Ukuqala inkqubo ye- IVF yonyango ingaba yinto evuyisayo kunye neyobuhlungu. Ngokuqhelekileyo, i-IVF ilandelwa kuphela emva kokuba ezinye izifo zonyango ziphumelele. Usenokuba uzama ukukhulelwa iinyanga okanye, ngokubanzi, iminyaka kunye neminyaka.
Kodwa oku akunjalo ngaso sonke isikhathi. Ngamanye amaxesha, i-IVF yilona lokuqala unyango olwenziwe.
Umzekelo, i-IVF ingaba yinto yokuqala xa ...
- isetyenzisiwe ngeqanda
- kufuneke
- kwiimeko ezinzima zokungabikho komntwana
- ukuba iibhobho zamabhinqa zithintela
Sekunjalo, nakwiimeko, i-IVF inokuza emva kweminyaka yokuzama ukukhulelwa kunye novavanyo oluninzi lokuzala .
Nazi iindaba ezilungileyo: IVF iphumelele kakuhle. Ngokutsho kwiphando malunga namabhinqa angama-156,000, umyinge wokuzalwa ngokulinganisa umyinge wokuqala ngowama-29.5 ekhulwini. Oku kufaniswa nemilinganiselo yempumelelo yomjikelezo wemvelo kwizibini ezinokuzala okunempilo .
Impendulo yakho engcono yokuphumelela inokuvela kwiimjikelezo zonyango eziphindaphindiweyo. Olu cwaningo luye lwafumanisa ukuba emva kwemijikelezo yesithandathu ye-IVF, inani lokuzalwa lokuzalwa eliqhelekileyo lalingama-65.3 ekhulwini. Ezi ntshukumo ezintandathu zenzeka ngokuphindwe kwiminyaka emibini.
Ubudala budlala indima ebalulekileyo kwimpumelelo yakho, njengoko kunjalo isizathu sokungabikho kwengqondo yakho. Ukusebenzisa umxhasi weqanda kuya kuchaphazela impumelelo yakho. Ukuba ukhathazekile, awuyedwa. I-IVF unyango ixinzelelekile.
Ukujonga nje ngeshedyuli ye-ultrasounds, umsebenzi wegazi, iinjenjethi, njalo njalo unokuba uzive ukhululekile. (Kwaye ngaphambi kokuba izidakamizwa zingonakalisa ngeemvakalelo zakho!) Hlanganisa neendleko ze-IVF , ngakumbi xa uhlawula ngaphandle kwe-pocket, kwaye akumangalisi ukuba uzikhathazekile.
Oko kwathiwa, xa uqonda ngakumbi oko kuza ngokulandelayo, ngaphezulu kokulawula uya kuziva. Unokuzibuza ukuba zonke izinto ziya kuhlangana njani. Nangona yonke inkqubo yekliniki iya kuba yohluke kancinci kwaye unyango luye lwahlengahlengiswa kwiimfuno zomntu ngamnye, nantsi ukuphazamiseka kwesinyathelo ngeyanyathelo oko kwenzeka ngokuqhelekileyo ngexesha lokuchumisa i-vitro.
Umjikelo Ngaphambi Konyango
Umjikelezo ngaphambi kokuba unyango lwakho lwe-IVF lubekwe, unokufakwa kwiipilisi zokulawula ukuzalwa. Oku kungabonakala ngasemva-akunjalo wena uzama ukukhulelwa?
Ukusebenzisa iipilisi zokulawula ukuzalwa ngaphambi kokuba umjikelo wonyango uboniswe ukuba unokuphucula iziphumo zakho zokuphumelela. Kwakhona, kunokunciphisa umngcipheko we- ovarian hyperstimulation syndrome kunye nama-cyst ovarian.
