Oko Ukwazi Ngaphambi Kwenza Isigqibo Sokukhulula Amaqanda Akho
Ingaba okanye awufanele ufeze amaqanda akho kwi-30s okanye kwi-20s yakho ukwenzela ukuba ulandele ukuba nabantwana de ube sele udala-ngumcimbi obangelwayo kodwa obalulekileyo kwihlabathi lokuzala. Kusenokwenzeka ukuba uvile ngeqanda elikhupha kwiqendu okanye kumhlobo. Okanye, usenakho ukuya kumcimbi wokuthengisa oxhaswa yikliniki yokuzala , unikezela iinkonzo ezinqanda amaqanda kumabhinqa amancinci, abaqeqeshiweyo.
Mhlawumbi unenhlanhla ukusebenzela enye yeenkampani ezimbalwa ezinikela ngokukhawuleza kwenkcazo yokuqanda amaqanda kwizibonelelo zazo.
Nangona i-OB / GYN yakho inokuvelisa iwashi yakho yezinto eziphilayo kunye nokubaluleka kokungalibali ukuzala, ugqirha wakho akunakwenzeka ukukhankanya ukhetho lokuqanda iqanda. Kukho isizathu saloo nto. Akunjalo ngenxa yokuqanda iqanda kukukhetha okubi, kodwa kuba kuyinkimbinkimbi.
Ukuba ucinga ngokuqanda iqanda, ufanele ukwazi kakuhle ukuba yiyiphi inqabunga yeqanda onokukwazi ukuyenza, yintoni inqubo yokuqanda iqanda ebandakanya, ukhetho lwakho ukuba ukhetha ukuqanda (okanye cha); kunye nemingcipheko, amazinga okuphumelela, kunye neendleko zenkqubo.
I-egg yokuqhwaba ingaba yindlela ethembisayo kwabanye, kodwa akusiyo isigqibo sokuthatha ngokulula.
Yintoni Eyentlalontle (okanye Ekhethiweyo) I-egg ekhupha?
Ukuqonda uluntu (okanye ukhetha) iqanda lokuqanda, kufuneka uqonde ukuguga okuqhelekileyo. Intombazana izalwa kunye nazo zonke iiqanda azakuba nazo kumaqanda akhe.
Njengomfazi ophakathi, inani lamaqanda kwi-ovary ngokwemvelo linciphisa.
Le nkqubo yokuguga kwe-ovari iqala ngaphambi kokuba umntwana azalwe. Intsana yama-20 enesibindi yesisu iphakathi kwamaqanda angama-6 no-7 amaqanda kuma-ovari. Xa le ntombazana izalwa, inani sele liye lahla ukuya kwi-1 million.
Oku kuhluke kakhulu kumadoda, azinkqubo zokuzala (emva kokutshatyalaliswa) okudala i- 250 million entsha yesininzi yesininzi imihla ngemihla . Ama-ovari akakwazi ukuvelisa amaqanda amasha.
(Inqaku eliphambili: Ukuzala komntu kuyancipha kunye nobudala, kungekhona nje ngokukhawuleza kwaye ngokuphawulekayo njengoko kwenzayo kubasetyhini.)
Njengoko ukhula, amaqanda kuma-ovari akho ayancipha nje kuphela ngobungakanani kodwa nangomgangatho . Yingakho umfazi oneminyaka engama-37 unomngcipheko ophezulu wokukhulelwa kwesisu xa uthelekiswa nomntwana oneminyaka engama-27 ubudala.
Ngokufanelekileyo, ukusuka kwimeko yezinto eziphilayo, ukuba umfazi ufuna ukufumana abantwana abanxulumene nemfuyo, kufuneka aqale ukuzama ukuba nalabo bantwana ngaphambi kweminyaka engama-35. Kulungile, ngaphambi kokudala kweminyaka engama-30. Abasetyhini abaninzi abanakulungele, abanako, okanye balungele ukuba nabantwana ngama-30.
Le yilapho iqanda elikhethiweyo leqanda lingena khona. Ukuba, umzekelo, umfazi oneminyaka engama-30 uyazi ukuba akafuni okanye akayi kuqala ukuba nezingane eminye iminyaka elishumi, unokukhetha ukuba amanye amaqanda akhe agqitywe .
