Ukwelashwa kwe-Vitro Fertilization (IVF) phesheya
I-In vitro fertilization (IVF) kusho izinhlobonhlobo zokwelashwa okuzala lapho iqanda livundiswa khona yisidoda ngaphandle komzimba, noma ngamanye amagama, "in vitro". I-zygote (iqanda elikhulelwe) bese iklanywa elabhorethri cishe izinsuku ezi-2 - 6, ngaphambi kokuhanjiswa esibelethweni sikamama ozayo ngenhloso yokuqala ukukhulelwa. IVF isetshenziswa kakhulu ukusiza ukukhulelwa lapho ukukhulelwa kwemvelo kungasenakwenzeka Kunezigaba eziningana zendlela ye-IVF, ngasinye ngenhloso yokwandisa amathuba okukhulelwa okuphumelelayo nokuzalwa okulandelayo.
Inqubo ngqo nokwelashwa okudingekayo kuzohluka ngamacala ngamacala, kuya ngezimo zeziguli. Kwezinye izimo, ukusetshenziswa kwe-ovarian hyperstimulation kuzosetshenziswa, lapho kwenziwa khona amafollic follicles amaningi kusetshenziswa umuthi wokuzala onjenge-gonadotropin ejojoweyo. Ezimweni eziningi zokwelashwa kwe-ovarian hyperstimulation, cishe izinsuku eziyi-10 zomjovo zizodingeka. I-ovarian hyperstimulation ingaba nemiphumela emibi, ezochazwa ngudokotela ophethe. Umjikelezo wemvelo ekukhuleni kwe-vitro kubhekisa ku-IVF eyenziwa ngaphandle kwe-ovarian hyperstimulation, kanti i-milVF ibhekisa kwinqubo esebenzisa imithamo emincane yemithi evuselelayo Kunzima ukunikeza isilinganiso sempumelelo se-IVF, njengoba kuya ngezici eziningi kubandakanya iminyaka isiguli nezinkinga eziyisisekelo zokuzala.
Umbiko wakamuva uthole ukuthi ukukhulelwa kufinyelelwe ngokwesilinganiso ngaphansi nje kwama-30% kuyo yonke imijikelezo ye-IVF, ngokuzalwa okuphilayo okungaphansi kancane kuka-25% kuyo yonke imijikelezo. Kodwa-ke lesi sibalo sehluka kakhulu - owesifazane ongaphansi kweminyaka engama-35 one-IVF unethuba elicishe libe ngama-40% lokuthola umntwana, kanti owesifazane oneminyaka engaphezu kwengu-40 unethuba elingu-11.5%. Izinga lempumelelo kuwo wonke amaqembu obudala liya ngokuya likhula nokho, njengoba ubuchwepheshe namasu amasha athuthukiswa.
Ngingayitholaphi i-IVF phesheya?
Imitholampilo ye-IVF eSpain Spain ingenye yezindawo ezihola phambili emhlabeni zokwelashwa kwe-IVF, enedumela lemitholampilo esezingeni lomhlaba kanye nochwepheshe. Iziguli eziningi ezivela emhlabeni wonke ziya emadolobheni afana ne-Alicante, iPalma de Mallorca, iMadrid neMurcia zifuna ukwelashwa kwe-IVF. Imitholampilo ye-IVF eTurkey Tey kungenye inketho ethandwayo yezinqubo zokuzala, kanti imitholampilo enhlokodolobha i-Istanbul inikela ngemithi ephezulu ye-IVF ngamanani aphansi. Imitholampilo ye-IVF eMalaysia iMalaysia ingelinye izwe elihlinzeka ngemithi yokwelashwa kwe-IVF. IMalaysia iyikhaya lemitholampilo eminingi yokuzala eyaziwa njengezinye ezihamba phambili eningizimu-mpumalanga ye-Asia.,
Kunezici eziningi ezingathinta izindleko
Thola Ukubonisana kwamahhala
In vitro fertilization (IVF) inqubo lapho iqanda lowesifazane (amaqanda) lifakwa ngaphandle komzimba ngaphambi kokufakwa esibelethweni, ukuze kwandiswe amathuba okukhulelwa ngempumelelo. IVF isetshenziselwa iziguli ezibe nobunzima bokukhulelwa ingane ngokwemvelo. Izinkinga zokungazali zingabangelwa i-endometriosis, ukubalwa kwesidoda okuphansi, izinkinga nge-ovulation, noma izinkinga ngamashubhu e-fallopian noma isibeletho. Inqubo iqala ngemijovo yehomoni ukukhuthaza ukukhiqizwa kwamaqanda amaningi, esikhundleni sejwayelekile ngenyanga. Amaqanda ayavuthwa, bese esuswa esibelethweni sowesifazane ngenqubo ebizwa ngokuthi ukubuyisa amaqanda. Lokhu kuvame ukwenziwa ngaphansi kwesilonda ngenaliti, futhi kungadala ukungakhululeki ngemuva kwalokho. Odokotela bavame ukubuyisa amaqanda aphakathi kuka-5 no-30. Kwesinye isikhathi umnikeli weqanda anganikeza amaqanda nge-IVF.
