Ukukhetha uDokotela, Okufanele Ukulindele Ngenkambiso, Nokuba Nomntwana
Ukuzala kwesifazane kuza nomhla wokuphela kwesikhathi. Ngeshwa, amaqanda ethu akwazi ukulinda kuze kube yilapho sesilungele ukuba nezingane. Abesifazane abangaphezu kweminyaka engama-35 banamathuba amaningi okubhekana nokugula okuhlobene neminyaka. Ingozi yokungabi nabantwana eneminyaka engu-40 nangaphezulu iphinde ibe ngaphezulu.
Ayikho ngempela indlela yokumisa inqubo yokuguga. Ngenkathi impilo engenampilo ingasheshe isheshe ukuncipha ( ukubhema , isibonelo, ukudala ama-ovari ngaphambi kwesikhathi), ukuphila okunempilo akuphuzi izinto.
Lokho kusho, kunye indlela eyodwa yokumisa inqubo yokuguga kwamaqanda ngabanye-futhi ane- cryopreservation , noma iqhwa elikhethiweyo leqanda. Amaqanda efriziwe ema-20s noma eminyakeni engama-30 ubudala azogcina isimo sabo "esincane" ngisho noma esethunjwa futhi asetshenziswe eminyakeni eyishumi kamuva.
Ukucaca, ngeke kukunikeze okufanayo kokukhulelwa uma uzame ngokwemvelo ngesikhathi sokuqhwala. ( Izingqinamba zakho ezingcono kakhulu zokukhulelwa zingokulala ngokocansi kuma-20s noma eminyakeni engama-30.) Kodwa lawo maqanda amaqhwa azoba izinga eliphezulu kakhulu kunanoma yimiphi ama-oocyte athola iminyaka edlule.
Nakhu ukuthi ungafisa kanjani amaqanda akho, ngokukhetha umtholampilo (ngethemba) unomntwana.
Okokuqala, Ngokucophelela Ucwaningo Lokukhethwa Kwamaqanda Egg Ukuqhwaza
Ukunquma ukufisa amaqanda akho mahhala kungaba nakho okunika amandla-kodwa kuphela uma ungena kuwo wonke amaqiniso. Uyaqonda yini izingozi? Ukuqonda ngokugcwele izindleko? Uyazi ukuthi amazinga okuphumelela akhona, ngokujwayelekile, futhi, ikakhulukazi, okwamanje?
Isibonelo, owesifazane okhululeka eneminyaka engama-30 kungenzeka ukuthi uphumelele kunowesifazane okhululeka eneminyaka engu-38.
Enye yezinto ezibaluleke kakhulu ukwazi ukuthi i-frozen egg ifika engenakho iziqinisekiso. Ngezinye izikhathi, iqhwa lokuqanda libizwa ngokuthi "umshuwalense wokuzala." Lokho akulungile. Umshuwalense ukhokha uma wenza isimangalo.
Amaqanda akho afriziwe angakuthola noma angakutholi ingane.
Ngaphambi kokuba uqale udinga udokotela, cwaninga izinto zangempela zokuqhwaza kweqanda lomphakathi . Funda kusuka emithonjeni ephikisanayo nokuphikisana kwamaqanda. Kuyinto engavumelani, ngaphandle kwezimpendulo ezicacile.
Futhi, qaphela ukuthi ngenkathi izikhathi zokwaziswa zamaqanda eziqhwayo ezithathwe imitholampilo yokuzala zingakunikeza ukuqonda, yiyo imicimbi enkulu yokukhangisa. Zihloselwe ukukuthengisa isevisi yokulondoloza inzalo. Thatha imininingwane yabo, kodwa ungayisebenzisi njengomthombo wakho kuphela.
Ukukhetha Umtholampilo Wezokwelapha Nezokwelapha
Ukuze ushiswe amaqanda akho, kuzodingeka uthole umtholampilo wokuzala .
