Ichokwadi kuti pane kumwe kutsvakurudza kuri kuratidza kuti kuberekwa kwakagadzirirwa kuburikidza ne in vitro fertilization (IVF) kunowedzera dambudziko rekuparara pamuviri , kana richienzaniswa nekuzvitakura kwepachizvaro. Icho chaiyo yehuwandu hwehuwandu huwandu hunosiyana nekudzidza.
Somuenzaniso, rumwe ruzivo rwekutsvaga 2003 rwakawana kuti vakadzi vakabata IVF uye vakazvitakura nemwana mumwe chete vakasavhiringidza 22% yenguva.
Kusiyana neizvi, iyo American Pregnancy Association inotaura kuti vakadzi vazhinji vane hutano vanorara nemwero vane 15% kusvika 20% mukana wekusiya pamuviri. Nokudaro kuti tsvakurudzo yakawana pangozi yepamusoro yekusununguka pamuviri kwevakadzi vanoshandisa IVF uye vanoita pamuviri nemubereki mumwechete. Zvisinei, inofanira kutaurwa kuti muchidzidzo ichocho, dambudziko rekuparara kwevakadzi kuvashandisa IVF vaitakura mapatya raingova 18% chete, iyo iri mukati mekuda kwekuchera pamuviri kwekuita pamuviri.
Chii Chinokonzera Ngozi Yakanyanya Kuwedzerwa?
Zvakakosha kuziva kuti vatsvakurudzi havabvumi kuti chikonzero chekuwedzera kungozi yekuparara kwepamuviri kunopindirana neAVF nzira pachedu. Pane kudaro, zvinowanzoitika kuti kuwedzerwa kwengozi yekupererwa mushure mokunge in vitro fertilization (kana kuti kumwe kurapwa kwekubereka ) kune zvakawanda zvine chokuita nechikonzero chechikonzero chekuita kurapa. Mune mamwe mazwi, varwere vane ruzivo rwekurovedza in vitro fertilization vangangodaro vari mumwero wepamusoro wekutapukira pamuviri, pasinei nemararamiro ekuita pamuviri-kusaruramisira sezvingave.
Heano zvimwe zvishomanana zvinotsanangurwa.
- Nguva yakwegura: Vakadzi vanopinda mu vitro fertilization vanowanzove vakwegura kudarika vakadzi vanozvimiririra nenzira yavo, uye makore ekuberekwa akwegura anosangana nehuwandu hwekuparara kwepamuviri. Semuenzaniso, vakadzi vari pakati pemakore makumi matatu nemakumi mashanu nemakumi mana nemashanu vanowana 20% kusvika ku35% mukana wekusununguka pamuviri uye vakadzi vanopfuura makore makumi mashanu nemashanu vanogona kuva nemukana we 50% wekusiya pamuviri, maererano neAmerican Pregnancy Association.
- Dambudziko rehutano hwehutano: Vakadzi vanoshandisa IVF vanowanzova nehutano hwehutano hunoita kuti huve nehuwandu hwekuparara.
- Kuziva kwekutanga: Kana mukadzi achishandisa IVF, anowanzobhadhara zvikuru pane imwe neimwe uye anoona kuti ane pamuviri munguva pfupi. Vakadzi vanozvimiririra pachavo, kune rumwe rutivi, vangave vasingazivi kuti vane pamuviri sezvavanotanga-kunyanya kana kubata kusingatarisirwi. Sezvo njodzi yekuparara pamuviri yakakosha mumavhiki mashomanana ekutanga ekudzivirira, vakadzi vazhinji vanozvara nemwero vanogona kuora mwoyo vasati vatomboziva kuti vane pamuviri. Izvi zvinowanzotumidzwa semakemikari mimba.
- Ovarian stimulation: Chimwe chekuongorora 2004 chakawana kuti kuwanda kweiianan kukurudzirwa kunoitwa mukadzi paanenge achishandisa kubatsiridza tekitariki inogona kuita basa. Vaya vatsvakurudzi vakaona kushamwaridzana pakati pepamusoro-soro rekuvhara mavari uye kupererwa kwepamuviri.
Saka, usadzivirirwa kubva pakutsvaga IVF kana uchida. Taura nechiremba wako kuti uite urongwa hwezvinhu zvinonyanya kukosha kumamiriro ako. Kutaura zvazviri, kushandisa preimplantation genetic diagnosis (PGD) kunogona kuderedza ngozi yako yekuparara pamuviri mukati mechipatara cheVIV kana iwe uine kare nhoroondo yezvisizvo zvisati zvamboitika kurapwa-kunyanya kana iwe uri kupfuura makore makumi mana.
Somuenzaniso, rumwe ruzivo rwema2006 rwakaona zvinopfuura 2 000 rwendo rwemakore zana e100 IVF hwakaratidza kuti PGD yakaderedza kusapererwa kwevakadzi pakati pemakore 35 kusvika ku40 kubva pa19% kuenda ku14% uye kuti yakaderedza kuvhara kwevakadzi pakati pemakore makumi mana kubva 41% kusvika 22%.
Sources:
Munné S, Fischer J, Warner A, Chen S, Zouves C, Cohen J; Inotaura nezveCentral PGD Group. "Kuisa maitiro ekugadzirisa maitiro ekugadzirisa muviri kunowedzera kuderedza kurasikirwa nepamuviri mumhuri dzevasikana: kudzidza kukuru." Fertil Steril. 2006 Feb; 85 (2): 326-32.
Tummers, Phillippe, Paul De Sutter naMarc Dhont. "Njodzi yokubvisa pamuviri kamwechete mu singleton uye mapatya maviri pashure peVIV / ICSI." Kuberekwa Kwevanhu Aug Aug 2003. 18 (8): 1720-1723.
Wang, Jim X., Robert J. Norman uye Allen J. Wilcox. "Kuitika kwekubvisa pamuviri kamwechete pakati pekudzivirira kunobudiswa nekubatsira kubereka kwekombiyuta." Kuberekwa kwevanhu Feb Feb 2004. 19 (2): 272-277.