Ingabe unethemba lokuthola umntwana, kodwa uzizwa udangele ngoba lelo phupho alikagcwaliseki? Mhlawumbe wena nomlingani wakho nihlangane nodokotela ngalokhu futhi nixoxe ngezindlela zokwelapha ezahlukahlukene. Ngesikhathi nikhuluma kanjalo, kungenzeka ukuthi nizwile igama elithi IUI. Ngakho-ke, namuhla sizokhuluma ngalokhu kwelashwa kwe-IUI, okungase kubonakale kuyinkimbinkimbi kwabaningi, ngendlela elula kakhulu , ngendlela eningayiqonda.
Kalula nje, iyini i-IUI?
Incazelo ephelele ye-IUI i- Intrauterine Insemination . NgesiSinhala, kusho ukufaka isidoda esibelethweni . Lokhu ukwelashwa kokuzala okungokwesigaba se-Artificial Insemination.
Cabanga nje, lapho umntwana ekhulelwa ngendlela evamile, isidoda sendoda sinohambo olude kakhulu okufanele siluhambe. Kufanele singene esithweni sangasese sowesifazane, sidlule emlonyeni wesibeletho, sidlule esibelethweni futhi sifinyelele kuma-Fallopian tubes. Lolu hambo lunzima kangangokuthi inani elincane kakhulu lesidoda, cishe u-5%, elingena esithweni sangasese sowesifazane lifika esibelethweni. Lapho, lihlangana neqanda elikhishwe esibelethweni sowesifazane bese livundiswa.
Okwenzekayo endleleni ye-IUI ukuthi lolu hambo olude lwenziwa lube lula ngesidoda. Uma sikhuluma iqiniso, kufana nokunikeza isidoda 'indlela emfushane'.
Kule ndlela, isampula yesidoda esivela endodeni igezwa elabhorethri kusetshenziswa indlela ekhethekile ("ukugezwa kwesidoda") ukuze kukhethwe kuphela isidoda esinempilo kakhulu, esibhukudayo, nesekhwalithi ephezulu. Ngemuva kwalokho, lesi sidoda esikhethiwe sifakwa ngqo esibelethweni sakho kusetshenziswa ithubhu elincane elibizwa ngokuthi i-catheter. Lokhu kunciphisa ibanga nesikhathi esithathwa isidoda ukuba sihambe, okwandisa amathuba okuhlangana nokuvundisa iqanda, okusho ukuthi unethuba eliphezulu lokukhulelwa.
Ubani ukwelashwa kwe-IUI okufanelekela kangcono?
I-IUI ivame ukuba ukwelashwa kokuqala odokotela abazama ngaphambi kokusebenzisa izindlela zokwelapha ezibizayo neziyinkimbinkimbi njenge-IVF. Lokhu kungenziwa kusetshenziswa isidoda somlingani wakho noma isidoda esinikelwayo. Kunezizathu eziningana zokuthi kungani ungase ucabangele i-IUI.
| Isizathu sokufuna ukwelashwa | Incazelo elula |
|---|---|
| Izinkinga zomlomo wesibeletho | Uma ulwelwesi lomlomo wesibeletho luba lujiyile kakhulu , kungaba nzima ukuthi isidoda singene kulo. I-IUI igwema le nkinga ngoba isidoda sifakwa ngqo esibelethweni. |
| Inani eliphansi lesidoda | Lesi yisisombululo esihle sezinkinga ezifana nenani eliphansi lesidoda, ukungasebenzi kahle kokunyakaza (ukubhukuda), kanye nezinkinga zokwakheka komlingani, ngoba kukhethwa isidoda esingcono kakhulu kuphela ngesikhathi se-IUI. |
| Ukusebenzisa Isidoda Esinikelayo | Uma umlingani engakhiqizi isidoda noma ikhwalithi yaso iphansi kakhulu, isidoda somnikeli singasetshenziswa. Le ndlela ingasetshenziswa ngabesifazane abangashadile noma imibhangqwana yabesifazane bobulili obufanayo. |
| Izinkinga ngokuphuma komchamo noma ukuvuka kowesifazane | I-IUI ingasetshenziswa uma umlingani enenkinga yokukhiphisa noma ukugcina ukuqina ngesikhathi socansi. |
| Ukungezwani Nezidoda | Lokhu akuvamile kakhulu. Abanye besifazane bangase babe nokungezwani namaprotheni esidoda somlingani wabo. Lawa maprotheni asuswa ngesikhathi se-IUI ngoba isidoda siyahlanzwa. |
| Ukungazali Okungachazeki | Ngezinye izikhathi, naphezu kwazo zonke izivivinyo, isizathu esithile sokubambezeleka kokukhulelwa kwengane asitholakali. Ezimweni ezinjalo, i-IUI nayo iyavivinywa. |
Inqubo ye-IUI yenzeka kanjani?
