Tangoganizani kuti inu ndi mnzanu mukulota kukhala ndi mwana ndipo mukulandira chithandizo. Mwina chithandizocho chayenda bwino ndipo muli ndi mazira ena otsala. Kapena, mungafune kuteteza mwayi wanu wokhala mayi mtsogolo musanalandire chithandizo chifukwa cha matenda. Apa ndi pomwe ukadaulo wamtengo wapatali wotchedwa 'kuzizira kwa dzira' umatithandiza. Tiyeni tikambirane mwachidule.
Kodi Kuzizira kwa M'mimba ndi Chiyani?
Mwachidule, kusungira mazira m'mimba mwa mwana wosabadwa ndi njira yosungira dzira, kapena mwana wosabadwayo, lomwe lapatsidwa umuna, pa kutentha kochepa kwambiri kuti ligwiritsidwe ntchito mtsogolo. Ndi gawo lofunika kwambiri la chithandizo cha kubereka chomwe chimathandiza anthu osabereka.
Tsopano mwina mukudabwa, kodi kuzizira kwa dzira ndi kuzizira kwa mwana wosabadwayo ndi chinthu chimodzi? Ayi, pali kusiyana pang'ono.
- Kuzizira kwa Dzira: Izi zimaphatikizapo kuzizira mazira osapangidwa ndi feteleza .
- Kuzizira kwa Embryo: Izi zimaphatikizapo kuzizira dzira lomwe lapangidwa ndi umuna, kutanthauza mluza.
Kodi mumachita izi m'mikhalidwe iti?
Pali zifukwa zingapo zomwe kuzizira kwa mluza kungaganiziridwe. Nthawi zambiri kumachitika pambuyo pa chithandizo monga IVF (in vitro fertilization) .
- Pambuyo pa chithandizo cha IVF: Pa chithandizo cha IVF, mazira angapo nthawi zambiri amatengedwa ndikuphatikizidwa ndi umuna kuti apange mazira angapo. Komabe, limodzi kapena awiri okha ndi omwe amaikidwa m'chiberekero nthawi imodzi. M'malo mowononga mazira abwino otsalawo, amatha kuzizira. Ngati kuyesa koyamba sikupambana, mungagwiritse ntchito mluza wosungidwa m'malo mongodutsa njira yovuta yopezera mazira kachiwiri.
- Kusunga Ubereki: Tangoganizirani mkazi ali ndi matenda monga khansa ndipo akufunika kupatsidwa mankhwala a chemotherapy kapena radiation. Mankhwalawa angawononge mphamvu zake zobereka. Choncho, asanayambe chithandizochi, akhoza kugwiritsa ntchito umuna wa mwamuna wake kapena wa wopereka kuti apange mazira ndikusunga mtsogolo.
- Kuchedwetsa mimba: Anthu ena amasankha kuchedwetsa kubereka mwana pazifukwa zawo, monga maphunziro kapena kupita patsogolo pantchito. Popeza kubereka kumachepa ndi ukalamba, kukonzekera ndi kusunga mazira pasadakhale kungakhale njira yabwino.
- Kuti mupereke mluza:Anthu ena akabereka ana ambiri omwe akufuna, amasankha kupereka mazira otsalawo kwa mabanja ena osabereka kapena kuti akafufuze zachipatala.
Kodi muyenera kudziwa chiyani musanachite izi?
Popeza ichi ndi chisankho chachikulu, muyenera kukambirana zonse ndi dokotala wanu ndikusaina zikalata zalamulo musanayambe opaleshoni. Mafomu ovomereza awa nthawi zambiri amalongosola momveka bwino izi.
| Mfundo yofunika kwambiri | Kufotokozera |
|---|---|
| Chiwerengero cha mazira osungidwa | Kodi mazira angati omwe amasungidwa mufiriji? |
| Nthawi yosungira | Kawirikawiri zimakhala pafupifupi zaka 10. Mumachita chiyani nthawiyo ikatha? |
| Pakachitika ngozi yomvetsa chisoni | Kodi chimachitika ndi chiyani ndi mazira ngati makolo awo afa kapena alephera kupirira pamene akusungidwa? |
| Cholinga cha kugwiritsa ntchito | Kodi izi ndi za chithandizo chanu chokha, kapena mukufuna kuzipereka kwa banja lina kapena kuti zifufuzidwe? |
Komanso, mwana wosabadwayo amayamba ngati selo limodzi ndipo amapitiriza kugawikana. Choncho dokotala ndiye amene adzasankhe nthawi yabwino yosungira. Nthawi zambiri, amasungidwa pazigawo ziwiri izi:
- Gawo lolekanitsa: Patatha maola 72 kuchokera pamene umuna walowa m'thupi, selo limodzi limagawikana m'maselo 4-8.
- Gawo la Blastocyst: Pambuyo pa masiku 5-7, mwana wosabadwayo amagawikana kukhala maselo 200-300.
Kodi mumazizira bwanji mazira?
Pali njira ziwiri zazikulu zoziziritsira mazira. Njirazi ndi izi:Kulimbitsa thupi ndi kuzizira pang'onopang'ono .