Kodwa akubona bonke ugqirha basebenzisa iipilisi zokulalisa ukuzalwa. Enye inokwenzeka kukuba ugqirha uya kukucela ukuba ulandelele i-ovulation umjikelezo ngaphambili. Uninzi kunokwenzeka, uya kucebisa ukusebenzisa i- kitty predictor kit . Nangona kunjalo, unakho ukuphakamisa ukushisa komzimba osisiseko , ngokukodwa xa unamava okutshintsha imijikelezo yakho.
Emva koko, kuya kufuneka uvumele ugqirha wakho wazi ngokukhawuleza xa ufumanisa i-ovulation.
Ngethuba lithile emva kokuvuthwa, iikliniki yokuzala ingaba ngoko uqala ukuthatha umphikisi we- GnRH (njengoGanirelix) okanye i- GnRH agonist (njengoLupron) . Lezi ziyobisi ezinobungozi, kodwa ezinye zifumaneka njengendlela yokutshiza okanye ukutshiza.
Ezi zonyango zivumela ukuba ugqirha wakho abe nolawulo olupheleleyo kwi-ovulation xa uqala umjikelezo wonyango.
Ukuba awufumani imijikelezo yakho, ugqirha wakho unokuthatha enye indlela. Kule meko, unako ukumisela i-progesterone ngendlela yeprovera. Oku kuza kuzisa ngexesha lakho.
Kule meko, ugqirha wakho uya kucela ukuba uqale ukuthatha i-GnRH agonist okanye umchasene malunga neentsuku ezintandathu okanye ngaphezulu emva kwepill yakho yokuqala yePill.
Kwakhona, nangona kunjalo, oku kuyahluka. Njalo landela imiyalelo yakho kagqirha.
Xa Ufumana Ixesha lakho
Umhla wokuqala wesikolo somjikelo wakho wonyango ngumhla ofumana ixesha lakho. (Nangona uvakalelwa ukuba sele usuqalisile ngemichiza oye waqala ngaphambili kwisinyathelo esinye.)
Ngosuku lwesibini lwenyanga yakho, ugqirha wakho uya kudala umsebenzi wegazi kunye ne-ultrasound.
Oku kuya kuba yi -ultrasound yangaphakathi . I-ultrasound ngethuba lakho aliyona nto imnandi, kodwa zama ukukhumbula oku kufanayo kuwo onke amabhinqa ahamba nge-IVF.
Le mihla yokuqala ye-ultrasounds kunye nomsebenzi wegazi kubhekiselwa kuyo njengomsebenzi wakho wegazi osezantsi kunye ne-ultrasound yakho yesiseko. Kwimisebenzi yegazi lakho, ugqirha wakho uya kujonga amanqanaba akho e-estrogen, ngokukodwa i-E2 okanye i-estradiol. Oku kukuqinisekisa ukuba ii-ovari zakho "zilele." Yiloo nto yenzelwe i-Lupron shots okanye i-GnRH.
I-ultrasound kukujonga ubungakanani bamaqanda akho. Ugqirha wakho uya kukhangela i-ovarian cysts. Ukuba kukho ama-cyst, ugqirha uya kugqiba kweendlela zokujongana nazo. Ngamanye amaxesha ugqirha wakho uza kulibazisa unyango lweveki. Uninzi lwee-cysts zizinzela ngokwazo kunye nexesha. Kwamanye amaxesha, ugqirha wakho angasifisa i-cyst (yondla i-fluid) ngenaliti.
Ngokuqhelekileyo, ezi mvavanyo ziya kulungile. Ukuba yonke into ibonakala ilungile, unyango luqhubeka.
Ukunyanzeliswa kwe-Ovarian kunye nokubeka iliso
Ukuvuselela i-Ovarian kunye neziyobisi zonyango kuyisinyathelo esilandelayo.
Ngokuxhomekeke kwiprothokholi yakho yokwenza unyango, oku kunokuthetha naphi na ukuya kwesinye ukuya kutsho ezine iintsuku zonke malunga neveki ukuya kwiintsuku ezili-10. (Ouch!)
