"Ukungabi nalutho" igama elingalungile
Namuhla e-Ukraine, ilebula elithi "ukungabi nalutho" kuwo wonke amaqembu amabili. Odokotela bakholelwa ukuthi uma owesifazane engakhulelwa phakathi nonyaka esondelene njalo ngaphandle kokuvikelwa, sekuyisikhathi sokuqala ukuhlolwa nokuphathwa kokubili kwabashadile. Izinyanga ezingu-12 akuyona inkathi engahleliwe: izibalo zibonisa ukuthi okwesithathu kwezimbilini zokubeletha ezinempilo kwenzeka ezinyangeni ezintathu zokuqala ngaphandle kwemithi yokukhulelwa, enye i-60% - phakathi kwezikhombisa ezilandelayo, i-10% esele - emva kuka-11-12. "Kodwa thina, odokotela, asiyithandi igama elithi" ukungabi nalutho. " Sithanda ukusho ukuthi "ukuhluleka okwesikhashana ukukhulelwa," ngoba ezimweni eziningi odokotela bakwazi ukwenza lokhu ukuhluleka ukulungisa. " Kulokhu, kukhona indlela ye-IVF. Isisekelo saso - ukunikeza ithuba lokuhlangana neqanda nesidoda, futhi umbungu ophethwe ukufaka esibelethweni sowesifazane. Vumela ukuba kuthuthuke njengokwemvelo yemvelo. Kodwa kusengaphambili kudingekile ukuba uhambe ngezigaba eziningana zokuhlolwa - emva kwakho konke, abazali balindele umntwana onempilo, futhi lokhu kuyadingeka ukuthi bobabili umama nobaba banempilo.
Ukuhlolwa okudingekile
"Lapho umbhangqwana oshadile ukhuluma nathi, siqala ukuhlola indoda. Uma imbangela yokungakwazi ukukhulelwa isemzimbeni wakhe, izenzo ezengeziwe eziqaphile zizoqondiswa kubaba ozayo. Uma kulungile kuye, into elandelayo yokunakwa yethu iba owesifazane. " Ukuxilongwa komuntu: izifundo zofuzo (ngamaphesenti angama-30 abantu abahlukunyezwayo, bathola ukuphazamiseka kwezakhi zofuzo eziphazamisa ukukhulelwa); i-spermogram (ukulinganisa ubungakanani kanye nekhwalithi ye-spermatozoids) - kuyisifiso sokwenza okungenani kathathu ku-laboratory efanayo; I-scrotum yase-US (kungakhathaliseki ukuthi kunezinto ezingavamile zokuphila); ukulethwa kwe-smears kusuka e-urethra yezifo; Yiba nokuhlolwa kwe-hormonal. Ukuxilongwa komuntu wesifazane: ukuhlaziywa kwama-hormone (yizinga lama hormone ocansini afanelekile); ukunikeza ama-smears avela kulesiswini ngenxa yezifo; I-ultrasound ye-uterine cavity; ukuhlolwa-uxhumano lwesilisa nge-mucus yomlomo wesibeletho (ingabe izilonda zamagciwane zingena ngaphansi kwayo); hlola ukuthambekela kwamatayipi we-fallopian (ngosizo lomphakathi ohlukile, ojojelwe emgodini we-uterine).
Ukuqhathaniswa kwe-IVF
• Izifo ezingokwengqondo nezengqondo, lapho ungakwazi ukubeletha khona.
• Ukuthuthukiswa okufakiwe noma okutholile noma ukukhubazeka komzimba wesibindi, okwenza kube nzima ukufaka umbungu.
• Izicubu zesisu kanye nama-ovari.
• Ukuvuvukala okunamandla kwezitho zangasese.
Yini engalungile?