Njira yomwe imagwiritsidwa ntchito kwambiri masiku ano ndi njira yachangu yotchedwa vitrification.
| Njira | Momwe zimachitikira |
|---|---|
| Kuyeretsa thupi - Njira yachangu | 1. Madzi apadera (choteteza khungu - CPA) amawonjezeredwa ku mazira. Izi zimaletsa ayezi kupanga mkati mwa maselo. 2. Kenako, mwadzidzidzi amamizidwa m'mathanki a nayitrogeni yamadzimadzi pa kutentha kozizira kwambiri kwa -196 Celsius. Izi zili ngati 'kuzizira kwa flash'. |
| Kuzizira Pang'onopang'ono - Njira Yakale | 1. Onjezani madzi pang'ono a CPA ku mazira. 2. Kenako, ikani makina mkati ndikuchepetsa kutentha pang'onopang'ono kwa maola pafupifupi awiri. 3. Kenako imasungidwa m'matangi a nayitrogeni wamadzimadzi. |
Kaya mumagwiritsa ntchito njira yosungiramo zinthu, mazirawo amaikidwa m'zidebe zapadera, monga udzu waung'ono, zomwe mwapereka ndi tsatanetsatane wanu.
Chodabwitsa apa ndichakuti mwana wosabadwa akasungidwa, zaka zake zamoyo zimathera pamenepo. Tangoganizirani ngati mutasunga mwana wosabadwayo ali ndi zaka 35. Ngakhale mutagwiritsa ntchito ali ndi zaka 50, mwana wosabadwayo angakhalebe ndi zaka 35!
Kodi ubwino ndi zoopsa zake ndi ziti?
Monga momwe zimakhalira ndi njira iliyonse yachipatala, pali ubwino ndi zoopsa zake.
| Ubwino | Zoopsa |
|---|---|
|
Chofunika kwambiri ndichakuti mwana wobadwa kuchokera ku mwana wosabadwayo wozizira sakhala pachiwopsezo chachikulu cha zilema zobadwa nazo kapena mavuto azaumoyo.
Kodi kusamutsa mwana wosabadwayo m'mimba mozizira kumatheka bwanji?
Njira imeneyi nthawi zambiri imakhala yopambana, koma kuchuluka kwa kupambana kumatha kusiyana malinga ndi munthu aliyense, kutengera zinthu zingapo.
- Zaka za amayi: Chofunika kwambiri apa ndi zaka za amayi pamene dzira limatengedwa kuti lipange mluza .
- Thanzi lonse la makolo.
- Mavuto ena omwe angakhudze kubereka: Kukhala ndi matenda monga uterine fibroids ndi endometriosis.
- Kupambana/kulephera kwa chithandizo cham'mbuyomu.
Ndi bwino kulankhula ndi dokotala wanu kuti mudziwe mwayi wopambana malinga ndi momwe zinthu zilili.
Nanga bwanji ngati mutasintha maganizo anu?
Iyi ndi njira yomwe onse awiri agwirizana. Inu kapena mnzanuyo mungasinthe maganizo anu nthawi iliyonse panthawiyi. Ngati aliyense wa inu sakugwirizana, njirayi siyingapitirire mwalamulo.
Ngati wina asankha kuti sakufuna mazira atasungidwa, chipatala chingamupatse nthawi yoti aganizirenso. Koma ngati chisankhocho sichisintha, mazirawo amachotsedwa m'malo osungiramo ndipo amasiyidwa kuti awole mwachibadwa.
Kodi chimachitika ndi chiyani ndi mazira osagwiritsidwa ntchito?
Ngati mwasankha kusagwiritsa ntchito mazira osungidwa, muli ndi njira zingapo:
- Kuzichotsa: Chipatalachi chimazichotsa m'malo osungiramo zinthu ndipo chimazilola kuti zisungunuke, zomwe zimapangitsa kuti zisamagwire bwino ntchito.
- Kupereka kwa wina: Mungapereke kwa banja lina lopanda ana kuti litenge mwana.
- Kupereka ndalama ku kafukufuku: Ndalama zitha kuperekedwa ku kafukufuku kuti apititse patsogolo sayansi ya zamankhwala.
- Kupereka ndalama zothandizira maphunziro: Zopereka zitha kuperekedwa kuti ziphunzitse madokotala amtsogolo pantchitoyi.
Ichi ndi chisankho chaumwini komanso chovuta kwambiri, kotero inu ndi mnzanu muyenera kupanga chisankhochi pamodzi, ndipo ngati kuli kofunikira, mutakambirana ndi dokotala wanu.
Uthenga Wopita Nawo Kunyumba
- Kusunga mazira a m'mimba mwa mazira (embryo cryopreservation) ndi njira yosungira mazira obereketsedwa (embryos) kuti adzagwiritsidwe ntchito mtsogolo.
- Izi ndizothandiza kwambiri pochedwetsa kutenga mimba mutatha kulandira chithandizo cha IVF, musanayambe kulandira chithandizo cha matenda monga khansa, kapena pazifukwa zanu.
- Ngakhale kuti njira imeneyi ndi yotetezeka, si mazira onse omwe asungidwa omwe adzapulumuke kuti agwiritsidwenso ntchito.
- Kupambana kwa kutenga mimba kudzera mu njira imeneyi kumadalira zinthu zambiri, makamaka zaka za mayi panthawi yobereka dzira.
- Ichi ndi chisankho chaumwini komanso chofunikira kwambiri, choncho ndikofunikira kukambirana mafunso kapena nkhawa zilizonse zomwe mungakhale nazo ndi dokotala wanu poyera komanso momveka bwino.
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