Ukuqala inqubo yokwelashwa kwe- IVF kungaba yinto ejabulisayo neyongenayo. Ngokuvamile, i-IVF ilandelwa kuphela ngemva kokunye ukwelashwa kokuzala okuhlulekile. Kungenzeka ukuthi uzama ukukhulelwa izinyanga noma, cishe, iminyaka neminyaka.
Kodwa lokhu akunjalo ngaso sonke isikhathi. Ngezinye izikhathi, i-IVF yiyona ndlela yokuqala yokwelashwa evivinywa.
Isibonelo, I-IVF ingaba yindlela yokuqala uma ...
- i-egg donor isetshenziswa
- kudingeka isidingo
- ezimweni ezinzima zokwelashwa kwabantu besilisa
- uma amashubhu wesifazane wesifazane evinjelwe
Noma kunjalo, ngisho nakulezi zimo, i-IVF ingase ilandele iminyaka yokuzama ukukhulelwa nokuhlolwa okuningana kokuzala .
Nazi izindaba ezinhle: I-IVF iphumelele kahle. Ngokusho kokucwaninga kwabafazi abangaba ngu-156,000, isilinganiso sokuzalwa kokuzalwa komjikelezo wokuqala kwaba amaphesenti angu-29.5. Lokhu kufana nemiphumela yokuphumelela emjikelezweni wemvelo emibhangqwaneni enokuzala okunempilo .
Izinga lakho elihle kakhulu lomphumelelo lingavela emijikelezweni ephindaphindiwe yokwelapha. Lolu cwaningo olufanayo lathola ukuthi emva kwemijikelezo eyisithupha ye-IVF, inani lokuzalwa lokuzalwa elikhona lilinganiselwa ku-65.3%. Le mijikelezo eyisithupha ngokuvamile yenzeke ngaphezu kweminyaka emibili.
Ubudala budlala indima ebalulekile ekuphumeleleni kwakho, njengoba kunjalo nesizathu sokungabikho kokuzalwa kwakho. Ukusebenzisa i-egg donor kuzophinde kuthinte impumelelo yakho. Uma uzizwa ukhululekile, awuyedwa. Ukwelashwa kwe-IVF kuyinkinga enkulu.
Ukubuka nje isimiso se-ultrasound, umsebenzi wegazi, ukujola, njalonjalo kungenza uzizwe unesibindi. (Futhi ngaphambi kokuba izidakamizwa zingadla ngokuzijabulisa kwakho!) Engeza lokho izindleko ze-IVF , ikakhulukazi uma ukhokha ngaphandle kwe-pocket, futhi akumangalisi ukuthi uzizwa ukhathazekile.
Lokho kusho, uma uqonda ngokwengeziwe lokho okuzayo okulandelayo, okunye okulawulwa kuyo uzozizwa. Ungase uzibuze ukuthi konke kuzohlangana kanjani. Ngenkathi yonke imitholampilo yomtholampilo izohluka kancane futhi imishanguzo ishintshelwe izidingo zomuntu ngamunye, nansi ukuphazamiseka kwesinyathelo ngesinyathelo kwalokho okwenzeka ngokujwayelekile ngesikhathi sokukhulelwa kwe-in vitro.
I-Cycle Ngaphambi Ukwelashwa
Umjikelezo ngaphambi kokuba ukwelashwa kwakho kwe-IVF kuhlelwe, ungase ubeke amaphilisi okulawula ukuzalwa. Lokhu kungahle kubonakale emuva-akukhona yini ukuthi uzama ukukhulelwa?
Ukusebenzisa amaphilisi okuvimbela ukubeletha ngaphambi kokuba umjikelezo wezokwelapha uboniswe ukuthi ungathuthukisa izinkinga zakho zokuphumelela. Futhi, kunganciphisa ingozi ye- ovarian hyperstimulation syndrome kanye ne-ovarian cysts.
