Iindleko zoNyango lwe-IVF UK 2023- IVF Treatment NHS

Yintoni unyango lwe-IVF?

I-in vitro fertilization (IVF) luhlobo lobugcisa obuncediswayo bokuzala (i-ART) obunceda abantu kunye nezibini ezinengxaki yobudlolo ukuze zikhawule umntwana.

I-IVF ibandakanya amanyathelo amaninzi, ukuqala ngokuvuselela ama-ovari ngamayeza ukuvelisa iifollicle ezininzi kunye namaqanda. Amaqanda afunyanwa ngotyando olungephi aze adityaniswe nedlozi kwisitya saselabhoratri. Iimbumba ezineziphumo zikhuliswa iintsuku ezininzi ngenjongo yokukhetha eyona (ii) esempilweni ukuze idluliselwe kwisibeleko.

Emva kokudluliselwa kwe-embryo, uvavanyo lokukhulelwa luhlala lwenziwa kwiiveki ezimbini ukujonga ukuba ngaba inkqubo iphumelele.

I-IVF inokuba luncedo kwizibini ezinengxaki yokungafumani bantwana ngenxa yezizathu ezahlukeneyo, njengokungazali, ukuphazamiseka kwe-ovulation, ukuvaleka kwe-tubal, okanye i-endometriosis. Izibini zesini esifanayo kunye nabantu abangatshatanga abanqwenela ukuba nomntwana wemvelo banokusebenzisa i-IVF ukukhulelwa.

I-IVF inokuba yinkqubo enzima ngokwasemzimbeni nangokweemvakalelo efuna umonde, unyamezelo kunye nenkxaso. Amazinga empumelelo ayahluka ngokuxhomekeke kwizinto ezininzi, ezifana nobudala, imbali yonyango, kunye neprotocol ye-IVF esetyenzisiweyo.

Ngelixa i-IVF ikhuselekile ngokubanzi, imingcipheko enokubakho ibandakanya iziphumo ebezingalindelekanga zeyeza, iingxaki ngexesha lokubuyiswa kweqanda okanye ukudluliselwa kwe-embryo, kunye nokukhulelwa okuninzi. Nangona kunjalo, ngesikhokelo esifanelekileyo sezonyango kunye nenkxaso, abantu abaninzi kunye nezibini ezitshatileyo ziyakwazi ukujongana nale mingeni kwaye bafezekise iphupha labo lokwakha usapho nge-IVF.

Ngubani ofuna unyango lwe-IVF?

I-in vitro fertilization (IVF) luhlobo lobugcisa obuncediswayo bokuzala obunokunceda abantu nezibini ezinengxaki yobudlolo ukuba zikhawule umntwana. Nazi ezinye iimeko apho i-IVF inokucetyiswa ngayo:

• Ubudlolo ngenxa yokuphazamiseka kwe-ovulation: I-IVF inokunceda abasetyhini abangakhupheli iqanda rhoqo okanye bavelise amaqanda akumgangatho ophantsi ukuze bakhulelwe.
• Imibhobho ye-fallopian evaliweyo okanye eyonakeleyo: Ukuba iityhubhu ze-fallopian zivaliwe okanye zonakaliswe, i-IVF inokudlula iibhubhu kwaye iphumelele ukuchumisa kwibhubhu.
• I-Factor factor infertility: I-IVF inokoyisa imiba ye-sperm count okanye i-motility ngokufaka isidoda ngokuthe ngqo kumaqanda kwinkqubo ebizwa ngokuba yi-intracytoplasmic sperm injection (ICSI).
• I-Endometriosis: Kwiimeko ze-endometriosis enzima, i-IVF inokucetyiswa njengendlela yokugqithisa izicubu ezichaphazelekayo kunye nokuphucula amathuba okukhulelwa.
• Ubudlolo obungachazwanga: Ngamanye amaxesha izibini zisenokujamelana nobunzima ekukhawuleni nangona ziye zavavanywa ngokucokisekileyo. Kwiimeko ezinjalo, i-IVF inokucetyiswa njengendlela yokujongana nezinto ezingaziwayo ezinokuchaphazela ukuchuma.
• Uvavanyo lwemfuza ngaphambi kokufakelwa: Abantu okanye izibini ezinengxaki yemfuza okanye ezisemngciphekweni wokudlulisela izigulo zemfuza kwinzala yazo zinokukhetha ukwenza i-IVF kunye novavanyo lwemfuza ngaphambi kokufakelwa (PGT) njengendlela yokukhetha iimbumba ezingenazo iziphazamiso zemfuza.
• Izibini zesini esinye kunye nabantu abangatshatanga: I-IVF inika ithuba abantu abathandana besini esifanayo kunye nabantu abangatshatanga abanqwenela ukuba nomntwana wemvelo ukuba bakhawule kusetyenziswa amadlozi okanye amaqanda.

