Ukuxhaswa, iziQiniso, ukuLindela, ukuhlawula
Abasetyhini abagqibayo ukuba babe ngamaxesha amaninzi bathi bathanda ukukhulelwa kwaye bafumana ummangaliso wokuzalwa, kodwa bagqibile ukuba nabantwana babo. Bafuna ngokwenene ukunceda isibini sinomntwana. Ngamanye amaxesha, umhlobo okanye ilungu lentsapho ubabuza. Nangona kunjalo, kwanokuba ngabahlobo okanye abahlobo kufuneka babe neempembelelo malunga nokukhulelwa nokubeletha.
Akufuneki kubekho uxinzelelo lokuba kuvunyelwene nelungiselelo lokuxhomekeka. Nangona iiprogram zihlawulwa ngexesha labo, akunqabile ukufumana umntu onguhlobo oluthile kuphela kule mali. Ngenxa yokuphonononga kwengqondo, abafazi abacinga ngokuyinxalenye yembuyekezo baya kuhlaselwa ekuqaleni kwenkqubo.
Umrhumo wokugqibela we-$ 20,000 ukuya kwii-35,000 zamawaka ungabonakala ngathi uninzi. Kodwa xa uqwalasela ixesha kunye nemigudu echaphazelekayo, kwaye inyanga yesithoba, iiyure ezingama-24 zokuzinikela ekukhulelweni, umfazi uya kwenza ngaphezulu ngeyure esebenza kwindawo yokutya yokutya ngokukhawuleza kunokuba ube ngumntu ongenamdla. I-Surrogacy ayiyiyo isicwangciso-esheshayo-isisityebi. Yindlela enesihe yokunceda ukuzisa ubomi kweli hlabathi kunye nokwakha intsapho engenakukunceda ngaphandle.
Yintoni eyahlukileyo phakathi kweNdabuko yeNdabuko kunye neNkcazo yokuHlabathi?
Ukuba ungoko lendabuko, uya kuba nezofuzo eziphathelene nomntwana.
Oku kuba amaqanda akho asetyenziswa. Nina bobabini umxhasi weqanda kunye nomntu ongenamdla, kulo mzekelo.
Inambuzane inokuba ngumnini wesini okanye ivela kumnye wabazali abajoliswe kuyo. Idiza idluliselwa kwisibeleko sakho nge-insemination, ngokuqhelekileyo i- intrauterine insemination , okanye i-IUI. Kwi-grogational surrogacy, eyaziwa nangokuthi i- IVF surrogacy , awuyi kuba nezofuzo eziphathelene nomntwana.
Umama ohlosiweyo unokuba ngumzali wezityalo okanye umnikeli weqanda okanye umnikeli wombindi uya kusetyenziswa. Ngenxa yeengxaki zomthetho nezomzwelo ezinokuvela ngexesha lokudityaniswa kwemveli, ukuzondla ngokwemvelo kuyindlela ekhethiweyo.
Ubani Oya Kukunceda Njengomntu Ogqithisiweyo?
Ukuzixhalabisa kunokunceda isibini sinomntwana ongeke akwazi ukukhulelwa okanye ukuzala. Kweminye, oku kubangelwa iingxaki ze-uterine, kubandakanywa ukunamathela kwe- uterine engaphelelekiyo , ukuma kwe-uterine engaqhelekanga okanye ukungabikho ngokupheleleyo kwesibeleko, ngenxa ye-hysterectomy yangaphambili okanye i-defenital defect eyaziwa njenge-müllerian agenesis. Abanye abesifazana basenokuba babhekana nokuphazamiseka ngokuphindaphindiweyo okanye ukuhluleka okuphindaphindiweyo kwe-IVF embryo implantation.
Esinye isizathu sokuba isibini sinokufuna isidlo sokuba umama kukuba unina ohlosiweyo unesimo sengonyango esenza ukuba ukhulelwe ubomi obusongela umntwana wakhe. Oku kungaquka isifo esibi senhliziyo, isifo esinzima sezintso, imbali yomhlaza wesifuba, isifo sikashukela esinamandla, i-lupus, i-cystic fibrous okanye imbali ye- pre-eclampsia ene- HELLP syndrome . Ukuxhaswa kwamanzi kungasetyenziselwa ukunceda isibini esitshatileyo sinobudlelwane nomntwana.
Iimfuno zokuba ngumntu ongenamdla
Ezinye iziqinisekiso zemfundo ziza kuba zizodwa kwiklinikhi yokuzala abazali abajoliswe kuyo, ngoko ke kufuneka baqwalaselwe kuphela izikhokelo eziqhelekileyo.
