Anikelelwe Iqanda nokukhulelwa

Namuhla sikhuluma ngesihloko njengoba amaqanda donor futhi inqubo-IVF. Le timu ethandwa kakhulu emphakathini wanamuhla, njengoba abesifazane abaningi pathologies eziningi neziyaluyalu emkhakheni zokuzala. Ngokwezibalo, impumelelo inqubo iyophinde 50-57%. Ezinye inyuka izikhungo zocwaningo ukukhiqiza kufika ku-70%. Kuvele Eqinisweni ezithakazelisayo ukuthi kahle ayiguquki ngesikhathi inqubo retransmission. IVF nge donor Iqanda, ukubuyekezwa zazo Ugcwalise inethiwekhi, kuyindlela ephumelelayo, yemvelo futhi ephephile ukuze ube abazali!

Indlela babe ukunikela ngezitho iqanda?

amaqanda anikelelwe zaziwa ukuba owethulwa esibelethweni sowesifazane ukukhulelwa. Lokuthi kungaba ubani umuntu ohlangana imingcele ethile, kucacile futhi eqinile. Ukuze uqinisekise lokhu kuhambisana lokuthi ikusasa sihamba survey eziningi. Kuphela ngemuva isheke obuphelele ku izifo human ahlukahlukene kanye umlutha, kungaba ukunikela ngezitho amaqanda.

Kuyaqondakala ukuthi umnikelo Iqanda - kuba inqubo engaziwa nengenabugovu okudinga isifiso sakho kuphela. Ngokwemvelo, lokuthi leyo nto kungaba owesifazane.

Kuze kube manje, kukhona izinhlangano zosizo eziningi nezinhlangano ekhethekile bekwi usizo ukuze abesifazane abafuna ukuba babe nomntwana onempilo. Uhlelo nge donor Iqanda sipho usizo esingenandaba abesifazane yenza ngokuphelelwa yithemba. Kubalulekile ukuze yazi umphakathi nge isimo lapho abanye abameleli ubulili fair ayikwazi ukukhulelwa. Uma amantombazane nabesifazane bayasazi umraro lo omunye ke umnikelo ithuba kuzokhulisa izikhathi eziningi.

Kuyini lokhu?

Ukuze zilungisa lolu daba kabanzi, kubalulekile ukuba baqonde indlela konke kwenzeka ngokwemvelo. Njalo girl enempilo noma owesifazane ukhiqiza iqanda elilodwa ngenyanga, okungase avundiswa. Uma kokukhulelwa kwenzeka, iqanda liphenduka umbungu nokukhulelwa kwenzeka. Uma ukukhulelwa lwenzeke, iqanda isuselwe umzimba esesikhathini.

Owesifazane nge ukuthuthukiswa evamile ukhiqiza lonke umjikelezo wokuphila kwe-cishe 400.000 oocytes - amaqanda esizayo. Nokho, omunye kuphela oocytes ayizinkulungwane kungaba Iqanda okugcwele zalisa. Njalo ngenyanga yomzimba wowesifazane inombolo ethile oocytes ziqala ukukhula. Le nqubo luphela ngosuku nge-ovulation. iseli kuphela kuba efanelekayo kokukhulelwa, kuyilapho abanye avele afe. Ngakho, umzimba silungiselela sokukhulelwa.

amaqanda kunikelwe ngayo kwabanye, ukubuyekezwa okuyinto bagcwalisa inethiwekhi, adluliswa komunye wesifazane kwenye. It kuvela ukuthi inqubo yemvelo ngokuphelele futhi evamile, ngoba impahla ethathwa umuntu enempilo. Ukugxilisa amaseli angaphandle iphephile, uma kwenziwa ukuthi sebelitholile ikhambi. Esikhathini isidumbu sowesifazane enempilo, lokhu biomaterial zingagcinwa isikhathi eside kakhulu, futhi ngakho akusizi, kuyilapho esizalweni Iqanda omunye wesifazane kungenziwa avundiswa. Kule kusobala ukuthi lokuthi Iqanda akusho ekulahlekelweni leSonto biomaterial donor zesifazane, ngoba ibuyiselwe ngokushesha. Lokhu umnikelo kwenza kube nokwenzeka ukuba usebenzise izinto, okuyinto ibingeke ibisetshenziswa omunye wesifazane ngokumkhanuka.

