Uhlolojikelele lwezokwelapha zokwelapha
Uma wena nomlingani wakho nithole ukuhlolwa kokuzala , sekuyisikhathi sokuqala ukucubungula izinketho zakho zokwelapha. Ukuphathwa kokwelashwa ngokuvamile kubhekisela emithini yemithi ekhuthaza amaqanda noma ukukhiqizwa kwesilisa, noma izinqubo ezibandakanya ukuphathwa kwamaqanda, izidakamizwa noma imibungu.
Kodwa-ke, ukuphatha ukungabi nabantwana kungaphezu kwemithi yokwelapha. Ukwelashwa kokungahambi kahle nakho kungabandakanya ukungenelela kokuhlinzwa, izinguquko zendlela yokuphila, ukulahlekelwa isisindo, noma ukwelashwa kwesimo sezempilo esingaphansi.
Uhlelo lwakho lwezokwelapha olungenasifo sokubeletha luzoxhomeka esibangweni noma ezibangelwa ukungasebenzi kwakho, kungakhathaliseki ukuthi inkinga ivela ohlangothini lwabesifazane , ohlangothini lomuntu , zombili izinhlangothi, noma ehlala engaqondakali .
Izindaba ezinhle ukuthi amaphesenti angama-85 kuya kwangu-90 emibhangqwana esebenzelana nokungazali kahle ayaphathwa ngezokwelapha eziphansi, njengemithi noma ukuhlinzwa. Amaphesenti angaphansi kuka-5 aphathwa ngokusetshenziswa kobuchwepheshe bokuzala njengo-IVF .
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Ingabe Ukwenzela Ngokuphumelelayo Ukuthuthukisa Ukuzala Kwakho?
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Ingabe Umsizi Wokuzala Ungakusiza Ngempela Uthole Ukukhulelwa?
Kulabo abathola ukwelashwa kokuzala, nje ngaphansi kwesigamu kuzoba nomntwana.
Yiziphi Izinketho Zezidakamizwa Zakho Zokuzala?
Imithi yokwelapha imithi isetshenziselwa ukugqugquzela i-ovulation, kodwa ingasetshenziselwa ukugqugquzela ukukhiqizwa kwesilisa kwezinye izimo zokungabi namuntu.
Ukuphazamiseka kwe-ovulation kubangelwa amaphesenti angaba ngu-25 abesifazane abathintekayo. Lesi yisizathu esivame kakhulu sokwelashwa kwezidakamizwa zokuzala.
Lokho kusho ukuthi izidakamizwa zokuzala zingase zisetshenziswe ngesikhathi sokujikeleza kwe-IUI futhi zivame ukusetshenziselwa ukwelashwa kwe-IVF, ngisho noma ukuvuthwa akuyona neze imbangela yokungasebenzi kwalabo abashadile.
Imithi yokwelapha ingakhuthaza ama-ovulation amaphesenti angama-80 esikhathi. (Lokhu akufani nokuphumelela kokukhulelwa noma izinga lokuzalwa lokuzalwa.)
Imithi ejwayelekile yokuzala ihlanganisa i- Clomid , i- Femara , ne- gonadotropin .
I-Clomid (i-clomiphene citrate): Isidakamizwa esaziwa kakhulu sokuzala, i- Clomid ijwayele ukusetshenziswa kwezidakamizwa zokuqala. Ngokuyinhloko, isetshenziselwa ukuphatha ukungabi nabantwana besifazane, kodwa ingasetshenziswa ukuphatha ukungabi namuntu ngendlela efanayo.
Amaphesenti angaba ngu-40 kuya kwangu-45 emibhangqwana esebenzisa i-Clomid ukuze akhiphe ukuvuthwa kuzokhulelwa ngaphakathi kwemigqa eyisithupha yokusetshenziswa.
I-Femara (letrozole) ne-Arimidex (i-anastrozole): Le mithi ingase isetshenziselwe ukugqugquzela ukuvuthwa kwabesifazane abanenkinga yokuphefumula , nakuba bengewona "izidakamizwa zokuzala" ngokusemthethweni.
Ucwaningo lubonise izinga elifanayo lokuphumelela njengalokhu ku-Clomid, nakuba ezinye izifundo zithole ukuxhumana okungenzeka phakathi kwe-Femara nenengozi eyengeziwe yokukhubazeka kokuzalwa.
