Manje njengoba usuqedile ukwelashwa kwe-lymphoma, ungase ulungele ukuqala umndeni. Noma ungase ufune ukwazi uma kudingeka uthathe izinyathelo zokuphepha ezengeziwe ukuze uvimbele ukukhulelwa.
Ukwelashwa kwe-lymphoma kungaba nemiphumela ehlala njalo ekuzaleni kwakho futhi ungase udinge usizo lokukhulelwa kodwa, kwabanye abantu ukukhulelwa kwemvelo kusengenzeka.
Leli khasi lizohlinzeka ngolwazi lwalokho okudingeka ukwazi mayelana nenzalo ngemva kokwelashwa, nezindlela ongakhetha kuzo ukuze uqale umndeni, noma uvimbele ukukhulelwa okungafunwa.
Kuyini ukuzala
Ukuzala yikhono lakho lokwenza umntwana. Asikwazi ukuzakhela ingane ngokwethu, idinga kokubili izitho zobulili zowesilisa nowesifazane kanye namahomoni ukuze kwakhiwe amaqanda nesidoda esidingekayo ukwenza umntwana.
Izincazelo
Siyaqaphela ukuthi abanye abantu abazikhombi njengabesilisa noma abesifazane noma bahlonze ngobulili obuhlukile kubulili babo bemvelo. Ngenhloso yokuxoxa ngenzalo kuleli khasi, uma sikhuluma ngowesilisa, sibhekise kubantu abazalwa benezitho zocansi zabesilisa njengomthondo namasende. Uma sibhekisela kowesifazane, sibhekisela kulabo abazalwa nezitho zobulili zesifazane okuhlanganisa isitho sangasese sowesifazane, ama-ovaries kanye nesibeletho (isibeletho).
Ayini amahomoni ocansi?
Androgens
Ama-Androgens amahomoni adingekayo ukuze sithuthuke. I-androgen evamile ibizwa ngokuthi i-testosterone futhi wonke umuntu udinga enye yale hormone ukuze ithuthuke kahle futhi ikwazi ukuzala. Nokho, amazinga e-testosterone aphezulu kwabesilisa.
Testosterone
I-Testosterone yenziwa indlala ehlezi ngaphezu kwezinso zethu. Le ndlala ibizwa ngokuthi yi-adrenal gland. Enye i-testosterone yenziwa kumasende, yingakho abesilisa ngokwemvelo bekhiqiza okungaphezu kwabesifazane.
Amazinga e-testosterone anempilo ayadingeka ukuze asisize sithuthukise izici zobulili zabesilisa noma zowesifazane kanye nokuthi abesilisa bakhiqize isidoda. Izinga elinempilo le-testosterone lihlukile kwabesilisa nabesifazane.
I-Estrogen ne-Progesterone
I-Estrogen ne-progesterone kuthathwa njengamahomoni ocansi wesifazane njengoba edingeka ukuze kuthuthukiswe izici zobulili zabesifazane kanye nokusiza amaqanda (i-ova) ukuthi akhule futhi avuthwe aze afike ezingeni lokuthi angavundiswa yisidoda. Kodwa-ke, abesilisa nabo banenani elincane le-estrogen, kodwa lingaphansi kwabesifazane abanalo.
Yiziphi izici zocansi?
Izici zocansi yizici ezihlukanisa abesilisa nabesifazane kungakhathaliseki ubulili. Angafaka:
- umsindo wezwi lethu - abesilisa ngokwemvelo baba nezwi elijulile kunabesifazane.
- ukukhula kwamabele - abesifazane ngokwemvelo baba amabele amakhulu kunabesilisa.
- izitho zesilisa noma zesifazane ekuzalweni - abesilisa bazalwa benepipi, i-scrotum namasende, kanti abesifazane bazalwa benesibeletho (isibeletho), ama-ovaries, kanye nesitho sangasese sowesifazane.
- ukukhiqizwa nokuvuthwa kwesidoda (kwabesilisa) noma amaqanda (kwabesifazane).
- ukunwebeka kwezinqulu kwabesifazane ukuze umntwana akwazi ukuhamba ngesikhathi ebeletha.
Ngabe ukuzala kuthinteka kanjani ngemuva kokwelashwa?
Kuye ngohlobo lwempatho obunayo, yakho
- umzimba ungase ungasakwazi ukukhiqiza amahomoni anele adingekayo ukuze isidoda noma amaqanda akho avuthwe aze akwazi ukwenza umntwana.
- izitho zocansi kungenzeka zilimele, zisusiwe noma zinezibazi ngakho awusakwazi ukukhiqiza isidoda, amaqanda, noma ukuthwala umntwana esibelethweni sakho.
Ingabe lo mphumela unomphela?
Kwezinye izimo umthelela ekuzaleni kwakho ungase ube unomphela, okusho ukuthi awusoze wakwazi ukukhulelwa ngokwemvelo noma ukukhulelisa omunye umuntu. Kwezinye izimo, ukuzala kwakho kungase kululame ngokuhamba kwesikhathi, kodwa ukuthi lokhu kuthatha isikhathi esingakanani kwehlukile kuwo wonke umuntu.
