Ukuqoqwa kwesidoda se-IVF kusebenza kanjani nokuthi yini ongayilindela

Kulungile, ake sikhulume ngokuqoqa isidoda kwe-IVF. Lunye lwalezo zihloko ezingenza noma ubani azizwe ekhathazekile kancane, kodwa empeleni, ukuqonda inqubo kwehlisa kakhulu ingcindezi. Uma udlula ku-IVF, lesi sinyathelo sibalulekile. Ngisho, isidoda kufanele sihlangane neqanda, akunjalo? Ngaphandle kwalokho, akukho kuchumisa. Nansi into okufanele uyazi.

Kuyini Ukuqoqwa Kwesidoda kwe-IVF?

Ngakho-ke, ukuqoqwa kwesidoda kwe-IVF yikho kanye ezwakala kunjalo. Inqubo yokuqoqa isidoda ukuze sikwazi ukusetshenziswa ukuchumisa iqanda ngesikhathi se-IVF. Isidoda sizobe sesihlanganiswa namaqanda avela kumlingani wakho (noma umninimnikelo), futhi lawo ma-embryo yikho okungenzeka agcine esenokukhulelwa. Kodwa konke kuqala ngokuthola leso sidoda.

Ngokuvamile, lokhu kusho ukuthi indoda izohlinzeka ngesampula yesidoda, bese iklinikhi iyisebenzisa ukudala ama-embryo. Kuzwakala kulula ngokwanele, kodwa kuningi okwenzekayo ngemuva kwezigcawu.

Ukulungiselela Ukuqoqwa Kwesidoda kwe-IVF

Kulungile, nazi izindaba. Ngaphambi kokuqoqa isidoda kwe-IVF, amaklinikhi amaningi azotshela indoda ukuthi izithibe kunoma yiluphi uhlobo lokuchama ngesidoda okungenani izinsuku ezi-2 kuya kwezi-5. Kungani? Ngenxa yokuthi kusiza ukugcina inani lesidoda nokunyakaza kwaso kusebanga elihle. Uma kwenzeka kaningi kakhulu, izinombolo zingase zibe sezingeni eliphansi. Uma kudlula isikhathi eside kakhulu, isidoda singalahlekelwa ngamandla aso [1].

Futhi kukhona okungaphezulu kwalokho. Ukubhema? Akukuhle kusidoda. Kuyafana nokuphuza kakhulu noma ukuthatha eminye imithi. Nalokho odlayo kubalulekile. Ukudla okunothe ngama-antioxidant kanye nezithasiselo ezifana ne-zinc, i-selenium, ne-folic acid kungaba nomthelela omkhulu ekuphileni kwesidoda [2]. Ngakho yebo, akukhulunywa nje ngokwenza isenzo sokuqoqwa kwesidoda, kodwa nangokuthi wenzani ezinsukwini eziholela kulokho.

Icebiso Eliphezulu: Zama ukuzithiba okungenani izinsuku ezi-2 kodwa hhayi ngaphezu kwezi-5. Uma ulinda isikhathi eside kakhulu, ukunyakaza kwesidoda kungancipha.

Kwenziwa Kanjani Ngempela Ukuqoqwa Kwesidoda kwe-IVF?

Kulungile, ake singene ekutheni ukuqoqwa kwesidoda kwe-IVF kusebenza kanjani ngempela. Indlela evame kakhulu? Ukuzibhedayo. Yebo, yilokho. Iklinikhi izokunika isitsha esingenazintsholongwane, futhi ngokuvamile unikezwa igumbi langasese ukuze ubhekane nomsebenzi. Kwabanye, lokhu kungazwakala kungathokozisi, kodwa amaklinikhi enza konke okusemandleni ukwenza kube nokunethezeka ngangokunokwenzeka [3].

Ezinye izikhungo zivumela nokuthi niqoqe isampula ekhaya. Uma kunjalo, okubalulekile wukuyigcina ekamelweni lokushisa bese niyiyisa esikhungweni kungakapheli ihora elilodwa. Leyo iwindi elifushane, ngakho zilungiselele.

Manje, uma kunezizathu zezokwelapha ezenza ukuthi ukuchama kungenzeki, kukhona nezinye izindlela. Lezi zifaka izinto ezifana nokukhipha isidoda esivela esithweni samadoda (testicular sperm extraction, TESE) noma i-micro epididymal sperm aspiration (MESA), lapho bakhipha khona isidoda ngqo esithweni samadoda [4]. Lokhu kungenelela kakhudlwana, kodwa kuyawuqeda umsebenzi lapho ukuchama ngokwemvelo kunganyakile.

Kwenzekani Ngemva Kokuqoqwa?

Lapho isampula isesandleni sesikhungo, khona-ke kwenzeka “imilingo”. Osokhemisi bezokwelapha bayogeza isidoda, besusa esifile nanoma imuphi udoti, beqinisekisa ukuthi kuphela isidoda esinamandla nesinempilo esilungiselelwa isinyathelo esilandelayo [5]. Ukwazi ubuncane benani lesidoda elidingekayo kwe-IVF kungasiza ukusetha okulindelekile okungokoqobo ngesikhathi sokwelashwa.

Uma inani lesidoda liphansi, noma ukunyakaza kwaso kungesihle, bangase basebenzise indlela ebizwa ngokuthi Intracytoplasmic Sperm Injection (ICSI). Ngale ndlela, bajova isidoda esisodwa ngqo eqandeni. Isebenza ngokungenelela okuthe xaxa, kodwa ingakhuphula amathuba enu uma ikhwalithi yesidoda ingekho emnandi [6].

