Inkqubo ye-Egg Donor IVF, iiNdleko kunye neNtlawulo yeNtlawulo
I-egg donor IVF yindlela yokunyanga inzala kulabo abangenakusebenzisa amaqanda abo, nangayiphi na isizathu.
Ngokukodwa xa usebenzisa i-egg donor ebonisiweyo (ngokuchasene nelungu lentsapho okanye umhlobo), amazinga okuphumelela kwe-egg donor IVF aphezulu-aphezulu kunezinga eliphumelelayo le-IVF kwimibhangqwana engasebenzisi umniki-mali.
Nangona umnikelo weqanda i-IVF kuthetha ukuba unina ohlosiweyo akayi kuba ngumnxeba womntwana wakhe, uyise ohlosiweyo uya kuba.
(Ngaphandle kokuba umnini wesilisa usetyenziswe.) Oku kwenza ukuba kukhangeleke ngakumbi kwimbono kunokuba ngumxhasi we-IVF. Ngomnikeli wombungu, umzali onenjongo ayeza kuba nezofuzo eziphathelene nomntwana.
Amaqabane abesilisa abangamaGay abanomdla kwizakhiwo zentsapho kunye ne-IVF kuya kufuna i-egg donor. Kule meko, omnye ooyise ojoliswe kuyo uya kuba nezofuzo eziphathelene nomzimba. (Ukucinga ukuba abayisebenzisi umxhasi wesilisa.) Kuza kufuneka ukuba umntu okhulelwe aze athathe ukhulelwe aze abelethe umntwana.
Ngubani ofuna i-Egg Donor IVF ukuba akhulelwe?
Kwinkqubo eqhelekileyo yonyango lwe-IVF, lo mfazi uthatha izidakamizwa zokuvelisa ukuvelisa umveliso weqanda kumanqanda akhe. Emva kokuba amaqanda afikelele ekuvuthweni, afunyanwa ngedalesi ekhokelwa yi-ultrasound.
Amaqanda afunyenwe afakwa kwisitya se-petri kunye neeseli zesisu, kwaye sinethemba lokuba amanye amaqanda azaliswa. Iimbusi ezibangelwayo ziyakuthi zitshintshelwe kwisibeleko somama (okanye isisu sesisu) okanye iqhwaba ngomjikelezo kamva.
Kodwa kuthekani ukuba amaqanda omama ahlosiweyo avelanga amaqanda aneleyo rhoqo kwi-IVF? Okanye kuthekani ukuba ii-ovaries ezifunyenwe ngumama azikho ngokupheleleyo? Kuthekani ukuba umfana wesilisa oyindoda ufuna ukuba nomntwana?
I-egg donor IVF ingafunwa okanye icetyiswa kuyo nayiphi na imeko elandelayo:
- Ukwelashwa komhlaza wesikhokelo (ukuba ama-ovari okanye amaqanda awonakaliswe okanye asuswe)
- Umfazi ozalwe ngaphandle kwamaqanda akhe ngenxa ye-anomaly yokuzalwa
- Ukuphinda unyango lwe-IVF ehluthwe ngenxa yeempendulo ezihluphekileyo okanye eziphantsi kwe-ovarian
- Ukungaphumeleli okuchaziweyo kwe-IVF
- Iindawo zokugcina ii-ovarian (kuboniswe ngamanqanaba aphezulu a-FSH okanye i-low antral follic count )
- Ukungasebenzi (primary ovarian failure) (eyaziwa ngokuba yi-ovarian premature failure)
- Ubudala obungaphantsi kokuzalwa (amaninzi amaninzi kubafazi abaneminyaka engama-40 okanye ngaphezulu )
- Umngcipheko wesifo se-Genetic kwicala lomlingani wesifazana
- Umbhangqwana wesilisa ongowamaGay unomntwana onomdla
- Indoda engatshatanga
Ndiya kufumana phi i-Egg Donor?
Udokotela wakho onokuzala unokuxoxa nawe ngokubanzi iinketho zakho zokufumana umxhasi weqanda.
Oko kwathiwa, imithombo eqhelekileyo ibandakanya ...
