Insemination ibhekisela ekubekeni kwesidoda kwindlela yokuzala yokuzala, ngenjongo yokubangela ukukhulelwa. I-insemination kufuneka iqhutywe ngexesha lexesha elihle kakhulu lomfazi , malunga nama-24 ukuya kuma-48 iiyure ngaphambi kokuba u-ovulation kulindeleke.
Ngokuqhelekileyo, xa abantu bethetha ngokusatshalaliswa kwezinto zokufakelwa, babhekisela kwi-IUI okanye kwi-intrauterine insemination . IUI yonyango lokuzala , olubandakanya ukuthabatha isambulo esithile, kunye nokudlulisela imbilini kwisisu somfazi usebenzisa isirinji ekhethekileyo.
Ngelixa i- IUI yindlela eqhelekileyo yokuchithwa kwempahla, kukho ezinye iindlela zokudlulisa umdaka kwindlela yokuzala yomfazi.
Intravaginal Insemination (IVI)
Ukutshatyalaliswa kwe-intravaginal (IVI) yindlela elula kakhulu yokutshatyalaliswa kwaye iquka ukufakwa kwesidoda kwisithandana somfazi. Kuhle kakhulu okwenzekayo ngexesha lokwabelana ngesondo ngokubhekiselele kokufakwa kwesidoda.
Le ndlela yokusasaza ingasetyenziselwa xa usebenzisa umsizi wesini, kwaye xa kungekho ziingxaki zokuzala komfazi.
Ngenxa yokuba amazinga okuphumelela angaphantsi kwe-IUI, le ndlela yokusasaza ayiqhelekanga kodwa iyaxhaphaka kakhulu "nokusabalalisa ikhaya" . Ukusabalalisa ikhaya kungasetyenziselwa izibini ezitshatileyo, ukufuna ukukhulelwa usebenzisa umniki wesini othengiweyo okanye isidoda esinikwe ngumhlobo. Ingasetyenziselwa nabasetyhini abanamava ngexesha lokwabelana ngesondo .
Intracervical Insemination (ICI)
Ngokufanelekileyo, isidoda kufanele sibekwe kufuphi nomlomo wesibeleko kunokwenzeka.
Nge-insemination ye-intracervical (ICI), i-sperm ifakwa ngqo ngaphakathi kwesibeletho, isebenzisa isirinji esingenasiphelo.
Inambuzane ayifuni ukuba ihlanjwe, njengokuba i-IUI, kuba inambuzane ayifakwe ngqo ngaphakathi kwesibeletho. Nangona kunjalo, inokuhlaziywa kwangaphambili ukunyusa amathuba okuphumelela.
Ukugqithiswa kwe-intracervical kuqhelekileyo kune-IVI kodwa kuncinci kune-IUI.
Ingasetyenziselwa ukuba isibini sifuna ukugcina imali kwinkqubo yokonyango, njengoko i-ICI ingabizi ngaphaya kwe-IUI, ingakumbi ukuba i-semen ayiyikuhlamba kuqala.
I-ICI ingabizi kakhulu kune-IUI. Kodwa ixabiso lempumelelo libukeka njani? I-metaanalysis enkulu ibheka i-IUI xa kuthelekiswa ne-ICI, xa abesifazana besetyenziselwa umniki wesini. Abazange bafumane ubungqina obaneleyo bokuthi enye indlela yayingakhokelela ekuzalweni okuphilayo kunomnye.
Intratubal Insemination (ITI)
Ukutshatyalaliswa kwe-Intratubal kubandakanya ukufakwa kwesidoda esandulela ngokuzithe ngqo kwi-tube ye-fallopian tube. Kanti ngamanye amaxesha kuthiwa "i-fallopian tube sperm perfusion." Inambuzane inokuthi idluliselwe kwiibhubhu ngokusebenzisa i-catheter ekhethekileyo ehamba emlonyeni wesibeleko, ngokusuka kwisibeletho, nakwii- tublopian tubes . Enye indlela yokutshatyalaliswa kwe-intratubal iquka ukuhlinzwa kwe-laparoscopic.
Ngelishwa, insemination ye-intratubal inxulumene nomngcipheko omkhulu wokusuleleka kunye noxinzelelo, kwaye kukho ingxoxo malunga nokuba iyasebenza ngakumbi kune-IUI rhoqo.
Ngenxa yobunzima bayo, iindleko eziphezulu, kunye nezinga eliphumelelayo lokuphumelela, akunakwenzeka kwaye lona luhlobo oluthile oluqhelekileyo lokuchithwa kwempahla.