Kamva, xa ekhulile, unokuzama ukukhulelwa rhoqo . Ukuba uyakholelwa kuye, mkhulu! Nangona kunjalo, ukuba unzima ukukhulelwa, ingcali yenzalo ingathatha loo maqanda aqhoqhekileyo xa eselula kwaye ayisebenzise (ethemba) incedise ukukhulelwa nge- IVF .
Amaqanda anamagqabi aza kuba nemgangatho ophezulu kunanoma yimaphi amaqanda athatywe iminyaka eli-10 okanye ngaphezulu kamva. Lezo maqanda ezincinci "ezincinci" ziya kubakho ukucoca, mhlawumbi zivelise ama-embryos aphilileyo, kwaye mhlawumbi zikhokelela ekukhulelweni kweklinikhi kwaye zizalwe. Ngandlela-thile, kufana nokuba ngumnikeli weqanda- kwixesha lakho elizayo. Kodwa awukwazi ukubuyela kuloo mnikezeli weqanda uze ufumane amaqanda athile xa sele ehamba. Unayo kuphela into owayiqhayisa ngayo ngaphambili.
Kutheni i-Elective Egg iphoxisa ikhetho ngoku, xa yayingekho ngaphambi?
Ukhetho "ukulondolozwa kokuzala" lutsha, kodwa iqanda eliqhenqileyo alikho.
Iqanda eliqhumayo ngenxa yezizathu zonyango liye laphela iminyaka. Ukuzalwa kokuqala okubangelwa yiqanda elidlulileyo liye lafika ngo-1986.
Kuze kube kutshanje, ukuqhwaqanda kweqanda kwakunqandekile kuphela kwiinkcazo zonyango kuphela. Izizathu zonyango umfazi onokumisa amaqanda afaka:
- Ukwelashwa kwangaphambili komhlaza (ezinye izifo zonyango ziwonakalisa ama-ovari)
- Imbali yentsapho okanye imfuyo engabangela ukungaphumeleli kwexesha le-ovarian (eyaziwa ngokuba yi-primary ovarian insufficiency)
- Ngexesha eliqhelekileyo unyango lwe-IVF , ukuba nayiphi na isizathu isizathu sokuba inambuzane ayitholakali ngosuku lokufumana, amaqanda angacinywa.
Izindlela zokuqala zamaqanda zangaphambili aziphumelelanga ngaphantsi. Basebenzisa inkqubo "epholileyo" eyathi yakha ama-ice crystals kumaqanda. Amakristal e-ice awonakalisa amaqanda kwaye enza ukuba asebenziseke. Oku "kwakungcono kunananto" kulabo abaneengxaki zezonyango kuba enye yodwa inxaxheba kwakungekho nhlobo kwaye akukho maqanda.
Emva koko, indlela entsha yokuqanda iqanda yasungulwa. Eyaziwa ngokuba yi- vitrification, le nkqubo yokuqanda ngokukhawuleza ngokukhawuleza ayivumeli ukuba iifrifi ze-ice zifake. Amaqanda agqityiwe nge-vitrification anesilinganiso esingcono sokusinda. Ngamanye amazwi, banokuthi bangene kwinkqubo yokuqhwabalaza, yokuqhawula kunye nokuchumisa kunamaqanda atyhidiweyo.
Ekuqaleni, amaqanda ayenziwa njengamava. Emva koko, ngo-2012, i-American Society yoLwazi lweZityalo (i-ASRM) isusile ilebula yokulinga. Ngelixa i-ASRM ingacetyiswanga ukuthengisa ukukhutshwa kweqanda ngeenjongo zokulibaziseka ukuzala abantwana, ukususwa kwelebula yokulinga kwenza ezinye iiklinikhi zokuzala ziqale ukunikela ngeqanda elikhethiweyo leqanda.
Kutheni Abafazi Bakhetha Ukukhulula Amaqanda Abo Ngezizathu Zengonyango?
Izizathu eziqhelekileyo kubafazi abakhetha ukukhethwa kweqanda ezikhethiweyo ziquka:
- Ukungayifumani iqabane elifanelekileyo (Lesi sizathu esinye sezizathu, ngokutsho kophando.)
