Ngaba Ukutyeba Ngokugqithiseleyo Kuchaphazela Ukuchuma? Ukutyeba ngokugqithisileyo kunye noNyango lwe-IVF

Yintoni ubudlelwane phakathi kokutyeba kakhulu kunye ne-IVF?

Ukutyeba kakhulu kunokuba nempembelelo enkulu ekuchumeni nasekuphumeleleni konyango lwe-in vitro fertilization (IVF). Uphononongo lubonise ukuba abafazi abane-infertility mass index (BMI) banokuthi bafumane ubudlolo kwaye banamazinga aphantsi okukhulelwa xa kuthelekiswa nabasetyhini abane-BMI eqhelekileyo. Kweli nqaku, siza kuphonononga ubudlelwane phakathi kokutyeba kakhulu kunye ne-IVF kunye nemingcipheko enokubakho kunye nemingeni ehambelana nolu nxulumano.

Okokuqala, masiqonde ukuba ukutyeba kukuchaphazela njani ukuchuma kwabasetyhini. Ukutyeba kakhulu kunxulunyaniswa nokungalingani kwehomoni, ngakumbi amanqanaba aphezulu e-estrogen, anokuphazamisa umjikelo we-ovulatory kunye nokunciphisa umgangatho wamaqanda avelisiweyo. Oku, kwakhona, kunciphisa amathuba okukhulelwa kwaye kwandisa umngcipheko wokuphuphuma kwesisu.

Ngaphezu koko, ukutyeba kudla ngokukhatshwa zezinye iimeko zonyango ezifana ne-polycystic ovary syndrome (PCOS) kunye nohlobo lwe-2 yeswekile, zombini ezinokuchaphazela kakubi ukuchuma. I-PCOS yimeko eqhelekileyo kubasetyhini abakwiminyaka yokuzala kwaye ibonakaliswa ngamaxesha angaqhelekanga, amanqanaba aphezulu e-androgen, kunye nama-ovarian cysts. I-Type 2 yeswekile, kwelinye icala, inokubangela ukunganyangeki kwe-insulin, enokuthi iphazamise i-ovulation kunye nokunciphisa amathuba okukhulelwa.

Xa kuziwa kwi-IVF, ukutyeba kakhulu kunokuzisa imingeni emininzi. Okokuqala, i-BMI ephezulu yenza kube nzima ngakumbi kugqirha ukuba afumane kwaye akhuphe amaqanda ngexesha lenkqubo yokubuyisela iqanda. Oku kunokunciphisa inani lamaqanda abuyisiweyo, nto leyo enokunciphisa amathuba omjikelo onempumelelo we-IVF. Ukongezelela, umgangatho wamaqanda afunyenweyo unokuba sengozini ngenxa yokungalingani kwehomoni okubangelwa ukutyeba, ngakumbi ukunciphisa amathuba okukhulelwa.

Ngaphezu koko, ukutyeba kunokuchaphazela impumelelo yokudluliselwa kwe-embryo. Ngexesha lokudluliselwa kwe-embryo, iimbumba zidluliselwa kwisibeleko kusetyenziswa i-catheter. Kwabasetyhini abane-BMI ephezulu, kunokuba ngumngeni ngakumbi ukuhamba nge-catheter ngokusebenzisa isibeleko, okunokuthi kube nefuthe lokuchaneka kokudluliselwa.

Ngaphezu koko, ukutyeba ngokugqithiseleyo kwandisa umngcipheko weengxaki ngexesha lokukhulelwa, njengesifo seswekile sokukhulelwa, i-hypertension, kunye ne-preeclampsia. Ezi ngxaki azibangeli ingozi kumama kuphela kodwa nakumntwana ongekazalwa. Ukongezelela, i-BMI ephezulu inokwenza kube nzima ukujonga ukukhulelwa, ukwandisa amathuba okuphuma kwegazi emva kokubeleka kunye nesidingo secandelo lotyando.

