Ukudluliselwa kwam kwe-IVF ekudala ndilindelwe kuye kwarhoxiswa ngenxa yeCoronavirus

Umxholo

• Ndifunde njani ngokungafumani bantwana
• Ukuqala i-IUI
• Ukuguqukela kwi-IVF
• Iingxaki Ezingalindelekanga Ngakumbi
• Impembelelo ye-COVID-19
• Uphengululo lwe

Uhambo lwam lokungachumi luqale kwakudala ngaphambi kokuba i-coronavirus (i-COVID-19) iqale ukoyikisa umhlaba. Emva kweminyaka emininzi yokuqaqanjelwa ziintliziyo, ngenxa yotyando olungaphumelelanga kunye neenzame zeIUI ezingaphumelelanga, mna nomyeni wam besisecicini lokuqalisa umjikelo wokuqala we-IVF xa safumana umnxeba ovela kwiklinikhi yethu usixelela ukuba zonke iinkqubo zokungachumi zazimisiwe. Zange ngesigidi seminyaka ndicinge ukuba ubhubhane ungakhokelela koku. Ndaziva ndinomsindo, ndibuhlungu kwaye ndibulewe zezinye iimvakalelo ezinzima. Kodwa ndiyazi ukuba ayindim ndedwa. Amawakawaka abantu basetyhini kwilizwe liphela abambeke kwisikhephe esinye-kwaye uhambo lwam ngumzekelo nje omnye wokuba kutheni le ntsholongwane kunye neziphumo ebezingalindelekanga ziye zatyhafa ngokwasemzimbeni, ngokwasemphefumlweni, nangokwezemali kuye wonke umntu ofumana unyango lokungachumi okwangoku.

Ndifunde njani ngokungafumani bantwana

Ndandisoloko ndifuna ukuba ngumama, ngoko ndathi ndatshata ngoSeptemba ka-2016, mna nomyeni wam sasifuna ukuba nomntwana ngoko nangoko. Sasinovuyo olukhulu ukuqalisa ukuzama kangangokuba sacinga ngokurhoxisa iholide yethu yasemva komtshato eAntigua kuba ngequbuliso, iZika yaba yinkxalabo enkulu. Ngelo xesha, oogqirha bacebisa ukuba izibini zilinde iinyanga ezintathu emva kokubuya kwindawo kunye noZika ngaphambi kokuzama ukukhulelwa-kwaye kum, iinyanga ezintathu zivakalelwa ngonaphakade. Bendingazi ukuba ezo veki zimbalwa bekufanele ukuba zezona zixhalabisayo xa kuthelekiswa nohambo lokuzama olwaluseza.

Ngokwenene saqala ukuzama ukuba nomntwana ngo-Matshi ka-2017. Ndandilandela umjikelo wam wexesha ngenkuthalo kwaye ndisebenzisa izixhobo zokuvavanya i-ovulation ukunceda ukwandisa amathuba am okukhulelwa. Ngenxa yokuba sisebancinci nomyeni wam kwaye sisempilweni, ndaqonda ukuba siza kumitha kungekudala. Kodwa kwiinyanga ezisibhozo kamva, sasisasokola. Emva kokwenza uphando ngokwethu, umyeni wam wagqiba ekubeni enze uhlalutyo lwamadlozi, ukuze abone ukuba kukho into engalunganga esiphelweni sakhe. Iziphumo zabonisa ukuba isidoda sakhe morphology (ukumila kwesidoda) kunye nokuqina kwesidoda (ukukwazi kwesidoda ukuhamba ngokufanelekileyo) bobabini babengaqhelekanga, kodwa ngokutsho kugqirha wethu, oko kwakungonelanga ukuchaza ukuba kutheni kusithatha ixesha elide ukumitha. (Idibeneyo: Uvavanyo olutsha lwasekhaya lokuchuma luhlola i-Guy's Sperm yakho)

Ndaye ndaya kwi-ob-gyn yam ukuze ndihlolwe kwaye ndafumanisa ukuba ndine-uterine fibroid. Oku kukhula kungonakalisiyo kunokuba yinto ecaphukisayo kwaye kubangele amaxesha abuhlungu, kodwa ugqirha wam uthe kunqabile ukuba baphazamisane nokukhulelwa. Saqhubeka ke sizama.

Xa sifika kunyaka wethu, saqala ukukhathazeka ngakumbi. Emva kophando lweengcali zobudlolo sibhukishe idinga lam lokuqala ngo-Epreli ka-2018. (Fumana ukuba yintoni i-ob-gyns enqwenela ukuba abafazi bayazi malunga nokuchuma kwabo.)

