KwiVitro Fertilization (IVF)

Umxholo

• Kutheni iVitro Fertilization yenziwa?
• Ndiyilungiselela njani i-Vitro Fertilization?
• Yenziwa njani iVitro Fertilization?
• Ukhuthazo
• Ukubuyisa amaqanda
• Ukufakwa
• Inkcubeko yeembungu
• UkuGqithisela
• Zithini iingxaki ezinxulumene neVitro Fertilization?
• Yiyiphi imbono yexesha elide?

Yintoni iVitro Fertilization?

In vitro fertilization (IVF) luhlobo lwetekhnoloji yokunceda ukuzala (ART). Kubandakanya ukufumana amaqanda kwizibeleko zowasetyhini kunye nokufaka isichumiso kwidlozi. Eli qanda lichumileyo laziwa njengembungu. Umbungu unokumiswa ngumkhenkce ukuze ugcinwe okanye ugqithiselwe kwisibeleko sowasetyhini.

Kuxhomekeka kwimeko yakho, i-IVF inokusebenzisa:

• amaqanda akho kunye nesidoda seqabane lakho
• amaqanda akho nesidoda esinikelayo
• amaqanda abaxhasi kunye nesidoda seqabane lakho
• amaqanda abanikeli kunye nesidoda esivela kubalizi
• Iimbumba ezinikelweyo

Ugqirha wakho unokufaka imibungu kwi-surrogate, okanye kwisiphatho sokuthwala. Lo ngumfazi ophethe umntwana wakho.

Inqanaba lempumelelo le-IVF liyahluka. Ngokwe-American Pregnancy Association, ireyithi yokuzalwa ephilayo yabasetyhini abangaphantsi kweminyaka engama-35 ephantsi kwe-IVF ngama-41 ukuya kuma-43 epesenti. Eli nqanaba liwela kwi-13 ukuya kwi-18 yeepesenti kubafazi abangaphezulu kweminyaka engama-40.

Kutheni iVitro Fertilization yenziwa?

IVF inceda abantu abangachumiyo abafuna ukuba nosana. I-IVF iyabiza kwaye iyangena, ngenxa yoko izibini zihlala zizama ezinye iindlela zonyango zokuchuma kuqala. Oku kunokubandakanya ukuthatha amayeza okuzala okanye ukusasazeka kwe-intrauterine. Ngexesha lale nkqubo, ugqirha ugqithisela isidoda ngqo kwisibeleko sowasetyhini.

Imiba yokungabikho kwenzalo apho i-IVF inokuba yimfuneko ibandakanya:

• kunciphise ukuchuma kwabasetyhini ngaphezulu kweminyaka engama-40
• iibhloki ezivaliweyo okanye ezonakeleyo
• ukunciphisa umsebenzi we-ovari
• endometriosis
• izibilini zesibeleko
• ukungachumi kwamadoda, njengokubalwa kwesidoda okanye ukungahambi kakuhle kwimo yesidoda
• ukungachumi okungaxelwanga

Abazali banokukhetha i-IVF ukuba baba semngciphekweni wokudlulisela isifo kubantwana babo. Ilebhu yezonyango inokuvavanya iimbumba malunga nokungaqhelekanga kwemfuza. Emva koko, ugqirha ufaka kuphela iimbumba ngaphandle kweziphene zemfuza.

Ndiyilungiselela njani i-Vitro Fertilization?

Ngaphambi kokuqala i-IVF, abasetyhini baya kuqala kuvavanyo lwe-ovarian reserve. Oku kubandakanya ukuthatha isampulu yegazi kwaye uyivavanye kwinqanaba le-follicle evuselelayo yehomoni (FSH). Iziphumo zolu vavanyo ziya kunika ugqirha wakho ulwazi malunga nobungakanani kunye nomgangatho wamaqanda akho.

Ugqirha wakho uya kuvavanya isibeleko sakho. Oku kunokubandakanya ukwenza i-ultrasound, esebenzisa amaza esandi esihamba ngesantya esiphezulu ukwenza umfanekiso wesibeleko sakho. Ugqirha wakho unokufaka ubungakanani ngaphakathi kwilungu lobufazi nakwisibeleko sakho. Ezi mvavanyo zinokuveza impilo yesibeleko sakho kwaye zincede ugqirha amisele eyona ndlela yokufaka imibungu.

Amadoda kuyakufuneka enze uvavanyo lobudoda. Oku kubandakanya ukunika isampulu yamadlozi, eya kuthi ilabhoratri ihlalutye inani, ubungakanani, kunye nokumila kwesidoda. Ukuba isidoda sibuthathaka okanye sonakele, inkqubo ebizwa ngokuba yi-intracytoplasmic sperm injection (ICSI) inokufuneka. Ngexesha le-ICSI, ingcali itofa isidoda ngqo kwiqanda. I-ICSI inokuba yinxalenye yenkqubo ye-IVF.

Ukukhetha ukuba ne-IVF sisigqibo sakho. Zininzi izinto ekufuneka ziqwalaselwe.

