Iziganeko zokufumana isisu kunye ne-IUI kuma-20s, 30s kunye no-40
Izinga lokuphumelela kwe-IUI zilungile, kwaye amazinga okuphumelela achazwe ngokubanzi phakathi kwezifundo. Ezinye izifundo zibonisa kuphela ipesenti yepesenti ye-8 (xa usebenzisa izidakamizwa zokuzala kunye ne-IUI), ngelixa abanye bebeka izinga lokuphumelela elingaphezulu kwama-20 ekhulwini.
Kwiingcambu ze-IUI ngaphandle kweziyobisi zonyango , amazinga okuphumelela aphantsi kakhulu-ama-4 ekhulwini kwabasetyhini akhulelwe, kwisifundo esinye.
IUI kunye noClomid ayiphumelelanga ngaphantsi kwe-IUI kunye ne- gonadotropins (njengeGonal-F ne-Follistim.)
Ingxaki yakho yokuphumelela kwe-IUI iya kuxhomekeka kumanani amaninzi, ukususela kwiminyaka yakho , imbangela yokungasebenzi kwakho, kwaye ubude kangakanani uzama ukukhulelwa.
Ubudala kunye ne-IUI Impumelelo
Ubudala budlala indima enkulu ekuphumeleleni kwe-IUI.
Uphononongo olunye luhlalutye i-2019 IUI imijikelezo kwaye yazama ukucacisa ukuba yintoni echazwe kwisiphumo esihle se-IUI. Bayijonga ngokugqithiseleyo ukuba ubudala buchaphazela njani amazinga okuphumelela.
Baxela ukukhulelwa kwamazinga kunye namazinga okuhambisa. (Izinga lokuhambisa liza kuba liphantsi, ngenxa yokulahleka kokukhulelwa.)
Yiloo nto abayifumeneyo:
- Abasetyhini abaneminyaka engama-20 ukuya ku-30: 17.6 yepesenti yokukhulelwa, i-13 ekhulwini yokunikezelwa kwentlawulo
- Abesifazana abaneminyaka engama-31 ukuya kwe-35: i-13.3 yepesenti yokukhulelwa, izinga le-10 yokuhambisa
- Abasetyhini abaneminyaka engama-36 ukuya ku-38: 13.4 yepesenti yokukhulelwa, i-9 yepesenti yokunikezela
- Abesetyhini abaneminyaka engama-39 ukuya ku-40: i-10.6 yepesenti yokukhulelwa, izinga le-7 yokuhambisa
- Abasetyhini abangaphezu kweminyaka engama-40: 5.4 ekhulwini lokukhulelwa kwesantya, i-3% yezinga lokuhambisa
Qaphela inqanaba eliphantsi kakhulu lokuphumelela kwiqela elingaphezu kwama-40. Ngenxa yesi sizathu, oogqirha abaninzi abanokuzala bayancoma ukuba batyelele ngqo kwi-IVF kwaba bafazi.
Ngokuba Zingaphi Iiskrini Ukuba Uzama U-IUI Ngaphambi kokuba Uqhubeke?
Kwabasetyhini abangaphantsi kweminyaka engama-40, isincomo siyimigangatho emithathu ye-IUI, ngaphambi kokuhambisa unyango kwi-IVF .
Olunye uphando lufumene ukuba i-IUI yokuphumelela yayingama-16.4 ekhulwini ngamnye kumjikelo wokuqala kathathu okanye iipesenti ezingama-39.2 xa ukhangele zonke izilingo ezintathu.
Nangona kunjalo, kwiimpawu zonyango ze-IUI ezine-6 ukuya kwe-6, izinga lokuphumelela liye lahla kakhulu kwi-5.6% kuphela. Olu phawu olunzulu emva kokuvavanywa kwempumelelo ezintathu kwi-IUI kutheni ukunyuka kwi-IVF kuphakanyiswa ngeli nqanaba.
Abaphandi bancoma ukuba ukuba i-IUI isetyenziswe kwindoda engaphezu kwama-40, umjikelo omnye kuphela kufuneka uzame. Ukuba loo mjikelo uyaphela, ke ukunyuka kwi-IVF kuya kunconywa.
Nangona kunjalo ngezinga eliphantsi lokuphumelela, mhlawumbi kulungele ukuhamba ngqo kwi- IVF kubafazi abaninzi abangaphezu kwama-40.
Abasetyhini abanomlinganiselo wokugqibela kwi-endometriosis abaneminyaka engama-35 okanye ngaphezulu bangaphinda bawebe i-IUI baze bahambe ngqo kwi-IVF.
