I-Cyprus IVF Ukukhethwa Kobulili

Iyini i-IVF?

I-IVF iwukwelashwa okuthandwa umbhangqwana ngoba abanayo ingane ngokwemvelo. Ukwelashwa kwe-IVF kuthola amaqanda nesidoda kumama kanye nobaba ozozala. Lamaqanda nesidoda sawo nawo avundiswa endaweni yaselabhorethri. Ngakho, ngaphansi kwezimo ezidingekayo, iqanda elivundisiwe likhishwa esibelethweni sikamama futhi inqubo yokukhulelwa iqala. Ukuze kucaciswe ukukhulelwa, iziguli kufanele zenze ukuhlolwa okusha ngemva kwamaviki ama-2 futhi zithole imiphumela.

Kuyini ukukhetha ubulili nge-IVF?

Ukukhetha ubulili kulula kakhulu ngokwelashwa kwe-IVF. Inqubo iqhubeka kanje. Umbungu owakhiwe ngenxa yokuvundiswa kwesidoda neqanda uhlala endaweni yokucwaninga isikhashana. Khona-ke, udokotela uhlola izinhlobo zemibungu, njengoba imibungu engaphezu kowodwa izovundiswa. Ubulili obukhethwayo bukamama nobaba ozoba ngubaba bufakwa esibelethweni sikamama bese kuqala ukukhulelwa. Ngakho, ukukhulelwa kuqaliswa ngobulili obufunwayo ngaphambi kokubekwa esibelethweni sikamama.

Izizathu Zokukhetha Ubulili Phakathi Ne-IVF

Kunezizathu eziningi zokuthi kungani umbhangqwana noma umuntu ekhetha ubulili. Nokho, abazali abahlosiwe bavame ukukhetha ukusebenzisa ukukhetha kobulili kokuthi 'Ibhalansi Yomndeni'.

Kalula nje, ibhalansi yomndeni isho ukuthi uma ubulokhu ufuna intombazane kodwa unabafana kuphela, abazali abahlosiwe bangakhetha ubulili ngesikhathi se-IVF ukuze baqinisekise ukuthi ukhulisa ingane yentombazane.

Ukwengeza, abazali abahlosiwe bakhetha ukukhetha ubulili uma besengozini yokudlulisa isifo esithathelwana ngofuzo. Kulesi simo, ukukhetha ubulili kunikeza abazali abazoba khona ithuba lokuba nengane yomfana noma yentombazane, kuye ngohlobo lwesiyaluyalu abangalugwema ngesikhathi senqubo ye-IVF.

Ezinye izenzakalo zingase zihlanganisa umbhangqwana oshonelwe ingane futhi ufisa ukuba nomunye wobulili obufanayo, noma abazali okuhlosiwe bangase bahlome ngokomoya umzali umzali kusukela kobunye ubulili kuya kobunye.

Kunezizathu ezijulile zomuntu siqu zokufuna ukukhetha ubulili nge-IVF, futhi sihlose ukuhlonipha isinqumo sakho. Uma ufuna ukwazi ngokukhethwa kobulili futhi ucabanga ukuthi kuyinketho enhle yezidingo zakho, singaxoxa ngakho ngesikhathi sokubonisana.

Ukukhetha ubulili kuyisevisi emangalisayo yesayensi eyenza kwenzeke futhi kungasiza abazali abazoba abazali bazizwe bekulungele ukukhulisa izingane zabo zakusasa. Nokho, lesi sinqumo sidinga ukucatshangelwa ngokucophelela njengoba sihlanganisa izindleko eziphakeme futhi ekugcineni singaholela ekuzisoleni uma umzali ekhetha ukuthola kamuva ubulili bengane yakhe ngokwemvelo.

Ukuhlolwa kofuzo kokufakelwa ngaphambi kokutshala (PGT)

Eqinisweni, ukuhlolwa kofuzo kwe-Preimplantation (PGD) kuyindlela yesimanjemanje esetshenziswa ekwelapheni kwe-IVF ukuze kutholakale ukuphambana kofuzo emibungu echanyuselwe. Injongo ye-PGD ukuvumela udokotela wakho ukuthi akhethe imibungu ezodluliswa okucatshangwa ukuthi ayinazo izimo ezithile zofuzo noma okungavamile kwe-chromosomal. Lokhu kuhlola kunikeza iziguli ithuba lokunciphisa amathuba okuba nesifo sofuzo enganeni yazo ngaphambi kokukhulelwa. Kodwa-ke, kungenzeka ukunquma ubulili bengane yakho ngokuhlolwa okufanayo. Ngakho-ke, lokhu kuhlolwa kuyadingeka ekukhethweni kobulili be-in vitro fertilization. Ngemva kokuba ubulili obukhethwayo beziguli bunqunywa yilokhu kuhlolwa, lo mbungu ufakwa esibelethweni.

