Yiziphi Izinketho Zakho Uma Ungathandi Ukuphishekela I-IVF?
Abantu abaningi bacabanga ukuthi uma ungakwazi ukukhulelwa, ukwelashwa kwe-IVF yisisombululo sokuya. Lena inganekwane.
Iphesenti elincane lemibhangqwana engenamaphesenti angenamaphesenti angama-5, ngokusho kwe-American Society for Reproductive Medicine-izongena ukuze isebenzise IVF.
Uma kuziwa kulabo abadinga i-IVF, abantu ngokuvamile bahlangana nesinye sezigaba ezimbili:
- Labo abangenayo i-IVF kuphela yokukhetha ingane yengane
- Labo abangazange baphumelele ngemithi ephansi ye-tech
Uzodinga i-IVF? Futhi kuthiwani uma ungafuni ukwenza IVF ?
Ngabe i-IVF isinyathelo sokuqala?
Kunezimo ezithile lapho i-IVF kuyindlela yakho kuphela yokuba nengane ephilayo.
Isifo se-tubal esinamandla : Uma izibhubhu zomzimba ezivuthiwe zivinjelwe , i-IVF iyindlela yakho kuphela yokuthola ingane ephilayo.
Ama- tubes angama-fallopi yindlela ehlanganisa ama-ovari akho esibelethweni sakho. Uma iqanda elivotwe emaqanda akho alikwazi ukufinyelela esibelethweni-futhi isidoda asikwazi ukufika eqanda-awukwazi ukukhulelwa.
Kwezinye izimo, ukulungiswa okuhlinzekwa kwezigubhu ezingapheli kungagwema isidingo se-IVF. Kodwa-ke, izinga lokuphumelela lihluka kakhulu, futhi akuyona into enhle kubesifazane abaningi abanesifo esinamandla se-tubal.
Ukwelashwa kwabantu abathandekayo : Uma kwenzeka ukuhlukunyezwa kwamadoda , i- IVF ne-ICSI ingaba yindlela yakho kuphela yezingane eziphilayo.
(Intrauterine insemination (IUI) ene-sperm donor kungaba enye indlela.
Uma kunjalo, ubaba ngeke ahlobene ne-biological.
I-ICSI imele injection ye-intracytoplasmic yesilisa. Nge-IVF eyisisekelo, amangqamuzana omzimba afakwa esitsheni se-petri neqanda. Ekugcineni, elinye lamaseli wesilisa ngokuqinisekile liyoklama iqanda.
Nge-IVF-ICSI, isisu esisodwa singeniswa ngqo eqandeni.
I-IVF-ICSI iyadingeka uma kwenzeka izinkinga ezinkulu nge-mani motility (ukunyakaza) noma i-morphology (uhlobo lomzimba.) Kungase kudingeke uma isibalo sowesilisa siphansi kakhulu.
I-Azoospermia yilapho owesilisa enesibalo se-zero. Amanye alawa madoda angakwazi ukubonga ingane yengane ngenxa ye-IVF-ICSI.
Amangqamuzana omzimba omncane angaphathwa ngokuqondile kusuka kuma-testes. Amaseli wesilisa avunyelwe ukuvuthwa kulabhu.
Amaseli esidoda akhula ngale ndlela akakwazi ukufaka iqanda ngokwabo, futhi i-IVF ne-ICSI iyadingeka ukukhulelwa.
Ingozi ephezulu yesifo sofuzo : Uma wena nomlingani wakho nengozini enkulu yokudlulisa ngesifo sofuzo, i-IVF ingaba yindlela enhle kakhulu noma okukhethwa kukho kuphela. Lokhu kungase kube njalo emibhangqwaneni ehlangabezana nokukhulelwa kwesisu okuphindaphindiwe ngenxa yezinkinga zofuzo .
Kulesi simo, udinga i-IVF nge-PGS noma i-PGD.
I-PGD ibhekisela ekuxilongweni kwe-genetic pre-plantation . Yilapho i-embryo ihlolwe isifo esithile.
I-PGS ibhekisela ekuhlolweni kwangaphambili kwezakhi zofuzo. Yilapho i-embryo ngokuvamile ihlolwe ngezibalo ezijwayelekile ze-chromosomal. Lokhu kuhlola akulona okunokwethenjelwa njenge-PGD futhi kuthathwa njengokuhlola.
Ukwelashwa kokuzala komdlavuza emva kokuzala : Uma une amaqanda amaqanda, izicubu zama-ovari, noma imibungu , uzodinga i-IVF ukuba ikhulelwe nalezi zicubu ezinamafutha.
Ama-sperm cell cells angasetshenziswa ngendlela yenqubo ye-IUI futhi angeke adinge i-IVF. Kodwa-ke, uma kukhona amancane amangqamuzana omzimba agcinwe, i-IVF ingase ibe yisinqumo esingcono ngenxa yokukhula kwamazinga okuphumelela.
