I-IVF: ukubuyekezwa. I-IVF ngeqanda lomnikelo: imiphumela yalokho ingane ibukeka

Ngeshwa, akuyona yonke imibhangqwana engabantwana. Esikhathini sethu, sakhiwe indlela enhle emindenini engenamakhono - ukusabalalisa okufakelwayo. Indima enkulu ekukhetheni umtholampilo idlala ngezibuyekezo. I-IVF ne- egg donor yenziwa uma kwenzeka owesifazane engakwazi ukuzikhiqiza ngenxa yempilo yakhe. Mayelana nalokho abantu abakushoyo ukuthi baye bahamba nale nqubo, kanye nezigaba zayo eziyinhloko, sizocabangela esihlokweni sethu.

Yini i-IVF?

Ukuqothulwa kwamakhemikhali kungenxa yemibhangqwana ethile kuphela ithuba lokubeletha umntwana. Ngaphambilini, kwakunzima kakhulu ukwenza le nqubo mahhala. Umzila we-IVF wawunamandla kakhulu kangangokuthi abaningi banquma ukukwenza ngokwabo izindleko zabo. Kodwa kusukela ngo-2016, sekuye kwenzeka ukuba ungalindeli ihora lomuntu siqu, nangomgomo wokuza emtholampilo owenziwe kule nqubo futhi uhlole izidingo ezidingekayo. Inkampani yomshuwalense izokhokha zonke izindleko. Izindleko ze-IVF ziyahlukahluka kuye ngokuthi idolobha. Ngokwesilinganiso, inqubo izobiza okungenani eziyikhulu eziyizinkulungwane ngomzamo owodwa.

Ukusebenza ngokwayo kuhlanganisa ukubeka umbungu esibelethweni somama esizayo. Ngokuvamekile ukhule esikhungweni sokuhlola esivela kulesidoda sikababa kanye neqanda lomama. Noma kunjalo, hhayi njalo ngokwanele ngezinsiza zayo. Ngesinye isizathu owesifazane akanakho ukuvota. Kulesi simo, amaqanda awavuthanga, ngakho-ke, ukukhulelwa akunakuyinto yemvelo. Kodwa awudingi ukuthukuthela: imithi ayimi. Kwakukhona nethuba lokusebenzisa iqanda lomunye umuntu. Kuyasiza ukuthola umbungu ngenxa yokuqothulwa kwesidoda sikababa. Kuze kube yimanje, le ndlela iyindlela yobuchwepheshe bokuzala ezithengisa kakhulu.

Ubani oboniswa ukukhulelwa kweqanda lomnikelo

Ngenxa yanoma yiziphi izimo owesifazane akakwazi njalo ukuba ngumnikeli wakhe nge-IVF. Kunezizathu eziningana zokuthi kungani kunconywa ukusebenzisa i-ovule yomunye umuntu:

1. Ukungabikho kwama-ovari ngenxa yokuhlinzwa ngemva kwalesi sifo.
2. Ukuhluleka kwe-Hormonal, lapho kungekho khona ukuvota.
3. Ukungaqiniseki kwama-ovari ukuvuselela izidakamizwa ezinamandla.
4. Ama-anomalies okuthuthukiswa ngokomzimba, lapho iqanda lingenalo ikhono lokuzala.
5. Ubukhona ku-anamnesis yezifo ezibucayi zofuzo.
6. Imizamo engaphezu kwemihlanu engaphumeleli ekuqothulweni ngeqanda labo.
7. Ukuqala kokusa esikhathini sokuqala (ngaphambi kwesikhathi).
8. I-IVF emva kokunikezwa kwamaqanda ama-40 iphinde iphakanyiswe.

Izifo zakho noma iminyaka yakho ngeke kube yisigwebo. Ngisho nangemva kweminyaka engamashumi amane, lezi zenzo ziphumelela kakhulu. Yiqiniso, kulokhu kuyadingeka ukuba ube nesimo esihle sokwenyuka ukukhulelwa.

Ubani ongaba umnikeli?

