Mufaro wokuva vabereki vemwana wako unokosha zvikuru, asi dzimwe nguva nekuda kwekushandiswa kwahwo mazano ane chirwere che "kusununguka" anomanikidzwa kubhadhara mutengo wakakwirira kwazvo. Mubhadharo wekufara kwakadaro hauratidziri chete mune mari yezviratidzo nemazero akawanda. Asiwo pamigumisiro yehutano hweamai vanouya mune ramangwana, zvakare, haisi iyo inodhura "yekugadzirira" kurapa kwekubata kwomwana, kuora mwoyo uye kuedza kwekukundikana kuedza pakubata pamuviri, kutya nehupenyu hwehutano hwemucheche panguva yekubata kwake, kuberekwa uye hupenyu hwose hunotevera. Uye, pasinei nezviitiko izvi, zviuru zvezviuru zvemhuri, izvo kuberekwa kwazvo kwakagoneka chete nenzira inoshanda yekurapa kwemazuva ano-in vitro fertilization (IVF), ichapindura mhinduro iyo kuitira kuchengeta zvimedu pamaoko avo, "zvibayiro" zvakadaro ane chido.
Zvakanaka, kana ruzivo rwemari rwemhuri (inowanikwa mari yeVF iri mukati me $ 4 000) inokubvumira kuti urambe uchiita maitiro ekugadzirisa maitiro, uye chii chingaita kuvabereki vasingakwanisi, kana izvi zvisingabviri? Munyaya iyi, kugamuchira chikamu chesununguko cheVF kubva munyika chichabatsira. Zvinofanira kuonekwa kuti pfungwa ye "vakasununguka" haisanganisi mari yekuita zvidzidzo zvinodhura uye kuongororwa nenguva shoma yekutendeseka (STD, TORCH-kutapukira, nezvimwewo), chikafu, pokugara, kana zvichifanira, ndege, nezvimwewo.
Sezvo mutemo, rubatsiro rweVIV runoitwa maererano nemitemo yehurumende yega yega, uye kune vakawanda munyika yevamwe vatevedzeri veECO vanobhadhara zvizere: Israel, Belgium, France, Greece, Slovenia Sweden, dzimwe nyika dzeCIS. Pasinei nezvinodiwa nemitemo yavo, nenzira dzakawanda ivo vakafanana: zvinyorwa zvinoparidzirwa zvose pasi rose (federal) nharaunda uye munzvimbo dziri pakutanga kwegore rimwe nerimwe; ivo vanobatanidzwa zvikurukuru kumakiriniki ehurumende. Iko kune kufanana muitiro yekunyora kwavo.
Ndiani anopiwa chikamu cheVIV?
Hurumende imwe neimwe inoita kuti zviyero zvayo zviitwe kune avo vanoita zvekuda kweVIV. Somuenzaniso, muRussia vakadzi vane huwandu hwehutano vanogona kuwana purogiramu panguva yekushandiswa kubva kumakore 22 kusvika ku38. MuUkraine, kubvira pamakore makumi mana nemakore makumi mana, vanofanirwa kuva ne "tubal" yekusagadzikana (kuvhiringidza kana kusabatwa kwe fallopian tubes), kusavapo kwemigumisiro yakanaka yekurapwa kwevakadzi kana kuti kusasununguka kwemhuri kwemakore maviri. Mukuwedzera, mvumo yemitemo yekuwana zvinyorwa zveVIV inosanganisira zvinotevera:
- hukama hwepamutemo hukama hwemhuri;
- kuvapo kwekunyorwa muguta / nzvimbo yekuvapo kwekliniki yehurumende;
- kusabatwa kwevana pamwe chete muviri;
- kusabvumirana kwezvakaitwa nehuwandu hweHIV - hutano hwevakadzi, hunogona kukuvadza mukadzi kana paine pamuviri kana kuberekwa kana mwana (zvirwere zvepfungwa, dzimwe nhengo uye zvirongwa, kusanganisira kunyanya kukanganisa endocrine, kuberekwa kwepachibereko chechibereko kana chibereko chekuvhiringidzika, chirwere chekuvhara ropa kana chibereko chekuberekwa , vachida kupindira, kuputira kwezvirwere zvinokonzera kupisa, kuvapo kwezvimwe zvipi zvinouraya, kunyange zvakamboshandiswa).
Nzira yekushandisa sei chirongwa cheVIV?
Sezvo asarudza kuwana chikamu cheVIV, mukadzi ari munzvimbo yaanogara anofanira kushanda kune gynecologist wekukurukurirana kwevakadzi, avo vachafanirwa kuunganidza uye kuvimbisa magwaro anodiwa evanhu vaviri kubva kumudzidzisi wevakadzi. Mariri, pamwe chete neyadhindwa kubva munhoroondo yemamangwana amai, inosanganisira migumisiro yezviongorori zvinotevera uye kuongororwa zvakakosha kune chikamu cheVIVF:
- vose vakaroorana vanofanira kupfuurira kuongororwa ropa nekuda kweboka uye Rh factor, AIDS, RW, antibodies kuHepatitis C, Australian antigen (kana zvichidiwa), vanoenda kuchipatara kuongororwa (kana nguva yevakaroorana inopfuura makore 35), ipe ruzivo pamusoro pehutano hwekare kusabereka;
- mumwe wako anopa kuongorora kwemaja (spermogram);
- Mukadzi - nhengo dzakawanda dzekuongorora ropa, coagulogram, ropa pahomoni (prolactin, TTG, T3, T4, FSH, etc.), ropa paTORCH - zvirwere, kuputira maruva uye kucheneswa kwechikadzi, smear kubva kumucheto (cytology), mbeu STD (chlamydia, ureaplasmosis, mycoplasmosis), mifananidzo ye fallopian tubes uye chiberekero, kuguma kwechiremba pamusoro pokukwanisa kubereka pamuviri.
Tichipa zvinyorwa zvese zvekurapa zvinodiwa uye zvikamu zvekuongorora zvevota kune IVF, zvakakosha kutora nhungamiro kubva kune gynecologist kumudzidzisi wezvinyorwa. Anogadza kurapwa uye anotumira chikumbiro kune komiti yechisarudzo chokupedzisira.
Iyo Komisheni, kana iine chibvumirano chechikumbiro, inotumira zvinyorwa kuHurumende yehutano (zvichida panzvimbo yepamatunhu), iyo inobvumira kubvumirana, inopa vouketi chaiyo yeVIV, uye inoratidzira nekliniki iyo murwere achatumirwa pasi pehurongwa hwehurumende. Nguva yekuchengetwa kwezvipatara kunobva paurefu hwevarwere 'queuing pa IVF ne quota,
Zvinosuruvarisa, zvinogona kuitika kuti komisheni icharambidzwa chikamu chesununguko. Mumamiriro ezvinhu aya, zvakakosha kuwana chidimbu kubva pamaminitsi emusangano wekomisheni, izvo zvicharatidza chikonzero chekuramba kana kuti kudiwa kwekuwedzera kuongororwa kunoratidzira sangano uye urongwa hwehutano hunodiwa kuti uite (kana akabatanidzwa mune urongwa hwehutano hwehutano hwehutano, vachave vakasununguka kune murwere) . Kana pasina kusagamuchirwa nechisarudzo chekhomishoni, inogona kupomerwa mune imwe nyaya yakakwirira kana mudare.