Mhlawumbi ungumpro nge-self-injection ngoku, ekubeni i-Lupron kunye nezinye i-GnRH i-agonists nazo ziyi-injection. Iklinikhi yakho kufuneka ikufundise indlela yokuzifaka ngayo iilenki phambi kokuba unyango luqale. Ezinye iiklinikhi zinikela ngeeklasi ngeengcebiso kunye nemfundiso.
Ungaxhalabi. Abayi kukunika i-syringe nethemba elifanelekileyo!
Ungafunda ngakumbi malunga nezidakamizwa zokuzala ongazithatha ngexesha le-IVF apha:
- Konke NgeGonadotropins
- Gonadotropin Side Effects
- GnRH Agonist (Lupron) Iziphumo ezingezantsi
- GnRH Antagonists (Antagon, Ganirelix, Orgalutran, kunye ne-Cetrotide) Imiphumo emibi
- Izidakamizwa eziLungelelweyo zoLuntu
Ngexesha lokuvuselela i-ovari, ugqirha wakho uya kubeka iliso ukukhula kunye nophuhliso lwee- follicle .
Ekuqaleni, oku kungabandakanywa umsebenzi wegazi kunye ne-ultrasounds yonke imihla embalwa. Ugqirha wakho uya kujonga amanqanaba akho e-estradiol. Ngexesha le-ultrasounds, ugqirha wakho uya kujonga ukukhula kwe- oocyte . (Ii-oocyte ziyiqanda kumaqanda akho.)
Ukuqwalasela umjikelo kubaluleke kakhulu. Yiyo ndlela ugqirha wakho azakugqiba ngayo ukulungisa utshintsho lwakho. Unokudinga ukwandisa okanye ukunciphisa amayeza. Xa ubude bakho buyi-16 ukuya kwi-18 mm ngobukhulu, ikliniki yakho iya kufuna ukukubona imihla ngemihla.
Ukugqitywa kokugqibela kwe-Oocyte
Isinyathelo esilandelayo kunyango lwakho lwe-IVF lubangela ii-oocytes ukuba ziphume kwisigaba sokugqibela sokukhula. Amaqanda kufuneka agqibe ukukhula nokuphuhliswa kwawo ngaphambi kokuba athathwe.
Ukukhula okugqibela kubangelwa yi-chorionic gonadotropin (hCG). Amagama eBrithani oku kuquka u-Ovidrel, Novarel, no-Pregnyl.
Ukukhawuleza lo mdlalo kubalulekile. Ukuba kunikezelwa kakhulu kusasa, amaqanda akayi kukhula ngokwaneleyo. Ukuba kunikezwe ngokukhawuleza, amaqanda angaba "adala kakhulu" kwaye akayi kufaka kakuhle.
Imihla ngemihla i-ultrasounds ekupheleni kwesinyathelo sokugqibela isetyenziselwa ukuba ixesha elidlulileyo lidubule ngqo.
Ngokuqhelekileyo, injola ye hCG inikezelwa xa iil follic ezine okanye ngaphezulu zikhule zibe ngama-18 ukuya kuma-20 mm ubukhulu kwaye amazinga akho e-estradiol aphezulu kunama-2,000 pg / ML.
Le festile i-injection yesikhathi esisodwa. Ugqirha wakho uya kukunika ihora elichanekileyo ukwenza lo mdlalo. Qinisekisa ukuba ulandele le miyalelo!
IVM vs IVF
Ngexesha eliqhelekileyo le-IVF, amaqanda kufuneka agqibezele ukuphuhlisa nokukhula kwawo ngaphambi kokufunyanwa.
I-IVM unyango luhluke kakhulu. I-IVM imele ukuvuthwa kwe-vitro. I-teknoloji entsha efana ne-IVF kodwa ihluke kakhulu kule nqanaba kwinkqubo.
