Ukukhetha ugqirha, Yintoni onokuyilindela ngexesha leNkqubo, nokuba neNtsana
Ukuzala komfazi kuza nomhla wokuphelelwa yisikhathi. Ngelishwa, amaqanda ethu ahlale akwazi ukulinda de sikulungele ukuba nabantwana. Abasetyhini abangaphezu kweminyaka engama-35 banamathuba amaninzi okujongana nokungabikho kweminyaka. Umngcipheko wokungabikho komntwana kwiminyaka engama-40 ukuya phezulu uphezulu.
Ayikho indlela yokuyeka ukuguga. Nangona ubomi obungenasiphelo bunokukhawulezisa ukuhla kwe-fertility ( ukutshaya , umzekelo, ukudala ama-ovari ngaphambi kwesikhathi), ukuphila okunempilo akuphuzi izinto.
Oko kwathiwa, kukho enye indlela yokumisa inkqubo yokuguga kwamaqanda ngamanye-kunye ne- cryopreservation , okanye ikhefu elikhethiweyo leqanda. Amaqanda afriweyo kuma-20s okanye ekuqaleni kwama-30 aya kugcina isimo sawo "selutsha" nangona sithatyathwa kwaye sisetyenziswe iminyaka eyi-10 kamva.
Ukuze kucace, akuyi kukunika ingxaki efanayo yokukhulelwa ukuba uzame ngokusemthethweni ngexesha lokuqhwala. (Iimpawu ezintle zokukhulelwa zihamba ngeentlobano zesini kwi-20s okanye kwi-30s yokuqala.) Kodwa loo maqanda aqhoqhileyo aya kuba mgangatho ophezulu kakhulu kunanoma yiyiphi i-oocytes efunyenwe emva kweminyaka.
Nantsi indlela yokufaka amaqanda akho, ngokukhetha iklinikhi ukuya (enethemba) ukuba unomntwana.
Okokuqala, Uphando oluPhezulu oluPhezulu lwe-Egg Freezing
Ukugqiba ukwenza amaqanda akho amaqanda kungabangela amava-kodwa kuphela xa ungena kuwo onke amaqiniso. Ngaba uyayiqonda ingozi? Uyiqonda ngokupheleleyo iindleko? Ngaba uyazi ukuba yintoni amazinga okuphumelela, ngokubanzi, kwaye, ngokukodwa, ukuba ubudala bakho?
Ngokomzekelo, umfazi okhululekayo kwiminyaka engama-30 uvumeleke ukuba uphumelele kunokuba ibhinqa elikhupha i-38.
Enye yezona zinto zibaluleke kakhulu ukuba wazi ukuba i-egg-freezing ezayo ayikho na maqinisekiso. Ngamanye amaxesha, iqanda leqanda libizwa ngokuba yi-inshurensi yokuzala. I-inshurensi ihlawula xa wenza ibango.
Amaqanda akho afriziwe anokufumana okanye angakufumani umntwana.
Ngaphambi kokuba uqale ukukhangela ugqirha, uphando olwenyaniso lweqanda leqanda lomphakathi . Funda emithonjeni ekhoyo kunye neqanda lokuqanda iqanda. Ingongoma engavumelaniyo, kungekho zimpendulo ezicacileyo.
Kwakhona, uqaphele ukuba ngelixa iiseshini zeenkcukacha zokuqhaqha amaqanda ezithatyathwa ngamaklinikhi enokondla zingakunikela ngenye ingqiqo, ziyizona ziganeko zokuthengisa. Zijoliswe ekuthengiseni inkonzo yokulondoloza inzala. Thatha ingcaciso yabo, kodwa ungayisebenzisi njengomthombo wakho kuphela.
Ukukhetha iCliniki kunye neCliniki yokuNzala
Ukufisa amaqanda akho, kufuneka ufumane iklinikhi yokuzala .