• Uyakwenza ntoni ngazo naziphi na iimbumba ezingasetyenziswanga?
• Zingaphi iimbumba onqwenela ukuzidlulisela? Eyona mibungu idluliswayo, umngcipheko wokukhulelwa okuninzi uyanda. Uninzi loogqirha aluyi kugqithisa ngaphezu kweembumba ezimbini.
• Uziva njani malunga nokuba namawele, ukuphindaphindeka kathathu, okanye ukukhulelwa okuphindaphindiweyo?
• Kuthekani ngemicimbi yezomthetho neyeemvakalelo enxulunyaniswa nokusebenzisa amaqanda ekunikelwe ngawo, isidoda, kunye neembumba okanye ukumela umntu obambeleyo?
• Luthini uxinzelelo lwezezimali, lomzimba kunye neemvakalelo ezinxulumene ne-IVF?

Yenziwa njani iVitro Fertilization?

Kukho amanyathelo amahlanu abandakanyekayo kwi-IVF:

1. ukuvuselela
2. ukubuyisa amaqanda
3. ukudibanisa
4. inkcubeko engekazalwa
5. ukudlulisa

Ukhuthazo

Umntu wasetyhini uvelisa iqanda elinye ngexesha lokuya exesheni. Nangona kunjalo, i-IVF ifuna amaqanda amaninzi. Sebenzisa amaqanda amaninzi kwandisa amathuba okuphucula umbungu. Uya kufumana iziyobisi zokuchuma ukonyusa inani lamaqanda aveliswa ngumzimba wakho. Ngeli xesha, ugqirha wakho uya kwenza uvavanyo lwegazi rhoqo kunye nee-ultrasound zokujonga ukuveliswa kwamaqanda kunye nokwazisa ugqirha wakho ukuba uza kuwafumana nini.

Ukubuyisa amaqanda

Ukubuyisa amaqanda kwaziwa ngokuba ngumnqweno wokulandelwa. Yinkqubo yotyando eyenziwa nge-anesthesia. Ugqirha wakho uya kusebenzisa i-wand ye-ultrasound ukukhokela inaliti kwilungu lakho lobufazi, kwi-ovary yakho, nakwifollicle eneqanda. Inaliti iya kutsala amaqanda kunye nolwelo oluphuma kwifollicle nganye.

Ukufakwa

Iqabane eliyindoda ngoku liya kufuna ukunika isampulu yamadlozi. Ingcali iya kudibanisa isidoda kunye namaqanda kwisitya sepetri. Ukuba oko akuvelisi imibungu, ugqirha wakho unokuthatha isigqibo sokusebenzisa i-ICSI.

Inkcubeko yeembungu

Ugqirha wakho uya kubeka esweni amaqanda achunyisiweyo ukuqinisekisa ukuba ayahlula kwaye aphuhle. Iimbumba zisenokuvavanywa iimeko zemfuza ngeli xesha.

UkuGqithisela

Xa iimbumba zikhulu ngokwaneleyo, zinokufakwa. Oku kwenzeka ngesiqhelo kwiintsuku ezintathu ukuya kwezintlanu emva kokuchumisa. Ukufakela kubandakanya ukufaka ityhubhu ebhityileyo ebizwa ngokuba yi-catheter efakwe kwilungu lobufazi, udlule umlomo wesibeleko, kunye nesibeleko sakho. Ugqirha wakho emva koko ukhupha umbungu kwisibeleko sakho.

Ukukhulelwa kwenzeka xa umbungu uzizinzisa kudonga lwesibeleko. Oku kungathatha iintsuku ezi-6 ukuya kwezi-10. Uvavanyo lwegazi luya kugqiba ukuba ukhulelwe.

Zithini iingxaki ezinxulumene neVitro Fertilization?

Njengayo nayiphi na inkqubo yonyango, kukho umngcipheko onxulumene ne-IVF. Iingxaki zibandakanya:

• ukukhulelwa okuninzi, okunyusa umngcipheko wokuzala okuphantsi kunye nokuzalwa ngaphambi kwexesha
• ukuphuma kwesisu (ukulahleka kokukhulelwa)
• ukukhulelwa kwe-ectopic (xa amaqanda efakwa ngaphandle kwesibeleko)
• i-ovarian hyperstimulation syndrome (OHSS), imeko enqabileyo ebandakanya ukugqabhuka kolwelo esiswini nasesifubeni
• ukopha, usulelo, okanye ukonakala kwamathumbu okanye isinyi (kunqabile)

Yiyiphi imbono yexesha elide?

Ukuthatha isigqibo sokuba ungene kwi-vitro fertilization, kwaye ungazama njani ukuba ukuzama kokuqala akuphumelelanga, sisigqibo esintsonkothileyo. Uxinzelelo lwezezimali, lomzimba, kunye neemvakalelo zale nkqubo kunokuba nzima. Thetha nogqirha wakho ngokubanzi ukuze ubone ukuba zeziphi iindlela onokuthi ukhethe kuzo kwaye ukuba in vitro fertilization yeyona ndlela ilungileyo kuwe nakusapho lwakho. Funa iqela lenkxaso okanye umcebisi ukunceda wena kunye neqabane lakho ngale nkqubo.