Inqubo ye-IVF (in vitro fertilization) emibhangqwana eminingi iyona kuphela ithuba lokubeletha umntwana osalinde isikhathi eside. Izinqubo ze-IVF zingenzeka ezinkambisweni ezimbili - isikhathi eside futhi esifushane. Yiziphi izinzuzo nezinkinga zombili zomthetho, futhi yiziphi izimo odokotela abakhetha ukukhetha okunye noma okunye?
Kuyini i-IVF?
I-ECO iyindlela yokwelapha ukungabi nabantwana, lapho iqanda lomama ne-spermatozoon kayihlo lihlanganiswa khona emgodini wokuhlola, bese iqanda elikhulelwe lifakwa embelethweni ukuze kuthuthukiswe phambili. I-IVF isetshenziselwa ukuvimbela ama-tublopian tubes, lapho kuvinjelwa khona ukukhulelwa kwemvelo, ngaphezu kwalokho, inqubo ingasetshenziselwa ukuphatha ezinye izinhlobo zokungazalwa, kuhlanganise nalabo abangelwa yi-endocrine, izimbangela ze-immunological, i-endometriosis nezinye izimbangela.
Isigaba sokuqala senqubo ye-IVF ukukhiqizwa kwamaqanda emzimbeni womama. Ngokuvamise uketshezi owesifazane unamaqanda owodwa, kodwa ukuthuthukisa amathuba okuba nomphumela ophumelelayo kungcono ukusebenzisa amaningana. Ukuze uthole amaqanda amaningana, ukugqugquzela ama-hormonal kwenziwa, futhi inqubo emfushane yokulungiselela ukulungiselela lokhu ingasetshenziswa kulokhu.
I-protocol emide neyifushane ye-IVF
Esikhathini eside futhi esifushane protocol ye-IVF ama-hormone efanayo amalungiselelo asetshenziswayo, umehluko kuphela esikhathini sokulungiselela. Ukuphumelela kwe-IVF kuncike ekutheni amaqanda amnandi angatholakala kanjani ngenxa yokugqugquzela ama-hormonal, futhi akunakwenzeka njalo odokotela ukuthola imiphumela edingekayo yohlelo olufushane. Okuningi akuxhomekile nje ekuhlanganiseni kwezidakamizwa, kodwa nangempilo yowesifazane ngokwayo, ngakho-ke, uma ngemuva komthetho wokuqala, i-protocol emfushane, kwakungenakwenzeka ukuthola inani elidingekayo lamaqanda asemqoka, sebenzisa ukugqugquzela isikhathi eside. Ngaphezu kwalokho, kunezinkomba eziningi zezokwelapha ezidinga ukusetshenziswa kweprotocol emide. Phakathi kwabo, i-uterine fibroids, i-endometriosis, ukutholakala kwama-cysts kuma-ovarie nokunye okuningi.
I-protocol ye-IVF ende ihamba kanjani?
Uhlelo lohlelo olude lwe-IVF, uma kuqhathaniswa nolufushane, lubonakala lunzima kakhulu. Ukukhuthazwa kuqala ngesonto elilodwa ngaphambi komjikelezo olandelayo - owesifazane ujojowe ngezidakamizwa ezivimbela umsebenzi wama-ovari (isibonelo, kusho ukulandelwa kwesikhathi eside kwe-ECO Decapeptil 0.1). Ngemuva kwamaviki angu-2-3, odokotela baqala ukukhukhumeza okukhulu ngokusetshenziswa kwezidakamizwa ze-hormonal. Udokotela wenza ukulawula okugcwele isimo sowesifazane futhi ubukele ukukhula kweqanda. I-protocol ende idinga udokotela ukuba abe nesipiliyoni esikhulu somsebenzi, ngoba yonke inyama yesifazane isabela ekukhuthazeni.
I-protocol ye-IVF ende ihlala isikhathi esingakanani?
Abesifazane abaningi banesithakazelo sokuthi isikhathi eside siphila isikhathi eside. Kuxhomeke kwizici zomuthi nokuthi umzimba wesifazane uphendukela kanjani kuwo. Ubude be-protocol bungaba izinsuku ezingu-12-17 noma ngaphezulu, ngezinye izikhathi kusetshenziswe iphrothotholi ende ende, okuthatha isikhathi esengeziwe. Ubude benkambiso yenqubo buzinqunywe ngabanye kuye ngokuthi inqubo nekhwalithi
I-protocol ende eco ngemuva kwe-40
Ngenxa yenkambiso ende ye-IVF, ukuvimbela ama-ovarie kwenziwa, okungabangela imiphumela emibi, kuhlanganise nempilo engafanele, izimpawu zokuya esikhathini, nezinye izinkinga. Abanye odokotela bakholelwa ukuthi umuthi uDiferelin on protocol eside ungabangela ukuqala kokuqala kokuya esikhathini, futhi ngenxa yalokho, ukwehla izinga lempilo kowesifazane. Kodwa-ke, odokotela abanolwazi oluningi bakholelwa ukuthi ukukhethwa kwezilinganiso ngesimo somuntu ngamunye kugwema le nkinga.