Khuluma nodokotela wakho mayelana nokuthi ukuzala kwakho kungase kuthinteke isikhathi esingakanani ngokwelashwa kwakho.
Ngingakwazi yini ukukhulelwa (noma ngithole omunye umuntu) ngemva kokwelashwa
Ukwelashwa kwe-lymphoma kungenza ukukhulelwa noma ukukhulelwa omunye umuntu kube nzima kakhulu. Nokho, abanye abantu basengase bazuze ukukhulelwa ngokwemvelo. Uma ukukhulelwa kwemvelo kungenakwenzeka, kunezinye izinketho ezitholakalayo zokukusiza ukuthi ukhulelwe.
Ukukhulelwa kwemvelo
Ukukhulelwa kwemvelo yilapho iqanda livundiswa yisidoda ngemva kokuba owesilisa nowesifazane baye ocansini lwesitho sangasese sowesifazane. Kwezinye izimo, ukukhulelwa kwemvelo kusengenzeka ngemva kokwelashwa, kodwa lokhu kuzoxhomeka ekwelapheni kwakho, iminyaka yakho, lapho emzimbeni wakho i-lymphoma yayikhona kanye nanoma yiziphi ezinye izimo ezingaphansi.
Ukuze kuzuzwe ukukhulelwa kwemvelo, abesilisa kudingeka bakwazi ukuqhanyelwa, futhi isidoda sakho sidinga ukuvuthwa futhi sibe nempilo ngokwanele ukuze kuvundise iqanda.
Uma ungowesifazane, udinga iqanda ukuze livuthwe futhi likhishwe ama-ovaries akho futhi lihlanganiswe yisidoda. Kudingeka futhi ube nekhono lokukhiqiza inani elifanele lamahomoni ukuze ugcine ukukhulelwa futhi ube nesibeletho esikwazi ukuthwala umntwana.
Ngazi kanjani ukuthi ngingakhulelwa (noma ngithole omunye umuntu)?
Cela udokotela wakho ukuthi ahlole ukuzala kwakho. Ungahlolwa igazi ukuze uhlole amazinga akho ehomoni futhi wenze nokunye ukuhlola ukuze uhlole izinga lesidoda noma amaqanda nesibeletho sakho. Ungase futhi ucele ukudluliselwa ukuze ubone uchwepheshe wezenzalo.
Khuluma nodokotela wakho uma unobunzima bokuya ocansini. Obunye ubunzima obungenzeka ngemva kokwelashwa buhlanganisa:
- i-low sex drive (i-libido)
- ubunzima bokuba noma ukugcina i-erection
- ukoma kwesitho sangasese sowesifazane.
I-In-vitro Fertilization (IVF)
Uma ubunesikhathi sokuqoqa nokugcina amaqanda esidoda noma ezinye izicubu ukuze usize ngokuzala, ungase ukwazi ukukhulelwa nge-IVF. Khuluma nodokotela wakho mayelana nokuthi kufanele ulinde isikhathi esingakanani ngemva kokwelashwa ngaphambi kokuzama.
Isidoda somnikeli noma amaqanda
Kungenzeka kudingeke ukuthi uqale ukwelashwa ngokushesha noma ube nezinye izizathu zokuthi awukwazanga ukuqoqa nokugcina isidoda sakho, amaqanda noma ezinye izicubu. Ukwelashwa kwe-IVF kusengaba inketho kuwe ngokusebenzisa isidoda noma amaqanda anikelwe ngomunye umuntu.
Kuthiwani uma ukukhulelwa akuyona inketho?
Ziningi izindlela zokuqala umndeni, futhi uma ukukhulelwa kungenzeki kusenezinketho ezitholakalayo. Chofoza isihloko esingezansi ukuze ufunde mayelana nezinketho ezahlukene.
I-Surrogacy yilapho omunye umuntu ekutholela ingane. Kwezinye izimo bangasebenzisa amaqanda akho, nabalingani bakho nesidoda, noma bangasebenzisa awabo, noma amaqanda abanikeli noma isidoda. Owesivumelwano uthwala umntwana ngomzimba wakhe ngesikhathi ekhulelwe kodwa ngokomthetho akathathwa njengomzali wengane.
Kunemithetho ehlukene mayelana ne-surrogacy yonkana e-Australia. Uma unesithakazelo sokuthola okwengeziwe, khuluma nodokotela wakho noma ucele ukudluliselwa kudokotela wenzalo.
Ukutholwa kulapho ingane izalwa abazali bemvelo okuthi nganoma yisiphi isizathu, noma bakhethe ukungakhulisi ingane njengeyabo. Ingane ibe isithathwa omunye umbhangqwana noma umuntu ongashadile ukuze ayikhulise njengengane yakhe. Umzali/abazali abatholwa baba abazali abasemthethweni.
Izingane zanoma iyiphi iminyaka, kuhlanganise nezinsana zingatholwa.
Ukutholwa kungenzeka ngaphakathi kwe-Australia lapho ingane ezalelwe e-Australia itholwa kubazali/kubazali e-Australia. Kodwa ukutholwa kwamazwe ngamazwe kuyenzeka futhi lapho ungathola khona ingane noma ingane ezalelwe kwelinye izwe.