Ngokukhethekileyo, ufuna ukufumana ikliniki yokuzala kunye nelebhu ebaluleke kakhulu, kwaye ufuna udokotela onamava ngokusebenza ngamaqanda amaqanda akhethiweyo okanye abaxhasi beqanda . Kutheni kubalulekile ukukhetha amaqanda amaqanda okanye abaxhasi beqanda? Kungenxa yokuba aba bafazi banemveliso emihle, kwaye bafuna uhlobo oluthile lokunakwa kunye nokunyamekela ngexesha lokuvuselela i-ovarian kunezigulane ezingenasifo.
Kwakhona kubalulekile-uya kufuna ukukhetha ibhabhi enamava kunye nezakhono ukuba ungagcini nje amaqanda akho, kodwa uzinyibilize uze uziququze kamva. Ukufumana nje amava kunye nokuqhwala akwanele.
"Ndivakalelwa kakhulu ukuba indawo eya kuthabatha imali yakho ukuba ikhuphe amaqanda akho ifanele ibe namava okuthi siyazi ukuba yintoni enokuyenza ngamaqanda akho xa ufuna ukuwathambisa, kwaye ukukhulelwa kweziphumo kukuma," kuchaza UDkt. Diana Chavkin, ibhodi eqinisekisiweyo yokuvelisa izityalo eziye zasebenzisa ubuchule bakhe ekuncedeni ukuphuhlisa iinkqubo zokulondoloza inzala kulo lonke ilizwe.
Ukufumana ikliniki ngamava ngundoqo. "Ezinye iikliniki zinikela ukugcinwa kwezityalo (ezentlalo nakwezinye izinto) ngaphandle kokuba zenze inani elikhulu lokungqanda / ukugxininisa ukuqinisekisa ukuba banolwazi lwenkqubo," kutsho uDkt. Kevin Doody, isifo se-endocrinological reproductive eDallas, eTexas.
"Kuya kuba yiminyaka kwezinye iimeko ngaphambi kokuba ezinye izigulane ziyazi ukuba amaqanda abo asinda."
Qaphela ukuba akusiyo yonke ikliniki yokuzala eya kubhala kwiwebhusayithi yabo ukuba inikeze iqhwa elikhethiweyo leqanda. I-American Society yoMnxeba Wokuzala (i-ASRM) icebise malunga nokuthengisa ngokuthe ngqo kubasetyhini ukwenzela ukwenziwa kwe-cryopreservation. Yingakho kungabonakali ukuba banikela ngenkonzo, nokuba ngaba bayenza kwaye mhlawumbi bayayinika iminyaka.
Khumbula kwakhona ukuba i-lab ye-lab's frost-freezing experience ihamba ngaphezu kweqanda elikhethiweyo leqanda. Iqanda eliqhumayo-kunye kunye nenkqubo yokuqhawula kunye nokuqumba- inokuyinxalenye yonyango oluqhelekileyo lwe -IVF, umjikelezo we-IVF umjikelezo weqanda, kunye nenxalenye yempilo-eyimfuneko yokulondolozwa kokuzala.
Iingcebiso ezinikezelwa kwizigulane ezingapheliyo ngendlela yokukhetha ikliniki yokuzala zifana nalabo abafuna ukhenkco lweqanda elikhethiweyo. Oku kuthethi, nantsi eminye imibuzo omele uyibuze:
- Uneminyaka emininzi ibha yeebhanki yakho inika iqhwa elikhethiweyo leqanda? (Ukususela ngo-2013 yimpendulo enhle.)
- Ngaba unakho ukukhulelwa okubangelwa yiamaqanda ezinqabileyo kwi-lab yakho yebhu?
- Kulo nyaka, uninzi kangakanani ujikelezo lweqanda lokuqhaqhaza kweqanda oluye lenzile, kwaye ngaphandle kwelo nani, zingaphi na ukukhulelwa kwekliniki kwenzeka?
- Ingakanani indleko yokuqanda iqanda ebiza? (Okunye ngezantsi apha.)
