Kuti uwane kliniki yakanakisisa yekuberekera iwe, tora nguva yekutsvakurudza chero kliniki yaunofunga. Usangosarudza nzvimbo yekutanga inodzorera kudana kwako; kutsvaga kubereka uye kurapa ishato huru uye kunogonawo kusanganisira mari yakawanda uye nguva yakawanda. Iwe unoda kusarudza chete zvakanakisisa.
Kutaura nezvekanakisisa, chikamu chokusarudza kliniki yekuberekwa ndeyega uye inozviisa pasi.
Kliniki yakanakisisa kune shamwari yako inogona kana kuti ingasave yakakunakira iwe. Saka bvunza shamwari dzako, chiremba, kambani ye inshuwarisi, uye boka rekutsigira rutsigiro rwemazano, asi iva nechokwadi chekuongorora chero kliniki ipi yaunofunga iwe pachako.
Paunotsvaga makiriniki, unogona kuwana ruzivo:
- pane mawebsite
- pane peji reCCDC rekuberekera chikwata peji peji peji (zvimwe pamusoro peiyo pasi apa)
- nokutaura kune kliniki mumiririri pafoni kana mumunhu
- kuburikidza nekutaura nevezvino kana kuti vekare varwere (vakawanikwa kuburikidza nemapoka ekutsigira kwekushaya vana )
- kuburikidza nekusangana uye kubvunzurudza chiremba wako anogona pakukurukura
Kufunga nezveVadzidzisi vezvokubereka
A kliniki yekubereka inongobatsira savanachiremba. Zvichienderana nekuti kliniki inoshanda sei, iwe unogona kugoverwa chiremba mumwe, kana iwe ungaona madzimai mashoma akasiyana. Pane zvakakosha uye zvisingabatsiri kune zvigadziro zviviri, asi kazhinji, unoda mumwe chiremba semukuru wako uye mutariri wemhosva.
Mibvunzo yekufungisisa pakusarudza chiremba ndeiyi:
- Vanotora nguva yekupindura mibvunzo yako here? Iwe unogona here kubvunza mibvunzo ne email panguva yekuedzwa uye kurapwa? Kana ivo vasingadi kusangana newe usati wasarudza, saka vangave vasina nguva yekuti iwe uri murwere. Kusada kupindura mibvunzo yako kumusoro hakusi chiratidzo chakanaka.
- Ndeipi uye kupi vakadzidziswa? Ndizvo zvakagadziriswa kuvabereki vekupedzisira ekuberekorora here? Ndiwo nhengo dzeAmerica Society yeRecductive Medicine (ASRM) here? Vave vachishanda kwenguva yakareba sei nevarwere vasina simba?
- Ko kliniki yako ine an andrologist kune vashandi here? Vanachiremba vanobereka vana? Kana uri kutarisana nehutano hwemurume, kuva neanrologist inokosha. Kana uri kutarisana ne-endometriosis kana nenyaya ipi neipi yehutano, chiremba wechiremba anowedzera uye pamwe zvichifanira.
- Ndezvipi zvipatara zvakabatana nazvo? Chipatara ichocho chinotora inshuwarisi yako here? Kunyange kana inshuwarisi yako isingabatsiri kurapa , kana iwe uchida kupinda muchipatara nemhaka yezvinetso zvekurapa, iwe unoda kuvharwa.
- Inguva yakareba sei mutungamiriri ave ane kliniki? Zvakadini nevamwe vashandi? Vanhu vashoma vanogara nekliniki, kunyanya nzvimbo inoshanda inoshanda zvakanaka.
- Ndeapi maitiro ekubereka vana endocrinologists anoshanda kuchipatara? Ko nyaya yako ichagadziriswa nachiremba kana kuti boka, uye ndiani wauchaona paunoshanyira? Kana nyaya yako yakaoma, kuva neboka kunogona kubatsira. Kune rumwe rutivi, zvinoda kubata nechiremba akasiyana pane imwe nguva yekusarudzwa zvinogona kunzwa sokusava munhu.
Mibvunzo Yekubvunza Pamusoro Pokubhadhara Kuedza nekurapa
Makiriniki akawanda ane vashandi vanozobata mari yehutano nekuedza. Vanofanira kukwanisa kupindura mibvunzo yako pamusoro pemari uye mapurogiramu ekubhadhara, uye iwe unofanirwa kugara pasi kuti ukurukure zvaunogona kuita uye kubvunza mibvunzo paunoshanyira kutanga kuchipatara.