Kodwa akuwona wonke udokotela osebenzisa amaphilisi okulawula ukubeletha umjikelezo ngaphambili. Okunye kungenzeka ukuthi udokotela wakho uzokucela ukuthi ulandelele ukuhamba nge-ovulation umjikelezo ngaphambili. Kungenzeka ukuthi uzophakamisa ukusebenzisa i- ovulation predictor kit . Kodwa-ke, angase akhombise ukushisa kwe-bodyal basing , ikakhulukazi uma unolwazi olusesha imijikelezo yakho.
Khona-ke, kuzodingeka uvumele udokotela wakho wazi ngokushesha uma uthola ukuvuthwa.
Esikhathini esithile emva kokuvuthwa, umtholampilo wokuzala ungabe usuqala ukuthatha umphikisi we- GnRH (njengoGanirelix) noma i- GnRH agonist (njengoLupron) . Lezi izidakamizwa ezijoqayo, kodwa ezinye ziyatholakala njenge-spray noma implant.
Le mithi ivumela udokotela wakho ukuba abe nokulawula okuphelele phezu kwe-ovulation ngenkathi umjikelezo wakho wezokwelapha uqala.
Uma ungayitholi imijikelezo yakho, udokotela wakho angathatha enye indlela. Kulesi simo, angase anikeze i-progesterone ngendlela kaPravera. Lokhu kuzoletha esikhathini sakho.
Kulokhu, udokotela wakho uzokubuza ukuthi uqale ukuthatha i-GnRH agonist noma umphikisi mayelana nezinsuku eziyisithupha noma ngaphezulu emva kwepill yakho yokuqala yepilisi.
Kodwa futhi, lokhu kungahlukahluka. Njalo ulandele imiyalelo kadokotela wakho.
Uma Uthola Isikhathi Sakho
Usuku lokuqala olusemthethweni lomjikelezo wakho wezokwelapha usuku othola isikhathi sakho. (Nakuba kungase kube nomuzwa wokuthi usuvele uqalile ngemithi owayiqale ngaphambi kwesinyathelo esisodwa.)
Ngosuku lwesibili lwenyanga yakho, udokotela wakho cishe uzohlehlisa umsebenzi wegazi kanye ne-ultrasound.
Lokhu kuzoba yi- ultrasound yangaphakathi . I-ultrasound phakathi nenkathi yakho ayiyona imnandi kakhulu, kodwa zama ukukhumbula lokhu okufanayo kuwo wonke owesifazane ohamba nge-IVF.
Lezi zinsuku zokuqala ze-ultrasound kanye nomsebenzi wegazi zibizwa ngokuthi umsebenzi wakho wokuqala wegazi kanye nesisekelo sakho sokuqala se-ultrasound. Ekusebenzeni kwegazi lakho, udokotela wakho uzobheka amazinga akho e-estrogen, ikakhulukazi i-E2 noma i-estradiol. Lokhu kuzokuqinisekisa ukuthi ama-ovari akho "alele." Yilokho okuhlosiwe okushiwo yi-Lupron shots noma umphikisi we-GnRH.
I-ultrasound ukuhlola ubukhulu bama-ovari akho. Udokotela wakho uzophinde afune ama-cysts ama-ovarian. Uma kukhona ama-cysts, udokotela wakho uzothatha isinqumo sokubhekana nazo. Ngezinye izikhathi udokotela wakho uzovele ephuze ukwelashwa isonto. Ama-cysts amaningi azixazulula ngokwabo ngesikhathi. Kwezinye izimo, udokotela wakho angasifisa i-cyst (yiphuze umthamo) ngenaliti.
Ngokuvamile, lezi zivivinyo zizohamba kahle. Uma konke kubukeka kahle, ukwelashwa kuyaqhubeka.
Ukukhuthazwa kwe-Ovarian nokuqapha
Ukugqugquzela i-ovarian ngemithi yokuzala kuyisinyathelo esilandelayo.