- Ngokomyinge, zingaphi iisyingi ezikhupha iiqanda ezikhupha iiqanda?
Ukubonisana ne-Endocrinologist yokuzala
Emva kokuba ufumane ikliniki (okanye ezimbini) onomdla ekusebenzeni, isinyathelo sakho esilandelayo kukuba ube nokuqeshana kokubonisana nomfundi we-endocrinologist (okanye ochwepheshe bezityalo). Olu qeshiso linokukhululeka okanye lunokuba neendleko.
Injongo ephambili yale ngqununu kukuba uthethe ugqirha malunga noko ufunayo kwaye unikezele ngembali yakho yempilo, kwaye ugqirha ukuba achaze inkqubo yokuqanda iqanda, uphendule nayiphi na imibuzo onayo, ikunike ( ukulinganisa) iingxaki zokuphumelela, kwaye uxoxe ngeengozi ezikhoyo zenkqubo. Uqeshwano lokubonisana lukhona ukukunceda wenze isigqibo esinolwazi malunga nokuba unqabile okanye ungenzi.
Ungesabi ukubuza imibuzo eninzi njengoko ufuna. Ngokuqinisekileyo qiniseka ukubuza ukuba ugqirha ucinga ukuba ulindele ntoni ukuba uphumelele, ngokusekelwe kwiminyaka yakho yangoku. Baya kuba nako ukunika ingcamango engcono emva kokuvavanywa kokuvuna.
Ukuxoxa ngeendleko ze-Eggs
Ngaphambi kokuba uvavanyo okanye uqala unyango, qiniseka ukuba uyazi iindleko ezipheleleyo phambi kokuba ungene ngemvume. Uninzi lweekliniki aziyi kukwazi ukunika ingcamango enhle yexabiso elizeleyo emva kokuba kuqeshwe ukubonisana kunye nokuba mhlawumbi uvavanyo lokuqala lokuzala. Oku kungenxa yokuba zininzi iisyingi onokuzidingayo zixhomekeka ngokukodwa kwiminyaka yakho kunye neendawo zokugcina ii-ovarian. Ezinye zezi zinto aziyi kwaziwa kude kube yilapho usuhamba ubuncinane umjikelezo omnye.
Oku kuthetha, uqikelelo kunye nemigangatho kufuneka ibe khona ngaphambi kokuba uhlale phantsi ukuthetha nodokotela. Xa ucela malunga nexabiso, qiniseka ukuba ufumana icatshulwa elipheleleyo eliquka:
- Ukutyunjwa kwabacebisi
- Uvavanyo lokunyameka (ezinye ziyakutyholwa yam inshuwalense yezempilo)
- Iindleko zeziyobisi zonyango
- Ukubeka iliso lomjikelezo weqanda
- Ukubuyiswa kweqanda kanye nokunyuswa kweqanda
- Ukugcinwa kwamaqanda ngonyaka
Fumana ukuba intlawulo yefriji ifaka umnyaka wokuqala okanye iinyanga ezi-6 zokugcina, okanye ukuba loo ntlawulo iyongezelela kwixabiso elichazwe. Ukuba awunalo ulwazi olupheleleyo lweendleko, awukwazi ukuthelekisa oko naziphi ezinye iikliniki ezinganikela ngazo. Ungesabi ukuthetha neklinikhi engaphezu kweyodwa, kodwa musa ukwenza isigqibo sakho kuphela kwixabiso. Imali yakho iya kutshabalala xa iklinikhi ingenayo ubuchule bokusingatha amaqanda akho.
Ngokomyinge, enye ijikelezo yeqanda ekhupha iphakathi kwama-7,000 ne-15,000. Imirhumo yokugcina isuka kwi-$ 500 ukuya kwi-1 000 ngonyaka. Unokudinga ngaphezu komjikelezo omnye ukuya kwiibhanki ezinokwaneleyo, kunye nemigudu eninzi kunokufuneka xa uneminyaka engama-35 okanye ngaphezulu.
