Ingaba wena neqabane lakho beninethemba lokufumana umntwana ixesha elide? Kusenokwenzeka ukuba niye nabonana nogqirha naza navavanywa. Ngelo xesha, ugqirha wakho usenokuba ukuxelele ngonyango olubizwa ngokuba yi-"IUI". Ngoko ke, abantu abaninzi baziva benomdla kwaye besoyika xa besiva eli gama. Ngoko ke namhlanje, masithethe ngokulula nangobuhlobo malunga nokuba yi-IUI, yintoni, yenziwa njani, ifanelekile kubani, kwaye ingaba iphumelele na.
Yintoni i-IUI? Masiyiqonde ngokulula.
I-IUI yindlela yonyango lokuzala eyaziwa ngokuba yi-artificial insemination. Ibandakanya ukufaka isidoda sendoda ngqo esibelekweni somfazi.
Ngoku makhe sijonge indlela eqhele ukwenzeka ngayo ukukhulelwa. Emva kokuba isidoda singene kwisini ngexesha lokwabelana ngesondo, izigidi zesidoda kufuneka zihambe umgama omde zingene kwisibeleko, zidlule kwisibeleko, zize zingene kwimibhobho yesibeleko. Khawuthelekelele indlela olunzima ngayo olu hambo, kwaye malunga ne-5% kuphela yesidoda esingena kwisini esifikelela kwisibeleko. Xa iqanda likhutshwa kwisibeleko, lilinda kwityhubhu yesibeleko. Ukuchumisa kwenzeka xa esinye sesidoda esihambe loo ndlela ide sidibana neqanda.
Kodwa kunyango lwe-IUI, olu hambo lufutshane kakhulu.
Ngamafutshane, i-IUI ifana nokudala "indlela emfutshane" yokuba isidoda sifikelele kwindawo yaso.
Ngale ndlela, kuthathwa isampuli yesidoda kumyeni wakho ize "ihlanjwe" kwilebhu. Nangona oku kubizwa ngokuba "kukuhlamba," eneneni kwahlula kuphela isidoda esilungileyo, esisempilweni, nesikhawulezayo kwi-ejaculate. Ezi sidoda zikhethiweyo emva koko zifakwa ngqo kwisibeleko sakho kusetyenziswa ityhubhu encinci (i-catheter). Oku kunciphisa umgama kunye nexesha elithathwayo ukuba isidoda sifikelele kwiqanda kwimibhobho ye-fallopian. Oku kwandisa amathuba okukhulelwa.
Rhoqo, oogqirha bacebisa ukuba uzame unyango lwe-IUI ngaphambi kokuba uye kunyango olubiza kakhulu nolunzima njenge-IVF.
Kuphantsi kweziphi iimeko apho unyango lwe-IUI lucetyiswa khona?
Zininzi izizathu zokuba umntu angafumani bantwana. I-IUI sisisombululo esilungileyo ngenxa yezinye zezo zizathu. Makhe sibone ukuba zeziphi iimeko apho unyango lwe-IUI luluncedo kakhulu.
| Imeko/Isizathu | I-IUI inokunceda njani? |
|---|---|
| Iingxaki zomlomo wesibeleko | Ukuba i-cervical mucus ityebile, kunokuba nzima ukuba i-sperm ifikelele phezulu. Kwi-IUI, le ngxaki iyathintelwa kuba i-sperm iyadlula kwi-cervix ize iye ngqo kwi-uterus. |
| Inani eliphantsi lesidoda okanye ezinye iingxaki | Ukuba inani lamadlozi omyeni wakho liphantsi, libuthathaka, licotha, okanye lineengxaki zokuma, i-IUI inokunceda. Le ndlela ikhetha kuphela amadlozi afanelekileyo ize iwathumele esibelekweni, nto leyo eyandisa amathuba okuphumelela. |
| Ukusetyenziswa kweSidoda esinikelayo | Ukuba umyeni uneengxaki zokuvelisa isidoda okanye usebenzisa isidoda esinikelayo ngesizathu esithile, i-IUI yeyona ndlela ifanelekileyo. |
| Iingxaki zokukhupha umchamo okanye ukuvuka | Ukuba umyeni wakho uneengxaki zokuvuka okanye ukuchama ngexesha lokwabelana ngesondo, i-IUI ingenziwa ngokuthatha isampuli yesidoda. |
| Ukunganyamezelani kwamadlozi | Oku kunqabile kakhulu. Abanye abafazi banokuba ne-allergy kwiiproteni ezikwisidoda samadoda abo. Ngexesha le-IUI, isidoda "siyahlanjwa" ukuze kususwe iiproteni ezibangela i-allergy. |
| Ukungafumani bantwana okungachazwanga | Ngamanye amaxesha, nangona kukho zonke iimvavanyo, isizathu esithile sokulibaziseka kokukhulelwa komntwana asifumaneki. Kwimeko ezinjalo, unyango lwe-IUI lusenokuphumelela. |
Amatyala apho unyango lwe-IUI lungaphumeleli khona
Nangona kunjalo, i-IUI ayisebenzi kuwo wonke umntu. IngakumbiUkuba imibhobho ye-fallopian ivaliwe, ukuba kukho iimeko ezinzima ezifana ne-endometriosis, okanye ukuba umyeni uneengxaki ezinkulu kakhulu ngesidoda sakhe, i-IUI ayizukuphumelela. Kwiimeko ezinjalo, kuya kufuneka usebenzise unyango olufana ne-IVF.
