuwirikiza kwa azimayi azaka 35-44 poyerekeza ndi azimayi azaka 30-34 [13] .
11. Kuchepetsa nkhawa
Kupsinjika kwamaganizidwe, makamaka kwa azimayi olimbikira ntchito kumalumikizidwa ndi kusabereka. Kuchuluka kwapanikizika kumatha kusintha kusintha kwa thupi kwa oocyte ndikuchepetsa mwayi wokhala ndi pakati [14] .
12. Musamamwe mankhwala osokoneza bongo
Kugwiritsa ntchito mankhwala osokoneza bongo kumawononga chonde. Amayi omwe amagwiritsa ntchito chamba ali pachiwopsezo chachikulu chokhala osabereka chifukwa chamba chimakhala ndi ma cannabinoids omwe amalumikizana ndi ma receptors omwe ali muchiberekero kapena ductus deferens. Mwa amuna, chamba chimachepetsa umuna, umachepetsa umuna, umachepetsa testosterone ndi spermatogenesis. Zinthu zonsezi zimatha kukhala ndi vuto pakathupi [khumi ndi zisanu] .
13. Funani chithandizo chamankhwala
Amuna ndi akazi onse ayenera kuyezetsa kuyesa kubereka komwe kumaphatikizapo kuyezetsa thupi komanso mbiri ya zamankhwala komanso zogonana za onse awiriwo. Kuyesaku kudzazindikira zoyambitsa ndipo azachipatala akuthandizani kuwongolera momwe mungakulitsire mwayi wobereka.
Ma FAQ Omwe Amakonda
1. Kodi ndichifukwa chiyani sindikutenga mimba ngakhale ndikuwotcha?
KU. Pakhoza kukhala zifukwa zambiri monga kusakhazikika kwa ovulation, kuchepa kwa umuna mwa mnzanu, zovuta zam'mimba yoberekera kapena zovuta zilizonse zamankhwala.
2. Ndiyenera kudya chiyani kuti ndikhale ndi pakati?
KU . Nkhumba zobiriwira zobiriwira, zipatso za citrus, mtedza, nyemba, mbewu zonse ndi tirigu wolimba.
3. Ndi ziti zomwe zikusonyeza kuti ndikulephera kukhala ndi mwana?
KU. Zizindikiro za kusabereka zimaphatikizapo kupweteka panthawi yogonana, kusamba mosasamba, magazi akuda kapena otuwa, nthawi yolemetsa, yayitali kapena yopweteka, kunenepa kwambiri komanso zovuta zamankhwala.