Leliphi elona xesha lilungileyo le-IVF?

Ukugqiba iminyaka efanelekileyo ye-in vitro fertilization (IVF) inokuxhomekeka kwizinto ezahlukeneyo, kuquka isimo somntu sokuzala, ukhetho lomntu kunye nembali yonyango. Ukukwazi ukukhulelwa ngokwemvelo kuyancipha ngokukhula, ngakumbi emva kweminyaka engama-35. Abasetyhini abangaphezu kweminyaka engama-35 banokuthi banciphise i-ovarian reserve okanye umgangatho weqanda elibi, elinokuchaphazela impumelelo ye-IVF. Ubudala obufanelekileyo be-IVF buthathwa ngokuba bukwiminyaka engama-30 ubudala xa ukuchuma kukwincopho yayo. Ekugqibeleni, ubudala obufanelekileyo be-IVF buya kwahluka ngokusekelwe kwiimeko zomntu ngamnye. Kubalulekile ukuba abantu baxoxe ngeendlela zabo zokuzala kunye nogqirha oqeqeshiweyo kwaye bathathele ingqalelo izinto abazikhethayo, imbali yonyango kunye nemeko yezemali xa bemisela iminyaka efanelekileyo ye-IVF.

Ziziphi iimpembelelo ze-IVF?

I-in vitro fertilization (IVF) luhlobo lobugcisa obuncediswayo bokuzala obunokunceda abantu nezibini ezinengxaki yobudlolo ukuba zikhawule umntwana. Ngelixa i-IVF inokuba lunyango olusebenzayo, inokuba neziphumo ebezingalindelekanga ezithile. Nazi ezinye iziphumo ebezingalindelekanga eziqhelekileyo ze-IVF:

• Ukutshintsha kweMood: Amayeza ehomoni asetyenziswa kwi-IVF anokuchaphazela imo kunye neemvakalelo. Amabhinqa asenokuba nokuguquka kweemvakalelo, ukuxhalaba, okanye ukudandatheka.
• Ukuvutha okutshisayo: Amayeza e-hormonal asetyenziswa kwi-IVF angabangela ukushisa okutshisayo, okuyimvakalelo ngokukhawuleza yokufudumala okanye ukushisa okunokubangela ukubila kunye nokungahambi kakuhle.
• I-Ovarian hyperstimulation syndrome (OHSS): Nangona inqabile, i-OHSS sisiphumo esinokuthi sibe yingozi ye-IVF enokuthi yenzeke xa amachiza asetyenziselwa ukuvuselela ukuveliswa kweqanda abangela ukuba ama-ovari adumbe kwaye abe buhlungu.
• Ubuhlungu besisu kunye nokuqhaqha: Ngexesha le-IVF, ama-ovari angavuvukala kwaye abe buhlungu, okukhokelela ekugqithiseni kwesisu, ukungahambi kakuhle, okanye intlungu.
• Ukudinwa: Iimfuno zomzimba nezeemvakalelo ze-IVF zinokukhokelela kwimvakalelo yokudinwa nokudinwa.
• Intloko: Amayeza ehomoni asetyenziswa kwi-IVF anokubangela intloko ebuhlungu okanye imigraines.
• Ukopha kwe-vaginal: Abanye abafazi banokufumana ukopha okuncinci kwe-vaginal emva kokubuyiswa kweqanda okanye ukudluliselwa kwe-embryo, kunye nangexesha lokukhulelwa kwangaphambili.
• Ukukhulelwa okuninzi: I-IVF inokunyusa amathuba okuba nokukhulelwa okuphindaphindiweyo, okunokuthi kuthwale ingozi yempilo eyongezelelweyo kumama kunye neentsana.