Kuye ngokulandelana kwe-protocol yakho yokwelapha, lokhu kungase kusho noma yikuphi kusuka kwesinye kuya kwesine ukudubula nsuku zonke cishe isonto kuya kwezinsuku ezingu-10. (U-Ouch!)
Cishe uyisisulu se-self-injection manje, ngoba i-Lupron namanye ama-agonists e-GnRH nawo ayinjectjectables. Umtholampilo wakho kufanele ufundise ukuthi ungazinikela kanjani imijovo ngaphambi kokuqala ukwelashwa. Ezinye imitholampilo zinikeza amakilasi ngamasu kanye nemfundo.
Ungakhathazeki. Ngeke nje ukukunike i-syringe nethemba okungcono kakhulu!
Ungafunda kabanzi ngemithi yokuzala ongayithatha phakathi ne-IVF lapha:
- Konke Mayelana NeGonadotropin
- I-Gonadotropin Side Effects
- Imiphumela ye Side GnRH Agonist (Lupron)
- Ama-Antagonists e-GnRH (i-Antagon, Ganirelix, i-Orgalutran, ne-Cetrotide) Imiphumela emibi
- Izidakamizwa Ezivame Ukukhiqiza
Ngesikhathi sokugqugquzela ama-ovari, udokotela wakho uzoqapha ukukhula nentuthuko ye- follicles .
Ekuqaleni, lokhu kungabandakanya umsebenzi wegazi kanye nama-ultrasounds zonke izinsuku ezimbalwa. Udokotela wakho uzoqapha amazinga akho e-estradiol. Phakathi ne-ultrasound, udokotela wakho uzoqapha ukukhula kwama- oocyte . (Ama-oocyte amaqanda kuma-ovari akho.)
Ukuqapha umjikelezo kubaluleke kakhulu. Yilokho udokotela wakho azokwenza ukuthi anqume kanjani ukulungisa imithi yakho. Kungase kudingeke ukwandise noma ukunciphise amavaysi. Uma u-follicle wakho omkhulu kunama-16 kuya ku-18 mm usayizi, umtholampilo wakho uzofuna ukukubona nsuku zonke.
Ukuvuthwa kokugcina kwe-oocyte
Isinyathelo esilandelayo ekwelapheni kwakho kwe-IVF kubangela ama-oocyte ukuthi aphume esigabeni sokugcina sokuvuthwa. Amaqanda kumele agcwalise ukukhula nokuthuthukiswa kwawo ngaphambi kokuba athole.
Lokhu kukhula kokugcina kubangelwa i-chorionic gonadotropin (hCG) yabantu. Amagama ebhrensi walokhu afaka u-Ovidrel, u-Novarel no-Pregnyl.
Isikhathi salokhu kudutshulwa kubalulekile. Uma kunikezwa kakhulu kusenesikhathi, amaqanda ngeke akhule ngokwanele. Uma kunikezwa isikhathi sekwephuzile, amaqanda angase abe "asebekhulile" futhi ngeke ahlanganise kahle.
I-ultrasound yansuku zonke ekupheleni kwesinyathelo sokugcina itholakala ukuthi isikhathi lesi sihloko sidutshuke kahle.
Ngokujwayelekile, ukujola kwe-hCG kunikezwa uma izinwele ezine noma ngaphezulu sezikhulile zibe ngu-18 kuya ku-20 mm ngobukhulu futhi amazinga e-estradiol akho angaphezu kuka-2,000 pg / ML.
Lokhu kudutshulwa ngokuvamile kungumjovo wesikhathi esisodwa. Udokotela wakho cishe uzokunika ihora eliqondile ukwenza lo mdlalo. Qiniseka ukuthi ulandela le miyalo!
IVM vs. IVF
Ngesikhathi i-IVF evamile, amaqanda kumele agcwalise ukuthuthukiswa nokukhula kwawo ngaphambi kokubuyiswa.