- Umsebenzi okanye iinjongo zemfundo
- Indlela yokuphila okanye izicwangciso zokuhamba
- Imiba ephathekayo ne- embryo epholile (Ngamanye amagama, banomlingani kwaye banokuqhaqha ama-embri, kodwa bangakhethi.)
"Ngokomntu nangomsebenzi, ngokuqinisekileyo ndicinga ukuba i-egg frozen isingcamango enkulu kunoma ubani ocinga ukuba nezingane kwixesha elizayo kodwa akangomdla okanye akwazi ukukhulelwa ngoku," kuchaza uDkt. Diana Chavkin, onguchwepheshe wezityalo eziqinisekisiweyo. ubona izigulane ngokulondolozwa kweqanda / ukugcinwa kwenzalo kunye nokungabikho komsebenzi kwi-HRC Inzala eLos Angeles. UDkt. Chavkin uye wasebenzisa ubuchule bakhe ekuncedeni ukuphuhlisa iinkqubo zokulondoloza inzala kulo lonke ilizwe, kwaye uye wanceda amakhulu amabhinqa ngokusebenzisa inkqubo yokuqanda iqanda ukususela ngo-2009.
"Kwimbali yam, ndiqinisekisile udadewethu kwaye ndandinceda umhlobo wam ongcono ukuba aphephe amaqanda abo," utshilo uDkt Chavkin. "Ngokuqinisekileyo into endiyenzayo. Enyanisweni, kwafuneka ndiyenze i-IVF ukuba ndibe nomntwana oneminyaka eli-1 ubudala, kwaye ngexesha lokuba ndibe nexesha elilukhuni lokukhulelwa, ndandinqwenela ukuba ndandiqanda amaqanda am ngaphambi kweminyaka. "(Qaphela ukuba iqanda eliphumelelayo Amasu okuqhwabala ayengatholakali xa uDkt. Chavkin wayeneminyaka yokudala amaqanda.
Imida ye-Egg Freezing: Ngaba Ngokwenene "Inkokhelo Yomshuwalense?"
Nangona uDkt. Chavkin ekhuthaza ukunyanzeliswa kwamabhinqa afanele ukulibaziseka ukuzala abantwana, uyayicacisa ukuba uchaze ukuba i-egg freezing does not give you the same fruitage you would have had if you tried to pregnancy in nature when you froze your eggs.
UDie Chavkin uthi, "I-egg ekhanda ayinakukufumana ithuba elifanayo njengoko unokuyenza xa ulala ngesondo ." "Ithuba lakho elihle lokuzama ukukhulelwa lizama ngoku ngoku. Kodwa siyazi ukuba kuya kuphucula amathuba akho ukuba uceba ukuzala umntwana kamva, ukuba ulungele ngoku. "
Ngamanye amaxesha ukukhutshwa kweqanda kukhangiswa ngokuthi "ukucima ukuzala kwakho ngexesha" okanye ubizwa ngokuthi "uhlobo lwe-inshurensi yokuzala." Le nto ilahlekisa. "Ngomshuwalense wobomi, xa usweleka, kukho intlawulo," kuchaza uDkt. Chavkin. "Xa ushitshisa amaqanda akho, akukho mqinisekiso." Yiyiphi inqabiseko yeqanda ekhuphayo enye indlela kunye nokuba nethuba elingcono lokukhulelwa, ukuba awukwazi ukukhulelwa ngamaqanda akho kwixesha elizayo.
Ziziphi Iimpumelelo Zeengqungquthela ze-Egg Freezing?
Kukho ukungaqondi kakuhle ukuba enye iqanda eliqhenqileyo lilingana nomjikelezo wesinye. Ngako oko, unokucinga ukuba ukunqanda amaqanda ama-12 aneminyaka engama-33 uya kukunika "unyaka wokuzala," njengokuba wawuneminyaka engama-33-kodwa akunjalo.
