Kuyinyaniso ukuba kukho uphando olubonisa ukuba ukukhulelwa ezizalelwe nge- vitro fertilization (IVF) zandisa ingozi yokukhulelwa kwesisu , xa kuthelekiswa nokukhulelwa kwangokwemvelo. Inqanaba elichanekileyo lengozi eyongeziweyo ihluka ngokufunda.
Ngokomzekelo, uphando olwenziwe ngo-2003 lufumene ukuba abafazi abafumana i-IVF kwaye bekhulelwe umntwana abangatshatanga bodwa bachitheka i-22% yexesha.
Ngokwahlukileyo, i-American Pregnancy Association ithi abafazi abaninzi abasempilweni abanomdla bane-15% ukuya kuma-20% amathuba okukhulelwa kwesisu. Ngoko ukuba uphando lufumene umngcipheko ophezulu wokukhulelwa kwesisu kwabesetyhini abasebenzisa i-IVF kwaye bakhulelwe enye imbungu. Nangona kunjalo, kuthethwe ukuba kweso sifundo esifanayo, umngcipheko wokuphuphuma kwesisu kwabasetyhini abasebenzisa i-IVF ababephethe amawele kwakune-18% nje kuphela, ephakathi kweengcambu zokutshatyalaliswa kwemiphumo yokukhulelwa komzimba.
Yintoni ebangela ingozi ephakamileyo yokutshatyalaliswa komtshato?
Kubalulekile ukuba uqaphele ukuba abaphandi abakholelwa ukuba isizathu sokwandisa ukukhulelwa kwesisu kuhambelana nenqubo ye-IVF ngokwayo. Kunoko, kunokwenzeka ukuba umngcipheko ophezulu wokukhulelwa kwesisu emva kokuchumisa i-vitro (okanye omnye unyango lwezityalo ) unento eninzi yokwenza kunye nezizathu ezingundoqo zonyango lokuzala. Ngamanye amazwi, izigulane ezinesidingo sokwiliswa kwe-in vitro zingase zibe yindawo ephezulu yobungozi bokuphuphuma kwesisu, kungakhathaliseki ukuba zingaphi iindlela zokukhulelwa njengento engenakulungile.
Nazi iinkcazo ezimbalwa ezinokwenzeka.
- Ubudala obuphezulu: Abafazi abahamba nge-vitro fertilization bahlala bekhulile kunabasetyhini abakhulelwe ngokwemvelo, kwaye iminyaka yobudala bomama idibene nomngcipheko ophezulu wokukhulelwa kwesisu. Ngokomzekelo, abasetyhini abaneminyaka engama-35 no-45 abanama-20% ukuya ku-35% amathuba okuphuphuma kwesisu kunye nabasetyhini abangaphezu kweminyaka engama-45 banokufumana ithuba lokukhulelwa kwesisu ngama-50%, ngokwe-American Pregnancy Association.
- Ingxaki yezempilo: Abasetyhini abasebenzisa i-IVF banakho amathuba okuba nempilo ephantsi enokuba negalelo ekukhuselweni komzimba.
- Ukuqaphela kwangaphambili: Xa ibhinqa isebenzisa ii-IVF, ngokuqhelekileyo ihlawula ingqwalasela kakhulu kumjikelezo ngamnye kwaye ifumanisa ukuba ikhulelwe kakhulu kwangoko kwinkqubo. Ngasinye icala, abafazi abakhulelwe ngokwemvelo, abanako ukuba bayazikhulelwa kwangaphambili-ngakumbi ukuba ukukhulelwa kungalindelekanga. Ekubeni umngcipheko wokuphuphuma kwesisu uphezulu kakhulu kwiiveki zokuqala zokukhulelwa, abaninzi abafazi abakhulelwe ngokwemvelo bangase baphuke ngaphambi kokuba baqonde ukuba bakhulelwe. Oku kudla ngokuba kubizwa njengokwakhiwa kweemichiza.
- Ukuvuselela i-Ovari: Olunye uphando lwango-2004 lufumene ukuba ukunyuka kwe-ovarian kwindoda efumana ntoni xa kusetyenziswa iteknoloji yokuzala incedise inxaxheba. Abo baphandi babona ubudlelwane phakathi kokunyuka kwama-ovarian kunye nokukhulelwa komzimba.
Ngoko, ungaxhatshali ekusukelweni kwe-IVF ukuba uyayidinga. Thetha nogqirha wakho ukuphuhlisa isicwangciso sezinto ezisebenza kakuhle kwiimeko zakho. Enyanisweni, ukusebenzisa i- preplantation genetic diagnostic (PGD) kunokunciphisa umngcipheko wokukhulelwa kwesisu ekukhulelweni kwe-IVF ukuba sele unayo imbali yamathambo angaphambili ngaphambi kokuba unyango-ingakumbi ukuba uneminyaka engaphezu kwama-40.
Ngokomzekelo, uphando olwenziwe ngo-2006 olujonge ngaphezu kwe-2,000 imijikelezo kumaziko e-100 e-IVF luboniswe ukuba i-PGD inciphise izinga lokuphuphuma komfazi phakathi kweminyaka engama-35 ukuya ku-40 ukusuka ngo-19% ukuya kwi-14% kwaye yanciphisa izinga lokukhulelwa komfazi phakathi kweminyaka engama-40 ukusuka kwi-41% ukuya kwi-22%.
Imithombo:
UMunné S, uFischer J, uWarner A, uKen S, iZouves C, Cohen J; Ukubhekiselele kumaziko ePGD Group. "Ukuxilongwa kwe-genetic pre-plantation kunciphisa kakhulu ukukhulelwa kokukhulelwa kwizibini ezingenasiphelo: ukufundisisa okuninzi." Fertil Steril. 2006 Feb; 85 (2): 326-32.
Iimbayi, uPhillippe, uPaul De Sutter noMarc Dhont. "Ingozi yokukhipha isisu kwi-singleton kunye nama-twin pregnancy emva kwe-IVF / ICSI." Ukuzaliswa kwabantu ngo- Agasti 2003. 18 (8): 1720-1723.
UWang, uJim X., uRobert J. Norman no-Allen J. Wilcox. "Isiganeko sokukhipha isisu ngokukhawuleza phakathi kokukhulelwa okuveliswe ngoncedo lobuchwepheshe bokuzala." Ukuzaliswa koLuntu ngoFebruwari 2004. 19 (2): 272-277.