So wo nso woyɛ obi a woatwɛn bere tenten sɛ wubehu abofra bi a wodɔ no anim na woate saa hua no nka? Ɛtɔ da bi a, esiane nneɛma ahorow nti, saa dae no betumi aka akyi kakra. Nanso ɛnnɛ, esiane aduruyɛ ho nyansahu a ɛkɔ anim nti, akwan bi wɔ hɔ a wobetumi afa so akanyan saa anidaso no bio. Mfiridwuma a ɛte saa no biako ne IVF, a ɛkyerɛ sɛ wɔde nyinsɛn a wɔde hyɛ nipadua mu. Ebia woate eyi ho asɛm pɛn, anaasɛ ebia ehu aka wo kakra. Nsuro biribiara. Ɛnnɛ, yɛbɛka eyi ho asɛm tiawa koraa, wɔ ɔkwan a wubetumi ate ase so.
Sɛ yɛbɛka no tiawa a, dɛn ne IVF?
IVF din mũ no nyinaa ne In Vitro Fertilization. "In Vitro" kyerɛ "wɔ ahwehwɛ mu", a ɛkyerɛ sɛ nipadua no akyi. Enti IVF yɛ adeyɛ a wɔfa so gye nkesua a efi ɛna no hɔ ne mmadwoa a efi agya no hɔ na wɔwo (ka bom) wɔ nipadua no akyi, kyerɛ sɛ, wɔ aduruyɛdan mu.
Fa no sɛ, nyinsɛn a ɛfata ba bere a nkesua ne mmadwoa bom wɔ ɛna no awotwaa mu no. Wɔ IVF mu no, yɛyɛ saa adeyɛ no wɔ aduruyɛdan bi a nnuruyɛfo ne nyansahufo hwɛ so. Wɔde ahwɛyiye de awotwaa a wɔabɔ no saa kwan yi so no hyɛ ɛna no awotwaa mu wɔ nna kakraa bi akyi. Nyinsɛn a edi mu ba bere a saa awotwaa yi bata awotwaa no fasu ho na efi ase nyin no.
Bere bɛn na ɛsɛ sɛ wususuw IVF ayaresa ho?
IVF yɛ anidaso kɛse ma nnipa pii a wohyia awo a wontumi nwo. Nnuruyɛfo kamfo saa ayaresa yi kyerɛ bere a ayaresa afoforo adi nkogu anaa bere a akwahosan tebea horow bi wɔ hɔ no. Wubetumi anya eyi ho adwene pa denam pon a ɛwɔ ase ha no a wobɛhwɛ so.
| Sɛnti | Nkyerɛmu |
|---|---|
| Fallopian tubes no a asiw anaasɛ asɛe | Sɛ wosiw ɔkwan a ɛwo ne mmadwoa no fa so hyia a, IVF betumi adi saa akwanside no so. |
| Endometriosis a ɛwɔ nipadua no mu | Aduruyɛ mu tebea a awo a wontumi nwo esiane awotwaa mu ntini a enyin wɔ awotwaa no akyi nti. |
| Nkwaboaa ho haw ahorow | Nkwaboaa dodow a ɛba fam, wɔn a wɔntumi nkɔ baabiara a ɛso tew, anaasɛ nneɛma afoforo a ɛnteɛ. |
| Ovarian haw ahorow | Ovulation nkɔ yiye esiane tebea horow te sɛ PCOS (Polycystic Ovary Syndrome) nti. |
| Ɔhaw ahorow a ɛba awotwaa mu | Awotwaa mu ntini a ɛyɛ mmerɛw anaa nhyehyɛe mu ɔhaw afoforo. |
| Awo a wontumi nwo a wonnim nea ɛde ba | Nsɛm a nhwehwɛmu nyinaa yɛ nea ɛfata nanso nyinsɛn mma (Awo a wontumi nkyerɛkyerɛ mu). |
| Nneɛma afoforo nti | Asiane a ɛwɔ hɔ sɛ wɔde awosu mu nyarewa bɛma abofra no, ɛna no mfe a ɛbɛkɔ soro, anaasɛ wɔde nkesua/nkwaboaa a wɔde ma no bedi dwuma. |
Dɛn ne anammɔn a wɔfa so yɛ IVF no?
IVF nyɛ biribi a wobetumi awie da koro. Ɛyɛ adeyɛ a ɛwɔ anammɔn pii, na egye bɛyɛ adapɛn 4 kosi 6. Momma yɛnhwɛ nea saa anammɔn ahorow no yɛ.
