I-Egg Donor IVF Inqubo, Izindleko, Namazinga Okuphumelela
I-egg donor IVF iyindlela yokwelapha inzalo kulabo abangakwazi ukusebenzisa amaqanda abo, nganoma yisiphi isizathu.
Ikakhulukazi uma usebenzisa i-egg donor ehlolwe (ngokungafani nelungu lomndeni noma umngane), izinga lokuphumelela le-egg donor IVF lihle kakhulu-liphakeme kunezinga eliphakeme le- IVF lemibhangqwana engasebenzisi umhlinzeki.
Ngenkathi i-egg donor IVF isho ukuthi umama ohlosiwe angeke abe ne-genetically ahlobene nengane yakhe, ubaba ohlosiwe uzoba.
(Ngaphandle kokuthi umlanjisi wesilisa usetshenziswe.) Lokhu kwenza kube mnandi kakhulu komqondo kunomvukeli we-embryo IVF. Ngomhlinzeki wombungu, umzali ohlosiwe wayengenalo i-genetically ehlobene nengane.
Amabhangqwana abesilisa abesilisa abesilisa abanezinsizwa abanesithakazelo sokwakhiwa komndeni ne-IVF nabo bayodinga i-egg donor Kulolu cala, omunye obaba ohlosiwe uzobe ehambisana nezofuzo. (Ukucabanga ukuthi abayisebenzisi umxhasi wesilisa.) Kuzofuneka ukuthi umuntu okhulelwe azothatha ukhulelwe futhi abelethe ingane.
Ubani Okudingayo I-egg Donor IVF Yokuthola Umkhulelwe?
Ngokwelashwa okuvamile kwe-IVF, lo wesifazane uthatha izidakamizwa zokuzala ukukhuthaza ukukhiqizwa kweqanda emaqanda akhe. Uma amaqanda afinyelela ekuvuthweni, atholakala nge-sindle eqondiswa yi-ultrasound.
Amaqanda abuyiselwayo afakwa esitsheni se-petri namaseli wesidoda, futhi ngethemba lokuthi amanye amaqanda azaliswa. Imibungu ekhulayo ingase idluliselwe esibelethweni sikamama (noma isisu sombelethi) noma iqhwa ngomjikelezo wamuva.
Kodwa kuthiwani uma amaqanda omama ahlosiwe awakhiqiza amaqanda okwanele weVIV ejwayelekile? Noma kuthiwani uma ama-ovari omama ahlosiwe engekho ngokuphelele? Kuthiwani uma umbhangqwana wesilisa ongama-gay ufuna ukuba nengane?
Ama-egg donor IVF angadingeka noma anconywe kunoma yiziphi izimo ezilandelayo:
- Ukwelashwa kwe-Post-cancer (uma ama-ovari noma amaqanda abonakalisiwe noma asuswe)
- Owesifazane ozalwe ngaphandle kwamaqanda akhe ngenxa ye-anomaly yokuzalwa
- Ukuphindaphindiwe kwe-IVF yokwelapha ngenxa yokuphendula okuncane noma okuphansi kwe-ovarian
- Ukuhluleka okuphindaphindiwe kwe-IVF
- Izindawo eziphansi ze-ovarian (kuboniswe ngamazinga aphezulu kakhulu we- FSH noma inani eliphansi lomthamo we-antral )
- Ukungasebenzi kahle kwe-ovarian eyinhloko (eyaziwa nangokuhluleka kwe-ovarian ngaphambi kwesikhathi)
- Ukwelashwa okuhlobene nobudala (ikakhulukazi kubantu besifazane abaneminyaka engu-40 noma ngaphezulu )
- Isifo se-Genetic engozini yomlingani wesifazane
- Umbhangqwana wesilisa wama-Gay unomntwana onomuntu ongenakho
- Indoda engashadile ene-surrogate
Ngingayitholaphi i-Egg Donor?
Udokotela wakho wokubeletha angakhuluma nawe ngokuningiliziwe ngezinketho zakho zokuthola i-egg donor.
Lokho kusho, imithombo evamile kakhulu ihlanganisa ...
