IUI Procedure + Iyo Inoshandiswa + Kubudirira Kwekutengesa + Mari
IUI, kana intrauterine insemination, inoshandiswa nyore nyore kubereka . Izvozvo zvinogona kuitwa kana kuti pasina mishonga yekubereka . Iyo nzira yacho pachayo inosanganisira kutumira semiti yakashambidzwa yakananga mukati mechiberekero kuburikidza necatheter ine tsvina.
Iwe unogona kuziva nezveIUI nezwi rinowanzoshandiswa kushandiswa kwekuita insemination (AI). IUI neAI zvakafanana uye zvakafanana.
Zviratidzo
IUI kurapa inogona kukurudzirwa chero ipi zvayo inotevera:
- Murume asina simba
- Hostile cervical mucus
- Kusanzwisiswa kusagadzikana
- Kana kurapwa nemishonga inobereka chete hakubudiriri
- Kana mbeu yehuroyi iri kushandiswa
- Kana hutano hwepabonde huri kuita zvepabonde kwete
Mamwe makambani einishuwarenzi anoda maitiro mashomanana eIUI asati abhadhara kurapa kweVIV .
IUI haina kukurudzirwa kune avo vane:
- Yakabviswa fallopian tubes
- Yakanyanya endometriosis
- Yakazopora utachiona hweplavic
Mutengo
Paunofunga nezvekurapa kunobatsira pamusoro pekushandisa zvinodhaka kushandiswa kwemishonga, IUI inogona kuva yekutanga kuedzwa. Zviri nyore kuita pane kubatsira maitiro ekuberekorora seVIVF . Inotorawo mari shoma.
Maererano neongororo yakaitwa neRSOLVE, mavhareji eUUI anobatsira kurapa $ 895. Asi mutengo, zvisinei, unoparadzaniswa zvikuru kubva kuchipatara kusvika kuchipatara.
Zvaunenge uchibhadhara zvinotarisana neinishuwarenzi yako yekuvhara, uye kana mutengo unotsanangurwa nekliniki inongova nzira iyo pachayo kanawo inosanganisira kubereka mishonga, basa reropa, uye ultrasound kuongorora.
Kana zvose zvataurwa uye zvaitwa, rimwe IUI rinogona kukubhadhara $ 3,000. Iva nechokwadi kuti unonzwisisa mutengo usati watanga kurapwa.
Kunyangwe zvakadaro, IUI ichiri kutonyanya kudhura kupfuura IVF , iyo inowanikwa inodhura madhora 19,000 kwekutanga.
Treatment Cycles
Kutenderera kwako kunobva pane chikonzero chiremba wako akakurudzira IUI uye kuti iwe uri kutora mishonga yekuberekwa.
Clomid kana Letrozole neIUI : IUI inogona kuwedzerwa kune Clomid kana letrozole (Femera) chirwere chekurapa .
Muchiitiko ichi, nokukurumidza kana nguva yako inotevera ichitanga, iwe uchava neropa rekuedzwa. Iwe unogonawo kunge une ultrasound. Izvi ndezvekusimbisa kuti hausi pamuviri uye hauna chero mavhisi e-ovarian.
Kufunga kuti zvinhu zvose zvinotarisa zvakanaka, iwe unotanga kutora mishonga inobereka mishonga pamazuva akataurwa nachiremba wako. Iwe unogona kana usingave uine ultrasound kutarisa uye rimwe ropa rinoshanda sezvo hurongwa huri kufambira mberi.
Kana chiremba wako ari kutarisa marangiro ako, acharonga hurongwa hweIUI nguva pfupi isati yasvika.
Kana, chiremba wako angakukumbira kuti ushandise kuongorora maitiro ekugadzirira kumba. Kana kuongorora kuchiratidza kuvharidzira kwava pedo, iwe uchadana hofisi yechiremba kuti uronga basa reropa, zvichida ultrasound, uye nzira yeIUI.
Gonadotropins neIUI : Gonadotropins inodhaka inodhaka kubereka zvinodhaka, kusanganisira FSH, LH, hMG, uye hCG. Mazita emagetsi unogona kuziva kuti Gonal-F, Follistim, uye Ovidrel.