Ngexesha le-IVM, amaqanda athatyathwa ngaphambi kokuba aphume kuzo zonke izigaba zokukhula. Awuyi kuba ne "trigger shot" ngexesha le-IVM. Amaqanda afunyanwayo aya kukhula kwiimeko zobume. Xa amaqanda sele ekhula, amanye amanyathelo alandela inkqubo ye-IVF.
Kuthiwani Ukuba Iifolumu Azikhuli
Sicinga ngale ngongoma ukuba izidakamizwa zokuvuselela i-ovari zisebenze ngokufanelekileyo. Kodwa oko akusoloko kuhamba ngayo. Maxa wambi iifolulini azikhuli. Ugqirha wakho unako ukwandisa amayeza, kodwa ukuba ii-ovaries zakho aziphenduli, umjikelezo uya kucinywa .
Oku akuthethi omnye umjikelezo awuyi kusebenza. Unokufuna nje amayeza ahlukeneyo. Nangona kunjalo, ukuba oku kwenzeka rhoqo, ugqirha wakho unokubonisa ukuba usebenzisa iqanda okanye umnikeli wombindi. Unokuba ufuna ukufumana umbono wesibini ngaphambi kokuqhubela phambili kweli nqanaba.
Kuthiwani Ukuba Usemngciphekweni we-OHSS
Enye ingxaki inokuthi i-ovaries yakho iphendule kakuhle. Ukuba ugqirha wakho ucinga ukuba usemngciphekweni wokuphuhlisa i-ovarian hyperstimulation syndrome (OHSS) , i-trigger yakho yokutsalwa iya kukhutshwa kwaye umjikelo uya kumiswa kweli nqanaba.
Enye inokwenzeka ukuba ugqirha uya kukufumana amaqanda, ahlalise, kodwa aphuzise ukuthunyelwa kwembungu. Oku kungenxa yokuba ukukhulelwa kungakhubaza kwaye kwandise ukubuyisela kwi-OHSS.
Xa umzimba wakho ubuyisela, ungazama ukudluliselwa kwebraza .
Ngethuba lomjikelezo olandelayo, ugqirha wakho unokubonisa amayeza amancinci amachiza, zama amayeza ahlukeneyo ngaphambi kokuba umjikelezo wakho uqale, okanye uphakamise i-IVM esikhundleni se-IVF (ichazwe ngentla.)
Kuthiwani Ukuba Uvula Ixesha elide
Nangona ingaqhelekanga, umjikelo unokukhanselwa kwakhona xa u-ovulation kwenzeka ngaphambi kokuba ufumane ukubuyiswa. Emva kokuba amaqanda azenzele, azikwazi ukufunyanwa. Ugqirha wakho uya kukuxelela ukuba ubaleke ngokwesondo.
Kubalulekile ukuba ulandele le miyalelo! Kungenzeka ukuba uye wakhupha kwiiqanda ezili-12. Mhlawumbi nangakumbi. Kukho ingozi kubo bobabini kunye nabantwana ukuba ukhulelwe ngokwemvelo kunye nesiqingatha sazo maqanda.
Iimvuthana ze-IVF zivuthiwe kaninzi?
Ukukhanselwa kwenzeka kwi-10 ukuya kwe-20 yeepesenti ze-IVF.
Ithuba lokukhansela liphakama ngobudala, kunye nalabo abaneminyaka engaphezu kwama-35 ngaphezulu banokufumana ukukhanselwa kwonyango.
Ukubuyiswa kwamaqanda
Ngeeyure ezingama-34 ukuya kuma-36 emva kokuba ufumene i-hCG shot, i-egg recovery will take place. Kuqhelekile ukuba ube neentloni malunga nenkqubo, kodwa abaninzi abafazi bahamba ngayo ngaphandle kwengxaki okanye intlungu.