- umtholampilo wokuzala uhlinzeka ngemithi yokwelapha i-IVF
- i-ejenti yokunikeza amaqanda
- ibhange leqanda (kulokhu, amaqanda afriziwe)
- omunye umuntu owake wawazi (umngane noma ilunga lomndeni)
- omunye umbhangqwana ongatholi (ozimisele ukwabelana ngamaqanda abo atholakele nawe)
Kuye ngenkontileka oyisayinelayo, ungathola ithuba lokuhlangabezana ne-egg donor yakho, noma ungase ungathintana nabo.
Abanye abaxhasi bayavuma ukuthi bazoxhumana nabo esikhathini esizayo ngenzalo ekhulelwe ngabanikazi.
Ngaphambi kokuba unqume, xoxani zonke izinketho zakho nommeli owaziwayo ngomthetho wokuzala nokusebenza kwengqondo .
Yini Eyenzeka Ngenkathi Ye-Egg Donor IVF Inqubo?
Nansi incazelo enembile kakhulu futhi eyisisekelo yalokho inqubo ye-egg donor ye-IVF ibukeka.
Ukuze kube lula, incazelo engezansi iqala ukuthi umbhangqwana oshade naye ocansini uthola ingane enezidakamizwa zomlingani wesilisa, futhi umlingani wesifazane uzohamba naye. Le ncazelo engezansi iphinde iqaphele ukuthi usebenzisa amaqanda "amasha" futhi awunqamuki.
Ngaphambi kwezinqumo zomjikelezo kanye nokusebenza kwempahla
Ngemuva kokuba i-endocrinologist yokuzala iveza ukuthi i-egg donor IVF yayiyoba yindlela engcono kunazo zonke kubantu abathandwayo, abazali abahlosiwe kufanele bahlangane nomqondo wezengqondo noma umeluleki.
Bangakwazi ukuxoxa ngezingozi nezengqondo zengqondo ye-egg donor IVF, futhi banqume ukuthi lokhu kuyindlela efanele kubo.
Abazali abahlosiwe bazophinde bahlangane nomeluleki wezezimali emtholampilo wokuzala. I-egg donor IVF iyabiza kakhulu, futhi kuyodingeka ibe 1) qinisekisa ukuthi bayakwazi ukuyithola, futhi 2) ukudala uhlelo lokuthola imali abayidingayo.
Uma udokotela wezobeletha kanye nomhlengikazi sebehlanzele abazali abahlosiwe, isinyathelo esilandelayo sithola ama-egg donor.
Inqubo yokuthola i-egg donor idinga isikhathi futhi kucatshangelwe ngokucophelela. Ungasebenzisa izinyanga kule sinyathelo.
Lena enye inkinga umelaphi owaziwa nge-donor IVF angakusiza.
Uma uthola futhi ukhethe umnikezeli-futhi uma esitholakale umjikelezo wakho (kungase kube nesikhathi sokulinda) -kuzodinga ukuya ezinhlokweni eziningana zomthetho nezomnotho.
Uzodinga ukusayina inkontileka ngaphambi kokuba umjikelezo uqale. Le nkontileka ibhaliwe futhi / noma ibuyekezwe ngummeli ochwephezela umthetho wokuzala umndeni.
Umtholampilo wakho noma i-ejensi inganikeza ukuthi "wabelane" nommeli wakho. Lokhu kuyinto engabizi kakhulu, kodwa kufanele uqashe iseluleko sakho somthetho.
Ummeli obamele umtholampilo, i-agency, noma umnikezeli akakwazi futhi ukukukhuthaza ngokugcwele.
Iqembu ngalinye kufanele libe nesimemo sabo somthetho. Kuyafaneleka imali eyengeziwe yokuthula kwengqondo.
Shintsha ngaphambi kokunikela
Uma zonke izinkinga zomthetho nezomnotho sezixazululwe, futhi umxhasi nomama ohlosiwe sebeqedile ukuhlolwa kokukhiqiza nokuhlolwa kokuhlolwa kuyadingeka ukuze ukwelashwa kuqale, uzoqala umjikelezo wangempela we-egg donor IVF.
Lokhu kuqala inyanga ngaphambili .
Umama ohlosiwe kanye nomnikeli ozohlosiwe kuzodingeka ukuthi imijikelezo yabo yokuya esikhathini ifakwe ekuvumelaneni.
