Ukwenza iphupho lokuba nomntwana lifezeke kungaba yinselele enkulu ngezinye izikhathi, akunjalo? Lesi yisihloko esibucayi kakhulu, ikakhulukazi emibhangqwaneni ebhekene nenkinga yokungabi nabantwana. Ngakho-ke namuhla sizokhuluma ngendlela yokwelapha ekhethekile kwezokwelapha yesimanje engasiza ngezinkinga ezinjalo. Leyo yi-ICSI, noma i-Intracytoplasmic Sperm Injection . Nakuba leli gama liyinkimbinkimbi kancane, masiliqonde kalula.
Iyini i-ICSI? Uyini umehluko phakathi kwe-IVF ne-ICSI?
I-ICSI iyindlela yokwelapha ekhethekile esetshenziselwa ukungabi nabantwana. Empeleni, iyingxenye ye- In Vitro Fertilization (IVF) .
Cabanga nje, enkambisweni evamile ye-IVF, iqanda lowesifazane lithathwa elabhorethri futhi lizungezwe izinkulungwane zesidoda samadoda. Bese kuthi, esinye salezo zidoda sibhoboze iqanda lodwa bese silinda ukuthi kuvele ukukhulelwa. Kufana nokuwina umncintiswano. Kodwa ngezinye izikhathi, ngisho nesidoda esisodwa asikwazi ukungena ngaphakathi kweqanda. Khona-ke ukukhulelwa akwenzeki.
Kodwa nge-ICSI, asikushiyi lokhu ngengozi. Okwenzekayo lapha ukuthi, sisebenzisa imishini ebucayi kakhulu elabhorethri, sikhetha isidoda esingcono kakhulu nesinempilo bese sisifaka ngqo eqandeni . Okusho ukuthi, sisiza isidoda singene eqandeni, kunokuba sivumele silwe sodwa.
Iqanda elivundisiwe libizwa ngokuthi umbungu . Lombungu ube usufakwa esibelethweni sikamama. Uma umbungu unamathela odongeni lwesibeletho, ukukhulelwa kwenzeka. Le ndlela ibizwa ngokuthi i-Assisted Reproductive Technology (ART) .
Ubani okungenzeka kakhulu ukuthi udinga ukwelashwa nge-ICSI?
I-ICSI iwusizo kakhulu kwabesilisa abanezinkinga zokungabi nabantwana kwabesilisa . Udokotela wakho angaphakamisa lokhu kwelashwa uma indoda inesinye sezimo ezilandelayo:
| Isimo | Incazelo elula |
|---|---|
| Ukukhipha isisu | Ukungakwazi ukukhipha isidoda. |
| Ukuvaleka kwepayipi lesidoda | Kungase kube nokuvinjelwa okuthile emapayipini lapho isidoda sidlula khona. |
| Inani eliphansi lesidoda | Inani eliphansi kakhulu lesidoda esidodeni. |
| Ikhwalithi yesidoda ephansi | Izinkinga ngesimo sesidoda kanye nokuhamba kwaso. |
| Ukukhipha isisu emuva kokubuyela emuva | Isidoda asiphumi bese sibuyela esinyeni. |
Ngaphezu kwalokho, i-ICSI ingadingeka ngezinye izizathu:
- Uma ukwelashwa kwe-IVF okuvamile kwangaphambilini kuphumelele futhi kungekho mbungu owakhekile.
- Uma owesifazane okhipha amaqanda eneminyaka engaphezu kwengu-35 ubudala.
- Uma amaqanda noma isidoda esiqandisiwe (esagcinwe) kusetshenziswa ukwelashwa.
Inqubo ye-ICSI yenzeka kanjani?
Lena inqubo eyenzeka ngezinyathelo eziningana. Ake sibheke lezo zinyathelo ngokulandelana kwazo.
1. Ukuqoqa amaqanda nesidoda
Ukutholwa Kwamaqanda:
- Ukuqaliswa kokuvuthwa: Okokuqala, owesifazane ohlinzeka amaqanda unikezwa imijovo yama-hormone nsuku zonke cishe izinsuku ezingu-8 kuya kwezingu-14. Lokhu kuvuselela ama-ovari futhi kubangele ukuthi akhule amaqanda amaningana ngesikhathi esisodwa.
- Ukutholwa kwamaqanda: Okulandelayo, kunikezwa umuthi wokubulala izinzwa olula, kufakwa inaliti encane kakhulu ngesitho sangasese sowesifazane, bese amaqanda avuthiwe asuswa ngokucophelela emaqanda ngaphansi kwesiqondiso se -ultrasound scan yangaphakathi kwesitho sangasese sowesifazane . Lokhu akubuhlungu.
Ukuqoqwa Kwesidoda:
- Isidoda sivame ukuqoqwa ngosuku olufanayo lapho amaqanda eqoqwa khona.
- Umnikeli wesilisa kufanele agweme ukuya ocansini noma ukushaya indlwabu izinsuku ezimbili kuya kwezintathu.
- Ngemuva kwalokho, udinga ukuqoqa isidoda ngokushaya indlwabu esitsheni esikhethekile esinikezwe emtholampilo. Lesi sampula kumele sithunyelwe elabhorethri zingakapheli ihora.
- Kwabanye abantu (isib., labo abangakhiphi isidodaEzimweni ze- azoospermia , ezinye izindlela ezikhethekile zokuthola isidoda (isb. ukukhishwa kwesidoda samasende amancane ) kungadingeka.