Ukwelashwa kwe-IVM kuhluke kakhulu. I-IVM imele ukuvuthwa kwe-vitro. Kuyinto yobuchwepheshe obusha obufana ne-IVF kepha buhluke kakhulu kule nkinga kule nqubo.
Ngesikhathi se-IVM, amaqanda abuyiselwa ngaphambi kokuba ahambe kuzo zonke izigaba zokuvuthwa. Ngeke ube "ne-trigger shot" ngesikhathi se-IVM. Amaqanda abuyiselwe azokhula emkhatsini wemibandela. Lapho amaqanda ekhulile, zonke izinyathelo zilandela inqubo ye-IVF.
Kuthiwani Uma Izintambo Zingakhuli
Sicabanga ngalokhu ukuthi izidakamizwa zokuvuselela ama-ovari zisebenze kahle. Kodwa lokho akusiyo njalo ukuthi kuhamba kanjani. Ngezinye izikhathi i-follicles ayikhule. Udokotela wakho angandisa imithi, kepha uma ama-ovari akho engaphenduli, umjikelezo cishe uzokhanselwa .
Lokhu akusho ukuthi omunye umjikelezo ngeke usebenze. Ungase udinge imithi ehlukile. Kodwa-ke, uma lokhu kwenzeka kaningi, udokotela wakho angase asikisele ukusebenzisa iqanda noma umnikezeli wombungu. Ungase ufune ukuthola umbono wesibili ngaphambi kokuqhubekela phambili kuleli phuzu.
Kuthiwani Uma Usengozini ye-OHSS
Enye inkinga kungenzeka ama-ovari akho aphendule kahle. Uma udokotela wakho ecabanga ukuthi usengozini yokuhlakulela kakhulu i-ovarian hyperstimulation syndrome (OHSS) , ukudubula kwakho okukhansela kuzokhanselwa futhi umjikelezo uzomiswa kuleli phuzu.
Okunye okunye kungenzeka ukuthi udokotela wakho uzothola amaqanda, awenze, kodwa aphuze ukudluliswa kombungu. Lokhu kungenxa yokuthi ukukhulelwa kungadala futhi kwandise ukutakula kusuka ku-OHSS.
Uma umzimba wakho uphinde uvuselele, ungazama ukudluliswa kwebridi efriziwe .
Phakathi nomjikelezo wakho olandelayo, udokotela wakho angase akhombise ukulinganisa okuncane kwemithi, zama imithi ehlukene ngaphambi kokuba umjikelezo wakho uqale, noma uphakamise i-IVM esikhundleni se-IVF (echazwe ngenhla.)
Kuthiwani Uma Uvula Ngaphambi Kokuqala
Nakuba kungavamile, umjikelezo ungase ukhanseliwe uma ukuvuthwa kwenzeka ngaphambi kokubuyiswa kungenzeka. Uma amaqanda azingela, azikwazi ukubuyiswa. Udokotela wakho cishe uzokutshela ukuthi ubaleke ucansi.
Kubalulekile ukuthi ulandele le miyalo! Kungenzeka ukuthi uhambise amaqanda ayishumi nambili. Mhlawumbe nakakhulu. Kukhona ingozi kokubili umama nezingane uma ukhulelwe ngokwemvelo ngisho nengxenye yalezo maqanda.
I-Cycle IVF ikhanselwa kaningi kangakanani?
Ukukhansela kwenzeka kumaphesenti angu-10 ukuya kwezingu-20 emjikelezweni we-IVF.
Ithuba lokukhansela likhuphuka ngobudala, nalabo asebekhulile abangaphezu kweminyaka engama-35 ngaphezulu ukuzwa ukwesulwa ukwelashwa.
I-Egg Retrieval
Amahora angama-34 kuya kwangu-36 emva kokuthola i-hCG shot, ukubuyiswa kweqanda kuzokwenzeka. Kuyinto evamile ukuba nesaba mayelana nenqubo, kodwa iningi labesifazane lihamba kulo ngaphandle kwenkinga enkulu noma ubuhlungu.