Indlela inqubo esebenza ngayo

Ukukhetha ubulili be-IVF kusebenza ngaphakathi kohlelo oluthile. Izigaba zalokhu kwelashwa zimi kanje;

1. Isiteji: Ukuhlolwa Kokuqala Nokuhlolwa Kombhangqwana
   Isiteji sesi-2: Ukukhuthazwa Kwama-Ovari (Ukungeniswa Kwe-Ovulation)
2. Isiteji: Ukuqoqa Amaqanda
   Isigaba 4: Ukuqinisekisa Ukuvundisa NgeNdlela Yokujova Kancane (ICSI) noma Ukwelashwa Kwe-IVF Yakudala
3. Isiteji: Ukudluliselwa Kombungu Kumama Okhulelwe
   Isigaba 6: Ukuhlolwa Kokukhulelwa

Izinyathelo Zokukhetha Ubulili be-IVF

Njengoba ukukhetha ubulili obufanele kudinga i-IVF, okuyinqubo enzima kakhulu ngokwayo, kubalulekile ukuqonda, okungenani ezingeni eliyisisekelo, ukuthi yonke inqubo izohlanganisa ini. Ngokuvamile i-IVF inezinyathelo ezi-4 eziyinhloko:

• Ukukhuthazwa Kwe-Ovarian: Owesifazane uthatha izidakamizwa ezisekelwe ku-hormone (ngokuphambene nalokho okuvamile) ukwenza amaqanda amaningi ekhwalithi ephezulu athuthuke ngokugcwele.
• Ukubuyisa Iqanda: Ikhipha amaqanda kuma-ovari.
• Ilabhorethri ye-Embryology: Ukuvundiswa kwamaqanda, ukuthuthukiswa kombungu kwezinsuku ezingu-3-7
• Ukudluliswa kombungu: Ukudluliswa kombungu kuyinqubo yokubuyisela umbungu esibelethweni sabazali abahlosiwe.

Ngenxa yokuthi ukukhetha ubulili kudinga ukuhlolwa okwengeziwe kwe-embryonic (imiphumela ithatha izinsuku ezimbalwa ukufika), akudingi nje izinyathelo ezengeziwe eziqondene nokuhlola imibungu, kodwa futhi kudinga "imijikelezo yokwelashwa" emibili. Enye ihilela ukwenziwa nokuhlolwa kwemibungu, enye iFrozen Embryo Transfer Cycle ehilela ukulungiswa kwesibeletho ukuze sifakwe kanye ne-FET ngokwayo.

Isiteji 1: Ukwakhiwa Kwe-embryo kanye Nomjikelezo Wokuhlola

Le ngxenye yokwelashwa icishe ifane nokwelashwa kokuqanda umbungu, lapho imibungu yenziwa nge-IVF futhi iqandiswe ngokushesha ngemva kwalokho. Yiqiniso, ngaphambi kokuba kube yiqhwa, i-biopsy iyenziwa futhi ithunyelwe elebhu ukuze ihlolwe.

Ukuvuselela Ovarian:
Ngendlela efanayo nangenhla, owesifazane uthatha izidakamizwa ezisekelwe ku-hormone ukuze akhe amaqanda amaningana avuthiwe, asezingeni eliphezulu. Le mithi evuselelayo imvamisa isesigabeni sesi-2-4 somjikelezo wokusanhlamvu wemvelo wesifazane. Iqala ngezinsuku futhi ithathwa izinsuku eziyi-10. Umqondo uwukuthi amaqanda amaningi = imibungu eyengeziwe = imibungu eyengeziwe yobulili obufunwayo = umbungu wobulili obufunwayo maningi amathuba okuthi uzalwe bukhoma.

Ukuqoqwa Kweqanda:
Futhi, ukubuyiswa kwamaqanda kuyinqubo yokuhlinzwa lapho amaqanda aqoqwa khona kuma-ovari. Ngokuvamile kwenzeka isilinganiso sezinsuku ezingu-12 ngemva kokuqaliswa kwezidakamizwa ezivuselelayo, kodwa zingahluka kuye ngokuthi imishanguzo isabela kanjani kanye nokuthuthukiswa kwe-follicular/iqanda okukalwa ngesikhathi sokuhlolwa kwe-ultrasound nokuqapha umsebenzi wegazi. Ama-aphoyintimenti. Kuyinqubo elula uma kuqhathaniswa nokusebenza. Ayidingi ukusikwa noma ukuthungwa futhi ayisebenzisi i-anesthesia ejwayelekile (idinga intubation kanye nesikhathi esibalulekile sokutakula). Kunalokho, isiguli silaliswa ngokusesilinganisweni nge-MAC anesthesia, kuyilapho inaliti yokufisa iqondiswa isuka esithweni sangasese iye kuma-follicles kuma-ovari ngaphansi kokuqondisa kwe-ultrasound. Ngemva kokukhishwa kuma-ovari, amashubhu okuhlola aqukethe uketshezi lwe-follicular namaqanda avuthiwe ayiswa ngokushesha elabhorethri ye-embryology.

