Ukufakelwa Imbewu Okwenziwa Kubiza Malini?

Ukufakelwa okwenziwa kuyinketho yokwelapha ukungazali esiza imibhangqwana engazali ukuthi ikwazi ukukhulelwa. Kuhilela ukufakwa kwesidoda ngqo ohlelweni lokuzala lowesifazane, okwandisa amathuba okukhulelwa [1].

Le ndlela isiza kakhulu uma inkinga ikhona ku-ukuhamba kwesidoda noma ekugxileni kwaso [2]. Ukufakelwa okwenziwa kudlula izithiyo isidoda esibhekana nazo uma sifinyelela eqandeni.

Kodwa ukufakelwa okwenziwa kubiza malini? NOMA kubiza malini ukufakelwa okwenziwa ukuze kukhulelwe?

Kulesi sihloko, sizophendula umbuzo othi kubiza malini ukufakelwa okwenziwa ukuze kukhulelwe. Uma ufuna ukwazi ukuthi ukufakelwa kubiza malini noma yiziphi izici ezinquma intengo yokufakelwa okwenziwa, lesi sihloko siwumhlahlandlela ophelele kuwe.

Kuyini ukufakelwa okwenziwa?

Ukufakelwa okwenziwa inqubo lapho iseli lesidoda sowesilisa sibekwa ngqo ohlelweni lokuzala lowesifazane. Isidoda singafakwa esibelethweni, esibelethweni sangaphandle (cervix), noma kuma-fallopian tubes, kuye ngodaba lomuntu [3].

Ingamathuluzi asebenzayo futhi awusizo kubantu ababhekene nobunzima bokukhulelwa ngokwemvelo. Inqubo ngokwayo ilula futhi ayihlaseli umzimba kakhulu, okwenza kube inketho elula kulabo abafuna ukwelashwa kokungazali.

Izinhlobo zokufakelwa okwenziwa

Kunezinhlobo ezintathu ezivame kakhulu zokufakelwa okwenziwa, futhi uhlobo ngalunye lune ndlela ehlukile yokufakwa kwesidoda. Izindleko zokufakelwa zixhomeke ohlotsheni lokufakelwa okwenziwa.

1. Ukufakelwa ngaphakathi esibelethweni (IUI)

I-IUI ingenye yezindlela ezidume kakhulu ezikhethwa ongoti be-ukwelashwa kokungazali uma kwenziwa ukufakelwa okwenziwa. Ku-IUI, iseli lesidoda lifakwa ngqo esibelethweni kusetshenziswa i-catheter encane [4].

Njengoba iseli lesidoda libekwa eduze neqanda emgodini wokuzala owesifazane, lokho kukhulisa amathuba okuthi isidoda sifinyelele eqandeni.

2. Ukufakelwa Isidoda Ngaphakathi Kwefallopian (IFI)

Ishubhu le-fallopian liyingxenye yomgudu wokuzala kowesifazane lapho isidoda ngokuvamile sihlangana neqanda [5]. Lapho amaseli esidoda enganyakazi, noma inani lesidoda liphansi, isidoda asikwazi ukufinyelela iqanda eshubhini le-fallopian, okunciphisa amathuba okukhulelwa.

Ngesikhathi sokufakelwa isidoda ngaphakathi kwefallopian (intra-fallopian insemination), isidoda sifakwa ngqo eshubhini le-fallopian, okwandisa amathuba okukhulelwa.

3. Ukufakelwa Isidoda Ngaphakathi Kwesibeletho Sentamo (ICI)

Kufakelwa isidoda ngaphakathi kwesibeletho sentamo (intracervical insemination), amaseli esidoda abekwa emnyango wesibeletho, bese ehamba aya esibelethweni. Le ndlela ifana kakhulu nendlela yokukhulelwa kwemvelo kunendlela ye-IUI. Nokho, ingase ibe nezinga lempumelelo eliphansi kancane kune-IUI ngoba isidoda sinomgama omude okufanele sihambe wona.

Izindleko Zokufakelwa Isidoda Ngokwenziwa

ImibuzoImibuzo efana nokuthi kubiza malini ukufakelwa isidoda ngokwenziwa, kubiza malini ukufakelwa isidoda, noma iyini intengo emaphakathi yokufakelwa isidoda ngokwenziwa, ivame ukubuza ngabantu abashadile abahlela le nqubo.

Indlela ebiza ngayo ukufakelwa isidoda incike ohlotsheni lwenqubo, isikhungo sokuzala, nendawo ngezwe. Nansi inani eliphakathi nendawo ongakulindela ukukhokha ukufakelwa isidoda ngokwenziwa:

• Izindleko ze-IUI: Njengoba i-IUI idinga ukungena okujulile kakhulu uma kuqhathaniswa ne-ICI ne-IFI, ivamise ukuba ibize kakhulu. Kodwa ibiza malini i-IUI e-USA, noma zingaki izindleko ze-IUI e-NC? Ngokwesilinganiso, umjikelezo owodwa we-IUI ungabiza noma yikuphi phakathi kuka-$300 no-$1,000 e-USA.
• Izindleko ze-IFI: Izindleko zokufakelwa isidoda ngaphakathi kwefallopian (intra-fallopian insemination) nazo zisesilinganisweni sezindleko zokufakelwa isidoda ngaphakathi esibelethweni (intrauterine). Ungalindela ukukhokha cishe u-$500 ngomzamo ngamunye we-IFI.
• Izindleko ze-ICI: Izindleko ezimaphakathi zokufakelwa isidoda zivame ukuba sezingeni eliphansi nge-ICI, phakathi kuka-$200 no-$500 ngomjikelezo ngamunye. Lena yindlela elula futhi engabizi kakhulu kubantu abafuna ukufakelwa isidoda ngokwenziwa. Kubalulekile ukukhumbula ukuthi izinga lempumelelo le-ICI liphansi kunele-IUI.

