Ingabe wena nomlingani wakho benilokhu ninethemba lokuthola umntwana isikhathi eside? Kungenzeka ukuthi niye nabonana nodokotela futhi nenza izivivinyo ezidingekayo. Ngaleso sikhathi, udokotela wakho kungenzeka ukuthi ukutshelile ngokwelashwa okubizwa ngokuthi "IUI". Ngakho-ke, abantu abaningi bazizwa benelukuluku futhi besaba kancane uma bezwa leli gama. Ngakho-ke namuhla, ake sixoxe kalula nangobungane ngokuthi iyini i-IUI, iyini, yenziwa kanjani, ifanelekela bani, nokuthi iyaphumelela yini.
Iyini i-IUI? Ake sikuqonde kalula.
I-IUI iyindlela yokwelapha inzalo eyaziwa ngokuthi ukufakelwa kwesidoda okwenziwe ngokwenziwa. Ihilela ukufaka isidoda sendoda ngqo esibelethweni sowesifazane.
Manje ake sibheke ukuthi ukukhulelwa kuvame ukwenzeka kanjani. Ngemva kokuba isidoda singene esithweni sangasese ngesikhathi socansi, izigidi zesidoda kufanele zihambe ibanga elide zingene esibelethweni, zidlule esibelethweni, zingene emapayipini e-fallopian. Cabanga ukuthi lolu hambo lunzima kangakanani, futhi cishe u-5% kuphela wesidoda esingena esithweni sangasese esifika esibelethweni. Lapho iqanda likhishwa esibelethweni, lilinda epayipini le-fallopian. Ukukhulelwa kwenzeka lapho esinye sesidoda esihambe leyo ndlela ende sihlangana neqanda.
Kodwa ekwelashweni kwe-IUI, lolu hambo lufushane kakhulu.
Kalula nje, i-IUI ifana nokudala "indlela emfushane" yesidoda ukuze sifinyelele lapho siya khona.
Ngale ndlela, kuthathwa isampula yesidoda kumyeni wakho bese "igezwa" elebhu. Nakuba lokhu kubizwa ngokuthi "ukugezwa," empeleni kuhlukanisa kuphela isidoda esingcono kakhulu, esinempilo kakhulu, nesishesha kakhulu e-ejaculate. Lezi zidoda ezikhethiwe zibe sezifakwa ngqo esibelethweni sakho kusetshenziswa ithubhu elincane (i-catheter). Lokhu kunciphisa ibanga nesikhathi esithathwayo ukuze isidoda sifinyelele eqandeni kuma-tubes e-fallopian. Lokhu kwandisa amathuba okukhulelwa.
Ngokuvamile, odokotela batusa ukuzama ukwelashwa kwe-IUI ngaphambi kokusebenzisa izindlela zokwelapha ezibizayo neziyinkimbinkimbi njenge-IVF.
Kukuziphi izimo lapho ukwelashwa nge-IUI kunconywa khona?
Kungaba nezizathu eziningi zokungazali. I-IUI iyisisombululo esihle ngezinye zalezo zizathu. Ake sibone ukuthi yiziphi izimo ukwelashwa kwe-IUI okuwusizo kakhulu kuzo.
| Isimo / Imbangela | I-IUI ingasiza kanjani? |
|---|---|
| Izinkinga zomlomo wesibeletho | Uma ulwelwesi lomlomo wesibeletho lujiyile, kungaba nzima ukuthi isidoda sifinyelele phezulu. Ku-IUI, le nkinga iyagwenywa ngoba isidoda sidlula umlomo wesibeletho bese singena ngqo esibelethweni. |
| Inani eliphansi lesidoda noma okunye ukuntuleka | Uma inani lesidoda somyeni wakho liphansi, libuthakathaka, lihamba kancane, noma linezinkinga zesimo, i-IUI ingasiza. Le ndlela ikhetha kuphela isidoda esingcono kakhulu bese isithumela esibelethweni, okwandisa amathuba okuphumelela. |
| Ukusetshenziswa kwesidoda esinikelayo | Uma umyeni enezinkinga zokukhiqiza isidoda noma esebenzisa isidoda esinikelayo ngesinye isizathu, i-IUI iyindlela efanelekile. |
| Izinkinga ngokuphuma komchamo noma ukuvuka kowesifazane | Uma umyeni wakho enezinkinga zokuvuka kobulili noma ukuchama ngesikhathi socansi, i-IUI ingenziwa ngokuthola isampula yesidoda. |
| Ukungezwani Nezidoda | Lokhu akuvamile kakhulu. Abanye besifazane bangase babe nokungezwani namaprotheni esidoda sabayeni babo. Ngesikhathi se-IUI, isidoda "siyagezwa" ukuze kususwe amaprotheni abangela ukungezwani nobulili. |
| Ukungazali Okungachazeki | Ngezinye izikhathi, naphezu kwazo zonke izivivinyo, isizathu esithile sokubambezeleka kokukhulelwa kwengane asitholakali. Ezimweni ezinjalo, ukwelashwa kwe-IUI kusengaba yimpumelelo. |
Amacala lapho ukwelashwa kwe-IUI kungaphumeleli khona
Kodwa-ke, i-IUI ayisebenzi kuwo wonke umuntu. Ikakhulukazi i-IUIUma amapayipi e-fallopian evalekile, uma kunezimo ezibucayi njenge-endometriosis, noma uma umyeni enezinkinga ezinkulu kakhulu ngesidoda sakhe, i-IUI ngeke iphumelele. Ezimweni ezinjalo, kuzodingeka usebenzise ukwelashwa okufana ne-IVF.
