Izvo zvinoshandiswa kubva pakusarudza kugadzwa kwekuva nemwana
Kuzvidzivirira kungashandiswa kubatsira kuvaka mhuri kana mukadzi asingagoni kutakura pamuviri pachake. Munhu anozvipira anotakura pamuviri nechinangwa chepakutanga kupa mwana kumubereki kana vabereki vakapa mutongi wacho. Zvakanaka, vabereki vakatarwa vacharondedzerwa pachikoro chekuberekwa.
Kune mhando mbiri dzepamusoro dzekuzvidzivirira, kuzvipira kwechihedheni uye kugadzirisa zvekuita.
Mune maitiro ezvakawanda, mazai ega mazai anoshandiswa. Mukunyanyisa kunetseka, chirwere chinenge chisina kuenzaniswa nemwana.
Muchizvidzidzo chekuita zvepabonde, vabereki vakatarwa vanogona kunge vari vabereki vanoberekwa nemwana, kana kuti anopa mazai kana mhondi yemuviri angashandiswa pamwe chete nemumwe wemaketethes emubereki akafanirwa. Imwe ingangodaro inopa mazai uye mbeu yemupiro ichasarudzwa nevabereki vakatarwa, kana kuti mhemberero yemukomana ingashandiswa.
Pamusana pezvinetso zvepamutemo zvinogona kuitika nemararamiro emadzitateguru, gestational surrogacy ndiyo nzira inosarudzwa yekuzvidzivirira.
Ndezvipi Kuzvidzivirira Kunoshandiswa?
Kuzvidzivirira kunowanzoshandiswa apo mukadzi asingakwanisi kuita mishonga kutakura pamuviri pachake. Zvikonzero zvinogona kusanganisira:
- hapana chibereko chekuberekwa, nemhaka yechiremera chekuzvarwa chinonzi müllerian agenesis
- pele hysterectomy
- uterine kusagadzikana kunodzivirira embryo kuiswa mukati kana kuti kukonzera kusununguka kwepamuviri
- Asherman's syndrome isina kunaka, kana uterine adhesions
- unxplained repeated miscarriages , isina kugadziriswa nemamwe kurapwa
- inodzokorora embryo implantation kukanganisa panguva yekurapa kweVIV
- chirwere chinogona kuita kuti pamuviri huve nehutachiona hunotyisa amai kana mwana, kusanganisira chirwere chemwoyo chakakomba, lupus, nhoroondo yekenza yebonde, chirwere chakakomba zvepfungwa, cystic fibrous, chirwere chinokonzera chirwere cheshuga, kana nhoroondo ye -pre-eclampsia neHELLP syndrome
Kuzvidzivirira kunogona kushandiswawo kubatsira mubatsiri wevanhurume vanova varume vanova vabereki.
Pane nharo yokuti kuzvipira kunowanzoshandiswa nevakadzi vachiedza kuzvidzivirira kubva pamitoro yepanyama nemigumisiro yekuzvitakura.
Izvi hazvisi chokwadi.
Kuzvidzivirira kunosanganisira kukanganisa kwemari uye mafungiro, uye hachisi chimwe chinhu chinoshandiswa kudzivisa maitiro mashomanana.
Iwe Unowana Sei uye Sarudza Munhu Akatsvaga
Kunyunyuta kunogona kuva mumwe munhu waunoziva, sewe shamwari kana nhengo yemhuri, kana mutorwa, kazhinji anowanikwa kuburikidza nesangano.
Pane zvakakosha uye kusakosha kwekushandisa mumwe munhu waunoziva nokuda kwekugadzirisa maitiro. Imwe nzira inobatsira ndeyekuti mwana anokwanisa kushandura zviri nyore hukama huripo nemwana, kana izvozvo zvakakosha kwamuri semubereki. Chimwe chinhu chingave chichikanganisa ndechokuita nharo pamusoro pemisarudzo yevabereki inogona kusimuka, kunyanya kana mabasa epamangwana asina kunyatsonzwisiswa, akabvumirana, kana akachengetwa.
