Ukuze uthole umtholampilo ongcono kakhulu wokuzala, thatha isikhathi sokucwaninga noma yimuphi umtholampilo ocabanga ngawo. Ungakhethi nje indawo yokuqala ebuyisela ikholi yakho; ukuphishekela ukuhlolwa kokuzala kanye nokwelashwa yisinyathelo esikhulu futhi kungabandakanya imali enkulu kanye nesikhathi esiningi. Ufuna ukukhetha kuphela okungcono kakhulu.
Ukukhuluma okungcono kakhulu, ingxenye yokukhetha imitholampilo yokuzala inomuntu siqu futhi iyingqayizivele.
Umtholampilo ongcono kakhulu kumngane wakho kungenzeka noma awungeke ube ngcono kuwe. Ngakho cela abangani bakho, udokotela, inkampani yomshuwalense, kanye neqembu lenkxaso yendawo ukuze uthole izincomo, kodwa qiniseka ukuthi uphenye noma yimuphi umtholampilo ozicabangela wona.
Lapho ucwaninga imitholampilo, ungathola ulwazi:
- kumawebhusayithi abo
- ekhasini lokubika lomtholampilo lombiko wemitholampilo ye-CDC (ngaphezulu kwalokho ngezansi)
- ngokukhuluma nomtholampilo omele ucingo noma ngomuntu
- ngokukhuluma neziguli zamanje noma zangaphambili (ezitholakala ngamaqembu asekela ukungenwa kwezingane )
- ngokuhlangana nokuxoxisana nodokotela ongakwazi ukubonisana
Ukucabangela Abachwepheshe Bokuzala
Umtholampilo wenzalo uhle kakhulu odokotela bawo. Kuye ngokuthi umtholampilo usebenza kanjani, ungabelwa udokotela oyedwa, noma ungabona odokotela abambalwa abahlukene ngokuzungezile. Kunezinzuzo nezinkinga kuzo zombili izilungiselelo, kodwa ngokuvamile, ufuna udokotela oyedwa njengomphathi wakho oyinhloko nomphathi wezinkinga.
Imibuzo okufanele uyicabangele lapho ukhetha udokotela yilezi:
- Ingabe bathatha isikhathi sokuphendula imibuzo yakho? Ungakwazi yini ukubuza imibuzo nge-imeyili ngenkathi uhlolwa nokuphathwa? Uma bengakufuni ukuhlangana nawe ngaphambi kokuba ukhethe, khona-ke kungenzeka ukuthi abanaso isikhathi sakho lapho unesiguli. Ukungathandi ukuphendula imibuzo yakho phezulu akuyona isibonakaliso esihle.
- Baqeqeshiwe nini futhi kuphi? Ingabe zibophezele ukuqinisekiswa kwe-endocrinologists ? Ingabe amalungu e-American Society for Medicine Reproductive (ASRM)? Bade basebenze isikhathi esingakanani iziguli ezingenabuhlungu?
- Ingabe umtholampilo wakho une-andrologist kwabasebenzi? Odokotela abahlinzayo? Uma ubhekene nezinkinga zesintu zokungazalwa, ukuba ne-andrologist kubalulekile. Uma ubhekene ne-endometriosis noma yiziphi izinkinga zesakhiwo, udokotela ohlinzayo uyinhlanganisela futhi mhlawumbe kufanele.
- Iziphi izibhedlela ezihambisana nazo? Ingabe leso sibhedlela sithatha umshwalense wakho? Ngisho noma umshuwalense wakho ungathinti ukwelashwa kokuzala , uma udinga ukungena esibhedlela ngenxa yezinkinga zokwelashwa, uzofuna ukumbozwa.
- Umqondisi ube nomtholampilo isikhathi esingakanani? Kuthiwani ngabanye abasebenzi? Abantu asele behlala emtholampilo, cishe indawo yokusebenza isebenza kahle.
- Zingaki i-endocrinologists yokuzala ezisebenza emtholampilo? Ingabe icala lakho lizosingathwa udokotela noma ithimba elilodwa, futhi ubani ozokubona ekuvakasheni kwakho? Uma icala lakho liyinkimbinkimbi, ukuba neqembu kungasiza. Ngakolunye uhlangothi, kudingeka ukubhekana nodokotela ohlukile kuzo zonke izikhundla kungase uzizwe ungumuntu ongenamuntu.
Imibuzo Yokubuza Ngokuphathelene Nezimali Ukuhlolwa Nokunakekelwa
Imitholampilo eminingi inabasebenzi abazobhekana nezici zezezimali zokuhlola nokwelashwa. Kufanele bakwazi ukuphendula imibuzo yakho mayelana nezinkokhelo nezinhlelo zokukhokha, futhi kufanele uhlale phansi ukuze uxoxe ngezinketho zakho bese ubuza imibuzo ekuvakasheni kwakho kokuqala emtholampilo.
