I-insemination ibhekisela ekubekeni kwesidoda emkhakheni wokuzala wesifazane, ngenhloso yokubangela ukukhulelwa. I-insemination idinga ukuqhubeka ngesikhathi sesikhathi esivundile kakhulu sowesifazane , cishe amahora angama-24 kuya kwangu-48 ngaphambi kokulondeka.
Ngokuvamile, lapho abantu bekhuluma ngokuqothulwa okufakelwayo, babhekisela ku-IUI noma ekusetshenzisweni kwe-intrauterine . U-IUI ukwelashwa kokuzala okubandakanya ukuthatha isilwane esivunyiwe ngokukhethekile, nokudlulisela isidlo esibelethweni sowesifazane ngokusebenzisa isiraphu ekhethekile.
Ngenkathi i- IUI iyindlela ejwayelekile kakhulu yokuqothulwa kwamakhemikhali, kunezinye izindlela zokudlulisa isidakamizwa ohlelweni lokuzala owesifazane.
Intravaginal Insemination (IVI)
Insemination Intravaginal (IVI) yilona uhlobo olulula kakhulu lokuqothula futhi luhilela ukubekwa kwesidoda esiswini sowesifazane. Kuhle kakhulu okwenzeka ngesikhathi sokulala ngokocansi ngokubeka umuthi wesilisa.
Le ndlela yokudambisa ingasetshenziswa uma usebenzisa umsizi wesilwane, futhi uma kungekho izinkinga zokuzala komfazi.
Ngenxa yokuthi amazinga okuphumelela aphansi kune-IUI, leli fomu lokuqothula akuvamile kepha livame ukwelashwa "kokusabalalisa ekhaya" . Ukwehlukaniswa kwekhaya kungasetshenziswa imibhangqwana yamabhangqwana, efuna ukukhulelwa esebenzisa isidoda esithengiwe esithengiwe noma isidoda esinikezwe umngane. Kungasetshenziswa futhi kwabesifazane abazwa ubuhlungu ngesikhathi sokulala ngokocansi .
Intracervical Insemination (ICI)
Okufanelekile, isidoda kufanele sibekwe eduze komlomo wesibeletho ngangokunokwenzeka.
Nge-insemination ye-intracervical (ICI), i-sperm ifakwa ngqo ngaphakathi komlomo wesibeletho, isebenzisa isirinji esingenalutho.
Isidakamizwa asidingi ukuba sihlanzwe, njenge-IUI, ngoba imbongolo ayifakiwe ngokuqondile ngaphakathi kwesibeletho. Kodwa-ke, kungase kusetshenziswe ngaphambili ukukhulisa amathuba okuphumelela.
Insemination ye-intracervical ivame kakhulu kune-IVI kodwa engavamile kune-IUI.
Kungasetshenziswa uma umbhangqwana ufuna ukusindisa imali enqubo yokwelashwa, njengoba i-ICI ingabizi kakhulu kune-IUI, ikakhulukazi uma isilwane singasetshenziswanga ngaphambili.
I-ICI ingabizi kakhulu kune-IUI. Kodwa amazinga okuphumelela abukeka kanjani? I-metaanalysis enkulu ibheka i-IUI uma kuqhathaniswa ne-ICI, lapho abesifazane basebenzisa isilwane sama-donor. Abazange bathole ubufakazi obanele bokuthi enye indlela yayingase iholele ekuzalweni okuphilayo kunomunye.
Intratubal Insemination (ITI)
Ukungena kwe-Intratubal kuhilela ukufakwa kwesidakamizwa esandulelwe ngaphambi kokushukela kwethambo lomfazi. Lokhu futhi ngezinye izikhathi kuthiwa yi "fallopian tuberm perfusion perfusion." I-sperm ingahle idluliselwe emathinini ngokusebenzisa i-catheter ekhethekile ehamba emlonyeni wesibeletho, kuze kube sebelethini, nasezikhungweni ze- fallopian . Enye indlela yokwehlukaniswa kwe-intratubal kuhilela ukuhlinzeka kwe-laparoscopic.
Ngeshwa, ukusabalalisa kwe-intratubal kuye kwahlotshaniswa nengozi enkulu yokutheleleka nokuhlukunyezwa, futhi kukhona impikiswano yokuthi isebenza kangcono kune-IUI evamile.
Ngenxa yobungozi bayo, izindleko eziphakeme, kanye nokuphumelela okungaqiniseki, kuyinto engavamile eyenziwa futhi kuyindlela engavamile yokuhlukaniswa kwempahla.
Ukhetha kanjani ukuthi yikuphi uhlobo lokusatshalaliswa okuzosetshenziswa?