I-Gonadotropins, kuhlanganise ne-LH, i-FSH, ne-hCG: I- Gonadotropini ifaka i-FSH, i-LH, noma inhlanganisela yale mibini.
I-Gonal-F ne-Follistim cishe i-gonadotropins eyaziwa kakhulu. Zombili ziqukethe i-hormone FSH.
I-hCG (i-chorionic gonadotropin yomuntu) ingasetshenziswa futhi, njengoba ilandisa i-LH emzimbeni.
Le mithi ye-hormone isetshenziswa uma i-clomiphene citrate ihluleka, noma uma i-pituitary gland ingakwazi ukudala i-LH ne-FSH eyodwa. Zingase zisetshenziswe ngesikhathi semijikelezo ye-IVF.
Yimiphi Iminye Imithi Engayisebenzisa Ngesikhathi Sokwelashwa Kwamafutha?
Ukugqugquzela ukuvuthwa kungase kungabi umgomo kuphela wokuphathwa kokwelashwa.
Ngezinye izikhathi, udokotela wakho angase afune ukuvimbela uhlelo lomzimba wakho wokuzala. Noma, udokotela wakho angase afune ukusekela isigaba se-luteal somjikelezo wakho. (Yisikhathi emva kokuvuthwa kodwa ngaphambi kwesikhathi sakho.)
Eminye imithi esetshenziselwa ukwelapha ukungasebenzi ingahlanganisa:
- I-progesterone (yokusekela kwesigaba se-luteal)
- I-aspirin ye-baby noma i- heparin engenayo (ngenxa yokuphazamiseka kwegazi, okungaholela ekutheni isisu siphume njalo)
- I-Metformin (ngezinye izikhathi isetshenziselwa ukwelashwa kwe-PCOS , yedwa noma imithi yokwelapha)
- Amaphilisi okulawula ukuzalwa (angasetshenziswa ngaphambi komjikelezo wezokwelapha, ngezizathu ezihlukahlukene)
- Ama-agonists noma abaphikisi be-GnRH (ukuvimbela uhlelo lokuzala ngesikhathi se-IVF)
- I-dopamine agonists, njenge-bromocriptine (ukuphatha i- hyperprolactinemia )
Iyini Insemination noma IUI Treatment?
I-inseuterine insemination , eyaziwa ngokuthi i-insemination yokufakelwa, iyinkqubo ehilela ukubeka isidoda esivunyiwe ngokuqondile esibelethweni.
Lokhu kungase kusetshenziswe kwezinye izimo zesifo sokuntuleka komuntu wesilisa , uma kunenkinga yesikhukhukazi somlomo wesibeletho sowesifazane, noma lapho kwenzeka ukungabi namuntu okungaqondakali .
IUI ingase isetshenziselwe futhi ukunikela ngesidoda.
Ukuphumelela kwe-IUI akukona kakhulu-ngokucwaninga okukodwa okubonisa amaphesenti angama-4 abesifazane abathola ukukhulelwa ngomjikelezo wezidakamizwa ezingezona ukwanda, futhi amaphesenti angu-8 kuya ku-17 aphumelele emigqeni ye- IUI esebenzisa izidakamizwa zokuzala ukuze kuvezwe amaqanda amaningi aphezulu.
Inzuzo ye-IUI yindleko, ephansi kakhulu kune-IVF.
IUI akuyona yodwa uhlobo lokuqothulwa kwamakhemikhali, nakuba luvame kakhulu.
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Ingabe Kufanele Ukhulule Amaqanda Akho Ukuze Ukwandise Ukuzala Kwakho?
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5 Izinkolelo Eziqhubekayo Zama-kuya-I-Conceivers Ukwenza Izinqumo Eziphilile
Ezinye izizathu zokusebenzisa ukusakazwa zihlanganisa ubulili obubuhlungu (okuvimbela ukulala ocansini ukuba nomntwana) noma imibhangqwana engashadile abashadile abafuna ukuba nomntwana ne-sperm donor.
- Indlela Yokuthola Ukukhulelwa Ngaphandle Kokuya ocansini
- Abantu Abanomsoco Ophelele Ongakabi Nengane
Iziphi Ukwelashwa Okunomsoco Ezitholakalayo Zitholakala?
