Yini Engayilindela Ngesikhathi IUI (Intrauterine Insemination)

by URachel Gurevich; Kubukezwe ngu-Anita Sadaty, MD

Inqubo ye-IUI + Uma isetshenzisiwe + Amanani Aphumelelayo + Izindleko

IUI, noma i-intrauterine insemination, yindlela yokwelashwa elula kakhulu . Kungenziwa noma ngaphandle kwemithi yokuzala . Inqubo ngokwayo ihilela ukudlulisa isisu ngokukhethekile ngaphakathi kwesibeletho nge-catheter encane.

Ungase ukwazi i-IUI ngokusetshenziswa kwegama elivamile elisetshenziselwa ukusetshenziswa (AI). U-IUI ne-AI kukhona okufanayo.

Izinkomba

Ukwelashwa kwe-IUI kunganconywa nganoma yiziphi izimo ezilandelayo:

Ukungabikho komuntu
I-mucus yomlomo wesihluku
Ukungasebenzi okungaqondakali
Uma ukwelashwa ngemithi yokwelapha yedwa akuphumelelanga
Uma umhlinzeki wesilisa esetshenziswa
Uma ubuhlungu bezocansi kungenzi ukuthi ubulili bungenzeki

Ezinye izinkampani zomshuwalense zidinga imijikelezo embalwa ye-IUI ngaphambi kokukhokhela ukwelashwa kwe- IVF .

IUI ayinconywa kulabo abanakho:

Izigubhu ezivinjiwe ezikhohlisiwe
Endometriosis enamandla
Ukutheleleka kwangaphambili kwe-pelvic

Izindleko

Uma ucabangela ukwelashwa kokuzala ngaphezu kokusetshenziswa kwezidakamizwa zokuzala, i-IUI ingaba ngowokuqala ovivinywe. Kulula ukwenza kunokusiza ubuchwepheshe bokuzala njengo-IVF . Futhi kubiza kakhulu.

Ngokwenhlolovo eyenziwe yi- RESOLVE, ukwelashwa okujwayelekile kwe-IUI ukubiza u-$ 895. Nokho, intengo, noma kunjalo, ihluka kakhulu emtholampilo kuya emtholampilo.

Okukhokha kuzoxhomeka ekubhaliseni umshuwalense wakho, nokuthi ngabe intengo ecashunwe umtholampilo inqubo kuphela ngokwayo noma ihlanganisa nemithi yokuzala, umsebenzi wegazi nokuqapha kwe-ultrasound.

Uma konke kushiwo futhi kwenziwe, umjikelezo owodwa we-IUI ungakubiza u- $ 3,000. Qinisekisa ukuthi uyayiqonda intengo ngaphambi kokuqala ukwelashwa.

Noma kunjalo, i-IUI isashibhile kakhulu kune-IVF , okuyizindleko ezilinganiselwa ku-$ 19,000 emjikelezweni wokuqala.

Imijikelezo Yokwelapha

Umjikelezo wakho uzolandela ukuthi kungani udokotela wakho encome i-IUI nokuthi ngabe uthatha izidakamizwa zokuzala.

I-Clomid noma i-Letrozole nge-IUI : i-IUI ingezwa kwi- Clomid noma i- letrozole (Femera) umjikelezo wezokwelapha .

Kulesi simo, ngokushesha uma isikhathi sakho esizayo siqala, uzoba nokuhlolwa kwegazi. Ungase ube ne-ultrasound. Lokhu ukuqinisekisa ukuthi awukhulelwe futhi awunayo i-cysts yama-ovari.

Uma ucabanga ukuthi konke kubukeka kuhle, uzoqala ukuthatha izidakamizwa zomlomo wokuzala esikhathini ezinqunywe udokotela wakho. Kungenzeka noma ungenakho ukuqapha kwe-ultrasound nokusebenza okwengeziwe kwegazi njengoba umjikelezo uqhubeka.

Uma udokotela wakho eqapha umjikelezo wakho, uzohlela inqubo ye-IU ngaphambi nje kokuvuna.

Noma, udokotela wakho angakucela ukuthi usebenzise ukuhlolwa kwe- ovulation predictor ekhaya. Uma ukuhlolwa kubonisa ukuthi ukuvota kuyiseduze, uzobiza ihhovisi lakho udokotela ukuhlela umsebenzi wegazi, mhlawumbe i-ultrasound, nenqubo ye-IUI.