- iklinikhi yokuzala inika unyango lwe-IVF
- i-ejensi yokunikela ngeqanda
- ibhanki yeqanda (kule meko, amaqanda aqanda amaqanda)
- umntu owaziyo (umhlobo okanye ilungu lomndeni)
- esinye isibini esingenasiphelo (ngubani ozimisele ukwabelana ngamaqanda afunyenwe kunye nawe)
Ngokuxhomekeke kwisivumelwano osayinayo, unokufumana ithuba lokuhlangabeza umnikeli wakho weqanda, okanye unganakunxibelelana nabo.
Abanye abaxhasi baya kuvuma ukuba baqhagamshelane nakwixesha elizayo ngumntwana ozalelwa ngabanikeli.
Ngaphambi kokuba uthathe isigqibo, xubusha zonke iinketho zakho kunye negqwetha eliqhelene nomthetho wokuzala kunye neengqondo zengqondo .
Yintoni eyenzeka Ngethuba leNkqubo ye-Egg Donor IVF?
Nantsi into ecacileyo kunye nencazelo engundoqo yendlela inkqubo ye-IVF eyenza amaqanda ibonakala ngayo.
Ngenxa yokulula, inkcazo engezantsi ithatha isibini esithandana nomntu esithandana nomntu kunye nomntwana wesilisa, kunye nomlingani wesifazana uya kuthwala umntwana. Ingcaciso engezantsi iphinda iqaphele ukuba usebenzisa amaqanda "amatsha" kwaye ungabonakali.
Ngaphambi kwezigqibo zomjikelo kunye nokusebenza
Emva kokuba i-endocrinologist yokubeletha inqume ukuba i-egg donor IVF iya kuba yindlela ekhethekileyo kubini, abazali abahlosiweyo kufuneka badibane neengqondo zengqondo okanye umcebisi.
Baya kuxoxa ngeengozi zengqondo kunye neenzuzo kubanikeli beqanda i-IVF, kwaye banqume ukuba ngaba le ndlela iyona ndlela.
Abazali abacetywayo baya kufikelela kunye nomcebisi wezemali kwikliniki yokuzala. I-egg donor IVF iyabiza kakhulu, kwaye iya kufuneka 1) qi niqiniseke ukuba bayakwazi ukuyifumana, kwaye 2) yenze icebo malunga nendlela yokufumana imali abayidingayo.
Emva kokuba ugqirha wokuzala kunye nomgqirha ususe abazali abahlosiweyo, isinyathelo esilandelayo sifumana umnikeli weqanda.
Inkqubo yokufumana umxhasi weqanda idinga ixesha kunye nokuqwalaselwa ngenyameko. Unokuchitha iinyanga kule nyathelo.
Lo ngumnye umba umgqirha oqhelene nomnikeli we-IVF unokukunceda.
Emva kokuba ufumene kwaye ukhethe umniki-kwaye emva kokuba ufumaneke kumjikelezo wakho (kunokubakho ixesha lokulinda) -kuya kufuneka uhambe kwiqela lezomthetho nemicimbi yezemali.
Uya kufuneka usayine isivumelwano ngaphambi kokuba umjikelezo uqale. Le khontrakthi ibhaliwe kunye / okanye ihlaziywe ngummeli oqulunqwa ngumthetho wentsapho yokuzala.
Ikliniki okanye i-arhente yakho inokunikela "ukwabelana" negqwetha lakho. Oku kubiza kakhulu, kodwa kufuneka uqeshe isiluleko sakho somthetho.
Igqwetha elimele ikliniki, i-agent, okanye umnikeli akanakukuxhasa ngokugcwele.
Icandelo ngalinye kufuneka libe nelo limela ngokwalo. Kuxabisa imali eyongezelelweyo yokuthula kwengqondo.
Ukuhamba ngaphambi kokunikela
Emva kokuba yonke imiba esemthethweni neyezimali ihlelwe, kwaye umxhasi nomama ohlosiweyo bazalise naluphi na uvavanyo lokuvuthwa kunye nokuhlola ukufunwa ukuze unyango luqale, uza kuqala umjikelezo wangempela we-egg donor IVF.
Oku kuqalisa inyanga ngaphambi .
Umama oxelweyo kunye nomnikeli uya kufuna ukuba ukuhamba kwabo kwimizuzu ibekwe ngokuvumelanisa.
