ICSI kunye ne-ECO - yintoni umehluko?

Ngokweenkcukacha ezibonelelwe ngamaziko ehlabathi locwangciso lwezesapho kunye nokuveliswa, malunga ne-20% yazo zonke iintsapho ezidalwe namhlanje zijongene nengxaki yokukhulelwa. Emva kokuvavanya ngokuqinileyo kwabatshatileyo, oogqirha bakhetha amaqhinga amanyathelo okwelapha. Ngokuqhelekileyo, isisombululo esisodwa kwinkinga kukukhulelwa komzimba okanye i-ICSI (injecttoplasmic injection). Makhe siqwalasele ngamnye ngamnye ngeenkcukacha kwaye sikuxelele malunga nento echanekileyo eyahlula i-ECO kwi-ICSI.

Yintoni i-IVF?

Mhlawumbi, elowo mfazi uye wakha uvalekiso olunjalo. Kuqhelekileyo ukuba ukhethe lolu hlobo lwenkqubo yokuzala, apho ukucwiliswa kweqanda elikhethiweyo kunye nomdaka kwenzeka ngaphandle komzimba kamama, nakwibhubhoratri.

Ngoko, ngaphambi kokuba i-IVF, oogqirha babone iqela le-hormone unyango lomfazi, ukwenzela ukwandisa inani leentsholongwane zentsholongwane ngexesha elifanayo ekukhuleni kwimizuzu. Ngexesha lokuvuthwa, amaqanda amaningana aqokelelwa kanye, ahlaziywa phantsi kwe-microscope. Ukuze inkqubo ye-IVF iphumelele, ii-3-4 zesini ezithandwayo zesini zingeniswa kwisigxina se-uterine ngexesha elinye.

Yintoni i-ICSI?

Injekiti ye-Intracytoplasmic yinto eqhelekileyo yokusebenza kwabasebenzi, kodwa ukuphumelela kunye nesiqinisekiso siphumo sikhulu kakhulu. Into ebalulekileyo yokunyanzelisa ixhomekeke kwinto yokuba ngaphambi kokuchumisa i-ovum ngoogqirha, ekuhambeni kwexesha elide uvavanyo lwesilwanyana "oluhle" lukhethiweyo. Oku kuqwalasela i-morphology yentloko, umzimba, kunye neenkcukacha zale ngxenye ukuya kubude obude kunye nesimo seseli. Akubalulekanga ncinane ukulingana komsebenzi wesidoda. Isetyini yesini esesetyenziswe ngale ndlela isetyenziselwa ukuchumisa kwezilwanyana zezilwanyana.

Kufuneka kuqatshelwe ukuba lolu hlobo lwenqubo lisetyenziswe kulawo matyala xa ukuchumisa akunakwenzeka ngenxa yezinga eliphantsi le-spermatozoa. Oku kubonakala kwizifo ezifana:

• asthenoteratozoospermia (ukuncipha kwinani le-spermatozoa enempilo kwi-ejaculate kunye nokuncipha kokuhamba kwabo);
• i-oligozoospermia (ukunciphisa kwiinkcenkceshelo zeeseli zentsholongwane kwindoda);
• ukunqandwa kwamathambo;
• Umxholo ophezulu we-antisperm antibodies.

Yiyiphi indlela e bhetele?

Xa siqonde ukuba yintoni umehluko phakathi kwe-ICSI ne-IVF, siya kuzama ukufumana ukuba zeziphi iinkqubo ezi-2 zokuchumisa zibhetele.

Ekubeni i-injection ye-intracytoplasmic yenziwa kuphela yi-sperm, ehambelana nemida ye-standard, amathuba okukhulelwa emva kokuba le nkqubo iphakame kakhulu. Nangona kunjalo, oku akuthethi ukuba isetyenziselwa ukuchumisa iqanda elivuthiweyo. Njengoko sele kuthethwe ngazo, i-ICSI ibhekisela kwiindlela ezizodwa zokuvelisa kwaye isetyenziswe kuphela kwiimeko apho isizathu sokungabikho kombono kukungahambi kakuhle kweeseli zesini zesini eziqhelekileyo.

Ukuthetha ngokumahluko phakathi kwe-IVF kunye ne-ICSI, kubalulekile ukuba uqaphele ukuba indlela yokuqala yokuvelisa unyango inenkcitho encinci yokwenza. Ukongezelela, ukulungiselela oko kudinga ixesha elincinci kunye neendleko eziphathekayo. Mhlawumbi, le miba ichaza ukuxhaphaka kwe-IVF ngokuthelekiswa ne-ICSI.

Ngaloo ndlela, ukuba sithetha ngokuthe ngqo malunga naluphi umehluko phakathi kwe-IVF ne-ICSI, umlinganiselo ophezulu yinqanaba lokukhetha kunye nokulungiswa kwesidoda kunye ne-intracytoplasmic injection. Ngaphandle koko, ubuchule bokuchumisa iqanda elivuthiweyo, lithathwe kwintombazana, lifana. Ukukhethwa kwendlela yokwenziwa kwe-intanethi kuhleli kunye ne-reproductologist. Emva koko, yedwa uyazi ukuba kwimeko ethile ithetele kwaye isebenze ngakumbi: ICSI okanye IVF.