Ezingamaphesenti angu-35 zamacala abesifazane abangenasifo, izinkinga zitholakala ngamatayipi noma izinkinga ezibhekene ne-lining of the pelvis kanye nesisu.
Ngokujwayelekile, le nkinga itholakala ngokuhlolwa okubizwa nge-HSG, noma i-hysterosalpingogram .
Uma i-HSG ikhombisa ukuvinjelwa okungenzeka kwamatayipi, udokotela angenza ukuhlinzwa kwe-laparoscopic ukuhlola isimo, futhi mhlawumbe ukulungisa le nkinga.
Uma ukutheleleka kukhona, ukwelashwa kungadinga ukuhlinzwa nokulwa namagciwane.
- Ukwelapha Izifo Ezivuthayo Ze-Pelvic (PID)
- Ukwelapha i-Hydrosalpinx: Uhlobo Oluthile Lwesibindi Se-Fallopian Evinjiwe
Ngezinye izikhathi, ukuvinjelwa noma ukubhuka akukwenzeki. Kulesi simo, i- IVF inganconywa .
Enye indlela yokwelapha yokwelashwa okungenzeka ukwenziwa yi-hysteroscopy yokuhlinzeka. Lokhu kungasetshenziswa esimweni sokunamathela ngaphakathi kwendawo yokubeletha uqobo.
Ukudoba kwe-Ovarian kungukuthi ukwelashwa okungenakuhlinzwa kokubeletha okungenakukwazi ukuhlinzeka nge-PCOS-infertility. Ngenxa yezingozi ezihilelekile, kanti izinga eliphezulu lokuphumelela kweminye imithi, alisebenzisi njalo.
Kulabo besifazane abane-endometriosis, i-laparoscopy ingasetshenziselwa ukususa ama-deposit endometrial. Lokhu kungenzeka ukuthi kunconywa kwabesifazane abanezinhlupho ezinzima zokuya esikhathini noma ubuhlungu be-pelvic, futhi cishe amathuba okusetshenziselwa ukwelashwa okungenasifo kuphela.
I-laparoscopy ingase iphakanyiswe futhi uma i-fibroids ye-uterine iphazamisa ukuzala.
Ubuchwepheshe obusha obuhlolwayo futhi buhlonyelwe njengamanje ukufakelwa kwesibeletho. Lokhu kuzovumela abanye besifazane ababengadingeka basebenzise isisu sokukhulelwa ukuba basebenzise umzimba wabo kanye nesibindi sokufakelwa.
Ukufakelwa kokubeletha akutholakali ngaphandle kwezifundo zocwaningo okwamanje.
Ezinye izimo zokungabi nabesilisa zingadinga ukuhlinzwa.
Isibonelo, i-varicoceles iyimbangela evamile yokungasebenzi komuntu futhi ngezinye izikhathi idinga ukwelashwa okuhlinzekwayo.
Uma izibalo zesilisa ziphansi kakhulu noma zero , kungase kwenzeke ukuthi ususe amancane amangqamuzana omzimba akha ama-testes. Lezi zinambuzane zikhula ngaleso sikhathi bese zisetshenziselwa i- IVF ne-ICSI .
Ukuguqulwa kwe-Vasectomy nokuguqulwa kwe-tubal ligation nakho okukhethwa kukho kokuhlinzekela ukungena.
Yiziphi Izinsiza Zokukhiqiza Ezisiza (I-ART)?
Ubuchwepheshe bokuzala bokusiza (ART) kubhekisela ekunakekeleni ukwelashwa okubandakanya ukuphathwa kwamaqanda noma imibungu. Lokhu kufaka i-IVF, i-GIFT, ne-ZIFT.
I-IVF iyindlela ejwayelekile kakhulu ye-ART esebenzayo namuhla. Amaphesenti angaphansi kwezingu-2 ezinqubo ze-ART yi-GIFT, futhi i-ZIFT isetshenziswe ngaphansi kuka-1.5 amaphesenti wesikhathi.
I-IVF (In vitro Fertilization) : Ngendlela ejwayelekile ye-IVF , imithi yokuzala iyasetshenziselwa ukukhuthaza ama-ovari ukukhiqiza amaqanda. Ukucabanga ukuthi konke kuhamba kahle ngalesi sigaba, lawo maqanda abese esuswa emaqanda omfazi wesimiso esilandelayo.