Ngokuqondile, ufuna ukuthola umtholampilo wokuzala ngencwadi enhle kakhulu, futhi ufuna udokotela onolwazi ngokusebenza ngamaqanda amaqanda akhethiwe noma abaxhasi bamaqanda . Kungani kubalulekile ukukhetha amaqanda amaqanda noma ama-egg donors? Ngoba laba bangabesifazane abanomsoco omuhle, futhi badinga ukunakekelwa okuhlukile nokunakekelwa ngesikhathi sokugqugquzela ama-ovarian kuneziguli ezingenamandla.
Okunye okubalulekile-uzodinga ukukhetha ibrabhu enokuhlangenwe nakho namakhono okungafaki amaqanda akho mahhala kuphela, kodwa futhi uzowafaka futhi uwafake kamuva. Ukuba nesipiliyoni ngokuqhwala akwanele.
"Ngizizwa kahle ukuthi indawo ezobamba imali yakho ukuze iqede amaqanda akho kufanele abe nesipiliyoni sokuthi siyazi ukuthi senzeni ngamaqanda akho uma ufuna ukuwagxilisa, futhi ube nemiphumela yokukhulelwa ukuma," kuchaza UDkt. Diana Chavkin, onguchwepheshe oqinisekisiwe wokuzala oye wasebenzisa ubuchwepheshe bakhe ukusiza ukuthuthukisa izinhlelo zokulondoloza izithelo ezweni lonke.
Ukuthola umtholampilo ngolwazi kuyisihluthulelo. "Ezinye imitholampilo zinikeza ukulondolozwa kokuzala (ezenhlalakahle nakwezinye izindawo) ngaphandle kokwenza izinombolo ezinkulu zokuqhwala / ukugxilisa ukuqiniseka ukuthi zikwazi ukwenza inqubo," kusho uDkt. Kevin Doody, isazi sokugcina izidakamizwa ekuzalweni kwezingane eDallas, eTexas.
"Kuzoba iminyaka kwezinye iziguli ngaphambi kokuba ezinye iziguli zikwazi ukuthi izinyosi zabo zisinda yini."
Qaphela ukuthi akuwona wonke umtholampilo wokuzala ozofaka kuhlu kwiwebhusayithi yabo ukuthi banikeze iqhwa elikhethiweyo leqanda. I-American Society for Medicine Reproductive (ASRM) iluleke ngokumelene nokuthengisa okuqondile kwabesifazane ngokuchithwa kwe-cryopreservation. Yingakho kungase kungabonakali ukuthi banikeza inkonzo, noma ngabe bayakwenza futhi kungenzeka ukuthi bayinikeza iminyaka.
Khumbula futhi ukuthi isipiliyoni se-lab-amaqanda esikhwameni sibheka ngaphezu kweqhwa elikhethiweyo leqanda. I-egg iqhwa-kanye nenqubo ye-thaw kanye nokukhulelwa-ingaba yingxenye yokwelashwa okuvamile kwe-IVF , umjikelezo wamaqanda we-IVF, kanye nengxenye yezokwelapha-ezidingekayo zokulondolozwa kokuzala.
Iseluleko esinikezwa iziguli ezingenasifo sendlela yokukhetha umtholampilo wokuzala kufana nalabo abafuna iqhwa elikhethiweyo leqanda. Lokho kusho, nansi eminye imibuzo okufanele ubuze:
- Iminyaka emingaki ilabhu yakho inikeze iqhwa elikhethiweyo leqanda? (Kusukela ngo-2013 yimpendulo enhle.)
- Uke waba nomphumela wokukhulelwa ovela kumaqanda a-cryopreserved kulabhu yakho yakho?
- Kulo nyaka, zingaki imijikelezo yamaqanda eqanda amaqanda okwenzile, futhi ngaphandle kwalesi samba, zingaki eziningi zokukhulelwa komtholampilo?
- Kubiza malini umjikelezo weqanda? (Okuningi ngalokhu ngezansi.)