Ngale ndlela, lapho amaqanda abanjwe umanyolo ekulungele ukudluliselwa kombungu, isibeletho somama esihlosiwe sizobe samukelekile ngokomzimba ukwamukela umbungu.
Lokhu kusho ukuthatha amaphilisi okulawula ukubeletha futhi ngokuvamile futhi ama-hormone angenayo egwema uhlelo lokuzala.
Umjikelezo wezokwelapha
Uma umnikeli nomama ohlosiwe bezithola isikhathi sabo, umjikelezo wezokwelapha uqobo uzoqala.
Umnikeli uzothatha izidakamizwa ezenzelwe ukuzala ukuze kuvuselelwe ukukhiqizwa kwamaqanda. Umjikelezo wakhe uzolandela kakhulu umjikelezo we-IVF ovamile, weqa ukudluliswa kombungu.
Umama ohlosiwe uzothola izijovo ezihloswe ukuvimbela uhlelo lokuzala (ngakho udokotela angakwazi ukugcina umnikezeli naye ekuvumelaneni.)
Uzophinde athathe u-estrogen supplementation. I-estrogen izokhomba isisu sokudala umshini ofanelekayo.
Uma amaqanda emaqanda omnikeli abheka ngomumo, umnikeli uzothola umjovo we-hCG. Lokhu kwaziwa nangokuthi i-trigger shot. Izoqala isigaba sokugcina sokuvuthwa kweqanda.
Ngalesi sikhathi, umama ohlosiwe uzoqala ukuthatha i-progesterone supplementation. Njenga-estrogen, lokhu kusiza ukulungisa isibeletho sombungu.
Umnikeli uzofika emtholampilo wokuzala ukuze athole amaqanda. Ukubuyiswa kwamaqanda kwenziwa ngokusebenzisa inaliti eqondiswa yi-ultrasound.
Ngemuva kokuba ukubuyiselwa kwamaqanda kuqedile, indima esebenzayo yomnikeli kulo mjikelezo iphelile. Uzonikwa imiyalelo yokunakekelwa ekhaya ukuze atholekele ekutholeni amaqanda, kanye nemiyalelo yalokho okufanele akwenze uma ecabanga ukuthi uthuthukisa i- ovarian hyperstimulation syndrome (OHSS).
Ngalolo suku lokubuyiswa kweqanda, ubaba ohlosiwe uzohlinzeka ngesampula sembewu. (Kwezinye izimo, isampula ingalungiselelwa futhi iqhwa ngaphambili. Kodwa ngokuvamile iyenziwa ngosuku lokubuyiselwa kwamaqanda ngokwalo.)
Amaqanda abanikezeli abanikezwayo azohlanganiswa kanye namaseli kababa asehloswe. Ngithemba ukuthi amanye amaqanda azokhulelwa.
Ngemuva kwezinsuku ezintathu kuya kwezinhlanu, umama ohlosiwe uzofika emtholampilo wokuzala ukuze udluliselwe embryo.
Imbungu emibili kuya emibili ephilile iyodluliselwa kwisibeletho somama esihlosiwe. Noma yimiphi imibungu engaphezulu izobe iqhwa-noma i-cryopreserved-ngomjikelezo wesikhathi esizayo.
Umama ohlosiwe uzoqhubeka ethatha isandiso se-progesterone.
Cishe ngemva kwezinsuku eziyishumi ukudluliselwa komama, umama ohlosiwe uzothatha ukuhlolwa kokukhulelwa ukuze abone ukuthi umjikelezo uphumelele yini.
Yiziphi Izingozi Zama-Donor IVF?
Ama-egg donors abhekene nezingozi ezifanayo njengoba abesifazane behamba nge-IVF evamile. Izidakamizwa zokuzala ezithathwe ekuvuseleleni ama-ovari zonke ziza nezingozi kanye nemiphumela emibi ukuthi umnikezeli kufanele azi.
Ingozi enkulu kumnikeli uthuthukisa i-ovarian hyperstimulation syndrome (OHSS). Ngenxa yokuthi abanikeli bavame ukuba abasha futhi bevundisa kakhulu, ingozi yabo ingase ibe ngaphezu kowesifazane ongenasifo ohamba nge-IVF.
