Ukufumana iklinikhi yokuzala enokuzikhethela, yenza ixesha lokuphanda nayiphi na iklinikhi oyicinga ngayo. Musa ukukhetha indawo yokuqala ebuyisela umnxeba wakho; ukusukela ukuvavanya ukukhula kunye nonyango kuyisinyathelo esikhulu kwaye kunokubandakanya imali enkulu kunye nexesha elininzi. Ufuna ukukhetha kuphela okulungileyo.
Ukuthetha okulungileyo, inxalenye yokukhetha iklinikhi yokuzala iyakho kwaye iyazithoba.
Iklinikhi engcono kumhlobo wakho inokuthi okanye ayibe yinto engcono kuwe. Ngoko cela abahlobo bakho, ugqirha, inkampani yomshuwalense, kunye neqela lokuxhaswa kwendawo kwiingcebiso, kodwa qiniseka ukuba uphando nayiphina ikliniki ozijonga ngayo.
Xa uphando ngeekliniki, unokufumana ulwazi:
- kwiwebhusayithi
- kwiphepha leengxelo zeenkcukacha zeenkcukacha zeklinikhi ye-CDC (ngaphezulu kwile ngezantsi)
- ngokuthetha klinikhi ummeleli kwifowuni okanye kumntu
- ngokuthetha nezigulane zamanje okanye zangaphambili (ezifunyenwe ngamaqela enkxaso yendawo yokungaphelelanga )
- nganiso kunye nodliwano-ndlebe nogqirha wakho onokubonisana
Ukuqwalasela iingcali zezoLwazi
Ikliniki yokuzala inokulungela nje ngoogqirha bayo. Ngokuxhomekeke kwindlela eklinikhi esebenza ngayo, unokunikezelwa ugqirha othile, okanye ungabona oogqirha abambalwa abahlukeneyo ngokujikeleza. Kukho iingenelo kunye nokuphazamiseka kuzo zombini iisetu, kodwa ngokuqhelekileyo, ufuna udokotela omnye njengomnxibelelwano osisiseko kunye nomphathi wecala.
Imibuzo ekufuneka uyiqwalasele xa ukhetha ugqirha:
- Ngaba bathatha ixesha lokuphendula imibuzo yakho? Ngaba unokubuza imibuzo nge-imeyile ngexesha lokuvavanya nokonyango? Ukuba abanqweneli ukudibana nawe ngaphambi kokuba ukhethe, ke abanako ukufumana ixesha xa unesigulane. Ukungafuni ukuphendula imibuzo yakho ngaphambili akuyena uphawu oluhle.
- Baye baqeqeshwa nini naphi na? Ngaba zibhodi ze-endocrinologist zokuzalisa ? Ingaba ngamalungu e-American Society for Medicine Reproductive (ASRM)? Baye bahlala ixesha elide kunye nezigulane ezingenasifo?
- Ingaba ikliniki yakho ine-andrologist kubasebenzi? Abagqirha abazala? Ukuba ujongene nemibandela yokungabikho komntu, ukuba ne-andrologist ibalulekile. Ukuba ujongene ne-endometriosis okanye nayiphi na imiba yesakhiwo, ugqirha onokuzala udibanisa kwaye mhlawumbi kufuneka.
- Ziziphi izibhedlele ezidibeneyo? Ngaba isibhedlele sithatha i-inshurensi yakho? Nangona i-inshorensi yakho ingagqithisi unyango lokuzala , ukuba ufuna ukubhedlele ngenxa yezixinzelelo zonyango, uya kufunyanwa.
- Umlawuli usele kwiklinikhi kangakanani? Kuthiwani ngabanye abasebenzi? Abantu abasele behlala kwikliniki, indawo ebonakalayo yokusebenza isebenza kakuhle.
- Zingaphi i-endocrinologists ezenzalayo ezisebenza kwikliniki? Ngaba lakho ityala liya kuthathwa ngugqirha okanye iqela, kwaye ngubani oya kubona xa u tyelele? Ukuba ityala lakho liyinkimbinkimbi, ukuba neqela linganceda. Ngakolunye uhlangothi, ukufuna ukujongana nogqirha ohlukeneyo kuyo yonke incomo kunokuziva kungekho mntu.
Imibuzo Yokubuza Ngeengxowa-mali kunye noTyango
Uninzi lweeklinikhi zinomsebenzi oza kubamba iinkalo zemali zokuvavanya kunye nokonyango. Bamele bakwazi ukuphendula imibuzo yakho malunga nemirhumo kunye nezicwangciso zokuhlawula, kwaye kufuneka uhlale phantsi ukuze uxoxe ngezinto ozikhethayo uze ubuze imibuzo ekutyeleleni kwakho kokuqala kwiklinikhi.