IVF nge donor Iqanda

Uke uzwe yini kukhulunywa IVF nge donor iqanda? Izibuyekezo kule nqubo impikiswano. Ake sicabangele la maphuzu. Okokuqala kufanele kuphawulwe ukuthi kwezinye izimo uwukuphela ECO yokuveza intuthu. Ukuze inqubo IVF kudinga imvume ye bonke ababambe iqhaza, okuzothathwa eqinisekisiwe imibhalo. Elinye iphuzu elibalulekile ukuthi lokuthi akanayo amalungelo umntwana ongakazalwa. Izinhlangothi zombili ziyavuma ukuthi ngeke azame ukuthola mayelana ubuntu bengane yesikhathi esizayo. IVF nge donor amaqanda, okuyinto libuyekeza zihlukile futhi has 4 ezindaweni:

• ne Iqanda fresh;
• nge eqandisiwe (okungenani izinyanga 6) isidoda;
• nge donor umbungu;
• nomama wesivumelwano.

Kusekelwe okungenhla, omunye kumelwe ufunde ngokucophelela Izibuyekezo mayelana nenqubo, futhi ikakhulukazi mayelana isiqondiso yayo eqondile.

Anikelelwe for yokusizwa kungaba eziseduze noma abangane. Ungase futhi ubheke izikhungo ekhethekile ukunikeza iqanda ifomu fresh and eqandisiwe (vitrified).

uhlangothi kwenqondo

Isici ngokwengqondo inkinga kubaluleke kakhulu. Inqubo ngokwaso luyindida zombili. Anikelelwe uyavuma yokuthi kuzothatha impela izinqubo eziyinkimbinkimbi futhi singathandeki, futhi uyophinde abe nabazali bayo begazi, kodwa ungalokothi ukubona ingane yakhe. Naphezu kweqiniso lokuthi indoda ngayinye wabeka isazela of ukuzala, kodwa kudingeka unakekele futhi unike uthando sibonisa ngokwayo njalo okuningi futhi ezinzima. Owesifazane kuba lula kakhulu ukusebenzisa leso simo lapho donor isidoda kuyadingeka, ngoba umntwana ozozalwa zimila unina.

Naphezu kweqiniso lokuthi unina begazi nengane bangaba lona omunye wesifazane, owesifazane umamukeli uzozala ingane ukuncelisa futhi zijulise. Abanye omama bayesaba ukuthi ingane ngeke kubonakale kungavamile, kodwa kungcono nje ukwesaba, ngoba uxhumano ngizoya ngisho ezingeni hormone. inqubo-IVF Kunconywa bonke abesifazane, ikakhulu labo kakade lidlule eziningi ezahlukene, kodwa izinqubo zinokungaqeqesheki, ngoba awukwazi ulahlekelwe isikhathi esiyigugu. Kufanele sicabangele iqiniso lokuthi ngisho lokhu akuyona inketho, futhi uhlala nzima kakhulu, eminye imibhangqwana - ukwamukelwa ingane. Kufanele kube lula ukucabanga futhi ukuqhathanisa Imibono yabo uma ingane uyothathwa lezintandane, futhi uma ingane abadala futhi ikhule ngaphakathi kuwe.

Ubani odinga iqanda donor?

Anikelelwe Iqanda (bungu) kuyadingeka kulabo besifazane engibathandayo IVF Ithuba kuphela ukuba babe nezingane. Isetshenziselwa ezimweni lapho umphumela kuhlinzwa noma zokwelapha ngeke bakwazi ukusiza lo mbhangqwana okukhulelwa ingane ngokwemvelo. Ezimweni ezinjalo zenzeka ngempela okuningi.

Abesifazane ukuphuma for yokusizwa, ngenxa yezizathu ezihlukahlukene, nakuba ziziningi. Ngezinye izikhathi kungcono izisusa siqu, okuyinto okunzima ukuwaqonda. Noma kunjalo, uma uzama ukuba ahlanganise futhi ukuqonda izizathu zokuthi kungani abesifazane baya insemination yokufakelwa, kuvela ukuthi zonke awela amaqembu amabili ayisisekelo:

1. Lapho kungekho amaqanda e ezikhiqiza amaqanda.
2. Lapho iqanda engafanele ukuthuthukiswa etholakalayo.

Kunganjani amaqanda abo?

