Kusamutsa kwanga kwa IVF komwe ndikuyembekezera kwanthawi yayitali kudayimitsidwa Chifukwa cha Coronavirus

Zamkati

• Momwe Ndinaphunzirira Za Kusabereka Kwanga
• Kuyambira IUI
• Kutembenukira ku IVF
• Mavuto Enanso Osayembekezereka
• Mphamvu ya COVID-19
• Onaninso za

Ulendo wanga wosabereka udayamba kalekale coronavirus (COVID-19) isanayambike kuopseza dziko lapansi. Pambuyo pazaka zambiri zakumapwetekedwa mtima, chifukwa cha maopareshoni olephera ndi zoyesayesa za IUI zomwe sizinaphule kanthu, ine ndi mwamuna wanga tatsala pang'ono kuyamba gawo lathu loyamba la IVF titaitanidwa kuchokera kuchipatala chathu kutiuza kuti njira zonse zosabereka zaimitsidwa. Sindinayambe ndaganiza kuti mliri ungayambitse izi m'zaka miliyoni. Ndidakhala wokwiya, wokhumudwa komanso ndimavuto ena ambiri. Koma ndikudziwa kuti sindine ndekha. Amayi zikwizikwi kuzungulira dzikolo amangiriridwa mu bwato lomwelo — ndipo ulendo wanga ndi chitsanzo chimodzi chokha cha chifukwa chake kachilomboka ndi zotsatirapo zake zakhala zikutopetsa thupi, malingaliro, komanso zachuma kwa aliyense amene akuchiritsidwa osabereka pompano.

Momwe Ndinaphunzirira Za Kusabereka Kwanga

Ndakhala ndikufuna kukhala mayi, chifukwa chake nditakwatirana mu Seputembala 2016, ine ndi mwamuna wanga tinkafuna kukhala ndi mwana nthawi yomweyo. Tinali okondwa kwambiri kuyamba kuyesera kotero tinaganiza zopumitsa tchuthi chathu ku Antigua chifukwa mwadzidzidzi, Zika anali atayamba kuda nkhawa. Panthawiyo, madotolo anali kulimbikitsa kuti maanja azidikirira miyezi itatu kuchokera pomwe adachokera ku Zika asanayese kutenga pakati-ndipo kwa ine, miyezi itatu ndimakhala ngati kwamuyaya. Sindinadziwe kuti milungu ingapo iyenera kuti inali yochepa kwambiri poyerekeza ndiulendo wovuta womwe unali patsogolo.

Tidayamba kuyesa kukhala ndi mwana mu Marichi wa 2017. Ndinali kutsatira mosamalitsa nthawi yanga ndikugwiritsa ntchito zida zoyeserera ovulation kuti ndikwaniritse mwayi wanga wokhala ndi pakati. Poganizira kuti ine ndi mwamuna wanga tinali achichepere komanso athanzi, ndinaganiza kuti titenga pakati posachedwa. Koma patapita miyezi isanu ndi itatu, tinali kuvutikabe. Titafufuza tokha, mwamuna wanga anaganiza zomuyesa umuna, kuti awone ngati chinachake sichili bwino pamapeto pake. Zotsatira zake zidawonetsa kuti umuna wake wa umuna (mawonekedwe a umuna) ndi umuna wa umuna (kuthekera kwa umuna kuyenda bwino) zonse zinali zachilendo, koma malinga ndi dokotala wathu, sizinali zokwanira kufotokoza chifukwa chake zikutitengera nthawi yayitali kutenga pakati. (Zokhudzana: Kuyesedwa Kwatsopano Kwakubanja Kwathu Kumayang'ana Umuna Wanu)

Ndinapitanso ku ob-gyn yanga kukafufuzidwa ndipo ndinamva kuti ndili ndi chiberekero cha fibroid. Kukula kopanda khansa kumeneku kumatha kukhala kosasangalatsa kwambiri ndikupangitsa nthawi zopweteka, koma adotolo adati sanasokoneze pakati. Choncho tinayesetsabe.

Titafika kumapeto kwa chaka chathunthu, tinayamba kuda nkhawa kwambiri. Pambuyo pofufuza akatswiri a za infertility tinasungitsa nthawi yanga yoyamba mu Epulo 2018. (Dziwani zomwe ob-gyns amalakalaka amayi akudziwa za kubereka kwawo.)