Kungathi kunqabileyo ukuqwalasela ixabiso xa ukhangela kwiiklinikhi, kodwa ukujonga umrhumo kubaluleke kakhulu. Ezinye iindlela zokwelapha zibiza amawaka eedola, kunye neeklinikhi ezingabizi kangako ezinika zonke izinto ozifunayo zingcono kunokliniki edibeneyo ejikelezayo kwibhloko enika ngaphezu kokufunayo, ingakumbi ukuba awukwazi ukukwazi ukufumana amanqaku amaninzi iklinikhi ebiza.
Imibuzo ekufuneka uyiqwalasele ngokumalunga nenkxaso iquka:
- Yiyiphi i-inshorensi eyamkelweyo, ukuba kunjalo? Ngaba baya kubamba iimbambano zomshuwalense? Ukuba akunjalo, ngaba baya kunikezela ngamaphepha afanelekileyo ukuze uqhubekele ukuzisebenzisa ngomshuwalense?
- Ziziphi iimvavanyo iimvavanyo ezahlukeneyo kunye nonyango? Ngaba zikhona na iimvavanyo okanye unyango oluhlanganiswe yinshurensi yakho? Kwaye zibandakanya ntoni amaxabiso acatshulwayo? Ngokomzekelo, xa ucaphuna ixabiso le-IVF , ngaba oko kuquka imithi kunye nokubeka iliso? Ukugcinwa kombindi ? Ukuba akunjalo, ungalindela ntoni imali epheleleyo?
- Ngaba banayo inkqubo yokuhlawula? Uya kufuneka uhlawule nantoni na ngaphambili? Yimalini? Ukuba wenza i-IVF, uhlawula ntoni ukuba umjikelo wakho unqatshelwe ngaphambi kokufunyanwa kweqanda ? Kuthekani ukuba ichithwe ngaphambi kokudluliselwa kwembungu?
- Ngaba uncome okanye unikeze nayiphina inkqubo yezemali? Ingaba ikliniki isebenza naluphi na iinkqubo zezimali zokunqongophala kwezentlalo, njengenethiwekhi ye-Attain Fertility network okanye i-ARC Inkqubo yokuNzala? Ingaba kukho na oogqirha okanye abasebenzi abafumana ukukhawuleza okanye izibonelelo zemali xa ubhalisa ngeenkqubo ezithile zokuxhasa imali? (Ukuba kunjalo, qaphela ukuba inkqubo yezemali iyona ndlela iyona nto ingcono.)
- Ngaba unika inkqubo yokubuyisela i-IVF ? Ezi ziyimfuno ezifuna umrhumo omkhulu ongaphambili kodwa uthembisa enye yemali yakho emva kokuba ungakhulelwa emva kwenani leetriki. Enye into yokuba uqaphele malunga neentlobo zeenkqubo ekliniki inokukuphatha kakubi, ngokunyusa ukuvuselelwa kwe-ovarian okanye ukudlulisa ama-embryo amaninzi, ukwenzela ukuphakamisa amathuba okuphumelela. Qinisekisa ukuba inkqubo yokubuyiselwa imali ikuvumela ukuba uthethe kangakanani na ama-embrosi kwaye uyakuvumela ixesha lokuthatha ikhefu phakathi kwimijikelezo (ngaphezu kwenyanga enye) ukuze uphinde uphuphe ngokomzimba nangokomzwelo.
- Ingakanani imbryo epholileyo kunye neendleko zokugcina? Kuthiwani ngomjikelezo we-embraced transfer (FET)?
- Ukuba iklinikhi ikude nekhaya, ingabe ikliniki inika nayiphi na indlela yokuphuhlisa ukufakwa? Mhlawumbi usebenzisana neehotele zendawo.
Imibuzo ekufuneka ibuze malunga neenkqubo kunye neLiblini yeLilisi yeZenzalo
Imibuzo yokuxoxa kunye nogqirha ibandakanya:
- Ngaba kukho i-cutoff yobudala kunyango? Kuthiwani malunga nokucima amazinga eFSH ?
- Ziziphi iinkqubo kunye neemvavanyo ezenziwe? Ingaba ikliniki inayo ibhanti yesayithi, okanye uya kufuneka uhambe kwenye indawo? Ukuba kwenye indawo, ikude kangakanani ukusuka kwiklinikhi?
- Ziziphi iinkqubo ezikhoyo kule kliniki? Ngaba benza i-IVF? ICSI ? Ukudluliselwa kwe-Blastocyst okanye nezinye iindlela zokuncedisa iteknoloji yokuzala ? Ngaba iinkqubo zenziwa kwiklinikhi okanye kwenye indawo? Ukuba esibhedlele, yisiphi isibhedlele? Ukuba uhlala kude nekliniki, ngaba unokuhlolwa kunye neenkqubo ezithile ezenziwa kwindlu yakho?
