Ukudluliswa Kwami Kwe-IVF Okade Kulindelwe Kwakhanselwa Ngenxa Ye-Coronavirus

-Delile

• Ngifunde Kanjani Ngokungabatholi abantwana
• Iqala i-IUI
• Ukuphendukela ku-IVF
• Izinkinga Eziningi Ezingalindelekile
• Umthelela we-COVID-19
• Buyekeza kwe-

Uhambo lwami lokungatholi abantwana lwaqala kudala ngaphambi kokuba i-coronavirus (COVID-19) iqale ukwesabisa umhlaba. Ngemva kweminyaka eminingi yosizi, ngenxa yokuhlinzwa okuhlulekile kanye nemizamo engaphumelelanga ye-IUI, mina nomyeni wami sasisemaphethelweni okuqala umzuliswano wethu wokuqala we-IVF lapho sithola ucingo oluvela emtholampilo wethu usitshela ukuthi zonke izinqubo zokuzala zimisiwe. Angikaze eminyakeni eyisigidi ngicabange ukuthi lolu bhubhane lungaholela kulokhu. Ngazizwa ngithukuthele, ngidabukile futhi ngabulala neminye imizwelo eyeqile. Kepha ngiyazi ukuthi angingedwa. Izinkulungwane zabesifazane ezweni lonke zibambeke esikebheni esifanayo—futhi uhambo lwami luyisibonelo esisodwa nje sokuthi kungani leli gciwane kanye nemiphumela yalo engemihle liye lacindezela ngokomzimba, ngokomzwelo, nangokwezimali kuwo wonke umuntu othola ukwelashwa kokungabi nabantwana njengamanje.

Ngifunde Kanjani Ngokungabatholi abantwana

Kudala ngifuna ukuba ngumama, ngakho-ke lapho ngishada ngoSepthemba ka-2016, mina nomyeni wami safuna ukuba nengane zisuka nje. Sasijabule kakhulu ukuqala ukuzama kangangokuthi sacabanga ukukhansela i-honeymoon yethu e-Antigua ngoba ngokungazelelwe, uZika wayesekhathazeke kakhulu. Ngaleso sikhathi, odokotela babencoma ukuthi imibhangqwana ilinde izinyanga ezintathu ngemuva kokubuya endaweni eneZika ngaphambi kokuzama ukukhulelwa-futhi kimi, izinyanga ezintathu zazizizwa njengezinaphakade. Bengingazi ukuthi lawo masonto ambalwa bekufanele ngabe angikhathazekile kangako uma kuqhathaniswa nohambo lokuzama olwalungaphambili.

Saqala ngempela ukuzama ukuba nomntwana ngo-March ka-2017. Bengilandelela umjikelezo wami wokuya esikhathini ngenkuthalo futhi ngisebenzisa amakhithi okuhlola i-ovulation ukusiza ukukhulisa amathuba ami okukhulelwa. Njengoba kunikezwe iqiniso lokuthi sobabili nomyeni wami besibancane futhi siphilile, ngicabange ukuthi sizokhula ngokushesha. Kodwa ngemva kwezinyanga ezingu-8, sasisenzima. Ngemva kokwenza ucwaningo sisodwa, umyeni wami wanquma ukuyohlolwa isidoda, ukuze abone ukuthi kukhona okungahambi kahle yini ekugcineni. Imiphumela ikhombise ukuthi isidoda sakhe morphology (ukuma kwesidoda) nokuqina kwesidoda (ikhono lesidoda ukuhamba kahle) zombili bezingajwayelekile, kepha ngokusho kukadokotela wethu, lokho bekungenele ukuchaza ukuthi kungani kusithatha isikhathi eside kangaka ukukhulelwa. (Okuhlobene: Ukuhlolwa Okusha Kwenzalo Yasekhaya Kuhlola Isidoda Sakho)

Ngaphinde ngaya ku-ob-gyn yami ukuze ngihlolwe futhi ngathola ukuthi ngine-uterine fibroid. Lokhu kukhula okungenamdlavuza kungase kucasule kakhulu futhi kubangele izikhathi ezibuhlungu, kodwa udokotela wami uthe azivamile ukuphazamisa ukukhulelwa. Ngakho saqhubeka sizama.

Lapho sifinyelela unyaka wethu, saqala ukuzizwa sikhathazeke kakhulu. Ngemuva kokucwaninga ngochwepheshe benzalo sibekise ukuqokwa kwami ​​kokuqala ngo-Ephreli 2018. (Thola ukuthi yini ama-ob-gyns afisa ukuthi abesifazane bazi mayelana nokuzala kwabo.)