Paunowana nguva yako, iwe uchadana chiremba wako kuti agadzire shanduro yekutanga ye ultrasound uye neropa. (Sezvambotaurwa pamusoro apa, izvi ndezvekusimbisa kuti hausi pamuviri uye hauna matambudziko anokonzera mavari.)
Iwe unotanga kupa zvijojo maererano nemairairo ako. Zuva rose mazuva mazhinji, unenge uine transvaginal ultrasounds uye / kana ropa rinoshanda.
The transvaginal ultrasounds ichatarisa mapurisa anosimba . Iko ultrasound tech inotarisa kuona kuti vangani varipo, kuti vanokurumidza kukura sei, uye kuti vari pedyo nekukura.
Basa reropa richayera isradiol (E2), LH , uye progesterone.
Mishonga yako inogona kugadziriswa zvichienderana nemazinga ako ehomoni uye ukuru uye nhamba ye follicles inokura pamazamu ako.
Apo imwe kana kupfuura follicles inosvika mukukura, chiremba wako achagadzirisa dambudziko redu reHCG uye kuronga nzira yeIUI.
Nzira
Nzira yacho yakanaka kwazvo, kunyange zviri zviitiko zvekutya nezvayo. Ichazoitwa mukliniki yako yekubereka . (Haufaniri kuenda kuchipatara nenzira iyo)
Kana iwe uri kushandisa chirwere chemukati, uyo unopa huro huchagadziriswa uye hugadzirirwa.
Kana zvisina kudaro, mumwe wako achauya muchechirasi musi iwoyo uye opa sampuli yemasita. Mhando senzeni inowanikwa kuburikidza nekuita masturbation. (Sezvakafanana nekutsvakurudza kwemajeni .)
Kana wawakaroorana naye achange ari kunze kweguta-kana, kana akaomerwa kupa samuenzaniso munguva yakapfuura -wawakaroorana naye anokwanisa kupa saridzi yemasikati pasati zuva reUUI. Muchiitiko ichi, kana samuenzaniso yakanyanyiswa, ichagadziriswa uye yakagadzirirwa.
Semenine ine zvakawanda kupfuura kungoita umhu. Chiremba wako achaisa mbesa kuburikidza ne "machira" anokosha. Izvi zvinobvisa kusvibiswa uye mashizha chete izvo zvinodiwa pakuita pamuviri.
Nokuda kwegadziriro pachedu, iwe ucharara pasi patafura yegynecology, yakafanana neyo inoshandiswa pakuongorora kwako gore negore.
A catheter-duku, shoma tube-ichaiswa mumuviri wako . Iwe unogona kunge uine zvinyoro zvishoma, zvakafanana nezvamunogona kunzwa mune pep smear.
Semenji yakashambidzwa yakadaro ichazoendeswa muchibereko chako kuburikidza ne catheter.
Iyo catheter inobviswa, uye wapedza!
Chiremba wako angakukurudzira kuti urambe urembera uchinyengera kwenguva pfupi mushure mekuita, kana iwe ungakwanisa kumuka pakarepo.
Chero zviitiko zvose, haufaniri kunetseka pamusoro pehuta hunobuda kunze apo iwe umira. Mbeu inoshandiswa zvakananga muchibereko chako. Havasi kuenda chero kupi zvako asi kumusoro, kuenda (kune tariro) kurindira mazai!
Chii chaunotarisira Post-Procedure
Mushure memutambo weIUI, iwe unogona kutumirwa progesterone. Izvi zvinowanzotorwa kuburikidza nevakadzikadzi suppository.
Munenge vhiki mushure meIUI, chiremba wenyu anogona kuraira basa reropa. Iye achaongorora progesterone yako mazinga, estrogen, uye (zvichida) hCG mazinga .
Gumi kusvika kumazuva gumi nemaviri mushure meIUI, chiremba wako anogona kuraira kuti pamuviri uwedzere ropa. Kana kuti, angakuudza kuti utore chidzidzo chekumba .