Kuyesedwa kwa kusabereka kumayamba ndimayeso angapo, ntchito yamagazi, ndi sikani. M'malo mwake, ndinapezeka kuti ndili ndi Polycystic Ovarian Syndrome (PCOS), matenda omwe amachititsa azimayi kukhala ndi mavuto akusamba (nthawi zambiri samayenda nthawi zonse) komanso mahomoni ochulukirapo a androgen (mahomoni omwe amatenga nawo mbali pamakhalidwe achimuna ndi kubereka) akudutsa thupi lawo. Sikuti ndi vuto lodziwika bwino la endocrine, komanso ndilomwe limayambitsa kusabereka. Koma sizinali zachilendo kwa ine zikafika pamilandu ya PCOS. Sindinali wonenepa kwambiri, ndinalibe tsitsi lochulukirapo ndipo sindinalimbane ndi ziphuphu, zonse zomwe ndizodziwika bwino za azimayi omwe ali ndi PCOS. Koma ndinaona kuti adokotala amadziwa bwino choncho ndinangopita nawo.

Nditadziwika ndi PCOS, katswiri wathu wokhudzana ndi chonde adapeza njira yothandizira. Amafuna kuti tichite IUI (Intrauterine Insemination), chithandizo chothandizira kubereka chomwe chimaphatikizapo kuyika umuna mkati mwa chiberekero chanu kuti umuna ukhale wathanzi. Koma asanayambe, adotolo adandiuza kuti andichotsere fibroid kuti awonetsetse kuti chiberekero changa chili bwino. (Wokhudzana: Anna Victoria Amangokhala Wokhudzidwa Ndi Kulimbana Kwake ndi Kusabereka)

Zinatitengera miyezi iwiri kuti tipeze nthawi yokumana ndi opareshoni ya fibroid. Pambuyo pake ndinachitidwa opareshoni mu Julayi, ndipo zinanditengera mpaka Seputembala kuti ndichiritse bwino ndikumvetsetsa zonse kuti ndiyambenso kutenga pakati. Ngakhale kuti katswiri wathu ankafuna kuti tiyambe IUI ASAP atachira opaleshoniyo, ine ndi mwamuna wanga tinaganiza kuti tikufuna kuyesa kukhala ndi pakati mwachibadwa kachiwiri, ndikuyembekeza kuti mwina fibroid inali vuto nthawi yonseyi, ngakhale kuti dokotala wathu adanena mosiyana. Patatha miyezi itatu, palibe mwayi. Ndinasweka mtima.

Kuyambira IUI

Pakadali pano, anali Disembala, ndipo pamapeto pake tidaganiza zoyambitsa IUI.Koma tisanayambe, adokotala adandiuza za kulera. Kutembenuza kuti thupi lanu limakhala lachonde atangotsika njira zakulera zakumwa, choncho ndidapitilira kwa mwezi umodzi ndisanayambitse IUI.

Nditayamba kulera, ndinapita kuchipatala kukayezetsa magazi ndi magazi. Zotsatirazo zidabweranso zabwinobwino ndipo tsiku lomwelo ndidapatsidwa mankhwala ozunguza jakisoni wamasiku khumi kuti athandize kutulutsa mazira. Mankhwalawa amathandiza thupi lanu kutulutsa mazira ochuluka kuposa momwe mumachitira nthawi zambiri pa nthawi ya msambo, zomwe zimapangitsa kuti mukhale ndi pakati. Nthawi zambiri, mumakhala ndi udindo wopereka zowomberazi kunyumba, ndipo TBH, kuphunzira kutulutsa mimba yanga ndi singano sinali vuto, zinali zoyipa zomwe zimayamwa. Mayi aliyense amakhudzidwa ndi ovulation yolimbikitsa mankhwala mosiyana, koma ine ndekha ndinkavutika ndi mutu waching'alang'ala. Ndinatenga masiku osagwira ntchito ndipo masiku ena ndinkalephera kutsegula maso anga. Komanso sindinkaloledwa kumwa mowa mwauchidakwa, chifukwa amatha kuletsa chonde, ndiye kuti mapiritsi a migraine sanali njira. Panalibe zambiri zomwe ndikanachita koma kuziyamwa.