Uma kusetshenziswa amaqanda a-cryopreserved : I- Cancer ayisona kuphela isizathu esenza amaqanda angabi nhlobo. Nakuba kungavamile, abanye besifazane bayashisa amaqanda abo ngenkathi bebancane ukuze banciphise ingozi yokuzalwa kwengane .
Uma ufaka amaqanda akho, futhi ufuna ukuwasebenzisa ukuze ukhulelwe esikhathini esizayo, uzodinga ukwelashwa kwe-IVF ukukhulelwa.
Uma kudingeke ukuba u-surrogacy : Uma owesifazane elahlekelwa isisu sakhe, noma ngenxa yokuthi wazalwa ngaleyo ndlela noma wasuswa ngenxa yezizathu zezokwelapha, ngeke akwazi ukukhulelwa noma ukukhulelwa.
Angase abe nomntwana nge-surrogate .
Uma lona wesifazane enezinyosi zakhe, noma uneziqanda ezinomsoco noma izicubu ze-ovari, angase futhi abe nomntwana wezinto eziphilayo ngosizo lwe-surrogacy. Uma kungenjalo, i-egg donor ingasetshenziswa kanye namasamu omzimba kababa wegazi.
Konke lokhu kudinga IVF.
Ukucwaninga nge-IVF kungadingeka futhi uma kunezinkinga ezinkulu ze-uterine eziphathelene nokuhlukunyezwa okungakwazi ukulungiswa ngokuhlinzwa.
Umbhangqwana wesilisa ongama-gay ofuna ukuba nezingane eziphilayo ungase futhi udinga ukwelashwa nge-IVF yokwelapha.
(Ngokusemthethweni, i-IVF ingagwenywa ngokusebenzisa amaqanda omuntu osebenzisa amaqanda nokusebenzisa ukungena ngokweqile ngendoda kababa noma i-sperm donor.Nokho, lokhu kungabangela izinkinga zomthetho futhi kungase kube nzima nakakhulu kwengqondo ukuba kube ngumuntu ongenakho. ne-IVF kanye ne-egg donor, amaqanda omama wegazi noma i-embryo donor.)
Ngabe i-IVF isinyathelo esilandelayo?
Ayikho imephu yokwelashwa ehambelana nawo wonke umbhangqwana ngokuphelele. Ngakho-ke, akunakwenzeka ukusho ukuthi indlela yakho eya ku-IVF ingase ibonakale kanjani.
Eminye imibhangqwana ingadinga ukuhlinzwa ngaphambi kokuba izame noma iyiphi imithi yokwelapha. Abanye bangase kuqala badinga ukwelapha isimo esingokwempilo esibalulekile. Abanye bangalokothi badinge ukwelashwa kokuzala.
Lokho kusho, nansi amanye ama-trajectories ejwayelekile yokwelashwa. Izindlela zokwelapha ezibalwe ngezansi zilula futhi azimeli zonke izindlela zokwelapha.
Lena yindlela ejwayelekile kunazo zonke yokwelapha yabesifazane abanezinkinga zokubhubhisa ezincane kuya ezilinganisweni:
- I-Clomid imijikelezo emithathu kuya kweziyisithupha (kungenzeka noma ingabe ingabandakanyi ukwelashwa nge-metformin , uma owesifazane ene-PCOS noma engavikelekile kwe-insulin)
- Uma i-Clomid ingabangeli ukuvutha, i- letrozole imijikelezo emithathu
- I-Gonadotropins enobulili obuphelelwe yisikhathi emijikelezweni emibili kuya kweziyisithupha (odokotela abathile badlula lesi sinyathelo bese baqonde ngqo ku-IUI ngemithi yokuzala)
- I-IUI ene-Clomid noma i-gonadotropini imijikelezo emithathu kuya kweyisithupha (imijikelezo embalwa uma owesifazane eneminyaka engu-35 noma ngaphezulu)
- Ukwelashwa kwe-IVF
Inqubo evame ukwelashwa ejwayelekile uma ukungatholi kahle komuntu ukungabi namuntu kuyinkinga enkulu:
- (Uma kusebenza) ukwelashwa kwezidakamizwa zokuzala ukuze kukhuliswe umkhiqizo wesilisa
- (Ngezinye izikhathi) ukususwa kwe-varicocele , uma kuyinkinga
- IUI ngaphandle kwemithi yokuzala (ngaphandle uma owesifazane futhi enezinkinga zokuvuthwa) imijikelezo emithathu kuya kweyisithupha
- I-IUI ene-sperm donor (ejwayelekile kunalabo abafuni ukwenza IVF)
- Ukwelashwa kwe-IVF
Kwabambhangqwana abanezinkinga ezingabonakali , umkhondo ovamile ungahle ubonakale kanje:
- (Kungenzeka) isikhathi esilinganiselwe ukuqhubeka uzame ngokwakho
- I-IUI ene-Clomid, i-Letrozole, noma i-gonadotropin imijikelezo eyisithupha
- Ukwelashwa kwe-IVF
Yini enquma ukuthi udokotela wakho ubonisa ukuthi uzama kanjani umjikelezo othize, owodwa, noma wesithupha? Noma ngabe badlula enye yalezi zinyathelo? Noma ukusikisela ukwelashwa kokuzala okungabhalwanga ngenhla?