Kukho ikamelo elikhulu lokungaphumeleli xa usuqanda amaqanda. Ukuze uyiphule, iqanda kufuneka:
- Ukusinda kwinkqubo yomngcipheko
- Ukusinda kwinkqubo yokuthabatha
- Ukuchuma ngempumelelo kwibra
- Ukuphuhlisa ube ngumbindi onempilo ebhodini
- Ukudluliselwa ngempumelelo kwisibeleko somfazi
- Isiphumo ekukhulelweni kweklinikhi (oko kukuthi, ukukhulelwa kuqinisekisiweyo ngentsimbi yentliziyo efunyenwe nge-ultrasound)
- Khokela kwiinyanga eziza kuzalwa emva koko
Ziziphi iimpawu zenye iqanda eliqingqiweyo elibangelwa ukuzalwa okuphilayo? Ngokutsho kophando, ama-2 ukuya kwe-12 ekhulwini nganye ngeqanda elibandayo. Oku akufani nendawo yokuzalwa ehambayo kwinani elipheleleyo lamaqanda ebhankiweyo, ephakamileyo. Ziziphi amathuba ukuba amaqanda akho aqhotyoshelweyo aholele umntwana omnye?
Olunye uphando lwafumanisa ukuba abafazi ababetha amaqanda angama-8 okanye ngaphezulu ngaphambi kweminyaka yobudala engama-35 abanama-40.8 ekhulwini amathuba okuzalwa okuvela kubangamaqanda (mhlawumbi ngaphezu kwemizamo yokudlulisa embryo). Kule sifundo esifanayo, abafazi abangaphezu kweminyaka engama-35 abaye baqhwaba amaqanda asibhozo baneepesenti ezingama-19.9 zokuzalwa okuphilayo.
Yingakho kukulungele ukukhupha amaqanda amaninzi. Isiphakamiso esiqhelekileyo kukuba amaqanda angama-8 ukuya kwe-15 anqabileyo ngenxa yabasetyhini abaneminyaka engama-35 okanye abatsha. Kwabesetyhini abangaphezu kweminyaka engama-35 ubudala, isigqibo sokuba bangaphi amaqanda ukuba bafake iimfuno kufuneka baqeshwe ngabanye.
Unokudinga ukuhamba ngemijikelezo embalwa ukufumana imali efanelekileyo ebhanki. Zingaphi iintshukumo ozakuyidinga kuxhomekeke kwindlela umzimba wakho uphatha ngayo izidakamizwa zokuzala, ubudala bakho ngexesha lokuqhwala, iindawo zakho zokugcina ama-ovari, kunye nekhono lomgqirha wakho. Iimjikelezo ezingakumbi zithetha iindleko ezongeziweyo.
Uluphi Umgubo Olungileyo Wokukhupha Amaqanda Akho?
Ukugqiba iminyaka efanelekileyo yokumisa amaqanda akho kunzima. Ngakolunye uhlangothi, omncinci xa usuqanda amaqanda akho, mhlawumbi uya kuphumelela ngala maqanda. Ngakolunye uhlangothi, unganamathuba okuba ufuna.
Ufuna ukufumana indawo enhle, "kuchaza uDkt. Chavkin. "Awufuni ukuba onke la mabhinqa ahambe kuzo zonke ezi nkqubo, kwaye ungayisebenzisi, kodwa ngelo xesha, awufuni ukulinda de kubekho umfazi ubudala, oneminyaka engama-40 ubudala , kwaye ufuna sebenzisa amaqanda, kodwa akanalo ithuba lokufumana ubungakanani obukhulu okanye umgangatho wamaqanda. "
Ukuba ukhangele loo ndawo enhle, mhlawumbi kusasa ukuya kuma-30s. Qaphela ukuba phakathi kwinqanaba eli-30, kukho ithuba oza kufuna iimjikelezo ezininzi ukuze ufumane inani elifanelekileyo lamaqanda ukuze uhlaziye. Oku kuthetha iindleko eziphezulu kunye nokunyuka kweziyobisi .
Ngaba Kuze Kuze Kuze Kufikelele Ukukhulula Amaqanda Akho?
Umdala ongekho, ubuncinci amaqanda abuyiselwayo kuya kuba nekhwalithi ephakamileyo ngokwaneleyo ekukholeni ekuzalweni okuphumelelayo. Kwakhona kunokuba kunzima ukufumana amaqanda anele (okanye nayiphi na enye) ukufisa. Amaziko amaninzi eqanda amaqanda aneminyaka engama-40 ukuya ku-45 ubudala. Athi, inxalenye yeqanda lokuqanda i-ovarian test test. Oku kwenziwa ngaphambi kokuba isigqibo sokuqhwala.
