Inkqubo ye-IUI + Xa isetyenzisiwe + Intlawulo yeNtuthuko + Iindleko
IUI, okanye i-intrauterine insemination, yindlela yokwenza unyango olulula. Kungenziwa kunye okanye ngaphandle kweziyobisi zokuzala . Inkqubo ngokwayo iquka ukudlulisela isambulelo esithile ngokuthe ngqo kwisibeleko nge-catheter encinci.
Unokwazi nge-IUI ngokugqithiswa kwexesha eliqhelekileyo elisetyenziswayo (AI). IUI kunye neAI zifana kunye.
Iinkcazo
Ingonyango ye-IUI inokucetyiswa kuyo nayiphi na imeko elandelayo:
- Ukungabikho komntwana
- Ubushushu bobubele bomlomo
- Ukungabonakali kokungazalanga
- Ukuba unyango lweziyobisi kuphela aluphumelelanga
- Ukuba umniki wesilisa usetyenziswa
- Ukuba ubuhlungu bezesondo buya kwenza ukuba ahlale emzimbeni
Ezinye iinkampani ze-inshorensi zifuna imijikelezo embalwa ye-IUI ngaphambi kokuhlawula unyango lwe-IVF .
I-IUI ayikhuthazwa ngalabo abanalo:
- Iibhubhu ezikhohliweyo
- Endometriosis ephezulu
- Ukutheleleka kwangaphambili kweplavic
Iindleko
Xa ucinga unyango lwezityalo eziphezulu kunye nangaphandle kokusetyenziswa kweziyobisi, i-IUI ingaba ngowokuqala. Kulula ukwenza kunokuncedisa ubuchwepheshe bokuzala njengo-IVF . Kwakhona iindleko ezingaphantsi.
Ngokwenzululwazi eyenziwe yi- RESOLVE, ukwelashwa kwe-IUI ye- fertility ixabisa i-$ 895. Ixabiso, nangona kunjalo, lihluka kakhulu ukusuka kwikliniki ukuya kwiklinikhi.
Oko uya kuhlawula kuya kuxhomekeka kwi-inshorensi yakho, nokuba ingaba intengo ecatshulwe yikliniki yinkqubo kuphela okanye iquka nokusetyenziswa kweziyobisi, ukusetyenziswa kwegazi kunye nokubeka iliso kwi-ultrasound.
Xa konke kuthethwa kwaye kwenziwa, umjikelezo omnye we-IUI unokuhlawula i-$ 3,000. Qinisekisa ukuba uyayiqonda intlawulo ngaphambi kokuba uqale unyango.
Nangona kunjalo, i-IUI isacacile ngakumbi kune-IVF , ekuthengeni ixabise i-19,000 i-$ 19,000 kumjikelezo wokuqala.
ImiSebenzi Yonyango
Umjikelo wakho uya kuxhomekeka ekubeni kutheni ugqirha wakho uye wakhuthaza i-IUI kunye nokuba uthatha iziyobisi.
I-Clomid okanye i-Letrozole nge-IUI : IUI ingafakwa kwi- Clomid okanye i- letrozole (Femera) .
Kule meko, ngokukhawuleza ukuba ixesha lakho elizayo liqala, uya kuba nokuhlolwa kwegazi. Unokuba ne-ultrasound. Oku kukuqinisekisa ukuba awukhulelwe kwaye awunawo ama-cyst ovarian.
Ukucinga ukuba yonke into ibonakala ilungileyo, uya kuqala ukusebenzisa izidakamizwa zomlomo zomzimba kwiintsuku ezichazwe ngugqirha wakho. Unako okanye ungenakho ukubeka iliso kwi-ultrasound kunye nokusebenza kwegazi ngaphezulu njengoko umjikelezo uqhubeka.
Ukuba ugqirha wakho ujonge umjikelo wakho, uya kuqulunqa inkqubo ye-IUi nje ngaphambi kokuvutha.
Okanye, ugqirha wakho unokucela ukuba usebenzise uvavanyo lwe- ovulation test predictor ekhaya. Xa uvavanyo lubonisa ukuvuthwa kusondele, uya kubiza i-ofisi yakho ugqirha ukuba uhlele umsebenzi wegazi, mhlawumbi i-ultrasound, kunye nenkqubo ye-IUI.
I-Gonadotropins kunye ne-IUI : I-Gonadotropins yinyango yokuvelisa inkunkuma, kuquka i-FSH, i-LH, i-hMG, ne-hCG. Amagama ebrama ongaqaphelayo yiGonal-F, Follistim, kunye ne-Ovidrel.