Isidoda esisetshenziselwa ukukhulelisa singaqhamuka kuzakwethu noma kumnikeli wesidoda. Amaqanda avundiswa ngaphandle komzimba, bese imibungu ekhethwe ngokucophelela ibekwa esibelethweni. Kunconyelwe ukufakwa kwe-In vitro fertilization (IVF) kunconywa ezimweni lapho kunobunzima bokukhulelwa ngokwemvelo. Lokhu kungabangelwa izinkinga zokuzala kwabesilisa (ukuncipha kwesibalo sesidoda noma ukuhamba okuncane), noma izinkinga ngokuzala kwabesifazane, ngokwesibonelo amashubhu we-fallopian awonakele noma avinjiwe noma ukuphazamiseka kwe-ovulation. I-IVF inconywa njengenketho lapho kunamathuba afanele okuphumelela. Abafakizicelo kufanele babe nesisindo esinempilo nesibeletho esinempilo. Amathuba okuphumelela ancipha ngokuguga, kepha owesifazane omdala kunabo bonke ukuba nomntwana ophethe i-IVF wayeneminyaka engama-66 ubudala. Izidingo zesikhathi Ubude obumaphakathi bokuhlala phesheya amasonto ama-2 - 3. Isikhathi esidingeka phesheya sizoncika ohlelweni lokwelashwa, nokuthi ngabe yiziphi izigaba ze-IVF ezingenziwa ekhaya. Iziguli nazo zingaqala ukwelashwa bese zibuyela emakhaya noma zihambe izinsuku eziningana. Iziguli ziyakwazi ukundiza ngokushesha nje lapho umbungu noma imibungu isidlulisiwe. Inani lohambo oludingeka phesheya 1. Ukuhlolwa kokukhulelwa kuvame ukwenziwa cishe ezinsukwini eziyi-9 kuye kwezingu-12 ngemuva kokudluliswa kombungu.
Umjikelezo we-IVF uqala ngomuthi wokucindezela umjikelezo wokuya esikhathini. Lokhu kungalawulwa yisiguli, njengomjovo wansuku zonke noma isifutho samakhala, futhi sihlala cishe amasonto amabili. Ngemuva kwalokho, owesifazane uqala ukusebenzisa i-follicle stimulating hormone (FSH) esesimweni somjovo wansuku zonke. Le hormone inyusa inani lamaqanda akhiqizwa ama-ovari, kanti umtholampilo uzoqapha inqubekela phambili.
Lesi sigaba imvamisa sithatha izinsuku eziyi-10 kuye kwezingu-12. Cishe emahoreni angama-34 kuye kwangama-38 ngaphambi kokuthi aqoqwe amaqanda, kuzoba nomjovo wokugcina wehomoni ovuselela amaqanda ukuba akhule.,
Amaqanda aqoqwa kuma-ovari kusetshenziswa inaliti enesiqondiso se-ultrasound, imvamisa lapho isiguli sihlezi. Owesifazane unikezwa ama-hormone ukulungiselela ulwelwesi lwesibeletho ngombungu.
