Izidakamizwa zokubuyiselwa komsebenzi wokuzala.
Imithi isetshenziswa ngokuyinhloko ekusizeni ukuvuthwa, okumelwe kwenzeke cishe kanye ngenyanga ngenyanga yabesifazane ngaphambi kokuya esikhathini. I-ovulation ilawulwa kancane yi-hormone ebizwa ngokuthi i-gonadotropins. Ziyakhiqizwa emgodini we-pituitary (i-gland ngqo ngaphansi kobuchopho). I-Gonadotropin iyi-hormone evuselela umsebenzi wezinhlayiya zocansi (ama-ovari emaqenjini nabesifazane emadodeni).
I-Clomiphene
Ekhiqizwa ngendlela yamathebulethi, i-Clomifene isebenzisa indlela yokuvimbela - "impendulo" emgodini we-pituitary. Ngenxa yalokho, i-pituitary gland ikhipha ama-hormone engeziwe emithini ephakeme kakhulu kunokujwayelekile. I-gonadotropin eyengeziwe ikhishwa engxenyeni yegazi futhi ivuselela ama-ovarie, okuyinto, njengoba kulindeleke, izoholela ekuvuthweni.
I-gonadotropin-ekhulula i-hormone
Uma i-clomiphene ingasebenzi, isiguli singase sibekwe imishanguzo equkethe i-gonadotropin hormone noma i-gonadotropin-release hormones. Bangela ukuvuthwa ngaphambi kokuqala kokusabalalisa kanye ne-IVF. Lesi sidakamizwa singabuye sithuthukise ukuzala (ukuzala) emadodeni.
I-Metformin
Lo muthi uvame ukusetshenziselwa ukwelapha isifo sikashukela. Kodwa ngezinye izikhathi i-metformin inikezwa kwabesifazane abane-polycystic ovaries, uma bengasizwa i-clomiphene. Ezinye izifundo zithi i-metformin ingakhuphula ukwandisa kokuzala kubomama abathile abane-polycystic ovary syndrome, ngokuvamile ngaphezu kokuthatha i-clomiphene.
Izindlela zokuhlinza zokwelashwa.
Izindlela zokuhlinza zokwelashwa zisetshenziswa uma imbangela yokungasebenzi ingafunyanwa futhi ukusebenza kungasiza. Lezi zimbangela zokungakhulelwa zichazwe lapha:
Izinkinga emgodini wezintambo.
Ukwelashwa kungasiza abanye besifazane ngenkinga yokungabikho kwempilo ebangelwa izinkinga zamathambo we-fallopian. Isibonelo, uma kuvinjelwe noma kukhona izibazi kusukela ekuguleni kwangaphambilini, ukutheleleka noma ezinye izinkinga. Abanye besifazane abaye bafaka "inzalo ye-pipe necktie" bangakwazi ukubuyisela umsebenzi wabo wokubeletha.
I-Endometriosis.
Ukuhlinzwa kungakhuthaza ukuqala kokukhulelwa kwabesifazane abane-endometriosis.
I-Polycystic i-ovary syndrome.
Ukusebenza okhethekile kuma-ovari kungase kube kufaneleka kwabanye besifazane abane-ovaries polycystic. Inqubo ngezinye izikhathi ibizwa ngokuthi i-diathermy noma i- "drilling" yama-ovari. Lokhu, empeleni, ukuhlinzwa ukubhubhisa ezinye ze-follicles (ama-cysts amancane) athola ama-ovari. Lokhu kuvame ukwenza uma ezinye izindlela zokwelapha zingasebenzi.
I-Fibromioma.
Uma kungekho enye incazelo ye-infertility yakho, ngezinye izikhathi umsebenzi wokukhipha i-fibroid kuboniswa. Kodwa kungakhathaliseki ukuthi i-myoma iyimbangela yangempela yokungabi nabantwana futhi, ngakho-ke, kungakhathaliseki ukuthi kufanele isuswe - namanje ayiqinisekisiwe.