Kana iwe ukasarudza kushandisa sangano kuti uwane gwaro rekuita, iwe unofanirwa kutaura nekliniki yako yekubereka kana wekwenyika SARURIRA boka rekutsigira boka . Vanofanira kukwanisa kukurudzira masangano avo vakave nemafungiro akanaka mune zvakaitika kare.
Zvakakosha kuti iwe uwane zvinyorwa zvese chero sangano raunofunga, ita zvinhu zvekutsvakurudza, uye unzwe wakasununguka nechisarudzo chako usati waenda mberi.
Kana pane chimwe chinhu chisinganzwisisi zvakanaka, teerera kumatope ako, kunyange iwe wakagamuchira mhinduro dzakanaka dzechikwata kubva kune vamwe.
Kuzvidzivirira kwakaoma, kuzere nematambudziko epamutemo uye emuviri. Zvakakosha kuti nhengo imwe neimwe yekuvakwa kwemhuri yako yakakodzera iwe uye ndiyo yakanakisisa inowanikwa mumamiriro ako ezvinhu.
Vamwe vanhu vanofunga "kuenda kuzvimiririra" - kureva, kutsvaga mumwe munhu (iwe hauzivi kwauri) pasina rubatsiro rwejeri. Kunyange zvazvo uchinge uchinge uchinge uchinge wanyatsozvipira unogona kunge usina mari shoma, iwe uri nani kubva kune imwe sangano rekugadzirisa kwakadaro. Izvo zvichange zvisinganyanyi kunetseka kwauri uye iwe unoda.
Chimwezve chinhu chinofanira kuchengeta mupfungwa, kutsvaga mutsva pasina rubatsiro rwebazi rinenge risina mutemo mune dzimwe nyika.
Chii Chinonzi Kuzvifungidzira?
Sezvambotaurwa pamusoro, mune zvekuita zvepabonde, pane zvine zvingasarudzwa zvekuberekwa kwemwana:
Kushandisa mazai nemumvuri kubva kuvabereki vaida. Mumamiriro ezvinhu aya, vaviri vanenge vachitarisirwa vabereki vaizoberekwa nehutano hwemwana.
Kushandisa zamai kana hura kubva kumubereki anenge achidiwa, pamwe chete neropa kana mbeu. Mune mamiriro ezvinhu, mumwe mubereki anenge achida kuve aizobatana nemwana.
Kushandisa zvose zvekupa mazai uye vanopa mbeu. Mune mamiriro ezvinhu, vabereki vakatarwa havazovi nehutano hwemwana. (Izvi zvinogona kutungamirira kumatambudziko epamutemo kune dzimwe nzvimbo.)
Kushandisa donor embryo. Izvi zvakare hazvizoita kuti hutano hwemagetsi huve nechecheche, izvo zvinogona kugadzira nyaya dzepamutemo kune dzimwe nzvimbo.
Kuti zvinyatsoita izvo zvatove zvakaoma kuita, tsanangudzo iyi inofunga kuti vabereki vanenge vachitarisirwa vari kupa egg uye mbeu yekubata pamuviri.
Chokutanga, vabereki vakatarwa vachange vasarudza nerubatsiro rwechiremba wavo kuti kuzvipira kunogona kuita kuti vave nevana, uye kuti amai vakatarwa nababa vane mazai nemumvuri ane utano hwakakwana zvokuti vape pamuviri. Vabereki vanotarisirwa vachada kuva nekuongorora kwepfungwa kana kuongororwa, kuvabatsira kunzwisisa zvizere njodzi uye zvinetso zvinokonzerwa neVIV, uyewo kuvabatsira kuti vafunge uye vanzwisise dzimwe nzira, kusanganisira kubvumirwa kana kutevera upenyu husina mwana. Izvi zvinogona kuitika zvisati zvaitika kana kuti mushure mokunge vabereki vaida kuti vawane sangano.
Zvadaro, vabereki vakatarwa vachada kuwana sangano rekuzvipira iro rinoenderana nezvavanoda. Kuwana kudzokorora kubva kune chiremba wavo wokubereka kana kliniki, chitsauko chavo cheSVOLUTE, kana chiremba wepfungwa avo vakavarayira zviitiko zvekufunga.