Ngaphambi kokufunyanwa, i-anesthesiologist izokunika unyango ngoncedo ngokukhawuleza ukukunceda uzive ukhululekile kwaye ungenabuhlungu. Ngokuqhelekileyo, kusetyenziswe ukukhushulwa kokukhanya, okuya kwenza "ulale" ngokusebenzisa inkqubo. Oku akufani ne-anesthesia jikelele, esetyenziswa ngexesha lotyando. Imiphumo emibi kunye neengxaki aziqhelekanga.
Xa amayeza ayenzayo, ugqirha uya kusebenzisa i-ultrasound yangaphakathi ekukhokheni inaliti ngokusebenzisa udonga lwangasemva lwesini sakho, ukuya kumaqanda akho. Emva koko uya kusebenzisa inaliti ukuze anqwenele ulandelelwano, okanye ulandele ngenyameko i-fluid kunye ne-oocyte ukusuka kwintolthi ukuya kwinaliti. Kukho i-oocyte enye ngepolisi. Ezi ii-oocytes ziya kudluliselwa kwibhabrikhi yebhu ebhalisiweyo.
Inani le-oocytes elifunyenweyo liyahluka kodwa ngokuqhelekileyo linokuqikelelwa ngaphambi kokufunyanwa nge-ultrasound. Umyinge wenani le-oocytes li-8 ukuya ku-15, kunye neepesenti ezingama-95 zezigulane ezine-oocyte enye efunyenwe.
Emva kwenkqubo yokubuyisela, uya kugcinwa ngeeyure ezimbalwa ukuqinisekisa ukuba konke kulungile. Ukukhanya ukukhanya kukuqhelekileyo, kunye nokunciphisa kwesisu esiswini, kodwa ezininzi ziziva zibhetele kangcono ngosuku okanye emva kwenkqubo. Uya kuxelwa ukuba ubukele iimpawu ze- ovarian hyperstimulation syndrome , isiphumo esisecaleni ekusebenziseni iziyobisi ngexesha lokunyanga kwe-IVF kwiipesenti ezili-10 zezigulane.
Umquba we-egg
Ngethuba uhlala ekhaya ukubuyisela ekubuyiseleni, iifollicle ezinqwenelekayo ziya kukhangela i-oocytes, okanye amaqanda. Akuyiyo yonke intolli iya kuba ne-oocyte.
Emva kokuba ii-oocytes zifunyenwe, ziya kuvavanywa yi-embrologist. Ukuba iiqanda zivuthiwe ngokugqithiseleyo, ukuchumisa akunakuphumelela. Ukuba ababavuthi ngokwaneleyo, ibrabhu ye-embryology iyakwazi ukubakhuthaza ekuvuthweni kwilebhu.
Ukuququzelela i-oocytes kufuneka kwenzeke ngeeyure eziyi-12 ukuya kuma-24. Iqabane lakho liza kunika isampuli yesilwanyana ngokufanayo kusasa unokufumana. Ukuxinezeleka kwimihla kunokukwenza kube nzima kwabanye, kwaye ngoko kunjalo, iqabane lakho linganikeza isampuli yesilwanyana sokugcina isipilili ngaphambili kwimijikelezo, enokuthi iqhwale kuze kube yimini yokufunyanwa.
Emva kokuba isampuli yesilungiso isilungile, iya kufakwa kwinkqubo ehlambulukileyo yokuhlamba, eyahlula isityalo kwezinye izinto ezifunyenwe kwi-semen. I-embrologist izakukhetha "imboni ekhangeleka kakhulu," ibeka imbewu engama-10,000 kwisitshixo ngasinye senkokhelo kunye ne-oocyte. Izitya zenkcubeko zigcinwa kwi-incubator ekhethekileyo, kwaye emva kweeyure eziyi-12 ukuya kuma-24, zihlolwe zibonakaliso zemfuyo.
Ngaphandle kokusweleka komntu onamandla, iipesenti ezingama-70 ze-oocytes ziya kuzaliswa.
