Ngemuva kwesikhathi esingakanani ukufakelwa kuyo kwenzeka emva kokukhulelwa?
Kuncike esikhathini senkambiso, kuyisiko ukunikeza ukufakwa kwesimiso esisheshayo.
Uma sikhuluma ngelanga lapho kuqaliswa khona ukuqala kombungu emgodini wesibindi, khona-ke ngokuvamile le nqubo igcinwa ngosuku lwama-6-7 emva kokuphela kwenqubo ye-ovulatory emzimbeni wesifazane. Ngamanye amazwi, ngokoqobo ngesonto kamuva, iqanda elikhishwe futhi elikhulelwe, ngokuhlukaniswa, liphenduka umbungu ongena embhedeni wesibeletho ungene emgodleni wesisu bese ufika kwenye yezindonga zawo.
Lapho uphendula umbuzo ngokuthi yikuphi usuku ukufakelwa kwamuva kombungu emgqeni wesibeletho kubonakala, ama-embryologists athi - ezinsukwini ezingaphezu kwezingu-10 emva kwe-ovulation. Kumele kuqashelwe ukuthi lolu hlobo lokufakelwa kombungu ngaphakathi kwodonga lwe-uterine luvame kakhulu ukusabalalisa okufakelwayo, isb. kubonakala nge-IVF. Leli qiniso lihlelwe, okokuqala, ngokuthi i-embryo idinga isikhathi sokujwayela emva kokuba umzuzu ufakwa emgodini wesibindi.
Iziphi izimo ezidingekayo ukuze kusetshenziswe impumelelo?
Kumele kuthiwa ukuthi ukukhulelwa njalo akupheli ngokuqala kokukhulelwa. Ngokuvamile, iqanda elikhuliswe, uma inqubo ye-fission ihluleka noma ulwazi lofuzo luphulwa, lifa ngenxa yokuthi ayikwazi ukungena odongeni lwe-uterine. Ngamanye amazwi, lapho inqubo yokufakelwa kwe-embryo yenzeka, ayivele ingenayo isisu.
Ukuze le nqubo igcwaliswe ngempumelelo futhi ukukhulelwa kwenzeke, lezi zimo ezilandelayo kumele zihlangabezane:
- ubukhulu be-endometrium ye-uterine akufanele kube ngaphansi kuka-10-13 mm;
- ku-mucosa kumele ibe nomthamo okwanele wezakhi;
- ukuhlushwa kwe-hormone progesterone eyenziwe ngomzimba ophuzi kufanele kube ngempumelelo.
Eqinisweni, izici ezithintekayo ekufakweni ngokuphumelelayo zikhulu kakhulu. Kuphela okukhulunywa ngakho ngenhla kuphela.
Uma kunenqubo yokwakhiwa kombungu ngemuva kokudluliselwa kwawo ku-IVF?
Kumele kuthiwa ngale ndlela yokukhulelwa, isizathu esivamile kakhulu sokungabikho kokukhulelwa ukuthi ukufakelwa akukwenzeka.
Ukuze ukwandise amathuba okukhulelwa, imitholampilo yemithi yokubeletha isebenzisa ngenkuthalo amasu asizayo, phakathi kokuthi ingabizwa ngokuthi i- hatching - ukufakwa kwesibindi somzimba ukuze uthole isingeniso esingcono kwi-endometrium.
Ukukhuluma ngelanga lapho ukufakelwa kwe-IVF kwenzeka khona nokuthi zihlala zingaki izinsuku, odokotela babiza isikhathi esijwayelekile sezinsuku ezingu-10-12. Leli qiniso liqinisekiswa kalula yi-ultrasound.
Ngakho-ke, kungase kuthiwe ukuthi yikuphi usuku lokuqala kokuqala kokuya esikhathini embungu ku-endometrium kwenzeka, cishe akuxhomeki ezintweni zangaphandle. Uma sicabanga ngalokhu, kungashiwo ukuthi ngokwesilinganiso ukufakwa kombungu ngaphakathi kwodonga lwe-uterine kwenzeka esikhathini esiyizinsuku ezingu-8-14 kusukela ngesikhathi sokuvuthwa noma ngosuku lwama-20-26 emva kokuphela kwenyanga. Uma i-ultrasound yenziwa ngemuva kwezinsuku ezingu-14 futhi akukho ukutholakala kwe-embryo kuthiwa ukungabikho kokukhulelwa, noma ukuphazamiseka kwayo esikhathini esifushane kakhulu.