Usati wasarudza imwe sangano, vabereki vakatarwa vanofanira kuwana zvinyorwa, vataure nevasimboti vashandi vehurumende (zvose zvinyorwa nevabereki), tsvakurudza iyo sangano, uye uve nemusangano neanomiririra sangano.
Pane imwe nguva sangano rinosarudzwa, uye purogiramu yekubhadhara yejeri inokurukurwa uye inogamuchirwa pamusoro, vabereki vakatarwa vacharatidzwa maitiro ekuzvidzivirira avo ayo ehurumende vanofunga kuti angavakodzera. Apo mumwe munhu anowanikwa achiona kuti anofanirwa kuvabereki, mutongi wacho anogona "kusangana" nevabereki pamusangano wefoni. Kana izvozvo zvichifamba zvakanaka, musangano we-mumunhu unogona kutora nzvimbo inotevera. (Izvi hazvirevi nguva dzose, asi zvakakurudzirwa, kunyange kana kufamba kunokosha.)
Kana vabereki vakatarwa uye vanozvimiririra vachinzwa kuti vakafananidzwa, ipapo munhu anenge achida kuenderera mberi achaenda kuchipatara nekupfungwa kwepfungwa (izvi zvinogona kudzokororwa kunyange kana kuongorora kwekare kwaitika). Kana iye achipfuura kuongorora, ipapo vabereki vakatarwa uye vanozvipira vachakurukura chibvumirano, nekubatsirwa nevanyanzvi vezvechikoro vanoziva. Iyo sangano inogona kupa chiremba gweta, kana iwe ungasarudza iwe pachako.
Chinonyanya kukosha, haisi pfungwa yakanaka kune iwe uye mukana wokugovera gweta rimwe chete. Zvinogona kuita sekuchengetedza mari, asi hazvifananidzi njodzi iyo yako (kana kuti iwe waunofarira) zvakanakisisa hazvimiriri zvakakwana.
Kana kambani ikasayinwa, mari inobvunzurudzwa (chikamu chebvumirano), uye mari yose yekuzvipira yakaiswa munyaya yekupemberera, iwe uchapa ruzivo urwu uye pepa rinoshanda kumakiriniki ako anobereka. Iye zvino, nzira yekuzvidzivirira nayo pachayo inogona kutanga.
Izvo zvinokonzerwa nemakumbo uye amai vakatarwa zvichaita kuti maitiro avo akwanise kuwirirana nemishonga yekuzvidzivirira nekuberekwa uye majekiseni ehomoni. Kamwe kana chirongwa chekurapa chinotanga, amai vakatarwa vachipfuura nekutanga kwehutano hweVIV, iyo inosanganisira injections kurudzira mazai uye kuongororwa kuburikidza nekushandiswa kwechirwere uye ropa.
Munguva iyi, muchero wacho achatora mahomoni kuti abatsire kugadzirira chibereko chake chekuberekwa.
Pazuva rekudzoka kweii, baba vakatarwa vachapa saridzi yemumiti kuchipatara. Mazai akadzorerwa achabatanidzwa nehuta hwebaba vakatarwa. Chero hupi hunoberekwa huchave huchatariswa kwemazuva mashomanana, kuti uone kushanda kwawo.
Zvadaro, mazuva matatu kusvika mashanu shure kwekuwanazve, nhamba yakanyatsosarudzwa yemambrus ichaendeswa kune chibereko chemuviri. Anogona kudikanwa kutora hormonal supplements nenzira yejojo kana suppositories kuti abatsire kutsigira kuberekwa.
Kana kukwidza kuchibudirira, kamwe kana kubatwa kwemwoyo kwave kuchionekwa, chizvarwa chinotarisirwa neA / OB nguva dzose. Panogona kuve nekukurukurirana pakati pevabereki vaida kuti vashandise, pamwe chete kana kuti kuburikidza nomurevereri, panguva yose yekuzvitakura. Izvo uye mutauro wekukurukurirana unofanirwa kubvumiranwa kusati kwaitwa urongwa hwekuzvidzivirira, naizvozvo vabereki havasi kunzwa vakasiyiwa kunze uye munhu anenge asununguka haanzwi sokuti akachengetedzeka kana kuti akaremerwa.