Ake sihlole lezi zimo ezimbili kabanzi. Ngemva IVF nge donor Iqanda 40 - ikhambi ababa nakho abesifazane abeza ukuya esikhathini ngaphambi kwesikhathi. Kulokhu, asikwazi sithi umama kalanzalo, kodwa kulesi sigaba esikhathini esizayo ngeke bakwazi ukuba nezingane. ukuya esikhathini ngaphambi kwesikhathi avele iminyaka 15-20 ngaphambi kwesikhathi ebesibekiwe, ngakho nganoma iyiphi indlela ukulungiselela ngoba akunakwenzeka. It kuvela ukuthi lwenzeka ngesikhathi owesifazane osemusha kakhulu okumele at esiqongweni nempilo yokuzalana. Noma kunjalo, uma lokhu kwenzeka, okukhiphayo kungenziwa kuphela eyayenziwe inseminated. Lokhu kuyiqiniso ikakhulukazi ngenxa yilezozintombi, ababengazange sebebelethile.

Uma thina acabangele izifundo epidemiological, singasho ukuthi zokugula labesifazane elinjalo eba% 5 kuphela omphakathi. Lokhu iphesenti likhulu kakhulu, kodwa awazange asinakekele ngokwanele ukuba iziguli ezifuna ukuzwa mayelana nokwenzeka ukuya esikhathini ngaphambi kwesikhathi. Kodwa ngesikhathi esifanayo imbangela yokuntuleka amaqanda siqu kungaba noma ikuphi ukusebenza wezokwelapha, okuyinto kwenziwa ngaphambili. Isibonelo, lokhu kungenzeka kubangelwa ukususwa isimila esibelethweni. eyohlinzwa okunjalo akukwazi dengwane, njengoba kuthinta impilo jikelele umzimba female. Ngemva kokuphothula ukusebenza nokubuyiselwa owesifazane namanje asikwazi ukuba izingane, ngakho ukhetho ezifanele kakhulu wakhe - ukusetshenziswa amaqanda donor, okuzokwenza uzokhulelwa, ngokuqinisekile uzozala ingane.

Ayikwazi esibelethweni ukuphila

Bank amaqanda donor evumela abesifazane abelethe ngisho, abanale wonke amathuba ngeminyaka abaye bakhulelwa, kodwa kokukhulelwa namanje ayenzeki. Sikhuluma Ezimweni ezinjalo, lapho owesifazane ayikwazi iqanda zokuphila. Isizathu salokhu ngokuvamile kukhona kwezinso zofuzo ngeke sivumele ukuba akhulelwe, athwale futhi ubelethe umntwana ophile. kwezinso kwezakhi zofuzo kaningi ukuthi iphazamiseke iseli chromosomal isakhiwo.

IVF nge donor Iqanda abakwazi ukhathazeke ukuthi iyiphi esiwufuzo izodluliselwa ezinganeni. Yingakho abesifazane abanokuhlangenwe izinkinga eziphawulekayo ngofuzo, kubaluleke kakhulu ukwazi inqubo Iqanda umnikelo. Odokotela aqambe abafisa abaningi banezingane eziphile kahle ngazo zonke izingozi kanye namathuba akhona esigabeni samanje yentuthuko imithi. Uma ubheka izibalo, singabona ukuthi njalo iningi esiwufuzo kuyinto hemophilia (akukuhle igazi ekunqandeni), okuyinto angadluliselwa ingane.

Egg donor kungaba yisiphi omama abanempilo, oluthobelana ngokugcwele izimfuneko ezithile. Okubalulekile enqubeni umnikelo - a ukuvumelanisa imijikelezo kokuya esikhathini kokubili abesifazane ukuba ukususwa kanye nokwethulwa iqanda kwaba ephumelela kunazo. Ukulungisa zesifazane umjikelezo wokuya esikhathini uwubufakazi sibonga lula kakhulu yokwelapha kwemithi.

Izinkomba kanye contraindications

IVF nge donor Iqanda (impendulo laba likhulu kakhulu) enezinto eziningi Izimo, okumele abe ahlolisisa. Izimo:

• khona iziyaluyalu okungokwengqondo;
• ukungakwazi nomntwana onempilo ngoba izifo lezinceku;
• lesizalo zokugula;
• yimuphi umlando umdlavuza;
• izimila wesibeletho.

Uma okuseduzane izizathu okuyinto inqubo IVF Kunconywa nge amaqanda donor, uthola lokhu okulandelayo:

• amaqanda isusiwe;
• zokugula wesibeletho;
• menopause;
• ukungakwazi amaseli ekuthuthukiseni;
• ukusebenzisa radiotherapy noma imiphumela emibi yokwelashwa ngamakhemikhali;
• yokuntuleka ukukhiqizwa kwamaqanda.