Ukuqukumbela, ubudlelwane phakathi kokutyeba kakhulu kunye ne-IVF bunzima, kwaye ukutyeba kakhulu kunokuba nefuthe elibi ekuchumeni impumelelo yonyango lwe-IVF. Ngelixa ukunciphisa umzimba kusenokungasoloko kulukhetho olusebenzayo kubasetyhini abafuna i-IVF, kubalulekile ukuxoxa ngayo nayiphi na inkxalabo malunga nokutyeba kakhulu kunye nengcali yokuchuma. Ngokusebenzisana, oogqirha kunye nezigulana zinokuphuhlisa isicwangciso esilungiselelweyo sokwandisa amathuba okukhulelwa kunye nokukhulelwa okunempilo.

Ngaba Ubunzima Obugqithisele Emadodeni Buyakuthintela Ukuba Nabantwana?

Ubunzima obugqithisileyo abukho nje inkxalabo yabasetyhini xa kufikwa kwinzala kunye nokuzala - kunokuchaphazela amadoda. Uphononongo lubonise ukuba ubunzima obuninzi emadodeni bunokuchaphazela umgangatho wesidoda kunye nobungakanani, okunokukhokelela kwimingeni ekufezekiseni ukukhulelwa. Kweli nqaku, siza kuhlolisisa ubudlelwane phakathi kobunzima obugqithisileyo emadodeni kunye nokuzala kwabantwana kunye nezinto ezinokuthi zidlale.

Okokuqala, masiqonde ukuba ubunzima obugqithisileyo bunokuchaphazela njani ukuchuma kwamadoda. Ubunzima obugqithisileyo bunxulunyaniswa nemicimbi eyahlukeneyo yezempilo, kubandakanya ukungalingani kwehomoni, ukunganyangeki kwe-insulin, kunye nokudumba, konke oku kunokunciphisa umgangatho kunye nobungakanani besidoda. Amadoda ane-BMI ephezulu anokuba namanqanaba asezantsi e-testosterone kunye namanqanaba aphezulu e-estrogen, anokuphazamisa ngakumbi ibhalansi yehomoni efunekayo kwimveliso yesidoda. Ukongeza, ubunzima obugqithisileyo bunokukhokelela ekunyukeni kobushushu be-scrotal, obunokuchaphazela nomgangatho wesidoda.

Ngaphaya koko, izifundo zinxulumanise ubunzima obugqithisileyo emadodeni kutshintsho lwemfuza kwi-DNA yesidoda enokuphazamisa ukuchuma kwaye inokuba neziphumo ezibi kwimpilo yenzala. Olu tshintsho lunokuchaphazela kungekuphela nje amandla okukhulelwa kodwa kunye nempilo yomntwana.

Xa uzama ukukhawula, umgangatho kunye nobungakanani bamadlozi zizinto ezibalulekileyo. Ubunzima obugqithisileyo bunokunciphisa inani lilonke ledlozi kulwelo oluphuma kwi-ejaculatory fluid, kunye ne-motility kunye ne-morphology yesidoda. Oku kunokunciphisa amathuba okuba isidoda sifikelele kwaye sichumise iqanda, nto leyo eyenza kube nzima ukuphumeza ukukhulelwa.

Kuyafaneleka ukuba uqaphele ukuba impembelelo yobunzima obugqithisileyo kwinzala yamadoda ayiphelelanga nje ekutyebeni. Nkqu namadoda anokuthi achazwe njengabatyebe kakhulu kodwa abe nepesenti ephezulu yamanqatha omzimba anokufumana ukuncipha kokuchuma. Oku kungenxa yokuba amanqatha angaphezulu, ngakumbi ajikeleze indawo ephakathi, anokuba negalelo kutshintsho lwemetabolism enefuthe elibi kwimveliso yesidoda.

Ekugqibeleni, ubunzima obuninzi kumadoda bunokuba nefuthe elibi ekuzaleni nasekuzaleni abantwana. Amadoda ajonge ukukhawula kunye neqabane lawo kufuneka aqwalasele ifuthe elinokubakho lobunzima obugqithileyo kwinzala yabo kwaye athethe nomboneleli wezempilo ukuba banenkxalabo. Ngokujongana nayo nayiphi na imiba yezempilo esisiseko kunye nokwenza utshintsho kwindlela yokuphila, amadoda anokukwazi ukuphucula umgangatho wabo wesidoda kunye nokwandisa amathuba abo okukhawula.

Ngaba ubunzima obugqithisileyo buchaphazela ukuchuma kwabasetyhini?

