Ngokwesisombululo sikaRhulumente weRussia Federation ka-22 Oktobha 2012, i-IVF (in vitro fertilization) ukususela ekuqaleni kuka-2013 sele ifakiwe kwinkqubo yee-state zokhuseleko lwezempilo. Oko ngoku ungathembela kwi-IVF yamahhala kumgaqo we-MHI.
Emva kokuba i-IVF ibandakanywe kwi-MMI, urhulumente uzimisele ukuxhasa ngemali kwisixa sama-ruble ayi-106. Le mali iquka neendleko zamachiza. Ukuba udinga ukwandisa iindleko, isigulane sinokuhlawula umahluko.
Inkqubo karhulumente ye-IVF ayinakunciphisa inani lemizamo, kwaye ayikwahluli phakathi kwezibini ezinxulumano lwabo ngokusemthethweni kunye nalabo abaphila "ngomtshato womtshato". Ukusetyenziswa kwe-IVF kwisakhelo se-CHI sinokubhinqa abangatshatanga kunye neesini zesini. Ithuba lokungena kwinkqubo ye-IVF yamahhala inokunikezelwa kwiibini ezidibeneyo, oko kukuthi, apho umlingane enesimo esihle se-HIV.
Isigulane sinelungelo lokuzimela ngokuzimeleyo iklinikhi apho ufuna ukunyango-yoluntu okanye eyimfihlo. Kukho nawuphi na, urhulumente uya kuhlawula isixa esivunyelweneyo kwiziko lempilo. Into ebalulekileyo kukuba leziko lonyango ligqibe isivumelwano kunye ne-OMC Fund.
Yintoni oyifunayo ukusebenzisa inkqubo ye-ECO?
Ukuze ukwazi ukuqhuba inkqubo ye-IVF yamahhala yomgaqo-nkqubo we-MHI, isigulane kufuneka sithobele imiqathango yeemeko eziyimfuneko:
- ukuba ukukhulelwa kungenzeki kunyaka owodwa wesondo oqhelekileyo nolungakhuselekanga, umfazi unengxelo yokuya kwiklinikhi ekhethekileyo ukufumanisa izizathu zokungabikho kokukhulelwa;
- Ukufumanisa izizathu zokungakhulelwa, umfazi kunye naye kufuneka enze iimviwo ezimiselweyo. Ezi zibandakanya: ukuhlolwa kwe-tubal ukufaneleka, isimo se-endometrial, ukuhlolwa kwe-ovulatory kunye ne-endocrine isimo, izifundo zentsebenzisane yododa, ukuhlolwa kwendoda kunye nomfazi ngenxa yokusuleleka kwi-genitourinary system. Iimviwo ezinjalo zenziwa kwimibutho yonyango elayisenelwe ukuqhuba imisebenzi kwintsimi ye-obstetrics, gynecology kunye ne-urology;
- xa ufumanisa izifo, kubalulekile ukuba uphumelele kwiinkqubo zonyango kwaye ufumane isicatshulwa malunga noviwo kunye nonyango olwenziweyo, kunye nokudluliselwa kwonyango lokungabikho koluntu kunye nokusetyenziswa kwe-ART (ubugcisa bobubele bokuncedisa), ngakumbi-IVF;
- ngokungabikho kokuchasene nenkqubo ye-vitro fertilization, kufuneka wenze isigqibo malunga nokukhethwa kweklinikhi. Ukuba unomgaqo-nkqubo we-MHI, unokufaka isicelo kunoma yiphina ikliniki ebandakanywe kwirejista yemibutho yonyango eqhuba imisebenzi kwinkqubo yomshuwalense yonyango kunye nelayisensi ehambelana nayo;
- ukhetha ikliniki, kufuneka wenze i-aphoyintimenti. Ukwenza oku, kufuneka ube nepasipoti, umgaqo-nkqubo osebenzayo we-MHI, iifomathi malunga nophatho lwangaphambili, i-SNILS, ulwalathiso lwenhlangano yezokwelapha kunye neziphumo zophando. Ngendlela, unokwenza uviwo kwaye ulungiselele inkqubo ye-ART ngqo kwikliniki apho uzimisele ukufumana i-IVF;
- ngexesha le-IVF isigulane kufuneka silandele ngokungqongqo yonke imiyalelo yesigqirha.
Inkqubo yentlalo ye-IVF yamahhala iquka:
- ukuvuselelwa kwe-ovulation (ukunikezelwa kweziyobisi ngokuhambelana nomthetho weRussian Federation);
- ukugqitywa kwee-follicle;
- ukulima kwama embusi;
- Ukutshintshwa kweembrusi ezifanelekileyo kwi-uterine cavity.
Kufanelekile ukukhankanya ukuba nangaphambili, abafazi baseRussia abafumene "ukungabikho ntsapho" babe nethuba lokungena kwinkqubo ye-IVF ngexabiso lohlahlo lwabiwo-mali. Nangona kunjalo, i-ECO yabandakanywa kwicandelo "lokunakekelwa kwezokwelapha eliphezulu" kunye negalelo elilinganiselwe labiwe kulo.