Kwimeko yenkxalabo engapheliyo yindoda, i- ICSI (ebizwa ngokuba yi-ick-see) ingasetyenziselwa ukuququza amaqanda, endaweni yokubeka nje isitya sokutya. Nge-ICSI, i-embryologist iyakukhetha i-sperm ye-healthy-looking and inseminate oocyte kunye nesidoda isebenzisa inaliti ekhethekileyo.
Ukutshintshwa kwembungu
Ngeentsuku ezintathu ukuya kwetlanu emva kokufunyanwa, i-embrologist izakuchonga ama-embrys akhangelekileyo. Oku kuyenziwa ngokubonakalayo (nge-microscope), kodwa kwezinye iimeko, ukuhlolwa kwendalo kuyenziwa. Oku kwaziwa ngokuba yi- preimplantation genetic diagnostic (PGD) okanye ukuhlolwa kwesantya kwe-preplantation (PGS.).
Ngamanye amaxesha, nge-PGD / PGS, iibrashi ziyakhutshwa kwaye ukutshintshwa kuyalibaziseka kude kube ngumjikelezo olandelayo. Ngaphandle koko, ukudluliselwa "okutsha" kwenzeka
Inkqubo yokudluliselwa kombindi ifana neyonyango lwe-IUI . Awudingi i-anesthesia.
Ngethuba lokudluliselwa kombindi, ityhubhu elincinci, okanye i-catheter, iya kudluliselwa kwi-cervix yakho. Unokufumana ukugqithisa kakhulu kodwa akukho nto ngaphezu kwayo. Nge-catheter, baya kudlulisa ama-embrosi, kunye nexabiso elincinci.
Inani leembumba ezinokutshintshwa ziya kuxhomekeka kumgangatho weembryos kunye nengxoxo yangaphambili kunye nogqirha wakho. Ngokuxhomekeke kwidala lakho, nokuba yiyiphi na imibhobho emihlanu ukuya kwemihlanu ingadluliselwa. Uphando olutshanje luye lwabonisa impumelelo ngesibindi esisodwa esidluliselweyo. Thetha kugqirha wakho ukuze ufumane ukuba oku kusebenza kuwe.
Emva kokutshintshwa, uya kuhlala ulala phantsi kweeyure ezimbalwa (ngenisa incwadi) uze uhambe ekhaya.
Ukuba kukho "i-extra" ye-high-quality embryos ekhohliweyo, unokukwazi ukuyiqhwa. Oku kuthiwa yi-embryo cryopreservation. Zingasetyenziswa kamva ukuba lo mjikelo awuphumelelanga ekutshintshisweni kwebraza , okanye ziyakunikwa.
Inkxaso yeProgesterone kunye neveki ezimbini zilinde
Ngomhla okanye emva komhla wokufumana kwakho, kwaye ngaphambi kokudluliselwa kombindi, uya kuqala ukunika izongezelelo zeprogesterone. Ngokuqhelekileyo, iprogesterone ngexesha lokunyanga kwe-IVF linikezwa njenge-self-injection injection as progesterone kwioli. (Amaphetshana angaphezulu!) Ngamanye amaxesha, nangona kunjalo, ukuxhaswa kweprogesterone kungathathwa njengepilisi, i-gel yolwandle, okanye i-suppository yamanzi.
Ngaphandle kweprogesterone, akukho nto ihamba phambili kwiiveki ezimbini ezizayo. Ngandlela-thile, iiveki ezimbini emva kokuba ukudluliselwa kunokuba nzima ngakumbi emoyeni kuneeveki ezimbini zonyango. Ngethuba lamagqabantshintshi odlulileyo, uza kutyelela ugqirha wakho mhlawumbi nangenye imini. Ngoku, emva kokudluliselwa, kuya kubakho ukukhawuleza emsebenzini.
Unokuba nemibuzo eninzi malunga neveki ezimbini ulinde. Unokulala ngesondo? Kuthekani ukuba unqamle? Enyanisweni, ugqirha wakho ngumthombo omnye kwinani lakho leenkxalabo zakho.
