I-IVF ngeqanda lomnikelo

I-in vitro fertilization iba yinkambiso ethandwa kakhulu. Amathuba alolu hlelo athuliswa ngenxa yokuthuthukiswa kwemithi kanye nemishini yezobuchwepheshe nezomuthi. Ngakho-ke, uma kungakaze kube khona umkhawulo weminyaka we-IVF ngenxa yokuqala kokumisa esikhathini, manje iminyaka yobugulane ayiyona into ebaluleke kakhulu. I-IVF ene-egg donor yenza kube lula ukubeletha ingane ngisho nangemva kokuqala kokuya esikhathini.

Inqubo yonke ihlukaniswe izingxenye ezimbili: owesifazane ozinikeleyo wakhuthazwa ama-ovari ukuthola ama-oocyte futhi athole amaqanda. Okulandelayo ukukhulelwa okwakhiwa kweqanda kanye nokufakwa kwesqanda esivundisiwe kumunye owesifazane.

Owesifazane ozinikele kufanele ahambe ngaphambili ekukhuthazeni kwe-ovarian ngezinsuku eziyishumi noma eziyishumi nambili. Inkambo inikeza ukujova nsuku zonke kwezidakamizwa ze-hormonal ngaphansi kokunakekelwa udokotela. Uma kucace ku-ultrasound ukuthi izintambo eziningi zivuthiwe ngokwanele, umnikeli unikezwa izidakamizwa ezilawula isikhathi sokuvuvukala futhi kuvumela ukukhipha amaseli ngaphambi kokukhululwa kwemvelo.

Emva kokuqoqwa kwamaqanda, okwenzeka ngaphansi kwe-anesthesia ejwayelekile yesenzo esifushane (imizuzu engu-10-20), ukukhulelwa kweqanda lomnikelo ne-sperm yomlingani lenziwa. Ukufakelwa kweqanda eco eqhutshwa ebhokisithri. Khona-ke kunezinketho ezimbili zokwenza okunye okulandelayo: ukhiqiza iqanda elifakwe umquba ngokufakelwa kwalo okulibalekile noma ukufakwa ngokushesha kweqanda kumamukeli wesifazane.

Ngokuvamile iqanda elikhulelwe lifakwe ngokushesha ekugcineni kwe-endometrium yesikhumba esilungisiwe se-uterine. Kulolu cala, umsebenzi wokuqala uyadingeka ukuvumelanisa umsebenzi we-hormonal emzimbeni womamukeli nomnikeli. Okusho ukuthi, owesifazane ozinikelayo kanye nomamukeli wesifazane uyavumelana phakathi kwabo ukwamukela izidakamizwa ezithile ze-hormonal ukuze ngesikhathi sokulungiselela amaqanda, i-membrane yamangcwaba yesisu somamukeli yayilungele ukuthola umbungu. Kuseduze nesikhathi sokudluliswa kombungu, i-progesterone ye-hormone inikezwe umamukeli wesifazane. Kuyinto ebaluleke kakhulu ekufakweni nokuthuthukiswa okufanele kwembungu emasontweni okuqala okukhulelwa.

Ukusebenza kohlelo lwe-IVF, okungukuthi, izinga lokuphumelela lilinganiselwa ku-35-40%, okusho ukuthi owesifazane wesithathu ongakwazi ukukhulelwa ngokwemvelo unethuba lokuba ngumama.