Ukuqoqwa kwezinsiza zalolu hlobo kwenziwa ezikoleni ezikhethekile. Lona umsebenzi obalulekile ngempela. Kulabo abafuna ukwabelana ngamaqanda abo, kunezidingo eziqinile kakhulu. Isikhathi sokuzinikela sokuzinikela akufanele sibe sesikhulile kuneminyaka engamashumi amathathu nanhlanu. Kulokhu, abesifazane bahlolwa ngokucophelela.

• Isigaba sokuqala ingxoxo. Udokotela uthola ukuthi unabantwana abangaki. Umuntu omele ukhetho kufanele abe okungenani oyedwa ingane enempilo. Ngaphezu kwalokho, kucaciswa ukuthi owesifazane unemikhuba emibi. Isitifiketi esivela ku-psychiatrist isacwaningwa ngempela. Udokotela angase acele incwadi yezokwelapha kusuka e-polyclinic yengane. Kubonisa zonke izifo azihluphekile. Banesithakazelo kulo msebenzi, ngoba kungaba yingozi futhi kuthinte impilo yabesifazane.

Ngokusekelwe engxoxweni, udokotela unquma ukuthi uzoqhuba yini olunye uhlolo ukuze amvumele ukuba abe umnikezeli.

• Isigaba sesibili luhlolo. Ukuhlolwa okujwayelekile komuntu ohlinzeka ngculazi kwenziwa, futhi kuhlolwa ukuhlolwa komzimba. Ukuze afunde amakhono angokwenyama wesifazane, uhlolwe ngumshini we-ultrasound. Ukuba khona kokuhlolwa kwegazi okuhle kuyimpoqo.
• Isigaba sokugcina yisifundo sokungahle kwenzeke kwezakhi zofuzo, futhi ngesisekelo socwaningo lonke udokotela wenza isiphetho mayelana nokuthi kungenzeka ukuba ngumnikeli.

Inqubo ende yenza kube lula ukuthola izinto ezivela kumuntu onempilo. Kungenziwa kuphela ngeqanda elinomsoco elinjalo.

Ubani umntanakho abukeka uma kwenzeka nge-IVF yaloluhlobo? Sizoxoxa ngokuqhubekayo.

Khetha ukubukeka kwakho

Amathuba ukuthi uzoba ikhophi papa, ingokoqobo ngempela. Kodwa kulokhu, kungase kube nezici zomnikeli. Noma kunjalo, le nkinga akufanele ihlupha umama wesikhathi esizayo. Uthatha ingane ngaphansi kwenhliziyo yakhe, udlula inqubo yokulethwa, uzwa ukukhala kwakhe kokuqala. Noma yimiphi imibono ayifinyelele ngokofuzo ngeke iphakame. Nokho, ngalesi sici sengqondo kukhona abesifazane abaningi abangenalo ithuba lokunikeza amaqanda abo.

Abaningi besaba ukuthi izihlobo ngeke zithole ukufana phakathi kwabazali nengane. Kodwa le nkinga ibuye ixazululwe: kuvela ukuthi abazali bazobuzwa mayelana nezintandokazi zabo mayelana nokuvela kwengane ezayo. Leli thuba lithole emibhangqwaneni eminingi eye yahamba nalezi zibuyekezo ezinhle kakhulu. I-IVF ne-egg donor akufanele ikusabe. Esimweni lapho ungazi ukuthi ubani ozokunika ithuba lokuba umama, udokotela uzocacisa amaphuzu alandelayo kuwe:

• Umbala wezinwele ezifunayo. Ungathatha umnikeli ofanayo nowemama wakho.
• Umbala wamehlo.
• Ukuphakama cishe nesisindo.
• Izici eziyinhloko zobuso.
• Iqembu ne-Rh isici segazi.

Ngesisekelo sedatha enjalo, uzokhetha umnikezeli obukeka ofanayo nawe. Ngisho nemiphumela yeqembu legazi ngeke kube khona ukusola ukuthi ingane ayinalo izakhi zofuzo.

