Izilinganiso zangempela zezindleko ozikhokhela wena zokwelashwa kokungazali
Nakuba isidingo sokwelashwa kokungabi nenzalo sikhuphuka, izindleko eziphezulu zingase zikhinyabeze eminye imishado ekutheni ifune ukwelashwa. Abacwaningi base-University of California–San Francisco bahlola izindleko eziqondile ezikhokhwa ngqo ephaketheni imibhangqwana edlula ekwelashweni kokuzala. Ngokohlobo lokwelashwa, ibanga lezindleko ezikhokhwa ephaketheni lalingu-$912 kuya ku-$19,234. Imiphumela, eshicilelwe ku-The Journal of Urology®, izosiza ukwazisa imishado efuna ukwelashwa kokungabi nenzalo kanye nodokotela ababayalayo.
"Odokotela be-urology basemgqeni wokuqala wokweluleka ozakwabo besilisa nabesifazane ngezinketho zokuzala futhi cishe bonke abaguli bafuna ukwazi izindleko. Ngokwemininingwane esinayo, ayikho iqembu elake lalinganisa ngempela izindleko ezikhokhwa ephaketheni zokunakekelwa kokuzala ngendlela ebheke phambili," kuchaza uJames F. Smith, MD, MS, uSizo Profesa noMqondisi we-Male Reproductive Health, e-University of California–San Francisco.
Kuze kufike ku-24% yemibhangqwana iba nobunzima bokukhulelisa ingane, kanti ukulinganiselwa kokuvama kokungabi nenzalo kwehluka kusuka ku-6% kuya ku-24%. Phakathi kuka-8% no-18% wabesilisa no-12% wabesifazane bafuna ukwelashwa kokungabi nenzalo ngesikhathi esithile empilweni. Nokho, eminingi imibhangqwana efuna ukwelashwa kokungabi nenzalo inomshwalense oyingxenye kuphela noma engenawo nhlobo, kanti izindleko zingaba umthwalo osindayo emakhaya abo. Ngisho nasemibhangqwaneni esithola ukwelashwa kokuzala, izinga lenhlalo-mnotho lingase lithinte impumelelo yokwelashwa kokuzala. Lezi zinkinga zikhuliswa ukungabibikho komshwalense ophelele wokungabi nenzalo e-United States.
|
I-United States Amazinga aphansi kakhulu okusetshenziswa kwe-IVF Izindleko: 44% wemholo wonyaka osele usutholakele |
I-Australia Izinga eliphezulu kakhulu lokusetshenziswa kwe-IVF Izindleko: 6% wemholo wonyaka osele usutholakele |
Ucwaningo lwezindleko ze-IVF (IVF Cost Diary Study)
Kulolu cwaningo imibhangqwana yathathwa ezikhungweni eziyisishiyagalombili ze-reproductive endocrinology. Yayilandelwa isikhathi esiyinyanga ezili-18 kusukela kuqale ukwelashwa futhi yacelwa ukuba igcine amadayari enyanga nenyanga ezindleko ezikhokhwa ephaketheni, okuhlanganisa ukuvakashela isikhungo, imishanguzo, nezinye izindleko ezihlukahlukene ezifana nohambo, ipaki yemoto, ukudla, nezinye izindleko ezihlobene nokunakekelwa kokuzala. Inani eliphelele lemibhangqwana engu-332 laqedela amadayari ezindleko futhi laba nedatha etholakalayo mayelana nokwelashwa nemiphumela.
Ngaphezu kwengxenye yemibhangqwana (55%), eminingi yayo yayinemali engenayo engaphezu kuka-$100,000, yadlula ku-IVF. Kweminye imibhangqwana esele, u-19% wathola ukwelashwa okungekho esekhasini lomjikelezo (non-cycle based therapy), u-4% wasebenzisa imishanguzo yokuvusa amaqanda kuphela, kanti u-22% wadlula ku-intrauterine insemination. Isamba sezindleko ezikhokhwa ephaketheni sasiyimayelana no-$5,338. Imibhangqwana eyayisebenzisa imishanguzo kuphela yayinezindleko eziphansi kunazo zonke ezikhokhwa ephaketheni, cishe u-$912, kanti labo abenza i-IVF babe nezindleko eziphezulu kunazo zonke, u-$19,234. Imibhangqwana yachitha cishe u-$6,955 kumjikelezo ngamunye owengeziwe we-IVF. Imibhangqwana enezinkinga zokuzala ezibangelwa yindoda kuphela yakhokha cishe u-$9,404 ngaphezu kwaleyo ebe inenkinga yokungabi nenzalo kowesifazane kuphela. Imibhangqwana enomshwalense wokunakekelwa kokuzala yachitha u-$2,152 ngaphansi kwemibhangqwana engenawo umshwalense. Izindleko ezikhokhwa ephaketheni bezingahlotshaniswa kakhulu nempumelelo yokukhulelwa.
"Kubaguli abaningi izindleko eziphezulu ezikhonjiswe kulolu cwaningo zimelela umthwalo omkhulu kwezezimali zasemakhaya futhi cishe zinemthelela omkhulu ekwenzeni izinqumo ngokwelashwa kokuzala," kusho uSmith. "Le datha inikeza ukulinganiselwa kwezindleko zangempela ezikhokhwa ephaketheni, ezingasetshenziswa ukusiza imibhangqwana ihlele izindleko abangase babhekane nazo ngokwelashwa. Ukuxhumana nalezi zindleko ngokusobala nabaguli ekuqaleni kokunakekelwa kokuzala kungabasiza balungiselele ukwelashwa futhi benze izinqumo ezinolwazi mayelana nezinketho zabo." Lolu hlaziyo lubonisa ukuthi izindleko ezikhokhwa ephaketheni ziyahluka kakhulu kuye ngohlobo lokwelashwa, ngisho nangemva kokulawula ukuthi kunomshwalense wokungabi nenzalo noma cha.
