Izibonakaliso zokusatshalaliswa kwempahla kunye nezindlela zokulawulwa kwazo

Ngomntu ngamnye ukuqhubeka kwentsapho kuzalwa - ukuzalwa kwabantwana. Nangona kunjalo, malunga ne-30% yezibini zineengxaki ezinjenge-infertility. Kuloo mqondiso omncinci njengesiqhumiso, ezininzi izinto ezinokuphazamisa. Ingxaki yokungabikho kwintsapho kwintsapho kunye nendoda idla ngokudibanisa. Kule meko, akusoloko kuyimfuneko ukulungisa ingxaki kwikalini, usebenzisa i-vitro fertilization (IVF). Ukuphumelela kakhulu ekupheliseni ingxaki yokungabikho kwengqondo kuncedwa yindlela elula, efumaneke ngakumbi-ukuchithwa kwezinto ezikhoyo. Ziziphi izibonakaliso zokusatshalaliswa kweendlela kunye nezindlela zokuqhuba zifumaneka kule ncwadi.

Izindlela zokwenza inkqubo yokusasaza.

Ukusabalalisa okufakelwayo - ukufakwa kwisisu sombele (umyeni okanye umnikeli), ophathwa ngaphambili, ngenjongo yokukhulelwa. Emva koko, inkqubo yokuguquka kwesidoda ngokusebenzisa iibhulo ezikhohlakeleyo ivela ngokwemvelo, iphela kunye nentlanganiso yesidoda kunye neqanda, leyo isityalo. Inkqubo yokuzisa isilisa iqhutyelwa ngokusebenzisa i-catheter ekhethekileyo, ihamba ngokulula kwinqanaba lomlomo wesibeleko. Le nkqubo ayibuhlungu, ubude bayo abukho ngaphezu kwemizuzu emibini. Emva kwenkqubo, ibhinqa kufuneka ilale enye isigama seyure.

Ukugqithiswa kokufakelwa komzimba kwenziwa kwangoko okanye kabini kwiintsuku zokulindela. I-Sperm isetyenzisiweyo, equle kwi-milliliter enye engekho ngaphantsi kwezigidi ezili-10 ezisebenzayo i-spermatozoa kwaye ubuncinane izigidi ezine ze-spermatozoa ezine-morphology eziqhelekileyo.

Iingenelo zokusatshalaliswa kokufakelwa.

• Ipesenti yokukhulelwa ngokuphumelelayo iyafana ne-IVF;

• Ukunyamezela kakuhle;

• Intengo engahlawulelwayo (engenakuthiwa nge-IVF).

Izibonakaliso zokuqhuba ukusasazwa zingahlulwa ngamaqela amathathu:

• ukutshatyalaliswa kwenzalo yomyeni;

• imbewu yokutshatyalaliswa komnikeli;

• ukusasazwa ngumfazi.

Izibonakaliso zokusetyenziswa komlingane wesilisa:

• Ukungabi namandla;

• Vaginismus;

• I-neck factor (kunye nokulahleka kwesidoda sokuhamba emva kokuwela kwinqanawa yomlomo wesibeleko). Ngokuqhelekileyo oku kubangelwa kubukho bomkhuhlane wesibeletho se-antisperm antibodies ("ukungathandabuzeki" komfazi kumyeni wakhe);

• Ukungqinisiswa kwamalungu omzimba xa ukulala ngesondo kungenakwenzeka;

• Ukungabikho kokunyuka;

• I-Oligospermia (inombolo encinci ye-spermatozoa ehamba ngokuqhelekileyo).

Izibonakaliso zokusebenzisa umniki wesini :

• Izifo ezithintekayo ezithintekayo zomyeni (AIDS);

• Ukungahambelani kunye neResus factor of the spouses;

• I-Azoospermia (ukungabikho kwe-spermatozoa kwi-ejaculate);

• Ukunciphisa ama-indices ka-spermogram, ukuba akukho miphumo yonyango.

Iinkcazo zokusasazwa ngumfazi :

• I-Endometriosis yesidanga esinzima kunye neyesi-moderation;

• Inkqubo yokunamathela kwi-pelvis encinci;

• Ukungabikho komlingani wesini.

Ukungqinelana nokusabalalisa:

• Iinjongo zobuhlanga ezibangelwa "ukunciphisa uhlanga";

• Ukungabikho kwesiqinisekiso esibhaliweyo sokuba bobabini bomtshato bavumelana;

• Inkqubo phantsi kwe-anesthesia;

• Ukungabikho kwemvume yabasetyhini;

• Ukungqiniswanga kwesibeleko, okwenza ukukhulelwa kungenzeki;

• Izikhumba okanye izicubu ze-ovari;

• Inkqubo yokuvuvukala eqhelekileyo;

• Izifo zengqondo neziqhelekileyo, apho ukukhulelwa kukhutshwe khona;

• Iimvumba ezibi kakhulu naluphi na indawo.

Amanyathelo enkqubo yokusasaza .

• Ukuqhelaniswa komjikelezo wesikhokelo wendalo okanye ukuvuselelwa kwe-ovulation.

• Ukujonga ukuvuthwa kweqanda, ukubeka iliso ukulungiswa kwe-endometrium yokuchumisa (eyenziwa ngoncedo lwe-ultrasound).

• Ukukhethwa kwexesha le nkqubo (ngosuku apho iqanda likhula kwaye lishiya i-ovary).

• Ukuqaliswa kwangaphakathi kwemvelo yesidoda.

Utyando lweNtsholongwane yokusabalalisa.

Kubalulekile ukuphatha umdaka ukuphelisa iiprotheni zangaphandle eziqulethwe kuyo, ezinokubangela ukuphazamiseka. I-Centrifugation, ukulungiswa kunye nokwanda kwamadoda ngexesha lokucubungula lwenziwa, emva koko luya kugxininiswa, lukhutshwa kwiqela elincinci le-spermatozoa.

Akwamkelekanga ukudibanisa isidoda somnikeli kunye nomyeni, kuba umgangatho womnini wesondlo uyancipha.

Izinto ezifaka isandla ekuphuculeni umphumo wokusabalalisa:

• Ukusebenzisa umgangatho wesilisa;

• Ukusetyenziswa kweziyobisi - izikhuthazo zokuvuthwa;

• Inxalenye yezibini zombini;

• Ubudala bomfazi ungaphantsi kweminyaka engama-30.

Okwangoku, ukuchithwa kwezinto ezibonakalayo kubandakanya enye yezona ndawo ezibalulekileyo kunyango lokungabikho komntwana. Ukusetyenziswa kwale ndlela kuyanciphisa kakhulu inani labantu abangabantwana abangabantwana kwaye bubungqina bokuba unesifo esingenasifo kwaye unokulwa.