Uthi u-Chavkin uthi: "Owesifazane onokuvavanywa atholakala ekubeni ne-ovarian low reserve angakhetha ukungaqhubeki ngeqanda emva kokufunda ukuba ithuba lokufumana amaqanda aphilileyo aphantsi kakhulu." "[Nangona kunjalo,] umfazi osekhulile, ekupheleni kweentsuku ezingama-30 / kwiminyaka engama-40 ubudala, unokusasaza amaqanda akhe, kodwa kungathatha imijikelezo emininzi yokufumana amaqanda afanayo njengowesifazane oselula."
Yintoni echaphazelekayo ekukhuculeni amaqanda akho?
Iqanda leqanda akusilo usuku lwe-1 okanye yeveki-1. Kubalulekile ukuba uqonde konke okubandakanyekileyo ngaphambi kokuba unqume ukuhamba kwinkqubo yokuqanda iqanda . Nantsi isishwankathelo esifutshane sento onokuyilindela:
- Ukutyunjwa kwabacebisi, mhlawumbi bambalwa, kunye nogqirha, ngaphambi kokwenza isigqibo
- Uninzi lweemvavanyo zokuzala , umsebenzi wegazi kunye ne-ultrasound ukuvavanya iindawo zokugcina ii-ovari kunye nezinye izinto zokuzala. I- ultrasound iya kuba yinto engapheliyo , engenabuhlungu kodwa ingonwabi.
- Uvavanyo lwe-STD / STI: Awukwazi ukumisa amaqanda akho xa unesifo esisasazeka ngesondo, kodwa emva kokuba i-STD iphathwa, ungaqhubeka.
- Izigulane zeeveki ezi-2 ukuya kwe-3, zihlala ziphakathi kweentsholongwane ezintathu kunye nantathu imihla, oya kuzibeka kwiisisu ezinamafutha esiswini sakho
- Ngexesha le-2 ukuya kwe-3 leveki, uya kuba noqeshwano lokubeka iliso phakathi kwamahlanu kunye no-7, okuza kubandakanywa umsebenzi wegazi kunye ne-ultrasound externally (ukuze ubukele ukukhula kobugqwetha kuma-ovari).
- Ukufunyanwa kweqanda, okubandakanya ukufakwa phantsi. Ugqirha wakho uya kusebenzisa inaliti ekhokelwa yi-ultrasound, eya kuphuma edongeni lakho lesiswini ukuya kumaqanda akho, apho amaqanda aya kuthathwa khona.
Iqanda elibuyiselwa ngexesha lokubuyiswa kweqanda liya kuphuma kwangoko kwilbhu ye-embryology kwaye i-cryopreserved. Emva koko, baya kugcina. Amaqanda anganqandwa ngonaphakade, nangona kuya kufuneka uhlawule imali yokugcina ngonyaka. Kwixesha elizayo, xa unquma ukuba nezingane, uya kuqala uzame ukukhulelwa ngesondo. Ngethemba, awuyi kufuneka ukusebenzisa iiqanda zakho zangaphambili.
Amaqanda asindayo kwinkqubo yokuthabatha iya kuhlonywa ngeqabane lomlingane wakho (okanye umlingo wesini). Ukucinga ukuba ufumana ama-embrosi enempilo, enye ibe yintathu yale mibungu iya kutshintshwa kwisibeletho sakho nge-catheter.
Mhlawumbi uya kuthatha amahomoni-angathathwa ngomlomo, nge-injection, okanye kwi-suppositories zangasese-ngaphambi nangemva kokudluliselwa kombindi.
Ziziphi iindleko ze-Egg Freezing?
Ingabandakanywa isahlulo sokudlulisa umhlathi, ukuya kweyombryo, umjikelezo weqanda elilodwa lokuqanda i-egg eliphakathi kwee-7,000 kunye ne-15,000. Imali yokugcina yonyaka ihamba phakathi kwama-$ 500 kunye no-1,000 ngonyaka.
