Ngaphambi kokuba uqale ukuqapha intuthuko yakho nge-in vitro fertilization (IVF) ngesikhathi somjikelezo we-IVF, kunezinto eziningana ezibalulekile okufanele wazi. Njengokuthi ebusuku (futhi ngezinye izikhathi omunye ekuseni) amajojo ayengalungile, isazi sakho sokuzala sisho ukuthi ungena ehhovisi nsuku zonke ukuhlolwa kwegazi kanye ne-ultrasound.
Ukubaluleka kokuqapha ngesikhathi se-IVF Cycle
Udokotela wakho uzodinga ukulandela ngokushesha impendulo yakho kumithi oyithathayo. Imithi yakho yemithi ingashintsha nsuku zonke, njengoba udokotela enza kahle-impendulo yakho ngokusekelwe emiphumeleni. Ngaphandle kokuqapha okujwayelekile, kunethuba elikhulu lokuthi ungagula noma ube nempendulo embi.
Okudingeka Ukwazi Ngaphambi Kokuqala Ukuqapha
Manje uyazi ukuthi ukuqapha kubalulekile, kodwa kuyini okushoyo kuwe ncamashi? Izeluleko eziyisikhombisa ezilandelayo zizokusiza uqonde ukuthi yini ongayilindela uma kuqapha ukuqala:
1. Ungase ube nokusa kakhulu ekuseni kakhulu isikhashana.
Yiqiniso, lokhu kufike kudokotela wakho. Ngokuvamile, iziguli zidingeka ukuba zizohlolwa njalo ekuseni, nakuba zingase zingabi njalo ekuqaleni komjikelezo. Uma unenkinga mayelana nokuvama kokuqapha ngesikhathi se-IVF, sicela ukhulume nodokotela wakho ngaphambi kokuba uqale.
Ukuhlolwa kwegazi nsuku zonke kanye nama-ultrasounds kuzoba okujwayelekile.
Mhlawumbe uzothathwa igazi lakho kanye ne- ultrasound yangaphakathi yonke eyenziwa ngaso sonke isikhathi lapho ungena khona. Lokhu kuxhomeke kudokotela wakho nesimo, kodwa ulungiselele ukuhlolwa kwansuku zonke.
3. Ukuqokwa kwe-skipping kuyinhloko enkulu cha.
Ngaphambi kokudlula i-aphoyintimenti, kufanele ukhulume nodokotela noma unesi wakho.
Kuvame ukukhomba amaphuzu kulo mjikelezo lapho ukuqapha kudingekile khona. Eqinisweni, abanye besifazane bangase bajikeleze udokotela wabo ngenxa yokungafiki njalo.
4. Ukwandisa i-follicles yakho kuyoba yinto yokuqala.
Phakathi nomjikelezo wakho, i-follicles kuma-ovari akho azoqala ukukhula nokuthuthukisa. I-sonographer izobe ibuka ama-ovari akho futhi ulinganisa ama-diameter we-follicle ngayinye. Ukwakhiwa kwe-endometrial kuzophinde kulinganiswe. Udokotela ngamunye uyoba nezindinganiso zakhe, kepha ukukhula kobuciko cishe ngo-2mm usuku ngalunye kuvamile.
5. Amahomoni akho azobukwa njenge-hawk.
Futhi, umtholampilo ngamunye uzoba nemigomo yawo, kodwa ngokuvamile, udokotela ngokuvamile ufuna ukubuka ama-estrogen, i-progesterone, ne-LH (i-hormone ye-luteinizing). Ngezinye izikhathi bangadonsela igazi ngezinhloso ezithile. Kufanele uzizwe ukhululekile ukucela ithimba lakho lezokwelapha ukuthi kusho ukuthini imiphumela yemiphumela yegazi nokuthi yiziphi ama-hormone akho okufanele abe khona.
6. I-Estrogen izoba umngane wakho omkhulu.
Kunezici eziningana ezingathinta izinga lakho le-estrogen, kuye ngokuthi uneminyaka yakho nemithi oyikho ukubiza amagama ambalwa. Ngesikhathi udokotela ngamunye elandela isigaba sakho se- estrogen ngokwezinqubomgomo zawo, bafuna ukubona ukuthi izinga likhuphuka ngendlela efanele.
Ngokujwayelekile, bafuna ukubona kabili izinga njalo ezinsukwini ezimbili. Uma izinga lakho le-estrogen lehla kakhulu phakathi nomjikelezo wakho, lokhu kungabonisa isidingo sokukhansela umjikelezo bese uqala ngaphezulu. Uma une-droprode ye-estrogen phakathi nomjikelezo wakho, sicela ungangabazi ukukhuluma nodokotela wakho mayelana nokukhathazeka kwakho.
7. Uyobe uphonsa amagama nama-acronyms azungeze (isib. I-Progesterone ne-LH) njenge-pro.
Amazinga akhuphuka we- progesterone ne- LH angabonisa ukuthi ungase uphule imishanguzo yakho ecindezelayo futhi umzimba wakho ungase ulungele ukuvunguza. Udokotela wakho uzofuna ukuqapha amazinga akho ukuqinisekisa ukuthi azikho izimpawu zokuqala zokuvuna.
Uma lawo mazinga eqala ukukhuphuka, angawalandela eduze futhi enze ukulungiswa kwemithi efanelekile. I-progesterone ye-ovulatory (ngokuvamile engaphezu kwe-3, kodwa incike endleleni ilabhu isebenza ngayo igazi) ngenkathi ibhayisikili lingase libonise isidingo sokukhansela. Futhi, sicela ukhulume nodokotela wakho nganoma yikuphi ukukhathazeka.