Ubani Okufanele Acabange Ukukhuthazwa Okuncane Kwezindleko ze-IVF + Izindleko Nemali Ephumelelayo?
I-Mini-IVF (eyaziwa nangokuthi i-IVF emincane noma encane kakhulu) ifana ne- IVF evamile ezinqubo ezisetshenziselwa ukwelashwa. Njengaye-IVF, uqaphele kulo lonke umjikelezo, ukubuyiswa kwamaqanda , ukukhulelwa emgqeni weqanda kanye nesidoda, nokudluliswa kombungu
Yini ehlukile ukuthi imithi eminingi isetshenziselwa kanjani ukukhuthaza ama-ovari ukukhiqiza amaqanda.
Nakuba i-IVF ejwayelekile ihlose ukukhiqiza amaqanda amaningana okubuyisela, i-mini-IVF isebenzisa imithi ephansi noma imithi ephansi yokwelapha ukukhiqiza amaqanda ambalwa kuphela. Kungenziwa futhi ngaphandle kwemithi evuselela ama-ovarian.
Kungenxa yokuthi ukusetshenziswa kwezidakamizwa ezincane okusetshenziselwa ukuzala , izindleko ngomjikelezo ngamunye ziphansi, futhi ingozi ye- ovarian hyperstimulation syndrome (OHSS) incishisiwe.
Ubani Okufanele Acabange Nge-Mini-IVF?
I-Mini-IVF ingase ibe yindlela engcono uma ...
- Unesaba izinaliti. (Izidakamizwa ezimbalwa zokuzala zisho ukujola okuncane !)
- Une- PCOS futhi usengozini yokuthuthukisa i-OHSS .
- Usuzoqala ukwelapha umdlavuza, wenza i-IVF ukugcina ukuzala kwakho ngaphambi kokwelashwa, futhi izidakamizwa zokuzala zingase zidlule umdlavuza onakho.
- Unezinqolobane eziphansi ze-ovarian . Ngama-reserve ama-ovarian aphansi, izidakamizwa eziphezulu zemithi yokuzala cishe akunakwenzeka ukukhiqiza amaqanda amaningi. Imali esetshenziswe kulezo zidakamizwa ingase isetshenziswe.
- Awunayo imali ye-IVF evamile , ebiza kakhulu.
Umbhangqwana ungase futhi ukhethe i-mini-IVF uma ifuna ukugwema ingozi yokuphindaphinda ngesikhathi se-IUI . Nge-IUI, udokotela akakwazi ukulawula ukuthi mangaki amaqanda angaqhaka. Nge-mini-IVF, unganquma ukudlulisa imibungu eyodwa noma emibili.
Enye inzuzo ku-mini-IVF ungenza imijikelezo yezokwelapha emuva.
Awudingi ukuphumula. Uma uhamba ngesizathu esithile, lokhu kungenza okungenani i-mini-IVF ibe yi-IVF evamile.
Imithi Ethathwa Phakathi Nama-Mini-IVF
Phakathi ne-mini-IVF, i- Clomid ingasetshenziselwa ukuvuselela ama-ovari, esikhundleni se- gonadotropin . I-Gonadotropin ifaka imithi ejova njengeGonal-F, Follistim, nokunye okunjalo.
Ngaphandle kwalokho, ukulinganisa okuphansi kwe-gonadotropins kungasetshenziswa, ngenhloso yokukhiqiza amaqanda ambalwa kuphela.
Kwabesifazane abathile, kungenzeka futhi ukwenza i-mini-IVF ngaphandle kwemithi yokuvuselela i-ovulation. Ngezinye izikhathi lokhu kwaziwa nangokuthi "umjikelezo wemvelo."
Umjikelezo wemvelo omncane we-IVF awufanelekile uma kunezinkinga nge-ovulation ekuvimbeleni ukukhulelwa, kodwa kungase kube ukhetho olwamukelekayo ezimweni zokuvinjelwa kwamatayipi wezintambo kanye nezinye izimo zokungabi namuntu .
Ngaphandle kwezidakamizwa zokugqugquzela ama-ovari, ungase udingeke uthathe umphikisi we-GnRH (njengo-Anatagon ne-Cetrotide), okuvimbela ukuvuthwa ukuba kungabonakali kakhulu. Uma uvunguza ngokushesha, amaqanda akakwazi ukubuyiswa emzimbeni futhi i-IVF ayikwazi ukuqhubeka.