Uxhaswa kufuneka:
- Usube nezingane kwaye, ngokwenene, ngoku ukuphakamisa. Kwakhona, ukulungelelanisa, kufuneka ukuba kuqedile ukuba nezingane zakhe.
- Usuke wafumana ubunzima bokukhulelwa kunye nokubeletha.
- Ngokuqhelekileyo usempilweni (akukho sifo esithathelwana ngesondo okanye iimeko ezinzulu zempilo ezingasongela impilo yakho okanye umntwana oza kuthwala).
- Yiba nesisindo esifanelekileyo .
- Akayekanga umntwana ukuba amkelwe ngaphambili.
- Unomshuwalense wezempilo obandakanya ukubeleka nokubeleka kwaye awunayo icandelwana lokukhutshwa ngaphandle. Urhulumente we-inshurensi okanye i-federal inshurensi, njenge-Medicare, ayikho i-non-no ye-surrogacy.
- Unomshuwalense wobomi, ukuba kukho nayiphi na into engabonakaliyo, ubunzima obusongela ubomi.
- Yiba nenzuzo ezinzileyo engayi kusongelwa ukuba ikhefu lokuphumla okanye izinto zokukhulelwa zikhusela ukusebenza.
- Makube ngumdala kunama-21 kodwa ngaphantsi kwama-35. (Izikhokelo zexesha ziyahluka ukusuka kwikliniki ukuya kwikliniki.)
- Awunayo imbali yokusetyenziswa kakubi kweziyobisi okanye utywala.
- Yiba nenkxaso yendoda okanye iqabane. Iqabane lomntu osenqwenelekayo lingafuneka kwakhona ukuba avume ukuvavanywa ngesifo esithathelwana ngesondo.
- Hlala kwindawo enobungane (okanye ilizwe.)
- Ukwazi ukufika kunye nokuqeshwa ngugqirha (ukwenzela ukubeka iliso kwinklinikhi yokutshatyalaliswa kunye nokudluliswa kombindi ) emva koko emva kokuqeshwa kwabantwana ngaphambi kokubeletha.
- Yenza ishedyuli eguquguqukayo kunye nokunyamekelwa kwabantwana, ngokukodwa kwi-insemination okanye kwi-embryo yokudluliselwa kwezinto ezithintekayo.
- Vula ukuvula ukuhlola, ukuhlolwa kwonyango jikelele, ukuphonononga kwengqondo, ukuzinikela ngexesha elikhethekileyo (ingakumbi ngexesha le- IVF ), kwaye uzimisele ukuthatha imishanguzo ye-hormone (kuquka iigciwane okanye i-suppositories) ukunceda ukuqala okanye ukuxhasa ukukhulelwa.
- Yiba nokuzimisela ukugcina uxhulumano oluvulekileyo phakathi kwakhe, oogqirha kunye nabazali abajoliswe kuyo okanye umlamli ovunyelweneyo. Kumele ukuba azimisele ukuya kwiingcebiso, nokuba ngabanye okanye ngabazali abacetywayo, kufuneka kuvele ingxaki yokunxibelelana.
- Qonda ukuba ukulala kokulala (ngokukodwa ukuba ukuphindaphinda kubakho) kunokubandakanyeka.
- Zikulungele ukuyeka ukulala ngesini kunye nomlingane wakhe kude kube yilapho ukhulelwe, kwaye uvule ukuhlolwa kofuzo ngexesha lomntwana okanye emva kokukhulelwa.
- Qonda ukuba ukukhulelwa akuqinisekanga ukuba kwenzeke.
Oku akufanele kuthathelwe ingqalelo uluhlu olupheleleyo, kodwa kufuneka kukunike ingcamango yokuba kubandakanyeka njani ukuxhomekeka.
Ngaba Ndiyakwazi Ukufumana Intlawulo yokubonelela ngeenkonzo zokuNyango?
E-Amerika, amalungiselelo amaninzi e-surrogacy ayimveliso yokuthengisa. Oku kuthetha ukuba inzala ifumana intlawulo yeenkonzo zayo. Ukuhlawulwa kwemali kuyahluka kodwa kuphakathi kwemali eyi-20,000 kunye ne-35,000.
