Ngokwezibalo, abesifazane bathambekele kwisifo sikashukela kaningi kaningi. Kepha ngaphezu kwakho konke, lokhu kugula kubonakaliswa emadodeni. Kunganciphisa ukuzala ngama-80% bese kuholele ekupheleleni kokuzala!
Sibuze udokotela we-urologist-andrologist Maxim Alekseevich Kolyazin ukuthi akhulume ngokuthi uhlelo lwe-IVF luhlanganiswa kanjani nesifo sikashukela.
UMaxim Alekseevich Kolyazin, udokotela wezifo ze-urologist
Ilungu le-RARCH (Inhlangano Yezokuzala Yabantu YaseRussia)
Uthole iziqu zeSmolensk State Medical Academy ngeziqu eGeneral Medicine. Ukuhlala endaweni ekhethekile "Urologist" eMnyangweni we-Urology, SSMA.
Kusukela ngo-2017 - udokotela womtholampilo "Center IVF"
Iziqu eziphindaphindwe kaningi. Kubandakanya nomuntu obambe iqhaza ohlelweni lwezemfundo "Beyond ED ukwelashwa" Glaxosmithkline, isikole esixubusha phakathi kwezempilo yokuzala eMnyangweni Wezempilo waseRussia Federation.
Abaningi bamane nje abazinaki izimpawu zokuqala zesifo sikashukela. Zijwayelekile kwabesilisa nabesifazane: ukoma okungapheli ukuchama njalo, ukubona okufiphele, amanxeba okuphulukisa amade. Kepha kukhona ezithize, ngokwesibonelo, ukuvuvukala kwejwabu. Njengomthetho, amadoda aya kudokotela okokugcina, lapho isifo sesivele singanakwa kakhulu.
Uzakwethu uchaze ukuthi isifo sikashukela sohlobo 1 no-2 sihlangana kanjani nohlelo lwe-IVF ezigulini zakhe. Futhi ngizoqaphela ukuthi yize lesi sifo sivame kakhulu kwabesifazane, sinomphumela omubi kakhulu empilweni yabesilisa, ikakhulukazi uma ungabhekani nokwelashwa:
- Ukusabela okungajwayelekile kohlelo lwezinzwa kungadala ukuphazamiseka kwe-potency.
- Ngenxa yesisindo ngokweqile, i-testosterone iyancishiswa. Ukushoda kwaso kunomthelela omubi emsebenzini wokuzala wamadoda, ngoba yilesi hormone esidingekayo ekukhiqizeni isidoda.
- Amadoda anesifo sikashukela esibolile ngokuvamile ane-nephropathy (ukulimala kwezinso nezinkinga zokuchama). Lokhu kuholela ekwahlulelweni kwe-urethra, lapho indoda ingenakukhipha imbewu. Ukugudluzeka kwemvelo kungenzeka - lapho isidoda singena ebhandeni.
- Usongo olukhulu ekuzaleni yi-neuropathy yesifo sikashukela, kufaka phakathi umuzwa "wokushiswa" wemilenze, ukudinwa kwamalengiso, izinhlungu emilenzeni; lokhu kuxilongwa kusongela ne-potency ngenxa yokuthi igazi alingeni emizimbeni ye-cavernous (le nkinga ikhulunywa kakhulu ngohlobo 2 lwesifo sikashukela).
- Izinga lesidoda liyancipha (ubunzima obuyingozi kakhulu, futhi ngezansi ngizokhuluma ngakho ngemininingwane eminingi).
Indoda ingaba nezinkinga ngokuhlukaniswa kwesidoda kwe-DNA. Lokhu kwenzeka elesibili nakuhlobo lokuqala lwesifo sikashukela. Inkinga ukuthi ngokuqhekeka kwe-DNA, kunengozi enkulu yokuqedwa kombungu ekukhuleni noma ukuthi ukukhulelwa kungaqedwa ngokuzenzakalela.
Abesifazane bavame ukucabanga ukuthi inkinga yokuphuphuma kwesisu kubo, futhi baphakamise imigwaqo odokotela. Ama-gynecologists shrug, angeke akwazi ukuthola imbangela yangempela ... Kepha le nto konke kumuntu! Uma sithatha zonke iziguli ze-IVF Center, khona-ke cishe i-40% yokukhulelwa ayenzeki ngenxa yesici sowesilisa.
E-15% yezimo ezinjalo, iziguli zinesifo sikashukela. Ngakho-ke, ngincoma kakhulu imibhangqwana ukuthi iye ekuqokelweni kwe-reproductologist ndawonye. Izimpawu zivezwa ikakhulukazi uma isifo sikashukela sesiqalisiwe futhi singalashwa. Amazinga aphezulu eglucose athinta i-spermatogeneis kanye ne-sperm DNA.
Kufanele ngichaze isiguli ngasinye ukuthi ukugula kwakhe kuyizithiyo ezinhlelweni zokukhulelwa komkayo. Ezikhundleni eziyishumi zokukhulelwa okunjalo, ezi-5 (!) Zigcine ekuphuthweni kwesisu. Ezimweni ezisezingeni eliphakeme - 8 (!!!).
Kwesinye isikhathi ngesifo sikashukela sohlobo 2, odokotela bancoma ukukhipha i-spopreservation yesidoda, ngoba lesi yisifo esiqhubekayo futhi ikhwalithi yesidoda iyokhula ngokuhamba kwesikhathi. Kodwa-ke, uma owesilisa elawula impilo yakhe futhi esebenzisa izidakamizwa ezidingekayo ngesikhathi, lapho-ke kumele kube khona azikho izinkinga. Kwabesilisa abanesifo sikashukela, ngaphambi kokuqala ukuhlela ukukhulelwa komlingani, ngincoma kakhulu ukuthi ubonane nodokotela.
Lapho uhlela ingane yendoda ephethwe yisifo sikashukela, udinga ukuya ku-endocrinologist ukuqashwa, ekuncomeni kwayo - vakashela i-andrologist. Owesifazane kufanele aziswe ngempilo yalowo oshade naye. Indoda enesifo sikashukela inqunyelwa ukuhlolwa kokuhlukaniswa kwe-DNA.
Ezimweni ezinjalo, i-IVF + PIXI yenziwa kaningi. Ngale ndlela, i-spermatozoa ibekwa ekukhetheni okungeziwe, okusekelwe ezimfanelweni zomzimba zeseli lokuzala lowesilisa. Ama-spermatozoa avuthiwe kakhulu athwala i-DNA engabonakali futhi anezinzuzo eziningana zokukhethwa okuphumelelayo okukhethiwe. Ukukhulelwa usebenzisa le ndlela kwenzeka kuma-40% eziguli - kuphakama ngaphezu kwe-ICSI (approx. Ed. Nge-ICSI, isidoda sikhethwe ngaphansi kwesibonakhulu. Nge-PICCI, nayo, kodwa kulokhu, indlela eyengeziwe yokuhlola ikhwalithi ukusabela kwesidoda ku-hyaluronic acid. Unempilo "kunamathela" kuye.
Ngendlela, kunesakhi sofuzo kusifo sikashukela, ngakho-ke izingane zendoda enjalo kufanele ziqale ukuvimbela kusenesikhathi. Phezu kwesicelo, imibhangqwana yezakhi zofuzo ingabona ukuthi kukhona uhlobo lwesifo sikashukela embungu usebenzisa i-PGD (ukuxilongwa kofuzo kusengaphambili).