Okulandelayo, amaqanda ahlanganiswa kanye nesidoda, e-cocktail ekhethekile yezakhi, futhi ashiye yedwa kuze kufike umquba. Emva kokukhulelwa, imibungu eyodwa kuya kwemibili ifakwe ngaphakathi kwesibeletho sowesifazane.
Lena incazelo eyisisekelo kakhulu yokwelashwa kwe-IVF. Kukhona ubuchwepheshe obengeziwe obusizo obungasetshenziswa nge-IVF, kufaka phakathi ...
- I-Intracytoplasmic Injection Injection (ICSI)
- Ukuhlanza okusiziwe
- Ukuxilongwa kwe-genetic pre-implantation (PGD) (eyaziwa nangokuthi ukuhlolwa kwangaphambi kokufakelwa kwezakhi zofuzo, noma i-PGS)
- I-Cryopreservation (iqhwa) yamaqanda, i-sperm, noma imibungu
- Ukukhiqizwa kwezinkampani zangaphandle (ngaphezulu ngalokhu ngezansi)
I-Mini-IVF : Inketho ongahle ukwazi ngayo i-mini-IVF. Umehluko omkhulu phakathi kwe-IVF ne-mini-IVF ukuthi imithi embalwa isetshenziswa. Umgomo ukukhuthaza ama-ovari kuphela ngokwanele ukuthola amaqanda ambalwa hhayi amaningana.
I-Mini-IVF ingabizi kakhulu kune-IVF egcwele kodwa ebiza kakhulu kunokwelashwa kwe-IUI. Kungaphumelela kakhulu kune-IUI, futhi ihamba nengozi ephansi ye-ovarian hyperstimulation syndrome .
ISIFUNDO : Nge-GIFT (i-gamete intrafallopian transfer ), iqanda nesidoda, noma ama-gametes , awakhuliswa ngaphandle komzimba. Esikhundleni salokho, zifakwa ndawonye zibe yinye yamathole wesifazane wesifazane.
I-ZIFT : Nge-ZIFT (i-zygote ukudluliselwa kwe-intrafallopian), i-zygote ifakwa kwesinye sezibhubhu ze-fallopian. Lokhu kuvame ukuqhutshwa ngokusebenzisa ukuhlinzwa kwama-laparoscopic.
Ukunikezwa kwemali yeGamete Yokuzihlola nokuThathu
Ngezinye izikhathi, IVF yedwa ayanele. Eminye imibhangqwana idinga ukusebenzisa amaqanda omunye umuntu, isibindi, imibungu noma isisu ukuze wakhe umndeni wabo.
Kungenziwa kunconywe amaqanda emaqanda ama-ovarian aphansi, ukungasebenzi kahle kwe-ovarian, noma ukwehluleka okungaqondakali kwe-IVF. I-egg donor ingasetshenziselwa umbhangqwana wesilisa ongowesilisa wengane, kanye nomuntu oyedwa.
Umnikezeli wesilisa angasetshenziswa kwezinye izimo zokuhlukumezeka kwabantu besilisa noma uma owesifazane ongashadile noma umbhangqwana ongashadile ufuna ukuba nengane. Umnikezeli wesilisa angasetshenziswa ngesikhathi sokuphathwa kwe-IUI noma i-IVF.
Umnikeli wombungu angasetshenziselwa noma yiziphi izizathu ezifanayo ongasebenzisa iqanda noma umnikezeli wesilisa. Umnikelo we-embryo IVF awubizi kakhulu kunokusebenzisa i-egg donor noma ukuhamba nge-IVF evamile ngamaqanda akho.
Kungakhathaliseki ukuthi udinga iqanda, umbungu, noma umnikezeli wesilisa, ungasebenzisa owaziwayo-umngane noma isihlobo), noma uthole umnikeli ngomtholampilo noma inhlangano yokuzala. (Ungalokothi uzame ukuqasha umnikeli ngokusebenzisa iforamu lewebhu noma ukuthunyelwa kwezokuxhumana kwezenhlalo. Kukhona abaningi abakwa-scammers ngaphandle.)
Ukuqasha ummeli ogxile ekuzalweni komthetho nomndeni kubalulekile.
