Zvaunofanira Kuita Kana Zvaunowana Pakushandisa Kuchengetedzwa Kwemhando Zvishoma

by Rachel Gurevich; Yakadzokororwa naAnita Sadaty, MD

Kutarisana Nezvemari, Kubatsira, uye Utano Vehutano Zvipingamupinyi

Kurapa kwehutano uye hutaneti zvinopa varume nevakadzi avo vangadai vasina kukwanisa kuva nevana mukana wekuva nemhuri. Zvinosuruvarisa, kurapwa uku hakusi nguva dzose kana kuwanikwa nyore nyore. Ichokwadi, kutsvakurudza kunoratidza kuti vazhinji vevabereki vasina vana havaiti kana vasingakwanisi kugamuchira mishonga yekuberekwa yavanoda.

MuCenter for Disease Control's National Survey of Growth Family, 11 kubva muzana yevakadzi uye 9 muzana yevarume vanotaura vachirwisana nekuita mimba .

Iyi tsvakurudzo yakawana kuti 38 muzana chete yevakadzi vasina vana vasina vana vanotambudzwa nehutano hwekubereka vakatsvaka kana kugamuchira chero kuchengetwa kwekurera. Pakati peboka iri revakadzi, vakawanda ndivo vakagamuchira kuongororwa kwekuberekwa uye mazano-asi kwete kurapwa.

Apo zvinosvika pakuchengetwa kweVIV muUnited States, zvinofungidzirwa kuti mumwe chete muvana vakaroorana vanoda ruzivo rwakabatsirana rwekubereka vana vanohugamuchira.

Sei vanhu vakawanda vasingagoni kuwana kurapa kwavanoda? Kana uri kuomerwa nekuwana rubatsiro rwekuberekwa, pane chimwe chinhu chaunogona kuita kuti uwedzere kuwanikwa kwako? Uye, kana kurapwa kwekubereka hakusi nzira yako, iwe ungaitei kuti uwedzere maitiro ako ekuzvitakura kubudirira?

Iwe Hausi Wega: Zvipingamupinyi Zvinowanzoita Kuwedzera Kurapa Kuwana

Kana uri kuomerwa nekuwana kurapa kwaunoda, iwe uri kure nega woga. Iwe unogona kutarisana nechipingamupinyi chimwe, kana zvimwe. Heano zvimwe zvipingamupinyi zvinogona kutarisirwa kubereka:

Kusakwanisa Kubatsirwa Nehutano Muhutano Inishuwarenzi: Izvi zvinoenderana nokuti uri kurarama uye kuti ndiani wamunoshanda. MuCanada neEurope, kuvhara kwekuberekwa kunotarisirwa nemutemo munharaunda dzakawanda. Izvi hazvisi chokwadi muUnited States. Hurumende 11 chete dzine mitemo inoda kuti inshurensi yekubereka inobatanidzwa. Pamusoro pevaya 11, zvitanhatu chete zvinoda kuverenga zvakakwana.

MuUnited States, 75 muzana yemishuwarenzi yega yega inotadza kuvhara kuberekwa. Kana iwe uri purogiramu yehupfenyuro yehupfumi, hazvina kunyanya kunge iwe unobatsira kuvhura.

Kusina Heath Inishuwarenzi : Vanhu vane inshuwalhu yehutano-kunyange vasina kuvharirwa-vanogona kuwana zvinyorwa zvekurera. Dzimwe nguva, izvi zvinogona kukwana kubata zvinetso zvekubereka nyore. Semuenzaniso, BHO / GYN yako inogona kupa Clomid kana kuvhara kwako kusina kukwana . Iwe unogona kudiwa kubhadhara mutengo wakakwana wemapiritsi, asi chiremba wako kugadzwa uye kunyanya kuongororwa kwekuberekwa kunogona kuvharwa.

Zvisinei, kana iwe ushayikwa yveshuwarisi yehutano, hutano hwako hwekutarisira kubereka hahukwanisi. Izvi ndezvechokwadi kana iwe uine chirwere cheshuwarisi chehutano husina kunaka.