Ngaphambi kokubuyiswa, i-anesthhesiologist izokunika imithi ngokuqondile ukuze ikusize uzizwe ukhululekile futhi ungenabuhlungu. Ngokuvamile, kusetshenziselwa ukuguqula okulula, okuzokwenza "ulale" ngenqubo. Lokhu akufani ne-anesthesia ejwayelekile, esetshenziswa ngesikhathi sokuhlinzwa. Imiphumela emibi nezinkinga azivamile.
Uma nje imithi iphumelela, udokotela wakho uzosebenzisa i-ultrasound yangaphakathi ukuze aqondise inaliti ngodonga lwangasese lwezitho zangasese, kuze kube ngamaqanda akho. Uzobe esebenzisa inaliti ukuze agqugquzele i-follicle, noma uphuze ngobumnene i-fluid kanye ne-oocyte kusukela ku-follicle kuya enaliti. Kukhona i-oocyte eyodwa nge-follicle. Lawa ma-oocyte azodluliselwa ebhokisini le-embryology lokukhulelwa.
Inombolo yama-oocyte ehlanjululwayo iyahluka kodwa ngokuvamile ingalinganiselwa ngaphambi kokubuyiswa nge-ultrasound. Inani elivamile lama-oocyte linama-8 kuya ku-15, kanti amaphesenti angaba ngu-95 weziguli okungenani atholakale i-oocyte eyodwa.
Ngemuva kwenqubo yokubuyisela, uzogcinwa amahora ambalwa ukuqinisekisa ukuthi konke kulungile. Ukukhanya okukhanyayo kuvamile, kanye nokunciphisa kwesisu esiswini, kepha iningi lizizwa lihle kangcono ngosuku noma ngemuva kwenqubo. Uzobuye utshelwe ukuthi ubukele izimpawu ze- ovarian hyperstimulation syndrome , umthelela ohlangothini ovela ekusebenziseni izidakamizwa ze-fertility ngenkathi ukwelashwa kwe-IVF kumaphesenti angu-10 eziguli.
I-egg Umanyolo
Ngesikhathi usuhlala ekhaya ululame kusukela ekubuyiseleni, ama-follicles ayefiswayo azoseshwa ama-oocyte, noma amaqanda. Akuwona wonke ama-follicle azoqukatha i-oocyte.
Uma ama-oocyte atholakale, azohlolwa ngumbungu we-embryologist. Uma amaqanda ekhulile ngokweqile, ukukhulelwa kungase kungaphumeleli. Uma bengakhulile ngokwanele, ibhulogi le-embryology lingakwazi ukuyivuselela ekuvuthweni ebhodini.
Ukukhiqizwa kwama-oocyte kufanele kwenzeke ngamahora angu-12 kuya kwangu-24. Umlingani wakho uzohlinzeka ngesampula semasimini ngosuku olulandelayo onayo ukubuyisa. Ukucindezeleka kosuku kungenza kube nzima kwabanye, ngakho-ke uma kungenzeka, umlingani wakho anganikeza isampula sesimiso sokusekela ngaphambi kwesikhathi kumjikelezo, ongashenywa kuze kube usuku lokubuyisela.
Uma isampula sesimiso sesilungile, sizobe senziwa ngendlela yokuhlanza ekhethekile, ehlukanisa isidoda esivela kwezinye izinto ezitholakala ku-semen. I-embryologist izokukhetha "isidoda esibheka phambili," sibeka imbewu engaba ngu-10 000 kwisidlo ngasinye sezitshalo nge-oocyte. Izitsha zokudla zigcinwa ku-incubator ekhethekile, futhi emva kwamahora angu-12 kuya kwangu-24, zihlolwe ngezibonakaliso zokukhulelwa.
Ngaphandle kokusweleka kwesilisa okungathí sina, amaphesenti angu-70 ama-oocyte ayoba nomanyolo.
