Ziziphi Izinto Ozenzayo Ukuba Awufuni Ukuphandelela IVF?
Abantu abaninzi bacinga ukuba ukuba awukwazi ukukhulelwa, unyango lwe-IVF yiyona ndlela isisombululo. Le ngqungquthela.
Ipesenti encinci yezibini ezinokungabikho kwemali-engaphantsi kwama-5 ekhulwini, ngokutsho kwe-American Society for Medicine Reproductive-iya kusebenzisa i-IVF.
Xa kuziwa kubantu abaneemfuno ze-IVF, abantu ngokuqhelekileyo banamathela kwiindidi ezimbini:
- Abo abo i-IVF kuphela yindlela yabo yokukhetha umntwana
- Abo bazange baphumelele ngonyango oluphantsi lwezobuchwepheshe
Ngaba uya kufuna i-IVF? Kuthiwani ukuba awufuni ukwenza i-IVF ?
Iyiphi i-IVF Isinyathelo sokuQala?
Kukho iimeko apho i-IVF yindlela yakho kuphela yokuba nomntwana wezinto eziphilayo.
Isifo sesifo se-tubal : Ukuba zombini iibhubhu ze-fallopian zivaliwe , i-IVF yindlela yakho kuphela yokufumana umntwana ophilayo.
Iibhubhu zokulala zihamba ngendlela edibanisa amaqanda akho kwisibeleko sakho. Ukuba iqanda elikhutshwe kwii-ovaries likwazi ukufikelela kwisibeleko-kwaye isidoda asikwazi ukufika kwiqanda-awukwazi ukukhulelwa.
Kwezinye iimeko, ukulungiswa kwezigulane ezinokuthi zikhuphe i-IVF. Nangona kunjalo, amazinga okuphumelela ahluke kakhulu, kwaye ayilona khetho olufanelekileyo kubaninzi abasetyhini abanesifo esibi se-tubal.
Unesifo esingaswelekiyo senkwenkwezi : Kwiimeko zokungabikho komntu onamandla , i- IVF ne-ICSI inokuba yindlela ekhethekileyo yokulungiselela abantwana bendalo.
(Intrauterine insemination (IUI) kunye nomnikeli wesisu kunokunye ukhetho.
Ngaloo nto, uyise akayi kuba yintlupheko yemvelo kumntwana.)
I-ICSI igxininisa i-intracytoplasmic sperm injection. Ngundoqo ye-IVF, iisetyini zesininzi zifakwe kwisitya se-petri kunye neqanda. Ekugqibeleni, enye yamaseli wesilisa iza kuthemba ukuba izalise iqanda.
Nge-IVF-ICSI, enye inoda ijojowe ngqo kwiqanda.
I-IVF-ICSI ifunekayo kwiimeko zeengxaki ezinzima zobuncwane bendoda (ukunyakaza) okanye i-morphology (uhlobo lwesininzi.) Kungaphinda kufuneke ukuba inani lobisi liphantsi kakhulu.
I-Azoospermia yilapho indoda inesibalo sododa. Ezinye zala madoda zingasenombulelo kumntwana we-biological kwi-IVF-ICSI.
Iintsholongwane zentlobo zesantya zingaphendulwa ngokuthe ngqo kwiimvavanyo. Iiseli zesininzi ziyavunyelwa ukuba zivuthwe kwilebhu.
Iiselingi zesininzi ezikhula ngale ndlela ayikwazi ukuququza iqanda ngokwabo, kwaye i-IVF ne-ICSI iyadingeka ukuba ikhulelwe.
Umngcipheko ophezulu wezifo zofuzo : Ukuba wena kunye nomlingane wakho usemngciphekweni ophezulu wokudlulisa kwisifo esibangela ukufa, i-IVF ingaba yindlela enhle okanye yodwa. Oku kunokwenyaniso nakwibinibini ezifumana ukuphuphuma kwesisu ngokuphindaphindiweyo ngenxa yeengxaki zobomi .
Kule meko, uya kufuneka i-IVF kunye ne-PGS okanye iPGD.
I-PGD ibhekisele ekuxilongweni kwangaphambili kwemfuyo . Yilapho i-embryo ivavanywa kwisifo esithile.
I-PGS imele ukuhlolwa kwe-genetic pre-plantation. Yilapho i-embrayo ihlolwe ngokuqhelekileyo kwiibalo eziqhelekileyo ze-chromosomal. Olu vavanyo aluthembekanga njengePGD kwaye lubonwa njengoluvavanyo.
Ukonyango lwe-post-cancer yomhlaza : Ukuba unamaqanda aqhotyoshelweyo, izicubu ze-ovari, okanye ama-embrosi , uya kufuna i-IVF ukuba ikhulelwe kunye nezicubu ezincinci.
Iiselingi zesinambu ezinamafutha zingasetyenziselwa ngeenkqubo ze-IUI kwaye zingenakufuna i-IVF. Nangona kunjalo, ukuba kukho inani elincinci lomzimba wesilonda, i-IVF ingaba yinto ekhethekileyo ngenxa yezinga eliphezulu lokuphumelela.