Kushaya Kwemari (Kana Kana Pasina Inishuwarenzi): Kunyange kana une hutano hwehutano huripo, mari inogona kuramba yakamira pakati pako nemishonga yaunoda. Mari yako yekubhadhara ingave yakareba zvikuru kune bhajeti yako. Zvikamu zvehutano hwako hazvikwanisi kuvharwa zvachose. Kana iwe uchida kuzvipira kana kuti muwani weii kuti ave nemwana , izvi zvinonyanya kuitika.

Nzvimbo : Ikoko hakugoni kukwana endocrinologists munharaunda yako kana nyika yako. MuUnited States, kana iwe uchigara kumabvazuva kana kuWest Coast, iwe unowanzova nekliniki yekubereka nenzira yakakodzera yekutyaira kupfuura iwe kana uchigara kuMidwest.

Kune zvikamu gumi nematanhatu muU.SA vane mashanu kana vashoma SART (Society of Assisted Reproductive Technologies) vanachiremba vanobvuma kubereka.

Iko kunowanzova nekuchengetwa kwakanyanya kwekuberekwa kunowanika mune zvinyorwa zvinoda kubereka utano hwehutano inshuwarheni. Iwe unogona kutarisa kuti nyika yako inowanikwa sei paR RESOLVE's Fertility Scorecard peji.

Dambudziko Kuchengetwa Zvakanaka Kubva Kuchengetedza Nherera: Munyika yakanaka, kutarisirwa kwechiremba hakufaniri kuregererwa nekunaka. Asi vanachiremba vanhu, uye dzimwe nguva zvitendero zvavo zvinowanikwa munzira yekupa kurapwa.

Zvikonzero vanachiremba vakaramba kurapwa kwechiremba, kana kupa ruzivo rwakashata (kuudza murwere kuti havagoni kugamuchira, kana vachigona), vanosanganisira:

Chiremba kana chipatara chinopesana nechitendero kune IVF
Nzvimbo yezvematongerwo enyika (kana kuti inozivikanwa nehupfumi hwemagariro evanhu) wemurwere
Kuwedzera kwehutano (kwete nekuda kwechikonzero chekurapa, asi nekuda kwekusarura kwevanhu)
Mamiriro emhuri (zvimwe kubereka inshuwarano yehutano inotarisirwa inoda kuti murwere ave akaroorwa)
Kuita zvepabonde
Gender identity
Ethnicity kana dzinza
Age

Iri bhanhire rinogona kuitika kune chiremba wekutanga wekutarisira kana kuti chirongwa cheB / GYN, kana chinogona kuenderera mberi nechokumaketani nemudzidzisi wekubereka. Vaya vanoona kushamwaridzana pamwero wokutanga wekutarisira vangave vashoma kuti vatsvake rubatsiro kubva kuchipatara chekubereka. (Vangave vasingazivi kuti vangagona kana vachida, zvichienderana nemashoko aya dhiyabhorosi wekutanga akagovera.)

Mutemo unochengetedza pane zvimwe zvekuda. Zvisinei, kusarura kusina mutemo hakuiti kuti zvirege kuitika.

Dambudziko Kutsvaga Kuchengetedza Pamusana Pezvakaitika Pamwe Chete Nekutya : Ichi chipingamupinyi chinowanikwa kubva mukati mekubereka kunopikiswa munhu pachake. Varume nevakadzi vakawanda vanoziva kuti vari kutambura kubata pamuviri, asi vanorega kubvunza rubatsiro rwekubereka (kana kusambobatsirwa rubatsiro).

Zvimwe zvikonzero zvinoita kuti munhu arege kushanda nekuda kwekubatsira kubereka kunosanganisira kusagadzikana kwetsika kupesana nekushaya vana , kusavimba kana kutya kwechiremba, kufunga kuti havakwanisi kuwana chero kurapwa, mafungiro echitendero, kana kutenda kuti nguva yakawanda kana nhanho ichakwanirira kukurira kusabereka.

Usazvifungidzira Zvichida Iwe Haugoni Kupa Mushonga Waunoda

Vamwe vakaroorana havatombotauri navanachiremba nezvekushushikana kwavo kwekubereka nokuti vanofunga kuti havazokwanisi kurapa. Izvi zvinosuruvarisa, zvakapiwa kuti kurapwa kwakanyanya kunobatsira kunogona kudhura.