Namuhla, odokotela banokuphulwa okungaba ngu-32 emzimbeni wamadoda nabesifazane abangavumeli ukuthi umbhangqwana ube nezingane. Kodwa zonke zihlobene ngandlela-thile kulezi zimo ezinhlanu zokukhulelwa: owesifazane kufanele abe nokuvuthwa (iqanda elingu-1 ku-follicle). Isibeletho se-Slime kufanele singabanjwanga, yeqa isidoda. I-tublopian tube (okungenani eyodwa) kumele ibe khona futhi idluliswe ukuze umhlangano weqanda ne-spermatozoon ube khona. Isibeletho somshukela (noma i-endometrium) kufanele sibe nekhwalithi ephakeme, ukuze umbungu unamathele odongeni lwesibeletho futhi uthuthuke phambili. I-Spermatozoa kumele ibe nokuhamba okusebenzayo (okungenani isigamu sabo) kanye nenani eliphelele - hhayi ngaphansi kwezigidi ezingu-5-10 ku-1 ml yesidoda. Uma okungenani enye yalezi zimo ayitholakali, odokotela bangancoma i-IVF.
Ukulungiselela
Usuku lwesi-6-11 lwenyanga yokuya esikhathini - hlola isimo sesisu (indawo yokunamathiswa kwemibungu) futhi phambi kokungaqondakali ukulungiswa kwabo (kulokhu kuncike ekutheni umklamo nokubeletha komntwana kuzophumelela kanjani). Usuku lwama-19-24 - owesifazane uletha zonke izitifiketi ngemiphumela yocwaningo lwagqirha: isifo somzimba, isazi, i-infectiologist, i-mammologist. Odokotela bahlola isimo sesisu bese bejoza umuthi ongatholakali isimiso se-hormone yama-ovari. Emva kwamasonto amabili - i-ultrasound yesibeletho nama-ovari. Khona-ke izidakamizwa nge-FSH (i-follicle hormone eshukumisayo) zixhunyaniswe ukukhuthaza ukukhula kwama-follicles kuma-ovari ezinsukwini ezingu-12-14. Konke lokhu, odokotela babheka ukukhula kwabo ukulungisa umthamo wesidakamizwa. Ngemuva kwezinsuku ezingu-12-14 - usuku lokuqotshwa kwamaqanda luqokwa. Ngaphansi kwe-anesthesia ejwayelekile, owesifazane uhlatshwa ngodonga oluhlangothini lwesifazane, inaliti encane ngaphandle kokusika kwesisu isuswa kokuqukethwe kwe-follicles futhi ngaphansi kwe-microscope abheka iqanda ku-flulicular fluid.
Ihora X
Iqanda lifakwe ekomishini elikhethekile elinomshini wokukhipha amanzi omswakama. Lesi sitsha sifakwa ku-incubator lapho izinga lokushisa ligcinwa ngaso sonke isikhathi ku-37 ° C, futhi uketshezi luphinde lucebiswe nge-carbon dioxide, njenge-carbonated (okufaniswa nomthamo wegazi lomuntu). Khona-ke le ndoda inikela phezu kwesidoda, odokotela abaphatha ngayo izixazululo ezikhethekile amahora amabili (ukuthi zonke izinhlobo zesilisa ziyasebenza, futhi inombolo yabo - hhayi ngaphansi kwesimiso). Uma izibalo zesilisa zivamile, le ncipha iyafakwa eqandeni. Uma kwenzeka ukuthi akukho spermatozoa eyanele, odokotela ngenhloso yokwethula eyodwa kuphela, enamandla kunazo zonke futhi enempilo (ukukhishwa ngokwanele kodonga lwayo ngenaliti encane). Isitsha esinamasethini sibuyiselwa emuva ku-incubator futhi ngemva kwamahora angu-16-18, i-zygote isakhiwe - i-nucleoli engu-2, owesilisa nowesifazane, ngalinye eliqukethe