Kumirira kuziva kana kurapa kwacho kuchibudirira kunogona kunyanya kunetsa . Zvichenjerere iwe pachako!
Ngozi
IUI inonyanya kuisa pangozi.
Kune ngozi shomanana yekutapukirwa.
Zvimwe zvezvipingamupinyi zvakakura zvinouya kubva kumishonga inobereka inoshandiswa.
Kana uri kushandisa gonadotropins , unogona kunge uri pangozi yekuvandudza ovarian hyperstimulation syndrome (OHSS).
Ngozi yako yekuita mitezo yakawanda (mapatya, katatu, kana kupfuura) yakakwirira paunotora gonadotropin. Ichi ndicho chikonzero kuongorora kunokosha.
Kana pane dzakawanda zvakawanda zvinogona kuitika, hurumende inogona kubviswa uye yakaedzwa zvakare imwe nguva.
Kana chiremba wako achikwanisa kukwidza kwako nokuti pane dzakawanda zveupenzi, angangokuudzawo kuti urege zvepabonde. Zvakakosha iwe kutora iyi murairo zvakakomba.
Vamwe vakaroorana vanozeza "kukanda" kufamba. Zvisinei, kana iwe uchiita zvepabonde uye uchifunga, unozviisa iwe uye vana vako vari mberi vari pangozi. Usazviita.
Success Rate
Muchigadzirwa apo mishonga yekuberekwa neIUI yakabatanidzwa, kubata pamuviri kwaiva 8 kubva kune 17 kubva muzana. Izvi ndezvikamu zvekutenderera, zvichireva kuti kubudirira kwepakati kwakakwirira apo pachitarisa pane zvakasiyana-siyana pamwe chete.
Kubudirira kwako pachako kunopesana zvichienderana nechikonzero chekushaya kwako uye makore ako.
Mune chidzidzo chemakwikwi anenge 1 000 IUI, vatsvakurudzi vakawana kuti kubudirira kwehuwandu hwevanhu vaviri (kupfuura imwechete kana kupfuura mamwe maitiro) kunobva pazera ravo uye chikonzero chekushaya vana.
Kubudirira kwehuwandu nehuwandu hwevanhu (kupfuura anopfuura rimwechete) muchidzidzo ichi vakanga ...
- 55.6 muzana yemucheche wechipiri infertility
- 47,4 muzana yekudzora (zvinetso neovulation)
- 41.7 muzana yevarume chikonzero chekushaya vana
- 37,6 muzana ye oligospermia (pasi pemamiriyoni makumi maviri emumvu pameri)
- 35.1 muzana nokuda kwekusatsanangurirwa kusununguka
- 13.4 kubva muzana ye asthenospermia (mashoma manip motility)
- 10,7 muzana ye endometriosis
Mukudzokororwa kweongororo pamusoro peIUI uye kusagadziriswa kusinganzwisisiki , 4 muzana chete yevakadzi vakabata pamuviri pamushonga pasina mishonga yekubereka.
Kunyange zvazvo IVF kubudirira kwehuwandu kune imwe nguva yakareba zvakanyanya, IUI haina kunyanya kudhura. Nzira yacho inowedzerawo uye haina kuderera.
Kana IVF isingabhadharwi nemari yako yakawanda, maitiro akawanda IUI angangodaro ari sarudzo yakanaka, zvichienderana nechinokonzera kusapera. Imwe nzira yekufunga ndeye mini-IVF.
Taura nachiremba wako kuti anzwisise zvose zvaunogona kuita uye zvinetso .
Sources:
> Merviel P1, Heraud MH, Grenier N, Lourdel E, Sanguinet P, Copin H. "Zviitiko zvinoitika pakuve nepamuviri mushure mokunge intrauterine insemination (IUI): kuongororwa kwemaseri 1038 uye kuongorora mabhuku." Fertil Steril . 2010 Jan; 93 (1): 79-88. doi: 10.1016 / j.fertnstert.2008.09.058. Epub 2008 Nov 8.
Zvinokonzerwa neUnfertility Treatment. BATSIRA: National Infertility Association.