Panthawiyi, ndinali nditayamba kukhala wokhumudwa kwambiri. Aliyense amene ndimakhala naye amaoneka ngati wayamba banja, ndipo zimandipangitsa kukhala wosungulumwa. Kukhala wokhoza kukhala ndi pakati mwachibadwa ndi mphatso yoteroyo—yomwe anthu ambiri amaiona mopepuka. Kwa ife omwe tikuvutika, kuwomberedwa zithunzi za ana ndi zolengeza zakubadwa kungakupangitseni kukhala osungulumwa kwambiri ndipo ndinali m'bwatomo. Koma popeza tsopano ndinali nditakumana ndi IUI, ndimakhala ndi chiyembekezo.

Tsiku lofika lobaya umuna litakwana, ndinali wokondwa. Koma patadutsa pafupifupi milungu iwiri, tinamva kuti izi sizinayende bwino. Momwemonso anali mmodzi pambuyo pake, ndi wina pambuyo pake. M'malo mwake, tidalandira mankhwala asanu ndi limodzi omwe adalephera a IUI m'miyezi isanu ndi umodzi yotsatira.

Pofunitsitsa kudziwa chifukwa chake mankhwalawa sakugwira ntchito, tidaganiza zopezanso lingaliro lina mu Juni 2019. Tidakumananso mwezi wa Ogasiti, kuyesera mwachilengedwe pakadali pano, ngakhale sizinaphule kanthu.

Katswiri watsopanoyu anachititsa kuti ine ndi mwamuna wanga tiyesedwenso. Ndipamene ndidaphunzira kuti ndinalibe PCOS. Ndimakumbukira kuti ndinasokonezeka kwambiri chifukwa sindinkadziwa kuti ndidalire maganizo a ndani. Koma katswiri watsopanoyu atalongosola zosagwirizana pamayeso anga am'mbuyomu, ndidadzipeza ndekha ndikuvomereza chowonadi chatsopanochi. Ine ndi mwamuna wanga tinaganiza zopita patsogolo, ndikuyika malingaliro a katswiriyu m'malo mwake.

Kutembenukira ku IVF

Pomwe ndidakhala womasuka kumva kuti ndilibe PCOS, mayeso oyambilira ndi katswiri watsopanoyu adandipeza kuti ndinali ndi mahomoni ochepa a hypothalamic. Hypothalamus (gawo la ubongo wanu) ndilofunika kutulutsa gonadotropin-release hormone (GnRH) yomwe imayambitsa pituitary gland (yomwe ili mu ubongo wanu) kuti itulutse hormone ya luteinizing (LH) ndi follicle-stimulating hormone (FSH). Pamodzi, mahomoniwa amasonyeza kuti dzira likukula ndi kumasulidwa ku chimodzi mwa mazira anu. Mwachiwonekere, thupi langa linkavutika kuti litulutse ovulation chifukwa milingo yanga ya mahomoniwa inali yotsika, atero dokotala wanga. (Zokhudzana: Momwe Thupi Lanu Lomwe Lingasinthire Chiberekero Chanu)

Pakadali pano, popeza ndinali ndi ma IUI ambiri omwe adalephera, njira yokhayo yomwe ndingakhalire ndi mwana ndikuti ndiyambe Invitro Fertilization (IVF). Chifukwa chake mu Okutobala 2019, ndidayamba kukonzekera gawo loyamba pakupeza dzira. Izi zikutanthauza kuti ndiyambirenso njira zina zoberekera, ndi jakisoni wothandizira kupangitsa mazira anga kuti apange ma follicles omwe amathandizira kutulutsa dzira kuti likhale ndi umuna.