Ezinye iikliniki ziza kunika intlawulo ekhethiweyo-inkqubo yokudlulisa isisu-phambili ye-embryo-phambili (le nxalenye yenkqubo eya kuyenzeka xa unquma ukusebenzisa iiqanda, iminyaka emininzi kwixesha elizayo). Ukuqwalasela ukunyuka kwamaxabiso kunye nokunyuka kweendleko zonyango, kuyafaneleka ukuqikelela xa ukhetha iklinikhi.
Awunakuze usebenzise le nxalenye yenkonzo. Ndiyathemba ukuba uza kukhulelwa xa usukulungele ukuqala ukuzama ukukhulelwa. Nangona kunjalo, ukuvumelaniswa kwexabiso eliphambili kungakunceda uceba kwaye unganciphisa iindleko zakho kamva, ukuba ufuna ukusebenzisa amaqanda akho.
Isigaba sokuVavanywa kokuQala
Injongo ephambili yokuvavanya phambi kokuqanda iqanda kukuhlalutya imeko yakho yokuzala kwaye uqinisekise ukuba awukho izifo ezithathelwanayo zesondo (STD / STIs). Ukuba unayo i-STD, unokusasaza amaqanda akho. Uya kufuneke ukuba usulele unyango kuqala. Usulelo olusebenzayo lunokwandisa ingozi yokusuleleka kwintsholongwane ngexesha le nkqubo, enokubeka ukuzala kwakho (kunye nobomi bakho) engozini.
Enye into ugqirha uya kuhlola ngayo iindawo zokugcina ii-ovarian. Oku kwenziwa ngomsebenzi wegazi, ukhangela ama-hormone amazinga e-AMH ne- FSH . Unakho nokuba nenani le- follic follicle , elona vavanyo olukhethekileyo lwe-ultrasound.
Uvavanyo lwe-Ovarian reserve lugqirha ugqirha wakho ngcamango yokuba unamaqanda amangaphi amaqanda akho. Akulona uqobo-asikho iteknoloji yokubonelela ngempendulo. Kwakhona akunakutsho ukuba zeziphi iziganeko zakho zokukhulelwa ngokwakho, ngaphandle kokunyanga , kwaye akunakukuxelela "iminyaka emingaphi" oshiye ngayo ukuzala kwendalo.
Into esiyaziyo kukuba ukuba i-ovarian reserves ephantsi, ayinakukwazi ukuphendula ngokufanelekileyo kwimichiza yokuzala. Oku kuthetha ukuba unyango lwe-IVF aluvumelekanga ukuba luphumelele, kwaye, ngokubhekiselele kweqanda eliqanda, lithetha ukuba ukufumana inani elincinci lamaqanda akunakwenzeka.
Yintoni eyenzekayo xa iindawo zakho zokugcina ii-ovari zifunyanwa ziphantsi? Le nto inokuxoxa ngayo nodokotela wakho. Oku kunokwenzeka ukuba uneminyaka engama-30 okanye ngasekuqaleni kwama-40. Abafazi abasemdala abangekho abafanelekileyo abagciniweyo yokulondolozwa kokuzala, "kusho uDkt Doody. "Ikhefu labo lokukhulelwa liphantsi kunye namaqanda amancinci kwaye linciphise ngeqhwa."
Ukucwangcisa i-Egg Freezing Cycle
Emva kokuba uvumelene kwiimali, uzalise konke ukuhlolwa kobunzima bokuqala, kwaye ubuze imibuzo yakho kwinkqubo, kuya kuba nexesha lokumisela umjikelezo weqanda lakho lokuqanda. Umhla uya kukhethwa ngokusekelwe kwimijikelezo yakho yokuya esikhathini. Uya kufuneka ulandele zonke izidakamizwa zokuzala umjikelezo ngaphambi kokuba nantoni na iqale. Ezi ziza kuba zii-hormone ezingenayo.