Xa amaqanda aqhathaniswayo agqityiweyo : I- Cancer ayisona sizathu esenza ukuba amaqanda anqabile. Ngelixa lingaqhelekanga, abanye besetyhini baqanda amaqanda abo xa bebancinci ukunciphisa umngcipheko wokungabikho kwengqondo .
Ukuba unqanda amaqanda akho, kwaye ufuna ukuwasebenzisa ukuze ukhulelwe kwikamva, uya kufuna unyango lwe-IVF ukuba ukhulelwe.
Xa kufunwa i-surrogacy : Ukuba ibhinqa ilahleka umbele, mhlawumbi ngenxa yokuba wazalwa ngale ndlela okanye isuswe ngenxa yezizathu zonyango, akayi kukwazi ukukhulelwa okanye ukukhulelwa.
Unako ukukwazi ukuba nomntwana ngegama lomntu .
Ukuba le ntokazi inayo amaqanda ayo, okanye inamaqanda okanye amaqanda omzimba, iyakwazi nokuba nomntwana wezinto eziphilayo ngokuncedisa ukuxhamla. Ukuba akunjalo, umnikeli weqanda angasetyenziselwa kunye neeseli zesisu zeesilisa.
Konke oku kufuna i-IVF.
I-Surrogacy kunye ne-IVF ingafuneka kwakhona ukuba kukho iimeko ezinzulu zesifo sokukhulelwa kwezilwanyana ezingenakulungiswa.
Umbhangqwana ongowesilisa ongowesilisa ongathandana naye ofuna ukuba nomntwana wezinto eziphilayo unokufuna kwakhona inzala kunye ne-IVF.
(Ngokuqinisekileyo, i-IVF ingasigcinwa ngokusebenzisa amaqanda okuxhamla kunye nokusebenzisa ukuchithwa kwemvelo kunye novulo lwesidalwa sikayise okanye umniki wesilisa. Nangona kunjalo, oku kungabangela iingxaki zomthetho kwaye kunokuba kunzima ukwedlulisa ingqondo kwengqondo. kunye ne-IVF kunye ne-egg donor, amaqanda omama we-biological, okanye umxhasi wombindi.)
Xa i-IVF isinyathelo esilandelayo?
Akukho mephu yonyango ehambelana naso sonke isibini. Ngako oko, akunakwenzeka ukuba uthethe indlela eya ku-IVF eya kubonakala ngayo.
Ezinye izibini zingadinga ukuhlinzwa ngaphambi kokuba zizame nayiphi na imithi yokwelapha. Abanye bangadinga kuqala ukunyanga imeko yonyango. Abanye abanakudinga unyango lwezityalo.
Oko kwathiwa, nakhu ezinye iindlela zokuxhaphaka eziqhelekileyo zonyango. Inkqubo yokonyango echazwe ngezantsi ilula kwaye ayimelanga onke amathuba enyango.
Le yindlela eqhelekileyo yonyango yabasetyhini abaneengxaki ze-ovulatory ezincinci ukuya kumodareyitha:
- I-Clomid imijikelezo emithathu ukuya kwisithandathu (mhlawumbi okanye ingabandakanyi unyango kunye ne-metformin , ukuba loo ntokazi inayo i-PCOS okanye i-insulin enganyangekiyo)
- Ukuba i-Clomid ayibangeli i-ovulation, i- letrozole iimjikelezo ezintathu
- I-Gonadotropins kunye neentlobano zesini ngexesha lesibini ukuya kwinqanaba elithile (abanye oogqirha banqumla le nyathelo baze baqonde ngqo kwi-IUI kunye neziyobisi zokuzala)
- IUI kunye neClomid okanye i-gonadotropins imijikelezo emithathu ukuya kweyesithandathu (imijikelezo embalwa ukuba loo ntokazi ineminyaka engama-35 okanye ngaphezulu)
- Lwe-IVF unyango
Inkqubo yonyango eqhelekileyo xa unyameko olulinganiselayo lwendoda ingxaki enkulu:
- (Xa kusebenza) unyango lweziyobisi lokunyanga ukukhuthaza umveliso wesilisa
- (Ngamanye amaxesha) ukususwa kwe-varicocele , ukuba loo nto ingxaki
- IUI ngaphandle kweziyobisi zokuzala (ngaphandle kokuba le ntokazi ibeneengxaki zokuvuthwa) kwiimjikelezo ezintathu ukuya ezintandathu
- IUI kunye nomnikeli wesilisa (oqhelekileyo kulabo abangafuni ukwenza ii-IVF)
- Lwe-IVF unyango
Kwibini esinezintlu ezingabonakaliyo , umzila oqhelekileyo unokubonakala ngathi:
- (Mhlawumbi) ixesha elincinane eliqhubekayo ukuzama ngokwakho
- IUI kunye neClomid, i-Letrozole, okanye i-gonadotropin ukuya kwii-6
- Lwe-IVF unyango
Yintoni enquma ukuba ugqirha wakho ubonisa ukuba uzame enye, emithathu, okanye ezintandathu kwimizila ethile yonyango? Okanye ngaba baqhankqalaza enye yezi nyathelo? Okanye ucacise unyango lwezityalo olungaboniswa apha ngasentla?