Yintoni umahluko phakathi kwe-IUI kunye ne-IVF?
Abantu abaninzi bayabhideka phakathi kwe-IUI kunye ne-IVF. Ezi ziindlela ezimbini ezahlukeneyo zonyango.
| Uphawu | I-IUI (Ukufakwa Kwembewu Engaphakathi Kwesibeleko) | IVF (Ukuchumisa kwiVitro) |
|---|---|---|
| Apho ukuchumisa kwenzeka khona | Ivela ngaphakathi emzimbeni (kwityhubhu ye-fallopian). | Kwenzeka ngaphandle komzimba (kwilebhu). |
| Inkqubo | Imbewu yesidoda ekhethiweyo ifakwa esibelekweni. Iqanda kunye nembewu yesidoda ziyadibana ngokwendalo. | Amaqanda kunye nesidoda ziyakhutshwa emzimbeni, kwakheka umbungu kwilebhu, uze ubuyiselwe esibelekweni. |
| Ubunzima kunye nentlungu | Ayinzima kangako. Ayinantlungu ingako. | Kunzima ngakumbi. Kufuneka utyando oluncinci ukuze kufunyanwe amaqanda. |
| Ixabiso | Ingaphantsi kakhulu kune-IVF. | Okungaphezulu kakhulu kune-IUI. |
Indlela esebenza ngayo inkqubo yonyango lwe-IUI
Ukususela ekuqaleni ukuya ekupheleni, inkqubo ye-IUI idla ngokuthatha iiveki ezine, ubude obufanayo nomjikelo wakho wokuya exesheni wenyanga. Kukho amanyathelo amathathu aphambili kuyo.
1. Ukufumanisa i-Ovulation
Ukuze i-IUI iphumelele, isidoda kufuneka sifakwe kwisibeleko ngexesha elifanelekileyo . Oko kukuthi, ngexesha elifanelekileyo xa elinye lamaqanda akho likhutshwa. Kukho iindlela ezahlukeneyo zokufumana eli xesha lichanekileyo.
- IiKits zokuQaphela i-Ovulation: Le khithi, efumaneka kwiikhemesti, ingasetyenziselwa ukumisela ixesha eliqikelelweyo le-ovulation ngokulinganisa inqanaba le-Luteinizing Hormone (LH) kumchamo.
- Uvavanyo lwe-scan: Ugqirha uza kwenza i-ultrasound scan ye-transvaginal ukuze abone ukuba amaqanda akhula njani kwii-ovari aze amisele usuku olufanelekileyo lwe-ovulation.
- Amayeza: Ngamanye amaxesha amayeza athathwa ngomlomo (umz. iClomiphene citrate) okanye iinaliti ezifana ne-hCG (iChorionic Gonadotropin yomntu) ziyanikwa ukuze kukhuthazwe ukukhutshwa kwamaqanda. Oku kunokubangela ukuba kukhutshwe amaqanda angaphezu kwelinye.
I-IUI yenziwa phakathi kweeyure ezingama-24 ukuya kwezingama-36 emva kokuba i-ovulation ifunyenwe.
2. Ukulungiselela isampuli yesidoda
Ngomhla we-IUI, kuthathwa isampuli yesidoda esitsha kwiqabane lakho. Sithunyelwa kwilebhu kwaye, njengoko bekutshiwo ngaphambili, "sihlanjwe" ukuze kwenziwe umlinganiselo wesidoda osemgangathweni ophezulu.
3. Ukuzala
Eli nyathelo lilula kakhulu kwaye lithatha imizuzu embalwa kuphela.
- Uza kuphoswa ebhedini yokuhlolwa.
- Ugqirha ufaka i-speculum kwisini, njengaxa esenza uvavanyo lwe-Pap.
- Emva koko, ityhubhu encinci kakhulu neguquguqukayo (i-catheter) idluliselwa kwi-cervix iye kwi-uterus.
- Ekugqibeleni, isampuli yesidoda esilungisiweyo ifakwe esibelekweni ngale tube.
Emva koku, uya kucelwa ukuba ulale phantsi malunga nemizuzu eli-15-30. Ngamanye amaxesha, unokunikwa iyeza eliqulethe i-hormone progesterone ukugcina udonga lwesibeleko luqinile, nto leyo eyandisa amathuba okufakelwa.
Yintoni onokuyilindela emva konyango? Ngaba ibuhlungu?
Kwabaninzi abantu, unyango lwe-IUI alubuhlungu kangako . Akukho mfuneko ye-anesthesia. Nangona kunjalo, unokufumana iintlungu zomqolo ezincinci ngexesha nangexesha elifutshane emva koko, iintlungu ezingaphantsi kwesisu, ezifana nesexesheni lakho. Unokufumana amabala amancinci usuku okanye ezimbini. Oku kuqhelekile.