ama-chromosomes angu-23. Zihlanganisa, futhi uma okungenani i-nucleus eyodwa ingenakuqhathaniswa - kunesifo, kubalulekile ukuphinda uphinde uzame. Futhi-ke i-X-hora: ngosuku lwesi-2-2 i-embryo enezingqimba ezine noma eziyisishiyagalombili zekhwalithi engcono idluliselwa esibelethweni nge-catheter. Lokhu kwenziwa ngaphandle kwe-anesthesia, ngoba inqubo ayibuhlungu futhi ayithathi ngaphezu kwemizuzu engu-5-10. Ngalesi sikhathi, owesifazane olele esihlalweni somzimba, angabona yonke inqubo kwesikrini sokuqapha. Ama-embryo angenalutho afakwe efrijini e-nitrogen enomshini ekushiseni kwe--196 ° C - ngokuzumayo umusi uzobuyela futhi. Emasontweni amabili kamuva, lo wesifazane uhlolelwa ukukhulelwa futhi, uma kwenzeka inhlanhla, eze emtholampilo ngemva kwamasonto amabili ukuze athole ukuthi ngabe umbungu unamathele kangakanani. Lokho, eqinisweni, futhi yonke inqubo IVF. Ukuvama kokukhulelwa kungu-52-72%. Kunzima? Yebo! Kodwa umphumela - umndeni ojabulisayo - uyakufanelekela.
Akubona bonke ubudala abazithobayo ... ukukhulelwa
"Uma kunezinkinga zokukwazi ukukhulelwa, kuhle ukuba owesifazane aye emtholampilo iminyaka engaba ngu-35. Iqiniso liwukuthi abesifazane abavulekile baneminyaka eminingi kangaka, bangaki bodwa. Kulokhu sonke isikhathi, ikhwalithi yabo ihlaziya ngenxa yezinguquko ezihlobene nobudala, imvelo engalungile, imikhuba emibi, izifo, ukunyakaza okungafanele nokudla okunomsoco. " Isikhathi esihle kakhulu sokukhulelwa singama-20-35. Ngemuva kweminyaka engu-35, amathuba okukhulelwa umntwana aphindwe izikhathi ezimbili, futhi emva kweminyaka engama-40 kuphela amathuba okukhulelwa kuphela. Amadoda ayengabanikazi: i-spermatozoa yabo ivuselelwa njalo emva kwezinsuku ezingu-72 (lesi simo sibizwa ngokuthi i-spermatogenesis). Ngakho-ke, ngisho nasesimeni esijulile, i-macho yethu ingahlinzeka ngempahla yekhwalithi yokukhulelwa.
I-Living Capital
Abanye abafuni ukulinda kuze kube yilapho bekhulile, becabanga ukuthi isidoda sabo sibe yinhloko, futhi bayakwenza kahle: ukuthi kuncane kangakanani amathuba okuphila okulungiselelwe wona! Isibindi (kanye neqanda, futhi) linganqanda iminyaka engaba ngu-10 noma ngaphezulu. Izinzuzo zezenzo ezinjalo ziboniswa yiNgisikazikazi u-Diana Blood. Lapho eneminyaka engama-29 ubudala, waba ngumfelokazi, kodwa eminyakeni emine kamuva, ngenxa yempahla eluhlaza, umlingani wakhe wazala indodana, futhi ngemva kweminyaka emithathu - okwesibili. Ngesicelo sikaDiana, inkantolo yaseBrithani ithole ukuthi izingane zombili zifanelekile, nakuba uyise esekude efile. Abantu baseYurophu ngokuvamile basebenzisa leli thuba ukugcina amaqanda abo efriziwe ngenhloso yokungadliwa futhi, okubaluleke kakhulu, ukhetho olufanele lomlingani. Abaningi baseBelgium abacwaningwa ngaphambi kokuba baneminyaka engu-38 babike ukuthi lokhu kubanika ithuba lokuphishekela ngokuzilibazisa umsebenzi wabo hhayi ukusheshisa ngomshado.