Okumele Ukulindele, Kubuhlungu, Kungani Kuyenziwe
Ukudluliswa kwe-embryo ukudonsa kuyindlela evamile eyenziwa emitholampilo eminingi yokuzala. Ukudluliswa kwangempela kwe-embryo kwenzeka phakathi nomjikelezo wakho we- IVF , kanti ukudluliswa kombungu kungase kwenzeke ngaphambi noma ngesikhathi sokujikeleza kwe-IVF. Ukudluliswa kombungu okunzima kuye kwahlotshaniswa nokulinganiselwa okuphansi kokuphumelela kokukhulelwa. Ukudluliswa kwe-embryo okuhlekisayo-okwenza udokotela wakho ithuba lokufeza inqubo edingekayo ukuze enze ukudluliselwa kwakho kwangempela-kungandisa amathuba okukhulelwa.
I-short-short run down the treatment IVF ihamba kanje:
- umjikelezo we-pre-IVF (lapho uvame ukutholakala ngamaphilisi okulawula ukuzalwa, i- GnRH Agonists , noma enye imithi "yokuvala" umjikelezo wakho wokuzala)
- ukuvuthwa kwe-ovulation (lapho ujova khona i- gonadotropins ukukhulisa ukukhula kwe-follicle nokukhiqizwa, futhi nokusebenza kwama-ultrasounds amaningi negazi ukuhlola lokho kukhula)
- ukubuyiswa kweqanda (lapho amaqanda agqugquzelweyo asuswa kuma-ovari nge-aspector aspiration),
- bese ekugcineni, ezinsukwini ezimbalwa emva kokubuyiswa, ukudluliselwa kombungu (lapho amaqanda azaliswe khona adluliselwa esibelethweni sakho noma esibelethweni sesisu)
Thola incazelo eningiliziwe lapha:
Ukudluliswa kwe-embryo "okuhlekisayo" kuyisivivinyo sokudluliswa kombungu.
Ivumela udokotela ukuba anqume "umzila" omuhle kakhulu endaweni yokufika e-embryo ebelethweni lakho, ukukala ubude kusukela emgodini wesibeletho kuya endaweni ekahle, futhi uqinisekise ukuthi ayikho imingcele emgwaqweni engalindelekile endleleni (njenge-fibroid engatholakali, izicubu ezibomvu esibelethweni, noma enye inkinga engenza ukudluliselwa kunzima).
Ukudluliswa kombungu kungabonakala sengathi kufanele kube inqubo elula emjikelezweni we-IVF, kodwa uma kwenziwa ngokungalungile, wonke umjikelezo ungalahleka.
Kukhona ukungavumelani phakathi kwabadokotela ngesikhathi futhi kungakhathaliseki ukuthi badinga ukudluliswa kombungu, kodwa okwamanje, odokotela abaningi benzalo bayavuma ukuthi kungcono ukuba nomunye.
Okuningi ngale mpikiswano ngezansi. Okokuqala, yilokho okumele ulindele ngesikhathi senqubo.
Ngabe i-Transfer Mock iyenziwe nini?
Lokhu kuzoxhomeka ekuthandweni kukadokotela wakho. Ukudluliswa kombungu okuhlekisayo kungenzeka:
- Ngaphezu kwenyanga ngaphambi kokujikeleza kwe-IVF, ngesikhathi se- HSG , i-saline hysterography, noma i- hysteroscopy
- Inyanga ngaphambi kokujikeleza kwakho kwe-IVF, ngokuvamile lapho uhlelo lokuzala luzothuliswa ngamaphilisi okulawula ukubeletha noma i-Lupron (Lokhu kubonakala sengathi yisikhathi esivamile kakhulu sokudluliswa kombungu.)
- Ngesikhathi sokubuyiswa kweqanda. Kulesi simo, ngeke ukwazi ukuthi kwenzeke kusukela uzoba ngaphansi kwe-anesthesia.
- Ngosuku olufanayo njengokudluliswa kwangempela kwe-embryo. Okokuqala, udokotela wenza ukudluliswa okuhlekisayo, futhi ngokushesha, ukudluliselwa kwangempela.
Kwenzekani Ngesikhathi Sokudluliswa Kwama-Embryo Transfer?
Mhlawumbe uzotshelwa ukuba ufike enkambisweni ngesinye isiviva. Lokhu kungenxa yezizathu ezimbili:
- Isibilini sakho esigcwele sigxilisa isibeletho sibe nokulungiswa okuhlukile, okwenza ukudluliselwa kube lula
- Isibilini esigcwele sisiza ngekhwalithi yesithombe se-ultrasound
Uzocelwa ukuba ulale emhlane wakho, ngezinyawo zakho ezikhukhumezayo, kufana ne-pap smear noma ukuhlolwa komzimba njalo. I-speculum izosetshenziselwa ukusiza udokotela wakho ukuba abeke i-catheter ngaphakathi nangomlomo wesibeletho esibelethweni sakho.
Imigomo yakho kadokotela ngesikhathi sokudluliswa kombungu kungase kuhlanganise:
- Ukukhetha i-catheter engcono kakhulu ukuyisebenzisa nge-anatomy yakho ethile
- Ukwenza isiqiniseko sokuthi akukho "ama-bumps speed" okuvimbela umkholomu ukungena embelethini ngokushelela
- Ukuthola indlela engcono kakhulu esuka embelethweni kuya endaweni yokudlulisela esibelethweni, esingase ihluke ngokuvumelana nesimo sesisu
- Ukulinganisa ibanga ukusuka ekuvuleni komlomo kuya endaweni ephelele yokudlulisa esibelethweni
Ngeke kube nemibungu ku-catheter ngesikhathi sokudluliswa kwamahlaya.