Ukuhlolwa kokungabi nabantwana kuqala ngochungechunge lokuhlola, umsebenzi wegazi, nezikena. Esikhundleni salokho, ngatholwa ukuthi nginePolycystic Ovarian Syndrome (PCOS), isimo sezokwelapha esibangela abesifazane ukuba babe nezinkinga zokuya esikhathini (imvamisa izikhathi ezingejwayelekile) kanye namahomoni amaningi e-androgen (amahomoni adlala indima kuzici zesilisa nasemisebenzini yokuzala) eqhubeka umzimba wabo. Akusona kuphela isifo esivame kakhulu se-endocrine, kodwa futhi kuyimbangela ejwayelekile kakhulu yokungazali. Kepha ngangingeyona indlela ejwayelekile lapho kukhulunywa ngamacala e-PCOS. Angizange ngikhuluphele, angizange ngikhule izinwele ngokweqile futhi angikaze ngilwe ne-acne, konke okuyizimpawu zabesifazane abane-PCOS. Kodwa ngicabange ukuthi udokotela wazi kangcono ngakho ngivele ngahamba nayo.

Ngemuva kokuxilongwa kwami ​​kwe-PCOS, uchwepheshe wethu wenzalo weza necebo lokwelashwa. Wayefuna ukuthi senze i-IUI (Intrauterine Insemination), ukwelashwa kwenzalo okubandakanya ukubeka isidoda ngaphakathi kwesibeletho sakho ukuze kube lula ukuvundiswa. Kodwa ngaphambi kokuba ngiqale, udokotela watusa ukuba ngikhiphe i-fibroid yami ukuze ngiqiniseke ukuthi isibeletho sami sasinempilo ngangokunokwenzeka. (Okuhlobene: U-Anna Victoria Uyathinteka Ngomshikashika Wakhe Wokungazali)

Kusithathe izinyanga ezimbili ukuthola nokuqokwa kokuhlinzwa kwe-fibroid. Ekugcineni ngahlinzwa ngoJulayi, futhi kwathatha kwaze kwaba nguSepthemba ukuthi ngilulame ngokuphelele futhi ngicaciselwe konke ukuqala ukuzama ukukhulelwa futhi. Yize uchwepheshe wethu efuna ukuthi siqale i-IUI ASAP ngemuva kokululama ekuhlinzweni, mina nomyeni wami sanquma ukuthi sifuna ukuzama ukukhulelwa ngokwemvelo futhi, ngethemba lokuthi mhlawumbe i-fibroid ibikade iyinkinga ngaso sonke isikhathi, yize udokotela wethu esho okuhlukile. Ezinyangeni ezintathu kamuva, namanje ayikho inhlanhla. Ngaphatheka kabi.

Iqala i-IUI

Ngalesi sikhathi, kwakunguDisemba, futhi ekugcineni sanquma ukuqala i-IUI.Kodwa ngaphambi kokuba siqale, udokotela wami wangifaka ekuvimbeleni inzalo. Kuvela ukuthi umzimba wakho uvundile ngokukhethekile ngemva nje kokuphuma kuzivimbela-nzalo ezithathwa ngomlomo, ngakho ngazisebenzisa isikhathi esingangenyanga ngaphambi kokuba ngiqale ngokusemthethweni i-IUI.

Ngemuva kokuyeka ukubeletha, ngaya emtholampilo ngenza umsebenzi oyisisekelo we-ultrasound nomsebenzi wegazi. Imiphumela yabuya ejwayelekile futhi ngalo lolo suku nganikezwa umjikelezo wezinsuku eziyi-10 wemithi yokuzala ejojwayo ukusiza ukukhuthaza ukukhiqizwa kweqanda. Le mithi isiza umzimba wakho ukuthi ukhiqize amaqanda amaningi kunalokho obungawenza emjikelezweni othile wokuya esikhathini, okwandisa amathuba okukhulelwa. Ngokuvamile, unomsebenzi wokuphatha lezi zithombe ekhaya, futhi i-TBH, ukufunda ukubhoboza isisu sami ngenaliti kwakungeyona inkinga, kwakuyimiphumela emibi eyayimunca ngempela. Wonke umuntu wesifazane usabela ngendlela ehlukile ekuvuthweni kwe-ovulation evuselela imishanguzo, kodwa mina ngokwami ​​ngizabalaza ngemigraines esabekayo. Ngathatha izinsuku emsebenzini futhi ngezinye izinsuku ngangingakwazi ukuvula amehlo ami. Futhi ngangingavunyelwe i-caffeine, ngoba ingavimbela inzalo, ngakho amaphilisi e-migraine ayengeyona inketho. Kwakungekho okuningi engangingakwenza ngaphandle kokukuncela.