Ukuzibuza lapho owesifazane ethwele ukukhulelwa kwabashadile. Lokhu kungadingeka uma owesifazane engenayo isibeletho noma enezinkinga zobisi ezivimbela ukukhulelwa okuphephile. Ibuye isetshenziselwe ukuhluleka okuphindaphindiwe kwe-IVF.
Imibhangqwana yamadoda aseGayayini ingasebenzisa umuntu ozaziyo ukuba nomntwana.
Ngokuya ngohlobo lokuzikhethela, abazali abaphilayo bangase babe umbhangqwana ongenasifo, noma iqanda, insimu, noma umlenze ongasetshenziswa.
Ukuzivocavoca ngokwemveli yilapho umbelethi engumama wezinto eziphilayo. Umnikezeli wesilisa noma ubaba ohlosiwe kungenzeka abe ngubaba ophilayo. Kodwa-ke, ngenxa yezinkinga zomthetho ezingase zibe khona, lolu hlobo lwe-surrogacy ngokuvamile ludikibala.
Uhlobo Luni LukaDokotela Olunikeza Imithi Yokwelapha?
Udokotela wakho wezifo zezinyoko ngokuvamile ungumhlengikazi wokuqala uzobona ukuthi unzima yini ukukhulelwa, futhi angase azimisele nokunikeza ukwelashwa okuyisisekelo kokuzala. Isibonelo, abesifazane abaningi baphathwa nge-Clomid nge-OB / GYN yabo.
Kodwa-ke, amacala abandakanya ukuzala afuna ubuchwepheshe.
I-endocrinologist yokuzala (RE) isazi sokuzala. I-endocrinologists yokubeletha isebenza kokubili ukungabi nabantwana besilisa nabesifazane. Ngokuvamile basebenza emtholampilo wokuzala, kanye nabanye odokotela bokuzala, abahlengikazi nabachwepheshe.
Akuwona wonke umtholampilo wokuzala olinganayo. Ngaphambi kokukhetha udokotela, qiniseka ukuthi yinto engcono kakhulu kuwe.
Abanye ochwepheshe bokuzala bafaka ama-andrologists, i-immunologist yokuzala, kanye nodokotela ohlinzayo.
Ukwelapha Izifo Ezicindezelekile Nokuguquka Kwendlela Yokuphila Njengokwelashwa Kwezinzalo
Ayikho ingxoxo mayelana nokuphathwa kokwelashwa ephelele ngaphandle kokuxoxa ngokuphathwa kwezifo ezingezansi kanye nezinguquko zokuphila ukuze kuthuthukiswe ukuzala.
Uma inkinga yezokwelapha engezansi inganakwa, ukwelashwa kokuzala kungase kube ncane kakhulu amathuba okuphumelela.
Isibonelo, isifo sikashukela esingelashwa, isifo se-celiac , nokungalingani kwe-thyroid kungabangela ukungabi nalutho. Kwezinye izimo, ukwelapha lezi zifo kuyokwanela ukubuyisela ukuzala kwemvelo.
Ukukhuluphala kungenye yezimbangela ezivame kakhulu zokuphelelwa amandla okuvimbela . Ucwaningo luye lwathola ukuthi ukulahlekelwa kwesisindo samaphesenti angu-10 kungase kube ngokwanele ukuqala ukuvuthwa okuvamile kwabanye besifazane.
Ukuphila nokukhetha ukudla kungathinta nokuzala. Eminye imibhangqwana ingase ikhethe ukuphishekela ezinye izindlela zokwelapha ezenzelwe ukwelashwa kanye nemithi yokwelapha, noma zinganquma ukuhamba ngendlela yemvelo kuphela.
Amazinga okuphumelela ahluka kakhulu. Iningi lamabhangqwana angenalutho lizodinga ukwelashwa kokubeletha ngaphezu kwanoma yiziphi izinguquko zokuphila noma ezinye izindlela zokwelapha.
Yini Engenzeka Ukukhulelwa Ingozi Yokunakekelwa Kwezonyango kanye Nemiphumela Emibi?
Izingozi nemiphumela emibi ziyahlukahluka kuye ngokuthi yikuphi ukwelashwa kokuzala okusetshenziselwa. Ngokusobala, ukwelashwa kokuzala okubeletha kuzoba nezingozi ezahlukene kuneComomid.