I-Clomid Treatment: Umhlahlandlela Wosuku Nsuku

I-Gonadotropins ne-IUI : I- Gonadotropin imithi yokuzala inzalo, kuhlanganise ne-FSH, i-HH, i-hMG, ne-hCG. Amagama weBrand ongawaqaphela yi-Gonal-F, Follistim, no-Ovidrel.

Uma uthola isikhathi sakho, uzobiza udokotela wakho ukuhlela umsebenzi wokuqala we-ultrasound negazi. (Njengoba kushiwo ngenhla, lokhu kuqinisekisa ukuthi awukhulelwe futhi awunayo i-cysts eyinkinga ye-ovarian.)

Uzoqala ukunikeza izijovo ngokusho kwemiyalelo kadokotela wakho. Njalo ezinsukwini eziningi, uzoba ne-transvaginal ultrasounds kanye / noma umsebenzi wegazi.

Ama-ultrasound we-transvaginal azobheka ama-follicles athuthukayo . I-ultrasound tech izobukeka ukubona ukuthi zingaki, zikhula ngokushesha, nokuthi zisondela ekuvuthweni.

Umsebenzi wegazi uzokala i-estradiol (E2), i- LH , ne-progesterone.

Imithi yakho ingalungiswa ngokusekelwe emazingeni akho e-hormone kanye nosayizi nenombolo ye-follicles ekhula kuma-ovari akho.

Uma eyodwa noma ngaphezulu follicles kufinyelela ukuvuthwa, udokotela wakho uzobe ukuhlela shot trigger of hCG futhi uhlele inqubo IUI.

Inqubo

Inqubo ilula kakhulu, nakuba kuvamile ukukhathazeka ngakho. Kuzokwenziwa emtholampilo wakho wokuzala . (Awudingi ukuya esibhedlela ngenqubo)

Uma usebenzisa umsizi wesilisa, isidoda somnikeli sizohlungwa futhi silungiswe.

Uma kungenjalo, umlingani wakho uzofika emtholampilo ngalolosuku nawe futhi anike isampula semas. Isampula yesidumbu sitholakala nge-masturbation. (Ngokufana nokuthi ukuhlaziywa kwesilisa kwenziwa kanjani .)

Uma umlingani wakho eyophuma edolobheni-noma, uma kunzima ukunikeza isampula esikhathini esedlule- umlingani wakho anganikeza isampula yesimanga ngaphambi kosuku lwe-IUI. Kulesi simo, uma isampula efriziwe, iyohlushwa futhi ilungiselelwe.

Ubunikazi buqukethe okungaphezu nje kwesidoda. Udokotela wakho uzobeka imbongolo ngokusebenzisa inqubo ekhethekile yokuhlanza. Lokhu kuthatha ukungcola namahlamvu kuphela okudingekayo ekukhulelwe.

Kule nqubo uqobo, uzolala phansi etafuleni labesifazane, elifana nalawo asetshenziselwa ukuhlolwa kwakho ngonyaka.

I-catheter-i-tube encane, encane-izofakwa emlonyeni wakho wesibeletho . Ungase ube ne-cramping encane, efana nalokho ongase uzizwe ngesikhathi se-pap smear.

I-semen ehlanjululwe ngokukhethekile iyodluliselwa esibelethweni sakho nge-catheter.

I-catheter isusiwe, futhi usuqedile!

Udokotela wakho angase akuphakamise ukuthi uhlale uqambe amanga ngesikhathi esifushane ngemuva kwenqubo, noma ungakwazi ukuvuka ngokushesha.

Kunoma yikuphi, akudingeki ukhathazeke ngokuthi isidoda siphume uma usukuma. Insimu idluliselwa ngqo esibelethweni sakho. Awuhambi ndawo kodwa kodwa phezulu, kuya (ngethemba) iqanda elindile!

Yini okufanele ulindele emva kokulandela indlela

Ngemuva kwenqubo ye-IUI, ungase ubekwe i-progesterone. Lokhu kuvame ukuthathwa nge-suppository yama-vaginal.

Cishe ngesonto ngemuva kwe-IUI, udokotela wakho angalayela umsebenzi wegazi. Uzohlola amazinga akho we-progesterone, i-estrogen, futhi (mhlawumbe) amazinga we-hCG .

Izinsuku eziyishumi kuya kwezinsuku ezingu-14 zilandela i-IUI, udokotela wakho angase alawule ukuhlolwa kwegazi lokukhulelwa. Noma, angase akutshele ukuthi uthathe ukuhlolwa kwekhaya .

Ukulinda ukuthola ukuthi ukwelashwa kwaphumelela kungaba yini ukucindezeleka kakhulu . Zizinakekele kahle!