Ngelixa i-IVF inokuba neziphumo ebezingalindelekanga, abantu abaninzi kunye nezibini eziphantsi konyango zivakalelwa kukuba iingenelo ezinokubakho ziyodlula imingcipheko. Kubalulekile ukuxoxa ngayo nayiphi na inkxalabo okanye imingcipheko enokubakho kunye nochwephesha wezonyango oqeqeshiweyo phambi kokuba uqalise i-IVF. Khumbula ukuba imingcipheko yonyango lwe-IVF iya kwahluka kakhulu, kuxhomekeke kumava kagqirha wakho kunye nobuchule. Ngenxa yesi sizathu, kufuneka uqaphele kakhulu xa ukhetha ugqirha kunye nekliniki ye-IVF. Ukuba ufuna ukufumana unyango oluthembekileyo noluphezulu lwe-IVF, ungaqhagamshelana nathi.

Ungasikhetha njani esona sibhedlele sigqibeleleyo se-IVF?

Ukukhetha esona sibhedlele singcono kwi-in vitro fertilization (IVF) kunokuba ngumsebenzi onzima, kodwa linyathelo elibalulekileyo kuhambo oluya ekuqaliseni usapho. Nazi ezinye izinto ekufuneka uziqwalasele xa ukhetha esona sibhedlele silungileyo se-IVF:

• Amazinga okuphumelela: Enye yezona zinto zibalulekileyo ekufuneka ziqwalaselwe xa ukhetha isibhedlele se-IVF ngamazinga abo okuphumelela. Izibhedlele ezinamazinga aphezulu okuphumelela ngokubanzi zinamava ngakumbi kwaye zinobuchule obukhethekileyo kwicandelo lamayeza okuzala. Kubalulekile ukuphonononga amazinga empumelelo yesibhedlele kwaye uwathelekise nomndilili wesizwe ukuze ufumane umbono werekhodi labo lomkhondo.
• Ukuvunywa kunye nokuqinisekiswa: Isibhedlele kufuneka sivunywe ngumbutho ohloniphekileyo, njengeKomishoni edibeneyo okanye i-American Society for Reproductive Medicine. Isiqinisekiso sikwabalulekile, njengoko isatifikethi sibeka imigangatho emincinci yokhathalelo olunikezelweyo kwaye lufuna uqeqesho oluqhubekayo kunye nemfundo ukuyigcina.
• Udumo oluhle: Udumo lwesibhedlele kuluntu lwezonyango naphakathi kwabagulayo ngaphambili lunokunikela ingqiqo ebalulekileyo kumgangatho wonyango olunikelwayo. Ukufunda uphononongo kunye nobungqina obuvela kwizigulane eziye zafumana i-IVF esibhedlele kunokunika ingqiqo kumava esigulane.
• Amava kunye nobuchule koogqirha kunye nabasebenzi: Isibhedlele kufuneka sibe noogqirha abanamava okuchuma kunye neqela elizinikeleyo labasebenzi abanobuchule kwi-IVF. Khangela isibhedlele esiqeshe oogqirha abachwephesha kwi-endocrinology yokuzala kunye nobudlolo.
• Indlela ejolise kwisigulana: Khangela isibhedlele esibeka izigulane kuqala, kunye nendlela yobuqu ejongene neemfuno kunye nezinto ezixhalabisayo zesigulana ngasinye. Kubalulekile ukuba uzive ukhululekile kunye neqela lezonyango kwaye ube nonxibelelwano oluvulekileyo ukuqinisekisa ukuba yonke imibuzo iyaphendulwa.
• Indawo kunye nokufikeleleka: Indawo yesibhedlele inokuqwalaselwa, kunye nokufikeleleka kwendawo. Qwalasela ixesha lokuhamba, indawo yokupaka, kunye nezinye izinto ezinokuphembelela inkqubo yokwenziwa kwezigqibo.

