Okuqukethwe
EFrance, 31 izikhungo ukutadisha nokongiwa kwamaqanda nesidoda (CECOS) kuphakamisa ukuqhubeka noma ukuzuza emnikelweni wesidoda noma we-oocyte.
Kufanele uzuze nini ngomnikelo wesidoda noma we-oocyte?
Kwabashadile abathandana nabobulili obuhlukile, umnikelo wama-gametes uboniswa uma kwenzekaukungazali okuxhunyaniswe nokungabibikho noma ukuntuleka kwesidoda emadodeni noma kuma-ova kwabesifazane. Kungaba i-azoospermia (ukungabikho ngokuphelele kwesidoda esidodeni) emadodeni, ukwehluleka kwe-ovarian ngaphambi kwesikhathi, okuvame ukubizwa ngokuthi “ukunqamuka kokuya esikhathini kwangaphambi kwesikhathi”, noma ukuphuma kwamaqanda okungalungile kwabesifazane.
Kodwa kunezinye izizathu zokusebenzisa isidoda noma umnikelo weqanda:
- Lapho umbhangqwana kungenzeka udlulisele isifo esibi sofuzo enganeni;
- Lapho umbhangqwana usuzuzile kakade ekuvundiseni i-in vitro fertilization (IVF) ngama-gametes awo, kodwa imibungu etholakele yayingeyezinga eliphansi;
- Lapho omunye engu-a umbhangqwana wabesifazane ;
- Lapho si-a owesifazane ongashadile.
Isidingo esincane nesincane sokunikela ngesidoda sibonga i-ICSI La I-IVF nge-ICSI (Intracytoplasmic Sperm Injection) ivumela ngisho namadoda ane-oligospermia (inani eliphansi lesidoda esidodeni) ukuthi abe nethuba lokuba ubaba wengane yabo. Le ndlela eqinile ihlanganisa ukungenisa ngqo eqandeni, isidoda esisodwa esihambayo sekhwalithi enhle. |
Ubani ongathola umnikelo wesidoda noma weqanda?
Kusukela ehlobo lika-2021, imibhangqwana yabesifazane nabesifazane abangashadile banokufinyelela umnikelo we-gamete, njengazo zonke ezinye izindlela ezisizayo zokukhiqiza. Njengakwabashadile abathandana nobulili obuhlukile, umnikelo unqunyelwe iminyaka yabashadile noma yowesifazane oyedwa, okufanele yobudala bokuzala. Ngokocwaningo lwe-INED lwango-2018, uma ingane eyodwa kwezingama-30 izalwa yi-AMP, ama-5% kuphela aphuma kuma-gametes anikelwe.
Ngokuphambene, ubani onganikela?
EFrance Ukunikela ngesidoda kanye neqanda kungokuzithandela futhi kumahhala. Umthetho we-bioethics wangomhla zingama-29 kuJulayi, 1994, wabuyekezwa ngo-2011 bese emva kwalokho u-2021 ucacisa imibandela. Kufanele ube neminyaka esemthethweni, ube nempilo enhle, futhi ube neminyaka yobudala (ngaphansi kweminyaka engama-37 kwabesifazane, ngaphansi kweminyaka engama-45 kwabesilisa). Imibandela yokungaziwa zalungiswa ngokwamukelwa ngo-June 29, 2021 yiSishayamthetho Sikazwelonke somthethosivivinywa we-bioethics. Kusukela ngenyanga ye-13 kulandela ukumenyezelwa kwalo mthetho, abanikeli be-gamete kufanele bavume idatha engahlonzi (izisusa zomnikelo, izici zomzimba) kodwa futhi ukukhomba idluliselwe uma ingane izelwe ngalo mnikelo futhi uyicela lapho isikhulile. Ngakolunye uhlangothi, akukho sivumelwano esingasungulwa phakathi kwengane ngenxa yomnikelo kanye nomnikeli.
Njengamanje, umnikelo we-gamete awanele ukuhlangabezana nezidingo zikazwelonke futhi lokhu kungenzeka kukhule ngokwanda kokutholakala kwe-ART kanye nezinguquko ezimweni zokungaziwa kubaxhasi.
Uya phesheya ukuze ube nengane?
Lapho isifiso somntwana siba namandla kakhulu futhi ukulinda isikhathi eside kakhulu, eminye imibhangqwana indizela ngaphandle kwemingcele yethu ukuze ithole ama-gametes afiswayo ngokushesha. Yile ndlela imitholampilo eminingi yaseBelgium, iSpanishi neGreece ebona ngayo abafakizicelo baseFrance befika. Nokho, kufanele uchithe imali eningi kulawa mazwe ukuba nomnikelo (cishe ama-euro angu-5 ngokwesilinganiso).
ይሄ ህክምና እዚህ አልተጀመረም? Ukuze uthole ukwaziswa okwengeziwe, sicela uthole olunye ulwazi