Hapana chinhu chakanaka kupfuura kurota kuva amai kana baba. Asi dzimwe nguva, nekuda kwezvikonzero zvakasiyana-siyana, zvinogona kunonoka kuita kuti chiroto ichocho chizadzike. Nhasi, tichataura nezve tekinoroji inogona kuunza tariro itsva kune avo vaneta nekushaya mwana uye vakamborapwa zvakasiyana-siyana. Ndiyo tekinoroji yeIVF, kana kuti in vitro fertilization iyo vanhu vazhinji vari kutaura nezvayo. Kunyangwe izvi zvingaita sezvakaoma zvishoma, ngatitaurei nezvazvo nhanho nhanho, zviri nyore.
Zvichitaurwa zviri nyore, chii chinonzi IVF?
Zvinorehwa zvizere neIVF ndekuti In Vitro Fertilization . Pano, 'In Vitro' zvinoreva "mugirazi". Kureva kuti, tinodana IVF kuti ndiyo nzira yekuberekesa zai kubva kuna amai nembeu kubva kuna baba kunze kwemuviri, murabhoritari.
Fungidzira, kazhinji mwana anobatwa nepamuviri nekubatana kwezai nembeu mumuviri waamai. Asi kana nekuda kwechimwe chikonzero maitiro aya asingaitike zvakanaka mumuviri, vanachiremba vanoita izvi kunze kwemuviri, ndiko kuti, murabhoritari, vachishandisa michina yakakosha.
Mushure memazuva mashoma, mwana ari mudumbu anodzoserwa muchibereko chaamai. Kana mwana ari mudumbu akadyarwa mudumbu, pamuviri unogona kubudirira. Iyi ndiyo pfungwa huru yekurapwa kweIVF.
Ndiani anoda kurapwa neIVF?
IVF haisi chinhu chinogona kuitwa nemunhu wese asina mwana. Vanachiremba vanongoshandisa nzira iyi chete kana mamwe marapirwo akundikana kana paine zvimwe zvirwere. Ngatitarisei mamiriro ezvinhu ayo kurapwa kweIVF kungave kwakakodzera.
| Chikonzero | Tsananguro iri nyore |
|---|---|
| Kuvharika kana kukuvara kwemachubhu eFallopian | Kana machubhu anotakura zai kubva muchibereko kuenda kuchibereko akavharwa, mbeu haigone kusvika muzai. Izvi hazvisi dambudziko nekuti machubhu aya anodziviswa muIVF. |
| Dambudziko re endometriosis | Kukura kwenyama inofanira kunge iri mukati mechibereko kunze kwechibereko kunogona kukuvadza nhengo dzakadai semazai nemachubhu efallopian. Ichi ndicho chikonzero chikuru chekushaya mbereko. |
| Matambudziko embeu | Kana uine huwandu hushoma hwembeu, kutadza kufamba zvakanaka, kana matambudziko nechimiro chembeu yako, zvakaoma kubata pamuviri nenzira yechisikigo. |
| Zvirwere zvemazai zvakaita sePCOS | Matambudziko akaita sePolycystic Ovary Syndrome (PCOS) anogona kukonzera ovulation isina kurongeka. IVF inogona kubatsira nekudzora kukura kwemazai. |
| Kusabereka Kusina Tsananguro | Dzimwe nguva, kunyangwe bvunzo dzese dziri dzenguva dzose, mwana haakure. Muzviitiko zvakadaro, IVF isarudzo yakanaka. |
| Zvirwere zvemajini | Kana paine mukana wekutapurira chirwere kubva kumubereki mumwe kuenda kumwana, mwana anogona kuongororwa asati aiswa muchibereko uye mwana ane hutano anogona kusarudzwa. |
| Kukura kuri kuwedzera | Mukadzi paanokura, kunaka kwemazai ake kunoderera, izvo zvinoderedza kugona kwake kubata pamuviri nenzira yechisikigo. |
Pamusoro pezvo, tekinoroji yeIVF inoshandiswawo kana munhu anopa zai kana kuti munhu anotsiva pamuviri achishandiswa.
Maitiro ekurapa IVF anoshanda sei?
Ichi hachisi chinhu chinogona kupedzwa nezuva rimwe chete. Ibasa rinotora mavhiki angangoita mana kusvika matanhatu uye rine matanho akati wandei. Ngatitaurei nezve chimwe nechimwe chazvo zvakajeka.
1. Kukurudzirwa kweOvarian
Kazhinji, muviri wako unoburitsa zai rimwe chete rakura pamwedzi. Asi muIVF, zai rimwe chete harina kukwana. Kuwana mazai akawanda akanaka uye akura panguva imwe chete kunowedzera kubudirira. Kuti uite izvi, uchabayiwa majekiseni emahormone akawanda zuva rega rega kwemazuva angangoita masere kusvika gumi nemana.Unofanira kuiwana. Jekiseni iri rinosimudzira mazai ako, zvichiita kuti mazai akawanda akure panguva imwe chete pane rimwe chete.
