Okuhlangenwe nakho kwami okuyimpumelelo ngokufaka amadlozi okwenziwa
Okuhlangenwe nakho kwami ngokufaka amadlozi okwenziwa kwaba uhambo olugcwele izinselele nethemba, futhi ngingathanda ukwabelana ngalo nani ngethemba lokuthi kuzoba umthombo wogqozi nosizo kulabo abahamba le ndlela.
Uhambo lwethu lokuzalanisa okwenziwa luqale ngemva kweminyaka yokuhluleka kwemizamo yokukhulelwa ngokwemvelo. Inqubo yayidinga ukuhlolwa okuningi kwezokwelapha kanye nokubonisana ukuze kutholwe indlela engcono kakhulu eya phambili.
Phakathi nalolu hambo, ukwesekwa ngokwengqondo okuvela emndenini nakubangane kanye nethimba lezokwelapha kwakuyisici esibalulekile ekunqobeni ubunzima nokugcina ithemba.
Inselele enkulu kwakuwukubhekana nokucindezeleka okungokwengqondo nomzimba okuhlobene nokwelashwa, okuhlanganisa ukujova nsuku zonke nokuhlolwa njalo, kodwa ukuzibophezela kwethu ekulandeleleni nokwethemba ithimba lezokwelapha kube nomthelela omkhulu ekunqobeni lezi zinselele.
Ekugcineni, ngemva komjikelezo ophumelelayo wokufakelwa amadlozi, isikhathi lapho sithola khona izindaba zokuphumelela kokuhlinzwa nokukhulelwa kwaba isikhashana esingenakuchazwa ngamagama Isipiliyoni sokuzalanisa okwenziwa kwakuwuhambo oluya ethembeni, lapho safunda khona ukubekezela. ukuphikelela, nokwethemba isayensi nemithi.
Sengiphetha, isipiliyoni sami ngokufakwa kwembewu yokwenziwa kwaba yinto ekhuthazayo nekhuthazayo, futhi ngethemba ukuthi indaba yami izoba umthombo wethemba kuwo wonke umbhangqwana obhekene nezinselelo ekukhulelweni. Indlela ingase ibe nzima, kodwa ngokusekelwa, ukholo, nokwethemba isayensi, iphupho lingafezeka, uNkulunkulu ethanda.
Iyini imibandela yokumithisa?
- Ukuqinisekisa ukuphumelela kokuzalanisa okwenziwa, kubalulekile ukuthi owesifazane okungenani abe neshubhu elilodwa elisebenzayo le-fallopian.
- Isidoda noketshezi okutholakala kukho kumele kube sesimweni esihle, nakuba kungadingeki kuphelele, njengoba kuzolashwa ngaphambi kokuba kwenziwe.
- Futhi, kuyadingeka ukuba owesifazane abe nomjikelezo we-ovulation ovamile futhi ophumelelayo, njengoba ama-ovari angakhiqiza futhi avuthwe amaqanda anempilo.
Kunconywa nini ukumithisa?
Emibhangqwaneni ebhekene nobunzima ekukhulelweni, ukuzalanisa okwenziwa kuthathwa njengendlela eyongayo futhi elula kakhulu uma kuqhathaniswa ne-IVF Le ndlela isetshenziswa kulezi zimo ezilandelayo:
1. Uma imbangela yokungazali ingenakunqunywa, ukumithiswa kwembewu ngokwenziwa kungandisa amathuba okukhulelwa ngenani elilinganiselwa ku-10% kuya ku-15%.
2. Ezimeni zesidoda esiphansi.
3. Uma i-sperm motility ibuthakathaka.
4. Ezimweni ze-endometriosis emnene.
5. Uma owesifazane enezinkinga ezihlobene nomlomo wesibeletho.
6. Kwabesilisa abahlushwa izinkinga zokuqhanyelwa noma ukuqhanyelwa.
Le ndlela inikeza ithuba lokuba imibhangqwana eminingi ifeze iphupho lokuba umzali ngendlela elula nengabizi kakhulu.
Ingabe ukuzalanisa okwenziwa njalo kusebenza?
Ukuphumelela kokuzalanisa okwenziwayo kuthintwa yizici eziningi, okuhlanganisa iminyaka yowesifazane kanye nesimo senkinga yokungazali. Isibonelo, amathuba okuphumelela ayakhula kwabesifazane abasebasha, afinyelele ku-13% kwabesifazane abaneminyaka engaphansi kwengama-35 ubudala, kuyilapho ehla aze afike ku-5% kwabesifazane abangaphezu kweminyaka engama-40 ubudala.
Amathuba futhi aphezulu uma imbangela yokungazali ingakaziwa noma ihlobene nezinkinga zomlomo wesibeletho noma ukuqhanyelwa.
Ngakolunye uhlangothi, izinga lempumelelo liphansi kakhulu ezimweni ezinenkinga enkulu yesidoda, amashubhu e-fallopian, noma i-endometriosis, lapho ukusebenzisa amasu anjenge-IVF kuyindlela engcono kakhulu kulezi zimo.
Iyini imbangela yokwehluleka ukuzalanisa?
Ezimweni ezihlobene nenani eliphansi lamaqanda noma izinga eliphansi, kungenzeka ukuthi ubuyekeze futhi ushintshe uhlelo lokwelapha ukuze kwandiswe ukuphumelela kokugqugquzelwa kwe-ovarian. Lokhu kulungiswa kuncike kakhulu eminyakeni yobudala yowesifazane, isimo samaqanda akhe, kanye nemininingwane yenkinga ethile abhekene nayo ihlanganisa:
Ukwandisa umthamo wemithi evuselela i-ovarian, ikakhulukazi uma imiphumela efiswayo ingatholakali kumithamo evamile, njengoba umthamo ophezulu ungaba nomthelela ekukhuthazeni ama-ovari ngokuphumelelayo ukuze kwandiswe inani lamaqanda abuyiswe emijikelezweni yokwelashwa elandelayo.
Ukushintsha yonke indlela yokuvuselela i-ovarian, isibonelo, ezimweni zokungabi nalutho kwe-ovarian reserve, ukusetshenziswa kwephrothokholi ende yokuvuselela ehlanganisa ama-agonists kungase kuholele ekucindezelweni kwe-ovarian ngokweqile.
Lokhu kungase kunciphise ukusebenza kahle kokusetshenziswa kwe-gonadotropin ekukhuthazeni ama-ovari. Ukuze kuncishiswe le nkinga, kungase kube nesidingo sokuthuthela esivumelwaneni esiphikisana nomqondo lapho ukwehlisa umthetho kususwa khona.