Uvavanyo lokungachumi luqala ngothotho lweemvavanyo, umsebenzi wegazi kunye nezikena. Kunoko ngokukhawuleza, kwafunyaniswa ukuba ndinePolycystic Ovarian Syndrome (PCOS), imeko yezempilo ebangela ukuba abasetyhini babe neengxaki zokuya exesheni (ngokuqhelekileyo ukuya exesheni ngokungaqhelekanga) kunye nokugqithiswa kweehomoni ze-androgen (iihomoni ezidlala indima kwiimpawu zamadoda kunye nomsebenzi wokuzala) zidlula. umzimba wabo. Ayisiyiyo kuphela isifo se-endocrine esixhaphakileyo, kodwa sesona sizathu siqhelekileyo sokungazali. Kodwa akukho ndlela bendifana ngayo xa kufikwa kumatyala e-PCOS. Andizange ndityebe kakhulu, andinako ukukhula okungaphezulu kweenwele kwaye andikaze ndilwe nzima namabala, zonke ezi luphawu lwabasetyhini abane-PCOS. Kodwa ndiye ndaqonda ukuba ugqirha wazi ngcono ndahamba nayo.

Emva kokuxilongwa kwam kwe-PCOS, ingcali yethu yokuchuma yeza nesicwangciso sonyango. Wayefuna ukuba senze i-IUI (Intrauterine Insemination), unyango lokuchuma olubandakanya ukubeka amadlozi ngaphakathi kwisibeleko sakho ukuze kube lula ukuchumisa. Kodwa ngaphambi kokuqala, ugqirha wandicebisa ukuba ndisuse i-fibroid yam ukuqinisekisa ukuba isibeleko sam besisempilweni kangangoko. (Eyeleleneyo: UAnna Victoria ufumana iimvakalelo malunga nokuzabalaza kwakhe nokungazali)

Kusithathe iinyanga ezimbini ukuba sifumane idinga lokuhlinzwa. Ekugqibeleni ndaye ndenziwa utyando ngoJulayi, kwaye kwathatha de kwangoSeptemba ukuba ndibuye ndichache ngokupheleleyo kwaye ndicace gca ukuba ndiqale ukuzama ukukhulelwa kwakhona. Nangona ingcali yethu yayifuna ukuba siqalise i-IUI ASAP emva kokuchacha kuqhaqho, mna nomyeni wam sagqiba kwelokuba sifuna ukuzama ukukhulelwa ngokwemvelo kwakhona, sinethemba lokuba mhlawumbi i-fibroid yayiyingxaki ngalo lonke ixesha, nangona ugqirha wethu watsho ngenye indlela. Kwiinyanga ezintathu kamva, akukho thamsanqa. Ndandixhelekile entliziyweni.

Ukuqala i-IUI

Okwangoku, kwakungoDisemba, kwaye ekugqibeleni sagqiba kwelokuba siqale i-IUI.Kodwa ngaphambi kokuba siqale, ugqirha wam wandifaka kulawulo lokuzalwa. Ukujika umzimba wakho uchume ngokukodwa emva kokuyeka izinto zokucwangcisa ngomlomo, ndiye ndaya kubo inyanga enye ngaphambi kokuqala ngokusemthethweni i-IUI.

Emva kokuba ndiphumile kulawulo lokubeleka, ndaya ekliniki ukuze ndifumane i-ultrasound yokuqala kunye nomsebenzi wegazi. Iziphumo zabuya zisiqhelo kwaye kwangolo suku ndinikwe umjikelo weentsuku ezili-10 zamachiza okucofa ngenaliti ukunceda ukukhuthaza i-ovulation. La mayeza anceda umzimba wakho ukuba uvelise amaqanda amaninzi kunokuba udla ngokwenza kumjikelo wokuya exesheni, nto leyo eyandisa amathuba okukhawula. Ngokuqhelekileyo, unikwe umsebenzi wokulawula ezi zithonga ekhaya, kwaye i-TBH, ukufunda ukuxhoma isisu sam ngenaliti yayingeyongxaki, yayiziziphumo ebezingalindelekanga ezifunxa ngokwenene. Wonke umntu wasetyhini usabela ngokwahlukileyo kwi-ovulation evuselela amayeza, kodwa mna ngokwam ndazamana nemigraines eyoyikekayo. Ndithathe iintsuku ndisiya emsebenzini kwaye ngezinye iintsuku bendikwazi ukuvula amehlo am. Kwaye andivunyelwanga ukuba yi-caffeine, kuba inokuthintela ukuzala, ngenxa yoko iipilisi ze-migraine bezingelilo. Bekungekho nto ingako bendinokuyenza ngaphandle kokuyifunxa.