Kungase kubonakale kungavamile ukucubungula intengo uma ubheka emitholampilo, kodwa ukucabanga ukuthi imali iyadingeka. Ezinye zokwelapha zibiza izinkulungwane zamadola, kanti umtholampilo ongabizi kakhulu ohlinzeka konke okudingayo kungcono kunomtholampilo we-fancy-schmancy ezungeze ibhulogi enikeza okungaphezu kwalokho okudingayo, ikakhulukazi uma ngeke ukwazi ukukhokhela imijikelezo eminingi umtholampilo obizayo.
Imibuzo okufanele ucabangele mayelana nokuxhasa imali ihlanganisa:
- Yimuphi umshwalense owamukelwayo, uma kunjalo? Futhi uzobamba yini ukuphatha izimangalo zomshuwalense? Uma kungenjalo, ingabe bayokunikeza amaphepha adingekayo ukuze uphishekele umshwalense?
- Yiziphi izindinganiso ezihlukahlukene zokuhlolwa kanye nokwelapha? Ingabe kukhona ukuhlolwa noma ukwelashwa okuhlanganiswe umshwalense wakho? Futhi amanani acashunwe abandakanya ini? Isibonelo, uma ucaphuna intengo ye-IVF , ingabe lokhu kuhlanganisa imithi nokuqapha? Isitoreji se-Embryo ? Uma kungenjalo, yini ongayilindela imali ephelele?
- Ingabe banayo uhlelo lokukhokha? Kuzodingeka ukhokhe noma yini kusengaphambili? Malini? Uma wenza i- IVF, ukhokhaphi uma umjikelezo wakho ukhanseliwe ngaphambi kokubuyiswa kwamaqanda ? Kuthiwani uma ikhanseliwe ngaphambi kokudluliswa kombungu?
- Ingabe uncoma noma unikeze noma yiziphi izinhlelo zezimali? Ingabe umtholampilo usebenza nanoma yiziphi izinhlelo zezimali zokunakekelwa kwezingane ezingenasifo, njengenethiwekhi ye-Attain Fertility Centers noma uhlelo lwe-ARC Fertility? Ngabe kukhona odokotela noma abasebenzi abathola izikhalo zokuxhaswa noma izinzuzo zemali uma ubhalisa ngezinhlelo ezithile zokuxhaswa kokuzala? (Uma kunjalo, qaphela ukuthi uhlelo lwezezimali lungcono kakhulu.)
- Ingabe unikeza uhlelo lokubuyisela i-IVF ? Lezi yizinhlelo ezidinga imali enkulu kakhulu kodwa ziphinde zithembele ezinye zemali yakho uma ungakhulelwa emva kwenani lemijikelezo. Into eyodwa okufanele uqaphele ngalezi zinhlobo zezinhlelo emtholampilo ingakuchatha ngokufutheka, ngokucindezela ukugqugquzelwa kwama-ovarian amaningi noma ukudlulisa imibungu eminingi, ukuze kuphakanyiswe amathuba okuphumelela. Qinisekisa ukuthi uhlelo lokubuyiselwa kwemali likuvumela ukuthi usho ukuthi zingaki emibungu ehanjiswayo futhi ikuvumela ukuthi uchithe ikhefu phakathi kwemijikelezo (ngaphezulu kwenyanga eyodwa nje kuphela) ukuze ululame ngokomzimba nangokomzwelo.
- Kungakanani umthamo okhishwayo kanye nokugcina imali? Kuthiwani ngomjikelezo we-embryo ukudluliselwa (FET)?
- Uma umtholampilo uphelelwe ekhaya, ingabe umtholampilo unikeza noma yikuphi okukhethwa kukho okwehlisiwe kokuhlala? Mhlawumbe usebenzelana namahhotela wendawo.
Imibuzo Yokubuza Ngezinqubo NeLablini Yomtholampilo Yokuzala
Imibuzo yokuxoxa nodokotela ihlanganisa:
- Ingabe kukhona i-cutoff yobudala yokwelapha? Kuthiwani nge-cutoff yamazinga we- FSH ?
- Kuphi izinqubo nokuhlolwa okwenziwe? Ingabe umtholampilo unalobhu yasayithi, noma uzodinga ukuya kwenye indawo? Uma kwenye indawo, ikude kangakanani ukusuka emtholampilo?
- Yiziphi izinqubo ezingenzeka kule mtholampilo? Ingabe benza i-IVF? I-ICSI ? Ukudluliswa kwe-Blastocyst noma ezinye izinketho zobuchwepheshe bokuzala zokusiza ? Ingabe izinqubo ezenziwa emtholampilo noma kwenye indawo? Uma esibhedlela, yisiphi isibhedlela? Uma uhlala kude nomtholampilo, ingabe ukuhlolwa nokusebenza okuthile kungenziwa eduze kwekhaya lakho?
