Inkqubo ye-IVF (in vitro fertilization) ezininzi izibini zithuba elilodwa lokuzala umntwana osinda ixesha elide. Iinkqubo ze-IVF zinokuthi zenzeke kwiiprotokholi ezimbini-ezide kunye ezimfutshane. Ziziphi iingenelo kunye nokuphazamiseka kwazo zombini iinkqubo, kwaye ngaziphi na imeko oogqirha bakhetha enye okanye enye indlela?
Yintoni i-IVF?
I-ECO yindlela yokuphatha ukungabikho komntwana, apho iqanda lomama kunye ne-spermatozoon yobazali idibaniswe kwi-tube test, kwaye ke iqanda elichumayo litshintshelwe kwisibeleko ukuze kuphuculwe phambili. I-IVF isetyenzisiweyo, njengommiselo, ekukhuselweni kwamathambo e-fallopian, xa ukukhulelwa komzimba kungenakwenzeka, ngaphezu koko, inqubo ingasetyenziselwa ukuphatha ezinye iintlobo zokungabikho kwengqondo, kuquka nezo zibangelwa yi-endocrine, izizathu zokuzikhusela komzimba, i-endometriosis nezinye izizathu.
Isigaba sokuqala senkqubo ye-IVF kukuveliswa kwamaqanda emzimbeni kamama. Ngokuqhelekileyo kwi-ovary ibhinqa lineqanda elilodwa, kodwa ukuphucula umlinganiselo wemiphumo ephumelelayo kulungele ukusebenzisa ezininzi. Ukufumana amaqanda amaninzi, ukuvuselela i-hormonal eyenziwa, kunye ne-protocol emfutshane kunye nexesha elide elungiselelwe ukusetyenziswa.
Imigaqo emide nefutshane yeVF
Kwimigaqo emide neyifutshane ye-IVF ukulungiselela amalungiselelo ama-hormone afanayo, ulwahlulo luphela ngexesha lokulungiselela. Impumelelo ye-IVF incike kwindlela amaqanda aphambili aza kufumaneka ngayo ngenxa yokuvuselela i-hormonal, kwaye akunakwenzeka njalo ukuba oogqirha bafumane impumelelo efunekayo kwinkqubo emfutshane. Kuninzi kuxhomekeke ekuhlanganisweni kweziyobisi, kodwa nakwimpilo yowesifazane ngokwakhe, ngoko ke, ukuba emva kokuqala, umgaqo-mfutshane, kwakungenakwenzeka ukuba ufumane ubuninzi obufunekayo bamaqanda aphambili, sebenzisa ixesha elide. Ukongezelela, kukho iinombolo zonyango ezifuna ukusetyenziswa kweprotocol emide. Phakathi kwabo, i-uterine fibroids, i-endometriosis, ubukho bama-cysts kuma-ovari kunye nangaphezulu.
I-protocol ye-IVF ende ihamba njani?
Iskimu somgaqo-nkqubo wexesha elide, xa kuthelekiswa nomfutshane, kubonakala kunzima. Ukukhuthazwa kuqala ngeveki ngaphambi komjikelezo olandelayo - ibhinqa ifakwe kwisichengisi esithintela umsebenzi wama-ovari (umzekelo, kuchaza umgaqo-nkqubo omde we-ECO u-0.1). Emva kweeveki ezingama-2-3, oogqirha baqala ukukhuphaza kakhulu ngokusetyenziswa kweziyobisi ze-hormonal. Ugqirha wenza ulawulo olupheleleyo kwimeko yomfazi kwaye ulindile ukukhula kweqanda. Iprotocol emide idinga ugqirha ukuba abe namava omsebenzi omangalisayo, kuba umzimba ngamnye wesibini uphendule ukuvuselela.
Ixesha elide le protocol lihlala ixesha elingakanani?
Abaninzi abafazi banomdla kwixesha elide le protocol elihlala ngayo. Kuxhomekeke kwimpawu zesilwanyana kunye nendlela umzimba womfazi uphatha ngayo. Ubude beprotocol bungabakho iintsuku ezingama-12 okanye ngaphezulu, ngezinye iinkqubo kusetyenziswa umgaqo-nkqubo omde, othabatha ixesha elide. Ubude bomgaqo-nkqubo buqulunqwe ngabanye kuxhomekeka kwinkqubo kunye nemigangatho
I-protocol ede emva kwe-40
Njengomphumo wenkqubo ende ye-IVF, i-blockade ye-ovari iyenziwa, enokubangela imiphumo emibi, kuquka nempilo engafanelekanga, iimpawu zokunqamuka kwesisu, kunye nezinye iingxaki. Abanye oogqirha bakholelwa ukuba izidakamizwa zeDiferelin kwiprotokholi ende zingabangela ukuqala kokuphuma kwesisu kwaye, ngoko ke, ukunciphisa umgangatho wobomi bomfazi. Nangona kunjalo, oogqirha abanamava amaninzi bakholelwa ukuba ukukhethwa kwamayeza kumntu ngamnye kugweba le ngxaki.