Amaqanda aqoqiwe ayavuthwa elabhorethri futhi imvamisa avunyelwe ukuvuthwa usuku olungu-1 kuya kwayisi-5. Uma sesikhulile, kuvame ukuba nemibungu ephakathi kuka-1 no-2 ekhethelwa ukufakwa. Umjikelezo wokwelashwa kwe-IVF uthatha phakathi kwamasonto amane kuya kwayisithupha.,
Ukunakekelwa kwenqubo yokuthumela Iziguli kuzodingeka zilinde cishe izinsuku eziyi-9 kuya kwezingu-12 ngaphambi kokukhulelwa.
Uma isivivinyo senziwa ngaphambi kwalokhu, imiphumela kungenzeka ingabi enembile. Ukungakhululeki okungenzeka Okukhona ukushisa okushisayo, ukushintsha kwemizwelo, ikhanda elibuhlungu, isicanucanu, ubuhlungu be-pelvic noma ukuqunjelwa.,
Okulandelayo yizibhedlela eziyi-10 ezihamba phambili ze-In Vitro Fertilization (IVF) emhlabeni:
| # | Isibhedlela | Izwe | imizwa | Inani | |
|---|---|---|---|---|---|
| 1 | I-BLK-MAX Super Specialty Hospital | India | New Delhi | --- | |
| 2 | Isibhedlela saseChiangmai Ram | Thailand | Chiang Mai | --- | |
| 3 | IMedipol Mega University Hospital | igalikuni | Istanbul | --- | |
| 4 | Isibhedlela San San Jose | Mexico | Guadalajara | --- | |
| 5 | Izibhedlela ze-CARE, eBanjara Hills | India | Hyderabad | --- | |
| 6 | Isibhedlela Severance | INingizimu Korea | Seoul | --- | |
| 7 | Umtholampilo wangasese weLeech | Austria | Graz | --- | |
| 8 | Isikhungo Sezokwelapha i-Dongguk University Ilsan | INingizimu Korea | Ilsan | --- | |
| 9 | Isikhungo Sezokwelapha saseHanyang University | INingizimu Korea | Seoul | --- | |
| 10 | Isibhedlela i-Antwerp University | Belgium | I-Edegem | --- |
Okulandelayo odokotela abaphambili be-In Vitro Fertilization (IVF) emhlabeni:
| # | DOKOTELA | EZIKHETHEKILE | ISIBHEDLELA | |
|---|---|---|---|---|
| 1 | UDkt Sonu Balhara Ahlawat | Uchwepheshe we-IVF | Isibhedlela sase-Artemis | |
| 2 | UDkt. Aanchal Agarwal | Uchwepheshe we-IVF | I-BLK-MAX Super Specialty H... | |
| 3 | UDkt Nalini Mahajan | Uchwepheshe we-IVF | IBumrungrad International ... | |
| 4 | UDkt Puneet Rana Arora | Uchwepheshe we-IVF | Izibhedlela zeParas | |
| 5 | UDkt Jyoti Mishra | I-Gynecologist kanye ne-Obstetrician | I-Jaypee Hospital | |
| 6 | UDkt Sonia Malik | Uchwepheshe we-IVF | UMax Super Specialty Hospi ... | |
| 7 | UDkt Kaushiki Dwivedee | I-Gynecologist kanye ne-Obstetrician | Isibhedlela sase-Artemis | |
| 8 | UDkt S. Sharada | Uchwepheshe we-IVF | Isibhedlela iMetro kanye nenhliziyo... |
Ingxenye yenqubo lapho iziguli zingase zizwe ubuhlungu imijovo ye-hormone evamile kanye nokudonsa igazi. Isikhathi esiningi lokhu kungenziwa ngezinaliti ezincane ezingaphansi kwesikhumba ezinciphisa ubuhlungu futhi zijovwe ezindaweni eziningana ukuze zikhululeke. Ezinye iziguli zingase zinikezwe imijovo ye-progesterone, okumele ijovwe emisipha. Ngokuvamile zinganikezwa ezinqeni, ezivame ukukhululeka. Ezinye iziguli nazo zibhekana nokungakhululeki ngesikhathi se-trans-vaginal ultrasounds edingekayo ukuze kuqashwe amashubhu e-fallopian. Lokhu kuphatheka kabi kufana ne-pap smear. Ngesikhathi sokubuyiselwa kwe-oocyte (iqanda) langempela, isiguli singaphansi kwe-anesthesia yase-twilight, ebenza bozele, futhi iziguli eziningi zilala ngenqubo. Imiphumela ye-anesthesia ivamise ukuphela cishe ihora ngemva kwalokho. Ukudluliswa kwe-embryo kuyafana ne-pap smear ngoba kuhilela ukufakwa kwe-speculum, futhi isinye esigcwele siyadingeka ngesikhathi senqubo yemizuzu emi-5-10. Nokho, akukho okunye ukungakhululeki okuhilelekile.