Amanani okuphumelela ama-Mini-IVF
Amanani okuphumelela kwe-mini-IVF ngokuvamile aphansi kune-IVF evamile, kodwa lokho akusho ukuthi akuyona into engcono kunazo zonke imibhangqwana.
Ukuhlolwa okungahleliwe kokulawula kuqhathanisa ukwelashwa okuvamile kwe-IVF kuya kwe-mini-IVF. Ucwaningo luhlanganisa nabesifazane abangu-564 abaneminyaka engama-39 noma abancane. Babekwa ngezikhathi ezithile eqenjini le-mini-IVF noma eqenjini le-IVF. Baphathwa ukwelashwa esikhathini esiyizinyanga eziyisithupha.
Nazi imiphumela yocwaningo:
- I-49% yeqembu elincane le-IVF lakhulelwa futhi ekugcineni lazala
- U-63% weqembu elijwayelekile le-IVF wakhulelwa futhi ekugcineni wabeletha
- Akekho iqembu le-mini-IVF elahla i-ovarian hyperstimulation syndrome (OHSS)
- 5.7% weqembu elijwayelekile le-IVF lakhiwa i-OHSS
- I-gonadotropin encane kakhulu yayisetshenziswe eqenjini le-mini-IVF, ehlisa izindleko jikelele ngomjikelezo ngamunye
Ngokusekelwe emiphumeleni yalolu cwaningo, i-mini-IVF ingase ibe yinto enhle kakhulukazi owesifazane engozini yokuthuthukisa i-OHSS.
Ucwaningo lubuye lwathola ukuthi izinga lamawele laliphansi kakhulu nge-mini-IVF, nakuba isifundo senza ukudluliswa kwesisu esisodwa kuma-mini-IVF kanye nokudluliswa kombungu kabili kuma-IVF. Ngokusobala, uma udlulisela imibungu emibili kunesinye, izinga lamawele lizobe liphakeme.
Izifundo ezengeziwe kudingeka zenzelwe ukuqhathanisa izindleko eziphelele ngokuzalwa komuntu nge-mini-IVF kanye ne-IVF evamile nokubona ukuthi izinkinga zamaphilisi zihluke ngempela phakathi kwezinqubo ezimbili.
I-Mini-IVF Ngemuva Kwehlulekile I-IVF Ejwayelekile
Akulu yini njalo kangcono? Akunjalo ngempela.
UDkt. John Zhang, umsunguli kanye nomqondisi wezokwelapha weNew Hope Fertility Centre, uchaza ukuthi i-mini-IVF ihlose ukhiqiza amaqanda asemakhakheni, kuyilapho i-IVF evamile ihamba ngobuningi.
Kwamanye abesifazane, ukuzama ukukhiqiza amaqanda amaningi kungaphindela futhi kubangele izinkinga. Ukuba nokwelashwa kwe-IVF okwehlulekile akusho ukuthi i-mini-IVF ngeke isebenze.
"Ukungaphumeleli umjikelezo kwenzeka ngezizathu eziningana," kusho uDkt. Zhang. "Ezinye zazo ziyizinga eliphezulu leqanda elincane elibhekene neminyaka, ukucindezeleka, imvelo engafanele yokuvimbela amaqanda, amazinga ama-hormone angalungile, nokuningi. Ezimweni eziningi, umuntu ohluleka umjikelezo ovamile uyoba nenhlanhla kangcono ngenqubo ephansi yokuvuselela njenge-mini-IVF ngoba ingaveza amaqanda aphezulu aphezulu.
"Kunesimo esimweni sobugebengu, kodwa akufanele ucabange ukuthi ngenxa yokuthi umjikelezo owodwa uhluleka, zonke izikwelapha zizokwenza," kuchaza uDkt. Zhang. "Ucwaningo lubonisa ukuthi abesifazane bangaba nempumelelo ephakeme ngokugqugquzelwa okuncane phezu kwenkambo eminingi. Ngokuzama olunye ukwelashwa, sibonile impumelelo engcono. "
Izindleko ze-Mini-IVF
Enye yezinzuzo ezinkulu kakhulu kwi-mini-IVF yindleko ephansi ngomjikelezo ngamunye.