Unquma njani ukuba yeyiphi iFom ye-Insemination ukusebenzisa?
Ukutsho enye indlela yokusasaza ihlala ilungile kunomnye ingalungile.
Kuxhomekeke kwizizathu zokusebenzisa ukusasaza kwindawo yokuqala.
IUI yindlela ebiza kakhulu yokusabalalisa, kuba isityalo sidinga inkqubo yokuhlamba ekhethekileyo. IUI kufuneka kwakhona yenziwe kwiklinikhi yokuzala . "Ekhaya" IUI ayinakwenzeka.
IUI ingaba yindlela ekhethekileyo xa unyanga ukungabonakali kokungabonakali okanye ukungabikho kwengqondo ehambelana nemeko yomlomo wesibeleko .
IUI ingaba ngowona khetho olufanelekileyo xa kubandakanyeka abantu besilisa . IUI inceda umdaka ufike kwindawo yawo eyona ndawo-eyona miqobo-ngaphandle kokufuna ukuhamba ngeendlela ezininzi (njengowesimo sangasini kunye nomlomo wesibeleko.) Ukuba isibalo sembewu okanye isibalo sembewu asiqhelekanga, oku kukhula kunokunceda.
Ngakolunye uhlangothi, ukuba akukho ziphumo zenkalo yokuzala kunye neengxaki zomlomo wesibeleko, i-intracervical insemination (ICI) okanye i-intravaginal insemination (IVI) inokukhetha. Ziyabiza kakhulu kwaye zinokuthi ziphumelele.
Ngokomzekelo, ukuba umniki wesilwanyana usetyenziswe, kwaye akukho miba yenzalo yokuzala, i-ICI okanye iVI ingasebenza kunye ne-IUI. Le meko iyakwenzeka ukuba ibhinqa elinye okanye iqabane elitshatileyo lifuna ukukhulelwa ngokusebenzisa umniki wesini. Oku kuya kwenzeka nokuba isibini sinomntu kodwa asikho nantlupheko yemibandela yokuzala, kwaye sele sele isigqibo sokusebenzisa umniki wesini.
I-ICI okanye i-IVI ingaba yinto efanelekileyo yokuziphatha ngokwesondo , isizathu sokusasaza.
Nangona kunjalo, intlungu ngexesha lokwebelana ngesondo lidla ngokuba (kodwa kungekho rhoqo) uphawu lokuba into ephosakeleyo. Umzekelo, amanqanaba aphantsi e-estrogen angabangela intlungu ngexesha lesini. Esinye isizathu esinokubangela ukuba sisifo se- pelvic (infidmatory disease) (PID) okanye i- endometriosis . Kule meko, kunokubakho imiba yabantwana abangenayo ingqalelo.
Igama elivela kwi-Verywell
Insemination ingasetyenziselwa kwiziganeko zendoda engenakunyango, inzala yentsholongwane, ukungabikho kwemvelo, okanye xa isilwanyana sinikela. Umnini wesini sinokukhetha xa umntu echaphazelekayo kungabandakanyeka, okanye kunokukhethwa xa omnye umntu wesibini okanye isithandana esithandana nabo besifuna ukuthatha umntwana.
Oogqirha abaninzi bekliniki yokuzala bacebisa i-IUI, okanye i-intrauterine insemination, ngokungagqibekanga. Oku yizona zinto zisetyenziselwa ukunikela kwisimo sokungabikho komntwana. Kodwa i-IVI okanye i-ICI ingaba yindlela enokuyenza ngayo, kwaye ixabiso eliphantsi. Ungesabi ukubuza ugqirha wakho ukuba elinye uhlobo lokusasaza lube lungcono kuwe.
> Imithombo:
> Cantineau AE1, Cohlen BJ, Heineman MJ, Marjoribanks J, Farquhar C. "I-intrauterine insemination kunye ne-fallopian tube sperm perfusion ye-non-tubal infertility. " Cochrane Database Syst Rev. 2013 Oct 30; (10): CD001502. i-doi: 10.1002 / 14651858.CD001502.pub4.
> Kop PA1, Mochtar MH, O'Brien PA, Van der Veen F, van Wely M. "Intrauterine insemination kunye nokusatshalaliswa kwe-intracervical ekunikezeni unyango lwesilisa. "Cochrane Database Syst Rev. 2018 Jan 25; 1: CD000317. i-doi: 10.1002 / 14651858.CD000317.pub4. [Epub ngaphambi kokuprinta]