Sezvo nguva yekuberekwa yasvika, chizvarwa chinogona kudikanwa kutamira pane imwe nguva kune imwe nyika kana nyika, apo urongwa hwekuzvidzivirira hunozivikanwa zviri pamutemo. Izvi zvingave zvisingadikanwi kana mupiro wekare uri kurarama muhukama hwakanaka hwehukama kana nyika, uye zvakanaka, zvakanakisisa kusarudza mutevedzeri mune nzvimbo yakagadzikana inoshamwaridzana nenzvimbo.
Zvose izvi zvinofanira kunge zvakarongwa uye zvakabvumiranwa panguva yebvumirano, nekubatsirwa kwemitongi.
Apo kusununguka kwechibvumirano kunobvumirana kuti kuri mubasa, achakurukura nevabereki vanoda. Chipatara chinofanira kunge chave chichitaurirwa pamusoro pegadziriro yekuzvidzivirira kwepamberi, saka kutaura kwakakodzera uye kuwanika kunogona kupiwa kune vose vanobatanidzwa.
Pasinei nokuti vabereki vakatarwa vacharamba vaine chigaro chekutanga kana kana mushure mekuberekwa kunobva pane zvibvumirano pakati pavo, zvatinotarirwa pamusoro pekutanga. Vamwe vanozvipira vanozofara kuva nevabereki varipo, asi vamwe vanogona kukumbira hupombwe kune vose kana zvikamu zvebasa.
Achifunga kuti kuberekwa kunofadza uye kwakagadzikana kunowanikwa, vabereki vanofanira kutora kubata mwana achangoberekwa. Mune mamwe maitiro akarongeka, chirongwa chekuita chibvumirano chinogona kubvumirana kupa mukaka wechipfuva kumucheche kumwana pane imwe nguva yenguva.
Murengeti anofanira kunge akaronga kodzero dzevabereki kana mapepa asati agadzirira kuberekwa asati aberekwa, uye inofanira kuvapo panguva yekuzvarwa kwevana kana kuberekwa. Izvi zvichabatsira kuwana mazita evabereki vaida kuti ave nechirongwa chekuberekwa, panzvimbo yezita rekuzvidzivirira.
Mune dzimwe nyika uye nyika, pane kunonoka kwemazuva kana masvondo vasati vasvika vanogona kuvimbisa vabereki vanotarisirwa sevabereki vechokwadi.
Nepo isu nguva dzose tine tariro yekubudirira, zvinoita kuti nzira yeVIV irege kubudirira uye nguva dzakawanda dzichaedza kuedza. Zvinogonawo kuti chirwere cheVIV chisimbiswe pakati pezvikonzero zvezvechiremba, nokuti hapana mazai anokwanisa kuva akakwanisa, nokuti chibereko chinenge chisati chava nepamuviri kunyange nemamiro akachengetedza, kana kuti chidimbu chinogona kupera.
Zvimwe zvinogona kuvhiringidzika kumunhu anozvidzivirira zvinosanganisira kukwegura kwakakwana kwekuita pamuviri , izvo zvinogona kutungamirira pakusarudzwa kwema fetal (chimwe chinhu chingave chakakurukurwa zvisati zvasaina chibvumirano chekuzvidzivirira); kuonekwa kwekuremara kwekuberekwa, izvo zvinogona kutungamirira kumibvunzo yekugumisa pamuviri; kana nhamba ipi neipi yekudzivirira kubata pamuviri nemwana kana mwana.
Zvose izvi mamiriro ezvinhu dzinofanira kuongororwa zvisati zvaitwa zvibvumirano zvichisayinwa, kuva nechokwadi kuti vabereki vanozvipira uye vabereki vanenge vachida kubvumirana pamusoro pekugadzirisa mamiriro acho ezvinhu.
Kuzvidzivirira Kwakawanda Zvakadini?