Indlela Yokubhekana Nengcindezi Phakathi Neviki Ezimbili Ulinde Ukucindezeleka

Izingozi

IUI yinkinga ephansi kakhulu engozini.

Kunengozi encane kakhulu yokutheleleka.

Ezinye zezingozi ezinkulu zivela emithini yemithi yokuzala esetshenzisiwe.

Uma usebenzisa i-gonadotropin , ungase ube engozini yokuthuthukisa i-ovarian hyperstimulation syndrome (OHSS).

I-OHSS: Izimpawu Nezokwelapha

Ingozi yakho yokuthola izimpande (amawele, ama-triplets, noma ngaphezulu) ngaphezulu uma uthatha i-gonadotropin. Yingakho ukuqapha kubalulekile.

Uma kunamakholi amaningi amaningi, kungenzeka ukuthi umjikelezo ungakhanselwa futhi uzame futhi ngesinye isikhathi.

Uma udokotela wakho ekhansela umjikelezo wakho ngoba kunezintambo eziningi kakhulu, cishe uzokutshela ukuthi uzigweme ubulili. Kubalulekile ukuthi uthathe lo myalelo ngokungathí sina.

Abanye imibhangqwana bayenqikaza "ukulahla" lo mjikelezo. Kodwa-ke, uma ulala ucansi futhi ukhulelwa, uzibeka wena nabantwana bakho esizayo engozini. Ungenzi.

Isilinganiso Sempumelelo

Emjikelezweni lapho izidakamizwa zokuzala kanye ne-IUI zihlangene, izinga lokukhulelwa lalingamaphesenti angu-8 kuya kuma-17%. Lezi zilinganiso zomjikelezo ngamunye, okusho ukuthi izinkinga eziphumelelayo ziphakeme xa zibuka imijikelezo eminingi ndawonye.

Ukulinganisa kwakho komuntu siqu kuzokuhluka kuye ngokuthi imbangela yobubele bakho nobudala bakho.

Ekucwaningweni kwemijikelezo engu-1 000 ye-IUI, abacwaningi bathole ukuthi izinga lokuphumelela ngabambhangqwana ngamunye (ngaphezu kweyodwa noma eminye imijikelezo) kuxhomeke eminyakeni yabo kanye nesibangela sokungabikho.

Amanani okuphumelela abambalwa (ngaphezulu kweyodwa umjikelezo) kulolu cwaningo babe ...

Amaphesenti angu-55.6 we-factor infervtility
Amaphesenti angama-47.4 we- anovulation (izinkinga nge-ovulation)
Amaphesenti angu-41.7 abesilisa abangenalo ukukhubazeka
Amaphesenti angu-37.6 we-oligospermia (ngaphansi kuka-20 million izidakamizwa nge ml)
Amaphesenti angu-35.1 we-infertility engachazwanga
Amaphesenti angu-13.4 we-asthenospermia
Amaphesenti angu-10.7 we- endometriosis

Ekubukezweni kwezifundo ku-IUI nokungazalwa okungaqondakali , amaphesenti angu-4 kuphela wabesifazane akhulelwe umjikelezo ngamunye ngaphandle kwemithi yokuzala.

Ukuthola Ukukhulelwa Ngokungaqondile Okungaqondakali

Nakuba izinga le-IVF lokuphumelela ngomjikelezo liphakeme kakhulu, i-IUI iyabiza kakhulu. Inqubo iphinde ibe lula futhi ingenasiphelo esincane.

Uma i-IVF ingekho ebangeni lakho lentengo, imijikelezo eminingi ye-IUI ingase ibe yindlela engcono, kuye ngokuthi imbangela yokungasebenzi. Enye indlela ongayicabangela ngayo i-mini-IVF.

I-Mini-IVF, IVF, ne-IUI: Yikuphi Okuhle Kwenu?

Khuluma nodokotela wakho ukuqonda zonke izinketho zakho nezingozi zakho .

_Imithombo:

> Merviel P1, Heraud MH, Grenier N, Lourdel E, Sanguinet P, Copin H. "Izici ezibikezelayo zokukhulelwa emva kwe-intrauterine insemination (IUI): ukuhlaziywa kwemijikelezo engu-1038 nokubuyekezwa kwezincwadi." UFertil Steril . 2010 Jan; 93 (1): 79-88. doi: 10.1016 / j.fertnstert.2008.09.058. Epub 2008 Nov 8.

_{Izindleko zokwelashwa okungenasifo.} _{HLELA: I-National Infertility Association.}