Popeza mbiri yanga ndi njira zoberekera, ndidadzikonzekeretsa mozama, koma mu Novembala, tidatha kutenga mazira 45 m'mazira anga. 18 mwa mazira amenewo adakonzedwa ndi umuna, ndipo 10 mwa iwo adapulumuka. Kuti tikhale otetezeka, tinaganiza zotumiza mazirawo kuti akapimidwe chromosome, t0 chotsa chilichonse chomwe chingathe kupita padera. Mazira asanu ndi awiri mwa asanu ndi awiriwo adabweranso bwino, zomwe zikutanthauza kuti onse anali ndi mwayi wopambana ndikuwakwaniritsa nthawi yonse. Iyi inali nkhani yabwino yoyamba yomwe tidalandira kwakanthawi. (Zokhudzana: Kafukufuku Akuti Chiwerengero Cha Mazira M'mayendedwe Ako Sichikugwirizana Ndi Mwayi Wanu Wotenga Mimba)

Mavuto Enanso Osayembekezereka

Kwa nthawi yoyamba munthawi yayitali, ndimakhala ndi chiyembekezo, koma kachiwiri, sichidafikire. Nditabweza dzira, ndimamva kuwawa kwambiri. Kwambiri, sindinathe kudzuka pabedi kwa sabata. Ndinkaona kuti chinachake chalakwika. Ndinapitanso kukaonana ndi dokotala ndipo nditayesedwa, ndinamva kuti ndili ndi china chotchedwa Ovarian Hyperstimulation Syndrome (OHSS). Izi sizimachitika chifukwa cha mankhwala obereketsa omwe amadzetsa madzimadzi ambiri m'mimba. Anandiika pamankhwala othandizira kupondereza zochitika zamchiberekero, ndipo zidanditengera pafupifupi milungu itatu kuti ndiyambe kuchira.

Nditakhala wathanzi mokwanira, ndinakumana ndi china chotchedwa hysteroscopy, pomwe ma ultrasound amalowetsedwa mu chiberekero chanu kudzera mumaliseche anu, kuti muwone ngati zili bwino kupitiliza kupanga mazira nthawi ya IVF.

Komabe, zomwe zimayenera kukhala njira yanthawi zonse yosonyeza kuti ndinali ndi chiberekero cha bicornuate. Palibe amene akudziwa chifukwa chake izi zimachitika, koma nkhani yayifupi, m'malo mokhala mawonekedwe a amondi, chiberekero changa chinali chowoneka ngati mtima, zomwe zimapangitsa kuti zikhale zovuta kuti mwana ayambe kuyika ndikuwonjezera chiopsezo chotenga padera. (Zokhudzana: Zofunikira Pazokhudza Chonde ndi Kusabereka)

Chifukwa chake tidachita opareshoni ina kuti tikonze izi. Kubwezeretsa kumatenga mwezi ndipo ndidakumananso ndi vuto lina kuti nditsimikizire kuti njirayi yagwira ntchito. Inali nayo, koma tsopano munali matenda m'mimba mwanga. Hysteroscopy idawonetsa tinthu tating'onoting'ono tating'onoting'ono tonse, tomwe timakhala pachiberekero cha chiberekero, chomwe mwina chinali chifukwa cha zotupa zotchedwa endometritis (zomwe zikuwonekeratu, sizofanana ndi endometriosis). Kunena zowona, adotolo adabwereranso mchiberekero mwanga kuti akatenge minyewa yotupa ndikuyitumiza kuti ikasiyidwe. Zotsatira zake zidabweranso zabwino za endometritis ndipo adandiyikapo mankhwala opha tizilombo toyambitsa matenda.

Kumapeto kwa February 2020, pamapeto pake ndidapatsidwa mwayi woti ndiyambe kugwiritsa ntchito ma hormonal meds kukonzekera kukonzekera kwa IVF.

Kenako, coronavirus (COVID-19) idachitika.

Mphamvu ya COVID-19

Kwa zaka zambiri, ine ndi mwamuna wanga takhala tikukhumudwitsidwa pambuyo pokhumudwitsidwa paulendo wathu wonse wosabereka. Tsopano zakhala zachizolowezi m'moyo wathu - ndipo ngakhale ndiyenera kukhala wodziwa bwino kuthana ndi nkhani zoipa, COVID-19, zidandiponyera mwayi.

Mkwiyo ndi kukhumudwa sizimayamba ngakhale kufotokoza momwe ndimamvera pomwe chipatala changa chidandiimbira foni ndikumanena kuti akuyimitsa chithandizo chonse ndikuchotsa kusamutsidwa konse kwa mazira. Pomwe timangokonzekera IVF kwa miyezi ingapo, zonse zomwe tadutsamo zaka zitatu zapitazi-mankhwala, zotsatira zoyipa, jakisoni wosawerengeka, ndi maopaleshoni angapo. zonse kufika pa mfundo imeneyi. Ndipo tsopano tawuzidwa kuti tiyenera kudikirira. Apanso.