Amaziko e-IVF ase-UK-Ngaba akhuselekile?

Ngokubanzi, amaziko e-IVF e-UK alawulwa kakuhle, athembekile kwaye akhuselekile. Urhulumente wase-UK uye waseka izikhokelo kunye nemimiselo engqongqo ukuqinisekisa ukuba amaziko e-IVF anikezela ngononophelo oluphezulu olukhuselekileyo kwizigulane. Ngokuphathelele ukhuseleko, amaziko e-IVF e-UK anerekhodi eqinile yokubonelela ngonyango olukhuselekileyo nolusebenzayo. I-HFEA ifuna zonke iikliniki ukuba zichaze naziphi na iziganeko ezimbi ezenzeka ngexesha lonyango, kwaye iikliniki zihlala zihlolwa ukuqinisekisa ukuba zilandela imigaqo yokhuseleko.

Ngokubanzi, amaziko e-IVF e-UK lukhetho olukhuselekileyo noluthembekileyo kubantu kunye nezibini ezifuna unyango lokuchuma. Nangona kunjalo, kubalulekile ukuba izigulane zenze uphando lwazo kwaye zikhethe ikliniki ehambelana neemfuno zabo kunye nezinto ezibaxhalabisayo.

Amaziko e-IVF okuchuma e-UK

Nazi ezinye zezinto eziphambili zamaziko e-IVF e-UK:

• Imigangatho yolawulo engqongqo: UGunyaziwe woKuchumisa kunye ne-Embryology (HFEA) ilawula kwaye ibeke iliso kuzo zonke iikliniki ze-IVF e-UK. I-HFEA ibeka imigangatho yomgangatho wokhathalelo olunikezelweyo kwaye iqinisekisa ukuba onke amaziko e-IVF athobela le migangatho. Amaziko e-IVF kufuneka anikwe ilayisensi kwaye ahlolwe rhoqo ukuze aqhubeke nokubonelela ngeenkonzo.
• Ubuchwephesha bobuchwephesha: Iiklinikhi ze-IVF e-UK zineengcali eziqeqeshiweyo nezinamava ezichwephesha kunyango lokuzala, kubandakanya oogqirha, abongikazi, kunye nee-embryologists. Iikliniki ezininzi zikwaqhuba uphando ukuqhubela phambili icandelo leyeza lokuzala.
• Ukufikelela kukhathalelo olubanzi: Amaziko e-IVF ase-UK zibonelela ngoluhlu olubanzi lwezonyango zokuchuma kunye neenkonzo ezingaphaya kwe-IVF, kubandakanya intrauterine insemination (IUI), umnikelo weqanda kunye namadlozi, kunye nokugcinwa kokuchuma.
• Amazinga okuphumelela aphezulu: Amazinga empumelelo ye-IVF e-UK aphakathi kwezona ziphezulu eYurophu. Amazinga empumelelo yeekliniki nganye afumaneka esidlangalaleni kwiwebhusayithi ye-HFEA, evumela izigulane ukuba zithelekise iikliniki kwaye zenze izigqibo ezinolwazi malunga nonyango.
• Izenzo zokuziphatha: Amaziko e-IVF e-UK afuneka ukuba alandele ikhowudi engqongqo yokuziphatha kunye nokuqinisekisa ukuba izigulane zinolwazi olupheleleyo malunga neengozi kunye neenzuzo zonyango. I-HFEA ikwalawula izenzo ezithile, ezinjengokhetho lwesini kunye nokuhlolwa kwe-embryo, ukuqinisekisa ukuba zisetyenziswa ngendlela esesikweni nenoxanduva.