Endabeni yokuntula kanzima kwesilisa, i- ICSI (ebizwa ngokuthi ick-see) ingahle isetshenziselwe ukutshala amaqanda, esikhundleni sokumane uwabeke endaweni yokudla. Njengoba i-ICSI, i-embryologist izokhetha isidoda esinempilo futhi isakaze i-oocyte nge-sperm isebenzisa inaliti ekhethekile.
Ukudluliswa kombungu
Ezinsukwini ezintathu kuya kwezinhlanu emva kokubuyiselwa, umbungu wezinambuzane uzobona imibungu ebheka kahle kakhulu. Lokhu ngokuvamile kwenziwa ngokubukeka (nge-microscope), kodwa kwezinye izimo, ukuhlolwa kwesimo sofuzo kwenziwa. Lokhu kwaziwa ngokuthi i- pre-plantation diagnosis (PGD) noma i-preimplantation i-genetic screening (PGS).
Ngesinye isikhathi, nge-PGD / PGS, imibungu imisiwe futhi ukudluliselwa kubambezelwe kuze kube umjikelezo olandelayo. Uma kungenjalo, ukudluliselwa "okusha" kwenzeka
Inqubo yokudluliselwa kombungu injengezokwelapha ze- IUI . Ngeke udinga i-anesthesia.
Ngesikhathi sokudluliswa kombungu, i-tube encane, noma i-catheter, izodluliswa ngomlomo wakho wesibeletho. Ungase uzwe ukuchofoza okuncane kakhulu kodwa kungaphezu kwalokho. Nge-catheter, bayodlulisa imibungu, kanye nesilinganiso esincane se-fluid.
Inombolo yemibungu ehanjiswe iyoxhomeka kwikhwalithi yemibungu kanye nengxoxo yangaphambili nodokotela wakho. Kuye ngeminyaka yakho, noma yikuphi okuvela emibungu emibili kuya emihlanu ingadluliselwa. Ucwaningo lwamuva luveze impumelelo nge-embryo eyodwa kuphela edluliselwe. Khuluma nodokotela wakho ukuthola ukuthi lokhu kungasebenza kuwe.
Emva kokudluliselwa, uzohlala ulale phansi amahora ambalwa (ulethe incwadi) bese uhamba ekhaya.
Uma kukhona "eminye" imibungu ephakeme kakhulu eshiywe ngaphezulu, ungase ukwazi ukuyifisa. Lokhu kuthiwa yi-embryo cryopreservation. Zingasetshenziswa kamuva uma lo mjikelezo ungaphumeleli ekuthutheni kwesibindi , noma kungenziwa.
Ukusekela kwePresterone kanye Namaviki Ami Ami
Ngemuva noma emva kosuku lokubuyisela kwakho, futhi ngaphambi kokudluliselwa kombungu, uzoqala ukunikeza izithako ze-progesterone. Ngokuvamile, i-progesterone ngesikhathi sokunakekelwa kwe-IVF inikezwa njenge-self-injection ye-intramuscular njengoba i-progesterone emafutheni. (Amahlumela amaningi!) Ngezinye izikhathi, i-progesterone supplementation ingathathwa njengesipilisi, i-gel yangasese, noma i-suppository yangasese.
Ngaphandle kwe-progesterone, akukhona ngempela okwenzeka kakhulu emavikini amabili alandelayo. Ngandlela-thile, amasonto amabili emva kokudluliselwa kungase kube nzima ngokomzwelo kunamaviki amabili okwelashwa. Phakathi nezinyathelo zangaphambilini, uzobe uvakashele udokotela wakho mhlawumbe zonke izinsuku. Manje, ngemuva kokudluliswa, kuzoba nokuphazamiseka okungazelelwe emsebenzini.
Ungaba nemibuzo eminingi mayelana namaviki amabili alinde. Ungabe ucansi? Kuthiwani uma unezinsika? Yiqiniso, udokotela wakho ungumthombo owodwa wezinkinga zakho.