- Ngokwesilinganiso, ingaki imijikelezo yamaqanda akho adinga?
Ukubonisana Ne-Endocrinologist Yokuzala
Ngemuva kokuthola umtholampilo (noma amabili) onentshisekelo ekusebenzeni nayo, isinyathelo sakho esilandelayo ukuthi ube nokuqokwa kokubonisana ne-endocrinologist yokuzala (noma isazi sokuzala). Lokhu kuqokwa kungenzeka kube mahhala noma kungabi nezindleko.
Inhloso eyinhloko yalesi sikhundla ukuthi ukhulume nodokotela ngalokho okufunayo futhi unikele ngomlando wakho wezempilo, kanye nodokotela ukuchaza inqubo yokuqanda iqanda, uphendule noma yimiphi imibuzo onayo, ukukunika ( cishe) izinkinga zokuphumelela, futhi uxoxe ngezingozi ezikhona zenkambiso. Isikhundla sokubonisana sikhona ukukusiza ukuba wenze isinqumo esinolwazi ngokuthi uzoqhwa noma cha.
Ungesabi ukubuza imibuzo eminingi njengoba udinga. Qinisekisa ukuthi ubuza ukuthi udokotela ucabange ukuthi izilingo zakho zempumelelo ziyiqiniso kangakanani, ngokususelwa eminyakeni yakho yamanje. Bazokwazi ukunikeza umqondo ongcono emva kokuhlolwa kokuvuna okuthile.
Ukuxoxa ngezindleko ze-egg Ukuqhwaza
Ngaphambi kokuhlolwa noma ukwelashwa kuqala, qiniseka ukuthi uyazi izindleko eziphelele ngaphambi kokusayina. Imitholampilo eminingi ngeke ikwazi ukukunikeza umqondo omuhle wentengo ephelele kuze kube ngemva kokuqokwa kokubonisana kanye nokuhlolwa kokuqala kokuzala. Lokhu kungenxa yokuthi zingaki imijikelezo ongayidinga ixhomeke ngokuyinhloko eminyakeni yakho kanye namanje okugcina ama-ovarian. Okunye kwalokhu ngeke kwaziwe kuze kube yilapho usuhambile okungenani umjikelezo owodwa.
Lokho kusho ukuthi, izilinganiso kanye nezilinganiso kufanele zitholakale ngaphambi kokuthi uhlale phansi ukukhuluma nodokotela. Uma ucela mayelana nentengo, qiniseka ukuthi uthole i-quote ephelele efaka:
- Ama-aphoyintimenti wokubonisana
- Ukuhlolwa kokuzala (ezinye zingase zimbozwe umshuwalense wakho wezempilo)
- Izindleko zemithi yokuzala
- Ukuqapha umjikelezo weqanda
- Ukubuyiswa kweqanda langempela kanye ne-cryopreservation
- Ukugcinwa kwamaqanda ngonyaka
Thola ukuthi intengo yokuqhwala ihlanganisa unyaka wokuqala noma izinyanga ezingu-6 zokugcina, noma uma leyo mali ingaphezu kwamanani acashunwe. Uma ungenalo ulwazi olugcwele lwezindleko, awukwazi ukuqhathanisa nokuthi yiziphi ezinye imitholampilo enganikeza. Ungesabi ukukhuluma nemitholampilo engaphezu kweyodwa, kodwa ungenzi isinqumo sakho kuphela kumanani noma. Imali yakho iyolahleka uma umtholampilo ungenayo ubuchwepheshe bokusingatha amaqanda akho.
Ngokwesilinganiso, imijikelezo yeqanda elilodwa lokuqhwala liphakathi kuka- $ 7,000 no-15,000. Imali yesitoreji isukela ku-$ 500 kuya ku-$ 1,000 ngonyaka. Ungadinga ngaphezulu komunye umjikelezo emaqanda ananele asebhange, futhi imijikelezo eminingi ingadingeka uma uneminyaka engu-35 noma ngaphezulu.