Imiphumela emibi kakhulu ephuma emithini yokuzala ihlanganisa ukukhanda ikhanda, ukubhula, nokushintsha kwemizwelo. Ezimweni ezingavamile, imiphumela emibi ingaba yingozi yokuphila.
I-Ovarian hyperstimulation syndrome (OHSS) ingozi nganoma yisiphi isisetshenziswa sokusebenzisa izidakamizwa. Uma kunomusa, i-OHSS ingaholela ekunqandeni nasekuphuculeni. Ngefomu layo elibi, uma lingashiywa lingalashwa, i-OHSS ingaba yingozi yokuphila.
I-OHSS enkulu uma uthatha i-Clomid ayivamile, kodwa amaphesenti angu-10 abesifazane bayakuyihlakulela ngesikhathi sokuphathwa kwe-IVF. Uma unayo izimpawu, xhumana nodokotela wakho.
Ukusetshenziswa kwezidakamizwa zezokwelapha kanye nokwelapha kwe-IVF kwandisa ingozi yokukhulelwa izimpande. Ingozi yakho ephezulu yokuphindaphinda ivela ku-gonadotropins (noma izidakamizwa zokuzala ezijova.)
Ngenkathi ingozi yakho yokukhulelwa amawele ku-Clomid inamaphesenti angu-10, izinkinga zakho ngamawele (noma ngaphezulu!) Nezidakamizwa zenzalo ezingenayo isondelene namaphesenti angu-30. Ukukhulelwa okuningi kuza nezingozi eziningi kokubili umama nengane.
Ukwelashwa kwe-IUI kulandela ingozi yokutheleleka nokukhulelwa kwe-ectopic.
Ngokuphathelene neengozi ye-OHSS nokuphindaphindiwe, izingozi zokwelashwa kwe-IVF zihlanganisa ukutheleleka okungenzeka, ukukhulelwa kwe-ectopic, ukuphuma kwegazi, ukugcoba isithombeni, isilonda noma ezinye izitho ezizungezile; kanye nokulethwa ngaphambi kwesikhathi (ngisho noma ungathwali amawele.) Kukhona nezingozi ezivela ku-anesthesia esetshenziselwa ukubuyisa amaqanda.
Ukwelashwa kwe-IVF kungandisa ingozi yezifo ezithile zokuzalwa, nakuba lokhu kungabonakala. Akucaci ukuthi ingozi iyanda ngenxa yokwelashwa noma ngenxa yokungabi nalutho ngokwayo.
I-IVF ne-ICSI (okuyinto lapho i-sperm cell ijola ngokuqondile eqanda) ingandisa ukwanda komntwana wesilisa futhi engenamandla.
Abanye bakhathazeka ngokuthi imithi yokwelapha ikhulisa ingozi yomdlavuza. Ngokusho kocwaningo lwamuva, ukwelashwa kokuzala kuningi kakhulu.
Kodwa-ke, ukungabi nalutho ngokwanele futhi ungalokothi uthwale ukukhulelwa noma ukondla kungakwandisa ingozi yomdlavuza wakho.
Ingabe Ukwelashwa Kwenzalo Kuyosebenza?
Amanani okuphumelela ancike ekutheni ukwelashwa kusetshenziselwa, imbangela yokungasebenzi kwakho, sekuyisikhathi esingakanani uhlangabezane ne-infertility, kanye nobudala bakho.
Isibonelo, owesifazane ophethe i-PCOS ephathwa nge-Clomid eneminyaka engu-23 akanalo isilinganiso esifanayo sokuphumelela kokuzalwa kokuzalwa njengowesifazane oneminyaka engu-42 ubudala onama-ovary ovarian low.
Qinisekisa ukuthi uxoxe nodokotela wakho isipiliyoni sabo ngamacala afana neyakho, nokuthi yini acabanga ukuthi izinkinga zakho zokwelashwa okuphumelelayo zikhona.
- Ingabe I-Clomid Izosebenza Ngami?
- Amanani okuphumelela we-IUI
- I-Gonadotropin Ukwelashwa Impumelelo Yezindleko Nezingozi
Imithi ye-IVF ivame ukucatshangwa ukuthi ayinalutho, kodwa lokhu akulona iqiniso. I-IVF ayiphumelelanga wonke umuntu.