Ngeli xesha, ndandisele ndiqalise ukuziva ndidimazekile. Wonke umntu owayekufutshane nam wayebonakala eqala usapho, kwaye oko kwandenza ndaziva ndililolo. Ukukwazi ukukhawula ngokwemvelo sisipho esinjalo—eso abantu abaninzi basithabatha lula. Kwabo bethu batsala nzima, ukubethwa ngeefoto zomntwana kunye nezibhengezo zokuzalwa kunokukwenza uzive ulilolo ngendlela engathethekiyo kwaye bendikweso phenyane. Kodwa ngoku ekubeni ekugqibeleni ndigqitha kwi-IUI, ndaziva ndinethemba.

Kuthe xa kufika imini yokutofa amadlozi ndavuya. Kodwa malunga neeveki ezimbini kamva, safumanisa ukuba olo tyando aluzange luphumelele. Kwakunjalo naleyo emva koko, nelandelayo emva koko. Enyanisweni, siye safumana unyango lwe-IUI olusileleyo ezintandathu kwiinyanga ezintandathu ezizayo.

Sinqwenela ukwazi ukuba kutheni unyango lungasebenzi, sagqiba ekubeni sifumane uluvo lwesibini ngoJuni ka-2019. Ekugqibeleni sade safumana idinga ngo-Agasti, sizama ngokwemvelo okwangoku, nangona kungekho mpumelelo.

Ingcali entsha yenza ukuba mna nomyeni wam siye kolunye uthotho lovavanyo. Kulapho ndafunda khona ukuba andinayo iPCOS. Ndikhumbula ndibhidekile kuba ndandingazi ukuba ndithembele ngoluvo lukabani. Kodwa emva kokuba ingcali entsha ichaze ukungangqinelani kuvavanyo lwam lwangaphambili, ndizifumene ndiyamkela le nyani intsha. Mna nomyeni wam ekugqibeleni sagqiba ekubeni sihlawule phambili, sibeka iingcebiso zale ngcali endaweni.

Ukuguqukela kwi-IVF

Ngelixa ndonwabileyo kukuva ukuba andinayo iPCOS, umjikelo wokuqala wovavanyo nengcali entsha yafumanisa ukuba ndikwinqanaba eliphantsi leehomoni zehypothalamic. I-hypothalamus (inxalenye yengqondo yakho) inoxanduva lokukhupha ihomoni ekhupha i-gonadotropin (GnRH) eyenza i-pituitary gland (ekwakhona kwingqondo yakho) ukukhulula ihomoni ye-luteinizing (LH) kunye ne-follicle-stimulating hormone (FSH). Ngokudibeneyo, la mahormoni abonisa iqanda ukuba likhule kwaye likhutshwe kwelinye lamaqanda akho. Kuyabonakala ukuba, umzimba wam wawusokola ukuphuma kuba amanqanaba ala mahomoni ayephantsi, utshilo ugqirha wam. (Eyeleleneyo: Indlela yakho yokuzilolonga inokukuchaphazela njani ukuchuma kwakho)

Okwangoku, kuba bendisele ndinazo ii-IUIs ezininzi ezingaphumelelanga, ekuphela kwendlela endinokuyenza yokuba nomntwana webhayoloji yayikukuqala i-Invitro Fertilization (IVF). Ke ngo-Okthobha u-2019, ndaqala ukulungiselela inyathelo lokuqala lenkqubo: ukubuyisa iqanda. Oko kwakuthetha ukuqalisa omnye umjikelo wamayeza okuchuma, kunye neenaliti zokunceda ukuvuselela ii-ovari zam ukuba zivelise iifollicles ezinceda ukukhulula iqanda lokuqhamisa.