Ubunzima obugqithisileyo buyinkxalabo ebalulekileyo kubasetyhini xa kuziwa ekuzaleni kunye nempilo yokuzala. Uphononongo lubonise ukuba abasetyhini abanesalathisi sobunzima bomzimba (BMI) kunokwenzeka ukuba bafumane imingeni ngokuzala kunye nethuba elihlayo lokumitha, xa kuthelekiswa nabasetyhini abane-BMI eqhelekileyo. Kweli nqaku, siza kuphonononga ubudlelwane phakathi kobunzima obugqithisileyo kunye nokuzala kwabasetyhini kwaye zeziphi izinto ezinokuthi zibe negalelo kolu nxulumano.

Okokuqala, masiqonde ukuba ubunzima obugqithisileyo bunokuchaphazela njani ukuchuma kwabasetyhini. Ubunzima obugqithisileyo bunokukhokelela kukungalingani kwehomoni, ngakumbi amanqanaba aphezulu e-estrogen, anokuphazamisa umjikelo we-ovulatory kunye nokunciphisa umgangatho wamaqanda avelisiweyo. Oku, kwakhona, kunciphisa amathuba okukhulelwa kwaye kwandisa umngcipheko wokuphuphuma kwesisu.

Ukongezelela, ubunzima obuninzi buhlala buhamba kunye nezinye iimeko zonyango ezifana ne-polycystic ovary syndrome (PCOS) kunye nohlobo lwe-2 yeswekile, zombini ezinokuchaphazela kakubi ukuzala. I-PCOS yimeko eqhelekileyo kubasetyhini abakwiminyaka yokuzala kwaye ibonakaliswa ngamaxesha angaqhelekanga, amanqanaba aphezulu e-androgen, kunye nama-ovarian cysts. I-Type 2 yeswekile, kwelinye icala, inokubangela ukunganyangeki kwe-insulin, enokuthi iphazamise i-ovulation kunye nokunciphisa amathuba okukhulelwa.

Ngapha koko, impembelelo yobunzima obugqithisileyo ekuchumeni ayikhawulelwanga kutshintsho lwehomoni. Ubunzima obugqithisileyo bunokukhokelela ekudumbeni ngaphakathi kwenkqubo yokuzala, kubangele utshintsho kwintambo yesibeleko kunye nefuthe elibi lokufakelwa. Oku kunokubangela ukwanda komngcipheko wokungazali, ukuphuphuma kwesisu, kunye neengxaki ngexesha lokukhulelwa.

Xa ufuna unyango lwe-fertility, olufana ne-in vitro fertilization (IVF), ubunzima obugqithisileyo bunokubangela iingxaki ezininzi. Okokuqala, i-BMI ephezulu yenza kube nzima ngakumbi kugqirha ukuba afumane kwaye akhuphe amaqanda ngexesha lenkqubo yokubuyisela iqanda. Oku kunokunciphisa inani lamaqanda abuyisiweyo kwaye kunokunciphisa amathuba omjikelo onempumelelo we-IVF. Ukongezelela, umgangatho wamaqanda afunyenweyo unokuba sengozini ngenxa yokungalingani kwehomoni okubangelwa ubunzima obunzima, ukunciphisa ngakumbi amathuba okukhulelwa.

Ngaphezu koko, ubunzima obugqithisileyo bunokuchaphazela impumelelo yokudluliselwa kwe-embryo. Ngexesha lokudluliselwa kwe-embryo, iimbumba zidluliselwa kwisibeleko kusetyenziswa i-catheter. Kwabasetyhini abane-BMI ephezulu, kunokuba ngumngeni ngakumbi ukuhamba nge-catheter ngokusebenzisa isibeleko, okunokuthi kube nefuthe lokuchaneka kokudluliselwa.

Ukuqukumbela, ubunzima obuninzi bunokuba nefuthe elibi kwinzala yabasetyhini kunye nempumelelo yonyango lokuzala. Abasetyhini abafuna ukukhawula kufuneka baqwalasele ifuthe elinokubakho lobunzima babo kwinzala yabo kwaye bathethe nomboneleli wezempilo ukuba banenkxalabo.