Ngingayithola kanjani ukunikela?

Ungakwazi ukunikeza amaqanda donor? Izibuyekezo mayelana nale nqubo akufanele ukudida kuwe. Njengoba vele sesiyazi, ngenyanga ngaphakathi omunye emzimbeni womuntu wesifazane ukuvuthwa iqanda elilodwa kuphela abazokwazi ukuthuthukiswa. Owesifazane donor sihamba yokwelapha, okuyinto ihlose ukukhuthaza ukuthuthukiswa ngesikhathi esisodwa amaqanda ambalwa iphila. Lokhu kuyadingeka ukuze andise amathuba ukwethulwa iqanda, kusukela ekugcineni, hhayi wonke amaseli Site kokukhulelwa. Kwenzekani amaqanda? Iqiniso lokuthi amanye amaseli eqala ukukhula, kodwa inqubo kahle, umntwana ophile ngakho musa aphumelele. Abanye amaseli asikwazi kokukhulelwa, ngenxa yezizathu isayensi yesimanje ongakabi ngakwazi ukuchaza.

Ukuze ulawule ukudlula ukwelashwa donor, odokotela eziqhutshwa njalo ukuhlolwa of ultrasound kanye cwaningo hormone. Phela izinyathelo wokulungiselela nokulawula kwenzekani ukususwa amaqanda enempilo by nenshisekelo.

Izidingo Jikelele for lokuthi:

• yobudala kumele abe phakathi kweminyaka engu-25-35 ubudala;
• zenani elikhulu eziyifa kanye ukungabi khona Izifo ukuvuvukala nezinye izifo eziningi;
• Udokotela wezifo zengqondo isiphetho esihle;
• ingane siqu.

Ukuze inqubo kuphumelele, lo endometrium umamukeli besifazane kufanele uzilungiselele ukuthola umbungu. Epithelium ungqimba kwangaphakathi kwesibeletho. Lokho-ke unamathele umbungu. Uma ukukhulelwa ingekho ke ekupheleni umjikelezo wokuya esikhathini, endometrium esuswa umzimba wentombi.

Lokho okwakudingeka ukuze kukhokhwe inqubo

amaqanda ezinikelwe eMoscow zinenani ezahlukene, kodwa zokhahlamba kusuka ruble ayizigidi 17-30. izindleko inqubo kakhulu ngenxa yokuthi ukuthi ukukhulelwa kwenzeka cishe ngo-65% amacala, okuyinto yisici esibalulekile kakhulu. Kweminye imitholampilo ukugxila vitrification ka oocytes, okungukuthi, iqhwa. Ukugcizelelwa le ndlela ngoba lula kakhulu inqubo ngokwalo.

Uma intengo iphansi kakhulu, kufanele uqaphele, ngoba kungenzeka ukuthi isivumelwano sesikhungo yokungathembeki. Inani lentengo eliphelele kuhlanganisa ukuhlolisisa egcwele bonke ababambe iqhaza kule nqubo, ukuvumelanisa of imijikelezo kokuya esikhathini, ultrasound luhlolo, ukukhuthazwa ukuthuthukiswa amaqanda, cell ukufuduka, nokunye .. Ngokwemvelo, enhloko-dolobha, amanani iphakeme kakhulu kunanoma ezindaweni. Futhi, intengo ingase yehluke kuye ngesistimu yokusebenza futhi donor umtholampilo: isimo sezempilo, ubudala negunya esibhedlela.

Ukuze ukulinganisa izindleko inqubo, kubalulekile ukuqonda "ngaphakathi". Ezimweni eziningi, amaqanda donor isetshenziswa ngesikhathi esifanayo ne-IVF (ngaphandle kwesibeletho fertilization). Lobu buchwepheshe lisetshenziswa kakhulu, ngoba izinkomba ukusebenza ephakeme kakhulu. amaqanda anikelelwe zithathwa e-laboratory ekhethekile ngaphansi kweso esiqinile udokotela. Ngemva kwalokho, amaseli ekhishwe zidluliselwa ku emzimbeni insikazi umamukeli. Uma imile izimpande, bese uqhubeke ukuthuthukiswa yabo njengoba imibungu. Ngokuvamile, udokotela utshala inani amaqanda enempilo, njengoba lokhu kubonakala kuyisixazululo esingaphelele ngekhono elingcono, ngenxa iseli 2-3 uyasinda eyodwa kuphela. Uma inqubo kuphumelele, lo wesifazane ukhulelwa kanjani.