Unokufuna iimjikelezo ezininzi, ngokukodwa ukuba uneminyaka engama-35 ubudala okanye ngaphezulu xa ukhetha ukukrafisa. Imijikelezo eyongezelelweyo ingahlaziywa, kuxhomekeke kumgaqo-klinikhi. Iindleko zingaphulwa zibe ngamahlanu:
- Ukuhlolwa kokunyamekela kunye nokubonisana kokuqala (ezinye zeemvavanyo zingabhekiswa)
- Ukuqapha kwe-ultrasounds kunye nokujonga umsebenzi wegazi, ukubuyiswa kwamaqanda, kunye nokuchithwa kwangempela kwamaqanda
- Iziyobisi zonyango (injections) ezithathwe ngexesha lomjikelezo weqanda
- Imali yokugcina yonyaka
- Ukunyuka, ukuchumisa, kunye nokutshintshwa kwembungu (ngomhla ozayo, xa / xa unquma ukusebenzisa iiqanda zakho ezinqabileyo)
Ukuba uxelelwa ukuba umjikelezo weqanda weqanda uza kubiza ngaphantsi kwama-7,000, qiniseka ukuba intlawulo ibandakanya yonke into oyifunayo-kubandakanywa neziyobisi zokuzala. Oku kukufisa amaqanda akho kuphela. Kamva, ukuba ugqiba ukusebenzisa iiqanda zakho eziqhenqileyo, lindele ukuhlawula enye i-$ 5,000.
Ukubeka yonke into ebonakalayo, ngeendleko ezongeziweyo, ukuba uqala umjikelezo weqanda ngeqanda i-$ 12,000, kwaye uhlawula i-$ 900 ngonyaka ukugcina enye iminyaka emihlanu, uze usebenzise loo maqanda kwi-5,000 ye-$, ibhilikhi yakho iya $ 21,500. Oku kucinga ukuba ufuna kuphela umjikelezo weqanda lokuqanda umqhawulo kunye nomjikelezo omnye wokutshiza-umquba-umtshini wokudlulisa.
Ukuthelekisa oku kuya kwiindleko ezibini ezingenabantwana abazenzayo ii- IVF, iindleko ezingaphandle kwee-pocket ziphakathi kwe-19,234 kwi-cycle enye, kunye nomjikelezo owongezelelweyo enye i-$ 6,955. Ukuba uneminyaka engama-35 ubudala, ngenxa yokunciphisa ukuzala, kunokwenzeka ukuba uya kufuna iimjikelezo ezimbalwa ze-IVF ukuze uphumelele. (Ukuba unamaqanda aseqabile ngaphambili xa uselula, unakho ukuphumelela kwe-IVF ngokukhawuleza.)
Ukukhethwa kweqanda elikhethiweyo lingaqhathaniswa ne-inshorensi yezempilo. Kukho iinkampani ezimbalwa zenkampani eziphezulu ezinika iqanda eliqandayo kwiiphakheji zazo, kodwa oku akuqhelekanga.
Ingaba i-Eggs iphosayo ikhuselekile?
Kukho ingozi eyaziwayo neyaziwayo kwiqanda lokuqanda iqanda. Ubungozi bunjengezo zibini ezinengxaki ezinokujamelana nazo xa zidlula unyango lwe-IVF kunye nabasetyhini ababaxhasi beqanda .
Asinakukwazi zonke iingozi zesikhathi eside zokuqanda iqanda kuba sele zingafundwanga. I-teknoloji ayizange ijikeleze ngokwaneleyo. Kukho izifundo ezimbalwa (ezingabikho) kubafazi abanobubele obukhethiweyo abakhethileyo ukuba baqhelise amaqanda abo ixesha elide kunye nezifundo ezimbalwa kubantwana abathwelwe ngamaqanda athile amaqanda.
Yilokho esikwaziyo: I-egg ebandayo iyabonakalisa ingozi yokuzalwa kwabagulayo.
Kuhlolisiso lwabantwana abangama-936 ababethelwe kumama amaqanda aphethwe ngaphambili, izinga lokuzalwa kweziphene ezizalwe ngofuzo lafunyanwa lifana nomngcipheko wabantu jikelele. Olu phofu lubandakanye abantwana ababethelelwe ngamagqabi anqunywe ngeendlela ezincinci, ezindala zokuqanda iqanda kunye ne-newer, iteknoloji ye-vitrification.