Inogona kunzwa isinganzwisisiki yekufungisisa mutengo kana uchitsvaga pamakiriniki, asi kufunga kuti mari yacho inonyanya kukosha. Mimwe mishonga inodhura zviuru zvemadhora, uye kliniki inodhura iyo inopa zvinhu zvose zvaunoda zvingave zviri nani kupfuura kliniki yekunaka-yekunaka yakapoteredza bhokisi rinopa zvakawanda pane zvaunoda, kunyanya kana iwe usingakwanise kutenga zvakawanda iyo kliniki inodhura.
Mibvunzo yekufunga nezvekubhadhara mari inosanganisira:
- Ndeipi inshuwarisi inogamuchirwa, kana zvachose? Uye vachabata vanobata zvipupuriro zveshuwarisi Kana zvisina kudaro, vachakupai mapepa anodikanwa ekutsvakurudza inshuwarisi iwe pachako?
- Ndeapi mitengo yakasiyana-siyana miedzo uye mishonga? Pane maedzo here kana kurapwa kwakavharwa neinishuwarenzi yako? Uye chii chakataurwa nematengo anosanganisira? Semuenzaniso, kana uchidzokorora mutengo weVIV , unosanganisira mishonga uye kuongorora here? Embryo kuchengetedza ? Kana zvisina kudaro, chii chaunogona kutarisira mari yose?
- Vane purogiramu yekubhadhara here? Iwe uchafanira kubhadhara chero chinhu chiri mberi here? Ngani? Kana iwe uri kuita IVF, iwe unobhadhara chii kana iwe uchinge uchinge wakabviswa kare usati wawana mazai ? Zvakadini kana yakabviswa musati maenda kuberekwa?
- Unokurudzira kana kupa chero mapurogiramu emari here? Ko kliniki inoshanda here nedzimwe hurongwa hwehurumende hwekubhadhara mari, seAttain Fertility Centers network kana ARC Fertility Program? Unoita here vanachiremba kana vashandi vanogamuchira kickbacks kana kukurudzira mari kana iwe ukasaina neimwe hurongwa hwekubhadhara mari? (Kana hongu, nyatsocherechedza kuti purogiramu yemari inonyanya kusarudzwa.)
- Iwe unopa chirongwa chekudzorera yeVIV ? Idzi ndizvirongwa zvinoda kubhadhara mari yakawanda asi huvimbisa imwe yemari yako kumashure kana iwe usingakwanisi kubata pamuviri mushure mokutara kwenhamba. Chinhu chimwe chekuchenjerera nezvemhando yezvirongwa mumakiriniki inogona kukubata zvakanyanya, nekushungurudza mamwe maitiro ekukurudzira kana kuendesa mazai akawanda, kuitira kuti muve nemukana wokubudirira. Iva nechokwadi chokuti chirongwa chekudzorera chinokubvumira kuti utaure kuti mahomusi akawanda anotumirwa sei uye anokubvumira nguva yekutora kuparadzana pakati pemakwikwi (kupfuura mwedzi mumwe chete) kuti uwanezve mumuviri uye mupfungwa.
- Iko embryo yakadii uye yakawanda mari yekuchengetedza? Ko zvakadini nechando chisina kuvharwa (FET)?
- Kana kliniki iri kure nemusha, ikiriniki inopa chero nzira dzakagadziriswa dzekugara? Zvichida inobata nehotera mahara.
Mibvunzo Yekubvunza Pamusoro peNzira uye Bhuku Rekuberekwa Kwechibereko
Mibvunzo yekukurukurirana nachiremba inosanganisira:
- Pane imwe nguva cutoff yekurapa here? Zvakadini necutoff yeFSH mazinga ?
- Ndeipi maitiro uye miedzo yakaitwa? Iko kliniki ine bhadhiro re-site, kana iwe unoda kuenda kune imwe nzvimbo here? Kana pane imwe nzvimbo, kure kure zvakadini kubva kuchipatara?
- Ndezvipi zvirongwa zvinogona kuitika mune kliniki? Vanoita IVF here? ICSI ? Blastocyst kutengesa kana mamwe mazano anobatsira ekuberekorora teknolojia ? Ndiyo maitiro anoitwa kuchipatara kana kune imwe nzvimbo here? Kana kuchipatara, chipatara chipi? Kana iwe uchigara kure nekliniki, unogona here kuedza uye maitiro angaitwa pedyo neimba yako?