Izinto Ezithinta Izindleko Zokufakelwa Isidoda Ngokwenziwa

Izinto eziningi zingathinta amanani okufakelwa isidoda ngokwenziwa noma izindleko zokukhuleliswa ngokwenziwa. Indlela ebiza ngayo kuwe ukufakelwa isidoda incike kokulandelayo:

1. Imithi yokukhulisa ukuzala

Ukuzala imidakamizwa ishukumisa ama-ovari ukuthi akhiqize amaqanda [6]. Lapho le mithi iyingxenye yenqubo yokufakelwa isidoda, ingathinta kakhulu izindleko eziphelele. Imithi yokukhulisa ukuzala ivamise ukubiza phakathi kuka-$50 no-$500 ngomjikelezo ngamunye, kuya ngomuthi osetshenzisiwe.

2. Ukugeza isidoda

Ukugeza isidoda kuvame ukuba yimfuneko ngesikhathi se-IUI ukuze kulungiswe isidoda sokufakelwa. Inqubo yokugeza ihlukanisa isidoda esinempilo nesingasebenzi kahle, okwandisa amathuba okuchanyuselwa. Ukugeza isidoda ngokuvamile kubiza phakathi kuka-$100 no-$400.

3. Ukuqapha Nama-Ultrasound

Odokotela bangase balandelele umjikelezo womfazi ngokuhlolwa kwegazi nangama-ultrasound. Lolu qapha lusiza ukunquma isikhathi esingcono kakhulu sokufakelwa. Kuye ngesikhungo nendawo, lezi zindleko zokuqapha zingangeza omunye u-$150 kuya ku-$500 ngomjikelezo ngamunye.

4. Isidoda Somnikeli

Uma umlingani wesilisa engakwazi ukukhiqiza isidoda (sterile) futhi kudingeka isidoda somnikeli, lokho kwengeza ezindlekweni. Izindleko ze-IUI esetshenziswa isidoda somnikeli zingaphakathi kuka-$300 kuya ku-$1,000 ngomjikelezo ngamunye, futhi kuye ngokuthi isikhungo sokuzala sincoma ini, kungase kudingeke imijikelezo eminingi ye-IUI.

I-IUI Ibiza Malini Uma Une-Inshurensi?

Ukumbozwa kwe-inshurensi ngokufakelwa okwenziwe kungahluka kuye ngenqubomgomo yakho ye-inshurensi nomhlinzeki we-inshurensi. Ezinye izinqubomgomo zingamboza ezinye izingxenye zokwelashwa, njengemihlangano nodokotela noma imithi yokuzala, kodwa kaningi inqubo uqobo ayimbozwa yi-inshurensi.

Umthwalo wakho umsebenzi ukuqhubeka uxhumane nomhlinzeki wakho we-inshurensi ubuze ukuthi ukufakelwa kubiza malini ngaphansi kohlelo lwakho.

Okufingqiwe

Ukufakelwa okwenziwe kuyindlela elula nephathekayo yokukhulelwa kwabashadile abanezinkinga zokungabi nenzalo. Ulwazi mayelana nentengo emaphakathi yokufakelwa okwenziwe luwunyathelo lokuqala lapho kuhlelwa lokhu kwelashwa. Abashadile abaningi abacwaninga "how much does artificial insemination cost" bathola ukuthi amanani ahlukahluka kakhulu ngokwezimo zomuntu ngamunye.

Indlela amanani okufakelwa kokuzala abiza ngayo incike ezintweni eziningi, okuhlanganisa indlela yokufakelwa, imithi, nendawo yesikhungo sokuzala. Nakuba kungase kuzwakale kubiza kubaningi ekuqaleni, ukutshala imali ekwelashweni kokungabi nenzalo, njengokubhekisa intengo ye-IUI uma iqhathaniswa ne-IVF, kuwufanele kwabashadile abaningi abangazali. Ukwelashwa kokungabi nenzalo kwandisa amathuba okukhulelwa futhi kungafeza iphupho labo lokuyaqala umndeni.

Izinsiza Ezisetshenzisiwe

1. Ombelet, W., & Robays, J. V. (2015). Umlando wokufakelwa okwenziwe: Izingqinamba nezinyathelo ezinkulu. Facts, Views & Vision in ObGyn, 7(2), 137-143. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4498171/ 
2. Sunder, M., & Leslie, S. W. (2022f, October 24). Ukuhlaziywa kwesidoda. I-StatPearls - NCBI Bookshelf. https://www.ncbi.nlm.nih.gov/books/NBK564369/ 
3. Rosner J, Samardzic T, Sarao MS. I-Physiology, Ukuzalana Kwabesifazane. [Kubuyekezwe 2024 Mar 20]. Ku: StatPearls [Internet]. ITreasure Island (FL): StatPearls Publishing; 2024 Jan-. Kutholakala ku-: https://www.ncbi.nlm.nih.gov/books/NBK537132/ 
4. Professional, C. C. M. (2024f, May 1). IUI (ukufakelwa kwesidoda ngaphakathi esibelethweni). I-Cleveland Clinic. https://my.clevelandclinic.org/health/treatments/22456-iui-intrauterine-insemination 
5. King, T. C. (2006). Imigudu Yokuzala Yabesilisa Neyayesifazane kanye Nezifo Zesifuba. I-Elsevier's Integrated Pathology, 305-336. https://doi.org/10.1016/B978-0-323-04328-1.50019-X 
6. Ukuzalana Komuntu Open, Umqulu ka-2020, Inombolo 2, 2020, hoaa009, https://doi.org/10.1093/hropen/hoaa009