Kutanga, ona chiremba wako. Wana chiitiko chekuberekwa kwekutanga. (Ichi chiri kufunga kuti une inshuwarisi yehutano, ona pasi apa kuti chii chaunofanira kuita kana iwe ushaya inshuwarisi yakanaka.)

Zvadaro, kana chiremba wako achiita sarudzo, tsvaka kuti zvipi zvinorapwa zvinokurudzirwa uye zvinodhura. Chikamu chiduku zvikuru chevabereki vanobereka chinoda IVF .

Dzidzidzise Pamusoro Pemazano Anogona Kuwedzerwa Kwemari

Hungu, dzimwe mishonga yokubereka inogona kudhura. Kana uchida injectables , IUI , kana kuti chero ipi zvayo yakabatsira kuberekwa kwekombiki, mari yakakwirira inogona kukudzivirira kuwana zvirwere zvaunoda.

Izvozvo zvakati, pane zvimwe zvaungasarudza iwe usina kumbozvifunga. Kamwe rubatsiro rwezvemari ruzhinji runogona kukusimudzira kubva-hazvibviri kuti hongu-isu-tinogona.

Zvimwe zvingasarudzwa zvekutarisa zvinosanganisira:

Tora Kubatsira kweZvato DzeMutungamiri NeZvipatara

Ngatiti iwe hauna hutano yveshuwarisi, kana hutano hwako hutano hunokosha zvikuru. Iwe unogona kukwanisa kuchengetwa kunotengesa kubva kuchipatara chehutano rusununguko kana kuti chinotapudzwa.

Iwe haugoni kuwana mushonga weVF pano. Asi hutano hwekuberekwa hunofanira kuve huripo, kusanganisira kuongororwa kukuru kwekuberekwa. Mamwe emakiriniki ehutano ehupfumi kana anotapudzwa angatomira mishonga yekuita seClomid .

Kuti uwane Dhipatimendi Rinofanirwa Nezvehutano (FQHC), unogona kushandisa zvishandiso paSouth Resources and Service Administration (HRSA) webusaiti yepamusoro:

Tsvaga Bhizinesi reZvipatara kana rakabhadharwa

Imwe nzira ndeyekutaura nehofisi yako yeUnited Way kana yekliniki yePlanned Parenthood.

Bata Zvirwere Zvichienderana Nezvakanakisisa

Apo iwe unofunga nezvezvinetso zvekubereka, iwe unogona kunge unofunga kuti nyaya yacho inotangira muhutano hwekubereka. Asi izvi hazvisi zvechokwadi nguva dzose. Dzimwe nguva, chirwere chepachirwere chinokonzera (izvo hazvirevi kungobereka chete) zvinokonzera kusununguka. Kutadza kunogona kungova chiratidzo chokutanga chaunoona.

Semuenzaniso, kuneta kunowanzoita (zvinodzivirirwa) chikonzero chekushaya simba. Kusanzwisisa kusawirirana kwetachiona uye chirwere cheshuga kunogona kukonzera zvinetso zvekubereka. Chirwere chisingawaniki chinonzi chikafu chinokonzerwa kuti chinokonzera kusabereka.

Ichi ndicho chimwe chikonzero nei iwe uchifanira kuona chiremba wako kana uri kutambura kubata pamuviri, kunyange iwe usingabatsiri kubereka pahutano hwehutano. Iwe unogona kunge usingadi "mishonga yekubereka" kuti uwane pamuviri.

Bvunza Chiremba Wako Rwechiri Kuita Kuti Kuderedza Mari Yakawanda Yese Yakwanisika

Ngatiti iwe unoda kubereka kurapa. Dzimwe nguva, kana iwe utsanangurira kukiriniki yekubereka yako mamiriro ako emari, vanogona kukwanisa kuderedza mari (zvimwe).

Dzimwe nzira dzinogona kuwanikwa dzinogona kuderedzwa dzinosanganisira:

Pashoma kuongororwa
Kushandisa mishonga isingadhuri mishonga
Kuedza zvinhu zvakasikwa kana mini-IVF

Zvechokwadi, kune ngozi uye kubatsirwa kushandisa zvishomanana kutarisa kana kuedza mini-IVF kupfurikidza panzvimbo yeiyo inowanikwa. Aya maitiro ekudhura mari haagone nguva dzose. Kurukurai zvaunogona kuita nachiremba wako.

