Ukuqhaqhaqhayisa ibinzana elisetyenziselwa ukuchaza ukuveliswa kweziyobisi ezinamaqanda amaninzi okusetyenziswa ekuncediseni ubuchwephesha bokuzala, njenge- vitro fertilization (IVF ).
Ngokuqhelekileyo, ibhinqa livule iqanda elinye ngomjikelezo. Ngokusebenzisa izidakamizwa zokuzala, unokukwazi ukuvelisa amaqanda amaninzi, anokufumaneka kwakhona kwii-ovari ngaphambi kokuvuna.
Ukuqhubela phambili akufanele kudibaniswe nokutyalwa kwe-ovulation . I-Clomid yindlela eqhelekileyo yokusebenzisa i-ovulation induction.
Ngethuba lokutyunjwa kwe-ovulation, injongo kukuba i-ovari ikhule iiqanda elilodwa okanye ezimbini. Ngokugqithisileyo, kufuneka amaqanda angaphezu kwamibini.
Ukuphinda kwandiswe ngamanye amaxesha kusetyenziswa ngonyango lwe-IUI . Nangona kunjalo, ngenxa yemingcipheko yokukhulelwa okuphindaphindiweyo, unyango lwe-IUI lubandakanya ukufakelwa kwe-ovulation.
Iingozi zobungqingili ziquka i- ovarian hyperstimulation syndrome , i-ovarian torsion, kunye neqela (amawele, i-triples, njl.) Ukukhulelwa .
Kukho nemingcipheko enobungozi kunye nemiphumo echaphazelekayo enxulumene nohlobo lonyango olusetyenziswayo (i-IVF okanye i-IUI), kwakunye neengozi ezithandwayo kwizidakamizwa zokuzala. (Okunye ngezantsi apha.)
Ukusetyenziswa kwezidakamizwa
Kukho iinjongo ezimbini xa kuziwa kukugqithisa:
- Gxininisa ama-ovari ukukhula kwamaqanda amaninzi
- Ukuthintela ama-ovari ukukhulula loo maqanda kwangethuba
Ukuba amaqanda ayazikhupha ngokwabo, aya kulahleka kwisigxina esiswini. Ku-IVF, ugqirha wakho kufuneka akwazi ukuwafumana ngokukhawuleza kwii-ovari. I-Ovulating ngaphambi kokufunyanwa kweqanda yayiza kubakho umjikelezo wakho we-IVF.
Ukukhuthaza ukugqithisa, ukusetyenziswa kweziyobisi ezinokutsha ezibizwa ngokuba yi-gonadotropins:
- I-Gonadotropins: Ziyintoni, Iingeniso Zempumelelo
- I-Gonadotropin (i-FSH, i-LH, iHMH) Iimiphumo zecala
Ukuthintela i-ovulation ngaphambi kwexesha, mhlawumbi i-GnRH agonist okanye i-GnRH inxamnye isetyenziswa:
- Imiphumo esecaleni ye-GnRH Agonists (i-Lupron, i-Synarel, i-Suprecur ne-Zoladex)
- GnRH Antagonists (Antagon, Ganirelix, Orgalutran, kunye ne-Cetrotide) Imiphumo emibi
Ngaba iClomid okanye i-Letrozole isetyenziswa?
I-Clomid kunye ne- letrozole ayisoloko isetyenziselwa ukugqithisa. Ezi ziyobisi zonyango zikhethwa ngokuqhelekileyo ukwenzela ukutyunjwa kwe-ovulation. (Xa ufuna enye iqela okanye ezimbini iiqanda.)
Nangona kunokwenzeka ukuba ube nomjikelezo we-IVF usebenzisa i-Clomid okanye i-letrozole, kuya kufana ngokufana noko kwaziwa ngokuba "umjikelezo wemvelo."
Umjikelezo wemvelo we-IVF xa i-IVF eyenziwa ngaphandle kokugqithiswa kwama-ovari. Iqanda elilodwa okanye ezimbini zifunyanwa.
Amazinga okuzalwa aphantsi aphantsi kwiimvelo ze-IVF, nangona kukho amaxesha apho kukho ukhetho olufanelekileyo lokonyango.
Zingaphi Iimvini Ziyinjongo?
Inani lamaqanda ofuna ukuba liqokelele liya kuxhomekeka kwisicwangciso sakho sokuxilonga kunye nonyango.
Inombolo "efanelekileyo" yeeqanda ezifunyenweyo iya kuxhomekeka kwimbono yobugqirha bakho kunye namava. Ungesabi ukubuza.
Ngethuba lokujonga i-ultrasound yomjikelezo we-IVF, ugqirha wakho uya kulinganisa kwaye abale ukuba ziphi iifolli ezikhulayo kuma-ovari.
Ngaphakathi iifollic i- oocytes , okanye amaqanda.
