KuVitro Fertilization (IVF)

-Delile

• Kungani Kwenziwa Ukufakwa Komanyolo ku-Vitro?
• Ngikulungiselela Kanjani Ukufakelwa Komanyolo Ku-Vitro?
• Kwenziwa Kanjani Ukufakwa Komanyolo ku-Vitro?
• Ukugqugquzela
• Ukubuyisa Amaqanda
• Ukukhulelwa
• Isiko Lombungu
• Dlulisa
• Yiziphi izingqinamba ezihambisana ne-Vitro Fertilization?
• Uyini Umbono Wesikhathi Eside?

Kuyini Ukuvundisa Kwe-Vitro?

In vitro fertilization (IVF) uhlobo lobuchwepheshe bokusiza bokuzala (i-ART). Kuhilela ukubuyisa amaqanda avela esibelethweni sowesifazane nokuwafaka umquba ngesidoda. Leli qanda elikhulelisiwe laziwa ngokuthi umbungu. Umbungu ungabandiswa ukuze ugcinwe noma udluliselwe esibelethweni sowesifazane.

Ngokuya ngesimo sakho, i-IVF ingasebenzisa:

• amaqanda akho nesidoda somlingani wakho
• amaqanda akho nesidoda sabanikeli
• amaqanda okunikela nesidoda somlingani wakho
• amaqanda abanikelayo nesidoda sabanikeli
• imibungu enikelwe

Udokotela wakho angafaka futhi imibungu ku-surrogate, noma umthwali wokukhulelwa. Lona ngumfazi ophathela ingane yakho.

Izinga lempumelelo le-IVF liyahlukahluka. Ngokusho kwe-American Pregnancy Association, isilinganiso sokuzalwa sabesifazane abangaphansi kweminyaka engama-35 abathola i-IVF singamaphesenti angama-41 kuye kwangama-43. Lesi silinganiso siwela kumaphesenti ayi-13 kuya kwayi-18 kwabesifazane abaneminyaka engaphezu kwengama-40.

Kungani Kwenziwa Ukufakwa Komanyolo ku-Vitro?

IVF isiza abantu abangatholi inzalo abafuna ukuba nengane. I-IVF iyabiza futhi iyahlasela, ngakho imibhangqwana ivame ukuzama ezinye izindlela zokwelapha kuqala. Lokhu kungabandakanya ukuthatha imishanguzo yokuzala noma ukufaka isisu nge-intrauterine. Phakathi naleyo nqubo, udokotela udlulisela isidoda ngqo esibelethweni sowesifazane.

Izinkinga zokuzala okungenzeka ukuthi i-IVF ingadingeka ukuthi zifake:

• kunciphise ukuzala kwabesifazane abangaphezu kweminyaka engama-40
• amashubhu we-fallopian avinjiwe noma alimele
• kunciphise ukusebenza kwe-ovari
• i-endometriosis
• imicu yesibeletho
• ukungabatholi abesilisa, njengokubala kwesidoda okuphansi noma ukungajwayelekile kokuma kwesidoda
• ukungazali okungaqondakali

Abazali bangakhetha i-IVF uma bebeka engcupheni yokudlulisela isifo kwizakhi zabo. Ilebhu yezokwelapha ingahlola imibungu ngokungajwayelekile kofuzo. Ngemuva kwalokho, udokotela ufaka imibungu ngaphandle kokukhubazeka kofuzo.

Ngikulungiselela Kanjani Ukufakelwa Komanyolo Ku-Vitro?

Ngaphambi kokuqala i-IVF, abesifazane bazoqala bahlolwe indawo yokugcina ama-ovarian. Lokhu kubandakanya ukufaka isampula yegazi nokuyihlolela izinga le-follicle stimulating hormone (FSH). Imiphumela yalokhu kuhlolwa izonikeza udokotela wakho ulwazi ngosayizi nekhwalithi yamaqanda akho.

Udokotela wakho uzohlola nesibeletho sakho. Lokhu kungabandakanya ukwenza i-ultrasound, esebenzisa amaza omsindo wemvamisa ephezulu ukwakha isithombe sesibeletho sakho. Udokotela wakho angafaka futhi ububanzi ngesitho sakho sangasese nasesibelethweni sakho. Lezi zivivinyo zingaveza impilo yesibeletho sakho futhi zisize udokotela ukuthi anqume indlela engcono yokufaka imibungu.

Abesilisa bazodinga ukuthi bahlolwe isidoda. Lokhu kubandakanya ukufaka isampula yesidoda, ezohlolwa yilebhu ngenombolo, usayizi, nokwakheka kwesidoda. Uma isidoda sibuthakathaka noma sonakalisiwe, inqubo engabizwa nge-intracytoplasmic sperm injection (ICSI) ingadingeka. Ngesikhathi se-ICSI, uchwepheshe ujova isidoda ngqo eqandeni. I-ICSI ingaba yingxenye yenqubo ye-IVF.

Ukukhetha ukuba ne-IVF kuyisinqumo somuntu uqobo. Kunezici eziningana okufanele uzicabangele.