Ngokunikwa irekhodi lam lomkhondo kunye neenkqubo zokuchuma, ndizilungiselele ngokwasemphefumlweni okona kubi, kodwa ngo-Novemba, sikwazile ukufumana amaqanda angama-45 kwii-ovari zam. I-18 kulawo maqanda achunyiswa, ali-10 kuwo asinda. Ukuze sikhuseleke, sigqibe kwelokuba sithumele loo maqanda kuvavanyo lwechromosome, t0 sikhuphe ukhula nakuphi na okunokuphelela ekuphunyelweni sisisu. Amaqanda asixhenxe kwali-10 abuye esiqhelo, nto leyo ethetha ukuba onke anethuba eliphezulu lokuphunyezwa ngempumelelo kwaye aza kuqhutywa ngokupheleleyo. Ezi yayiziindaba zokuqala ezimnandi esizifumene okwethutyana. (Related: Uphononongo luthi inani lamaqanda kwi-ovari yakho ayinanto yakwenza namathuba akho okumitha)

Iingxaki Ezingalindelekanga Ngakumbi

Okwesihlandlo sokuqala emva kwexesha elide, ndaziva ndinethemba, kodwa kwakhona, laphela ixesha elifutshane. Emva kokufunyanwa kweqanda, ndandiqaqanjelwa kakhulu. Kuninzi kakhulu, andikwazi ukuphuma ebhedini ngeveki. Ndandivakalelwa kukuba kukho undonakele. Ndaya kubona ugqirha wam kwakhona kwaye emva kovavanyo oluthile, ndafunda ukuba ndinento ebizwa ngokuba yi-Ovarian Hyperstimulation Syndrome (OHSS). Le meko inqabileyo ngokusisiseko yimpendulo kwiyeza lokuchuma elibangela ukuba ulwelo oluninzi luzalise kwisisu. Ndafakwa kwi-meds ukunceda ukucinezela umsebenzi we-ovari, kwaye kwandithatha malunga neeveki ezintathu ukuba ndichache.

Xa ndandisempilweni ngokwaneleyo, ndaye ndafumana into ebizwa ngokuba yi-hysteroscopy, apho umlinganiselo we-ultrasound ufakwa kwisibeleko sakho ngelungu lobufazi bakho, ukufumanisa ukuba kukhuselekile na ukuqhubeka nokufakwa kwe-embryos ngexesha lokudluliselwa kwe-IVF.

Nangona kunjalo, into eyayenzelwe ukuba ibe yinkqubo elula yesiqhelo yabonisa ukuba ndinesibeleko se-bicornuate. Akukho mntu waziyo ukuba kutheni le nto isenzeka, kodwa ibali elide lifutshane, endaweni yokuba ibe yimilo ye-amangile, isibeleko sam sasimile okwentliziyo, nto leyo eza kwenza kube nzima ukuba umbungu ufakele kwaye kwandise umngcipheko wokukhulelwa kwesisu. (Eyeleleneyo: Iinyaniso ezibalulekileyo malunga nokuNzala kunye nokungachumi)

Ngoko senza olunye utyando ukulungisa loo nto. Ukuchacha kwakhona kwahlala inyanga kwaye ndafumana enye i-hysteroscopy ukuqinisekisa ukuba inkqubo iyasebenza. Ibinayo, kodwa ngoku bekukho ukosuleleka esibelekweni sam. I-hysteroscopy ibonise amaqhuma amancinci amancinci, kulo lonke ulusu lwam lwesibeleko, olunokwenzeka ngenxa yesimo sokudumba esibizwa ngokuba yi-endometritis (ekucaca ukuba ayifani ne-endometriosis). Ngokuqinisekileyo, ugqirha wam wabuyela esibelekweni sam ukuze afumane ezinye zezicwili ezitshisiweyo kwaye wazithumela ukuba ziye kufakwa kwi-biopsied. Iziphumo zabuya zine-endometritis kwaye ndafakwa kumjikelo wamayeza okubulala iintsholongwane ukucima usulelo.

Ekupheleni kukaFebruwari ka-2020, ekugqibeleni ndiye ndanikwa yonke into ecacileyo ukuba ndiqale kwii-hormonal meds ukulungiselela ukudluliselwa kwe-IVF kwakhona.

Emva koko, i-coronavirus (COVID-19) yenzekile.

Impembelelo ye-COVID-19

Iminyaka, mna nomyeni wam siye saphoxeka emva kokuphoxeka kuhambo lwethu lokungachumi. Iqhelekile ukuba ibe yinto eqhelekileyo kubomi bethu-kwaye ngelixa kufanelekile ukuba ndibekelwe ixesha lokujongana neendaba ezimbi, i-COVID-19, yandiphosa.