Xa ufumana ixesha lakho, uya kubiza ugqirha wakho ukucwangcisa umgangatho osisiseko se-ultrasound kunye nomsebenzi wegazi. (Njengoko kuchazwe ngasentla, oku kukuqinisekisa ukuba awukhulelwe kwaye unayo i-cysts engxaki.)
Uza kuqala ukuzinikela ngeenjini ngokuya kumyalelo wakho ugqirha. Yonke imihla eninzi, uya kuba ne-ultrasound yangaphakathi kunye / okanye umsebenzi wegazi.
I-ultrasound yangaphakathi iyakubheka ukuphuhlisa iifollic . Inkqubo ye-ultrasound tech iya kujonga ukubona ukuba bangaphi na, bakhuphuka ngokukhawuleza njani, nokuba ngaba basondele ekukhuleni.
Umsebenzi wegazi uza kulinganisa i-estradiol (E2), i- LH kunye neprogesterone.
Amayeza akho angatshintshwa ngokusekelwe kumanqanaba akho e-hormone kunye nobukhulu kunye nenani lentambo ekhulayo kumaqanda akho.
Xa enye okanye i-follicles ifikelele ekuvuthweni, ugqirha wakho uya kuluhlula i-hcg shot of hCG kwaye uhlele inkqubo ye-IUI.
Inkqubo
Inkqubo ilula kakhulu, nangona kuqhelekile ukuba uveke ngayo. Kuya kwenziwa kwikliniki yakho yokuzala . (Akudingeki ukuba uye esibhedlele kwinkqubo)
Ukuba usebenzisa umnikeli wesidoda, umniki wesini uza kuhluthwa kwaye ulungiselelwe.
Ukuba akunjalo, iqabane lakho liza kungena kwiklinikhi ngaloo mini kunye ne-sampuli yesondlo. Isampulu yesondlo siphumelelwa ngokuphanga. (Ngokufana nendlela uhlalutyo lwembewu lwenziwe ngayo .)
Ukuba iqabane lakho liza kuba ngaphandle kwedolophu-okanye, ukuba kunzima ukubonelela isampula kwixesha elidlulileyo- iqabane lakho linganika isampuli yeesilingi ngaphambi kosuku lwe-IUI. Kule meko, ukuba isampuli ichithwe, iya kukhangela kwaye ilungiselelwe.
Imihla iqukethe okungaphezulu nje kwendoda. Ugqirha wakho uza kufaka umlenze ngeenkqubo ezikhethekileyo zokuhlamba. Oku kuthatha ukungcola kunye namaqabunga kuphela okufunekayo ukuze kuvelelwe.
Kule nkqubo ngokwayo, uya kulala phantsi kwetafile yentsholongwane, efana neyasetyenziselwa ukuhlolwa kwakho ngonyaka.
I-catheter-ityhubhu encinci, iyincinci-iya kufakwa kwisibeletho sakho . Unokuba ne-cramping epholileyo, efana noko unokuziva ngexesha le-pap smear.
I-semen ehlanjwe ngokukhethekileyo iya kuthi idluliselwe kwisibeletho sakho nge-catheter.
I-catheter isuswa, kwaye uyenziwe!
Ugqirha wakho unokubonisa ukuba uhlale ulala ngokukhawuleza ngexesha elifutshane emva kwenkqubo, okanye unokukwazi ukuvuka ngokukhawuleza.
Kukho nawuphi na umzekelo, akudingeki ukhathazeke malunga nesidoda esiwela xa usukuma. Inambuzane idluliselwa ngqo kwisibeleko sakho. Abayi ndawo nanye kodwa phezulu, ukuya (ethemba) ukulinda iqanda!
Yintoni enokuyilindela emva kweNkqubo-nkqubo
Emva kwenkqubo ye-IUI, unokumiselwa kweprogesterone. Oku kufuthi kuthathwe nge-vaginal suppository.
Phantse iveki emva kwe-IUI, ugqirha wakho unokuyalela umsebenzi wegazi. Uya kujonga amanqanaba akho e-progesterone, estrogen, kunye (mhlawumbi) namazinga e-hCG .
Kwiintsuku ezilishumi ukuya kwi-14 emva kwe-IUI, ugqirha wakho unokuyalela ukukhulelwa kwegazi. Okanye, unokukuxelela ukuba uthathe uvavanyo lwekhaya .