Ngalesi sikhathi, ngase ngiqale ukuzizwa ngidangele impela. Bonke abantu ababengizungezile babonakala beqala umkhaya, futhi kwangenza ngazizwa nginesizungu. Ukukwazi ukukhulelwa ngokwemvelo kuyisipho esinjalo — isipho abantu abaningi abasithatha kalula. Kulabo bethu abanale nkinga, ukuqhunyiswa izithombe zezingane nezimemezelo zokuzalwa kungakwenza uzizwe unesizungu esimangazayo futhi nakanjani ngangikuleso sikebhe. Kepha manje njengoba ekugcineni ngangihamba ne-IUI, ngangizizwa nginethemba.

Lapho kufika usuku lokujova isidoda, ngajabula. Kodwa cishe emasontweni amabili kamuva, sezwa ukuthi le nqubo ayiphumelelanga. Kwakunjalo nangemva kwalokho, nangemva kwalokho. Empeleni, sathola ukwelashwa kwe-IUI okuyisithupha okwehlulekile ezinyangeni eziyisithupha ezizayo.

Sifisa ukuthola ukuthi kungani ukwelashwa kungasebenzi, sinqume ukuthola umbono wesibili ngoJuni 2019. Ekugcineni sathola i-aphoyintimenti ngo-Agasti, sizama ngokwemvelo okwamanje, yize kungaphumelelanga.

Uchwepheshe omusha wenza ukuthi mina nomyeni wami sihlolwe olunye uchungechunge. Yilapho ngafunda khona ukuthi empeleni anginayo i-PCOS. Ngikhumbula ngizizwa ngidideke kakhulu ngoba bengingazi ukuthi kufanele ngithembe umbono kabani. Kodwa ngemva kokuba uchwepheshe omusha echaze ukungezwani ekuhlolweni kwami ​​kwangaphambili, ngazithola sengamukela leli qiniso elisha. Mina nomyeni wami ekugcineni sanquma ukukhokhela phambili, sibeka izincomo zalo chwepheshe endaweni.

Ukuphendukela ku-IVF

Ngenkathi ngikhululekile ukuzwa ukuthi anginayo i-PCOS, umjikelezo wokuqala wokuhlolwa nochwepheshe omusha uthole ukuthi nginezinga eliphansi lamahomoni e-hypothalamic. I-hypothalamus (ingxenye yobuchopho bakho) inesibopho sokukhipha i-gonadotropin-release hormone (GnRH) edala i-pituitary gland (etholakala ebuchosheni bakho) ukukhipha i-luteinizing hormone (LH) ne-follicle-stimulating hormone (FSH). Ngokubambisana, la mahomoni abonisa iqanda ukuthi likhule futhi likhishwe kwelinye lamaqanda akho. Ngokusobala, umzimba wami wawunzima ukukhipha amaqanda ngoba amazinga ami ala mahomoni ayephansi, kusho udokotela wami. (Okuhlobene: Ukuthi Ukuzivocavoca Umzimba Wakho Kungayithinta Kanjani Inzalo Yakho)

Ngalesi sikhathi, njengoba ngase ngivele ngine-IUIs amaningi ahlulekile, okuwukuphela kwendlela engangisebenza ngayo yokuba nengane yokuzalwa kwaba ukuqala i-Invitro Fertilization (IVF). Ngakho ngo-Okthoba 2019, ngaqala ukulungiselela isinyathelo sokuqala kule nqubo: ukubuyisa amaqanda. Lokho bekusho ukuqala omunye umjikelezo wemithi yokuzala, nemijovo yokusiza ukukhuthaza ama-ovari ami ukuthi akhiqize amafolishi asiza ukukhipha iqanda ukuze likhule.

