Insemination inoreva kuiswa kwehuta muhutano hwemukadzi, nechinangwa chekutora pamuviri. Insemination inofanirwa kuitika munguva yegore inobereka kwazvo , inenge maawa makumi maviri nemaviri kusvika maawa makumi maviri asati apera.
Kazhinji, apo vanhu vachitaura nezvekuisa insemination, ivo vari kureva IUI kana intrauterine insemination . IUI mushonga wekubereka unosanganisira kutora semuna yakashambidzwa, uye kuendesa mbeu mumubereki wechikadzi uchishandisa siriniti inokosha.
Kunyange zvazvo IUI ndiyo inonyanyozivikanwa yekushambadzira maitiro, kune dzimwe nzira dzekutora hura kumukadzi ekuberekorora.
Intravaginal Insemination (IVI)
Intravaginal insemination (IVI) ndiyo nzira yakaderera yekushambadza uye inosanganisira kuiswa kwemuviri mumukadzi wemukadzi. Zvakanaka chaizvo zvinoitika panguva yekuita zvepabonde maererano nekuiswa kwemuviri.
Iyi nzira yekuisa inogona kushandiswa pakushandisa unhu hupi, uye kana pasina matambudziko nemukadzi wekubereka.
Nemhaka yokuti kubudirira kwehuwandu kwakaderera kupfuura IUI, iyo nzira yekuisa insemination haina kuwanzana asi inonyanya kuwanzana nemishonga ye "home insemination" . Imba insemination inogona kushandiswa nevarume vakaroorana, vachida kutora mimba vachishandisa vanotenga mbeu kana mbeu inopiwa neshamwari. Inogonawo kushandiswa kune vakadzi vanonzwa kurwadziwa munguva yepabonde .
Intracervical Insemination (ICI)
Zvakakodzera, chirume chinofanira kuiswa pedyo nemukiriniki sezvinobvira.
Ne intracervical insemination (ICI), chirume chinowanikwa zvakananga mukati memukati, uchishandisa siringa risingadi.
Mbeu haifaniri kushambidzwa, sezvinoitwa neIUI, nokuti mbeu haina kunyatsoiswa mukati mechibereko. Zvisinei, inogona kunge isati yashambidzwa kuwedzera mikana yekubudirira.
Intracervical insemination yakawanda kupfuura IVI asi yakawanda kudarika IUI.
Inogona kushandiswa kana vaviri vachida kuchengetedza mari pamutambo wekurapa, sezvo ICI isingadhuri kupfuura IUI, kunyanya kana chirume chisati chashambidzwa.
ICI haina mari shoma kupfuura IUI. Asi kubudirira kwamazinga anotarisa sei? Metaanalysis yakakura yakatarisa IUI yakaenzaniswa neI ICI, apo vakadzi vakanga vachishandisa vana vanopa. Havana kuwana uchapupu hwakakwana hwokuti imwe nzira yaive yakakwanisa kutungamirira kune kuberekwa kurarama kupfuura imwe.
Intratubal Insemination (ITI)
Intratubal insemination inosanganisira kuiswa kwemuviri wekushambidzwa zvakananga mumusikana wemukadzi. Izvi zvinowanzonziwo "fallopian tube sperm perfusion." Mbeu inogona kuendeswa kumapupa kuburikidza nekatheta inokosha inopinda nepamuviri, kusvika mudumbu, uye mu fallopian tubes . Imwe nzira ye intratubal insemination inosanganisira chirwere cheparaporesi.
Zvinosuruvarisa, intratubal insemination yave ichibatanidzwa nehuwandu hwehutachiwana uye hutsinye, uye pane nharo pamusoro pekuti inoshanda here kupfuura nguva dzose IUI.
Nemhaka yekuvhiringidza kwayo, mari yakakwirira, uye kusakundika kwekubudirira, hazviwanzoitwa uye ndiyo inonyanya kufanana yekugadzirisa maitiro.
Iwe Unosarudza Sei Inzira Yekutsvaga Kushandisa?
Kutaura imwe nzira yekuisa insemination nguva dzose zviri nani kune imwe yakashata.
Izvo zvinoenderana nezvikonzero zvekushandisa kushambadzira munzvimbo yekutanga.