Asazi ukuba ukuphuhliswa kwabantwana okanye kwimpilo emdala kamva kuchaphazeleka kukunyuka kwamaqanda. Kufuneka ixesha elininzi kunye nezifundo.
Ngethuba elifutshane, abafazi abenza isigqibo sokususa amaqanda abo banokufumana imiphumo emibi yeziyobisi zokuzala . Ngokuxhomekeke kwiyiphi imichiza yokuvelisa isetyenzisiweyo, imiphumo emibi ingabandakanya ukutshisa okutshisa, iintloko, ukuguquka kwemizwelo, ukuqhayisa, isisindo somzimba, ukufumana isisindo, ukunyamezela, ukusabalalisa, kunye ne-site injection.
Abasetyhini abasebenzisa iziyobisi zenzalo basengozini yokuphuhlisa i- ovarian hyperstimulation syndrome (OHSS) . Oku kwenzeka kumfazi omnye kwishumi eli-10 ezithatha iziyobisi ezingenayo inzala. Kwabaninzi besetyhini, i-OHSS ayinakonwaba. Nangona kunjalo, ukushiywa kungakhange kulandelelwe, kuya kuba nzima kakhulu. Iziganeko ezinzima zingadinga ukulaliswa esibhedlele, kwaye ngaphantsi kweepesenti ezili-1 zamatyala, ukulahleka kokuzala okanye nokufa kungenzeka.
Ukufunyanwa kweqanda (okubandakanya ukubeka inaliti ekhokelwa yi-ultrasound ngokusebenzisa udonga lwamanzi, ukuya kwii-ovari) kunokubangela ukutyhafaza, ukuphawula kunye nokuphazamiseka. Uyakhutshwa ngenxa yenkqubo. (Kukho iingozi kwi-sedation kunye ne-anesthesia jikelele).
Kukho umngcipheko omncinci wokusuleleka kunye nokugqitywa kwamalungu asondeleyo. Usulelo luya kunyangwa ngamayeza. Kwiimeko ezinqabileyo kakhulu, usulelo luya kukhokelela ekukhutshweni kokukhenketwa kwee-ovari okanye kwiibhulo zomzimba. Ukugqitywa ngengozi kwimizimba esondeleyo kudinga ukuhlinzwa ngokukhawuleza kwaye kunokufuna ukunyelwa igazi xa kukho ukulahleka kwegazi.
Ukuba uthatha isigqibo sokusebenzisa amaqanda aphantsi kwexesha elizayo, kunomngcipheko omncinci ngexesha lokutshatyalaliswa kwesibindi. Ukuba kukho enye i-embryo idluliselwa, kukho umngcipheko wokukhulelwa nokuzalwa ezininzi .
Izingozi zexesha elide lokusetyenziswa kweziyobisi ezinokwakheka kwabasetyhini abaziwayo. Kukho iinkxalabo ukuba zinokwandisa amathuba ezinokhesela , kodwa okwangoku, uphando alukwazi ukuthetha ngandlela-thile.
"Kuyinyani ukuba ngexesha lokuvuselela, amazinga e-estrogen aphezulu kakhulu, ngoko siyazi ukuba kukho iiseli zomhlaza zesifuba, ukunyanga izidakamizwa kwandisa ama-estrogen, angayifaka phambili," kuchaza uDkt Chavkin. . Kodwa, kwizinto esiziziyo ngoku, iziyobisi zonyango azibangeli umhlaza xa kungenangqondo kwimvelaphi.
Kuya kuba yiminye iminyaka eyi-10 ukuya kwe-15 ngaphambi kokuba sifunde ngokwenene impembelelo yexesha elide leziyobisi zokuzala kubasetyhini abancinane, abakhulayo abakhetha ukufisa amaqanda abo. UDkt. Chavkin unika isiqinisekiso: "Amachiza akahlali emzimbeni womfazi. Banikezelwa ixesha elifutshane kakhulu, kwaye xa beyekile, abahlali. Akukho zigaba zesikhathi eside ezihlala emzimbeni. "
Ziziphi iimbambano ezichasene ne-egg?