• Uzokwenzenjani nganoma yimiphi imibungu engasetshenziswanga?
• Ufisa ukudlulisa imibungu emingaki? Imibungu eyedluliswa ngokwengeziwe, iba nkulu ingozi yokuba nokukhulelwa okuningi. Odokotela abaningi ngeke badlulise imibungu engaphezu kwemibili.
• Uzizwa kanjani ngokuthi kungenzeka ube namawele, amawele amathathu, noma ukukhulelwa okuphindwe kaningi?
• Kuthiwani ngezinkinga zomthetho nezingokomzwelo ezihambisana nokusebenzisa amaqanda anikelwe, isidoda, imibungu noma ukumela omunye umuntu?
• Yiziphi izingcindezi zezezimali, zomzimba nezingokomzwelo ezihambisana ne-IVF?

Kwenziwa Kanjani Ukufakwa Komanyolo ku-Vitro?

Kunezinyathelo ezinhlanu ezihilelekile ku-IVF:

1. ukugqugquzela
2. ukubuyisa amaqanda
3. ukufakelwa isidoda
4. isiko lombungu
5. ukudlulisa

Ukugqugquzela

Owesifazane uvame ukukhiqiza iqanda elilodwa ngesikhathi ngasinye sokuya esikhathini. Kodwa-ke, i-IVF idinga amaqanda amaningi. Ukusebenzisa amaqanda amaningi kwandisa amathuba okukhulisa umbungu osebenzayo. Uzothola imishanguzo yokuzala ukukhulisa inani lamaqanda akhiqizwa ngumzimba wakho. Ngalesi sikhathi, udokotela wakho uzokwenza ukuhlolwa kwegazi okuvamile kanye nama-ultrasound ukuqapha ukukhiqizwa kwamaqanda nokwazisa udokotela wakho ukuthi uzowathola nini.

Ukubuyisa Amaqanda

Ukubuyisa amaqanda kwaziwa njengokufisa okulandelanayo. Kuyindlela yokuhlinza eyenziwa nge-anesthesia. Udokotela wakho uzosebenzisa i-wand ye-ultrasound ukuhola inaliti ngokusebenzisa isitho sakho sangasese, ungene esibelethweni sakho, naku-follicle equkethe iqanda. Inaliti izomunca amaqanda noketshezi kuphume ku-follicle ngayinye.

Ukukhulelwa

Umlingani wesilisa manje uzodinga ukunikeza isampula yesidoda. Uchwepheshe uzoxuba isidoda namaqanda esitsheni se-petri. Uma lokho kungakhiphi imibungu, udokotela wakho anganquma ukusebenzisa i-ICSI.

Isiko Lombungu

Udokotela wakho uzoqapha amaqanda avundisiwe ukuqinisekisa ukuthi ayahlukana futhi ayakhula. Imibungu ingase ihlolwe izimo zofuzo ngalesi sikhathi.

Dlulisa

Lapho imibungu ikhule ngokwanele, ingafakwa. Lokhu kuvamise ukwenzeka ezinsukwini ezintathu kuya kwezinhlanu emva kokukhulelwa. Ukufakelwa kubandakanya ukufaka ishubhu elincane elibizwa ngokuthi ipayipi lokufaka ipayipi elifakwe esithweni sakho sangasese, lidlule umlomo wesibeletho sakho, nasesibelethweni sakho. Udokotela wakho bese ekhipha umbungu esibelethweni sakho.

Ukukhulelwa kwenzeka lapho umbungu uzifaka odongeni lwesibeletho. Lokhu kungathatha izinsuku eziyisithupha kuye kweziyishumi. Ukuhlolwa kwegazi kuzonquma ukuthi ukhulelwe yini.

Yiziphi izingqinamba ezihambisana ne-Vitro Fertilization?

Njenganoma iyiphi inqubo yokwelashwa, kunezingozi ezihambisana ne-IVF. Izinkinga zifaka:

• ukukhulelwa okuningi, okwandisa ubungozi besisindo esiphansi sokuzalwa nokuzalwa ngaphambi kwesikhathi
• ukukhulelwa kwesisu (ukulahlekelwa ukukhulelwa)
• ukukhulelwa kwe-ectopic (lapho amaqanda efakela ngaphandle kwesibeletho)
• i-ovarian hyperstimulation syndrome (OHSS), isimo esingajwayelekile esibandakanya uketshezi oluningi esiswini nasesifubeni
• ukopha, ukutheleleka, noma ukulimala kwamathumbu noma kwesinye (okungajwayelekile)

Uyini Umbono Wesikhathi Eside?

Ukunquma ukuthi uzokwenzelwa yini ukuvundiswa kwe-in vitro, nokuthi ungazama kanjani uma umzamo wokuqala ungaphumeleli, kuyisinqumo esiyinkimbinkimbi ngokumangazayo. Ukulimala ngokwezimali, ngokomzimba nangokomzwelo kwale nqubo kungaba nzima. Khuluma nodokotela wakho kabanzi ukuze unqume ukuthi yiziphi izinketho zakho ezinhle kakhulu nokuthi i-in vitro fertilization iyindlela elungele wena nomndeni wakho. Funa iqembu lokusekelana noma umeluleki ozokusiza wena nomlingani wakho ngale nqubo.