Izinto okumele zicatshangelwe ekunqumeni ngoku-cryopreservation yama-oocyte
Abesifazane abaningi baphendukela kwi-oocyte cryopreservation, noma amaqanda amaqanda, njengendlela yokulondoloza amaqanda abo ngokukhulelwa esikhathini esizayo. Izizathu zalokho zihluka: Akazizwa elungele ukukhulelwa okwamanje, yena akahambisani nobuhlobo obuzibophezelekile, noma uthola ukuthi unomdlavuza futhi i-chemotherapy ingathinta ukuzala kwakhe.
Izindaba ezinhle ukuthi ukuthi i-PCOS ayisho ukuthi kufanele iqede amaqanda akho, nakuba ungase ucabange ukwenza kanjalo ngesinye sezizathu ezibalwe ngenhla.
Isebenza kanjani?
I-oocyte cryopreservation ifana kakhulu nezigaba zokuqala ze- IVF : uzothatha izinhlobo ezimbili zemithi yokwelapha isikhathi esingangesonto nesigamu kuya kwamasonto amabili.
Imithi yokuqala iphazamisa ukukhiqizwa kwe-hormone yemvelo yomzimba wakho ukuze ungavumeli ngaphambi kwesikhathi, kanti okwesibini kuvuselela ama- ovari ukukhiqiza amaqanda amaningi esikhundleni sokujwayelekile.
Ngenkathi ukhona emithini, uzokuyala ukuba ubuyele ehhovisi ukuze uhlolwe ukuhlolwa kwegazi kanye nama-ultrasound ukuhlola impendulo yakho kumuthi. Wonke udokotela nomtholampilo unenqubo yakhe siqu: abanye odokotela bazobavakashela nsuku zonke, kuyilapho abanye bazofika kuphela izikhathi ezimbalwa phakathi nomjikelezo wonke. Qinisekisa ukulandela imiyalelo ngokuqondile.
Uma udokotela ezwa ukuthi amaqanda akhule ngokwanele, uzokufundisa ukuba uthathe umjovo wokugcina we-gonadotropin ye-chorionic, noma i-hCG, ukuze ukhule amaqanda.
Ukuhlinzwa okuncane okwenziwe ngamaqanda kuthathwa cishe amahora angama-35 ½ amahora kamuva. Kuthatha cishe isigamu sehora kuya ehoreni, futhi cishe uzolala ngesikhathi senqubo.
Udokotela uzofaka isimiso se-ultrasound ngaphakathi kwesiswini sakho ukuze abone ngeso lengqondo ama-ovari akho. Uzobe esefaka inaliti ku-ovary ukuze agqugquzele uketshezi ngaphakathi kwe-ovarian follicles ngayinye.
Umswakama uzonikezwa kumbungu wezinambuzane, ozowuhlola ngaphansi kwe-microscope ukuze afune iqanda. Amaqanda aphilile azobe eseceleni futhi efriziwe ngokusebenzisa amasu akhethekile.
Uma usulungile, amaqanda azohlushwa futhi afakwe umanyolo, futhi imibungu eholayo idluliselwe esibelethweni sakho ukuze ngethemba ukuthi udale ukukhulelwa. Ngezinye izikhathi imijikelezo eminingi kudingeka ukuba uthole amaqanda anempilo okwanele angayisebenzisa.
Zikhona Izingozi?
Yebo. Kukhona ingozi yokuthuthukisa i-ovarian hyperstimulation syndrome, noma i-OHSS. Le syndrome kwenzeka kaningi ngokushesha ngemuva kokubuyiselwa kweqanda futhi ingaba yingozi ngempela, ikakhulukazi kwabesifazane abane-PCOS.
Njengoba i-egg egcwele amaqanda egcwele amanzi aqala ukukhula ngaphakathi kwe-ovary, iyanda. Ngezinye izikhathi, ama-hormone namakhemikhali akhiqizwa ama-follicle angenalutho (emva kokubuyiswa kwamaqanda) angabangela uketshezi kwenye indawo emzimbeni ukuba ungene emgodini noma emaphashini.
Abesifazane abane-PCOS basengozini enkulu yokuthuthukisa i-OHSS ngenxa yezinombolo eziningana ze-follicles kwi-ovary, kanye nokuthambekela kwabesifazane abane- PCOS ukuze baphendule ngaphezulu ama-hormone.
Ngaphezu kwalokho, kunengozi ukuthi amaqanda angase angaphili izinqubo zokuqhwaza noma izinhlanzi. Imitholampilo eminingi ngeke ibuyiselwe imali oyikhokhele umjikelezo, ngakho-ke kukhona amathuba okulahlekelwa yizimali eziningi.
Ingabe Ihlanganiswe Ngomshwalense?
Ezimweni eziningi, cha, ukuqanda amaqanda akuhlanganiswa nomshuwalense wakho wezempilo. Njengoba umjikelezo owodwa ungadla u-$ 12,000 noma ngaphezulu, lokhu akusona isinqumo okufanele sithathwe kalula.
Ngaphezu kwalokho, imali yokugcina yalezo maqanda ingaba ngamakhulu ambalwa kuya kuzinkulungwane ezimbalwa zamaRandi ngonyaka.
Bahlala Kanjani Kangakanani?
Ukucabanga ukuthi amaqanda anemfanelo enhle, amaqanda afriziwe kufanele ahlale iminyaka eminingana. Uzodinga inamba yawo ukuqinisekisa ukuthi unamaqanda anempilo okwanele azosinda ezinkambisweni zokuqhwaza nokukhukhula, ukukhulelwa kanye nokuthuthukiswa kombungu.
Ngikhetha Kanjani Udokotela?
Kufanele uthole umuntu osondelene nomuzi wakho ukwenza ukuhamba uye kusuka emtholampilo kulula ngangokunokwenzeka ngoba uzoba khona njalo.
Ihhovisi kufanele libe namahora afanelekile ukuze ungathathi isikhathi esiningi emsebenzini ukuze ubone udokotela. Qinisekisa ukubuza mayelana nokuhlangenwe nakho kwabo ngamaqanda amaqanda, kufaka phakathi ukuthi bangaki imijikelezo, kanye nemiphumela yabo yokuphumelela.
Yenza ucwaningo lwakho ngaphambi kokukhetha udokotela wakho. Uma unomkhuba owodwa kuphela oseduze nawe futhi awukhululekile ngezinga labo lokuhlangenwe nakho, cabanga ngokuya emtholampilo okude. Kufanele bazimisele ukusebenza nawe ukunciphisa inani lokuqashwa kanye nenani lokuhamba okuzodingeka ukwenze.
Lokhu akuyona into engavamile: imitholampilo eminingi isetshenziselwa ukusebenza neziguli ezingaphandle kwedolobhana futhi inenqubo ekhona ukuze kube lula kuwe. Okubalulekile ukuthi kufanele uzizwe ukhululekile kunoma yisiphi isikhungo osikhethayo.