- Yiziphi izinketho zokunikela noma zokuzikhethela ezitholakalayo? Ingabe umtholampilo uqhuba uhlelo lomnikelo noma kufanele usebenzise i-ejensi? Uma banezinhlelo zokunikela , ingabe unomkhawulo kubanikeli abavela ohlelweni lwabo, noma ungasebenzisa i-ejenti uma ufuna? Ingabe banikeza izinsizakalo zokunikezwa kombungu ? Kuthiwani uma unquma ukunikela ngemibungu yakho eseleyo, noma kwesinye isibhangqwana esingenalutho noma isayensi? Bangakusiza ngalokho?
- Yimiphi izinqubo eziphakamisayo kulolu cala? Ingabe bazocabangela izidakamizwa ezivuselela i-ovarian kuphela, noma i- IUI ngaphambi kokuqhubekela phambili ku-IVF? Zingaki imijikelezo ye-IUI azovuma ukuzama? Imitholampilo ehlukene ingancoma izinhlelo ezahlukene zokwelapha, kanti omunye angase abe mnandi kuwe.
- Mangaki emibungu adluliselwa emjikelezweni owodwa? Futhi ubani okhetha ukuthi zingaki izibungu ezidluliswayo: udokotela noma isiguli? Kwabesifazane abaneminyaka engaphansi kweminyaka engama-35 abanesifo esihle, i-ASRM ikhuthaza kakhulu ukudlulisa umbungu owodwa ngomjikelezo, futhi ingekho ngaphezu kokubili. Kwabesifazane abaneminyaka engama-35 kuya ku-37 abanesifiso esihle, batusa ukuba badlulise imibungu emibili, futhi bangaphezu kwamathathu. Sekuyiminyaka engu-38 kuya ku-40 ubudala, batusa ukuba badlulisele abathathu, futhi bangaphezu kwamane; futhi abaneminyaka engama-41 no-42 ubudala, batusa ukudlulisa okungaphezu kwamahlanu. Uma ukudlulisa ama-embrosi esigabeni se-blastocyst, khona-ke batusa ngisho nemibungu embalwa idluliselwa umjikelezo ngamunye, ingekho ngaphezu kwezintathu ngisho nangeminyaka engu-42. Njalo icala ngalinye kufanele libhekwe, yiqiniso.
- Ubani oqaphela ukuthi umjikelezo ukhanseliwe noma cha uma ngabe impendulo ingaphansi kokulungile? Ungacela yini ukuthi lo mjikelezo uqhubeke noma kunjalo, noma ngabe kungenzeka ukuthi uphumelele?
- Ingabe umtholampilo uyilungu leNhlangano Yezobuchwepheshe Bokusiza Ngokubelethwa (SART)? Ingabe bayabambelela emibhalweni ye-ASRM?
- Ingabe babika iSART / CDC izibalo zabo zokuphumelela kwe-IVF? Uma u-yebo, kufanele ukwazi ukuthola izibalo zempumelelo yalo mtholampilo we-SART wokuthola imitholampilo. Ungahlola futhi izibalo kwiwebhusayithi ye-CDC.
- Ingabe lebhu evunyelwe yiKholeji yama-Pathologists aseMelika noma i-Joint Commission? Ungaqinisekisa ukugunyazwa kwiwebhusayithi yeKolishi ye-American pathologist, ucwaninga ngekhodi ye-zip yomtholampilo oyiphenyo.
- Ingabe lebhu yenza i- cryopreservation yemibungu ? Kuthiwani ngamaqanda nesidoda? Iphi imibungu, amaqanda, noma i-sperm egcinwe? Yiziphi izinqubo eziphuthumayo abanayo uma kwenzeka ukuphuma kwamandla noma ukuzamazama komhlaba?
Izinto okufanele uzicabangele ngokujwayelekile mayelana nomtholampilo wokuzala
Ezinye izici okufanele uzicabangele ngaphambi kokukhetha umtholampilo zifaka okulandelayo:
- Uphi umtholampilo? Akuwona wonke umuntu onenhlanhla yokuhlala eduze komtholampilo abayidingayo. Isikhathi sokuhamba yisici esibalulekile sokucabangela, ikakhulukazi uma wenza i-IVF, njengoba kungase kudingeke ukuba ube emtholampilo cishe nsuku zonke ngomunye womjikelezo wakho. Uma udinga ukuhamba, khumbula ukuthi uzodinga ukulala kanye nesikhathi emsebenzini.