Uyini umehluko phakathi kwe-IUI ne-IVF?
Abantu abaningi bayadideka phakathi kwe-IUI ne-IVF. Lezi izindlela ezimbili zokwelapha ezihluke ngokuphelele.
| Isici | I-IUI (Ukubelethwa Kwangaphakathi Kwesibeletho) | I-IVF (Ukuvundiswa Kwangaphakathi Kwe-Vitro) |
|---|---|---|
| Lapho ukukhulelwa kwenzeka khona | Kwenzeka ngaphakathi emzimbeni (epayipini le-fallopian). | Kwenzeka ngaphandle komzimba (elabhorethri). |
| Inqubo | Isidoda esikhethiwe sifakwa esibelethweni. Iqanda nesidoda kuhlangana ngokwemvelo. | Amaqanda nesidoda kuyakhishwa emzimbeni, kudalwa umbungu elabhorethri, bese ubuyiselwa esibelethweni. |
| Ubunzima nobuhlungu | Akunankinga kangako. Akunabuhlungu obuningi. | Kuyinkimbinkimbi kakhulu. Kudingeka ukuhlinzwa okuncane ukuze kutholakale amaqanda. |
| Izindleko | Kuncane kakhulu kune-IVF. | Okungaphezu kakhulu kwe-IUI. |
Indlela inqubo yokwelapha i-IUI esebenza ngayo
Kusukela ekuqaleni kuze kube sekupheleni, inqubo ye-IUI ivame ukuthatha amasonto amane, okulingana nobude bomjikelezo wakho wokuya esikhathini wanyanga zonke. Kunezinyathelo ezintathu eziyinhloko kuyo.
1. Ukuthola Ukukhiqizwa Kweqanda
Ukuze i-IUI iphumelele, isidoda kumele sifakwe esibelethweni ngesikhathi esiqondile . Okusho ukuthi, ngesikhathi esiqondile lapho elinye lamaqanda akho likhishwa khona. Kunezindlela eziningana zokuthola lesi sikhathi esiqondile.
- AmaKithi Okubikezela Ukuvuthwa: Leli kithi, elitholakala emakhemisi, lingasetshenziswa ukuthola isikhathi esilinganiselwe sokuvuthwa ngokulinganisa izinga le-Luteinizing Hormone (LH) emchameni.
- Ukuhlolwa kokuskena: Udokotela uzokwenza ukuskena kwe-ultrasound okungaphakathi kwesitho sangasese sowesifazane ukuze abone ukuthi amaqanda akhula kanjani emaqanda bese enquma usuku olufanele kakhulu lokuvuthwa kwamaqanda.
- Imithi: Ngezinye izikhathi imithi yomlomo (isib. i-Clomiphene citrate) noma imijovo efana ne-hCG (i-human Chorionic Gonadotropin) inikezwa ukuze kukhuthazwe ukuvuthwa kwamaqanda. Lokhu kungabangela ukuthi kukhishwe amaqanda angaphezu kwelilodwa.
I-IUI yenziwa phakathi kwamahora angu-24 kuya kwangu-36 ngemva kokutholakala kwe-ovulation.
2. Ukulungiselela isampula yesidoda
Ngosuku lwe-IUI, kuthathwa isampula yesidoda esisha kumlingani wakho. Sithunyelwa elebhu futhi, njengoba kushiwo ngaphambili, "sihlanzwe" ukuze kudalwe ukuhlushwa kwesidoda okusezingeni eliphezulu.
3. Ukuzalisa isidoda
Lesi sinyathelo silula kakhulu futhi sithatha imizuzu embalwa kuphela.
- Uzolaliswa embhedeni wokuhlolwa.
- Udokotela ufaka i-speculum esithweni sangasese sowesifazane, njengalapho enza ukuhlolwa kwe-Pap.
- Ngemuva kwalokho, ipayipi elincane kakhulu neliguquguqukayo (i-catheter) lidluliselwa emlonyeni wesibeletho liye esibelethweni.
- Ekugcineni, isampula yesidoda esilungisiwe ifakwa esibelethweni ngaleli payipi.
Ngemva kwalokhu, uzocelwa ukuba ulale phansi cishe imizuzu eyi-15-30. Ngezinye izikhathi, unganikwa umuthi oqukethe i-hormone i-progesterone ukuze ugcine udonga lwesibeletho luqinile, okwandisa amathuba okufakelwa.
Yini ongayilindela ngemva kokwelashwa? Ingabe kubuhlungu?