Ugqirha wakho uya kuthatha ingqalelo isizathu sakho sokungabikho komntwana, uphando malunga nemeko ethile, ubudala bakho, umnqweno wakho wokuqhubeka uzama ngaphambi kokuba uhambele kwinqanaba elilandelayo, iimvakalelo zakho ngokubhekiselele kwi-IVF, u-inshorensi yakho kunye neemeko zakho zemali.
Ukuba uyazibuza ukuba i-IVF ingaba yintoni inyathelo elilandelayo kwiimeko zakho, xela ugqirha wakho.
Ukuba awuvumelani nokokuba i-IVF kufuneka ibe yinyathelo elilandelayo, okanye unomdla ukuba unokhetho oluthile, ungesabi ukufumana umbono wesibini ngaphambi kokuba wenze isigqibo. Ukugqiba ukulandela i-IVF yisigqibo esikhulu.
Kuthiwani Ukuba Awufuni Ukukwenza I-IVF?
Uhlala unenketho yokungaqhubeki ne-IVF .
Oku kuyinyaniso nokuba i-IVF yonyango lokuqala olucetyiswa ngugqirha wakho, okanye wena kuphela ujongene ne-IVF emva kwemizamo emininzi yokuncedisa ubuchwepheshe bokuzala.
Kukho izizathu ezininzi zokubangela ukuba isibini sinokwenza isigqibo sokuba singenzi i-IVF.
Ezinye zezizathu eziqhelekileyo zi ...
- Imali engenakho ukuhlawula
- Unqwenela ukuphepha ingozi kunye nokungahambi kwenkqubo
- Isigqibo sokuba singayilandela unyango ngokusekelwe kumgangatho ophantsi wezinga lokuphumelela (kuya kutshintsha kuzo zonke iimeko)
- Ukuchasa kwezenkolo
- Isifiso sokuphinda sithathe umntwana (ngenxa yokuba banemali eyaneleyo yokwenza i-IVF okanye ukuthotyelwa, okanye bafuna ukwamkelwa kwe-IVF)
Ngamanye amaxesha, awuyi kuba nethuba lokuba nomntwana ophilayo ngaphandle kwayo
Kwezinye iimeko, iingxaki zakho zokukhulelwa zingase zibe phantsi-mhlawumbi ngaphantsi kwama-1 ekhulwini kwezinye iimeko-kodwa akunakwenzeka.
Ngokomzekelo, abasetyhini abangenako ukuphelelwa kwe-ovarian (POI) abangenakukwazi ukukhulelwa ngokwabo. Kodwa kwenzeka ntoni kwipesenti encinci yamatyala.
Akufanele uqikelele kwilo qela elincinane. Ngexesha elifanayo, akufanele ucinge ukuba ukuxilonga kwakho ukungabikho kwengqondo kuya kukugcina ukuba ungakhulelwa ngokwakho ngokwemvelo.
Ziziphi iindlela ozikhethayo ukuba awufuni i-IVF?
Le nto inokuxoxa ngayo nodokotela wakho wokuzala kunye nomcebisi.
Ezinye iinketho ezikhoyo ngaphandle kwe-IVF zingaquka:
- Ukuqhubela phambili ukuqhubela phambili unyango oluphantsi (i-IUI mijikelezo engakumbi)
- Ezinye iindlela zokwelapha (ezifana ne- acupuncture )
- Ukuqhubeka uzame ngokwakho
- Inkqubo yokuphanda (xa ikhona)
- Ukuphishekela ukwamkelwa
- Ukukhetha ubomi obungenamntwana
Ukuba unquma ukuqhubela phambili iikhompyutheni ezisezantsi ngaphantsi, okanye uzame unyango oluthile, xubusha nodokotela wakho ingxaki yokuphumelela unyango.
Ngokomzekelo, uphando oluthile lufumene ukuba emva kwemijikelezo ye-IUI emva kweesithandathu ukuya kweyesithoba, iingxaki zokukhulelwa komzimba ziyeke kakhulu.
Awufuni ukulahlekelwa yimali kunye nokuphazamiseka kwamandla omzimba kwizonyango ezingenakwenzeka ukuba zisebenze.
Nangona kunzima ukuyeka ukuzama, ngamanye amaxesha yinto engcono kakhulu yokwenza emzimbeni wakho kunye nentlalo yakho . Ukuba unenkinga yokugqiba ixesha lokuyeka unyango, jonga umcebisi weengcali onokukunceda ukuba usebenze kwinkqubo yokulila.
> Imithombo:
> Imibuzo yeSART rhoqo. Umbutho weTeknoloji yokuThuthukiswa koNcedo.
> Ukuncedisa Ubuchwepheshe bokuzala. Umbutho waseMelika weMithi yokuzala.