- Ziziphi iindlela zokunikezela okanye zokuzikhethela ezikhoyo? Ingaba ikliniki isebenza kwinkqubo yomnikeli okanye ngaba kufuneka usebenzise i-arhente? Ukuba ngaba baneprogram yokuxhaswa , ngaba unqunyelwe kubaxhasi kwiprogram yabo, okanye unokusebenzisa i-arhente ukuba ufuna? Ngaba banikezela ngeenkonzo zokunikela ngemibungu ? Kuthekani ukuba uthatha isigqibo sokunikela nayiphi na imibyibhile yakho eseleyo, mhlawumbi kwesinye isibini esincinci okanye kwisayensi? Ngaba banokukunceda?
- Ziziphi iinkqubo ezicebisa ngazo imeko yakho? Ngaba baya kujonga i- ovarian evuselela izidakamizwa yodwa, okanye i- IUI ngaphambi kokuba iqhubekele kwi-IVF? Bangaphi imijikelezo ye-IUI abayi kuvuma ukuzama? Iiklinikhi ezahlukeneyo zingancoma izicwangciso zonyango ezahlukeneyo, kwaye enye inokuba yinto efanelekileyo kuwe.
- Zingaphi iimbumba zihanjiswa kumjikelezo omnye? Yaye ngubani osenza isigqibo sokuba mangaphi ama-embryos adluliselwa: ugqirha okanye isigulane? Kwabesetyhini abangaphantsi kweminyaka engama-35 ubudala abanengqiqo efanelekileyo, i-ASRM ikhuthaza ukuba idlulisele umlindi omnye ngomjikelezo, kwaye ingekho ngaphezu kwembini. Kuyabasetyhini abaneminyaka engama-35 ukuya ku-37 abanesilungiso esihle, bancomela ukutshintshela ama-embryo amabini, kwaye akukho ngaphaya kweyesithathu. Kudala iminyaka engama-38 ukuya kuma-40, batusa ukuba batshintshe abathathu, kwaye bangabi ngaphezu kwezine; kwaye uneminyaka engama-41 no-42, batusa ukuba batshintshe abangaphezu kwamahlanu. Ukuba ukudlulisa ama-embrosi kwinqanaba le-blastocyst, ke bancomela ukuba iimbumba ezincinci zihanjiswe kumjikelezo, zingekho ngaphezu kwethathu nakwi-42 ubudala.
- Ngubani osenza isigqibo sokuba ngaba umjikelo unqanyuliwe okanye awukwenziwanga ukuba impendulo ingaphantsi kweyona ndlela? Ngaba unokucela ukuba umjikelo uqhubeke nangona kunjalo, nangona ukuba kungenzeka ukuba uphumelele?
- Ingaba iklinikhi ilungu loMbutho weNkxaso yezoLwazi (reproductive Technology)? Ngaba zihambisana nezikhokelo ze-ASRM?
- Ngaba baxela i-IVF yabo yeenkcukacha kwiimpumelelo ze-SART / CDC? Ukuba ewe, kufuneka ube nokukwazi ukufumana iinkcukacha zeempembelelo zabo kule nkcukacha ze-SART. Unokujonga kwakhona iinkcukacha kwiwebhusayithi ye-CDC.
- Ingaba ibhodi evunywe yiKholeji yama-American Pathologists okanye yiKhomishini ehlangeneyo? Unokuqinisekisa ukuqinisekiswa kwiwebhusayithi yeKholeji ye-American Pathologist, ukukhangela ngekhodi yeklinikhi ophanda ngayo.
- Ingaba ibhodi yenza i- cryopreservation yemibusi ? Kuthiwani ngamaqanda kunye nesidoda? Ziziphi iimbumba, amaqanda, okanye i-sperm egcinwe kuyo? Ziziphi iinkqubo zexakeka enokuba nazo xa kuthe kwavela umbane okanye inyikima?
Izinto ezimele ziqwalaselwe ngokubanzi malunga nekliniki yokuzala
Ezinye izinto zokuqwalasela phambi kokukhetha iklinikhi ziquka ezi zilandelayo:
- Uphi ikliniki? Akuyena wonke umntu onenhlanhla ukuhlala kufuphi neklinikhi abayidingayo. Ixesha lokuhamba liyimfuneko ebalulekileyo ekuqwalaseleni, ingakumbi ukuba wenza i-IVF, njengoko unokufuna ukuba kwiklinikhi phantse yonke imihla ibe yingxenye yomjikelezo wakho. Ukuba ufuna ukuhamba, khumbula uya kufuna ukulala kunye nexesha emsebenzini.