1. Ovarian a Wɔkanyan no
Mpɛn pii no, ɛmo biako nyin ɔsram biara. Nanso wɔ IVF mu no, yehia nkesua bɛboro biako. Enti, wɔma nkesua pii nyin prɛko pɛ denam nnuru a ɛma hormone a wɔde twitwiw mu da biara da so. Eyi gye nnafua 8 kosi 14 . Saa bere yi mu no, wo duruyɛfo no bɛhwɛ sɛnea ntini no kɛse te daa denam ultrasound ne mogya mu nhwehwɛmu a ɔbɛyɛ so.
Sɛ nkesua no nyin na du kɛse a wɔpɛ a, wɔde aduru a etwa to ma na ama anyin koraa. Wɔfrɛ eyi "Trigger Shot." Wɔsan gye nkesua no wɔ nnɔnhwerew 36 pɛpɛɛpɛ wɔ saa aduru yi akyi .
2. Nkwaa a Wɔgye
Eyi yɛ oprehyɛn ketewaa bi. Wɔde wo da (aduru a ɛma obi dwo a ɛnyɛ den), enti worente ɛyaw kɛse. Oduruyɛfo no de ade a ɛyɛ fɛ yiye bɛhyɛ wo awotwaa mu, de scanner, ahyɛ wo mmadwoa mu, na ɔde ahwɛyiye ayi nkesua a ɛho akokwaw no mmiako mmiako.
Nsuro saa adeyɛ yi. Aduruyɛ kuw no bɛhwɛ sɛ worenhyia ɔhaw biara.
3. Nnuru a wɔde ma wɔ aduruyɛdan mu
Wɔde nkesua a wonya wɔ saa kwan yi so no ne mmadwoa a ɛyɛ papa sen biara a efi agya no hɔ wɔ aduruyɛdan mu no bom. Mpɛn pii no, wɔde ɔkwan bi a wɔfrɛ no ICSI (Intracytoplasmic Sperm Injection) di dwuma. Eyi kyerɛ sɛ wɔde mmadwoa biako gu ɛmo biako mu fɛfɛɛfɛ yiye. Eyi ma sɛnea ɛbɛyɛ yiye sɛ wɔbɛwo no yɛ kɛse. Mpɛn pii no, bɛyɛ 70% wɔ nkesua a ɛho akokwaw a wonya no mu yiye.
4. Nkwaboaa Nkɔso
Mprempren ɛmo a wɔahyɛ no ma no ayɛ awotwaa. Wɔde saa nkwaboaa yi sie afiri titiriw bi a wɔfrɛ no incubator mu nnafua 5 anaa 6 na ama anyin. Saa bere yi mu no, nyansahufo hwɛ wɔn nkɔso so yiye. Wɔpaw nkwaboaa a wɔanyin yiye na wɔwɔ apɔwmuden (blastocyst stage) no ma wɔde bɛhyɛ awotwaa no mu. Mpɛn pii no, nkwaboaa a wɔahyɛ no ma no mu bɛyɛ 50% du saa gyinabea yi. Wobetumi de nkwaboaa pa a aka no nso ahyɛ nwini mu de adi dwuma daakye.
5. Nkwaboaa a Wɔde Kɔ baabi foforo
Eyi yɛ adeyɛ a ɛyɛ mmerɛw yiye a ɛnyɛ yaw. Ɛte sɛ nea wɔayɛ Pap smear. Oduruyɛfo no de afiri a ɛyɛ fɛ yiye (catheter) di dwuma de awotwaa anaa nkwaboaa a eye sen biara hyɛ w’awotwaa mu. Eyi gye nea ennu simma 10.
6. Nyinsɛn a wosi so dua
Bere a wɔde awotwaa no akɔ baabi foforo akyi nnafua 9 kosi 14 no , wɔyɛ mogya mu nhwehwɛmu de kyerɛ sɛ woanyinsɛn anaa.
So asiane ne nsunsuanso bɔne bi wɔ IVF mu?