Mari yekuzvitsvaga ichaenderana nezvimwe zvinhu, kusanganisira kana kuti kwete iyo inoda kuzivikanwa, kana kuzvipira kune "kushandiswa kwezvokutengesa" (zvinoreva kuti munhu anenge achida kubhadharwa achawana mubairo webasa rake semunhu anenge ari oga, kazhinji nguva dzose muUnited States) , uye kana geteti kana mhemberero yemukomana inobatanidzwa. Izvo zviitiko zvehutano huchaitawo zvekutenga mutengo, neine ruzivo rwezvakawanda zvinodhura zvakawanda.
Izvozvo zvakati, mararamiro aripo pakati pe $ 50,000 kusvika ku $ 100,000, iyo inosanganisira mitemo yemitemo, sangano rehurumende, bhadharo yeVIV , uye kubhadharwa kune mumwe munhu.
Kuzvipira iye pachake, mune zvekutengeserana, kunowanzobhadharwa pakati pe $ 20,000 kusvika ku $ 35,000. Mari iyo inopiwa mune zvikamu, kutanga nechisimbiso chekushaya moyo uye kunopiwa mwedzi miviri mishoma, kuburikidza nekambani yekukwidza inofanira kuiswa pamberi pehuwandu hweHIV.
Inishuwarenzi kazhinji haifaniri kuvhara urongwa hwekuzvipira, asi mune dzimwe nguva, inogona kuvhara dzimwe nzira, dzakadai sehutano hweVIV. Munhu anenge azvarwa asati aberekwa uye kuberekwa angave akafukidzwa nevamwe vanishuwarensi vanotakura, asi mamwe anosanganisira chikamu chekuregererwa kwemashoko. (Pakusarudza munhu anongoberekwa, kuwana mumwe munhu ane inshuwarisi inotarisirwa zvakanaka.)
Zvisinei, nokuti kugoverwa kwehuwandu hwekuzvipira huri hushoma uye hauna kumbovharwa zvachose, iwe unofanirwa kuronga kubhadhara iyo yose yakarongwa.
Zvimwe pane IVF:
- IVF Basics: Sei Yakagadzirwa, Chii Chinoitika, Zvinodiwa?
- Mazai Okuwedzera Pashure peVIVF: 5 Zvasarudzo Zvokufunga
- IVF Inotora Mari Yakawanda Sei?
- Nzira 7 Dzokubhadhara Zvishoma uye Uwane Cash yeVIV
- Ndezvipi Zvinyorwa Zvokubudirira zveVIV?
- Ovarian Reserve Kuongororwa: Chii Chingakuudza, Zvisingakwanisi
- IVF uye Mavhiki maviri Anomirira: Kurara Kwebhedha, Zvepabonde, uye Kushungurudzika
- Mock Embryo Kudzingisa: Chii chaunotarisira, Chikonzero Chakaitwa
- Gonadotropin Side Effects uye Ngozi
- Kusarudza Kusafukidzira Kubereka Kurapa
Sources:
Brinsden, Peter R. "Gestational surrogacy." Kuberekwa Kwevanhu Kuvandudza, Vol.9, Nha .5 pp. 483 ± 491, 2003 http://humupd.oxfordjournals.org/content/9/5/483.full.pdf
Brisman, Melissa B. Chii chaunofunga paunofunga nezvekuita zvekuzvibata. The InterNational Council on Infertility Information Distribution. http://www.inciid.org/article.php?cat=tirdparty&id=786
Sharon LaMothe. http://lamothesurrogacyconsulting.com/ Email Correspondence / Interview. August 16 ne17, 2011.
Kuzvidzivirira. Human Fertilization uye Embryology Authority. http://www.hfea.gov.uk/fertility-treatment-options-surrogacy.html
Chechitatu Chekuberekwa (Mbeu, mazai, uye embryo zvipo uye kuzvipira). American Society of Reproductive Medicine. http://www.asrm.org/uploadedFiles/ASRM_Content/Resources/Patient_Resources/Fact_Sheets_and_Info_Booklets/thirdparty.pdf
Zvirongwa zvekutsvaga (# 17). Mibvunzo Yokubvunza Nyaya. RESOLVE. http://familybuilding.resolve.org/site/DocServer/Surrogacy_Programs.pdf?docID=544