Inqubo ye-IUI kusukela ekuqaleni kuze kube sekupheleni ivame ukuthatha cishe amasonto ama-4, okulingana nobude bomjikelezo wakho wokuya esikhathini ojwayelekile wanyanga zonke. Kunezinyathelo ezimbalwa ezibalulekile ezihilelekile.
Isinyathelo 1: Ukulungiselela kanye Nesikhathi Sokuvuthwa
Kubaluleke kakhulu ukuze lokhu kwelashwa kuphumelele ukuthola isikhathi esiqondile sokukhishwa kweqanda . Okusho ukuthi, isikhathi lapho iqanda likhishwa khona esibelethweni. Kunezindlela eziningana zokuthola lokhu:
- Ikhithi yokubikezela ukuvuthwa: Lawa makhithi, angasetshenziswa ekhaya, angasetshenziswa ukuthola isikhathi esilinganiselwe sokuvuthwa ngokulinganisa izinga le-Luteinizing Hormone (LH) emchameni.
- Ukuhlolwa kwegazi kanye nokuskena: Udokotela wakho angase enze ukuhlolwa kwegazi ukuhlola amazinga e-hormone ye-LH kanye ne-ultrasound yangaphakathi kwesitho sangasese sowesifazane ukuhlola ukuvuthwa kwamaqanda.
- Imithi kanye nemijovo: Ngezinye izikhathi, udokotela wakho angakunika imithi yomlomo (cishe izinsuku ezi-5) noma imijovo (kuze kube amasonto ama-2) ukuze akusize ukhulule amaqanda angaphezu kwelilodwa. Ngezinye izikhathi, umjovo obizwa ngokuthi i-hCG (i-human Chorionic Gonadotropin) unganikezwa ukuze ukusize ukhiphe amaqanda ngesikhathi esifanele.
Isinyathelo 2: Ukulungiselela isampula yesidoda
Ngosuku lwe-IUI, isampula yesidoda esisha iqoqwa kumlingani wakho. Ngezinye izikhathi, isampula esiqoqwe ngaphambilini futhi saqandiswa ingasetshenziswa. Lesi sampula sibe sesenziwa inqubo ebizwa ngokuthi "ukugezwa kwesidoda" ukuze kuhlukaniswe isidoda esingcono kakhulu kuphela.
Isinyathelo 3: Ukuzalisa
Kulula kakhulu futhi kuthatha imizuzu embalwa kuphela. Ngesikhathi ulele etafuleni lokuhlolwa, udokotela ufaka i-speculum esithweni sakho sangasese sowesifazane, okufana ne-Pap smear. Ngemuva kwalokho, ipayipi elincane (i-catheter) lidluliselwa esibelethweni sakho sowesifazane bese lingena esibelethweni sakho, lapho kufakwa khona isampula yesidoda esilungiselelwe ngaphambilini esibelethweni.
Ngemva kwalokhu, uzocelwa ukuba ulale phansi cishe imizuzu eyi-15-30. Ngemva kwalokho, ungaya ekhaya njengenjwayelo. Ungahlola ukuthi ukhulelwe yini emavikini amabili ngemuva kwalokhu kwelashwa.
Uyini umehluko phakathi kwe-IUI ne-IVF?