Inseuterine insemination nge-sperm yomyeni noma umnikeli.
Insemination yinkqubo elula lapho amangqamuzana omzimba afakwa esibelethweni sowesifazane, futhi ukukhulelwa kwenzeka lapho. Kungenziwa isikhathi sokuvuthwa kwabesifazane. Kuyadingeka ukuthi ube nama-tubes ahlanzekile angama-insemination. Imithi ingathathwa kusengaphambili ukwandisa amathuba akho. I-Spermatozoa ingathathwa kumyeni noma kumnikeli.
In Vitro Fertilization (IVF).
In vitro fertilization iyindlela yokukhulelwa ngaphandle komzimba. I-extracoricalal ngokwezwi nezwi isho ukuthi "egumbini" (ebhokisatri noma ku-tube test). I-IVF isetshenziselwa ikakhulukazi abesifazane abangenalo ukukhubazeka okubangelwa ukuvinjelwa kwamatayipi okulala, noma imbangela yokungabi nabantwana ayiyona into engacacile. I-IVF ihilela ukuthatha imithi ukukhuthaza "ukuzala" kwama-ovari. Uma ama-ovules akha, kufanele kusetshenziswe umsebenzi omncane ukuwuthola. Iqanda ngalinye lixutshwe nesidoda bese lifakwa izinsuku eziningana ebhokisatri. Ama-embryo akhiwe ngenxa yalokho, wabe esesifakwa esibelethweni sowesifazane. Imibungu eminingi ingahle iqhwa ngenxa yokuzama ukuqhubeka kwe-IVF ngosuku oluthile (uma umzamo wokuqala ungaphumelelanga).
Amathuba okuphumelela nge-IVF.
Amathuba akho okuphumelela nge-IVF angase abe ngaphezulu uma uneminyaka engaphansi kuka-39, ukhulelwe ekuqaleni, futhi unesibalo somzimba womphakathi phakathi kuka-19 no-30 (okungukuthi, akukho isisindo esiphezulu). Ezinye izinto ezinganciphisa amathuba okuphumelela kwe-IVF zihlanganisa utshwala, inqwaba ye-caffeine, ukubhema (kubalingani bobabili).
Ingeniso ye-intracellular ye-sperm.
Ngalolu lwazi, i-spermatozoa ngayinye ifakwe ngqo eqenjini. Iphutha noma yiziphi izithiyo zemvelo ezingavimbela ukukhulelwa. Umjovo we-intracellular ungasetshenziswa futhi uma umlingani wakho enesibalo esincane sembewu esidlelweni.
Umnikelo wamaqanda.
Lokhu kubonisa ukugqugquzelwa kwama-ovaries omnikeli ngosizo lwemithi, kanye nokuqoqwa kwamaqanda. Okulandelayo, amaqanda ahlanganiswe futhi ahlwanyelwe umuthi, njengase-IVF. Ngemuva kwezinsuku ezingu-2-3 imibungu ifakwa esibelethweni.
I-egg donation iyindlela yokukhetha abesifazane:
- Awunayo ama-ovari noma awukwazi ukukhiqiza amaqanda
- Ukuhlushwa kwezifo lapho ama-ovari angasebenzi (isibonelo, i-Turner's syndrome)
- Unengozi enkulu yokudlulisela izifo zofuzo ezinganeni. Ibuye isetshenziswe kwezinye izimo zokungabonakali kwe-IVF.
Umbuzo wendlela yokuphatha ukungabi nabesifazane, ukukhathazeka kwabantu emhlabeni jikelele isikhathi eside. Kodwa nakuba kunezindlela eziningana, imithi idalwe ukusiza abesifazane, kodwa into esemqoka kulokhu akufanele ilahlekelwe ithemba. Futhi ulwela injabulo yakho. Futhi ngeke kukugcine ulinde.