Izindlela zokwenza inqubo yokuqothula.
Ukusatshalaliswa okufakelwayo - isingeniso esibelethweni sesisu (umyeni noma umnikeli), owaphathwa ngaphambili, ngenhloso yokukhulelwa. Emva kwalokhu, inqubo yokuguquka kwesidoda ngokusebenzisa ama-tubes fallopian kwenzeka ngokwemvelo, iphetha ngomhlangano we-sperm neqanda, okuyi-fertilization. Inqubo yokwethula isisu iyenziwa ngokusebenzisa i-catheter encane encane, ihamba kalula ngokusebenzisa umsele womlomo wesibeletho. Le nqubo ayibuhlungu, isikhathi sayo asikho ngaphezu kwemizuzu emibili. Ngemuva kwenqubo, owesifazane udinga ukulala phansi ingxenye eyodwa yehora.
Ukusabalalisa okufakelwayo kwenziwa ngokukodwa noma kabili ezinsukwini ezilindelekile zokuvuthwa. I-sperm isetshenziswa, equkethe in milliliter eyodwa hhayi ngaphansi kuka-10 million spermatozoa esebenzayo futhi okungenani izigidi ezingu-4 ze-spermatozoa ne-morphology evamile.
Izinzuzo zokwehlukaniswa okufakwayo.
- Iphesenti yokukhulelwa okuphumelelayo kufana ne-IVF;
- Ukubekezela okuhle;
- Intengo engabizi (okungenakusho nge-IVF).
Izinkomba zokwenza ukuqothulwa zingahlukaniswa ngamaqembu amathathu:
- ukunqunywa ngenzalo yomyeni;
- imbewu ukuxoshwa komnikeli;
- ukuxoshwa owesifazane.
Izinkomba zokusetshenziswa kwesidoda somlingani:
- Ukungabi namandla;
- I-Vaginismus;
- I-neck factor (ne-sperm ukulahleka kokuhamba ngemva kokuwela emgodini wesibeletho somlomo wesibeletho). Ngokuvamile lokhu kubangelwa ukutholakala kwemithi yomlomo wesibeletho se-antisperm antibodies ("ukungezwani komzimba" komfazi kumyeni wakhe);
- Ukungalungi kwezitho zobulili lapho ukulala ngokobulili kwemvelo kungenakwenzeka;
- Ukungabi nokujula;
- Oligospermia (inombolo encane ye-spermatozoa ehamba ngokujwayelekile).
Izinkomba zokusebenzisa isidakamizwa somnikeli :
- Izifo ezithathelwanayo ezithathelwanayo zomyeni (i-AIDS);
- Ukungahambisani ne-Rhesus factor of the spouses;
- Azoospermia (ukungabi khona kwe-spermatozoa ejaculate);
- Ukunciphisa izinkomba ze-spermogram, uma kungekho mthelela ovela ekwelapheni.
Izinkomba zokuqothulwa owesifazane :
- I-Endometriosis yezinga elibi futhi elilinganiselwe;
- Inqubo yokubamba iqhaza ekukhulunyweni kwesikhumba esincane;
- Ukungabikho komlingani wezocansi.
Ukuqhathaniswa kwe-insemination:
- Izisusa zobuhlanga ezibangelwa "ukunciphisa umncintiswano";
- Ukungabi nalesi sibonakaliso esibhaliwe ukuthi bobabili bomshado bavumelana;
- Inqubo ngaphansi kwe-anesthesia;
- Ukungabi kwemvume yabesifazane;
- Ukukhubazeka kwesibeletho, okwenza ukukhulelwa kwesisu kungenzeki;
- Ama-cyst noma izicubu ze-ovari;
- Inqubo yokuvuvukala eqondile;
- Izifo zengqondo nezijwayelekile, lapho ukukhulelwa kuyaphikisana khona;
- Izicubu ezimbi zanoma yikuphi indawo yangakini.
Izinyathelo zenqubo yokungena .
- Ukumiswa komjikelezo wesimiso semvelo noma ukugqugquzela ukuvota.
- Ukuqapha ukuvuthwa kweqanda, ukuqapha ukulungiswa kwe-endometrium yokukhulelwa (okwenziwe ngosizo lwe-ultrasound).
- Ukukhethwa kwesikhathi senqubo (usuku lapho iqanda likhula futhi lashiya i-ovary).
- Isingeniso se-intrauterine ngokushesha sembewu.
Ukwelapha izidakamizwa zokusakaza.
Kuyadingeka ukwelapha isidoda ukuze kuqedwe amaprotheni angaphandle aqukethwe kuwo, okungabangela ukusabela kokugula. I-Centrifugation, ukuxazulula nokuqina kwesidumbu ngesikhathi sokucubungula kwenziwa, emva kwalokho ibuye igxilwe, ikhishwe kwinani elikhulu kakhulu le-spermatozoa ye-pathological.
Akuvumelekile ukuxuba isidoda somnikeli nomyeni, ngoba ikhwalithi yesidoda somnikeli incishisiwe.
Izinto ezibangela ekuthuthukiseni umphumela wokusabalalisa:
- Ukusetshenziswa kwekhwalithi yekhwalithi;
- Ukusetshenziswa kwezidakamizwa - izikhuthazo zokuvuthwa;
- Ukuhamba kwamabili amashubhu;
- Ubudala besifazane bungaphansi kweminyaka engama-30.
Njengamanje, ukusabalalisa okufakelwayo kuyingxenye yezindawo ezibalulekile ekwelapheni ukungasebenzi. Ukusetshenziswa kwalendlela kuyanciphisa isibalo semibhangqwana engenabantwana futhi kuwubufakazi bokuthi ungadingi futhi ungalwa.