Ngokunikwa irekhodi lami lezinqubo zokuzala, ngazilungiselela ngokomzwelo ukuthi ngikwenze okubi kakhulu, kepha ngoNovemba, sikwazile ukukhipha amaqanda angama-45 kumaqanda ami. Angu-18 kulawo maqanda avundiswa, angu-10 kuwo asinda. Ukuze siphephe, sithathe isinqumo sokuthumela lawo maqanda ayohlolwa i-chromosome, t0 susa noma yini engagcina isisu. Amaqanda ayisikhombisa kulawa ayi-10 abuya ejwayelekile, okusho ukuthi wonke ayenethuba eliphezulu lokuqaliswa ngempumelelo futhi aqhutshwe ngokugcwele. Lezi kwakuyizindaba ezinhle zokuqala esizitholile esikhathini eside. (Okuhlobene: Ucwaningo Luthi Inombolo Yamaqanda Emaqanda Akho Ayihlangene Namathuba Akho Okukhulelwa)

Izinkinga Eziningi Ezingalindelekile

Ngokokuqala ngqá ngemva kwesikhathi eside, ngaba nomuzwa wethemba, kodwa futhi, kwaba okwesikhashana. Ngemuva kokubuyisa iqanda, nganginobuhlungu obukhulu. Kakhulu, angikwazanga ukuvuka embhedeni isonto lonke. Ngangizwa ukuthi kukhona okungahambi kahle. Ngaphinde ngaya kobona udokotela wami futhi ngemva kokuhlolwa okuthile, ngathola ukuthi nginento ebizwa ngokuthi i-Ovarian Hyperstimulation Syndrome (OHSS). Lesi simo esingavamile ngokuyisisekelo siwukusabela emuthini wenzalo obangela ukuba uketshezi oluningi lugcwale esiswini. Ngafakwa emithini yokusiza ukucindezela umsebenzi wesibeletho, futhi kwangithatha cishe amasonto amathathu ukuba ngilulame.

Ngenkathi ngiwumqemane ngokwanele, ngathola okuthile okubizwa nge-hysteroscopy, lapho kufakwa khona isilinganiso se-ultrasound esibelethweni sakho ngesitho sakho sangasese, ukuthola ukuthi kuphephile yini ukuqhubeka nokufaka imibungu ngesikhathi sokudluliswa kwe-IVF.

Kodwa-ke, obekufanele kube inqubo elula yokwenza kubonise ukuthi nginesibeletho se-bicornuate. Akekho owaziyo ngempela ukuthi kungani lokhu kwenzeka, kodwa indaba ende kafushane, esikhundleni sokuba yisimo se-alimondi, isibeletho sami sasimise okwenhliziyo, okwakungenza kube nzima ngombungu ukuba ufakwe futhi kwandise ingozi yami yokuphuphuma kwesisu. (Okuhlobene: Amaqiniso Abalulekile Ngokuzala Nokungazali)

Ngakho-ke sidlule kokunye ukuhlinzwa ukulungisa lokho. Ukululama kwaphela inyanga futhi ngathola enye i-hysteroscopy ukuqinisekisa ukuthi inqubo isisebenzile. Yayinayo, kepha manje kwakukhona ukutheleleka esibelethweni sami. I-hysteroscopy yabonisa amaqhubu amancane, kulo lonke ulwelwesi lwesibeletho sami, okungenzeka ukuthi kwakungenxa yesimo sokuvuvukala esibizwa ngokuthi i-endometritis (okuwukuthi, ngokusobala, akufani ne-endometriosis). Ngokuqinisekile, udokotela wami ubuyele esibelethweni sami ukuyolanda ezinye zezicubu ezivuthayo futhi wazithumela ukuba zenziwe i-biopsied. Imiphumela yabuya inesifo se-endometritis futhi ngafakwa emuthini wama-antibiotic ukusula ukutheleleka.

Ekupheleni kukaFebhuwari 2020, ekugcineni nganikezwa konke okucace bha ukuthi ngiqale ngemithi yama-hormone ukuze ngilungiselele ukudluliswa kwe-IVF futhi.

Ngemuva kwalokho, kwenzeka i-coronavirus (COVID-19).

Umthelela we-COVID-19

Sekuyiminyaka, mina nomyeni wami sibhekane nokudumala ngemuva kokuphoxeka kulo lonke uhambo lwethu lokungazali. Sekuyinto ejwayelekile empilweni yethu — futhi ngenkathi kufanele ngibe nesipiliyoni esihle sokuthi ngibhekana kanjani nezindaba ezimbi, i-COVID-19, yangiphonsela inselelo enkulu.

Intukuthelo nokukhungatheka akuqali nokuchaza ukuthi ngangizizwa kanjani lapho umtholampilo wami ungibiza uthi bamisa zonke izindlela zokwelapha futhi bakhansela konke ukudluliswa kombungu okubandayo nokusha. Ngenkathi besilungiselela i-IVF kuphela izinyanga ezimbalwa, konke ebesikudlulile eminyakeni emithathu eyedlule — imishanguzo, imiphumela engemihle, imijovo eminingi, nokuhlinzwa okuningi — bekufanele konke kube ukufika kuleli qophelo. Futhi manje sitshelwa ukuthi kuzomele silinde. Futhi.