- Ingabe abasebenzi bayamnandi? Cishe uzosebenza nomtholampilo izinyanga, futhi mhlawumbe iminyaka. Ingabe bayaphendula imibuzo yakho? Ingabe banomusa futhi bayasiza efonini? Noma ingabe uzizwa sengathi bayakuqhuma?
- Yimaphi amahora namahora umtholampilo ovulekile? Ingabe kukhona amahora amaningi okuqala noma amahora okuhlwa, ukuze ukwazi ukuqapha ukuqokwa ngaphambi noma ngemva komsebenzi? Ingabe ivulekile ngempelasonto? Uma kungenjalo, basingatha kanjani ukudluliselwa kwe-IVF noma i-IUI okudingeka ukuba kwenzeke ngoMgqibelo noma ngeSonto?
- Ingabe kukhona amahora athile ongawabiza ukubuza imibuzo noma ukuthola izibuyekezo ezivela kudokotela wakho noma umhlengikazi? Amakholi aphathwa kanjani angaphandle kwamahora ehhovisi?
- Ingabe banikeza noma yimiphi imisebenzi ekhethekile ngaphandle kokwelashwa okuyisisekelo kokuzala? Ingabe unomeluleki on-staff ukukusiza ukuthi usebenze ngezinketho zakho? Ingabe banamaqembu okusekela? Ama-workshops womzimba wengqondo ? Ukukhishwa kwesikrini kusayithi , kuyatholakala ngemuva kokudluliswa kombungu?
Ukucubungula Amanani Okuphumelela
Esinye isici esibalulekile okufanele sicatshangelwe yizinga lempumelelo yomtholampilo. Njengoba kubonisiwe ngenhla, ungabona amazinga okuphumelela kwe-IVF emtholampilo kumawebhusayithi e-SART noma e-CDC. Ukuba nezinga eliphakeme kakhulu lokuphumelela akusho ukuthi umtholampilo ungcono kakhulu. Ezinye imitholampilo zigwema ukuthatha izinkinga ezinzima noma ukwenqaba ukwelashwa kwabesifazane abangaphezu kweminyaka engu-40 ngamaqanda abo. Lokhu kungabonakalisa izibalo.
Okufanele ukubheke yilezi: Ingabe amazinga okuphumelela emtholampilo angaphezu kwezinga likazwelonke? (Hlola amazinga okuphumelela kwe-IVF lapha.) Kufanele ubheke izibalo zokuzalwa zokuzalwa zonyaka wakho, hhayi nje izibalo zokukhulelwa (okuzofaka phakathi ukuhlukunyezwa). Kumele uqhathanise izibalo zabo eziningi zokukhulelwa kumaphakathi kazwelonke.
Uma ungenzi i-IVF, buza mayelana namazinga okuphumelela kokuzalwa kokuzalwa okuqondene nesimo sakho futhi ikakhulukazi ezinyathweni eziphakanyisiwe. (Khumbula ukuthi izinga lokuphumelela kwe- IVF kuphela libikwa ku-SART naku-CDC, ngakho-ke uma ufuna amanye amazinga okuphumelela ekwelapheni, kuzodingeka ucele udokotela wakho.) Udokotela wakho kufanele abe nolwazi lokukusiza ukuthi unqume ukuthi ukwelashwa kuyafaneleka yini ukutshala imali ngokomzwelo.
Uma umtholampilo uthembisa impumelelo, ikakhulukazi impumelelo kumjikelezo owodwa nje, hambani. Ayikho into efana ne-100% isiqinisekiso nge-IVF, kungakhathaliseki ukuthi yisiphi isizathu sokungabikho kwakho.
Imithombo:
Izinsiza Zokukhiqiza Ezixhasiwe: Umhlahlandlela Weziguli. I-American Society of Medicine Yokuzala. http://www.sart.org/uploadedFiles/ASRM_Content/Resources/Patient_Resources/Fact_Sheets_and_Info_Booklets/ART.pdf
Imigomo yemibungu yokudlulisela: umbono wekomiti. I-American Society of Medicine Yokuzala. http://www.asrm.org/uploadedFiles/ASRM_Content/News_and_Publications/Practice_Guidelines/Guidelines_and_Minimum_Standards/Guidelines_on_number_of_embryos(1).pdf
Izinhlelo zokuKwabiwa kokungenzi lutho. Sula. http://www.resolve.org/family-building-options/insurance_coverage/infertility-financing-programs.html
Ingabe Udokotela Wakho Wokuzala Uthatha Izingozi? Slate.com. http://www.slate.com/blogs/xx_factor/2012/07/13/ivf_loans_predatory_lending_hits_the_fertility_market.html
Kungani i-IVF Impumelelo Imali Okufanele Kuwe. Sula. http://www.resolve.org/family-building-options/why-ivf-success-rates-matter-to-you.html