Umjikelezo we-IVF ojwayelekile ubiza ama-dollar angu-15,000, kuye ngokuthi yiziphi izinqubo ezidingekayo.
I-Mini-IVF ibiza cishe u-$ 5,000 kuya ku-7,000 umjikelezo ngamunye.
- I-IVF Ibiza Kangakanani Ngempela?
- Izindlela ezingu-7 zokukhokha kancane (futhi uthole i-Cash) ye-IVF
Ngabe IUI Iqhathanisa kanjani ne-Mini-IVF Treatment?
Ukwelashwa kwe-IUI kubiza ngaphansi kwe-mini-IVF. Kodwa nge-IUI, ingozi yokuphindaphinda iphakeme.
Nge-mini-IVF, i-embryo eyodwa kuphela idluliselwa. Nge-IUI, awukwazi ukulawula ukuthi mangaki amaqanda azokhulelwa.
Futhi, izinga lokuphumelela le-IUI livame ukuba liphansi kune-mini-IVF.
I-Downsides engenzekayo eya kwi-Mini-IVF
Uma ungakhulelwa ngemuva kwemijikelezo embalwa, izindleko zingase zibe mkhulu ngokuhamba kwesikhathi.
Nge-IVF evamile, uma umjikelezo owodwa ungasebenzi, ngokuvamile uzoba nemibungu ethile esele ukushisa. Lezi zingasetshenziswa ngesikhathi sokudluliswa kwama-embryo okufriziwe (FET).
Nge-mini-IVF, awuncane amathuba okuba nemibungu eseleyo emjikelezweni yesikhathi esizayo.
Kukhona ingozi enkulu yokungabi namaqanda okutshala lapho usebenzisa i-mini-IVF. Akuwona wonke amaqanda akhiqizwayo azosinda inqubo ye- IVF .
Isibonelo, nge-IVF evamile, uma amaqanda angu-10 etholakele, kungenzeka ukuthi amahlanu kuphela angase afakwe umquba. Kulabo, kuphela abathathu kuphela abangaba nemibungu enempilo yokudlulisela.
Uma uqala ngamaqanda amabili noma amathathu nje kuphela, futhi zonke lezo maqanda azifakelwa umanyolo noma azihlali esiteji sombungu eside ngokwanele ukuba adluliselwe, ulahlekelwe umjikelezo wonke.
I-Mini-IVF ayifanele futhi uma udinga amaqanda amaningi.
Uma ubanda amaqanda akho , noma umnikelo wamaqanda unikeza amaqanda , udinga ukusebenzisa imithi eminingi yokuzala ukuze ukhiqize inombolo enkulu yama- oocyte .
Okubalulekile
Uma kuqhathaniswa ne-IVF ejwayelekile, i-mini-IVF idinga kancane umjikelezo ngamunye futhi inciphise ingozi yokuthuthukisa i-ovarian hyperstimulation syndrome. Nokho, amazinga okuphumelela ngokuvamile aphansi nge-mini-IVF.
Uma kuqhathaniswa ne-IUI, i-mini-IVF ibiza kancane ngaphezu kwe-IUI kodwa ikhulise izinga lokuphumelela kokukhulelwa. Awunamathuba amaningi okukhulelwa ngokuphindaphindiwe nge-mini-IVF uma kuqhathaniswa nokwelashwa kwe-IUI.
> Imithombo:
> Zhang JJ1, Merhi Z2, Yang M3, Bodri D3, Chavez-Badiola A3, Repping S4, van Wely M4. "IVF yokunciphisa okuncane kakhulu IVF evamile: isilingo esilawulwa ngokungahleliwe." Am J Obstet Gynecol. 2016 Jan; 214 (1): 96.e1-8. i-doi: 10.1016 / j.ajog.2015.08.009. I-Epub 2015 Aug 8.
> UDkt. John Zhang, uMsunguli noMqondisi Wezokwelapha weNew Hope Fertility Centre; UDkt. Zaher Merhi, uMqondisi woCwaningo nokuThuthukiswa kwe-IVF Technologies. Ingxoxo ye-imeyili ngo-Agasti 29, 2016.