Ezinye imitholampilo izophinde inikeze ngentengo ekhethiwe yokucubungula-ukufaka umanyolo-inqubo yokudlulisa phambili (lokhu kuyincenye yenqubo ezokwenzeka uma unquma ukusebenzisa amaqanda akho eminyakeni eminingi esikhathini esizayo). Uma kuqhathaniswa nokwehla kwamanani emali nokukhuphuka kwezindleko zokwelashwa, lokhu kufanelekile ukucabangela lapho ukhetha umtholampilo.
Ngeke uze udinga ukusebenzisa leyo ngxenye yesevisi. Ngethemba ukuthi uzozikhulela ngokwakho noma nini lapho usulungele ukuqala ukuzama ukukhulelwa. Kodwa-ke, ukuba nemali evumelanisiwe phambili kungakusiza ukuthi uhlele futhi unganciphisa izindleko zakho kamuva, uma udinga ukusebenzisa amaqanda akho.
Isigaba sokuhlola sokuqala
Umgomo oyinhloko wokuhlola ngaphambi kokuqanda iqanda ukuhlola isimo sakho samanje sokuzala futhi uqinisekise ukuthi awunazo izifo ezithathelwana ngokocansi (STD / STIs). Uma unayo i-STD, usengaqhwaza amaqanda akho. Uzodinga ukuthi ube nesifo sokutheleleka kuqala. Ukutheleleka okusebenzayo kungandisa ingozi yokutheleleka okujwayelekile phakathi nenqubo, okungabeka ingozi yakho (ngisho nokuphila kwakho) engozini.
Okunye okunye udokotela wakho ozokuhlola kuyisabelo sakho se-ovarian. Lokhu kwenziwa ngomsebenzi wegazi, ubheka amazinga akho e-hormone we-AMH ne- FSH . Ungase ube nesibalo se- antral follicle , esiluhlolo olukhethekile lwe-ultrasound.
Ukuhlolwa kwe-Ovarian reserve kunikeza udokotela wakho umbono wokuthi mangaki amaqanda onayo kuma-ovari akho. Akuyona inani eliqondile-asinalo ubuchwepheshe bokunikeza leyo mpendulo. Awukwazi ukusho ukuthi iziphi izinkinga zakho zokukhulelwa ngokwakho, ngaphandle kokwelashwa kokuzala , futhi angakutshele ukuthi "iminyaka emingaki" oshiye yenzalo yemvelo.
Lokho esikwaziyo ukuthi uma ama-ovarian reserves ephansi, cishe akakwazi ukuphendula izidakamizwa zokuzala. Lokhu kusho ukuthi ukwelashwa kwe-IVF akunakwenzeka ukuba uphumelele, futhi, ngokweqanda lokuqanda amaqanda, kusho ukuthi ukuthola amaqanda amancane kuncane kakhulu.
Kwenzekani uma izindawo zakho zokugcina ama-ovari zitholakala ziphansi? Lokhu kuyinto yokuxoxa nodokotela wakho. Lokhu kungenzeka uma usekupheleni kweminyaka engu-30 noma eminyakeni engama-40. "Abafazi asebekhulile abakhethekile ukulondolozwa kokuzala," kusho uDkt Doody. "Ikhefu labo lokukhulelwa liphansi namaqanda amasha futhi aphansi ngeqhwa."
Ukuhlela i-Egg Freezing Cycle
Uma usuvumelene ngemali, ugcwalise konke ukuhlolwa kokuzala kokuqala , futhi ubuze imibuzo yakho ngenqubo, kuyoba yisikhathi sokuhlela umjikelezo wakho wokuqanda iqanda. Usuku luzokhethwa ngokususelwa kumjikelezo wakho wokuya esikhathini. Kuzodingeka ulandele zonke izidakamizwa zokuzala kulo mjikelezo ngaphambi kokuba noma yini iqala. Lokhu kuzoba ikakhulukazi ama-hormone angenayo.