Omnye ekliniki yokuzala uya kukuchazela indlela yokuphatha nokusebenzisa iziyobisi. Uya kuba uzinike iilenki (okanye, unokuba nomhlobo okwenzela yona, ukuba unomdla wokuzenzela ngokwakho). Iilenki ziyakuthi zibe kwiisisitye ezinamafutha esisisu sakho. Uza kuqala ukuthabatha amachiza phambi kokuba ixesha elilandelayo liqale.
Imithi ejoyiweyo isetyenziswe ngexesha le-Egg
Ngokuxhomekeke kwiprogram yomgqirha wakho, unokuba uzinike phakathi kweeyunithi ezintathu okanye ezintathu ngosuku. Oku kuyahluka kuye kuxhomekeke apho ukhona kumjikelezo wakho.
Ezi zi yobisi zonyango zizinjongo ezibini eziphambili: ukukhuthaza amaqanda kumaqanda akho kunye nokugcina ulawulo lwenkqubo ye-ovulation ukwenzela ukuba amaqanda angabhoxisi ngaphambi kokuba atholakale.
Ukusetyenziswa kweziyobisi onokuyithatha kubandakanya:
- I-Gonadotropins , eziyi-hormone ezifana neyo-umzimba ezivelisa ngexesha lomjikelezo oqhelekileyo wokuya esikhathini.
- Abaxhasi be-GnRH okanye i- GnRH i-agonists , enceda ugqirha wakho alondoloze ukulawulwa kwenkqubo ye-ovulation
Iimiphumo eziqhelekileyo eziqhelekileyo zala mayeza ziquka iintloko, ukutshisa okutshisa, ukuqhaqhaqhaqha, ukuguquka kwemizwelo, isisonguluko, kunye nesidlova. Izingosi zakho zokungena zibi okanye zibomvu. Ngokuqinisekileyo, wonke umntu uyasabela ngokuthe ngqo kwiihomoni. Ukuba unomdla malunga nayiphi na impembelelo yecala ojongene nayo, xela ugqirha wakho.
Umngcipheko omkhulu wokusetyenziswa kweziyobisi ngokukodwa yi-ovarian hyperstimulation syndrome, okanye i-OHSS. Ukufika kuma-10 ekhulwini kwabasetyhini abahamba nge-IVF okanye i-egg-freezing ye-eggs bafumana ii-OHSS ezincinci. I-OHSS epholileyo ingabangela ukungahambi kakuhle, kubandakanywa ukubhubhisa, ukufumana isisindo esincinci, isisongomso, kunye nesifo sohudo.
Kwiimeko ezinzima, i-OHSS ingakhokelela ekulahlekelweni kokuzala kunye nokufa. Izibonakaliso ezinzulu ze-OHSS ziquka ukufumana isisindo esiphuthumayo, iintlungu ezininzi zesisu, ukuxubha okukhulu, ukuhlanza okunzima, ukunyakaza ukuvuthwa, ukungcola, ukuphefumula okufutshane, okanye intliziyo ekhawulezayo. Bika ugqirha ukuba unempawu ze-OHSS .
Ukubekwa iliso kwiCandelo
Enye inxalenye ebalulekileyo yale nkqubo ijonge ukukhula kweqanda (okanye ulandelelwano) kwiiyunithi zakho. Ugqirha wakho ufuna ukufumana indawo emnandi yokukhuthaza ama-ovari ukuba aqokelele amaqanda anele kwiibhanki, kodwa engabakhuthazi kunye nokudala i-ovarian hyperstimulation syndrome (OHSS).
Lindela ukuba umsebenzi wegazi kunye nokugqithiseleka kweminye imihla embalwa, kwaye mhlawumbi yonke imihla, njengoko usondela ngakumbi kwinkqubo yokubuyiswa kweqanda.
