Izinto ezibalulekileyo ekufuneka ziqwalaselwe ngokuthatha isigqibo malunga ne-oocyte cryopreservation
Abasetyhini abaninzi baphendukela kwi-oocyte cryopreservation, okanye iqanda lokuqanda iqanda, njengeendlela zokulondoloza amaqanda ukukhulelwa kwangaphambili. Izizathu zezi zinto zihluka: Akangazilungele ukukhulelwa okwangoku, akahlolelanga, okanye ufumene ukuba unomdlavuza kwaye i-chemotherapy iya kuthintela ukuzala kwakhe.
Iindaba ezilungileyo kukuba ukuba ne-PCOS ayithethi ukuba ufanele ufeze amaqanda akho, nangona unokucinga ukuba wenze njalo ngenxa yezizathu ezichazwe ngasentla.
Ingaba isebenza kanjani?
I-oocyte cryopreservation ifana kakhulu nezigaba zokuqala ze- IVF : uza kuthatha iindidi ezimbini ezahlukeneyo zonyango ixesha elimalunga neveki kunye nesiqingatha ukuya kwiiveki ezimbini.
Iyeza lokuqala liphazamisa ukuveliswa komzimba wakho we-hormone ukwenzela ukuba ungagqithisi ngaphambi kwexesha, kwaye okwesibini kukhuthaza ama- ovari ukuba avelise amaqanda amaninzi endaweni eqhelekileyo.
Ngelixa ulapha kwiyeza, uyalelwe ukuba ubuyele eofisini ukubeka iliso kwiimvavanyo zegazi kunye ne-ultrasounds ukuvavanya impendulo yakho kwiyeza. Wonke ugqirha kunye nekliniki ineprotocol yayo: abanye oogqirha baya kuba netyelela imihla ngemihla, ngelixa abanye beza kufika kuphela ngamaxesha ambalwa kulo lonke umjikelezo. Qinisekisa ukuba ulandela imiyalelo ngokuchanekileyo.
Xa ugqirha evakalelwa kukuba amaqanda aphuhlisiwe ngokwaneleyo, uya kukuyalela ukuba uthathe i-injection yokugqibela yegriadotropin yabantu, okanye i-hCG, ukuze ukhulise amaqanda.
Utyando oluncinci lokubuyiswa kweqanda lwenziwa malunga nama-35 ½ iiyure kamva. Kuthatha malunga nesiqingatha seyure ukuya kwiyure, kwaye mhlawumbi uya kulala ngexesha le nkqubo.
Ugqirha uya kufaka iprojeysi ye-ultrasound kwisisu sakho ukuze akwazi ukubona i-ovaries yakho. Emva koko uza kufaka inaliti kwi-ovary ukuze anqwenele umkhuhlane ngaphakathi kwimibuzo ye-ovarian.
I-fluid iya kunikwa kwi-embrologist, eya kuyihlola ngaphantsi kwe-microscope ukukhangela iqanda. Amaqanda aphilileyo aya kuhlulwa kwaye atyulelwe ngokusebenzisa iindlela ezizodwa.
Xa usulungile, amaqanda aya kuhlanjululwa kwaye azaliswe, kwaye ama-embryus aphethwe kwisibeletho sakho ukuba uthembele ukudala ukukhulelwa. Ngamanye amaxesha amaninzi amaninzi ayadingeka ukuba afumane amaqanda anempilo okwaneleyo ukusebenzisa.
Kukho iingozi?
Ewe. Kukho umngcipheko wokwakha i-ovarian hyperstimulation syndrome, okanye i-OHSS. Le syndrome iqhubela rhoqo ngokukhawuleza emva kokufunyanwa kweqanda kwaye ingaba lukhulu kakhulu, ngakumbi kubasetyhini abane-PCOS.
Njengoko iifumba ezinamaqanda ezizaliswe ngamanzi ziqala ukukhula ngaphakathi kwe-ovary, iyakwandisa. Ngamanye amaxesha, i-hormone kunye neekhemikhali eziveliswa yi-follicle ezingenanto (emva kokufunyanwa kweqanda) kunokubangela ukuba kubekho umbane kwenye indawo emzimbeni ukutshintshela kwisisu esiswini okanye kwimiphunga.
Abasetyhini kunye ne-PCOS basengozini enkulu yokuphuhlisa i-OHSS ngenxa yenani elisele likhulu le-follicle kwi-ovary, kwaye ukuthambekela kwabasetyhini kunye ne- PCOS ukuba baphendule ngaphezulu i-hormone.
Ukongezelela, kukho umngcipheko ukuba amaqanda angenakuphila kwiinkqubo zokuqhaqhaqha okanye ukunyusa. Uninzi lweeklinikhi aluyi kubuyiselwa imali oyihlawulele umjikelezo, ngoko kukho ukulahlekelwa yimali eninzi.
Ngaba ifihliwe yi-inshurensi?
Kwiimeko ezininzi, hayi, iqhwa leqanda lingaqutywanga yinshuwalense yakho yempilo. Ekubeni umjikelezo omnye ungadla i-$ 12,000 okanye ngaphezulu, akusiyo isigqibo sokuba kuthathwe ngokulula.
Ukongezelela, iifizi zokugcina ezo maqanda zinokuqala ukusuka kumakhulu ambalwa ukuya kumawaka ambalwa eedola ngonyaka.
Zikulungele Kangakanani?
Ukucinga ukuba amaqanda asemgangathweni omhle, amaqanda afriziwe kufuneka ahlale iminyaka emininzi. Uzakufuna inani labo ukuqinisekisa ukuba unamaqanda anempilo okwaneleyo aya kusinda kwiinkqubo zokuqhaqhafaza kunye nokuqhaqha, ukuchumisa nokuveliswa kombungu.
Ndingakhetha njani ugqirha?
Kufuneka ufumane umntu osondeleyo kwikhaya lakho ukuze wenze ukuhamba uye kwiklinikhi lula njengoko kunokwenzeka ukuba uhlala khona.
Iofisi kufuneka ibe neeyure ezilungeleyo ukuze ungathathi ixesha elide emsebenzini ukuze ubone ugqirha. Qinisekisa ukubuza malunga namava abo kunye neqanda lokuqanda amaqanda, kubandakanywa ukuba zingaphi iintshukumo ezenzayo, kunye namazinga abo okuphumelela.
Yenza uphando lwakho ngaphambi kokukhetha ugqirha wakho. Ukuba unomsebenzi omnye osondeleyo kuwe kwaye awukhululekile ngamaqondo abo, jonga ukuhamba kwikliniki ekude. Bamele bazimisele ukusebenzisana nawe ukunciphisa inani lokuqeshwa kunye nenani lokuhamba okuya kufuneka uyenze.
Oku akuqhelekanga: ezininzi iikliniki zisetyenziselwa ukusebenzisana nezigulane zasezidolophini kwaye zibe nenkqubo ekhoyo ukuze wenze kube lula kuwe. Umgca wecala kukuba kufuneka uzive ukhululekile kunye nawuphi na isikhungo okhethayo.