- Ndezvipi zvipo zvinokupai kana kuzvipira zvinowanika? Ko kliniki inoita chirongwa chezvipo here kana kuti iwe unofanira kushandisa sangano? Kana vane purogiramu yezvipo , iwe uri wega kune vanopa kubva purogiramu yavo, kana iwe unogona kushandisa sangano kana uchida? Vanopa masevhisi embairo embryo here? Zvakadini kana iwe ukasarudza kugovera chero mazamu ako akasara, kana kune mumwe munhu asingabatsiri kana kuti nesayenzi? Vangakubatsira iwe here?
- Ndezvipi zvirongwa zvavari kukurudzira pane imwe nyaya? Vachafunga nezvemishonga inokonzera mishonga yega yega, kana IUI isati yaenda kune IVF? Ndezvipi zvingangodaro zveIUI vachabvumirana kuedza? Makiriniki akasiyana anogona kukurudzira zvirongwa zvakasiyana-siyana zvekurapa, uye imwe inogona kuva yakakunakira iwe.
- Ndeapi mazamu anoshandiswa mune rimwe denderedzwa? Uye ndiani anosarudza kuti ingani mahara anobviswa: chiremba kana murwere? Kune vakadzi vanopfuura makore makumi matatu nemashanu ekuberekwa vane maitiro akanaka, iyo ASRM inokurudzira zvikuru kutumira imwechete embryo kamwe chete, uye kwete kupfuura maviri. Kune vakadzi vane makore makumi matatu nemaviri kusvika kune makumi matatu nemakumi matatu nemakumi matatu ekuberekwa kwakanaka, vanokurudzira kutamisa mazai maviri, uye kwete kupfuura matatu. Kwemakore makumi matatu nemasere kusvika makumi mana, vanokurudzira kutamisa vatatu, uye kwete kupfuura mana; uye kwemakore makumi mana nemakumi mana nemaviri, vanokurudzira kushandura pasina kana mashanu. Kana kuendesa mazai pachikamu cheblastocyst, zvino vanorayira kunyange madiki mashoma anoshandiswa pamusika, pasina kana katatu kana ava nemakore makumi maviri nemaviri. Mhosva yega yega inofanira kuonekwa, hongu.
- Ndiani anosarudza kuti kana kwete iyo mhirizhonga inobviswa kana mhinduro isingapfuuri zvakakwana here? Unogona here kukumbira kuti kuenderera mberi kuchienderere mberi, kunyange kana mukana wekubudirira uri pasi?
- Ko kliniki inhengo yeSosaiti yeAIDS Reproductive Technology (SART)? Vanonamatira kumitemo ye ASRM here?
- Ivo vanodzokorora huwandu hwavo hweVF hwakabudirira kuna SART / CDC? Kana hongu, iwe unofanirwa kuwana mabudiro ekufambisa nawo neSART yechibereko chekuwana kliniki. Iwe unogonawo kutarisa tsanangudzo pawebsite yeCDC.
- Irobhu yakagamuchirwa neChikoro cheAmerican Pathologists kana ne Joint Commission? Iwe unogona kusimbisa kuvimbiswa paKirasi yewebsite yeAmerican Pathologist, uchitsvaga ne zip code yekliniki uri kuongorora.
- Ko labori inoita cryopreservation ye embryos here? Zvakadini namazai nemarume? Ndeipi mazai, mazai, kana mbeu yakachengetwa? Ndeipi nzira yekukurumidzira yavainayo mune simba rekubuda kwemagetsi kana kudengenyeka kwenyika?
Zvinhu Zvokufunga nezvazvo Muzvinyorwa Pamusoro peKiriniki Inobereka
Zvimwe zvikonzero zvokufungisisa usati wasarudza kliniki zvinosanganisira zvinotevera:
- Ndekupi kliniki? Haasi munhu wose ane mukana wekugara pedyo nekliniki yavanoda. Nguva yekufamba ndiyo chinhu chinokosha chokufunga, kunyanya kana uri kuita IVF, sezvaungangoda kuva pachechikirini anenge mazuva ose nekuda kwechikamu chako. Kana uchida kufamba, yeuka iwe uchada pokugara uye nguva kubva kubasa.