- Ngaba abasebenzi banomdla? Mhlawumbi uya kusebenza neklinikhi ngeenyanga, kwaye mhlawumbi iminyaka. Ngaba bayayiphendula imibuzo yakho? Ngaba banesidima kwaye bancedisa kwifowuni? Okanye ngaba uvakalelwa ngathi bayakukhawuleza?
- Ziziphi iiyure kunye neeyure ivuliwe ikliniki? Ngaba kukho iiyure ezongezelelweyo okanye iiyure zokuhlwa, ngoko unako ukubeka iliso ukutyunjwa ngaphambi okanye emva komsebenzi? Ngaba zivulekile ngeveki? Ukuba akunjalo, baqhuba njani ukutshintshwa kwe-IVF okanye i-IUI ekufuneka iyenze ngoMgqibelo okanye ngeCawa?
- Ngaba kukho iiyure ezithile ozozibiza ukubuza imibuzo okanye ufumane izibuyekezo ezivela kudokotela wakho okanye umongikazi? Iifowuni eziphathwayo zingaphandle kweeyure zeeofisi?
- Ngaba banikezela nayiphi na inkonzo ekhethekileyo ngaphaya kokunyanga kokonyango? Ingaba unomcebisi onobasebenzi ekuncedeni ukuba usebenze ngeendlela ozikhethayo? Ngaba banamaqela okuxhasa? Iiworkshops zomzimba ? Ukwenziwa kwe-Acupuncture kwisiza , kufumaneka emva kokudluliswa kwembungu?
Ukuqwalasela impumelelo yeNtlawulo
Enye into ebalulekileyo ekufuneka uyiqwalasele ngempumelelo yeklinikhi. Njengoko kuchazwe ngasentla, ungabona ireyithi yempumelelo yekliniki ye-IVF kwiwebhusayithi ye-SART okanye ye-CDC. Ukuba neyona mpu melelo ephezulu kakhulu ayithethi ukuba ikliniki iyona nto ibhetele. Ezinye iikliniki ziphepha ukuthabatha iimeko ezinzima okanye ukulahla unyango kubantu besetyhini abangaphezu kweminyaka engama-40 kunye namaqanda abo. Oku kuyacaca ukuba kulandelelanisa izibalo.
Yintoni omele uyikhange ngayo: ngaba amazinga okuphumelela kweklinikhi angaphezu kwamazwe aphakathi? (Khangela amazinga okuphumelela kwe-IVF apha.) Kufuneka ujonge amanani okuzalwa ngokuzalwa kwakho, kwaye kungekhona nje ukubalwa kwamanani (okuza kubandakanya ukulahleka kwamathambo). Kufuneka uqhathanise inani labo lokukhulelwa ngokubanzi kumyinge wesizwe.
Ukuba awukwenzi i-IVF, buza malunga namazinga okuphumelela ekuzalweni komntu othile kwiimeko zakho kwaye ngokukhethekileyo unyango olucetyiswayo. (Khumbula ukuba amazinga kuphela okuphumelela kwe- IVF aya kubikwa kwi-SART kunye neCDC, ngoko-ke, ukuze ufumane ezinye iziphumo zonyango, kuya kufuneka ucele ugqirha wakho.) Ugqirha wakho kufuneka abe namava anokukunceda ukuba ugqibe ukuba ngaba unyango lufanelekile kwiimali kwaye utyalo-mali.
Ukuba iklinikhi ithembisa ukuba uphumelele, ingakumbi impumelelo kumjikelezo owodwa, hambani. Ayikho into efana ne-100% isiqinisekiso kunye ne-IVF, kungakhathaliseki ukuba yintoni isizathu sokungabikho kwengqondo yakho.
Imithombo:
Uncedisa ubuchwepheshe bokuzala: Isikhokelo sezilweliso. Umbutho waseMelika weMithi yokuzala. http://www.sart.org/uploadedFiles/ASRM_Content/Resources/Patient_Resources/Fact_Sheets_and_Info_Booklets/ART.pdf
Iimpawu zokuba inani leembrusi zihanjiswe: yombono wekomiti. Umbutho waseMelika weMithi yokuzala. http://www.asrm.org/uploadedFiles/ASRM_Content/News_and_Publications/Practice_Guidelines/Guidelines_and_Minimum_Standards/Guidelines_on_number_of_embryos(1).pdf
Iinkqubo zokuNgenisa ukungenazo. Sombulula. http://www.resolve.org/family-building-options/insurance_coverage/infertility-financing-programs.html
Ingaba Ugqirha Wakho Okhulayo Uthatha Iingxaki? Slate.com. http://www.slate.com/blogs/xx_factor/2012/07/13/ivf_loans_predatory_lending_hits_the_fertility_market.html
Kutheni i-IVF Impumelelo yexabiso leMali kuwe. Sombulula. http://www.resolve.org/family-production-options/why-vf-cuction-matter-to-ht.html