Sɛnea ɛte wɔ aduruyɛ biara mu no, IVF betumi de asiane ahorow ne ɔhaw ahorow bi aba. Ɛho hia sɛ wudi kan hu eyinom.
| Asiane ahorow a ɛwɔ mu | Nsunsuanso bɔne a efi mu ba |
|---|---|
| Awo mmanoma: Sɛ wɔde nkwaboaa bɛboro biako kɔ baabi foforo a, hokwan a ɛwɔ hɔ sɛ wobenya mmanoma no yɛ kɛse. | Akisikuru, tiyɛ, ne nipadua mu hyew bere a wɔreyɛ ayaresa no. |
| Nyinsɛn a wotu gu: Asiane ahorow wɔ hɔ, te sɛ nea ɛte wɔ nyinsɛn a ɛfata ho no. | Akuru ne ɛyaw wɔ mmeae a wɔde aduru no gu no. |
| Nyinsɛn a ɛnyɛ mpɔtam hɔ a ɛwɔ awotwaa no akyi: Nkwaboaa a wɔde hyɛ awotwaa no akyi. | Yafunu mu a ɛyɛ hyew ne akisikuru a ɛba bere a wɔde awotwaa ahyɛ mu akyi. |
| Ovarian Hyperstimulation Syndrome (OHSS): Tebea a ɛntaa nsi a ɛma yafunu mu yɛ yaw na ɛhohoro esiane awotwaa no a wɔkanyan no dodo nti. | Nufu mu yaw, nsensanee kakra. |
Mpɛn pii no, saa sɛnkyerɛnne ahorow yi mu dodow no ara fi hɔ wɔ nna kakraa bi mu, nanso sɛ wuhu biribi te sɛ atiridiinini kɛse, mogya a ɛtɔ kɛse, mogya a ɛba wo nsu mu, anaa yafunu mu yaw a wuntumi nnyina ano a , ɛsɛ sɛ wofrɛ wo duruyɛfo ntɛm ara .
IVF di yiye dɛn?
Wontumi nkyerɛ sɛnea IVF bedi nkonim ntɛm ara. Egyina nneɛma pii so.
- Mfe a wadi: Ade titiriw a ɛde ba ne mfe a ɛna no adi. Nkonimdi dodow no dɔɔso wɔ mmea a wonnii mfe 35. Sɛ wodi mfe 40 akyi a, saa dodow yi so tew kɛse.
- Nea enti a ontumi nwo: Ɛsono sɛnea obi di yiye a egyina nea ɛde ba no so.
- Asetra kwan: Asetra pa a wobɛkɔ so akura mu nso ho hia.
- Ayaresabea no su: Osuahu ne mfiridwuma a ɛwɔ ayaresabea a wɔde ayaresa no rema no mu.
Sɛ IVF kyinhyia bi di nkogu a, mma w’abam mmu. Nnipa pii di nkonim wɔ wɔn mmɔdenbɔ a ɛto so abien anaa nea ɛto so abiɛsa no mu. Wo ne wo duruyɛfo nkasa na si nea wobɛyɛ akyi.
IVF yɛ akwantu a ɛyɛ den wɔ nipadua ne nkate fam. Ɛho hia sɛ wo ne wo hokafoɔ bɛboa mo ho mo ho wɔ saa akwantuo yi mu. Sɛ wote nka sɛ woayɛ basaa a, wo ne wo duruyɛfo anaa obi a wowɔ ne mu ahotoso nka ho asɛm.
Nkrasɛm a Wɔde Kɔ Fie
- IVF yɛ aduruyɛ mu ɔkwan a ɛkɔ akyiri a nea ɛka ho ne sɛ wɔde nkesua ne mmadwoa a ɛwɔ nipadua no akyi bom na wɔde awotwaa a efi mu ba no hyɛ awotwaa no mu.
- Eyi yɛ ano aduru pa ma nneɛma pii a ɛde awo a wontumi nwo, nanso ɛnyɛ adwuma mma obiara.
- Mfe a ɛna no adi no yɛ ade titiriw a ɛma IVF di yiye. Dodow a mfe no sua no, dodow no ara na nkonimdi no dɔɔso.
- Saa adeyɛ yi betumi ayɛ nea ɛyɛ den wɔ nipadua ne adwene mu, enti adwene mu ahosiesie ne mmoa a wo hokafo de bɛma no ho hia yiye.
- Sɛ wowɔ nsɛmmisa, dadwen, anaa adwenem naayɛ bi wɔ eyi ho a, wo ne wo duruyɛfo nsusuw ho pefee. Ɛno ne beae a eye sen biara a wubetumi anya nsɛm ne akwankyerɛ a ɛyɛ nokware sen biara.
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