Ukusho ukuthi uhlobo oluthile lwe-insemination luhlala lungcono kunomunye olungalungile.
Kuxhomeke kwizizathu zokusebenzisa ukusakazwa endaweni yokuqala.
IUI yiyona ndlela ebiza kakhulu kunazo zonke, ngoba imbongolo idinga inqubo ekhethekile yokuhlanza. IUI kumele futhi kwenziwe emtholampilo wokuzala . "I-home" IUI ayinakwenzeka.
U-IUI kungaba yindlela engcono uma ukwelapha ukungabonakali okungahlongozwayo noma ukungabi nabantwana okuhlobene nezici zomlomo wesibeletho .
IUI ingase ibe yinto engcono kakhulu uma kubandakanyeka ukuhlukumeza owesilisa . U-IUI kusiza isidoda ukuba sifike endaweni yaso eyayiyinhloko-amashubhu angama-fallopian-ngaphandle kokudinga ukuhamba ngezithiyo eziningi (njengemvelo yesisu nesisu somlomo wesibeletho.) Uma isibalo sezinambuzane noma isibalo sembewu singavamile, lokhu kukhuliswa okwengeziwe kungasiza.
Ngakolunye uhlangothi, uma kungenayo izinkinga zesintu ezithinta ukuzala futhi akukho nezindaba eziphathelene nomlomo wesibeletho, insemination ye-intracervical (ICI) noma i-intravaginal ekussemination (IVI) ingaba yizinketho ezinhle. Ayabiza kakhulu futhi angahle aphumelele.
Isibonelo, uma isidakamizwa sinikelo sisetshenziswa, futhi akukho zinkinga zokuzala, i-ICI noma i-IVI ingahle isebenze kanye ne-IUI. Lesi simo singase senzeke uma owesifazane oyedwa noma umbhangqwana ongathandana nabo besifazane befuna ukukhulelwa ngokusebenzisa umsizi wesilisa. Lokhu kungase kwenzeke uma umbhangqwana unesilisa kodwa asikho izinkinga zesifazane ezenzelwe ukuzala, futhi unqume ukusebenzisa umsizi wesilwane.
I-ICI noma i-IVI ingaba ubulili obufanele obucansini yimbangela yokusakazwa.
Kodwa-ke, ubuhlungu phakathi kocansi ngokuvamile (kepha hhayi ngaso sonke isikhathi) uphawu lokuthi kukhona okungalungile ngokomzimba. Isibonelo, amazinga aphansi e-estrogen angabangela ubuhlungu phakathi kocansi. Esinye isizathu esingaba khona singase sibe isifo sokuvuvukala kwe-pelvic (PID) noma i- endometriosis . Kulezi zimo, kungase kube nezindaba zenzalo zokuzala ezihlala zingatholakali.
Izwi elivela ku-Verywell
Ukusetshenziswa kwe-insemination kungasetshenziswa ezimweni zesilisa ezingasebenzi, ukungasebenzi komzimba wesibeletho, ukungasebenzi okungaqondakali, noma uma isilwane esinikezwayo sisetshenziswa. I-donor sperm ingaba inketho uma kuhileleka abantu besilisa, noma kungase kukhethwe lapho owesifazane oyedwa noma umbhangqwana ongashadile befuna ukuba nomntwana.
Odokotela abaningi bemitholampilo yokuzala baphakamisa i-IUI, noma i-intrauterine insemination, ngokuzenzakalelayo. Yilokho okusetshenziselwa kakhulu ukuhlinzeka ekusetshenzisweni kokungakhulelwa. Kodwa I-IVI noma i-ICI ingahle ibe yindlela ongakhetha ngayo, futhi ibiza kancane. Ungesabi ukubuza udokotela wakho uma ngabe uhlobo oluthile lwe-insemination lungcono kuwe.
> Imithombo:
> Cantineau AE1, Cohlen BJ, Heineman MJ, Marjoribanks J, Farquhar C. "I-intrauterine insemination ne-fallopian tube sperm perfusion ye-non-tubal infertility. " Cochrane Database Syst Rev. 2013 Oct 30; (10): i-CD001502. i-doi: 10.1002 / 14651858.CD001502.pub4.
> Kop PA1, Mochtar MH, O'Brien PA, Van der Veen F, van Wely M. "Intrauterine insemination ne-intracervical ekususeni ekuhlinzekeni kwezidakamizwa. "Cochrane Database Syst Rev. 2018 Jan 25; 1: CD000317. i-doi: 10.1002 / 14651858.CD000317.pub4. [I-Epub ngaphambi kokuphrinta]