Amaqanda abandayo

Kunezinhlobo ezimbili zokwenza lo msebenzi. Okuvamile kakhulu ukusetshenziswa kwe-cryomaterial.

Lolu hlobo lokusabalalisa okufakelwayo lukulungiselela isikhathi eside. Ngakolunye uhlangothi, linciphisa umgca we-IVF njengoba indaba ilungile futhi ilinde abazali abazayo.

• Okokuqala, abanikeli bahlolwa ngaphambilini.
• Ukwelashwa kwamahomoni kunqunywe. Ngamanye amazwi, khuthaza ama-ovari ukwenza ama-oocyte amaningi ngangokunokwenzeka.
• Le nto iqoqwe futhi iqhwa kuma-cryocameras akhethekile.
• Umamukeli angakhetha umhlinzeki ofanelekayo kunayo yonke into.
• Iqanda leqanda lithathwa ngesikhathi esifanele, lisetshenziswe ngesilisa.
• Umbungu olungele ukufakwa esibelethweni somama ozayo.

Ukuphumelela kwe-IVF neqanda lomnikelo kusukela okokuqala liphakeme kakhulu. Ngokwezibalo, konke kuhamba kahle ngamaphesenti angu-40 amacala. Kodwa ungaphelelwa ithemba: uma lingasebenzi kusukela kokuqala, khona-ke lesibili noma sesithathu kuyodingeka!

Izinto ezintsha

Le ndlela ifanele kulabo ababazi abanikeli babo kusengaphambili. Kungaba yisihlobo, umngane, noma nje umuntu ojwayele umamukeli. I-protocol ye-insemination yokufakelwa kuleli cala ihluke kakhulu.

Ukukhulelwa ngeqanda lomnikelo ovela emthonjeni wobuciko kuzolandela:

• Ukuhlola ngokucophelela kokubili umnikeli nomamukeli.
• Ukubiza kokuya esikhathini nokulinganisa imijikelezo yabo bobabili ababambiqhaza.
• Ukusebenzisa ama-hormone avuselela i-ovulation kumnikeli.
• Ukulungiselela isisu sesibeletho somama esizayo.
• Ukuqoqwa kwama-oocyte avela kumnikeli.
• Ukukhulelwa nokutshala kabusha kwesisu.

Izindleko ze-IVF zisebenzisa amaqanda amasha ziphakeme kakhulu kunezinto ezibandayo. Ngokwezibuyekezo, ukuphazamiseka kokukhulelwa, okutholakala ngale ndlela, kwenzeka kaningi.

Imiphumela ye-IVF ngeqanda lomnikelo

Isiguli ngasinye, esinqume ngokuqothulwa kwamakhemikhali, sithemba ukuthi kusukela okokuqala konke kuzohamba kahle. Kodwa, ngeshwa, awukwazi njalo ukuzwa impendulo. I-IVF nge-egg donor iyoba yimpumelelo xa ubeka phambili kuwe emphumela omuhle.

Ngaphezu kwalokho, kuyadingeka ukuba ulandele ngokuqinile lezo zincomo ezonikezwa udokotela. Okokuqala, ukugcinwa kokuphumula ngokocansi ngemuva kokuvuselela kuyadingeka. Isivivinyo samaminithi singaphazamisa ukukhulelwa okulindele isikhathi eside. Okwesibili, omama abazayo kufanele bakhohlwe ngazo zonke izinhlobo zokudla. Ngisho noma uqala ukuthola isisindo ngokushesha, kungcono ukunciphisa isabelo, kodwa ungabi njala. Okwesithathu, ungasebenzisi noma yimiphi imithi ngaphandle kokubonisana nodokotela. Yebo, futhi-ke, ukhohlwe ngamabhabhu ashisayo. Kulesi simo, amathuba okuba nomphumela ophumelelayo uyoba ngaphezulu kakhulu.