Imibhangqwana eminingi izofuna imijikelezo embalwa ye-IVF yokwelapha ukuze kutholakale ukukhulelwa. Esinye isifundo esikhulu sathola ukuthi ukubhekana nokuphumelela kokukhulelwa emva kwemijikelezo emithathu kunamaphesenti angu-34 no-42.
Kwenzekani Uma Ukwelashwa Kwemvelo Kungaphumeleli?
Kukhona ithemba eliningi uma uqala umjikelezo wokwelashwa wenzalo. Wonke umuntu ufisa umjikelezo wokuqala wezokwelapha ube "owodwa." Ngeshwa, akusebenzi ngaso sonke isikhathi ngaleyo ndlela. Eqinisweni, akunakwenzeka ukuthi kwenzeke ngaleyo ndlela.
Khumbula ukuthi ngisho nemibhangqwana enokuzala okuphelele ayikwazi ukukhulelwa ngenyanga yokuqala abazama ngayo.
Uma umjikelezo oyedwa wehluleka, ungacabangi lokhu kusho ukuthi ikusasa lakho lilukhuni. Iziningi zokwelashwa zidinga ukuhlolwa phakathi kuka-kathathu nesithupha ngaphambi kokuthi wazi ukuthi kuzoba yimpumelelo.
Udokotela wakho kufanele akhulume nawe ukuthi isinyathelo esilandelayo siphila ukuhlolwa kokukhulelwa okungalungile .
Abanye abantu bacabanga ukuthi izifo zokuqala eziyisisekelo zihluleka, i-IVF ilandelayo. Kodwa-ke, kunezinhlobo eziningi kanye "namazinga" wokwelashwa kokuzala ngaphambi kokuba i-IVF isinyathelo esilandelayo.
Lokho kusho ukuthi eminye imibhangqwana i-IVF yindlela yokwelashwa yokuqala ephakanyisiwe.
Kwenzekani uma ungakhange ukhulelwe emva kwemithi eminingi yokwelapha?
Abanye abashadile bazokhetha ukuqhubeka bezama ngokwabo. (Lokhu kungahle kwenzeke noma kungenzeki, kuye ngokuthi kubangelwe yini ukungabi nabantwana. Kodwa amaphesenti amancane emibhangqwana ayokhulelwa ngisho nangemva kokungabikho.)
Unezinketho eziningi zokwakha umndeni wakho noma ukwenza umthelela empilweni yengane . Ezinye izinketho zihlanganisa:
- ukukhulisa izingane
- ukwamukelwa
- ngokuba u- Antie noma umalume omangalisayo emndenini wakho noma kubangani bakho
- ukuphila ukuphila okungenakho ingane
Ungayikhokha Kanjani Imithi Yokwelapha?
Ungakanani ukukhokhela ukuhlolwa kokuzala futhi ukwelashwa kuzoxhomeke lapho uhlala khona, uhlobo luni lomshuwalense onalo, nokuthi yiziphi ochwepheshe bokuzala kanye nemitholampilo ezitholakala endaweni yakho.
Izinkampani eziningi zomshuwalense e-United States of America zihlanganisa ukuhlolwa kokuqala kokuzala. Bangase bakhokhe noma bangakhokheli imithi yokwelapha. Ukuphakama kuyahluka kakhulu, nabathile abangakwazi ngisho ukuthola i-Clomid embozwe kwabanye abane-IVF yokwelashwa okuyingxenye.
Kubalulekile futhi ukuveza ukuthi izindleko zokwelapha ziyohluka kuye ngokuthi yini oyidingayo. I-Clomid ingadla okungenani u-$ 50 umjikelezo ngamunye, ngenkathi umjikelezo wezidakamizwa zokuzala injectable ungaba ngamakhulu amaningana kuya ezinkulungwaneni eziyizinkulungwane zamaRandi.
Ngakolunye uhlangothi, ukwelashwa okuvamile kwe-IVF kuwu-$ 12,000. Kungabiza kakhulu uma udinga okungaphezu kwe-IVF eyisisekelo.
Ungazi kanjani ukuthi unesifo sokwelashwa kwe-fertility? Kumele:
- Bheka i-RESOLVE umhlahlandlela wombuso ngesimo ukuze uthole ukuthi umthetho ufuna ukuthini.
- Funda inqubomgomo yakho yomshuwalense ngokucophelela.
- Shayela inkampani yakho yomshuwalense bese ubuza imibuzo.