I-Egg Retrieval kunye ne-Eggs
Iilenki kunye nokubeka iliso kumaqanda akho kuya kuthatha iiveki ezi-2 ukuya kwezi-3. Emva kokuba iifolli zifikelela ubungakanani obuncinane kunye nesigaba sokukhula, ugqirha wakho uya kulungisa ukufunyanwa kweqanda. Uya kuba ngaphantsi kwe-sedation yokufumana iqanda. Ngethuba le nkqubo, ugqirha uya kusebenzisa inaliti ekhokelwa yi-ultrasound ukuhamba udonga lwamanzi wesisu uze ufike kuma-ovari. Kulapho, ugqirha wakho uya ku "thanda" ngokucophelela intolli nganye nenaliti. Ngaphakathi kwipolisi nganye iqanda.
Amaqanda aya kuthiwa athathwe kwibhabhi apho i-embrologist izakusebenzisa i- vitrification ukuze igqithise . Ikhonkco kunye namaqanda akho aya kubhalwe ngokucophelela kwaye abekwe kwisigqibo sokugcina, ukugcina ugciniweyo kwaye ukhuselekile uze ulungele ukuyisebenzisa kwixesha elizayo.
Unokufumana ukutyunjwa nokubonakala emva kokufunyanwa kweqanda. Kukho umngcipheko ongaqhelekanga wokusuleleka. Ukuba uhlakulela umkhuhlane okanye intlungu eqhubekayo, xela ugqirha wakho ngokukhawuleza. Kukho ingozi kwi-sedation, okufuneka ugqirha wakho akuchazele yona.
Xa Ukulungele Ukuzama Ukuba Nomntwana
Amaqanda akho anokuhlala kwiqhwa ngonaphakade (ngokude uqhubeka uhlawula ukugcina kwabo). Emva kokuba unqume ukuba ufuna ukuzama kwaye unomntwana, uya kuqala uzame ngaphandle kwamaqanda aphantsi. Oku kungenziwa ngokulala ngesondo kunye neqabane lakho, okanye kunye nomniki wesini kunye nokusabalalisa . Ngokuxhomekeke kwiminyaka yakho, unokuzama iinyanga ezintandathu okanye unyaka.
Ukuba awuphumelelanga ukukhulelwa ngale ndlela, ke ngoko ufuna ukucinga ngokusebenzisa amaqanda kwiqhwa. Ugqirha wakho uya kwenza uvavanyo olutsha lokuzala ngexesha. Ukuba unomlingani wesilisa, uya kufuneka uhlalutyo lwesisu . Khumbula ukuba ukuzala kwakho kuphela isiqingatha se-equation. Emva koko, kunye nogqirha wakho, uya kugqiba isicwangciso senzo. Oku kungabandakanya ukuzama ukuphulukiswa kokuqala kwe-tech, okanye uhambe ngqo ngokusebenzisa amaqanda akho aphantsi.
Kuloo mijikelezo yonyango, uya kuthatha amahomoni ukulawula umjikelezo kwaye ulungiselele umgca we-endometrial . Amanye amaqanda akho aphantsi kancinci aya kutsalwa kwibhuyibhile. Abo basinda kwintlanzi baya kutyalwa kunye nomlingani wakho okanye umsizi womniki. Amaqanda aya kufuneka atyunjwe usebenzisa i- ICSI, okanye injoza ye-intracytoplasmic .
Ndiyathemba, uza kufumana iibrasi ezincinane zempilo. Enye okanye ezimbini zeemibusi ziya kutshintshwa kwisibeleko sakho. Emva kokudluliselwa kombindi, unokufuna ukuba uthathe i- progesterone yokuxhaswa nge-injection okanye kwi-vaginal suppository. Emva koko, ulinde nethemba lokukhulelwa okulungileyo emva kweveki ezimbini.
Yintoni eyenzekayo Ukuba andinakuzikhupha ngamaqanda am?
Kungenzeka ukuba bambalwa abesifazana baqwalasela, kodwa ungeke ukwazi ukukhulelwa ngamaqanda akho. Oku kungenzeka ngezizathu ezininzi, kubandakanywa namaqanda angasinda kwi-thaw, amaqanda angafaki ukuchumisa, angayitholi nayiphi imbusi ephilileyo, okanye nje ukuhluleka ukukhulelwa "ukubambelela."