Yonke into onokuyenza ulinde iiveki ezimbini kwaye ubone ukuba ukukhulelwa kwenzeka. Inokukunceda ukuhlala uxakeke kunye nobomi bakho ngeli xesha lokulinda kwaye ugweme ukuhlala kwaye ucinge malunga nokuba ingekho unyango luya kuphumelela. Ndiyazi, kulula ukuthetha kunokukwenza.
Uvavanyo lokukhulelwa nokuLandela
Ngeentsuku ezi-9 ukuya kwe-12 emva kokudluliselwa kombindi, ukuhlolwa kokukhulelwa kuyalwe. Oku kuvame ukuhlolwa kokukhulelwa kwe-serum (umsebenzi ophezulu wegazi) kwaye kuya kubandakanywa amanqanaba e-progesterone. Uvavanyo luya kuphindwa rhoqo emva kweentsuku ezimbalwa.
Ukuba uvavanyo luhle (ewe!), Ungadinga ukuqhubeka uthabathe ukuxhaswa kweprogesterone kwenye iiveki ezimbalwa. Ugqirha wakho uya kulandelelana kunye nomsebenzi wegazi ngezinye iinkqubo kunye neendlela zokujonga ukukhulelwa kunye nokubukela ukulahleka okanye ukukhulelwa kwe-ectopic.
Ngexesha lokunyanga kwe-IVF, ukuphuphuma kwesisu kufike kwi-15 ekhulwini yexesha kwabasetyhini abangaphantsi kweminyaka engama-35, ama-25 ekhulwini kwabasetyhini abaneminyaka engama-40 ukuya phezulu kunye nama-35 ekhulwini kwithuba emva kweminyaka engama-42.
Ugqirha wakho uya kubeka esweni nokuba ngaba unyango lukhokelela ekutheni ukhulelwe. Ukuba kukho ukukhulelwa okuphezulu (4 okanye ngaphezulu), ugqirha wakho unokuxubusha ukhetho lokunciphisa inani lezitho zomntwana kwiinkqubo ezibizwa ngokuthi "ukunciphisa ukukhulelwa kwe-multifetal." Ngamanye amaxesha kwenziwa ngeenjongo zokwandisa amathuba okuba ukhulelwe kwaye uphumelele.
Xa i-IVF Treatment ihluleka
Ukuba uvavanyo lokukhulelwa luyaqhubeka ludlulileyo emva kweentsuku ezili-12 ukuya kwezi-14, ugqirha uya kukucela ukuba uyeke ukuthatha i-progesterone. Emva koko, uya kulinda ixesha lakho ukuqala.
Isinyathelo esilandelayo siya kugqitywa nguwe, iqabane lakho kunye nodokotela wakho. Ukuba lo ube ngumjikelo wakho wokuqala, omnye umjikelo unokunconywa. Khumbula ukuba amathuba akho omhle okuphumelela emva kokuba enze imijikelezo emininzi.
Ukuba nomjikelezo wonyango uhluleka akulula. Kubuhlungu. Kubalulekile, nangona kunjalo, ukugcina engqondweni ukuba ukuphelelwa komjikelezo omnye akuthethi ukuba awuyi kuphumelela xa uzama kwakhona.
Imithombo:
> Debbie A. Lawlor, Ph.D. okqhubekayo. Umvuzo wokuzalwa ohlangene nokuphindaphinda kwi-Vitro Fertilization Treatment Cycles. " JAMA , Disemba 2015.
> I-ART: Isikhokelo senyathelo-nyathelo. Umbutho weTeknoloji yokuThuthukiswa koNcedo. http://www.sart.org/Guide_ARTStepByStepGuide.html
> Ukuncedisa ubuchwepheshe bokuzala: Isikhokelo sabathinteli. Umbutho waseMelika weMithi yokuzala.