Omunye emtholampilo wokuzala uzokuchazela ukuthi ungayisebenzisa kanjani futhi usebenzise izidakamizwa zokuzala. Uzobe uzinikeza izijovo (noma, ungaba nomngane okwenzele yona, uma u-squeamish nawe ukwenza lokho ngokwakho). Ukujola cishe kuyoba izicubu ezinamafutha esiswini sakho. Uzoqala ukuthatha imithi ngaphambi kokuba kuqale isikhathi esilandelayo.
Imithi Ejojowe Esetshenziswa Egg Ukuqhwaza
Kuye ngesiphakamiso somdokotela wakho, kungenzeka ukuthi uzinikela phakathi kwe-injection eyodwa noyodwa ngosuku. Lokhu kungahlukahluka kuye ngokuthi ukhona kuphi emjikelezweni wakho.
Lezi zidakamizwa zokuzala zinezinhloso ezimbili eziyinhloko: ukugqugquzela amaqanda emaqanda akho futhi ugcine ukulawula inqubo ye-ovulation ukuze amaqanda angabhubhisi ngaphambi kokuba athole.
Imithi yokwelapha ongase uthathe ihlanganisa:
- I-Gonadotropins , okuyi-hormone efana ne-bio kuya emzimbeni wakho oveza ngesikhathi sokujikeleza okujwayelekile
- Abaphikisi be-GnRH noma ama- GnRH agonists , okusiza udokotela wakho ukuba alondoloze ukulawula phezu kwenqubo ye-ovulation
Imiphumela emibi kakhulu yale mithi ihlanganisa ukukhanda ikhanda, ukukhanya okushisayo, ukuqhuma, ukuguquka kwesimo sengqondo, isicashu, kanye nesizungu. Izingosi zakho zokujola zingase zibe zibuhlungu noma zibomvu kancane. Yiqiniso, wonke umuntu uphenduka ngendlela ehlukile kuma-hormone. Uma ukhathazekile nganoma yimuphi umphumela ohlangothini owubuhlungu, khuluma nodokotela wakho.
Ingozi eyingozi yokusebenzisa izidakamizwa i-ovarian hyperstimulation syndrome, noma i-OHSS. Amaphesenti angama-10 abesifazane abasebenzisa i-IVF noma amaqanda amaqanda angathola ama-OHSS aphansi. I-OHSS encane ingabangela ukungakhululeki, kufaka phakathi ukuvinjelwa, ukuzuza kancane kwesisindo, isisindo somswakama, nesifo sohudo.
Ezimweni ezimbi, i-OHSS ingaholela ekulahlekelweni kokuzala ngisho nokufa. Izimpawu eziphawulekayo ze-OHSS zihlanganisa ukuzuza okusheshayo kwesisindo, ubuhlungu besisu esisodwa, ukuhlanza okukhulu, ukuhlanza okukhulu, ukushayela umvuthwandaba, isizungu, ukuphefumula, noma ukushaya kwenhliziyo ngokushesha. Bika udokotela wakho uma unezimpawu ze-OHSS .
Ukuqapha kwe-Cycle
Enye ingxenye ebalulekile yale nqubo iwukuqapha ukukhula kwamaqanda (noma u-follicle) emaqanda akho. Udokotela wakho ufuna ukuthola indawo enhle yokugqugquzela ama-ovari ukuvuthwa amaqanda okwanele ebhange, kodwa hhayi ngaphezu kokubakhuthaza nokudala i-ovarian hyperstimulation syndrome (OHSS).
Lindela ukuba usebenze ngegazi kanye nokukhanya okungahambanga phakathi kwezinsuku ezimbalwa, futhi mhlawumbe nsuku zonke, njengoba usondela eduze nenqubo yokubuyisela amaqanda.