Emva kokuba zonke iiqanda zakho ze-cryopreserved zisetyenzisiwe, izikhetho zakho zixhomekeka kwiimeko zakho zokuzala. Unokwazi ukuqhubeka uzama ukukhulelwa nge-IVF unyango, usebenzisa iiqanda kuma-ovari akho ngeli xesha. Nangona kunjalo, ukuba iindawo zokugcina ii-ovarian ziphantsi, okanye amaqanda akho awazange aphendule kwimichiza yokuzala, ungadinga ukuqwalasela ukusebenzisa umxhasi weqanda . Enye inokwenzeka ukuba umxhasi we-IVF.
Okunye ongakhethayo (ngaphandle kwonyango lokuzala) kubandakanya ukuhlala kwabantwana abangenabantwana, abazali abangabantwana, okanye abamkelwayo.
Kuthiwani Ukuba Andizange Ndizisebenzise Amaqanda Athu Adibeneyo?
Uninzi lwabasetyhini aluyi kusebenzisa iiqanda zabo ezinqabileyo. "Ndicinga ukuba abaninzi abasetyhini abayi kusebenzisa iiqanda ezidityanisiweyo," kusho uDkt Doody. "Baya kukhangela ngokukhawuleza baze bangazidingi, okanye banqwenela ukuhlala bengenamntwana."
Ngoko, kwenzeka ntoni kwiiqanda zakho ezingasetshenziswanga i-cryopreserved?
- Unokuzigcina kwiqhwa kwaye uqhubeke uhlawula. Eyona nto ingakumbi, unako ukukhutshwa kwamaqanda. Ukulahla amaqanda akufani nokulahlekelwa ngumjikelezo wokuya esikhathini. Awuyilahli imibyusi, enoba abanye bayayichasa ngokwenene.
- Ku nokuba nethuba lokubanika ngokutsha uphando lwezesayensi.
- Enye indlela enokuyenza kukuba uzinikezele kwisibini esingenasiphelo kwaye ube ngumnikeli weqanda . Oku akusiyo isigqibo sokwenza lula, kwaye kufuneka uxoxe nomcebisi kunye negqwetha elizalisayo ngaphambi kokuba ukhethe oku.
Ukuba ufuna ukunikela amaqanda akho, unokufuna ukuba uphumelele ukuvavanya okongezelelweyo kunye nolwazi lokuqokelela ngexesha lokuqanda iqanda. Ukuba ucinga ukuba unokucinga ngokunikela ngamaqanda akho kwixesha elizayo, uthetha ugqirha wakho wokuzala ngaphambi kokuba uqale inkqubo yokuqanda iqanda.
> Imithombo:
> Chavkin, u-Diana E. MD. I-HRC inzala eLos Angeles. Udliwano-ndlebe ngoJulayi 17, 18, no-19, 2017.
> Cobo A1, García-Velasco JA2, Coello A3, Domingo J4, uPellicer A5, Remohí J3. "I-vitrification ye-oocyte njengendlela efanelekileyo yokulondolozwa kokuzala." UFertil Steril . Ngo-2016 uMar; 105 (3): 755-64.e8. i-doi: 10.1016 / j.fertnstert.2015.11.027. Epub 2015 Dec 10.
> Doody, uKevin J. MD. Isiko soNgcaciso lokuNcedisa (UKUQALA KWENKQUBO). Udliwano-ndlebe ngoJulayi 13, 2017.
> I- vitro fertilization (IVF): Ziziphi iingozi? Ishiti yeenyani. Umbutho waseMelika weMithi yokuzala.
> I-oocyte ekhulileyo yokukhupha isisombululo: isikhokelo. IiKomiti zoQoqosho ze-American Society for Medicine Reproductive kunye noMbutho weTeknoloji yokuThuthukiswa koNcedo.