2. Inqubo ye-ICSI elabhorethri
Manje yisikhathi esibaluleke kakhulu. Elabhorethri, ochwepheshe benza okulandelayo:
1. Iqanda elivuthiwe lithathwa ngobumnene nge- pipette yengilazi enhle kakhulu.
2. Bese kuthi, uma sibheka nge-microscope, sikhethe isidoda esingcono kakhulu bese sibanjwa ngenaliti encane kakhulu.
3. Manje inaliti ifakwa ngokucophelela eqandeni bese isidoda sifakwa ku -cytoplasm yeqanda.
4. Umpristi ube esekhipha inaliti.
3. Ukuthuthukiswa kwembungu kanye nokufakelwa kwayo esibelethweni (Ukudluliswa kwembungu)
Ngemva kwe-ICSI, iqanda elivundisiwe, noma umbungu , lishiywa ukuze likhule elabhorethri cishe izinsuku ezi-5 kuya kwezi-6. Phakathi nalesi sikhathi, lihlukana libe amaseli futhi lifinyelele esigabeni esibizwa ngokuthi i-blastocyst .
Ngemuva kwalokho, umbungu noma ama-embryo asezingeni eliphezulu afakwa esibelethweni sikamama ngethubhu ekhethekile (i-catheter) . Lokhu akudingi i-anesthesia. Uma lombungu unamathela odongeni lwesibeletho (ukufakelwa), ukukhulelwa kuyaphumelela. Udokotela weluleka ukuthi kuhlolwe ukukhulelwa cishe amasonto amabili ngemva kokwelashwa.
Yiziphi izinzuzo nezingozi zokwelashwa nge-ICSI?
Inzuzo enkulu yokwelashwa kwe-ICSI ukuthi kwandisa kakhulu amathuba okuba nomntwana emibhangqwaneni ehlushwa ukungazali kwabesilisa. Kungenzeka ukuthi iphumelele kakhulu kune-IVF ejwayelekile.
Kodwa-ke, njenganoma yikuphi ukwelashwa kwezokwelapha, kunezingozi ezihilelekile, futhi kubalulekile ukuzazi.
- Amanye amaqanda angase onakale uma ebhobozwa ngenaliti.
- Ngisho noma isidoda sifakiwe, ngezinye izikhathi iqanda lingase lingavundiswa.
- Umbungu ophumayo ungase uyeke ukukhula ngemva kokuba ufakwe elabhorethri noma esibelethweni.
Izingozi ezingaba khona enganeni:
Ezinye izifundo zikhombisile ukuthi izingane ezizalwa ne-ICSI zinomngcipheko okhulayo kancane wezimo ezithile zokuzalwa . Kodwa-ke, ochwepheshe bezokwelapha bakholelwa ukuthi le ngozi ayibangelwa ukwelashwa ngokwako, kodwa ibangelwa imbangela eyinhloko yokungazali. Lezi zingozi zifaka phakathi izimo ezifana ne -Angelman syndrome, i-autism, kanye ne-Beckwith-Wiedemann syndrome . Kodwa-ke, le ngozi incane kakhulu. Khuluma nodokotela wakho ngalokhu.
Amathuba okuthola amawele:
Ukuze kwandiswe amathuba okukhulelwa, ngezinye izikhathi kufakwa umbungu ongaphezu kowodwa (isib. ababili) esibelethweni. Kulesi simo, amathuba okuba namawele noma amawele amathathu aphezulu.
Kufanele ubonane nini nodokotela?
Ngemva kokwelashwa, uma uhlangabezana nezimpawu ezilandelayo, shayela udokotela wakho ngokushesha :
- Izimpawu zokutheleleka , njengomkhuhlane omkhulu kanye noketshezi oluphuma esithweni sangasese sowesifazane olunuka kabi.
- Izimpawu zokukhulelwa okungaphandle kwesisu (ubuhlungu obukhulu besisu ohlangothini olulodwa, ukuquleka).
- Izimpawu zokuphuphuma kwesisu (ukopha okukhulu, ubuhlungu besisu).
- Izimpawu zokuzalwa ngaphambi kwesikhathi .
Umlayezo Wokuya Nawe Ekhaya
- I-ICSI iyindlela yokwelapha ephumelela kakhulu, ikakhulukazi ekungazali kwabesilisa.
- Lapha, ukukhulelwa kusiza ngokukhetha isidoda esingcono kakhulu bese usifaka ngqo eqandeni.
- Lena inqubo eyinkimbinkimbi equkethe izinyathelo eziningana, okuhlanganisa ukutholwa kweqanda nesidoda, ukucutshungulwa kwelabhorethri, kanye nokudluliselwa kombungu.
- Njengakuzo zonke izindlela zokwelapha, kunezingozi ezihilelekile. Xoxa ngakho konke lokhu nodokotela wakho ngaphambi kokuqala ukwelashwa.
- Lokhu kungaba yithemba elisha kulabo kini abalindele umntwana. Kubaluleke kakhulu ukuthatha lolu hambo ngaphansi kweseluleko nesiqondiso esifanele sezokwelapha.
💬 Comments (0)
Awekho amazwana athunyelwe okwamanje. Faka amazwana akho lapha okokuqala ngqa.
Engeza amazwana akho