Kwabaningi abantu, ukwelashwa nge-IUI akubuhlungu kakhulu . Asikho isidingo sokubulala izinzwa. Kodwa-ke, ungase ube nobuhlungu obuncane emhlane ngesikhathi nangesikhathi esifushane ngemva kwalokho, ukuqaqamba okuncane esiswini esingezansi, okufana nokuya esikhathini kwakho. Ungase futhi ube nokukhanya kwelanga usuku noma ezimbili. Lokhu kuvamile.
Ngemva kokwelashwa, ungaqhubeka nemisebenzi yakho evamile. Akukho ukuphumula okukhethekile okudingekayo. Ungahlola ukuze ubone ukuthi ukhulelwe yini cishe emavikini amabili ngemva kwe-IUI.
Ingabe zikhona izingozi ngokwelashwa nge-IUI?
I-IUI inqubo enobungozi obuphansi kakhulu uma iqhathaniswa nokwelashwa okufana ne-IVF, kodwa kunezingozi ezincane.
- Ukubeletha izingane eziningi: Ukuthatha imithi yokukhuthaza ukuvuthwa kwamaqanda kungabangela ukukhishwa kwamaqanda angaphezu kwelilodwa, okwandisa amathuba okuzala amawele noma amawele amathathu.
- Ukutheleleka: Lokhu kuyinto engavamile kakhulu.
- I-Ovarian Hyperstimulation Syndrome (OHSS): Lokhu nakho akuvamile kakhulu. Uma umthamo wemithi yokukhipha amaqanda ukhushulwa, ama-ovari angavuvukala futhi abe buhlungu.
Kuphumelela kangakanani ukwelashwa kwe-IUI?
Lona umbuzo omkhulu kunayo yonke umuntu anayo. Impumelelo yokwelashwa kwe-IUI incike ezintweni eziningana . Ubudala bakho, imbangela yokungazali kwakho, nokuthi uyayithatha yini imithi yokukhipha iqanda noma cha konke kudlala indima.
Ngokuvamile, uma wenza umjikelezo wokwelashwa nge-IUI ngemithi yokungenisa i-ovulation, amathuba akho okukhulelwa angaba ngu -20% . Lokhu kufana namathuba ombhangqwana ophilile okhulelwe ngokwemvelo. Lokhu kusho ukuthi i-IUI imane nje ibuyisela amathuba akho esimweni esijwayelekile.
Indlela impumelelo ye-IUI eshintsha ngayo ngobudala:
| Iqembu lobudala | Izinga lokukhulelwa elimaphakathi kusukela kumjikelezo owodwa we-IUI |
|---|---|
| Iminyaka engu-20 - 30 | ~ 17.6% |
| Iminyaka engu-31 - 35 ubudala | ~ 13.3% |
| Iminyaka engu-36 - 38 ubudala | ~ 13.4% |
| Iminyaka engu-39 - 40 ubudala | ~ 10.6% |
| Uneminyaka engaphezu kwengu-40 ubudala | ~ 5.4% |
Uma uneminyaka engaphezu kwengu-40 ubudala, udokotela wakho angase akuncome ukuthi wenze i-IUI kanye kuphela bese uya ngqo kwi-IVF, njengoba izinga lempumelelo liphansi.
Into ebaluleke kakhulu ukungesabi uma umjikelezo wokuqala we-IUI wehluleka. Ezimweni eziningi, odokotela batusa ukuzama okungenani imijikelezo emithathu ye-IUI ukuze uthole umphumela ophumelelayo.
Kufanele ngimshayele nini udokotela?
Uma uthatha imithi yokukhuthaza ukuvuthwa kweqanda, shayela udokotela wakho ngokushesha uma ubona lezi zimpawu ezilandelayo:
- Ubuhlungu obukhulu besisu esingezansi noma esiswini
- Isicanucanu nokuhlanza
- Ubunzima bokuphefumula
- Ukwanda kwesisindo ngokuzumayo
- Isiyezi noma amehlo aluhlaza okwesibhakabhaka
Inqubo yokwelashwa nge-IUI ingaba yinto ecindezelayo kakhulu. Kuvamile ukuzizwa udumele, udabukile futhi ukhathazekile. Uma uzizwa ngale ndlela, khuluma nomlingani wakho, umndeni, noma udokotela ngakho ngokukhululekile.
Umlayezo Wokuya Nawe Ekhaya
- I-IUI iyindlela yokwelapha elula, engabizi kakhulu, futhi enobungozi obuphansi abantu abaningi abahlushwa ukungazali abangayisebenzisa njengesinyathelo sokuqala.
- Impumelelo yalolu hlobo lokwelashwa incike kakhulu eminyakeni yakho kanye nembangela yokungazali.
- I-IUI kanye ne-IVF izindlela ezimbili zokwelapha ezihluke ngokuphelele. Kubalulekile ukuxoxa nodokotela wakho ukuthi iyiphi indlela engcono kakhulu kuwe.
- Kubaluleke kakhulu ukuhlala uqinile engqondweni futhi uthole ukwesekwa ngumlingani wakho ngesikhathi senqubo yokwelashwa. Ungadangali uma umzamo wakho wokuqala wehluleka.
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