Ngaba unethemba lokufumana umntwana, kodwa uziva ulusizi kuba elo phupha alikazaliseki? Mhlawumbi wena neqabane lakho nidibene nogqirha ngale nto nathetha ngeendlela ezahlukeneyo zonyango. Ngelixa nithetha ngolo hlobo, kusenokwenzeka ukuba nive igama elithi IUI. Ngoko ke, namhlanje siza kuthetha ngolu nyango lwe-IUI, olunokubonakala luyinkimbinkimbi kancinci kwabaninzi, ngendlela elula kakhulu , ngendlela eninokuyiqonda.
Ngamafutshane, yintoni i-IUI?
Intsingiselo epheleleyo ye-IUI yi- Intrauterine Insemination . NgesiSinhala, ithetha ukufaka isidoda esibelekweni . Olu lunyango lokuchuma oluphantsi kodidi lwe-Artificial Insemination.
Khawuthelekelele, xa umntwana ekhulelwe ngendlela eqhelekileyo, isidoda sendoda sinohambo olude kakhulu ekufuneka siluhambe. Kufuneka singene kwilungu lobufazi, sidlule emlonyeni wesibeleko, sidlule kwisibeleko size siye kwimibhobho yeFallopian. Olu hambo lunzima kangangokuba linani elincinci kakhulu lesidoda, malunga ne-5%, elingena kwilungu lobufazi lifikelela kwisibeleko. Apho, zidibana neqanda elikhutshiweyo kwiqanda lomfazi kwaye ziyaqhama.
Okwenzekayo kwindlela ye-IUI kukuba olu hambo lude lwenziwa lula kwimbewu yesidoda. Ukuchaneka, kufana nokunika imbewu isidoda 'indlela emfutshane'.
Kule ndlela, isampuli yesidoda esivela kwindoda ihlanjwa kwilebhu kusetyenziswa indlela ekhethekileyo ("ukuhlamba isidoda") ukuze kukhethwe kuphela isidoda esisempilweni, esidada kakuhle, nesikumgangatho ophezulu. Emva koko, esi sidoda sikhethiweyo sifakwa ngqo kwisibeleko sakho kusetyenziswa ityhubhu encinci ebizwa ngokuba yi-catheter. Oku kunciphisa umgama kunye nexesha elithathwayo ukuba isidoda sihambe, okwandisa amathuba okudibana nokuchumisa iqanda, oko kuthetha ukuba unethuba eliphezulu lokukhulelwa.
Ngubani unyango lwe-IUI olufaneleke kakhulu kuye?
I-IUI idla ngokuba lolona nyango lokuqala oluzanywa ngoogqirha ngaphambi kokuba basebenzise unyango olubiza kakhulu nolunzima olufana ne-IVF. Oku kungenziwa kusetyenziswa isidoda seqabane lakho okanye isidoda esinikelwa ngumxhasi. Kukho izizathu ezahlukeneyo zokuba ucinge nge-IUI.
| Isizathu sokufuna unyango | Ingcaciso elula |
|---|---|
| Iingxaki zomlomo wesibeleko | Ukuba i-cervical mucus iba nkulu kakhulu , kunokuba nzima ukuba i-sperm ikwazi ukungena kuyo. I-IUI iyayiphepha le ngxaki kuba i-sperm ifakwa ngqo esibelekweni. |
| Inani eliphantsi lesidoda | Esi sisisombululo esilungileyo kwimiba efana nokubalwa kwesidoda okuphantsi, ukungasebenzi kakuhle kokuhamba (ukudada), kunye nemiba yokuma kwiqabane, kuba kuphela isidoda esilungileyo esikhethwayo ngexesha le-IUI. |
| Ukusebenzisa i-Donor Sperm | Ukuba iqabane alivelisi isidoda okanye umgangatho waso uphantsi kakhulu, isidoda somnikeli singasetyenziswa. Le ndlela ingasetyenziswa ngabafazi abangatshatanga okanye izibini ezibhinqileyo zesini esinye. |
| Iingxaki zokukhupha umchamo okanye ukuchama | I-IUI ingasetyenziswa ukuba iqabane linengxaki yokukhupha i-ejaculation okanye ukugcina i-erection ngexesha lokwabelana ngesondo. |
| Ukunganyamezelani kwamadlozi | Oku kunqabile kakhulu. Abanye abafazi banokuba ne-allergy kwiiproteni ezikwisidoda samaqabane abo. Ezi proteni ziyasuswa ngexesha le-IUI kuba isidoda siyacocwa. |
| Ukungafumani bantwana okungachazwanga | Ngamanye amaxesha, nangona kukho zonke iimvavanyo, isizathu esithile sokulibaziseka kokukhulelwa komntwana asifumaneki. Kwimeko ezinjalo, i-IUI nayo iyavavanywa. |
Inkqubo ye-IUI yenzeka njani?