Kubaluleke kakhulu ukuthi umnikeli uyazi izimpawu nezimpawu ze-OHSS ukuze kusetshenziswe ngokushesha. I-OHSS engenakunqanda ingasongela ukuzala kwakho ngisho nokuphila kwakho, ezimweni ezingavamile.
Kukhona nezingozi ezingokwengqondo kumnikeli.
Umnikeli angase azisole ngokuhamba kwesikhathi isinqumo sokunikela amaqanda akhe, noma azibuze ukuthi kwenzekani kumaqanda athole futhi / noma ingane ikhulelwe ngosizo lwakhe.
Lokho kusho ukuthi abanikeli abaningi bazwa imizwa yokwaneliseka nokuziqhenya ekusizeni umndeni.
Ukukhuluma nomeluleki ngaphambi kokuba umnikelo ubaluleke kakhulu futhi ngokuvamile kudingwa izinhlelo ze-egg donor.
Ngomama ohlosiwe, ingozi enkulu ye-donor egg IVF ikhulelwa ukukhulelwa okuningi .
Ukuze unciphise ingozi, njengoba imibungu embalwa ngangokunokwenzeka kufanele idluliselwe. Khuluma nodokotela wakho ukuthi ngabe ukudluliswa kombungu kungabhekana kanjani nesimo sakho.
Yiziphi Izindleko Zempumelelo Ye-egg Donor IVF?
NgokweSikhungo Sokulawula Izifo, izinga lokuzalwa lokuphila kweqanda le-IVF lilinganiselwa ku-55.9% lokudluliswa kombungu omusha kanye namaphesenti angu-40.2 wokudluliswa kombungu obusisiwe.
Lesi yisilinganiso esibikiwe kazwelonke ngonyaka ka-2013. Amanani okuphumelela azohluka emtholampilo kuya emtholampilo.
Endabeni yokwabelana kwamaqanda nomunye umbhangqwana ongenalutho, izinga lokuphumelela lingase libe lincane. Okufanayo kungashiwo ngokusebenzisa umngane noma ilungu lomndeni njengomnikeli, okungenzeka ukuthi akusilo ummeleli ozokwenza kahle.
Khuluma nodokotela wakho mayelana nezinkinga zakho zokuphumelela.
Zingakanani Izindleko Zama-Donor IVF?
I-egg donor IVF iyabiza kakhulu. Lindela ukuthi ukhokhe noma yikuphi kusuka ku-$ 20,000 kuya ku-35,000 umjikelezo ngamunye. Izindleko zizohluka kuye ngokuthi umthombo we-egg donor.
Kukhona nezinhlelo zokubuyiselwa kwe-IVF ezinganikeza uhlobo lomshwalense uma ukwelashwa kwehluleka. (Uma ungakhulelwa, uzothola okungenani imali yakho emuva.) Ungahlola futhi izindlela zokukhokha kancane futhi uthole ukwelashwa kwe-IVF.
Yiziphi Izinketho Zami Uma Angifuni Ukusebenzisa I-Egg Donor?
Akuwona wonke umuntu ofuna ukuphishekela i-egg donor IVF. Izindleko eziphakeme zivimbela imibhangqwana eminingi ukuba ingacabangi.
Izinketho zakho ezihlukile kuzoxhomeka ukuthi kungani udinga ama-egg donor endaweni yokuqala.
Ngalokho kusho, izinketho ezimbalwa ezikhona zingabandakanya ...
- ukuzama i-IVF evamile ngamaqanda akho (izinkinga zakho zokuphumelela zingase ziphansi kakhulu)
- besebenzisa i-donor embryo (engabizi kakhulu kune-egg donor IVF)
- ukuphishekela ukutholwa
- ukhetha ukuphila okungenamntwana
> Imithombo:
> Ubuchwepheshe bokukhiqiza obusekelwayo: Umbiko Wemiholo Yempumelelo Yempumelelo. (2013) Isikhungo Sokulawula Izifo.
> Ukukhiqizwa kwezintathu: Ukunikezelwa kwesibindi, i-egg, ne-Embryo kanye ne-Surrogacy. UmNyango we-American for Medicine Reproductive.