Udokotela wakho uzocabangela imbangela yakho yokungasebenzi, ucwaningo ngesimo sakho, iminyaka yakho, isifiso sakho somuntu siqu sokuqhubeka uzama ngaphambi kokuthuthela ezingeni elilandelayo, imizwa yakho ngokumelene ne-IVF, ukukhokhela umshuwalense wakho, nesimo sakho sezimali.
Uma uzibuza ukuthi i-IVF ingaba yisinyathelo esilandelayo ezimweni zakho, khuluma nodokotela wakho.
Uma ungavumelani nokuthi i-IVF kufanele ibe isinyathelo esilandelayo, noma unesifiso sokuthi unamathuba okukhetha, ungesabi ukuthola umbono wesibili ngaphambi kokwenza isinqumo. Ukunquma ukuphishekela i-IVF yisinqumo esikhulu.
Kuthiwani Uma Ungathandi Ukukwenza I-IVF?
Uhlale unenketho yokungaqhubeki ne-IVF .
Lokhu kuyiqiniso ukuthi i-IVF iyindlela yokwelashwa yokuqala ephakanyiswa udokotela wakho, noma ngabe ubhekana ne-IVF emva kwemizamo eminingi yezobuchwepheshe obungabonisi bokuzala.
Kunezizathu eziningi zokuthi kungani umbhangqwana unganquma ukungenzi IVF.
Ezinye zezizathu ezivame kakhulu ...
- Ukuhluleka kwezimali ukuyikhokhela
- Ngifisa ukugwema izingozi nokungahambi kwenqubo
- Isinqumo sokungaqhubeki ukwelashwa esekelwe izinga eliphansi elilinganisiwe lokuphumelela (lizohluka kuzo zonke izimo)
- Ukuphikisana kwezenkolo
- Isifiso sokuphishekela ukutholwa (ngoba banayo imali eyanele yokwenza i-IVF noma ukutholwa, noma bamane bafuna ukutholwa i-IVF)
Ngezinye izikhathi, ngeke ube nethuba lokuba nezingane eziphilayo ngaphandle kwalo
Kwezinye izimo, izinkinga zakho zokukhulelwa zingase zibe phansi-mhlawumbe ngaphansi kwamaphesenti angu-1 kwezinye izimo-kodwa ezingenakwenzeka.
Isibonelo, abesifazane abane- primary ovarian insufficiency (POI) bangase bangabi namathuba okuzikhulelwa. Kodwa kwenzeka emaphesenti amancane amacala.
Akufanele uqede ukuthi ukhona kulelo qembu elingavamile. Ngesikhathi esifanayo, akufanele ucabange ukuthi ukuhlukumeza kwakho ukungahlolelwa amandla kuyokuvimbela ukuthi ungazitholi ngokwakho ngokwemvelo.
Yiziphi izinketho zakho uma ungafuni IVF?
Lokhu kuyinto yokuxoxa nodokotela wakho wokuzala kanye nomeluleki.
Okunye ongakhetha ngaphandle kwe-IVF kungafaka:
- Ukuqhubeka nokuphishekela izindlela zokwelapha ezisezingeni eliphezulu (imijikelezo engaphezulu ye-IUI, isibonelo)
- Ezinye izindlela zokwelashwa (ezifana nokukhwabanisa )
- Uyaqhubeka uzame ngokwakho
- Izinqubo zokuhlinzeka (uma kusebenza)
- Ukuphishekela ukutholwa
- Ukukhetha impilo engenabantwana
Uma unquma ukuphishekela imijikelezo ephansi ye-tech, noma uzame ukwelashwa okunye, xoxisana nodokotela wakho izinkinga zangempela zokwelapha impumelelo.
Isibonelo, olunye ucwaningo luye lwathola ukuthi ngemva kwemijikelezo ye-IUI emva kwezinyanga eziyisithupha ukuya kweziyisishiyagalolunye, izimpikiswano zokukhulelwa kwehlisa umqondo kakhulu.
Awufuni ukulahlekelwa imali nokuchitha amandla angokomzwelo ezinsweni ezingenakwenzeka ukusebenza.
Nakuba kungaba nzima ukuyeka ukuzama, ngezinye izikhathi kuyinto engcono kakhulu yokuyenza emzimbeni wakho kanye nenhlalakahle yakho engokomzwelo . Uma unenkinga yokunquma ukuthi ungabeka nini ukwelashwa, bheka umeluleki ochwepheshe ongakusiza ukuba usebenze inqubo yokulila.
> Imithombo:
> Imibuzo ejwayelekile ye-SART. UmNyango wezobuchwepheshe bokuzala obusisiwe.
> Ubuchwepheshe bokuzala obusekelwe. UmNyango we-American for Medicine Reproductive.