- Ndiyo mushandi unofadza here? Iwe unogona kunge uri kushanda nekliniki kwemwedzi, uye zvichida makore. Vanopindura mibvunzo yako here? Vane ruremekedzo uye vanobatsira pafoni here? Kana unonzwa sokuti varikukurumidzira here?
- Mazuva nemaawa ipi kiriniki yakazaruka? Pane imwe nguva maawa ekutanga kana maawa emanheru, saka iwe unogona kuongorora kusarudzwa kusati kwapera kana shure kwebasa? Iko yakazaruka kwevhiki here? Kana zvisina kudaro, vanoita sei IVF kana IUI inopfuurira izvo zvinoda kuitika musi weMugovera kana Svondo?
- Pane maawa chaiwo aunokwanisa kudana kuti ubvunze mibvunzo kana kuwana zvinyorwa kubva kuchiremba wako kana mukoti? Iko kudanwa kunoitwa sei kunze kwemaawa ehofisi?
- Vanopa chero mapiyona chaiwo kunze kwekutanga kurapa kubereka here? Vane vashandi vese-vashandi kukubatsira kuti uite kuburikidza nezvamunogona kuita here? Ivo vane mapoka ekutsigira here? Mind-body workshops ? Kugadziriswa kwe-site , inowanikwa mushure mekuberekwa kwemuviri?
Kufunga Nekubudirira Kwemari
Chimwe chinhu chinokosha chaunofanira kufungisisa ndechekubudirira kwekliniki. Sezvambotaurwa pamusoro apa, unogona kuona kliniki yeVFF kubudirira mumitambo yeSART kana CDC. Kuva nehukuru hwekubudirira huwandu hazvirevi kuti kliniki ndiyo yakanakisisa. Mamwe makiriniki arega kutora matambudziko akaoma kana kuramba kurapwa kuvakadzi vanopfuura makore makumi mana nemana mazai avo. Izvi zvinogona kujeka kuti zvinokonzera zvinyorwa.
Zvaunofanirwa kutsvaga ndezvi: ndezvipi kubudirira kwekliniki kune huwandu hunopfuura huwandu hwenyika? (Tarisa kunze kwehurumende yenyika IVF kubudirira kuno.) Unofanirwa kutarisa huwandu hwekuberekwa kwehupenyu hwezera rako, uye kwete kungova nemimba yekuverenga (iyo inosanganisira kuora mitezo). Iwe unofanirwawo kufananidza kuwanda kwavo nekuzvitakura kwemashamba kusvika kumusangano wenyika yose.
Kana iwe usisiri kuita IVF, bvunza nezvehupenyu huri kubudirira huri kubudirira huwandu hwemamiriro ako ezvinhu uye kunyanya kune mishonga inoratidzwa. (Yeuka kuti IVF chete inowanikwa muhutano inotaurirwa SART neCDC, saka kune mamwe maitiro ekubudirira kwehutano, iwe uchada kubvunza chiremba wako.) Chiremba wako anofanira kunge ane ruzivo rwekukubatsira kusarudza kana kurapwa kwakakosha mari mafungiro emweya.
Kana kliniki inopikira iwe kubudirira, kunyanya kubudirira mune imwe chete, famba. Hapana chimwe chinhu chakadai se 100% chechibvumirano ne IVF, zvisinei kuti chikonzero chekushaya mwana kwako.
Sources:
Kubatsira Kuberekwa Kwemakemikari: Mushonga Anotungamirira. American Society of Reproductive Medicine. http://www.sart.org/uploadedFiles/ASRM_Content/Resources/Patient_Resources/Fact_Sheets_and_Info_Booklets/ART.pdf
Zvinokonzerwa nehuwandu hwembryos kuendesa: maonero emakomiti. American Society of Reproductive Medicine. http://www.asrm.org/uploadedFiles/ASRM_Content/News_and_Publications/Practice_Guidelines/Guidelines_and_Minimum_Standards/Guidelines_on_number_of_embryos(1).pdf
Infertility Financing Programs. Kugadzirisa. http://www.resolve.org/family-building-options/insurance_coverage/infertility-financing-programs.html
Ndiro Huri Nako Chiremba Kuchengeta Zvipingamupinyi Here? Slate.com. http://www.slate.com/blogs/xx_factor/2012/07/13/ivf_loans_predatory_lending_hits_the_fertility_market.html
Chikonzero nei IVF Ibudiriro Yakawanda Inokosha Kwauri. Kugadzirisa. http://www.resolve.org/family-building-options/why-ivf-success-rates-matter-to-you.html