Intrauterine insemination enye yeendlela zokunqoba ingxaki yokungabikho kwengqondo , into ebalulekileyo ekungenisweni kokufakelwa kwendoda yesilisa kwintambo ye-uterine.
Iintlobo ze-intrauterine insemination
Insemination ingenziwa yindoda yomyeni. Olu hlobo lokusasaza lusetyenziswa xa umlingani:
- Umgangatho ophezulu we-viscosity yesisu;
- isilwanyana esiphezulu;
- kukho ukukhathazeka-ukuhlukunyezwa ngokwesondo;
- hypospadias;
- ukuhlaziywa kwe-ejaculation;
- u-hypo-spermia - umthamo omncinane we-ejaculate;
- kwiimeko emva kwe-vasectomy okanye i-chemotherapy.
Kwakhona ukuba iqabane
- endocervicitis engapheliyo;
- umlomo wesibeleko;
- ukungabikho kwengqondo kunye nohlalutyo oluqhelekileyo;
- i-vaginismus;
- kwimbali kukho imisebenzi kwi-cervix;
- utywala o
- isifo sembewu ;
- okanye emzimbeni wowesifazane kukho ama-antibodies antisperm enza ukuba i-spermatozoa ife xa ifika kwisini.
Insemination kunye nomnini wesibonelelo isetyenziswe kwimeko yokuguquka kwemfuyo okanye ukungabikho kwesidoda kwisidoda sesidoda, kunye nokungabikho kweqabane lomlingane.
Ngaphambi kokuba kwenziwe i-intrauterine insemination nayiphi na uhlobo lwesidoda, umgangatho we-spermogram uvavanywa. Ukuba inani le-spermatozoa lingaphantsi kwezigidi ezi-3 ukuya ku-10, okanye ukuhamba kwabo kungaphantsi kwe-25%, ngoko-insemination ye-intrauterine ayenziwanga.
Inkqubo ye-intrauterine insemination
I-catheter ifakwe kwisitya somlomo wesibeleko sokusatshalaliswa kwe-intrauterine, ngeendlela apho umdlwane uhanjiswa kuwo. Ukungabikho kwemfuyo yee-tublopian tubes, ukukhulelwa kuvela ngokwemvelo.
Ngaphambi kwesi senzo, lo mfazi ukhuthazwa kwinkqubo yokuvuthwa kwe-ovum (iziyobisi kunye ne-FSH okanye i-antiestrogens) ukwandisa amathuba okukhulelwa.
Inkqubo yokusasaza ikhuthazwa ukuba iphinde iphinde ibe ngaphezu kwamaxesha ama-3-4.
Intrauterine insemination ekhaya
Inkqubo yokusasaza ingenziwa kuphela kwiimeko zekliniki. Inokwenziwa ekhaya.
Kwimijelo enjalo, kukho iimvavanyo zokumisela izinga lamahomoni: i-luteinizing, i-follicle-stimulating kunye ne-chorionic gonadotropin; uvavanyo lwe-ovulation, isitshixo seqoqo sembewu, isilingi sesinambuzane, isibuko, ukongezwa kokufakela isidoda kwisiswini, kunye nokuvavanya ukukhulelwa.
Imiyalelo yokulungiselela kunye nenkqubo yokusasazwa ichazwa ngokucacileyo kwimigaqo ehamba nekiti.