Inkqubo ye-IUI ukusuka ekuqaleni ukuya ekupheleni idla ngokuthatha malunga neeveki ezi-4, ubude obufana nobomjikelo wakho wenyanga oqhelekileyo wokuya exesheni. Kukho amanyathelo ambalwa abalulekileyo abandakanyekayo.
Inyathelo 1: Ukulungiselela kunye nexesha lokuvuthwa
Kubaluleke kakhulu ukuba olu nyango luphumelele ukuze kufumaneke ixesha elichanekileyo lokukhutshwa kweqanda . Oko kukuthi, ixesha apho iqanda likhutshwa kwi-ovary. Kukho iindlela ezahlukeneyo zokufumana oku:
- Isixhobo sokuqikelela ukuvuthwa: Ezi zixhobo, ezinokusetyenziswa ekhaya, zingasetyenziselwa ukumisela ixesha eliqikelelweyo lokuvuthwa ngokulinganisa inqanaba leLuteinizing Hormone (LH) kumchamo.
- Uvavanyo lwegazi kunye neeskeni: Ugqirha wakho unokwenza uvavanyo lwegazi ukujonga amanqanaba e-LH hormone kunye ne-transvaginal ultrasound ukujonga i-ovulation.
- Amayeza kunye neenaliti: Ngamanye amaxesha, ugqirha wakho angakunika amayeza omlomo (malunga neentsuku ezi-5) okanye iinaliti (ukuya kuthi ga kwiiveki ezi-2) ukukunceda ukhuphe amaqanda angaphezu kwelinye. Ngamanye amaxesha, inaliti ebizwa ngokuba yi-hCG (i-human Chorionic Gonadotropin) inokunikwa ukukunceda ukhuphe amaqanda ngexesha elifanelekileyo.
Inyathelo lesi-2: Ukulungiselela isampuli yesidoda
Ngomhla we-IUI, isampuli yesidoda esitsha ithathwa kwiqabane lakho. Ngamanye amaxesha, isampuli esele iqokelelwe ngaphambili yaze yaqandiswa ingasetyenziswa. Le sampuli emva koko yenziwa inkqubo ebizwa ngokuba yi-"sperm washing" ukuze kwahlulwe kuphela isidoda esilungileyo.
Inyathelo lesi-3: Ukufaka amadlozi
Kulula kakhulu kwaye kuthatha imizuzu embalwa kuphela. Ngelixa ulele etafileni yovavanyo, ugqirha ufaka i-speculum kwisini sakho, efana ne-Pap smear. Emva koko, ityhubhu encinci (i-catheter) idluliselwa kwisibeleko sakho nakwisibeleko sakho, apho isampuli yesidoda esilungisiweyo ngaphambili ifakwa kwisibeleko.
Emva koku, uza kucelwa ukuba ulale phantsi malunga nemizuzu eli-15-30. Emva koko, ungaya ekhaya njengesiqhelo. Ungavavanya ukuze ubone ukuba ukhulelwe na kwiiveki ezimbini emva kolu nyango.
Yintoni umahluko phakathi kwe-IUI kunye ne-IVF?