Ukulinda ukufumana ukuba unyango luphumelele njani lunokuba nzima kakhulu . Zikela kakuhle!
Mngcipheko
IUI yinkqubo ephantsi yobungozi.
Kukho umngcipheko omncinci wokusuleleka.
Eminye yemingcipheko enkulu ivela kwiziyobisi ezisetyenziswayo.
Ukuba usebenzisa i-gonadotropins , usenobungozi bokuphuhlisa i-ovarian hyperstimulation syndrome (OHSS).
Umngcipheko wakho wokukhulelwa ngokuphindaphindiweyo (amawele, ama-triplets, okanye ngaphezulu) ngaphezulu xa uthatha i-gonadotropins. Yingakho ukubeka iliso kubalulekile.
Ukuba kukho ezininzi iziganeko ezinokubakho, umjikelo unokukhanselwa kwaye uzame kwakhona elinye ixesha.
Ukuba ugqirha wakho uyakunqanda umjikelo wakho ngenxa yokuba kukho izinto ezininzi kakhulu, mhlawumbi uya kukuxelela ukuba uzilawule ngesondo. Kubalulekile ukuba uthathe le mfundiso ngokungathandekiyo.
Ezinye izibini zithandabuza "ukulahla" umjikelezo. Nangona kunjalo, ukuba ulala ngesondo kunye nokukhulelwa, uzibeka kunye nabantwana bakho bexesha elizayo besengozini. Musa ukwenza.
Imali yoPhumelelo
Kwimijikelezo apho ukusetyenziswa kweziyobisi kunye ne-IUI behlanganisiwe, izinga lokukhulelwa lalingama-8 ukuya kuma-17 ekhulwini. Le yimihla ngemijikelezo yentshukumo, nto leyo ithetha ukuba impumelelo iphakamileyo xa ikhangelelanisa imijikelezo emininzi.
Imilinganiselo yakho yokuphumelela iyahlukahluka ngokubangela isisombululo sakho kunye nobudala bakho.
Kuhlolisiso malunga nemijikelezo ye-IUI engama-1 000, abaphandi bafumanisa ukuba izinga lokuphumelela nganye kwisibini (ngaphezu kweyodwa okanye ngaphezulu kwemijikelezo) kuxhomekeke kwiminyaka yabo nangenxa yezizathu zokungabikho.
Iingeniso zempumelelo impumelelo nganye (ngaphaya komjikelezo omnye) kulolu cwaningo babe ...
- Iipesenti ezingama-55.6 zentsholongwane yobubele bengabantwana
- Amaphesenti angama-47.4 okugcoba (iingxaki nge-ovulation)
- Ipesenti ezingama-41.7 kwindoda engabonakaliyo
- Iipesenti ezingama-37.6 ze-oligospermia (ngaphantsi kwezigidi ezigidi ezingama-20 nge-ml)
- Ipesenti ezingama-35.1 zokungabonakali
- 13,4 ekhulwini kwi-asthenospermia (i-sperm motility)
- 10.7 ekhulwini kwi- endometriosis
Ekuphononongweni kweengxelo ze-IUI kunye nokungabonakali kokungafumaneki , ama-4 ekhulwini kwabasetyhini akhulelwe umjikelezo ngamnye ngaphandle kweziyobisi zokuzala.
Nangona amazinga e-IVF yimpumelelo nganye kumjikelezo aphezulu kakhulu, i-IUI ibiza kakhulu. Inkqubo ilula kwaye ingenasiphelo.
Ukuba i-IVF iphuma kwinqanaba lakho lentengo, imijikelezo ye-IUI amaninzi ingaba yinto ekhethekileyo, kuxhomekeke kwisizathu sokungabikho kwengqondo. Enye inketho yokuqwalasela i-mini-IVF.
Thetha kugqirha wakho ukuqonda zonke iinketho zakho kunye nobungozi .
Imithombo:
> Merviel P1, Heraud MH, Grenier N, Lourdel E, Sanguinet P, iCopin H. "Iziganeko zokuqhawula emva kokukhulelwa kwe-intrauterine insemination (IUI): uhlalutyo lwezigidi eziyi-1038 kunye nokuhlaziywa kweencwadi." UFertil Steril . NgoJan 2010; 93 (1): 79-88. I-doi: 10.1016 / j.fertnstert.2008.09.058. Epub 2008 Nov 8.
Iindleko zeNyango yokuPhatha. UKUQHUBEKA: UMbutho weSizwe ongenakuncedo.