Malinga ndi ndondomeko ya Boma la Russian Federation la 22 Oktoba 2012, IVF (in vitro fertilization) kuyambira kumayambiriro kwa 2013 yaphatikizidwa mu ndondomeko ya boma yotsimikizira zachipatala. Izi ndizomwe mungathe kuyembekezera IVF yaulere pa ndondomeko ya MHI.
Pambuyo pa IVF ikuphatikizidwa ndi MMI, boma limapereka ndalama pulogalamuyi pamtundu wa rubles 106,000. Ndalamayi imaphatikizanso mtengo wa mankhwala. Ngati mukufuna kuwonjezera ndalama, wodwala akhoza kulipira kusiyana.
Pulogalamu ya boma ya IVF siimachepetsa chiwerengero cha mayesero, komanso sichikusiyanitsa pakati pa maanja omwe maubwenzi awo amalembedwa mwalamulo ndi omwe amakhala ndi "mbanja". Kugwiritsira ntchito IVF mu chigawo cha CHI kungakhale amayi osakwatira komanso amuna kapena akazi okhaokha. Mwayi wokhala ndi njira ya IVF kwaulere angaperekedwe kwa mabanja omwe ali osakwatirana, kapena kuti wokondedwa wawo ali ndi HIV.
Wodwalayo ali ndi ufulu wosankha yekha chipatala chomwe akufuna kuchipatala - poyera kapena payekha. Mulimonsemo, boma lidzalipiritsa ndalama zomwe amavomereza kuchipatala. Chinthu chachikulu ndichoti bungwe la zamankhwala lichite mgwirizano ndi bungwe la OMC Fund.
Kodi muyenera kugwiritsa ntchito pulogalamu ya ECO?
Kuti athe kukhala ndi njira yaulere ya IVF pa ndondomeko ya MHI, wodwala ayenera kutsatira zinthu zingapo zoyenera:
- ngati mimba sichichitika pakatha chaka chimodzi chogonana nthawi zonse komanso chosatetezeka, mayi ali ndi mawu oti apite ku chipatala chodziwika kuti adziwe zifukwa zoti asatenge mimba;
- Kuti mudziwe zifukwa zoperekera mimba, mayi ndi mnzawo ayenera kukambirana zovomerezeka. Izi zimaphatikizapo: Kufufuza za chiwerengero cha tubal, chikhalidwe cha endometrial, kuunika kwa ovulatory ndi matenda a endocrine, maphunziro a umuna wothandizira, kukayezetsa mwamuna ndi mkazi chifukwa cha matenda a genitourinary system. Kuyezetsa kotereku kumayendetsedwa m'mabungwe azachipatala omwe ali ndi chilolezo chochita ntchito zokhudzana ndi matenda opatsirana pogonana, maukwati ndi urology;
- pamene mukuyang'ana matenda, m'pofunika kuti mupite kuchipatala ndi kulandira chithandizo chotsatira pa kafukufuku ndi mankhwala omwe akuchitidwa, komanso kutumizira ku chithandizo chopanda chithandizo ndi kugwiritsa ntchito ART (zothandizira zipangizo zamakono), makamaka - IVF;
- Ngati palibe umboni wotsutsana ndi ndondomeko ya mu vitro feteleza, muyenera kusankha pa chisankho. Ngati muli ndi ndondomeko ya MHI, mungagwiritse ntchito ku kliniki iliyonse imene ikuphatikizidwa mu zolembera za mabungwe azachipatala omwe amachita ntchito mu inshuwalansi ya mankhwala azachipatala ndipo ali ndi chilolezo chogwirizana;
- posankha kliniki, muyenera kupanga msonkhano. Kuti muchite izi, muyenera kukhala ndi pasipoti, ndondomeko yoyenera ya MHI, zofukufuku za mankhwala apitalo, SNILS, chitsogozo cha bungwe la zachipatala ndi zotsatira za kufufuza. Mwa njira, mutha kupitiliza kukayezetsa ndikukonzekera pulogalamu ya ART mwachindunji ku chipatala kumene mukufuna kuti mukhale ndi IVF;
- Pakati pa IVF wodwala ayenera kutsatira mosamala malamulo onse a dokotala.
Pulojekiti ya ufulu wa IVF ikuphatikizapo:
- Kulimbikitsa ovulation (mankhwala malinga ndi malamulo a Russian Federation);
- kupuma kwa follicles;
- kulima mazira;
- kutumizira mazira oyenera mu chiberekero cha uterine.
Tiyenera kunena kuti ngakhale kale, amayi a ku Russia omwe anapeza kuti ali ndi "infertility" anali ndi mwayi wochita njira za IVF popanda ndalama za boma. Komabe, ECO idali m'gulu la "chithandizo chamankhwala chapamwamba" ndipo gawo lochepa kwambiri linaperekedwa kwa ilo.