Into enye abantu abaninzi abadideka ngayo ziindlela ezimbini zonyango ezibizwa ngokuba yi-IUI kunye ne-IVF. Ezi ziindlela ezimbini ezahlukeneyo zonyango.
| I-Factor | I-IUI (Ukufakwa Kwembewu Engaphakathi Kwesibeleko) | IVF (Ukuchumisa kwiVitro) |
|---|---|---|
| Indawo yokuchumisa | Ngaphakathi emzimbeni(Kwi-fallopian tube) | Ngaphandle komzimba (kwilebhu) |
| Ubunzima | Kancinci, kulula | Kuninzi kakhulu, kunzima kakhulu |
| Ixabiso | Iphantsi kakhulu | Phezulu kakhulu |
| Izinga lempumelelo (ngomjikelo ngamnye) | Iphantsi kakhulu | Iphezulu kakhulu |
Zithini iingozi kunye nemiphumo emibi ye-IUI?
I-IUI yinkqubo engenamngcipheko mkhulu xa ithelekiswa nonyango olufana ne-IVF, kodwa kukho iingozi ezincinci.
- Ukuba namawele okanye abantwana abaninzi: Ukuba uthatha amayeza okuzala, kunokukhululwa amaqanda angaphezu kwelinye, nto leyo eyonyusa amathuba okuba namawele okanye amawele amathathu.
- Usulelo: Lunqabile kakhulu.
- Ukopha okuncinci: Usenokufumana ukopha okuncinci kwilungu lobufazi kangangeentsuku ezimbini emva konyango.
- I-Ovarian Hyperstimulation Syndrome (OHSS): Oku kunqabile kakhulu. Kwenzeka xa ama-ovari esabela ngokugqithisileyo kumayeza anikwe ukukhuthaza ukukhutshwa kweqanda, nto leyo ebangela ukuba adumbe aze abe buhlungu.
Ukuba ufumana iimpawu ezifana nentlungu eqatha yesisu, isicaphucaphu nokuhlanza, ubunzima bokuphefumla, ukunyuka kobunzima ngequbuliso, okanye isiyezi emva konyango, tsalela umnxeba ugqirha wakho ngoko nangoko. Ezi zisenokuba ziimpawu ze-OHSS.
Iphumelele kangakanani le nto?
Impumelelo yonyango lwe-IUI ixhomekeke kwizinto ezininzi, ezona zibalulekileyo kuzo bubudala bomfazi kunye nesizathu esiyintloko sokungazali kwakhe .
Ngokwesiqhelo, xa i-IUI igqityiwe ngamayeza, amathuba okukhulelwa kumjikelo omnye wonyango amalunga ne-20%.Eli lizinga lempumelelo elifanayo nelokukhulelwa okuqhelekileyo. Oko kuthetha ukuba i-IUI ibuyisela amathuba akho kwimeko eqhelekileyo.
Le mpumelelo iyatshintsha ngokweminyaka:
- Ubudala obuphakathi kwama-20 nama-30: Malunga ne-17.6%
- Ubudala obuphakathi kweminyaka engama-31-35: Malunga ne-13.3%
- Ubudala beminyaka engama-39-40: Malunga ne-10.6%
- Ngaphezulu kweminyaka engama-40 ubudala: malunga ne-5.4%
Oogqirha badla ngokucebisa ukuba uzame malunga nemijikelo emithathu ye-IUI ngaphambi kokuba uye kwi-IVF. Nangona kunjalo, ukuba ungaphezulu kweminyaka engama-40, okanye uneemeko ezifana neetyhubhu ze-fallopian ezonakeleyo okanye i-endometriosis, ugqirha wakho unokucebisa ukuba uye ngqo kwi-IVF.
Umyalezo Wokuya Ekhaya
- I-IUI lunyango olulula, olungabizi kakhulu, nolunomngcipheko omncinci abantu abaninzi abanengxaki yokumitha abanokuzama njengenyathelo lokuqala.
- Impumelelo yoku ixhomekeke kwiminyaka yakho kunye nesizathu sokungafumani bantwana.
- Ukufumana ixesha elifanelekileyo lokukhupha amaqanda kubalulekile ukuze unyango luphumelele.
- I-IUI yinkqubo eyahlukileyo nelula kune-IVF.
- Olu hambo lunokuba nzima ngokweemvakalelo. Ngoko ke zive ukhululekile ukuxoxa ngayo yonke imibuzo yakho, uloyiko lwakho, kunye neenkxalabo zakho nogqirha wakho. Uza kukunceda ukhethe unyango olulungele wena.
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