Kukho amazwe kunye namazwe apho ukurhweba ngokwezentengiso kungekho mthethweni, kwaye ukuxhaswa kwemali kunokufumana kuphela intlawulo yembuyekezo. Ziziphi iindleko ezibandakanyiweyo ziya kuxhomekeka kwimeko ethile. Kungcono ukuthetha negqwetha ukuze ufunde oko oku kungabandakanya. Xa umhlobo okanye ilungu lentsapho livuma ukuba ngumntu ongenalo, imbuyekezo ayiqhelekanga. Abazali abahlosiweyo, kwaye kungekhona iklinikhi yokuzala, ukuhlawula inkonzo yakhe. Ngoko ukuba umhlobo okanye ilungu lentsapho lilindele ukuhlawula, kubalulekile ukuba baqonde abazali abajoliswe ngabo abaya kuhlawula. Intlawulo idla ngokufumaneka kwizitofu. Oku kuvunyelwene ngaphambi kokuba isivumelwano sisayinwe. (Kufuneka ichazwe kwisivumelwano.) Intlawulo epheleleyo ifakwe kwi-akhawunti yokukhawuleza ngaphambi kokuba u-surrogacy uqale. Ngokuqhelekileyo, xa kufunyanwa intliziyo, kuqinisekiswa ukukhulelwa, inkokhelo yokuqala inikwe. Yonke imali ihlawulwa kwizitolimende, njengoko ukhulelwe.
Ngaba Utyando Lwezomthetho?
I-Surrogacy isemthethweni kumazwe amaninzi eUnited States nakwamanye amazwe. Kukho, nangona kunjalo, amanye amazwe kunye namanye amazwe apho ukunyuswa komzimba kungekho mthethweni. Kukho neendawo apho i-surrogacy ayikho mthethweni, kodwa izivumelwano azibonakalwanga enkundleni. Oku kunokukhokelela kwiingxaki ezinzulu kufuneka into ethile ihambe kakuhle. Kwezinye iindawo, ukuphela kwezinto ezithengiswayo ngokungekho mthethweni, kodwa ukungena kwemithetho engabandakanyi ukuhlawulelwa ngenxa yokuzikhethela. Ngenxa yobume obunzima bokubaluleka, kubalulekile ukuba uthethe ugqwetha ngaphambi kokuba uvumelane naluphi na ilungiselelo lokungena kwi-surrogacy. Kukho imibhangqwana kunye nabaxhasi abanethemba lokuhlela izinto ngasese, ngaphandle koncedo lwabagwebi okanye i-arhente, ngomgudu wokugcina imali. Oku kunokukhokelela kwiziphumo ezimbi. Ngokudabukisayo, kukho abantu belapho bekhangelelana neengcambu ezinokuthi zenziwe ngabazali kunye nabazali abajoliswe kuzo.
Ukubaluleka kokubambisana kunye neqabane, usebenzisa i-ejensi ehloniphekileyo (xa usebenzisa i-unrogate engaziwayo) kunye namagqwetha anamava (elinye igqwetha le sibini kunye nelinye le-enjolo). Thetha kwi-Local RESOLVE yakho , Indlela 2 yobuzali, okanye ikliniki yokuzala ukuze ukhokele.
Imithombo:
Brinsden, uPeter R. Ukuhlaziywa koLuntu lokuPhuhlisa, iVol.9, No.5 iphe. 483 ± 491, 2003
Brisman, uMelissa B. Yintoni ekufuneka uyiqwalasele xa ucinga ngokuxhaswa kweGestational Surrogacy. IBhunga leNational Council malunga neNgcaciso yolwazi lokuSasazwa. Ufikelele ngomhla we-Agasti 29, 2011. http://www.inciid.org/article.php?cat=thirdparty&id=786
Sharon LaMothe. http://lamothesurrogacyconsulting.com/ I-imeyile Inkcazelo / Intetho. Agasti 16 no-17, 2011.
Ukuxhaswa. I-Human Fertilization kunye ne-Embryology Authority. Ufikelele kwi-Agasti 29, 2011.
Ukuzaliswa kweqela lesithathu (i-Sperm, iqanda, kunye nomnikelo wombindi kunye ne-surrogacy). Umbutho waseMelika weMithi yokuzala. Ufikelele kwi-Agasti 29, 2011. http://www.asrm.org/uploadedFiles/ASRM_Content/Resources/Patient_Resources/Fact_Sheets_and_Info_Booklets/thirdparty.pdf
Iinkqubo zokuHlola (# 17). Imibuzo Yokucela Umxholo. QHUBEKA. Ifike ngomhla ka-Agasti 29, 2011. http://familybuilding.resolve.org/site/DocServer/Surrogacy_Programs.pdf?docID