Kuvandudza Utano Hwose Sezvakawanda Zvinoita

Nzira yehupenyu huri nani haisi kuzovhara ma fallopian tubes , chirwere chepakutanga chisingawaniki , kana kuti reverse azoospermia (zero sperm count) . Zvisinei, vakaroorana vanotarisana ne "borderline" zvinetso zvekubereka zvinogona kukonzera kukanganisa kwepamuviri mukuvada kwavo.

Zvimwe zvinhu zvokufunga nezvazvo:

Idya kudya kwakanaka . Kutsvakurudza kwakawana kuti kudya kunobatsira pakubereka . Zvokudya zvine utano dzimwe nguva zvinodhura. Kubika hutano kunogona kutora nguva, yaungasave nayo kana uri kushanda maawa akawanda.

Kuti uwane zvirwere zvakawanda muzvokudya zvako, kutenga zvigadzirwa mumwaka, uye yeuka kuti miriwo yakasvibirira yakakosha seyo itsva.

Uyewo, usanyara kushandura bhizinesi rekudya rako (kana iwe uchikodzera). Dzimwe nzvimbo dzakagadzira mapurogiramu ekubatsira mhuri dzisingabatsiri kuwana dzimwe zvokudya zvakachena muzvokudya zvavo.

Kuti uchengetedze nguva nekubika, tarisa paIndaneti uye paraibhurari kuti uwane ruzivo pamusoro pekugadzirira kudya kwekudya uye "mapepa anokurumidza uye nyore". Munhu anononoka-mubiki anogona kuva mari yakanaka. Utano haufaniri kureva fancy kana kuoma.

Wana zvakakwana kurara, panguva yakakodzera . Kurara kunokosha kuhutano hwako hwose uye kubereka kwako. Shift-vashandi vanogona kutarisana nehuwandu hwehutachiwana hwekutakura pamuviri pamwe chete. Paunenge uchiedza kubata pamuviri, ita kuti usarudze.

Bvisa mararamiro akaipa iwayo . Unofuta here? Iro doro here zvinoitika zuva rimwe nerimwe muupenyu hwako? Miitiro isina kunaka inogona kukuvadza kubereka kwako.

Ita nguva yekuzorora . Kushungurudzika hakuiti kukonzera, asi kusununguka kunogona kunyanya kunetsa. Kuwedzeredza kunetseka hakusi kunaka kwehutano hwako hwose. Pfungwa-muviri kurapwa kunogona kukubatsira kurarama zviri nani.

Dzidzidzise pakusaziva uye kubatana nevamwe

Kana iwe uchiwedzera kuziva, iwe unogona kuzvibatsira iwe pachako. Dzidzidzise pakushaya simba, kusarudzwa kwako kwekuita kurapa, uye matanho aungatora kuti uvandudze matanho ekuberekwa iwe pachako (kana zvichiita).

Uyewo, tsvaka rubatsiro rwemagariro ehutano hwako. Kukurukurirana nevamwe vari kusangana nekushaya simba kunogona kukubatsira kuti uone kuti iwe hauna "kuputsika" uye kuti hapana chekunyara nacho. Iyi kuchinja mumamiriro ezvinhu kunogona kuita kuti zvive nyore kutsvaka rubatsiro.

Iva Mumiririri Wako

Tinofunga kuti chiremba wedu achatipa nguva dzose mazano ekurapa akakanakisisa, asina rusununguko rwomunhu oga. Zvinosuruvarisa, izvi hazvisi nguva dzose. Kunyatsoziva zvingaita zvekusarura kunogona kubatsira. Iwe unowanzove uchizviziva, uye unoziva kuti mumwe muchengeti wekutarisira angapa zvipi zvasarudzo zvakasiyana.

Semuenzaniso, vana vasina kuberekwa vakaudzwa navanachiremba vavo kuti vakanga vasina "zvingasarudzwa" kuti vawane mwana, apo chaizvoizvo IVF yaiva yekusarudza, asi chiremba akanga asina hanya nechitendero chekuita. Vakadzi vave vakaudzwa kuti vakanga "vaine mafuta" ekuporesa, apo mumwe chiremba angadai akapa chirwere. Vamwe vakataurirwa kuti vakanga vasina zvirongwa zvekurapa nokuti chiremba aifunga kuti havagone kuwana mishonga yavanoda.

