IVF (in vitro fertilization): kuyini nokuthi kwenziwa kanjani

-Delile

• Uma kukhonjisiwe
• Kwenziwa kanjani
• Izingozi ezinkulu zokukhulelwa i-in vitro

Umanyolo i-in vitro, eyaziwa nangokuthi yi-FIV, yindlela yokusiza yokuzala equkethe ukukhuleliswa kweqanda yisidoda elabhorethri, bese sifakwa ngaphakathi kwesibeletho, futhi zonke izinqubo zenziwa emtholampilo wenzalo, ngaphandle kocansi abathintekayo.

Le ngenye yezindlela ezisetshenziswa kakhulu zokukhiqiza futhi ingenziwa emitholampilo yangasese nasezibhedlela ngisho nase-SUS, ekhonjiselwa imibhangqwana engakwazi ukukhulelwa ngokuzenzekelayo onyakeni ongu-1 wemizamo ngaphandle kokusebenzisa izindlela zokuvimbela inzalo.

Uma kukhonjisiwe

Ukwenza ukukhulelwa i-in vitro kukhonjiswa lapho abesifazane benezinguquko zabesifazane eziphazamisa ukuvuthwa kweqanda noma ukuhamba kwamaqanda emashubhu. Ngakho-ke, ngaphambi kokuba le ndlela yokukhiqiza ikhonjiswe, kwenziwa izivivinyo ukuthola imbangela yobunzima bokukhulelwa, ngakho-ke, udokotela angakhombisa ukwelashwa okufanele kakhulu.

Kodwa-ke, uma ukukhulelwa kungenzeki ngisho nangemva kokwelapha okukhonjiswe ngudokotela wezifo zabesifazane, noma lapho kungekho ukwelashwa kwenguquko ebonwayo, ukukhulelwa i-in vitro kungaboniswa. Ngakho, ezinye izimo lapho kokukhulelwa i-in vitro kungacatshangwa ukuthi:

• Ukulimala kweshubhu okungenakulungiswa;
• Ukunamathela okukhulu kwe-pelvic;
• I-salpingectomy yamazwe amabili;
• Ama-sequelae wesifo sokuvuvukala okhalo;
• I-endometriosis emaphakathi iye phakathi.

Ngaphezu kwalokho, ukukhulelwa i-in vitro kungakhonjiswa nakwabesifazane abangakhulelwanga ngemuva kweminyaka emi-2 ye-salpingoplasty noma lapho ukuvinjelwa kwesigaxa kuhlala ngemuva kokuhlinzwa.

Kwenziwa kanjani

IVF inqubo eyenziwa emtholampilo osizayo wokukhiqiza owenziwa ezigabeni ezithile. Isinyathelo sokuqala siqukethe ukukhuthaza ama-ovari ukuze kukhiqizwe inani elanele lamaqanda ngokusetshenziswa kwemithi. Amaqanda akhiqizwayo abese eqoqwa ngokufiphala kwangaphansi kwesisu nge-ultrasound bese ethunyelwa elabhorethri.

Isinyathelo esilandelayo ukuhlola amaqanda mayelana nokusebenza kwawo kanye nethuba lokukhulelwa. Ngakho-ke, ngemuva kokukhethwa kwamaqanda amahle kakhulu, isidoda naso siqala ukulungiswa, kukhethwa isidoda esezingeni eliphakeme, okungukuthi, labo abanokuhamba okwanele, ubungqabavu kanye ne-morphology, njengoba yibo abakwaziyo ukuvundisa iqanda kalula.

Ngemuva kwalokho, isidoda esikhethiwe sifakwa engilazini efanayo lapho kufakwa khona amaqanda, bese kuthi ukuvundiswa kwamaqanda kubonakale ngesikhathi sesiko lombungu ukuze kufakwe umbungu owodwa noma ngaphezulu esibelethweni sowesifazane, kanye nomzamo wokufakelwa kufanele yenziwe ngudokotela wezifo zabesifazane emtholampilo osizayo wokukhiqiza.

Ukuze kuqinisekiswe ukuphumelela kokwelashwa ngemuva kwezinsuku eziyi-14 ze-IVF, kufanele kwenziwe ukuhlolwa kokukhulelwa ekhemisi kanye nokuhlolwa kokukhulelwa ukukala inani le-beta-HCG. Cishe ezinsukwini eziyi-14 ngemuva kwalezi zivivinyo, kungenziwa ukuhlolwa kwe-transvaginal ultrasound ukuhlola impilo yowesifazane nombungu.

Izingozi ezinkulu zokukhulelwa i-in vitro

Enye yezingozi ezivame kakhulu zokukhulelwa i-in vitro ukukhulelwa kwamawele ngenxa yokuba khona kwemibungu eminingana ngaphakathi kwesibeletho sowesifazane, futhi kukhona nengozi eyengeziwe yokukhipha isisu okuzenzekelayo, futhi ngenxa yalesi sizathu ukukhulelwa kufanele ngaso sonke isikhathi kuhambisane nodokotela obelethayo nodokotela ochwepheshe ekuzaleni okusizwayo.

Ngaphezu kwalokho, ezinye izingane ezizalwa ngamasu we-in vitro fertilization zisengozini enkulu yokuba nezinguquko ezinjengezinkinga zenhliziyo, i-cleft lip, izinguquko ku-esophagus kanye nokungasebenzi kahle ku-rectum, ngokwesibonelo.