Ngokwezibuyekezo zalabo abaye benza inqubo yokuqothulwa kokufakelwa, ukusebenza kahle kwe-IVF kuphezulu kakhulu. Futhi ngokuvamile iminyaka ayidlala indima ekhethekile. Abanye besifazane abaneminyaka engamashumi amane abangenazo izinkinga baqala ukukhulelwa futhi baqhubeka bekhuthazela kalula ingane. Abanye bakhuluma ngemizamo eminingi engaphumeleli eneminyaka engamashumi amathathu.

Ngokuvamile kakhulu kukhona amantombazane awakwazi ukubhekana nokukhulelwa ngokuphepha, okuvela ku-IVF. Lokhu kunomthelela ekuziphatheni ngabanye besifazane, njengokungakhulelwa komzimba obuthakathaka, ukwakheka okungavamile kwesibeletho. Kwezinye izimo, ihlehla ngenxa yokungahambisani nommukeli ngemigomo kadokotela. Njengoba ufunde izibalo, ungabona ukuthi, ngisho noma kungenjalo kusukela kokuqala, futhi kusukela emzamweni wesibili noma wesithathu, owesifazane ulindele impumelelo. I-egg donor egg ayinto engavamile isikhathi eside. Odokotela baye bafunda ukugwema amaphutha futhi bagcine umbungu esibelethweni somama ozayo.

Kungani kungenakwenzeka?

Ngokungangabazeki, wonke umbhangqwana oshadile ozama ukukhulelwa nge- in vitro fertilization uthatha ingozi ethile. Akunakwenzeka ukubona ngokunembile indlela umzimba wesifazane ophendula ngayo embryo etshalwe ngendlela yokufakelwa.

• Ukuze uqale, lo mbhangqwana kumele uvumelane ngazo zonke izikhohlisi zenqubo. Uma kwenzeka ukuthi imibono yabashadile ihlukile kwezinye izilinganiso, isimo sezulu esibi emndenini singasithinta kakhulu.
• Ukuba khona emlandweni wesifazane wesifo esingelapheki. Lezi zingabandakanya isifo sikashukela, i-endometritis.
• Isisindo esiningi somama esizayo singathinta kakhulu inqubo yokubeletha. Ukulungiselela IVF, kungcono ukuzama ukulahlekelwa amakhilogremu ambalwa.
• Ukuhlukumeza ubaba nomama ugwayi, kanye neziphuzo ezidakayo.
• Ukungahambisani phakathi kwendoda nowesifazane ku-genetic level. Kulesi simo, ukuthuthukiswa kwama-antibodies anqabela ingane.

Imitholampilo

Izikhungo zezokwelapha ezidume kakhulu ezithinteka ekufakweni kwamakhemikhali emadolobheni amakhulu kunawo wonke aseRussia. Manje awukwazi ukuma emgqeni ongapheli. Kwakukhona ithuba lokwenza i- IVF ye-OMS ngeqanda lomnikelo. Uma unezinkambiso zokwenza lo msebenzi, inkampani yakho yomshuwalense izokhokha zonke izindleko ezidingekayo. Ngeshwa, akuwona wonke umuntu othatha inqubomgomo. Ezinye izibhedlela zangasese zenqabe le nsizakalo.

Sikhuluma ngemitholampilo ethandwa kakhulu:

1. Amaqanda anikezelayo ayenziwa ngokusabalalisa okufakelwayo e-"ECO Centre" eyaziwayo, esiseMoscow. Kukholelwa ukuthi kule mtholampilo ukusebenza kahle kakhulu kokufaka umanyolo we-in vitro (60%). Izindleko eziphakeme zomzamo owodwa (cishe ama-ruble ayizinkulungwane ezingamakhulu amabili) zilungele ukusebenza kahle kwalesi sikhungo.
2. "Isikhungo Sokwelapha Ngokuzala", esitholakala enhloko-dolobha enyakatho yeRussia - idolobha laseSt. Petersburg, linikezela ngamabhulekhi ayizinkulungwane ezingu-98. Ukusebenza kungu-50%.
3. E-Volgograd ingenye yezikhungo ezinjalo zokuqala, okuthiwa "i-ECO Center." Ukusebenza kahle, ngokusho kwezibalo, akuyona eyona ephezulu, engu-48%. Noma kunjalo, ukubuyekezwa mayelana nalesi sibhedlela kuhle kakhulu. Abaningi badumisa ubuchwepheshe besodokotela, isimo esiphuthumayo, isimo sengqondo esibonisa iziguli. Izindleko zomzamo owodwa zingaphakathi kwezinkulungwane ezingu-150.
4. Umtholampilo "Umama nezingane" eMoscow nawo usebenzelana nokuqothulwa kokufakelwa. Kulezi-pluses, iziguli zigcizelela ukuphendula kodokotela, umsebenzi walesi sikhungo ngaphandle kwezinsuku, ukutholakala kwekhemisi lakhe kanye nezidakamizwa ezikhethekile ze-IVF. Kodwa-ke, kusukela kumaminithi okuthiwa yizindleko eziphezulu (kusuka kuzinkulungwane ezingu-200), ukuba khona kwemigqa emikhulu. Abantu abathandi iqiniso lokuthi yonke imizamo yokuphindaphindiwe ibiza kakhulu njengomzamo wokuqala.
5. Isikhungo Semithi Yomndeni singenye yezidumile kunazo zonke ema-Urals. Itholakala edolobheni laseYekaterinburg. Ukuphumelela kwama-55% kukuvumela ukuba ungathathi iziguli zendawo kuphela, kodwa futhi nezivakashi edolobheni. Uyadunyiswa ngenxa yobuchwepheshe bezokwelapha, ukuzwela kwabasebenzi kanye nendlela eyahlukene ngesiguli ngasinye.

Kuphelele, kunezikhungo ezinjalo ezingaphezu kwekhulu eRussia. Into esemqoka ukubhekana nale ndaba bese uxhumana nalabo abaye badlula kuloluvivinyo olunzima.

Uzilungisa kanjani wena?

Abesifazane abaningi bazihlukumeza ukuthi lo mntwana ngeke aphelele futhi aphelele. Phela, i-genetically father uzoba yindoda, futhi umama uzobekezelela kuphela umntwana. Kodwa, njengoba umkhuba ubonisa, imicabango enjalo ayifuni kulabo ababeletha nge-AJ. Lapho ebona imichilo emibili ethandekayo, njengoba ezwa iziqu zokuqala, esebenzile ngokubeletha okuphumelelayo, lona wesifazane ukhohlwe konke emhlabeni. Uma nje umama ethatha umntwana ezandleni zakhe, imicabango engalungile izoya ohlangothini.

Ngaphambi kwenqubo ye-IVF, thintana nomyeni wakho mayelana nezinkinga ongase uzidinge.

Thola ukuthi owesifazane ungubani, yini eye yaba umnikeli kuwe. Yiqiniso, igama lakhe ngeke libizwe kuwe, kodwa ngokusho okuthandayo, uzokhetha okukufanelekile.

Ungakhathazeki ngelinye ilanga, emva kweminyaka, umnikeli uzoqala ukukufuna futhi abonise amalungelo akho kwengane. Kusukela into yakhe yokuqala bayothola irisidi ukuthi akasoze enza izinto ezinjalo.

Isiphetho

Le ndlela yokukhulelwa isithole impendulo enhle kakhulu. I-IVF nge-egg donor yeminye imindeni yiyona kuphela ithuba lokuthola umntwana. Kuyaphawuleka ukuthi le ndlela ikuvumela ukuthi ubelethe amawele noma amawele. Lokhu kungenxa yokuthi ngobuqotho esibelethweni, akulona owodwa ngaphandle kwemibungu eminingana etshalwe. Abanye, njengomthetho, babhubha. I-strongest isinda.

Ungesabi ubunzima kule ndaba. Ngesikhathi unquma, isikhathi sidlula. Futhi lapho uneminyaka yobudala, umsebenzi obalulekile wokuzala ukhula kancane kancane.

Lalela umuthi kadokotela, qala ukuhola impilo enempilo. Futhi impumelelo ngeke ikugcine ulinde!