Kana iwe usingagutsikane nemhinduro dzako chiremba wako anopa, kana chimwe chinhu chisinganzwi zvakanaka, tsvaka imwe pfungwa.

Iva nekliniki imwe chete yekubereka munharaunda yako? Vamwe vanachiremba vachapa mazano kuburikidza nefoni kana video conferencing. Iwe haufaniri kuenda kune imwe nzvimbo kuti uone kana zvakakosha kuwana rubatsiro kune imwe nzvimbo.

Ko kana iwe uchifungidzira (kana kuti unoziva) kuti kliniki yekubereka inharaunda iri kuramba kukubata iwe nekuda kwehutano hwako hwemhuri, zvepabonde, kana kuti chimiro chepabonde? IAmerican Society of Reproductive Medicine (ASRM) neAmerican College of Obstetrics uye Gynecologists (ACOG) vanokurudzira nhengo dzavo kuti dzishande varwere vose zvakaenzana, pasinei nemamiriro ekuroorana, zvepabonde, kana huzivi hwepabonde. Zvisinei, havakwanise kusimbisa maitiro aya kune avo vanachiremba.

Iwe unogona kunge uchida kuenda kune rimwe guta kana nyika ine kliniki iyo ichakupa iwe kurapwa, pasinei nemamiriro ako ewanano, zvepabonde, kana hutano. Izvi zvinosuruvarisa zvinowedzera mamwe mari yemari.

Imwe nzira ndeyekutarisa kubvunzurudza neye gweta anonyanya kuve mumutemo wemhuri kana kuti kubereka. Mutemo unogona kunge uri parutivi rwako, asi kwete. Vamwe vanoti vane mitemo inodzivirira varwere veGBBT kubva mukusarurwa kwezvechirwere, asi vamwe vanobvumira vanachiremba kuramba kurapwa pane "zvechitendero" kana "tsika".

Iwe unogonawo kuonana neGwayanada Legal, sangano risina purogiramu rinotsigira kodzero dzemunharaunda yeGGBT. Vanopa "Legal Help Desk" kuburikidza newebsite yavo, pamwe chete nemashoko ekukubatsira iwe kuziva nekuzwisa kodzero dzako.

Mutsigiri wevamwe: Tora Gadziriro Yekuvandudza Kusvikirwa Nekutarisira

Tora kuora mwoyo kwako uye ushandise kubatsira vamwe. Maitiro ako ekudzivirira haagoni kuita mutsauko munguva yekuvaka mhuri yako, asi inogona kuita mutsauko kune mumwe munhu mune ramangwana.

Kuve mubatsiri wekubereka kunogona kuva chiitiko chinopa simba . Kana iwe uchida kupinda, sangana RESOLVE: The National Infertility Association . Vanogona kupa ruzivo rwokuti ungaita sei mutsauko pahuwandu hwemunharaunda uye wenyika.

Infertility chirwere, uye kuberekwa kwekuberekwa kunofanira kuva kodzero yevanhu. Nekukurudzira nekuziva, tine tariro yokuti tichauya munguva pfupi apo avo vanoda kurapwa kwekuberekwa vanogona kuwana rubatsiro rwavanoda, zvisinei nokuti vanogara kupi, mari yakawanda sei, kana kuti vanoona sei.

> Sources:

> Kuwana Kurapa Kurapa neGays, Lesbians, uye Vanhu Vasina Kuroora: Kuteerera Komiti . American Society for Reproductive Medicine.

> Ethics Committee yeAmerican Society yekuberekwa Mishonga. "Kukanganiswa kwekuwana kurapwa kwakanaka kwekushaya vana muUnited States: maonero eDare reMitemo. " Fertil Steril . 2015 Nov; 104 (5): 1104-10. doi: 10.1016 / j.fertnstert.2015.07.1139. Epub 2015 Sep 10.

> Ethics Webinar: Kufikira Kusina Hanya Care. American Society for Reproductive Medicine.

> Mobile Phone Interview. Dawn Brubaker, MSW (DSW mubvunzo.) Chitatu, March 22nd.