Ukwenza Ngcono Ikhwalithi Yesidoda kwe-IVF

Impilo yesidoda ayikhulumi ngosuku lokuqoqwa kuphela. Okubalulekile wukuthi kwenzekani emasontweni angaphambi kwalo. Ukuze nithole ithuba elingcono, cabangani ukwenza izinguquko ezithile endleleni yokuphila. Yidleni kahle, zivocavoca kakhulu, futhi nisuse izinto ezimbi ezifana nokubhema noma ukuphuza ngokweqile [7].

Izithasiselo zokukhulisa ukuzala nazo zingasiza. L-Arginine ne-CoQ10, isibonelo, kwaziwa ukuthi zithuthukisa ukunyakaza kwesidoda. Ama-antioxidant njengevithamini C, ivithamini E kanye ne-zinc nawo amahle ekuvikeleni isidoda ekulimaleni. Akuyona imilingo, kodwa kungasiza. 

Umphumela Obalulekile

Inqubo yokuqoqa isidoda ye-IVF iyisinyathelo esibalulekile ohambweni lokuzala. Ngokulungiselela kahle, ulandele imihlahlandlela yesikhungo, ugxile nasekuthuthukiseni impilo yesidoda, uzinika ithuba elingcono kakhulu lomphumela ophumelelayo we-IVF. Kungaba wukuchama ngokwemvelo noma inqubo ebandakanyeka kakhulu, konke kumayelana nokunikeza amaqanda isidoda esingcono kakhulu sokuchuma.

Imibuzo Evame Ukubuzwa

Kumele ngizithibe isikhathi esingakanani ngaphambi kokuhlinzeka ngesampula yesidoda ye-IVF?

Kufanele uzithibe izinsuku ezi-2 kuya kwezi-5 ngaphambi kokuqoqa isidoda se-IVF. Uma sekudlule kakhulu, isidoda singaqala ukulahlekelwa ikhwalithi yaso.

Ngingakwazi yini ukuqoqa isampula yami yesidoda ekhaya?

Yebo, kodwa kumele ilethwe esikhungweni kungakapheli ihora elilodwa. Yigcine ezingeni lokushisa legumbi.

Kwenzekani uma ngingakwazi ukuhlinzeka ngesampula yesidoda ngendlela yemvelo?

Ungakhathazeki. Kukhona izinqubo ezifana ne-TESE noma i-MESA ezingakhipha isidoda ngqo emabeleni (testicles).

Ingabe amavithamini nezithasiselo angasiza ukuthuthukisa ikhwalithi yesidoda?

Impela. Izithako ezifana ne-zinc, i-CoQ10, ne-L-carnitine zinhle kakhulu ekunyakazeni kwesidoda nasekuphileni kwaso.

Kwenzekani uma ikhwalithi yesidoda yami iphansi?

Uma ikhwalithi yesidoda imbi, izikhungo zivame ukusebenzisa i-Intracytoplasmic Sperm Injection (ICSI) ukuze kujovwe isidoda esisodwa ngqo eqandeni. Lokhu kwandisa amathuba okuchuma.

Izinkomba

1. Agarwal A, Mulgund A, Hamada A, Chyatte MR. Umbono oyingqayizivele ngokungazali kwamadoda emhlabeni jikelele. Reprod Biol Endocrinol. Kutholakala ku: https://pubmed.ncbi.nlm.nih.gov/25928197/
2. Gaskins AJ, Colaci DS, Mendiola J, Swan SH, Chavarro JE. Amaphethini okudla nekhalithi yesidoda kubafana abasebasha. Hum Reprod. Kutholakala ku: https://pubmed.ncbi.nlm.nih.gov/22888168/
3. Kumar N, Singh AK. Izitayela zokungazali komkhakha wesilisa, okubaluleke kakhulu njengembangela yokungazali: ukubuyekeza kwezincwadi. J Hum Reprod Sci. Kutholakala ku: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4691969/
4. Schlegel PN, Su LM. Imiphumela yezomzimba yokukhipha isidoda emabeleni (testicular sperm extraction). Hum Reprod. Kutholakala ku: https://pubmed.ncbi.nlm.nih.gov/9308794/#:~:text=Transient%20adverse%20physiological%20effects%20are,TESE%20procedures%20with%20multiple%20biopsies.
5. Zini A, Jamal W, Cowan L, Al-Hathal N. Ingabe ukulimala kwe-DNA yesidoda kuhlotshaniswa nekhwalithi ye-embryo ku-IVF? Ukubuyekeza okuhlelekile. J Assist Reprod Genet. Kutholakala ku: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3151360/
6. Merchant R, Gandhi G, Allahbadia GN. Ukufakelwa kabusha ngaphakathi kwesibeletho/ukujovwa kwesidoda ngaphakathi kwe-cytoplasm (in vitro fertilization/intracytoplasmic sperm injection) ngokungazali kwabesilisa. Indian J Urol. Kutholakala ku: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3114573/
7. Ricci E, Al Beitawi S, Cipriani S, Candiani M, Chiaffarino F, Viganò P, Noli S, Parazzini F. Ikhwalithi yesidoda nokusetshenziswa kotshwala: ukubuyekeza okuhlelekile nokuhlaziywa kwe-meta. Reprod Biomed Online. Kutholakala ku: https://pubmed.ncbi.nlm.nih.gov/28029592/