Nangona abanye bakholelwa ukuba i-frozen-freezing inikeza ithuba lokuba nethemba kubasetyhini abafuna okanye bafuna ukulibazisa ukuzala, kungekhona wonke umntu uyavuma ukuba iteknoloji ifanele isetyenziswe ngokufanelekileyo.
"Ngenxa yokuxhamla kolwazi malunga nobungozi, ndiza kunzima ukucebisa umntu ukuba afake amaqanda amaqanda ngenxa yezizathu ezingezizo zonyango," kusho uDkt. Marcy Darnovsky, uMlawuli oyiNtloko kwiziko leGenestic and Society. Iziko le-Genetics kunye noMbutho ngumbutho wase-Berkeley, wase-California osekelwe kulondolozo loluntu olusebenza ukuqinisekisa ukuxhaswa kobuchwepheshe bokuzala inzuzo.
Ukuba wayeceliwe icebiso lakhe kwintombi efuna ukumisa amaqanda ayo, uDkt. Darnovsky unalo oku kuthetha: "Ndiya kumcebisa kuqala ngokucamngca ingozi: iingozi ezifutshane kunye nexesha elide leqanda elizibuyisela kuye ; kunye neyeqanda leqanda leqanda kumntwana wakhe onokuzayo.
"Akuyi kuba lula ukuyenza, kuba kukho inkcazelo encinci yenkcazelo, ngokukodwa kwiimbini ezimbini zokugqibela-nangona bokuba abafazi [abaxhasi beqanda] baye bafunyanwa ngeqanda kwiminyaka emininzi."
Ezinye iingxabano malunga nokuqanda iqanda elikhethiweyo ziquka:
- Iindleko eziphezulu kakhulu, ngenkqubo onokungazidingi ekugqibeleni
- Iingeniso zempumelelo ziphezulu.
- Unokunika ubungqina bobuxoki. (Akukho ziqinisekiso zokuthi amaqanda akho aphethwe yi-cryopreserved aza kukufumana umntwana.)
- Ubunyani bokuba ngumzali kamva ebomini kufuneka kuthathelwe ingqalelo.
Igama elivela kwi-Verywell
Ukukhethwa kweqanda elikhethileyo kunika abafazi abafuna ukulibaziseka ukuzala omnye ukhetho. Ngelixa iteknoloji ingagqithisi izinto zangempela zexesha, kwaye ayiqinisekisi umntwana ngexesha elizayo, liphucula iimeko zokukhulelwa xa kuthelekiswa nokungathathi nxaxheba kulabo bafuna ukuba nomntwana ekupheleni kweminyaka engama-30 okanye yama-40.
Iqanda lokuqhwala ngokuqhelekileyo likhuselekile, kodwa njengoko kukho zonke iinkqubo zonyango, kukho iingozi kunye nezinye ezingaziwa ixesha elide. Kwiimeko ezinqabileyo kakhulu, ukukhethwa kweqanda elikhethileyo kunokukhokelela ekulahlekelweni kokuzala okanye kwanokufa. Ezi zifana neengozi ze- IVF kunye nabaxhasi beqanda .
Ngaphambi kokuba uthathe isigqibo sokubanda amaqanda akho, thatha ixesha lakho ukuphanda ngokugqibeleleyo ukhetho lwakho. Gcina ukhumbule ukuba xa ungafaki amaqanda akho amaqanda, unayo enye indlela ebonakalayo ebantwini. Uyakwazi ukukhulelwa ngokwakho kwikamva.
Ukuba ujongene nokungabikho komntwana, ungayilandela unyango lwezolimo ngexesha elo, kuquka i-IVF. Unokudinga ukusebenzisa umnikeli weqanda, okanye unokucinga ukuba ukhetha umnikeli wombindi. Oku kuthetha ukuba umntwana wakho akayi kuba nomfuziselo wezofuzo, kodwa usenokuba ne-biologically ehambelana nomlingane wakho (ukuba usebenzisa i-egg donor kunye nesidoda sakhe). Ukwamukelwa, ukunyamekela abantwana, okanye abantwana abangabantwana abangabantwana abangabafundi banakho.
> 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.
> Darnovsky, uMarcy Ph.D. UMlawuli oyiNtloko kwiziko leGenetics kunye noMbutho. Udliwano-ndlebe: Julayi 13 no-14, 2017.
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