Noma ngubani onenkinga yokungazali uzokutshela ukuthi kudla konke. Angikwazi ukukutshela inani lezikhathi lapho ngiye ngaphuka khona, ekhaya nasemsebenzini ngenxa yale nqubo enzima. Ingasaphathwa eyokulwa nemizwa yokukhishwa inyumbazane enkulu nokungenalutho ngemuva kokuhlangabezana nezithiyo zomgwaqo ezingenakubalwa. Manje nge-COVID-19, leyo mizwa isikhule. Ngiyakuqonda ukubaluleka kokugcina wonke umuntu ephephile njengamanje, kepha engingakuqondi ukuthi ngandlela thile i-Starbucks neMcDonald's zithathwa "njengamabhizinisi abalulekile," kepha ukwelashwa kokuzala ekugcineni akunjalo. Akunangqondo kimi.

Bese kuba nenkinga yezezimali. Mina nomyeni wami sesivele sicishe sibe ngu-$40,000 sijule ekuzameni ukuba nengane eyethu njengoba umshwalense ungafaki okuningi. Ngaphambi kwe-COVID-19, ngangivele ngihlolwe kuqala nodokotela wami futhi ngase ngiqale ngemijovo evuselela ama-ovulation. Manje njengoba kwadingeka ngiyeke kungazelelwe ukuphuza imithi, kuzodingeka ngiphinde ukuvakasha kukadokotela futhi ngithenge imithi eyengeziwe uma imikhawulo isidambile njengoba imithi isiphelelwe yisikhathi futhi ayikwazi ukubuyiselwa. Lezo zindleko ezingeziwe azikaqhathanisi nezinye izinqubo ezifana nokubuyiswa kweqanda (okusibuyisele emuva u-$16,000 ngokwako), kodwa kungenye nje isithiyo sezimali esingeza ukukhungatheka okuphelele. (Okuhlobene: Ingabe Izindleko Eziphezulu ze-IVF Yabesifazane BaseMelika Zidinga Ngempela?)

Ngiyazi ukuthi akubona bonke abantu besifazane ababekezelela ubunzima engibhekene nabo ohambweni lwami lokungazali, futhi ngiyazi futhi ukuthi abesifazane abaningi ngokwengeziwe badlula nokuningi endleleni, kepha noma ngabe umgwaqo ubukeka kanjani, ukungazali kubuhlungu. Hhayi nje ngenxa yemithi, imiphumela engemihle, imijovo nokuhlinzwa, kepha ngenxa yakho konke ukulinda. Kukwenza uzizwe ulahlekelwe kakhulu ukulawula manje futhi ngenxa ye-COVID-19, abaningi bethu balahlekelwe yilungelo lokuthola ngiyazama ukwakha umndeni, okuvele kwengeze ukulimala.

Konke lokhu kusho ukuthi wonke umuntu ohlekisayo ngokuthola izingane ze-coronavirus ngenkathi evalelwe yedwa futhi ekhononda ngokuthi kunzima kanjani ukuhlala ekhaya nezingane zakho, khumbula ukuthi abaningi bethu bangenza noma yini ukushintsha izindawo nawe. Lapho abanye bebuza, 'Kungani ungazami ngokwemvelo ?,' noma 'Kungani ungamane nje uthathe ingane?' kuthokozisa kuphela imizwa engemihle esivele siyizwa. (Okuhlobene: Ungalinda Isikhathi Eside Kangakanani Ukuba Nengane?)

Ngakho-ke, kubo bonke abesifazane abase bezokwakha ama-IUI, ngiyakubona. Kuni nonke enilokhu kuhlehliswa ukwelashwa kwe-IVF, ngiyabona. Unelungelo lokuzwa noma yini oyizwayo njengamanje, noma ngabe usizi, ukulahlekelwa, noma intukuthelo. Konke kuvamile. Vumela ukuthi uzizwe. Kodwa futhi khumbula ukuthi awuwedwa. Oyedwa kwabesifazane abayisishiyagalombili ubhekene nalokhu. Manje sekuyisikhathi sokuthi sincike komunye nomunye ngoba kubuhlungu esibhekene nakho, kodwa lapha ethembeni ukuthi sonke sizodlula ndawonye.

Buyekeza kwe-