Konke ongakwenza ukulinda amasonto amabili ubone ukuthi ukukhulelwa kwenzeka. Kungasiza ukugcina umatasa ngempilo yakho phakathi nalesi sikhathi sokulinda futhi ugweme ukuhlala futhi ucabange ukuthi noma ngabe ukwelashwa kuyophumelela yini. Ngiyazi, kulula kakhulu ukusho kunokukwenza.
Ukuhlolwa kokukhulelwa nokulandelwa
Ngemuva kwezinsuku eziyisishiyagalolunye kuya kwezingu-12 emva kokudluliselwa kombungu, ukuhlolwa kokukhulelwa kuyalwe . Lokhu kuvame ukuhlola ukukhulelwa kwe-serum (umsebenzi wegazi ngaphezulu) futhi kuzofaka amazinga we-progesterone ukuhlolwa. Ukuhlolwa kungabuyekezwa njalo ezinsukwini ezimbalwa.
Uma ngabe ukuhlolwa kulungile (yeah!), Kungase kudingeke uqhubeke uphatha isandiso seprogesterone kwenye amasonto amaningana. Udokotela wakho uzophinde alandele umsebenzi wegazi ngezinye izikhathi kanye nama-ultrasounds ukuqapha ukukhulelwa nokubuka ukuphazamiseka noma ukukhulelwa kwe-ectopic.
Ngesikhathi ukwelashwa kwe-IVF, ukukhulelwa kwesisu kuvele kufike kumaphesenti angu-15 yaleso sikhathi kwabesifazane abangaphansi kweminyaka engama-35, amaphesenti angu-25 abesifazane asebaneminyaka engama-40 nangaphezulu futhi amaphesenti angu-35 enkathi emva kweminyaka engu-42.
Udokotela wakho uzoqapha nokuthi ngabe ukwelashwa kwaholela ekukhulelweni okuningi noma cha. Uma kungukukhulelwa okuphezulu (4 noma ngaphezulu), udokotela wakho angase akhulume indlela yokunciphisa inani lezingane ezisetshenziselwa inqubo ebizwa ngokuthi "ukunciphisa ukukhulelwa kwe-multifetal." Lokhu ngezinye izikhathi kwenziwa ukuze kwandiswe amathuba okuba nokukhulelwa okunempilo nangempumelelo.
Lapho i-IVF Treatment ihluleka
Uma ukuhlolwa kokukhulelwa kusalokhu kungakapheli izinsuku ezingu-12 kuya kwezingu-14 emva kokudluliselwa, udokotela wakho uzokucela ukuthi uyeke ukuthatha i-progesterone. Khona-ke, uzolinda isikhathi sakho ukuqala.
Isinyathelo esilandelayo siyonqunywa nguwe, umlingani wakho, nodokotela wakho. Uma lokhu kungumjikelezo wakho wokuqala, omunye umjikelezo ungase unconywe. Khumbula ukuthi amathuba akho omuhle kakhulu okuphumelela ngemuva kokwenza imijikelezo eminingana.
Ukuba nomjikelezo wezokwelapha kuhluleka akulula neze. Kuyabuhlungu kakhulu. Kubalulekile, noma kunjalo, ukukhumbula ukuthi ukuba nomjikelezo owodwa kwehluleka akusho ukuthi ngeke uphumelele uma uzama futhi.
Imithombo:
> Debbie A. Lawlor, Ph.D. et al. Isilinganiso sokuzalwa esihlanganiswa nokuphindaphinda i-Vitro Fertilization Cycle Treatment. "I- JAMA , Disemba 2015.
> I-ART: Umhlahlandlela wesinyathelo-sinyathelo. UmNyango wezobuchwepheshe bokuzala obusisiwe. http://www.sart.org/Guide_ARTStepByStepGuide.html
> Ubuchwepheshe bokukhiqiza obusekelwe: Umhlahlandlela Weziguli. I-American Society of Medicine Yokuzala.