Nokho, impumelelo operation incike zombili, ngakho kungase kube nezinkinga ingxenye amadoda. Uma kukhona ukungabi isidoda, wabe eseqhuba imisebenzi emincane - Ngaphandle kokwehluka iqanda is injected isidoda ngesibonakhulu. Ngemva kwalokho, ingqamuzana avundiswa is busuka wesizalo sowesifazane.

Efingqa sihloko, ngifuna ukusho ukuthi lokuthi kungaba noma yimuphi owesifazane ufuna, okuyinto efanelekayo umnikelo for a entry ethize. Kukholakala ukuthi yobudala kungaba isukela kwengu-18 kuya 35. Umbundu wokuqala ingase ibe khona ehlukile (isibonelo, abanye abacwaningi bakholelwa ukuthi kufanele uqale nge engu-25 ubudala), kodwa mkhawulo ihlale ifana - esokuba kuze kube iminyaka engama-35. Lokhu kungenxa yokuthi kule nkathi yesikhathi, amaseli abesifazane abaningi bayakwazi ukuphila, okungukuthi, kukhona abantu abangu-nempilo yokuzalana. Futhi, donor besifazane kumele kube enempilo, hhayi nje kuphela bokuphila, kodwa futhi khona ngengqondo. impilo yomuntu kufanele sigcizelelwe isitifiketi kusukela ochwepheshe. ukunakwa okuningi ikhokhelwa izici ezifana ukuphakama, isisindo, nombala wezinwele, amehlo kanye isikhumba, izinwele uhlobo, iqembu igazi uhlanga. Imibhangqwana eminingi bazimisele ukukhokhela okwengeziwe izingane zabo ukuba izakhi zofuzo ezithile. Ngaphezu kwalokho, donor ngamunye ngizodabula cwaningo ezahlukene mayelana 6. Ubizwa novivinyo ngokuphelele khulula, okusho ukuthi lona wesifazane donor yithuba okuhle, hhayi nje ukusiza lo mbhangqwana yenza ngokuphelelwa yithemba, kodwa futhi baphumelele luhlolo olunzulu. Phakathi kwezinhlangano kuyinto yisivumelwano esibhaliwe, ecacisa amalungelo nemisebenzi ngamunye wabo. Iphuzu okubalulekile ukuthi owesifazane kufanele ibe seyisebenza ngokugcwele ukuze imvume yayo sasizwakala ngaphansi komthetho. Inqubo iqala neqiniso ukuthi udinga ukuxhumana enhlanganweni ezifanele ukubhalisa khona, bese ulandela yonke izinyathelo ezidingekayo. Uyazi ukuthi kwenziwa ngubani IVF nge donor iqanda? Izibuyekezo balaba bantu kubaluleke kakhulu, kodwa kufanele baqonda ukuthi bona kungaba subjective, ngakho-ke kungcono ukuthi uthanda iseluleko komunye kokubonisana udokotela. Kubalulekile kakhulu ukukhetha umtholampilo kungase kutholakale ukuthi has a udumo ezithile kanye nesimo, ngoba abazi uthole ngosuku olulodwa. IVF ngamaqanda donor, izinga lempumelelo kuxhomeke ezicini eziningana, kufanele sigcwaliswe kuphela isikhungo, okuyinto enemvume olusemthethweni ezenzweni ezinjalo. Imibhalo kufanele sibe nesithakazelo nje ngoba ochwepheshe ube lutho. Kunoma yikuphi, uma ungenawo ukufinyelela asemthethweni, kubalulekile ukucabanga. Uma othile omaziyo izele ukuba ukunikela ngezitho amaqanda, kufanele umcele yokukhetha umtholampilo futhi uthole kwathiwa alenzanga ngokwalokho okwenzile zindlela.

Enye okuthakazelisayo okuningi imibuzo: "Kwenzeke kanjani ukukhulelwa nge donor iqanda?". Izibuyekezo ukufunda is hhayi Kunconywa kule ndaba, ngoba ikakhulukazi kumuntu nomuntu. Noma yimuphi uchwepheshe uzokutshela ukuthi konke kuyokwenzeka njengoba ukukhulelwa evamile. Uma ekuqaleni iqanda donor unamathele, le simo okuqhubekayo zakudala.