Ngaloo ndlela, xa amaqanda omncedisi atyunjiweyo ekulungele ukudluliselwa kwembungu, isisu somama esihlosiweyo siya kuba sepilitologically silungele ukwamukela imbungu.
Oku kuthetha ukuthatha iipilisi zokulawula ukuzalwa kwaye ngokuqhelekileyo ne-hormone ezinobungozi eziphelisa inkqubo yokuzala.
Umjikelo wonyango
Xa umnikeli kunye nomama ohlosiweyo bafumana ixesha, umjikelezo wonyango uza kuqala.
Umnikeli uya kuthatha iziyobisi ezinobungozi ezingenayo ukwenzela ukukhuthaza ukuveliswa kweqanda. Umjikelo wakhe uza kulandelana ngokusondeleyo kumjikelezo we-IVF oqhelekileyo, usuqhekeza ukudluliselwa kwembungu.
Unina ohlosiweyo uya kuzinika iinjongo ezenzelwe ukucima inkqubo yokuzala (ngoko ugqirha unokugcina umniki-mali kunye naye ukuvumelanisa.)
Uya kuthatha isongezelelo se-estrogen. I-estrogen iya kubonisa ukuba i-uterus yakha i-lining efanele.
Xa amaqanda kumanki omnikeli ekhangelekile, umniki-mali uya kufumana i-hCG. Oku kwaziwa nangokuthi i-trigger shot. Kuya kuqalisa isigaba sokugqibela sokukhula kweqanda.
Kulo xesha, unina ohlosiweyo uya kuqala ukuthabatha i-progesterone. Njengesi-estrogen, oku kunceda ukulungiselela umbele wesibindi.
Umnikeli uza kungena kwikliniki yokuzala ukwenzela ukubuyiswa kweqanda. Ukubuyiswa kwe-egg kwenziwa ngeseyili ekhokelwa yi-ultrasound.
Emva kokubuyiswa kweqanda kuphelile, indima echaphazelekayo yomniki-mpahla kumjikelezo usuphelile. Uya kunikwa imiyalelo yokunakekelwa kwindlu ekufunyenwe kwi-egg recovery, kunye nemiyalelo malunga nokuba yintoni enokuyenza ukuba uyakrokrela ukuphuhlisa i- ovarian hyperstimulation syndrome (OHSS).
Ngaloo mini ngosuku lokufunyanwa kweqanda, ubaba ohlosiweyo uya kunika isampuli yesilwanyana. (Kwezinye iimeko, isampula ingalungiselelwa kwaye iqhwale ngaphambili) kodwa ngokuqhelekileyo kwenziwa ngosuku lokufumana iqanda ngokwalo.)
Amaqanda abanikiweyo afunyanisiweyo aya kufakwa kunye kunye neenjongo zesilwanyana zika-ntloko ezihlosiweyo. Ngethemba, ezinye iiqanda ziya kutyalwa.
Emva kweentsuku ezintathu ukuya ezintlanu, unina ohlosiweyo uza kungena kwikliniki yokuzala ukuze atshintshe.
Imbusi ekhangelekayo eyodwa ukuya kweyibini iya kuhanjiswa kumbeleko womama ohlosiweyo. Nayiphi na i-embrasi eyongezelelweyo iya kutyalwa-okanye i-cryopreserved-ngomjikelezo ozayo.
Unina ohlosiweyo uya kuqhubeka nokuthatha isongezelelo seprogesterone.
Ngeentsuku ezilishumi emva kokudluliselwa kombindi, unina ohlosiweyo uya kuthatha uvavanyo lokukhulelwa ukuze abone ukuba umjikelo uphumelele.
Ziziphi iingozi ze-Egg Donor IVF?
Abaxhasi bama-egg bajamelana nobungozi obufanayo njengabesifazane abahamba kwi-IVF eqhelekileyo. Iidakamizwa zokuzala ezithathwe ekuvuseleleni ama-ovari zonke ziza kuba neengozi kunye nemiphumo emibi ekufuneka umniki-mali azi.
Umngcipheko omkhulu kumnikeli uphuhlisa i-ovarian hyperstimulation syndrome (OHSS). Ngenxa yokuba abaxhasi bahlala beselula kwaye banomdla, umngcipheko wabo ungaphantsi kancinane kunowesifazane ongenasiphelo ohamba nge-IVF.