Aliyense amene akuvutika ndi kusabereka angakuwuzeni kuti zimawononga zonse. Sindingakuuzeni kuchuluka kwa nthawi zomwe ndasokonekera, kunyumba ndi kuntchito chifukwa cha ntchito yovutayi. Popanda kutchula kulimbana ndi kudzimva kukhala osungulumwa komanso kudziona kuti mulibe kanthu mukakumana ndi zotchinga zingapo. Tsopano ndi COVID-19, malingaliro amenewo akula. Ndikumvetsetsa kufunikira koteteza aliyense pompano, koma zomwe sindingathe kumvetsetsa ndikuti Starbucks ndi a McDonald's amawerengedwa kuti ndi "mabizinesi ofunikira," koma chithandizo chamankhwala sichimatero. Sizikumveka kwa ine.

Ndiye pali vuto lazachuma. Ine ndi amuna anga tili kale pafupi $ 40,000 kuyesera kukhala ndi mwana wathu popeza inshuwaransi siyikuphimba zambiri. Pamaso pa COVID-19, ndinali nditawunika kaye dokotala wanga ndipo ndinali nditayamba jakisoni wolimbikitsa ovulation. Tsopano popeza ndidasiya mwadzidzidzi kumwa ma meds, ndiyenera kubwereza ulendo wa adotolo ndikugula mankhwala ena akakhala kuti zoletsedwazo zatha kuyambira pomwe mankhwalawo amatha ndipo sangabwezeretsedwe. Ndalama zowonjezerazi sizikufananizidwa ndi njira zina monga kubwezera kwa dzira (komwe kumatibwezeretsa $ 16,000 palokha), koma ndi kubwerera kwina kwachuma komwe kumawonjezera kukhumudwa konse. (Zokhudzana: Kodi Mtengo Wokwera wa IVF kwa Akazi ku America Ndiwofunikadi?)

Sindikudziwa kuti azimayi onse amapirira zovuta zomwe ndikulimbana nazo paulendo wanga wosabereka, ndipo ndikudziwanso kuti azimayi ambiri amapitanso panjira, koma ziribe kanthu momwe mseu ukuwonekera, kusabereka kumapweteka. Osangokhala chifukwa cha mankhwala, zoyipa, jakisoni, ndi maopaleshoni, koma chifukwa chodikirira. Zimakupangitsani kumva kuti mukulephera kudziletsa ndipo chifukwa cha COVID-19, ambiri aife tataya mwayi woti ngakhale kuyesera kumanga banja, zomwe zimangowonjezera chipongwe.

Zonsezi ndikuti aliyense akuseka za kukhala ndi ana a coronavirus pomwe amakhala munthawi yake ndikudandaula za momwe zimakhalira kukhala kunyumba ndi ana anu, kumbukirani kuti ambiri a ife titha kuchita chilichonse kusinthana malo nanu. Pamene ena akufunsa kuti, ‘Bwanji osayesa mwachibadwa?,’ kapena ‘Bwanji osangotengera? zimangokulitsa malingaliro oyipa omwe tikumva kale. (Zokhudzana: Kodi Mungadikire Kwanthawi yayitali Bwanji Kuti Mukhale ndi Mwana?)

Chifukwa chake, kwa azimayi onse omwe atsala pang'ono kuyambitsa IUIs, ndikukuwonani. Kwa inu nonse omwe mwayimitsidwa chithandizo cha IVF, ndikukuwonani. Muli ndi ufulu kumva chilichonse chomwe mukumva pakadali pano, kaya ndi chisoni, kutayika, kapena mkwiyo. Zonse ndi zachilendo. Lolani kuti mumve. Komanso kumbukirani kuti simuli nokha. Mmodzi mwa amayi asanu ndi atatu aliwonse amakumananso ndi izi. Ino ndi nthawi yodalirana wina ndi mnzake chifukwa zomwe tikukumana nazo ndizopweteka, koma ndikuyembekeza kuti tonse titha kupyola limodzi.

Onaninso za