Ukuze ufunde kabanzi mayelana nokutholwa esifundeni sakho chofoza izixhumanisi ezingezansi.
I-Australian Capital Territory
Ukunakekela ingane ekungeyona eyakho kungase kube inketho kuwe. Ukunakekela ingane ekungeyona eyakho kungahlanganisa ukunakekelwa kwesikhashana nesikhathi eside kwezingane ezidinga ikhaya eliphephile nelinothando.
Kwezinye izimo, ukunakekela ingane ekungeyona eyakho kungaholela ekutholweni uma kufaneleka.
Ukubhekana nezinselele zokuzala ngemva kokwelashwa kungase kube inselele kakhulu, ngokomzwelo nangokomzimba. Kubalulekile ukwenza isiqiniseko sokuthi unokwesekwa eduze kwakho. Ukwesekwa kochwepheshe beNzalo kuyatholakala emitholampilo eminingi yokuzala futhi kungabandakanya Izazi Zengqondo, I-Psychotherapist kanye Nosonhlalakahle.
Kuthiwani uma ngingafuni ukukhulelwa (noma ukukhulelwa omunye umuntu).
Khuluma nodokotela mayelana nokuzala kwakho uma ungafuni ukukhulelwa. Kunezinketho eziningi ezahlukene zezindlela zokuvimbela inzalo, ngakho-ke cela udokotela wakho ukuthi akuchazele ukukhetha okuhlukile onakho ngezimo zakho.
Ubani ongase abe nesandla ekunakekeleni kwakho inzalo
Kunezinhlobo ezahlukene zodokotela abangochwepheshe abangakwazi ukukusiza ngokuzala kwakho. Chofoza izixhumanisi ezingezansi ukuze ufunde mayelana.
Udokotela wezifo zabesifazane ungudokotela onokuqeqeshwa okwengeziwe kanye nesithakazelo esikhethekile ekwelapheni izimo zesimiso sokuzala sowesifazane namabele. Bangahlola ukuzala kwakho futhi bakunike iseluleko mayelana nendlela engcono kakhulu yokukhulelwa, noma ugweme ukukhulelwa uma ungafuni ukukhulelwa.
Bangasiza futhi uma unobunzima noma ubuhlungu ngesikhathi socansi.
I-andrologist ingudokotela onokuqeqeshwa okwengeziwe kanye nesithakazelo esikhethekile ekwelapheni izimo zesistimu yokuzala yabesilisa. Bangahlola ukuzala kwakho futhi belaphe izimo ezingase zidale ukungalingani kwehomoni noma zithinte ikhono lakho lokuba nokusimama.
I-endocrinologist ingudokotela onokuqeqeshwa okwengeziwe kanye nesithakazelo esikhethekile ekwelapheni izimo zesistimu ye-endocrine (noma i-hormone). Bangasiza uma unokungalingani kwe-hormone ngemva kokwelashwa.
Udokotela wenzalo angase abambe iqhaza ekunakekeleni kwakho uma udinga usizo lokukhulelwa nge-IVF usebenzisa eyakho, noma isidoda namaqanda abanikeli. Zingasiza futhi uma unokungalingani kwehomoni okuthinta inzalo yakho futhi wenze ukuhlolwa kofuzo.
Odokotela abaningi benzalo nabo bangodokotela bezifo zabesifazane noma odokotela bokubelethisa.
Udokotela wokubelethisa ungudokotela onokuqeqeshwa okwengeziwe kanye nesithakazelo esikhethekile ekunakekeleni wena nomntwana wakho phakathi nangemuva kokukhulelwa.
Isifinyezo
- Ukwelashwa kwe-lymphoma kungaba nomthelela wesikhashana noma unomphela ekuzaleni kwakho.
- Ukwelashwa kungathinta inzalo yakho okubangela izinguquko zehomoni noma ukulimala ezithweni zakho zokuzala.
- Ukukhulelwa kwemvelo kusengenzeka kwabanye abantu abaye belashwa.
- Uma ungafuni ukukhulelwa - noma ukhulelwe omunye umuntu, khuluma nodokotela wakho mayelana nokuhlolwa kokuzala, nokuthi ungakuvimbela kanjani ukukhulelwa okungafunwa.
- Ungase udinge usizo olwengeziwe ukuze ukhulelwe nge-IVF usebenzisa eyakho kanye nesidoda samaqanda sophathina bakho, noma abanikelayo.
- Ezinye izinketho zokuqala umndeni zihlanganisa ukuzala, ukutholwa kanye nokukhuliswa.
- Khuluma nodokotela wakho mayelana nezinketho zakho kanye nokudluliselwa kuchwepheshe ongenhla.
- Awuwedwa, Abahlengikazi bethu Be-Lymphoma Care bakhona ukuzosiza. Shayela abahlengikazi bethu NgoMsombuluko-Lwesine 9am-4:30pm Eastern Standard Time. Chofoza inkinobho ethi xhumana nathi ngaphansi kwesikrini ukuze uthole imininingwane.