- Khuluma nomnyango we-HR wenkampani yakho. (Uma umshuwalense wakho ungahlanganisi ukwelashwa kokuzala, ucela u-HR ukuba acabange ukungeza leyo nzuzo.)
Umshuwalense awuyona inketho yakho kuphela. Ungase futhi ukwazi ukuthola izaphulelo, ukufaka izicelo zezibonelelo , ukukhulisa imali ngokusebenzisa abantu abaningi , nokuboleka imali ukukhokhela ukwelashwa.
- Izindlela ezingu-7 zokuthola imali kanye nokukhokha okuncane ukwelashwa kwesibeletho
- Kuyini Ukungasebenzi Kwezezimali?
Ungabhekana Kanjani Nokucindezeleka Kokuphathwa Kwenzalo?
Inqubo yokwelapha inzalo ingaba nzima kakhulu. Uma uzizwa ukhathazekile futhi uphelelwe amandla, usuke ude wedwa.
Sicela uphumelele ukusekela futhi uthathe ukunakekelwa okukhethekile ngokwakho ngalesi sikhathi.
Amaqembu asekela , ukwelulekwa , nabangani nomndeni (ngisho noma bengenayo isipiliyoni sokungakhulelwa) kungaba umthombo wamandla uma unzima. Ungathola futhi ukusekelwa ku-intanethi, kumithombo yezokuxhumana noma emphakathini wokubholisa ukuzala .
Futhi, wazi ukuthi kulungile ukuphumula .
Ngesikhathi isikhathi singaba yisici kwezinye izimo, cela udokotela wakho ngaphambi kokuthi ucabange ukuthi kufanele uqhubeke uqhubeka.
Izwi elivela ku-Verywell
Sifuna ukukukhuthaza ukuba uziphakamise .
Buza imibuzo, cela isikhathi esiningi sokucabanga ngezinketho zakho uma udinga isikhathi esengeziwe, futhi uqiniseke ukuthi uyaqonda izingozi kanye nemiphumela yokuphumelela yanoma iyiphi imithi ehlongozwayo.
Njalo qinisekisa ukuthi uyaqonda imithwalo yemfanelo yakho yezimali ngaphambi kokuthi ungene ngemvume emgqeni ongezansi, ungangabazi ukubonisana nommeli wokuzala noma ukhulume nomeluleki wokuzala, ikakhulu uma ucabangela ukwelashwa okufana nomnikelo we-gamete noma i-surrogacy.
Khumbula futhi ukuthi kunelungelo lokushintsha odokotela noma ukuthola umbono wesibili, uma yilokho okukuzwa kahle kuwe.
(Qaphela ukuthi izinhlelo ezithile zokubuyiselwa kwe-IVF akukuvumeli ukuba ushintshe odokotela uze ugcwalise imijikelezo evumelwaneni. Lesi sizathu esisodwa sokuqiniseka ukuthi uqonde ngokuphelele noma yini oyisayinayo.)
Le ngxenye yokuphila kwakho ngeke ihlale phakade. Kuyoba khona isikhathi lapho ukwelashwa kokuzala kusemuva kwakho.
Kungakhathaliseki ukuthi unayo ingane noma ukwelashwa, uzokwenza-ngokuhamba kwesikhathi-ukwazi ukuqhubeka nokuphila ngokugcwele, okujabulisayo.
> Imithombo:
> Collins JA1, Van Steirteghem A. "Isibikezelo esiphelele ngokuphathwa kokwelapha okwamanje." 2004 Jul-Aug; 10 (4): 309-16. Epub 2004 Jun 10.
> Imibuzo evame ukubuzwa: UmNyango wezobuchwepheshe bokuzala osiziwe. http://www.sart.org/SART_Frequent_Questions/
> Hornstein, uMark D; Kuohung, Wendy. "Sibutsetelo kokuphathwa kokungabikho komuntu wesifazane." Uptodate.com.
> Stewart LM1, CD Holman, Hart R, Finn J, Mai Q, Preen DB. "Yeka ukuthi i-in vitro fertilization iphumelela kangakanani, futhi ingayithuthukiswa kanjani? "Fertil Steril. 2011, 95 (5): 1677-83. doi: 10.1016 / j.fertnstert.2011.01.130. Epub 2011 Feb 12.