Akunakwenzeka ukuqinisekisa ukuthi noma iyiphi inqubo ye-IVF izosebenza. Iziguli eziningi zidinga imijikelezo eminingana yokwelashwa kwe-IVF ngaphambi kokuba zikwazi ukukhulelwa. I-IVF iyinqubo eyinkimbinkimbi kakhulu ebandakanya inani lezinto eziguquguqukayo okunzima ukuzibikezela. Udokotela wakho angakunikeza imininingwane eyengeziwe mayelana namathuba akho okukhulelwa nge-IVF ngesikhathi sokubonisana kwakho.
Ezinye izifundo zibonise ukuxhumana okungenzeka phakathi kokusetshenziswa kwemithi evuselela ama-ovari ezinhlotsheni ezithile zomdlavuza wesibeletho. Kodwa-ke, le miphumela ibhekwa njengeyandulelayo futhi isekelwe kubantu abambalwa kakhulu. Ucwaningo lwakamuva luye lwayiphikisa le miphumela, kodwa ucwaningo olwengeziwe ludinga ukwenziwa. Ochwepheshe abaningi batusa ukuthi iziguli zisebenzise le mithi isikhathi esincane esingakhona. Kutuswa ukuthi zonke iziguli ze-IVF zithole ukuhlolwa okuvamile kwe-pelvic futhi zibike noma yikuphi ukungahambi kahle kudokotela wazo ngokushesha, kungakhathaliseki ukuthi yimiphi imithi esetshenziswayo. Kufanele uxoxe nodokotela wakho nganoma yikuphi ukukhathazeka ngezingozi zomdlavuza. izinyanga.
I-IVF inengozi yokuzalwa kaningi uma umbungu ongaphezu kowodwa ufakwe. Ukusetshenziswa kwezidakamizwa zokuzala ezijovwe nakho kunobungozi bokusabela okungekuhle njenge-ovarian hyperstimulation syndrome. Izinga lokuphuphunyelwa yizisu liyakhula nasezigulini esezikhulile, njengokukhulelwa kwemvelo. Inqubo yokubuyisa amaqanda iphinde ibe nengozi yokuba nenkinga engancishiswa ngokukhetha udokotela onolwazi olunzulu. Kukhona futhi ingozi ekhuphuke kancane yokuba nokukhubazeka kokuzalwa ezigulini esezikhulile.
Iziguli zesifazane ezineminyaka engaphezu kwengama-40 zibhekwa njengabantu abampofu abazongenela i-IVF ngenxa yokwanda kwezingozi zokukhulelwa okuyinkimbinkimbi. Kuphinde kutuswa ukuthi iziguli ezikhuluphele ngokweqile zinciphe ukuze kwandiswe amathuba okukhulelwa okunempilo, futhi iziguli ezibhemayo kufanele ziwuyeke kusenesikhathi. Iziguli kumele zibe nempilo ngokwanele ukubekezelela izinqubo ezahlukene ezihilelekile. Eminye imitholampilo idinga ukuthi iziguli zizame ukukhulelwa kwemvelo isikhathi esincane ngaphambi kokuqala ukwelashwa kwe-IVF, ngokuvamile izinyanga eziyi-12.
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