Udokotela wakho angaphinde ajobe idayi eluhlaza okwesibhakabhaka ngesikhathi sokudumala. Ngemuva kokukhishwa kwamakhemikhali, udokotela wakho uzoqinisekisa ukuthi akukho dye eluhlaza okwesibhakabhaka esisezintweni zencatheter noma emnyango wesibeletho sakho.
Ingabe I-Mock Embryo Kudlulisa Usizi?
Ungase uzwe ukucindezeleka noma ubuhlungu obubukhali kodwa obubekezelelekayo lapho kukhonjiswa umcengezi, ikakhulukazi uma udokotela wakho edinga ukuyihambisa kakhulu ukuze athole ukubekwa kahle, noma uma udokotela wakho enenkinga yokudlulisa i-catheter ngokusebenzisa i-os yomlomo wesibeletho.
Abanye besifazane bazizwa behluzekile kancane ngesikhathi se-pap smear, futhi akukho okunye okunye.
Uma udokotela wakho ehlasela ngephutha isikhwama sakho sebelemba (ngokuyisisekelo udonga lwangemuva), ungase uzwe ukuzwa okuqinile.
Abanye besifazane baphazamiseka kakhulu ngesidingo sokuvuthwa-kusuka kulesi sigqebhezana esigcwele uyoba-ukuthi noma yikuphi ukuphazamiseka akubonakali. Bazama nje ukuzama ukungafihli itafula!
Uma ukudluliswa kombungu okuklolodekile kwenziwa ngenkathi uthola amaqanda akho, uzoba ngaphansi kwe-anesthesia futhi ngeke uzizwe into.
Ungabhekana namanye ama-cramps omnene ngosuku lwenqubo, kodwa akuyona into okufanele ikugcine ungangeni ngosuku lwakho olujwayelekile.
Izindleko Zokudlulisa Umzimba Omningi Ziyizindleko Kangakanani?
Imali ingase ifakwe "iphakethe le-IVF" noma liboshwe kanye nokudluliswa kwangempela kwe-embryo noma ukubuyisa amaqanda.
Ngokwesilinganiso, uma kucatshangwa yedwa, ukudluliswa kombungu kudidekile kubiza cishe u- $ 350 - 500.
Kungani Ukudluliswa Kwama-Embryo Kudluliselwa?
Ukudluliswa kombungu kudinga ukuthatha imibungu ibe yindawo yokugcoba bese ubathuthela esibelethweni nge-cervix. Kungase kubonakale njengenqubo elula, ikakhulukazi uma uyiqhathanisa nokubuyiswa kwamaqanda noma ngisho nenkathi yokugqugquzela i-ovulation yomjikelezo.
Kodwa-ke, kuvela ukuthi inqubo yinkimbinkimbi kunokuba ibonakale.
Akwanele nje ukulahla leyo mibungu noma yikuphi ngaphakathi kwesibeletho. Kukhona indawo ekahle lapho kufanele ifakwe khona.
Futhi, uma ukudluliswa kunzima, kanti udokotela wakho kudingeka adlulise isibeletho esikhulu ukuze athole umcengezi endaweni efanele, noma i-catheter ithinta i-fundus yesibeletho, ingabangela ukuphazamiseka kwezibeletho.
Lezi zingqinamba zingenza imibungu ixoshwe.
Ucwaningo olulodwa lokudluliselwa kwengane engaphezu kwezingu-4,000 lwalubukeka ukubona ukuthi ngabe kunenkinga enzima yini ukudluliselwa kombungu kuthinte izinga lokukhulelwa. Yenza. Uma kuqhathaniswa nokudluliselwa okunzima, kwakukhona izikhathi eziphindwe izikhathi ezingu-1.7 zokukhulelwa kwabesifazane ababenokudluliswa okulula "noma" okuphakathi kombungu.
Kodwa ingabe ukudluliswa kombungu kungase kuthuthukise izimpikiswano zakho zokudluliselwa kwangempela zihamba kahle? Lokho kuyindaba yokuphikisana.
Enye yezingxabano ezibhekiswe ekudluliseleni okuhlekisayo ukuthi zivame ukuqhutshwa ngaphambi kokuba umjikelezo we-IVF uqale, ngaphambi kokuqalwa kwe-ovarian. Ama-ovarie avuselelwe aguqule isimo kanye "namabanga" esibelethweni. Ngakho izilinganiso ezasebenza uma ungazange uzivuselele ngemithi yokwelapha zingase zihluke.
Ucwaningo lwesikhathi esizayo luyoba nethemba lokubheka ukuthi ukudluliswa kombungu kungakusiza yini ukudluliselwa kwangempela kwe-embryo kuhambe kahle noma cha, futhi nini kungaba yisikhathi esihle kakhulu sokwenza. Okwamanje, ukukhetha kwakho udokotela wakho kuzokunquma ukuthi uzoba nini nokuthi uzoba yini ukudluliswa kombungu.
> Imithombo:
Amaphoyisa aseL1, Van Voorhis BJ. "Ukwenza ngcono indlela yokudlulisa umbungu. "Fertil Steril. 2010 Aug; 94 (3): 785-90. doi: 10.1016 / j.fertnstert.2010.03.030. Epub 2010 Apr 21.
Singh N, Gupta P, Mittal S, Malhotra N. "Ukuhlanganiswa kobunzima bezobuchwepheshe ngesikhathi sokudluliswa kombungu ngesilinganiso sokukhulelwa komtholampilo. "J Hum uhlehlisiwe uSci. 2012 Sep; 5 (3): 258-61. doi: 10.4103 / 0974-1208.106337.