Munguva iyi, chiremba wako achakutarisa nguva nenguva.
- Kuongororwa kweUltrasound: Kuongororwa uku kunoyera saizi uye huwandu hwema follicles ari mumaovari. Izvi zvinogona kubatsira kuona kuti mazai akura zvakadii.
- Kuongororwa kweRopa: Mahormone anoongororwa kuti vaone kana mushonga wacho uchifanira kuwedzerwa kana kuderedzwa.
Kana mazai anyatsokura, jekiseni rekupedzisira rinopihwa. Izvi zvinonzi "Trigger Shot." Izvi zvinoitirwa kupedzisa kuibva kwemazai uye kugadzirira kusunungurwa kubva muchibereko. Maawa makumi matatu nematanhatu chaiwo mushure mekubaiwa jekiseni iri, danho rinotevera nderekutora mazai.
2. Kutora Mazai
Izvi zvakafanana nekuvhiyiwa kudiki. Asi hapana chekutya zvakanyanya. Zvinoitwa pasi pekunyaradza zvishoma, saka haunzwi kurwadziwa.
Chiremba anoisa tsono diki kwazvo muchibereko kuburikidza nemuchikadzi achishandisa muchina we ultrasound. Zvadaro, achishandisa mudziyo wekusveta wakabatana netsono, mazai akakura anobviswa nokungwarira rimwe nerimwe. Mazai anounganidzwa nenzira iyi anoiswa mundiro ine mvura yakakosha uye anoiswa mu incubator patembiricha inodiwa kuti mwana akure.
3. Kuisa mbeu mumbeu
Pazuva rimwe chete rinotorwa mazai, sampuro yembeu inotorwa kubva kune mumwe wako. Zvadaro, nyanzvi yezvembeu iri murabhoritari inosanganisa mazai akakura atorwa nembeu yobva yabvumira kuti iberekeswe.
Kazhinji, nzira inonzi ICSI (Intracytoplasmic Sperm Injection) inoshandiswa pakuita izvi. Chinoitwa pano kusarudza mbeu yakanakisisa uye kuibaya zvakananga muzai netsono diki kwazvo. Izvi zvinowedzera mukana wekubereka.
Kazhinji, inenge 70% yemazai akakura anotorwa anobva abatanidzwa nembeu zvinobudirira. Semuenzaniso, kana mazai gumi akatorwa, anenge manomwe anogona kukura kuita maembryo.
4. Kukura kweEmbryo
Mushure mekusangana kwembeu, maembryo aya anotariswa zvakanaka murabhoritari kwemazuva angangoita mashanu kusvika matanhatu. Munguva iyi, masero embeu anopatsanuka uye anokura. Haasi ese maembryo anokura kusvika padanho iri. Kazhinji, anenge 50% chete emaembryo anoberekeswa anosvika padanho reblastocyst , iro rakakodzera kuiswa muchibereko. Izvi zvinoreva kuti kana maembryo manomwe akagadzirwa, matatu kana mana chete ndiwo achakura zvakanaka.
5. Kutamisirwa kweEmbryo
Iri ndiro danho rekupedzisira uye rakakosha zvikuru mukuita IVF. Hazvirwadzi. Inzira iri nyore, sekunge uri kuita Pap test.
Chiremba anoisa chubhu yakatetepa (catheter) nepamuromo wechibereko opinda muchibereko obva aendesa embryo kana maembryo akanakisisa akasarudzwa pachine nguva muchibereko. Izvi zvinotora maminetsi asingasviki gumi.
Zvakakosha: Kazhinji kacho mwana mumwe chete kana kuti vana vaviri chete ndivo vanotamiswa. Kana vana vakawanda vakatamiswa, njodzi yekubereka mapatya kana vana vatatu inowedzera. Chero vana vasara vari mumamiriro akanaka vanogona kuomeswa nechando kuti vazoshandisa mune ramangwana.
Zvino chasara kungomirira nemoyo murefu. Kana mwana akadyarwa akanamatira zvakanaka pamadziro echibereko (implantation), pamuviri pachavapo. Kuti izvi zvisimbiswe, kuongororwa ropa kunoitwa pakati pemazuva mapfumbamwe negumi nemana.
Ndezvipi njodzi nemigumisiro yekurapwa kweIVF?