Ilabhorethri ye-Embryology:
Izinyathelo ezenzeka elabhorethri ye-embryology ngesikhathi sokukhethwa kobulili zingahlukaniswa ngezinyathelo ezi-5 eziyinhloko:

1. Ukuhlukaniswa: Ngemva kokuba amaqanda engenile elabhorethri, isazi se-embryologist sizophenya uketshezi lwe-follicular futhi sihlukanise noma yimaphi amaqanda atholakele. Izofakwa ngokushesha emithonjeni yezakhi zomzimba ezilingisa indawo ye-fallopian tube.
2. Ukuvundisa: Cishe emahoreni ama-4 ngemuva kokuqoqwa, imibungu izovundiswa kusetshenziswa i-ICSI noma izindlela ezijwayelekile zokuzalanisa.
3. Ukuthuthukiswa Kombungu: Ngemva kokukhulelwa, imibungu izokhula elabhorethri izinsuku ezingu-5-7. Emjikelezweni ojwayelekile we-IVF kungenzeka ukudlulisa imibungu ngemuva kwezinsuku ezi-3 kuphela (uma usesigabeni sokukhula), ukuhlolwa kofuzo kungenziwa kuphela emibungu ye-blastocyst evame ukukhula ngosuku lwesi-5 (engakhula kamuva nje kancane).
4. I-Embry Biopsy: Uma usesigabeni se-blastocyst, umbungu unezinhlobo ezimbili ezihlukene zezicubu ze-embryonic. Elinye lala maqembu amaseli kuzoba yi-fetus kanti elinye kuzoba yi-placenta. I-biopsy yenziwa kusetshenziswa i-laser ekhetheke kakhulu futhi egxilile esusa inombolo encane (ngokuvamile amaseli angu-3-6) eqenjini lamaseli azokhula abe yi-placenta (ebizwa ngokuthi i-trophectoderm). Lawa maseli abe esefakwa ilebula, acutshungulwe futhi athunyelwe elabhorethri yofuzo yenkampani yangaphandle ngefomethi efanelekile ukuze ihlaziywe.
5. Ukuqandisa Umbungu: Ngemuva kokuthi inqubo ye-embryonic biopsy isiqediwe, izazi ze-embryonic zizokhipha (noma zifake iqhwa) imibungu, igcine isesimweni esicishe sifane naso ngenkathi isentsha. Ukuqandisa imibungu kunikeza isikhathi esidingekayo ukuze uthole imiphumela yokuhlolwa kofuzo futhi akunawo umthelela kwikhwalithi noma ethubeni lokuphumelela lokudluliswa okulandelayo. Eqinisweni, kunobunye ubufakazi obuphakamisa ukuthi ukudluliswa okuqandisiwe kubangela amanani aphezulu engxenyeni enkulu yeziguli ze-IVF.
6. Ukuhlolwa Kofuzo: Ukulawulwa kwangempela kofuzo kwenziwa ilabhorethri yofuzo yenkampani yangaphandle kusetshenziswa indlela eyaziwa ngokuthi Preimplantation Genetic Testing for Aneuploidy (PGT-A), ehlaziya inombolo nenhlobonhlobo yama-chromosome kuseli ngalinye. Ngokuhlaziywa kwe-chromosome okwenziwe, iqoqo lamaseli ahlobene nombungu othile azolebulwa ngokuthi XY noma XX kanye nolunye ulwazi oluyisisekelo mayelana nenani lama-chromosome kuseli ngalinye. Ngalolu lwazi, abazali abahlosiwe kanye nomtholampilo wenzalo manje sebengalungiselelwa Ukudluliselwa Kwembumbu Eqandisiwe kusetshenziswa umbungu oncibilikisiwe wocansi olufiswayo.

