Okuqukethwe
Ubani othintwayo ngokufakwa kwembewu yokufakelwa nge-donor (IAD)?
The imibhangqwana yabantu bobulili obuhlukile, imibhangqwana yabesifazane futhi abesifazane abangabodwa, abaneminyaka yobudala nabathwali bephrojekthi yabazali, bangaphendukela ekufakweni kwembewu ngomnikelo. Ngokuya ngemithetho emisha ephathelene nomkhawulo wobudala wokufinyelela le ndlela, owesifazane ubonakala engaphansi kweminyaka engu-40 ubudala, kodwa ukuzalanisa kungase kuhlelwe iminyaka engu-42 ngaphansi kwezimo ezithile. Endabeni yombhangqwana, womabili amalungu kufanele abe Ukuphila, yobudala bokuzala kanye nemvume ngaphambi kokudluliselwa kombungu noma ukumiliswa. Ukuxilongwa okuningiliziwe kwezokwelapha nengqondo, okwenziwa ngaphakathi kwe-CECOS, kuzonquma ukuthi kungenzeka yini ukutholwa kule nqubo yokuzala okusizwa ngemithi (MAP).
Iyini i-IAD?
Imayelana nokufaka imali isidoda esivela kumnikeli esithweni sangasese sowesifazane, emnyango womlomo wesibeletho (intra-cervical), esibelethweni (intrauterine) noma ngokuvundiswa kwe-in vitro ngesidoda somnikeli (IVF noma i-ICSI). Lokhu kufakwa kwesidoda kwenziwa kusetshenziswa ama-sperm straws aqandisiwe, ahlonipha izimo zeukungaziwa komnikelo, uchitshiyelwe kanye nomthetho we-bioethics owamukelwe Isishayamthetho Sikazwelonke ngoJuni 29, 2021, kanye nemithetho yokuphepha kwezempilo.
Izigaba ze-artificial insemination with donor (IAD)
Ngemuva kokuxilongwa kokuqala ku-CECOS kanye nokuvulwa kwefayela, isikhathi sokulinda, esivame ukuthatha izinyanga ezingu-18 kuya eminyakeni emibili nengxenye *, singaqala. Ukufakwa kwembewu kuzokwenziwa ngaphambi noma ngesikhathi se-ovulation futhi ingavuselelwa izikhathi eziningana uma kunesidingo. Ngokwemiphumela yezibalo zayo yonke i-CECOS, ngemva kwemijikelezo engu-12 yokufaka insemination (6 intra-cervical kanye ne-6 intrauterine inseminations), ngamanye amazwi, uma umuntu enza insemination izinyanga ezingu-12, une. 70% amathuba, noma 2 koku-3, ukuba nengane **. Uma kungenjalo, ukuvundiswa kwe-in vitro kuzonconywa.
* Izibalo zango-2017
Ubani onganikela ngesidoda sakhe?
Men phakathi kwe-18 neminyaka ye-44 kuhlanganisiwe anganikela ngesidoda. Kusukela ngo-2016, asikho isidingo sokuba ubaba. Umnikelo wenziwa ngemva kokuhlolwa okuqinile. Izimo zokungaziwa komnikeli zishintshiwe ngokumenyezelwa komthetho we-bioethics owamukelwe Isishayamthetho Sikazwelonke ngomhla ka-29 Juni, 2021. Okungenani izinyanga eziyishumi nantathu ngemva kwalesi simemezelo, izingane ezizalwe ngomnikelo zingafaka izicelo zokwazi okungewona ukuhlonza ulwazi olufana neminyaka yalowo onikelayo, izici zakhe zomzimba nezizathu zomnikelo wakhe. Kodwa futhi angakwazi cela ukufinyelela kubunikazi balowo onikelayo. Ezinganeni ezizalwe ngomnikelo ngaphambi kwalo mbuso omusha, kungenzeka ukuthi ucele ukuthi lowo onikelayo athintwe futhi ukuze kutholakale ukuthi uyavuma yini ukuveza ukuthi ungubani.
Ngalokhu kuguqulwa kohlaka olusemthethweni lomnikelo we-gamete, abanikeli kufanele, kusukela ngenyanga yeshumi nantathu kulandela ukumenyezelwa kwalezi zinguquko, vumela ukuthi idatha engakhombi kodwa futhi nobunikazi bayo budluliselwe. Ngaphandle kwalokhu, umnikelo awukwazi ukwenziwa. Kodwa-ke, umnikelo uhlala ungaziwa ngomqondo wokuthi umuntu owutholayo akakwazi ukukhetha umnikezeli wakhe futhi onikelayo akakwazi ukukhetha ukuthi unikela bani.
Qaphela: akuzona zonke izidoda ezikwazi ukumelana nemiphumela yokuqandisa futhi zisetshenziswa kuphela uma zivundile. Ukuze kufezeke i-ART, ukukhetha ozonikela kuzoncika i-morphological ne-blood criteria.
Ubani onganikela ngamaqanda abo?
Wonke umuntu wesifazane onempilo, phakathi kwe-18 neminyaka ye-38 kuhlanganisiwe, anganikela ngamaqanda. Lolu hlelo lwenziwa esikhungweni sesibhedlela sasenyuvesi, ngaphakathi kwesikhungo socwaningo nokongiwa kwamaqanda nesidoda (Cecos). Ukuhlolwa kuqinile futhi kulawulwa njengokunikela ngesidoda futhi izimo zokungaziwa ziyafana. Ukunikela ngeqanda, njengokunikela ngesidoda, akukhokhelwa.