Umsindo kunye nonxunguphalo aziqalisi nokuchaza indlela endaziva ngayo xa ikliniki yam yandibiza kwaye yathi bayalunqumamisa lonke unyango kwaye bayalurhoxisa lonke ukhutshelo lwe-embryo olunomkhenkce kunye nolutsha. Ngelixa besilungiselela i-IVF kuphela iinyanga ezimbalwa, yonke into esiye sayigqiba kule minyaka mithathu idlulileyo- amayeza, iziphumo ebezingalindelekanga, inaliti ezingenakubalwa kunye notyando oluninzi- konke ukuze ndifikelele kweli nqanaba. Kwaye ngoku sixelelwa ukuba kuya kufuneka silinde. Kwakhona.

Nabani na onengxaki yobudlolo uya kukuxelela ukuba kukutya konke. Andinakukuxelela inani lamaxesha endiye ndachitha ngawo, ekhaya nasemsebenzini kule nkqubo inzima. Singasathethi ke ngokuzabalaza neemvakalelo zokuziva ulikheswa kakhulu kunye nokungento yanto emva kokuvela imiqobo yendlela engenakubalwa. Ngoku nge-COVID-19, ezo mvakalelo ziye zanda. Ndiyakuqonda ukubaluleka kokugcina wonke umntu ekhuselekile ngoku, kodwa into endingayiqondiyo kukuba ngandlela thile i-Starbucks kunye neMcDonald's zithathwa "njengamashishini abalulekileyo," kodwa unyango lokuchuma alunjalo. Ayinangqondo kum.

Emva koko kukho umba wemali. Mna nomyeni wam sele siphantse sibe ne-$40,000 nzulu ekuzameni ukuba nomntwana wethu kuba i-inshurensi ayiquki kakhulu. Phambi kwe-COVID-19, ndandisele ndibonisiwe kwangaphambili nogqirha wam kwaye ndandisele ndiqalisile ngenaliti yokukhuthaza i-ovulation. Ngoku kwakufuneka ndiyeke ukuthatha amayeza ngequbuliso, kuya kufuneka ndiphinde undwendwele kwagqirha kwaye ndithenge amanye amayeza nje ukuba izithintelo ziyehla ukusukela oko kuphelelwa kwaye azikwazi ukubuyiselwa. Iindleko ezongeziweyo azithelekisi nezinye iinkqubo ezinje ngokufunyanwa kweqanda (okusibuyisele umva i-16,000 yeedola), kodwa yenye yeempendulo zemali ezongeza kudano olupheleleyo. (Izinto eziNxulumeneyo: Ngaba Iindleko eziPhezulu ze-IVF zabasetyhini eMelika ziyimfuneko ngokwenene?)

Ndiyazi ukuba ayingabo bonke abantu ababhinqileyo abanyamezela iingxaki endijongene nazo kuhambo lwam lobudlolo, kwaye ndiyazi nokuba baninzi abantu basetyhini abade bagqithe ngakumbi endleleni, kodwa nokuba injani na indlela, ubudlolo bubuhlungu. Ayisiyiyo kuphela ngenxa yeemeds, iziphumo ebezingalindelekanga, inaliti kunye notyando, kodwa ngenxa yako konke ukulinda. Ikwenza uzive ulahlekelwe kakhulu kulawulo kwaye ngoku ngenxa ye-COVID-19, uninzi lwethu luphulukene nenyhweba uzama ukwakha usapho, nto leyo yongeza nje isithuko kukwenzakala.

Konke oku kuthetha ukuba wonke umntu uqhula ngokuba neentsana ze-coronavirus ngelixa evalelwe yedwa kwaye ekhalaza malunga nokuba kunzima kangakanani ukuhlala ekhaya nabantwana bakho, khumbula ukuba uninzi lwethu lunokwenza nantoni na ukutshintsha iindawo kunye nawe. Xa abanye bebuza, 'Kutheni ungazami ngokwemvelo ?,' okanye 'Kutheni ungasamkeli nje?' ikhulisa kuphela iimvakalelo ezingakhiyo esele siziva. (Inxulumene: Ungalinda ixesha elingakanani ukuba ube nomntwana?)

Ke, kubo bonke abafazi ababeza kuqalisa ii-IUIs, ndiyakubona. Kuni nonke abaye bahlehliswa unyango lwe-IVF, ndiyanibona. Unelungelo lokuziva nantoni na oziva ngayo ngoku, nokuba lusizi, ilahleko, okanye umsindo. Konke kuqhelekile. Vumela ukuba uzive. Kodwa kwakhona khumbula ukuba awuwedwa. Omnye kwabasetyhini abasibhozo uhamba ngale nto. Ngoku lixesha lokuxhomekeka omnye komnye kuba le nto sijamelana nayo ibuhlungu, kodwa ke sinethemba lokuba sonke siza kudlula kunye.

Uphengululo lwe