Isiteji sesi-2: Ukudlulisa Umbungu Oqandisiwe Ngokusebenzisa I-embryo Yocansi Olufunekayo

Ukudluliswa kombungu oqandisiwe kulula kakhulu kunesigaba sokuqala somjikelezo we-IVF futhi kubandakanya izinyathelo ezimbili ezibalulekile kuphela:

• Ukuthuthukiswa kolwelwesi lwesibeletho: Lapho udlulisela umbungu we-IVF, kubalulekile ukuqinisekisa ukuthi isibeletho silungiselelwe kahle ukuze umbungu ugxiliswe olwelweni lwe-endometrial. Nakuba kungenzeka ukwenza umjikelezo we-FET wemvelo ngaphandle kwemithi esetshenzisiwe, kunconywa kakhulu ngokombono wezokwelapha ukuthi owesifazane athathe i-Estrogen ne-Progesterone isikhathi esithile ngaphambi nangemva kokudluliswa kombungu.
• Ukudlulisa Umbungu Oqandisiwe: Ngokudluliswa kombungu kusetshenziswa imibungu elawulwa ngokofuzo ekukhetheni ubulili, omunye wemibungu enqunywa ukuthi ubulili obufunwayo uyakhishwa emathangeni e-cryo aqukethe i-nitrogen ewuketshezi futhi ancibilikiswe. Uma incibilikile, imibungu izolayishwa ku-catheter yezinga lezokwelapha, idlule esithweni sangasese sowesifazane nomlomo wesibeletho, bese ikhishelwa esibelethweni. Umzali okuhlosiwe manje (kuze kuboniswe ngenye indlela) ukhulelwe umbungu ozokhula ube umbungu kanye nengane yobulili azikhethele yona.

Iliphi Izwe Elingcono Kakhulu Ekukhetheni Ubulili Kwe-IVF?

Amazinga empumelelo yokwelashwa kwe-IVF abaluleke kakhulu. Imibhangqwana kufanele ikhethe amazwe aphumelele kakhulu kanye nezibhedlela eziphumelele kakhulu ukuthola ukwelashwa. Uma kungenjalo, imiphumela emibi yokwelashwa ingenzeka. Ngakolunye uhlangothi, izintengo ze-IVF kufanele zithengeke. Okokugcina, ukuthola ukwelashwa kokukhethwa kobulili kwe-IVF akukho emthethweni kuwo wonke amazwe. Kulokhu, imibhangqwana kufanele ikhethe amazwe angabizi kakhulu lapho ukukhethwa kobulili kwe-IVF kusemthethweni futhi ukwelashwa kwe-IVF okuphumelelayo kungatholwa.. Ngalesi sizathu, ukukhetha ubulili baseCyprus IVF kuzoba yisinqumo esihle kakhulu. Ukukhetha ubulili kwe-IVF I-Cyprus izokuvumela ukuthi uthole ukwelashwa okungenzeka ngokomthetho, okungabizi kakhulu futhi okunempumelelo kakhulu.

I-Cyprus IVF Ukukhethwa Kobulili

I-Cyprus IVF ukukhetha ubulili kukhethwa kaningi. Ukukhetha ubulili ekwelashweni kwe-IVF kusemthethweni e-Cyprus. Emazweni lapho ukukhetha kwe-IVF yobulili kungekho emthethweni, nakuba eminye imitholampilo ingenza lokhu ngokuyimfihlo, amanani azoba phezulu kakhulu futhi ngeke ukwazi ukufuna amalungelo akho ngenxa yokwelashwa okungaphumelelanga. Ngakho-ke iCyprus iyizwe elihle lokuthandwa kwe-IVF Gender. Ungathola futhi inani le-Cyprus IVF Gender Selection Treatments, futhi uthole uhlelo lokwelapha ngokusithinta.

Amanani Wokukhetha Ubulili baseCyprus IVF

Izintengo zokwelashwa kwe-IVF yaseCyprus ziyahlukahluka kakhulu. Iziguli kufanele zazi ukuthi amanani okwelashwa nawo azohluka phakathi kwemitholampilo. Ngakho-ke, iziguli zidinga ukukhetha umtholampilo omuhle ukuze zelashwe futhi zenze isinqumo esibalulekile. Ngoba Izintengo zokwelashwa ze-IVF zaseCyprus ziyathengeka futhi iziguli akufanele zikhokhe ngokweqile, zicabanga ukuthi zingathola ukwelashwa okungcono. Lokhu kuzokubangela ukuthi usebenzise imali ethe xaxa. Ungacabanga ukuthola ukwelashwa emtholampilo onamazinga aphezulu okuphumelela ngamanani akhokhelekayo. Amanani aqala ku-3,200 € ngokwesilinganiso. Njengoba sinikeza ukwelashwa ngesiqinisekiso samanani esingcono kakhulu, ungathola imininingwane enemininingwane ngokusithumela umlayezo.