Unyango lwe-IVF ngokuLawula ubunzima – Ukukhulelwa emva koNyango lokutyeba

Unyango lwe-IVF ibiyeyona ndlela ithandwayo nephumelelayo yokunceda iteknoloji yokuzala kwizibini ezinengxaki yobudlolo. Nangona kunjalo, amazinga okuphumelela kwe-IVF anokuba ngaphantsi kakhulu kubasetyhini abatyebe kakhulu okanye abatyebileyo. Eli nqaku liphonononga indima yokulawula ubunzima kunyango lwe-IVF kunye nendlela enokonyusa ngayo amathuba okukhulelwa kwabasetyhini abanengxaki yokutyeba.

Okokuqala, masiqonde ukuba ukutyeba kakhulu kunokuchaphazela njani amazinga empumelelo ye-IVF. Ukutyeba ngokugqithiseleyo kuhambelana noluhlu lokungalingani kwehomoni, kubandakanywa amanqanaba aphezulu e-estrogen, ukumelana ne-insulin, kunye nokuvuvukala, konke oku kunokuthintela i-ovulation kunye nokunciphisa umgangatho wamaqanda avelisiweyo. Oku kunciphisa amathuba okukhulelwa kwaye kwandisa umngcipheko wokuphuphuma kwesisu.

Kwakhona, i-BMI ephezulu kwabasetyhini inokwenza kube nzima ukuba oogqirha bafumane amaqanda ngexesha lenkqubo yokubuyisela iqanda. Oku kunokunciphisa inani lamaqanda abuyisiweyo kwaye kunokunciphisa amathuba eemijikelo ze-IVF eziyimpumelelo.

Ukulawulwa kobunzima kudla ngokucetyiswa kwabasetyhini abatyebileyo okanye abatyebe kakhulu ukunyusa ithuba lokukhulelwa emva kwe-IVF. Uphononongo lubonise ukuba ukunciphisa umzimba kunokuphucula i-ovulation, ukubuyisela ibhalansi yehomoni eqhelekileyo, kunye nokwandisa amathuba okukhulelwa. Ukongezelela, ukulahlekelwa kwesisindo kunokunyusa impendulo ye-ovari kumayeza, okubangela ukuba inani eliphezulu lamaqanda lisuswe ngexesha lenkqubo yokubuyisela iqanda.

Ukulawula ubunzima kunokuncedisa ukunciphisa umngcipheko weengxaki ngexesha lokukhulelwa, kubandakanywa nesifo sikashukela sokukhulelwa kunye ne-preeclampsia. Ezi ngxaki ziyingozi kungekuphela kumama kodwa nakumntwana ongekazalwa. Ukongeza, i-BMI ephantsi inokuququzelela ukubeka iliso ekukhulelweni, ukunciphisa ithuba lokuphuma kwegazi emva kokubeleka kunye nesidingo secandelo lotyando.

Kubalulekile ukuqaphela ukuba ukulawulwa kobunzima kufuneka kufikelelwe ngendlela enempilo kwaye ezinzileyo. Ukunciphisa umzimba ngokukhawuleza okanye okugqithisileyo kunokuchaphazela kakubi ukuzala, ukuphazamisa umjikelo wokuya exesheni, kwaye kunokunciphisa umgangatho wamaqanda avelisiweyo.

I-IVF elawulwa ngumzimba inokuba yindlela eyimpumelelo nekhuselekileyo kubasetyhini abanengxaki yokutyeba nokungazali. Ngokujongana nemiba yezempilo ephantsi, ukwenza utshintsho kwindlela yokuphila, kunye nokufuna unyango olufanelekileyo, abafazi banokuphucula amathuba abo okukhulelwa kunye nokukhulelwa okunempilo. Abasetyhini abanengxaki yokutyeba kakhulu okanye ukutyeba ngokugqithiseleyo bayacetyiswa ukuba badibane nengcali yezempilo ukuze bafumane isikhokelo kulawulo lobunzima kunye nonyango lokuchuma. Sukuwabeka phantsi amaphupha akho okuba ngumzali ngenxa yokutyeba. Ngokuqhagamshelana nathi, unokunciphisa umzimba ngendlela enempilo kunye nempumelelo unyango lokutyeba, kwaye ke ungafumana inyathelo elinye kufutshane namaphupha akho osana ngonyango lwe-IVF. Okufuneka ukwenze kukufikelela kuthi.