IUI ndiyo inodhura yakawanda yekushambadzira, nokuti mbeu inoda kuchenesa nzira inokosha. IUI inofanirawo kuitwa mumakiriniki anobereka . An "pamba" IUI haigoneki.
IUI inogona kuva sarudzo iri nani pakubata kusataurirwa kusina kutsanangurwa kana kusagadzikana kunosanganiswa nemishonga yechibereki .
IUI inogonawo kuva sarudzo iri nani kana kusununguka kwevarume kuchibatanidzwa. IUI inobatsira chirume chinosvika kune chavanonyanya kuenda-iyo fallopian tubes-pasina kudiwa kuti inofambe nenzira dzakawanda zvipingamupinyi (semudzimai wepachikadzi uye chibereko chechirwere.) Kana chirume chekuita kana chirume chemumvuri chisina kujairika, izvi zvinokurudzira zvinogona kubatsira.
Kune rumwe rutivi, kana pasina mamiriro ehunhu ane chokuita nekubereka uye hapana anozivikanwa nekodhi nyaya, intracervical insemination (ICI) kana intravaginal insemination (IVI) inogona kunge yakanaka. Zvinodhura zvishoma uye zvinogona kunge zvakakosha.
Semuenzaniso, kana mhando yemurume iri kushandiswa, uye hapana nyaya dzekubereka dzevakadzi, ICI kana IVI ingashanda pamwe chete neIUI. Izvi zvinogona kuitika kana musikana mumwe chete kana murume nemudzimai vakaroorana vachida kubata vachishandisa vana vanopa. Izvi zvinogonawo kuitika kana murume nemudzimai vane mukono asi asiri nevakadzi vanobatana nenyaya dzinobereka, uye vakasarudza kushandisa vanopa mhombwe.
ICI kana IVI inogona kunge yakakonzera kurara kwepabonde kwakagadzikana ndicho chikonzero chekudzivirira.
Zvisinei, kurwadziwa panguva dzepabonde kakawanda (asi kwete nguva dzose) chiratidzo chokuti chimwe chinhu chakakanganisika mumuviri. Semuenzaniso, low estrogen mazinga anogona kukonzera marwadzo panguva yepabonde. Chimwe chikonzero chinokonzerwa nacho chingava chirwere chepilvic chinoputira (PID) kana kuti endometriosis . Mune mamiriro ezvinhu aya, pangave nenhau dzekubereka dzevakadzi dzisingazivikanwi.
Shoko Rinobva Kunyanya
Insemination inogona kushandiswa mumamiriro ezvinhu ehurume chinokonzera kusagadzikana, chibereko chechibereki chinokonzera kusununguka, kusanzwisiswa kusina kutsanangurwa, kana kuti mbeu yevana inoshandiswa. Mupiro wevanhu unogona kuva sarudzo apo varume vanokonzerwa nehutachiwana hunobatanidzwa, kana hunogona kusarudzwa apo mukadzi mumwe chete kana kuti vakaroorana vanobvumira vanoda kubereka mwana.
Vanachiremba vazhinji vanoita zvekliniki vanoratidzira IUI, kana intrauterine insemination, nekusavapo. Izvi ndizvo zvavanoshandiswa pakupa muhutano hwekushaya vana. Asi IVI kana ICI inogona kunge inogona kusarudzwa iwe, uye inodhura zvishoma. Usatya kubvunza chiremba wako kana chimwe chimiro chekutsvaga chingakunakira iwe.
> Sources:
> Cantineau AE1, Cohlen BJ, Heineman MJ, Marjoribanks J, Farquhar C. "Intrauterine insemination maererano ne fallopian tube sperm perfusion nokuda kwekusava nehuputi. " Cochrane Database Database Rev. 2013 Oct 30; (10): CD001502. doi: 10.1002 / 14651858.CD001502.pub4.
> Kop PA1, Mochtar MH, O'Brien PA, Van der Veen F, van Wely M. "Intrauterine insemination nekusagadziriswa kwepracervical mupepe wekushungurudza mbeu. "Cochrane Database Database Rev. 2018 Jan 25; 1: CD000317. doi: 10.1002 / 14651858.CD000317.pub4. [Epub mberi kwekunyora]