Kubaluleke kakhulu umniki-mali uyazi iimpawu kunye neempawu ze-OHSS ukuze ikwazi ukuqwalaselwa ngokukhawuleza. I-OHSS engeyiyo ingasongela ukuzala kwakho kunye nobomi bakho, kwiimeko ezinqabileyo.
Kukho ingozi yengqondo kumniki-mali.
Umnikeli unokuzisola emva koko ngesigqibo sokunikela amaqanda akhe, okanye uzibuze ukuba kwenzekani kwiiqanda ezifunyenwe kunye / okanye umntwana okhulelwe ngoncedo lwakhe.
Oko kwathiwa, abaninikeli abaninzi bafumana iimvakalelo zokwaneliseka nokuzikhusela ekuncedeni intsapho.
Ukuthetha nomcebisi ngaphambi kokuba umnikelo kubaluleke kakhulu kwaye ngokuqhelekileyo kufunwa ngabaprocedisi beqanda.
Ngomama ohlosiweyo, umngcipheko omkhulu we-eggor egg IVF ukhulelwa ukukhulelwa okubanzi .
Ukunciphisa umngcipheko, njengoko imibusi embalwa kunokwenzeka ukuba idluliselwe. Thetha ugqirha wakho malunga nokuba ukudluliselwa komzimba komntwana kungasilungele imeko yakho.
Ziziphi Iimpumelelo Zee-Egg Donor IVF?
Ngokutsho kweZiko loLawulo lweZifo, izinga lokuzalwa lokuphila kweqanda le-IVF lilingama-55.9 ekhulwini lokudluliswa kombindi olutsha kunye ne-40.2 ekhulwini kwi-frozen embryo transfer.
Oku kuphakathi kwemilinganiselo kazwelonke ka-2013. Amazinga okuphumelela ayahluka ukusuka kwiklinikhi ukuya kwiklinikhi.
Kwimeko yokwabelana ngeqanda kunye nesibini isibini esingenasiphelo, izinga lempumelelo lingahle linciphise. Kuyafana nokusebenzisa umhlobo okanye ilungu lentsapho njengomnikeli, onokuthi akayi kuba ngumviwa onokuzikhethela.
Thetha nogqirha wakho malunga neengxaki zakho zokuphumelela.
Ingakanani i-Egg Donor IVF ibiza?
I-egg donor IVF ibiza kakhulu. Lindela ukuhlawula ukusuka kwi $ 20,000 ukuya kwi-35,000 umjikelezo ngamnye. Iindleko ziyahlukahluka ngokuxhomekeke kumthombo wesibonelelo seqanda.
Kukho neenkqubo ze-IVF zokubuyiselwa imali ezinokunika uhlobo lwe-inshurensi ukuba unyango luphela. (Ukuba awukhulelanga, uzakufumana ubuncinane imali yakho.) Unokuphinda uhlole iindlela zokuhlawula ngaphantsi kwaye ufumane imali yokunyanga kwe-IVF.
Yintoni endiyikhethayo ukuba Andifuni Ukusebenzisa i-Egg Donor?
Akuyena wonke umntu ofuna ukuphishekela i-egg donor IVF. Iindleko eziphezulu zivimbela amaqabane amaninzi ukuba awakucinge.
Ukukhetha kwakho okunye kuza kuxhomekeka ekubeni kutheni ufuna i-egg donor kwindawo yokuqala.
Ngaloo nto uthe, ezimbalwa iinketho ziquka ...
- ukuzama iiVF eziqhelekileyo kunye namaqanda akho (iingxaki zakho zingaphumelele kakhulu)
- usebenzisa umnikeli wombungu (ixabiso elincinci ngaphezu koxhasi lweqanda IVF)
- ukusukela ukuthotyelwa
- ukhetha ubomi obungenasiphelo
> Imithombo:
> Ubunjineli boLwazi lobuNzala: iNkcazo yeNzala yeNgxelo yeMpumelelo. (2013) Isiko soLawulo lweSifo.
> Ukuzaliswa kweThathu: I-Sperm, i-Egg, ne-Embryo Donation kunye ne-Surrogacy. Umbutho waseMelika weMithi yokuzala.