Into eyodwa abantu abaningi abadideka ngayo yizindlela ezimbili zokwelapha ezibizwa ngokuthi i-IUI kanye ne-IVF. Lezi izindlela ezimbili zokwelapha ezihluke ngokuphelele.
| Isici | I-IUI (Ukubelethwa Kwangaphakathi Kwesibeletho) | I-IVF (Ukuvundiswa Kwangaphakathi Kwe-Vitro) |
|---|---|---|
| Indawo yokukhulelwa | Ngaphakathi komzimba(Emhubheni we-fallopian) | Ngaphandle komzimba (elabhorethri) |
| Ubunzima | Okuncane, okulula | Kuningi kakhulu, kuyinkimbinkimbi kakhulu |
| Izindleko | Kuphansi kakhulu | Kuphezulu kakhulu |
| Izinga lempumelelo (ngomjikelezo ngamunye) | Kuphansi kakhulu | Kuphezulu kakhulu |
Yiziphi izingozi nemiphumela emibi ye-IUI?
I-IUI inqubo enobungozi obuphansi kakhulu uma iqhathaniswa nokwelashwa okufana ne-IVF, kodwa kunezingozi ezincane.
- Ukuba namawele noma izingane eziningi: Uma uthatha imithi yokuzala, kungase kukhishwe amaqanda angaphezu kwelilodwa, okwandisa amathuba okuba namawele noma amawele amathathu.
- Ukutheleleka: Akuvamile kakhulu.
- Ukopha okuncane: Ungase uzwe ukopha okuthile kwesitho sangasese sowesifazane usuku olulodwa noma ezimbili ngemva kokwelashwa.
- I-Ovarian Hyperstimulation Syndrome (OHSS): Lokhu nakho akuvamile kakhulu. Kwenzeka lapho ama-ovary esabela ngokweqile emithini enikezwayo yokukhuthaza ukuvuthwa kwamaqanda, okubangela ukuba avuvuke futhi abe buhlungu.
Uma uzwa izimpawu ezifana nobuhlungu obukhulu besisu, isicanucanu nokuhlanza, ubunzima bokuphefumula, ukukhuluphala ngokuzumayo, noma isiyezi ngemva kokwelashwa, shayela udokotela wakho ngokushesha. Lezi zingase zibe izimpawu ze-OHSS.
Kuphumelela kangakanani lokhu?
Impumelelo yokwelashwa nge-IUI incike ezintweni eziningana, ezibaluleke kakhulu kuzo iminyaka yowesifazane kanye nembangela eyinhloko yokungazali kwakhe .
Ngokuvamile, uma i-IUI isiqediwe ngemithi, amathuba okukhulelwa emjikelezweni owodwa wokwelashwa angaba ngu-20%.Leli izinga lempumelelo elifanayo nokukhulelwa okuvamile. Lokho kusho ukuthi i-IUI imane nje ibuyisela amathuba akho esimweni esijwayelekile.
Le mpumelelo iyashintsha ngokweminyaka:
- Ubudala obungu-20-30: Cishe u-17.6%
- Ubudala obungu-31-35: Cishe u-13.3%
- Ubudala obungu-39-40: Cishe u-10.6%
- Abantu abangaphezu kweminyaka engama-40 ubudala: cishe 5.4%
Odokotela bavame ukuncoma ukuthi uzame imijikelezo ye-IUI emithathu ngaphambi kokwenza i-IVF. Kodwa-ke, uma uneminyaka engaphezu kwengu-40, noma unezimo ezifana nama-fallopian tubes alimele noma i-endometriosis, udokotela wakho angase akuncome ukuthi uye ngqo ku-IVF.
Umlayezo Wokuya Nawe Ekhaya
- I-IUI iyindlela yokwelapha elula, engabizi kakhulu, futhi enobungozi obuphansi abantu abaningi abanenkinga yokuyikhulelwa abangayisebenzisa njengesinyathelo sokuqala.
- Impumelelo yalokhu incike eminyakeni yakho kanye nembangela yokungazali.
- Ukuthola isikhathi esifanele sokukhipha amaqanda kubalulekile ukuze ukwelashwa kuphumelele.
- I-IUI inqubo ehlukile nelula kune-IVF.
- Lolu hambo lungaba nzima ngokomzwelo. Ngakho-ke zizwe ukhululekile ukuxoxa ngayo yonke imibuzo yakho, ukwesaba, kanye nokukhathazeka nodokotela wakho. Uzokusiza ukhethe ukwelashwa okukulungele.
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