IVF inowanzova nzira yakachengeteka yekurapa. Zvisinei, sezvinoitwa chero nzira yekurapa, kune dzimwe njodzi nemigumisiro inogona kuitika. Zvakakosha kuziva nezvazvo.
| Njodzi/migumisiro yakaipa | Tsananguro |
|---|---|
| Kuzvarwa Kwevana Vakawanda | Kana mwana anopfuura mumwe chete akatamisirwa kumwana, mikana yekuva nemapatya inowedzera. Izvi zvinogona kukonzera matambudziko akadai sekuzvarwa nguva isati yakwana. |
| Ovarian Hyperstimulation Syndrome (OHSS) | Dambudziko risingawanzoitika rinokonzerwa nemahormone anopiwa kukurudzira mazamu. Zviratidzo zvinosanganisira kuzvimba, kuda kurutsa, uye kurwadziwa mudumbu. Kana zvakanyanya, munhu angafanira kugara muchipatara. |
| Kubvisa pamuviri | Pane njodzi yekubuda pamuviri kana waita pamuviri wechisikigo uye kana waita IVF. Izvi zvinogona kuwedzera nekukura. |
| Kubata pamuviri panguva yekuzvitakura | Kuiswa kwemwana ari mudumbu kunze kwechibereko, kazhinji muchubhu yefallopian. Ichi chirwere chine njodzi. |
| Migumisiro yakajairika | Jekiseni rinogona kukonzera kuda kurutsa, musoro, kushaya simba, kurwadziwa mudumbu zvishoma, kurwadziwa kwemazamu, uye mavanga panzvimbo yejekiseni. Izvi hazviwanzo kuva zvakakomba. |
Kurapwa uku kunogona kunetsa zvikuru, mumuviri nemupfungwa . Manzwiro akadai setariro, kusuruvara, uye kushushikana zvinogona kuitika kakawanda. Saka, zvakakosha kutaura zvakawanda nemumwe wako panguva iyi, kuwana rutsigiro kubva kune vadikanwi, uye kutsvaga mazano kana zvichidikanwa.
Kurapa kweIVF kunobudirira sei?
Uyu ndiwo mubvunzo mukuru uri mupfungwa dzemunhu wese. Kubudirira kweIVF kunosiyana kubva pamunhu kusvika pamunhu. Chinhu chikuru chinoikanganisa izera remukadzi .
- Kubudirira kwakanyanya kuvakadzi vari pasi pemakore makumi matatu nemashanu (kazhinji kacho vanenge 40% - 50%).
- Chikamu ichi chinodzikira zvishoma nezvishoma pakati pemakore makumi matatu nemashanu nemakumi mana .
- Mushure memakore makumi mana, mwero wekubudirira unoderera zvakanyanya.
Kuwedzera pazera, zvinhu zvakaita sechikonzero chekusabereka, mararamiro (kusvuta, huremu), huwandu hwepamuviri hwakamboitwa, uye mhando yekiriniki yekurapwa zvinokanganisawo kubudirira.
Usazvidya moyo kana chirongwa cheIVF chikatadza kushanda. Vanhu vazhinji vanoedza nzira dzakasiyana-siyana kuti vawane mhedzisiro yakanaka.
Zvinhu zvekufunga nezvazvo usati warapwa uye mushure mekurapwa
Usati watanga kurapwa neIVF, iwe nemumwe wako muchafanirwa kuongororwa kakawanda. Izvi zvinosanganisira kuongororwa ropa, kuongororwa kwechiuno, uye kuongororwa kwembeu. Chiremba wako achakuudzawo kuti utange kutora mavhitamini, akadai se folic acid.
Mushure mekurapwa, kunyanya mushure mekuendeswa kwemwana ari mudumbu, zvakanaka kudzivisa mabasa anorema uye kusimudza zvinhu zvinorema. Asi haufanirwe kugara wakarara zvachose. Chinhu chakakosha ndechekutevedzera mirairo yachiremba wako nemazvo.
Mharidzo Yekuenda Nayo Kumba
- IVF inzira yekurapa iyo mwana ari mudumbu akagadzirwa nekubatanidza zai nembeu kunze kwemuviri zvinodzorerwa muchibereko.
- Izvi hazviitirwi munhu wese. Zvakanakira avo vane zvikonzero chaizvo, zvakaita semachubhu ekutapurirana akavharika kana matambudziko embeu.
- Chinhu chikuru chinokanganisa kubudirira izera remukadzi . Kana ari mudiki, mikana yekubudirira inowedzera.
- Maitiro aya anogona kunetsa muviri nepfungwa, saka nyatso tarisira hutano hwepfungwa dzako.
- Usarasikirwa netariro kana ukasabudirira pakuedza kwako kwekutanga. Vanhu vazhinji vanofanirwa kuedza kakawanda.
- Kana muine mibvunzo nezvenyaya iyi, musazeza kutaura pachena nachiremba wenyu .
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