Iziyobisi ngokubuyiselwa komsebenzi wokuzala.
Amachiza asetyenziswa ngokubanzi ekuncediseni ukuvuthwa, okufuneka ukuba kwenzeke malunga nenyanga ngenyanga kwabasetyhini ngaphambi kokumisa. I-Ovulation ilawulwa ngokukodwa ngamahomoni abizwa ngokuthi i-gonadotropins. Ziveliswa kwi-pituitary gland (i-gland ngqo phantsi kwengqondo). I-Gonadotropin yi-hormone evuselela umsebenzi weengqungquthela zesondo (amaqanda kubasetyhini kunye namathambo emadodeni).
Clomiphene
Eveliswe ngendlela yamacwecwe, i-Clomifene isebenzisa indlela yokuvimba - "impendulo" kwi-pituitary gland. Ngenxa yoko, i-pituitary gland ikhupha ama hormone ezongezelelweyo kwiiyure ezingaphezulu kuneziqhelo. I-gonadotropin eyongezelelweyo ikhutshelwe kwigazi kwaye ivuselela ama-ovari, apho, njengokuba ithemba khona, iya kubakhokelela kwi-ovulation.
I-horonone ye-Gonadotropin
Ukuba i-clomiphene ayisebenzanga, isigulane sinokumiselwa imishishini equkethe i-gonadotropin hormones okanye i-horonon-release hormones. Benza ukuba i-ovulation ngaphambi kokusasazwa kwe-IVF. Esi sidakamizwa sinokuphucula ukuzala (ukuzala) kumadoda.
Metformin
Esi sigqirha sisoloko sisetyenziselwa ukunyanga isifo sikashukela. Kodwa ngamanye amaxesha i-metformin inikelwa kwabasetyhini kunye nama-ovaries e-polycystic, ukuba ayincedi i-clomiphene. Ezinye iingxelo zithi i-metformin inokukhuthaza ukwanda kwenzalo kubamanye amabhinqa abane-polycystic ovary syndrome, ngokuqhelekileyo ngaphezu kokuthatha i-clomiphene.
Izindlela zokuphanda zonyango.
Izindlela zokuphanda zonyango zisetyenziselwa xa kubangelwa i-infertility kwaye umsebenzi unokunceda. Ezi zimbangela zokungabikho zichazwe apha:
Iingxaki kwi-tube fallopian.
Ukuhlinzwa kungabancedisa abanye abafazi ngokusweleka kwezinto ezibangelwa yiengxaki zebhulogi ze-fallopian. Umzekelo, xa zivaliwe okanye zikhona izikrakra ezivela kwisifo esedlule, isifo okanye ezinye iingxaki. Abanye abesifazana ababenayo "intambo ye-pipe necktie" bayakwazi ukubuyisela umsebenzi wabo wesini.
Endometriosis.
Ukuhlinzwa kungakhuthaza ukuqala kokukhulelwa kwabasetyhini abane-endometriosis.
I-Polycystic ovary syndrome.
Imisebenzi ekhethekileyo kwii-ovari iyakulungeleka kubafazi abathile abanee-ovaries ze-polycystic. Inkqubo ngamanye amaxesha kuthiwa i-diathermy okanye "ukubola" kwamaqanda. Oku, ngokwenene, umsebenzi wokutshabalalisa ezinye zee-follicle (i-cysts ezincinci) ezikhulayo kuma-ovari. Oku kuya kwenziwa xa ezinye iindlela zonyango zingasebenzi.
Fibromioma.
Ukuba akukho nenye inkcazo yokungazalanga, ngezinye iinkqubo umsebenzi wokususa i-fibroid ibonisiwe. Kodwa ingaba i-myoma yimbangela yangempela yokungabikho komntwana kwaye, ngoko ke, nokuba ingafuneka ichithwe - ayiqinisekanga.
Intrauterine insemination kunye nesidoda somyeni okanye umnikeli.
Insemination yinkqubo elula apho amangqamuzana omzimba afakwa kwisisu somfazi, kwaye ukuchumisa kwenzeka khona. Inokuthi ifikelelwe ixesha lokusasaza kwabasetyhini. Kuyimfuneko ukuba ube neempatho ezinobungozi bezempilo zokusasaza. Amachiza angathathwa kwangaphambili ukwenzela ukwandisa amathuba akho. I-Spermatozoa inokuthathwa kwindoda okanye umnikeli.
Kwi-Vitro Fertilization (IVF).
I-vitro fertilization yindlela yokuqhumisa ngaphandle komzimba. I-extracorporeal ngokwezwi nezwi ithetha "kwiglasi" (kwibhubhoratri okanye kwi-tube test). I-IVF isetyenziselwa ikakhulukazi abasetyhini abangenabantwana abangabikhoyo kubangelwa ukucinywa kwamathambo, okanye isizathu sokungabikho kwengqondo asikwazi ukucacisa. I-IVF ibandakanya ukuthatha imithi yokukhuthaza "ukuzala" kwamaqanda. Xa i-ovules yenziwe, kusetyenziswe intsebenziswana encinci ukuyifumana. Iqanda ngalinye lixutywe kunye nesidoda kwaye lifakwe iintsuku eziliqela kwibhubhoratri. Izibilini zenziwe ngenxa yoko, zibekwe kwisibeleko sowesifazane. Iimbrusi eziliqela zinokuthi zitshintshwe ukuze kuqhutywe phambili ii-IVF ngosuku oluthile (ukuba isilingo sokuqala asiphumelelanga).
Amathuba okuphumelela nge-IVF.
Amathuba akho okuphumelela nge-IVF ingaba phezulu xa uneminyaka engaphantsi kwe-39, ukhulelwe ngaphambili, kwaye unesicatshulwa somzimba phakathi kwe-19 no-30 (okt, akukho bunzima obunzima). Ezinye izinto ezinokunciphisa ithuba lokuphumelela kwe-IVF ziquka utywala, ininzi ye-caffeine, ukutshaya (kubini abalingani).
Intracellular injection yesininzi.
Ngalolu cwangciso, i-spermatozoa nganye ijojowe ngqo kwiqanda. Iphululela nayiphi na imithintelo yemvelo enokuthintela ukuchumisa. Injectcellular injection ingasetyenziselwa xa iqabane lakho linomlinganiselo ophantsi wesidoda kwisidoda.
Umnikelo wamaqanda.
Iyakubonisa ukukhuthazwa kwamaqanda omnikeli ngoncedo lwamachiza, kunye nokuqokelela amaqanda. Emva koko, amaqanda ayaxutywa kwaye atyunwe ngesilisa, njengase-IVF. Emva kweentsuku ezingama 2-3 iintsuku zifakwe kwisibeleko.
I-egg donation yindlela yokukhetha kwabasetyhini aba:
- Awunayo i-ovari okanye awukwazi ukuvelisa amaqanda
- Masibe nesifo kwizifo apho amaqanda angasebenzi (umzekelo, i-Turner's syndrome)
- Unobungozi obukhulu bokudlulisa izifo zofuzo kumntwana. Kusetyenziswa kwakhona kwezinye iimeko zokungabonakali kwe-IVF.
Umbuzo wendlela yokuphatha ukungabikho komntwana, ukukhathazeka ngabantu abasemhlabeni wonke ixesha elide. Kodwa nangona kukho iindlela ezininzi, amayeza asetyenziswe ukunceda abafazi, kodwa into ephambili kulo mcimbi ayiyi kulahlekelwa yithemba. Nilwela ulonwabo. Kwaye akuyi kukugcina ulinde.