Emva konyango, ungaqhubeka nemisebenzi yakho yesiqhelo. Akukho kuphumla kukhethekileyo kufunekayo. Ungavavanya ukuze ubone ukuba ukhulelwe malunga neeveki ezimbini emva kovavanyo lwe-IUI.
Ngaba kukho naziphi na iingozi ngonyango lwe-IUI?
I-IUI yinkqubo engenamngcipheko mkhulu xa ithelekiswa nonyango olufana ne-IVF, kodwa kukho iingozi ezincinci.
- Ukuzalwa kwabantwana abaninzi: Ukusela amayeza okukhuthaza ukukhutshwa kweqanda kunokubangela ukuba kukhutshwe amaqanda angaphezu kwelinye, nto leyo eyonyusa amathuba okuba namawele okanye amawele amathathu.
- Usulelo: Oku kuyinto engaqhelekanga kakhulu.
- I-Ovarian Hyperstimulation Syndrome (OHSS): Oku nako kunqabile kakhulu. Ukuba umthamo wamayeza okukhupha amaqanda unyusiwe, ama-ovari anokudumba kwaye abe buhlungu.
Luphumelela kangakanani unyango lwe-IUI?
Lo ngumbuzo omkhulu wonke umntu anawo. Impumelelo yonyango lwe-IUI ixhomekeke kwizinto ezininzi . Ubudala bakho, unobangela wokungazali kwakho, kunye nokuba uyawasebenzisa na amayeza okuvuselela ukuvuthwa kweqanda okanye hayi zonke ezi zinto zidlala indima.
Ngokwesiqhelo, ukuba wenza umjikelo wonyango lwe-IUI ngamayeza okungenisa i-ovulation, amathuba akho okukhulelwa amalunga ne- 20% . Oku kufana namathuba esibini esisempilweni esiqhelekileyo sokukhulelwa ngokwendalo. Oku kuthetha ukuba i-IUI ibuyisela amathuba akho kwimeko yesiqhelo.
Indlela impumelelo ye-IUI etshintsha ngayo ngokweminyaka:
| Iqela leminyaka | Izinga lokukhulelwa eliphakathi ukusuka kumjikelo omnye we-IUI |
|---|---|
| Iminyaka engama-20 ukuya kwengama-30 | ~ 17.6% |
| Iminyaka engama-31 ukuya kwengama-35 ubudala | ~ 13.3% |
| Iminyaka engama-36 ukuya kwengama-38 ubudala | ~ 13.4% |
| Iminyaka engama-39 ukuya kuma-40 ubudala | ~ 10.6% |
| Ngaphezulu kweminyaka engama-40 ubudala | ~ 5.4% |
Ukuba uneminyaka engaphezu kwama-40 ubudala, ugqirha wakho unokucebisa ukuba wenze i-IUI kube kanye kuphela kwaye uye ngqo kwi-IVF, njengoko izinga lempumelelo liphantsi.
Eyona nto ibalulekileyo kukungaxhalabi ukuba umjikelo wokuqala we-IUI awuphumeleli. Kwiimeko ezininzi, oogqirha bacebisa ukuba uzame ubuncinane imijikelo emithathu ye-IUI ukuze ufumane iziphumo eziphumelelayo.
Ndifanele ndimtsalele umnxeba nini ugqirha?
Ukuba uthatha amayeza okubangela i-ovulation, fowunela ugqirha wakho ngokukhawuleza ukuba ufumana ezi mpawu zilandelayo:
- Intlungu ebuhlungu esezantsi kwesisu okanye esiswini
- Isicaphucaphu nokuhlanza
- Ubunzima bokuphefumla
- Ukunyuka kwesisindo ngequbuliso
- Isiyezi okanye amehlo aluhlaza okwesibhakabhaka
Inkqubo yonyango lwe-IUI inokuba yingxaki enkulu. Kuqhelekile ukuziva udanile, ulusizi, kwaye uxhalabile. Ukuba uvakalelwa ngolu hlobo, thetha neqabane lakho, usapho, okanye ugqirha wakho ngale nto ngokukhululekileyo.
Umyalezo Wokuya Ekhaya
- I-IUI lunyango olulula, olungabizi kakhulu, nolunomngcipheko omncinci abantu abaninzi abanengxaki yokungazali abanokuzama njengenyathelo lokuqala.
- Impumelelo yolu nyango ixhomekeke kakhulu kwiminyaka yakho kunye nesizathu sokungafumani bantwana.
- I-IUI kunye ne-IVF ziindlela ezimbini ezahlukeneyo zonyango. Kubalulekile ukuxoxa nogqirha wakho ukuba yeyiphi indlela efanelekileyo kuwe.
- Kubaluleke kakhulu ukuhlala uqinile engqondweni kwaye ufumane inkxaso yeqabane lakho ngexesha lenkqubo yonyango. Musa ukudimazeka ukuba umzamo wakho wokuqala awuphumelelanga.
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