I-Egg Retrieval ne-Egg Ukuqhwaza
Ukujola nokuqapha ama-ovari wakho kuzothatha amasonto amabili kuya kwangu-3. Uma i-follicles ifinyelela usayizi othize nesigaba sokuvuthwa, udokotela wakho uzohlela ukubuyiswa kweqanda. Uzoba ngaphansi kwe-sedation yokuthola amaqanda. Phakathi nalesi nqubo, udokotela wakho uzosebenzisa inaliti eqondiswa i-ultrasound ukuthi idlule odongeni lakho lobufazi kanye nama-ovarie akho. Kulapho, udokotela wakho uzokuzitholela ngokucophelela u-follicle ngamunye ngenaliti. Ngaphakathi kwe-follicle ngayinye yiqanda.
Amaqanda azobe esetjenziswa ebhodini lapho i-embryologist izosebenzisa khona i- vitrification ukuze igubhe . Isiqukathi esinamaqanda akho sizobhalwa ngokucophelela futhi sibekwe kwisitoreji sesitoreji, ukugcina siqhwa futhi siphephile uze ulungele ukuwasebenzisa esikhathini esizayo.
Ungase uzwe okunye okwehliswayo nokubona ngemuva kokubuyiselwa kwamaqanda. Kukhona ingozi engavamile yokutheleleka. Uma uthuthukisa umkhuhlane noma ubuhlungu obandayo, utshele udokotela wakho ngokushesha. Kukhona futhi izingozi ku-sedation, okumele udokotela wakho akuchazele yona.
Lapho Ulungele Ukuzama Ukuba Nomntwana
Amaqanda akho angahlala eqhwa kuze kube phakade (uma nje uqhubeka ukhokhela isitoreji sabo). Uma usuqumile ukuthi ufuna ukuzama futhi ube nomntwana, uzokuqala uzame ngaphandle kwamaqanda aqhathaniswayo. Lokhu kungase kube ngezocansi nomlingani wakho, noma nge- donor wesilisa kanye nokusabalalisa . Kuye ngeminyaka yakho, ungazama izinyanga ezingu-6 noma ngonyaka.
Uma ungaphumelelanga ukukhulelwa ngale ndlela, ngabe ngabe ufuna ukucabangela ukusebenzisa amaqanda akho eqhweni. Udokotela wakho uzokwenza ukuhlolwa okusha kokuzala ngaleso sikhathi. Uma unomlingani wesilisa, uzodinga ukuhlaziywa kwesilisa . Khumbula ukuthi ukuzala kwakho kuyingxenye kuphela ye-equation. Khona-ke, kanye nodokotela wakho, uzothola uhlelo lokusebenza. Lokhu kungase kuhlanganise nokuzama ezinye izindlela zokwelapha ezisezingeni eliphezulu ezisezingeni eliphezulu, noma ungaya ngqo ekusebenziseni amaqanda akho aphethwe yi-cryopreserved.
Kulo mjikelezo wezokwelapha, uzothatha ama-hormone ukulawula umjikelezo futhi ulungiselele ukukhanya kwe-endometrial . Amanye amaqanda akho a-cryopreserved azokwehliswa ebhodini. Labo abayosinda emthonjeni bayothathwa umanyolo noma umlingani wakho noma umsizi womnikezi. Amaqanda azodinga ukukhulelwa nge- ICSI, noma injection ye-intracytoplasmic yesilisa .
Ngethemba ukuthi uzothola imibungu embalwa enempilo. Enye noma emibili yale mibungu izodluliselwa esibelethweni sakho. Ngemuva kokudluliselwa kombungu, kungase kudingeke uthathe isandiso se-progesterone nge-injection noma isisu sokususa. Khona-ke, ulinde futhi ube nethemba lokuhlolwa kokukhulelwa okuhle 2 amasonto kamuva.
Kwenzekani Uma Ngingazikhukhumezi Amaqanda Angiwusizo?