Kodwa akusiyo yonke into elandelayo yokunika iqanda. Akukho maqanda azoba ngumbungu. Akunjalo yonke imbungu iya kuba yinyameko kwaye iphilile ngokwaneleyo ukuba idluliselwe.
Ngokomzekelo, unokuba nezintlu ezi-10 kodwa ufumana amaqanda ama-7 okanye ama-8 kuphela. Ukususela kumaqanda ama-7 okanye ama-8, kuphela ezine okanye ezithandathu ziyakuthela, kwaye kuphela ezimbini okanye ezintathu zingaphilile ngokwaneleyo ukuba zidluliselwe.
Yingakho ufuna ukuvelisa amaqanda amaninzi, ukwandisa imiphumo yakho yokuphumelela ukukhulelwa.
Ngokuqhelekileyo uthetha umjikelezo we-IVF, ugqirha wakho ulindele ukufumana ubuncinane amaqanda ama-10 ukusuka kumaqanda akho. Naphi na phakathi kwamaqanda angama-8 no-15 unokuthathwa njengenani elilungileyo.
Ukuba uvelisa ezine okanye iifolsi ezimbalwa, ugqirha wakho unokucima umjikelezo wakho we-IVF.
(Isizathu sokuba iimpembelelo zakho zokuphumelela ziphantsi kunye namaqanda amane okanye ambalwa. Bafuna ukuphepha ukubeka engozini kwaye ukwandisa iindleko zakho zezemali, ngenzuzo encinane.)
Ukuba uvelisa iifolli ezininzi ezininzi - ezinjenge-20 - kunokwenzeka ukuba ugqirha wakho unokusula umjikelezo. Oku kungenxa yokuba umngcipheko we-ovarian hyperstimulation uphezulu.
(Kukho iindlela zokunciphisa umngcipheko kwaye uqhubeke nomjikelezo, kwezinye iimeko.Umzekelo, banokufumana amaqanda kodwa bangenzi ukuhanjiswa kwembungu. ugqirha wakho malunga nemeko ethile.)
Ukuba unemizuzu emine okanye i-micro-IVF , injongo ingaba ukuvelisa iifollic ezine okanye ezihlanu.
Nangona iifolli ezingaphantsi kweesithandathu kwi-IVF epheleleyo zingabonwa njengezithuthi ezimbi, ngexesha le-mini-IVF, oku kulungile.
Ukuba unomjikelezo we-IUI ngokugqithiseleyo, ke akukho ngaphezu kwezine kulungile. (Khumbula, ukuba uvula iiqanda ezine, kunokuthi unakho ukukhulelwa ama-quadruplets.) Uninzi oogqirha banenjongo yokulungiselela iiqanda elilodwa okanye ezimbini kwimijikelezo ye-IUI.
Ziziphi Iimpumelelo Zentengo?
Amanani okuphumelela aya kuxhomekeka kukuphi uhlobo lwenyango olusetyenziswayo (i-IVF, i-IUI, i-mini-IVF), i-diagnostic yakho kunye nobudala bakho.
Ngokuqhelekileyo, amazinga okuphumelela kwe-IVF angcono kunezinga le-IUI. Kodwa ungeke ufune ukusebenzisa i-invasive, eyabiza unyango xa ungenayo. Kuyabasetyhini abangaphezu kweminyaka engama-40 kunye nabasetyhini abanokufumana ukungenakwanela kwe-ovarian yokuqala (eyaziwayo njenge-POI okanye ukungaphumeleli kwe-ovarian ngaphambi kokuqala), ukugqithisa okungenakuphumelela.
Oko akuthethi i-IVF ayikwazi ukukunceda ukhulelwe. Unokufuna udokotela onamava kula maxesha. Okanye, unokufuna ukuqwalasela usebenzisa umnikeli weqanda . Izinga lokuphumelela kwe-IVF kunye nabaxhasi beqanda zilungileyo. Ngokufanelekileyo, ugqirha wakho akayi kufuna ukukufaka nge-IVF okanye ukugqithisa xa bengacingi ukuba kuya kukusebenzela. Yingakho uvavanyo lwe-ovarian lokugcina uvavanyo luyenziwe.
Uvavanyo lwe-Ovarian reserve lujoliswe ukuba luchaze ukuba ngubani ongayi kuphendula kunye nokusetyenziswa kweziyobisi ngexesha le-IVF. Olunye uvanyo oogqirha abazenzayo ukuqikelela ukuphumelela kwempumelelo ekuthiwa yimpumelelo iyaziwa ngokuba ngumngeni weClomid.
Umthombo:
Ukukhuthazwa kwe-Ovarian ye-IVF kwi-Responders ephantsi. Iziko eziPhambili zeZenzalo zaseChicago. https://www.advancedfertility.com/ivf-low-response.htm