Iindleko zoNyango lwe-IVF e-UK

Unyango lwe-in vitro fertilization (IVF) lunokuba lukhetho olubiza imali eninzi kubantu kunye nakwizibini ezinengxaki yobudlolo e-UK. Iindleko zonyango lwe-IVF zinokuhluka ngokuxhomekeke kwizinto ezininzi, njengendawo yekliniki, uhlobo lonyango, kunye nenani lemijikelo. Kwezinye iindawo, izigulana zinokunikwa umjikelo omnye okanye emibini yonyango lwe-IVF, ngelixa ezinye iindawo zinokunikezela ukuya kuthi ga kwimijikelo emithathu. Ukuba unyango luyafumaneka kwi-NHS, izigulana zifuna kuphela ukuhlawula umrhumo omncinci wemigqaliselo, nangona kunjalo, iikliniki zabucala zinokuba nemirhumo ephezulu kakhulu. Kwabo bangayifanelanga i-IVF exhaswa yi-NHS okanye abakhetha ukuya ngasese, iindleko zonyango lwe-IVF zinokuphakama kakhulu. Ixabiso eliqhelekileyo lomjikelo omnye we-IVF e-UK ukusuka kwi-£ 5,000 ukuya kwi-£ 8,000, kunye neendleko ezinyukayo ukuba unyango olongezelelweyo luyafuneka, njengovavanyo lwemfuzo okanye isidoda somnikeli okanye iimbumba. Kubalulekile ukuqaphela ukuba iindleko zinokwahluka ngokweklinikhi ngeklinikhi, kwaye iindleko ezongezelelweyo zinokungenwa ngamayeza, ukudibana, kunye novavanyo.

Kuko konke, iindleko zonyango lwe-IVF e-UK iphezulu kwizibini kunye nabantu ngabanye. Ngesi sizathu, unyango lwe-IVF eNgilani alukhethwa kakhulu, kwaye nabantu abahlala apho bakhetha unyango olufikelelekayo lwe-IVF kumazwe ahlukeneyo. Ukuba nawe ufuna unyango olufikelelekayo lwe-IVF lokuchuma kunye neziko lokuchuma elithembekileyo, iCyprus yeyakho. Unyango lwe-IVF yaseCyprus lwenziwa kwiiklinikhi ezixhotyiswe kakuhle ngamaqela eengcali kunye noogqirha abaqeqeshiweyo abanezinga eliphezulu lempumelelo. Ngolwazi oluthe vetshe malunga nonyango lwe-IVF yaseCyprus, ungasithumela umyalezo.

Ngaba unyango lwe-IVF lugqunywe yi-NHS?

Ubukho be-in vitro fertilization (IVF) unyango kwi-National Health Service (NHS) e-UK iyahluka ngokuxhomekeka kwindawo ohlala kuyo. Ngelixa ezinye iindawo zase-UK zibonelela ngayo, ezinye ezininzi aziboneleli ngonyango lwe-IVF. Kubalulekile ukuqaphela ukuba nangona unyango lwe-IVF luyafumaneka kwi-NHS, kunokubakho uluhlu olude lokulinda, kwaye izigulane zinokudinga ukuba zihambe ngenkqubo yovavanyo olungqongqo ukuze zibone ukuba zifanelekile na unyango. Ukuba unyango lwe-IVF alufakwanga yi-NHS, izigulana zingakhetha ukulandela unyango lwabucala, olunokubiza imali eninzi. Iikliniki zabucala zinokubonelela ngoluhlu olubanzi lweendlela zonyango okanye zinike unyango kwabo bangafikeleliyo kwiikhrayitheriya zokufaneleka ezingqongqo kwi-IVF exhaswa yi-NHS.

Ukuba ujonge elona ziko lifanelekileyo kumaxabiso onyango lwe-IVF, anokwahluka kwilizwe ngalinye, iSipro yenye yeendawo eziphambili zonyango olufikelelekayo nolunempumelelo lwe-IVF. Njengoko i-NHS ingaluquki unyango lwe-IVF kumazwe amaninzi, abanqwenela ukuba abazali bafune amaziko afikelelekayo. Kwaye ngokubanzi, abantu abaninzi bacinga ukuba amaZiko e-IVF eCyprus abonelela ngeenkonzo ezisemgangathweni ngamaxabiso afikelelekayo kakhulu. Ungaqhagamshelana nathi ngolwazi oluthe kratya malunga namaxabiso e-IVF yaseCyprus kunye namaziko.