Kungenzeka ukuthi bambalwa abesifazane abacabangayo, kodwa ngeke ukwazi ukukhulelwa ngamaqanda akho ase-cryopreserved. Lokhu kungase kwenzeke ngezizathu eziningana, kubandakanya amaqanda angasaphila emanzini, amaqanda angabhalisi, angatholi imibungu enempilo, noma nje ukwehluleka ukukhulelwa "ukunamathela."
Uma wonke amaqanda akho a-cryopreserved asetshenziselwa phezulu, izinketho zakho zixhomeke esimweni sakho sokuzala sesimanje. Ungakwazi ukuqhubeka uzama ukukhulelwa nge-IVF, usebenzisa amaqanda kuma-ovari akho okwamanje. Kodwa-ke, uma izindawo zakho zokugcina ama-ovari ziphansi, noma ama-ovari akho akatholakali emithini yemithi yokuzala, kungase kudingeke ucabange ukusebenzisa i-egg donor . Ngenye indlela kungenzeka ukuthi i-Embryo donor IVF.
Okunye okukhethwa kukho (ngaphandle kokuphathwa kokwelapha) kufaka phakathi ingane engekho ingane, ukukhulisa izingane noma ukutholwa.
Kuthiwani Uma Ngingalokothi Ngisebenzise Amaqanda Angiwafriziwe?
Abaningi besifazane ngeke basebenzise amaqanda abo afriziwe. "Ngicabanga ukuthi abesifazane abaningi ngeke basebenzise amaqanda aphethwe yi-cryopreserved," kusho uDkt Doody. "Bazokhulelwa ngokuzenzekelayo futhi bangazidingi, noma bafisa ukuhlala bengenamntwana."
Ngakho-ke, kwenzekani kumaqanda akho angasetshenzisiwe angasetshenzisiwe?
- Ungabagcina eqhwa bese uqhubeka nokukhokha. Okungokoqobo, ungaba namaqanda alahliwe. Ukulahla amaqanda akufani nokulahlekelwa umjikelezo ovamile wokuya esikhathini. Awusilahli imibungu, abanye abanye abaphikisana nokuziphatha noma zenkolo.
- Kungase kube nethuba lokubanikela ekucwaningweni kwesayensi.
- Enye indlela ongakhetha ngayo ukunikela ngemibhangqwana engenalutho futhi ube yi-egg donor . Lesi akusona isinqumo sokuthatha kalula, futhi kufanele ukhulume nomeluleki nommeli wokuzala ngaphambi kokwenza lokhu kukhetha.
Uma ufuna ukunikela amaqanda akho, kungase kudingeke ukuthi uhambe ngokuhlolwa okungeziwe nokuqoqwa kolwazi ngesikhathi sokuqanda iqanda. Uma ucabanga ukuthi ungase uthathe ukunikeza amaqanda akho esikhathini esizayo, khuluma nodokotela wakho wokuzala ngaphambi kokuqala inqubo yokuqanda iqanda.
> Imithombo:
> Chavkin, u-Diana E. MD. Ubuhlobo be-HRC eLos Angeles. Izingxoxo ngoJulayi 17, 18, no-19, 2017.
> Cobo A1, García-Velasco JA2, Coello A3, Domingo J4, uPellicer A5, Remohí J3. "I-vitrification yama-oocyte njengendlela ephumelelayo yokulondolozwa kokuzala okunomsoco ." UFertil Steril . 2016 Mar; 105 (3): 755-64.e8. i-doi: 10.1016 / j.fertnstert.2015.11.027. I-Epub 2015 Dec 10.
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> In vitro fertilization (IVF): yiziphi izingozi? I-Fact Sheets. UmNyango we-American for Medicine Reproductive.
> I-oocyte ekhudlwana i-cryopreservation: isiqondiso. Amakomidi Okuzivocavoca aseMelika Society for Medicine Reproductive kanye neNhlangano Yezobuchwepheshe Ezizalelwa Ngokuzala.