Ewe, kufuneka uxoxe ngazo zonke iinketho zakho kunye nodokotela wakho ngaphambi kokuba wenze isigqibo.
Ziziphi Iingxaki Zakho Nge-IUI Impumelelo Engcono?
IUI inezinga eliphambili lempumelelo yokunqongophala komntu ongaphantsi kokumodareyitha kunokuba unesifo esingenamntu. Ukuxhatshazwa kwabantu abanesifo esingathandabuzekiyo, unyango lwe-IVF lunokuba lukhethi olungcono.
Ukuba isetyenziselwano somoya sisetyenziselwa, i-IUI iya kuba yinto ekhethekileyo, ngokukodwa ukuba kukho izinto ezincinci okanye ezingekho kubhinqa.
I-IUI unyango lukhethwa kakuhle ukuba i- mucus ye-colervic neyiyo yimbangela yokungasebenzi.
Kucingelwa ukuba ezinye zezinto ezibangela ukungabonakali kokungabonakali kwimiba yesibeleko.
(Kakade, ezinye iimeko kufuneka zithathwe ingqalelo, njengobunzima bendoda kunye nobudala bomfazi.)
Kwakhona, ngokutsho kwabanye abaphandi, ukuba uzama ukukhulelwa iminyaka emine okanye ngaphantsi, iimeko zakho zokuphumelela kwe-IUI ziphezulu.
Olunye uphando lubhalile ukuba isibini esilwela iminyaka engaphantsi kweyesithandathu sine-average ye-14.2 yepesenti yokuphumelela ukukhulelwa, xa kuthelekiswa nesantya se-6.1 sempumelelo kubantu abazama ixesha elide.
Nangona kunjalo, akubona zonke iifundo ezifumene lo mmahluko.
Ngaba ndiyiyona ixabiso leexabiso lee-IVF kwixesha elide?
Kuyinyani ukuba i-IUI ingabizi ngaphaya kwe-IVF , kwaye ixabiso layo eliphantsi liyinxalenye yento eyenza i-IUI ibonakale.
Nangona kunjalo, xa ucinga ngamathuba akho okuphumelela, kusenokuba ukhetho olungcono lwemali ukuya ngqo kwi-IVF kwiimeko ezithile.
Enye yeendleko ze-IUI, ngokuqhelekileyo, i-$ 3,000. Ukuba uzama kathathu aphumelelanga, sele uchithe u-$ 9,000.
Kunoko, i-$ 12,000-i-$ 3,000 kuphela-ungayizama umjikelezo owodwa we-IVF kwaye unethuba lokufumana ukhupha.
Ungaphinda ufune ukuqwalasela i- micro-IVF , efana ne-IVF eqhelekileyo kuphela kunye namayeza aphantsi. Ixabiso lilonke libiza kakhulu kune-IVF epheleleyo, kodwa ufumana impumelelo engcono kwi-IUI.
Imithombo:
Aboulghar M, Mansour R, Serour G, Abdrazek A, Amin Y, Rhodes C. Ukucutshungulwa kwe-ovarian kunye ne-intrauterine ukusatshalaliswa kwonyango lokungabikho kwengqondo engachazwanga kufuneka kufikelelwe kwiimvavanyo ezintathu. Ukhuseleko kunye nobuthathaka . 2001 Jan; 75 (1): 88-91.
Cohlen BJ, Vandekerckhove P, te Velde ER, Habbema JD. Ukuqhathaniswa kwesondo kunye ne-intra-uterine insemination kunye okanye ngaphandle kwe-ovarian hyperstimulation ye-subfertility kumadoda. I-Cochrane Database yeeNkqubo eziPhezulu. 2000; (2): CD000360.
> Dinelli L1, Courbière B2, Achard V3, Jouve E4, Dveze C1, Gnisci A1, Grillo JM3, Paulmyer-Lacroix O5. "Iziganeko zokukhulelwa emva kokutshatyalaliswa kwe-intrauterine kunye nesidoda somyeni: izigqibo zokuhlalutya ii-2,019. " Fertil Steril. 2014 kuMbhi; 101 (4): 994-1000. i-doi: 10.1016 / j.fertnstert.2014.01.009. Epub 2014 Feb 15.
I-ID yeHarris, i-Missmer SA, i-Hornstein MD. Impumelelo engafanelekanga ye-gonadotropin eyenziwa yi-ovarian hyperstimulation ne-intrauterine ukusatshalaliswa kwabasetyhini abadala. Ukhuseleko kunye nobuthathaka . 2009 Apr 24. [Epub phambi kokuprinta].