Chisangalalo chokhala makolo a mwana wanu ndi chamtengo wapatali, koma nthawi zina pofuna kukwaniritsa maanja omwe ali ndi matenda oti "infertility" amakakamizika kulipira mtengo wapamwamba kwambiri. Malipiro a chimwemwe choterocho amasonyezedwa osati mu zizindikiro za ndalama ndi zeros zingapo. Koma komanso pamakhudza thanzi la mayi wamtsogolo, kachiwiri, si mankhwala otsika mtengo "okonzekera" pokhapokha panthawi yomwe mwanayo ali ndi pakati, zokhumudwitsa ndi kuyesayesa kuti ayesedwe pamayesero, mantha ndi zochitika zokhudzana ndi thanzi la mwana pamene ali ndi pakati, kubadwa ndi moyo wotsatira. Ndipo, ngakhale zili choncho, mabanja ambiri, omwe kubadwa kwawo kunatheka kokha ndi njira zothandiza zamankhwala zamakono - mu vitro feteleza (IVF), ndithudi amayankha kuti pofuna kusunga zinyenyeswazi m'manja awo, "nsembe" zoterezi ndizoyenera ndi chidwi.
Chabwino, ngati mphamvu zachuma za banja (ndalama zambiri za IVF zili mkati mwa $ 4,000) zimakulolani kuchita mobwerezabwereza ndondomeko yowonongeka, komanso zomwe mungachite kwa mabanja osabereka, ngati izi sizingatheke? Pachifukwa ichi, kupeza gawo laulere la IVF kuchokera ku boma lidzakuthandizani. Tiyenera kukumbukira kuti lingaliro la "ufulu" siliphatikizapo mtengo wochita maphunziro apamwamba ndi kufufuza ndi nthawi yochepa (STD, TORCH-infection, etc.), zakudya, malo okhala, ngati n'koyenera, kuthawa, ndi zina zotero.
Monga lamulo, thandizo la IVF likuchitika molingana ndi malamulo a boma lirilonse, ndipo palibe ochuluka padziko lapansi omwe akutsatira ndalamazi: Israeli, Belgium, France, Greece, Slovenia Sweden, mayiko ena a CIS. Ngakhale kuti malamulo awo ali ndichindunji, zimakhala zofanana m'njira zambiri: zigawo zimagawidwa ponse pa dziko (federal) mlingo komanso m'madera kumayambiriro kwa chaka; Amagwirizanitsidwa makamaka kuzipatala za boma. Pali zofananamo muzokambirana zawo.
Ndani amapatsidwa gawo la IVF?
Dziko lililonse limapereka zaka zowonjezera kuti ayambe kugwiritsa ntchito ufulu wa IVF. Mwachitsanzo, ku Russia akazi omwe ali ndi mwayi wambiri akhoza kupeza gawo pa nthawi ya ntchito kuyambira zaka 22 mpaka 38. Ku Ukraine, kuyambira zaka 19 mpaka 40, iwo ayenera kukhala ndi "tubal" chifukwa cha kusabereka (kusokoneza kapena kupezeka kwa miyendo ya fallopian), kusowa kwa zotsatira zabwino za chithandizo cha chiberekero cha amayi kapena abambo kwa zaka ziwiri. Kuonjezera apo, zovomerezeka zofunikira kuti mupeze ndondomeko za IVF zikuphatikizapo izi:
- maubwenzi olembetsa;
- kukhalapo kwa kulembetsa mu mzinda / dera la kukhalapo kwa chipatala cha boma;
- kulibe ana olowa awiri awiri;
- kusagwirizana ndi njira ya IVF - umoyo wa amayi, zomwe zingawononge mkazi pokhapokha ngati ali ndi mimba ndi kubereka kapena mwana (matenda a psyche, ziwalo zina ndi machitidwe, kuphatikizapo matendawo, mapeto, chiberekero kapena chiberekero cha chiberekero , kufunsa opaleshoni, matenda alionse opweteka kwambiri, kukhalapo kwa zipsinjo zakupha, ngakhale poyamba zidasamutsidwa).
Kodi mungagwiritse ntchito bwanji gawo la IVF?
Atasankha kupeza gawo la IVF, mayi yemwe ali kumalo ake ayenera kukhala kwa azimayi a amayi omwe akufunsana nawo, omwe ayenera kusonkhanitsa ndi kutsimikizira malemba oyenerera a banjali kuchokera kwa aphungu a amayi. Mmenemo, pamodzi ndi chotsitsa cha mbiri ya mayi wamtsogolo, zimaphatikizapo zotsatira za zotsatirazi ndi kufufuza kofunikira pa chiwerengero cha IVF:
- Mwamuna ndi mkazi wake ayenera kupitiliza kuyesedwa magazi ndi gulu la Rh, AIDS, RW, ma antibodies kwa hepatitis C, Australian antigen (ngati kuli kofunikira), adziwe kafukufuku wamankhwala (ngati zaka zakubadwa zoposa zaka 35) kusowa;
- Wokwatirana amavomereza kusanthula nyemba (spermogram);
- Mayi - kafukufuku wamagazi, coagulogram, magazi pa mahomoni (prolactin, TTG, T3, T4, FSH, etc.), magazi pa TORCH - matenda, matenda osokoneza bongo ndi chiyero cha umaliseche, chiberekero cha chiberekero STD (chlamydia, ureaplasmosis, mycoplasmosis), zithunzi za ma falsipian tubes ndi chiberekero, mapeto a katswiri wokhudzana ndi kuthekera kwa kubala mimba.
Pambuyo popereka zikalata zonse zofunikira zachipatala ndi zotsatira za kafukufuku wa IVF, m'pofunika kulandira malangizo kuchokera kwa mayiyu kwa wodwalayo. Amaika chithandizo ndi kutumiza pempho ku komiti ya chisankho chomaliza.
Komiti, ngati atavomereza pempholi, atumizira zikalata ku Ministry of Health (mwinamwake kuderalo), zomwe zimavomerezedwa kuti apange mgwirizanowu, zimapereka voulo yapadera ya IVF, ndipo ikugwirizana ndi chipatala kumene wodwalayo adzatumizidwa pansi pa pulogalamu ya boma. Nthaŵi yachipatala imadalira kutalika kwa odwala pa IVF ndi quota,
Mwamwayi, zikhoza kuchitika kuti komiti idzatsutsidwa gawo laulere. Pazifukwa izi, m'pofunika kuti mupezepo gawo la msonkhano wa komiti, zomwe zidzasonyeze chifukwa cha kukana kapena kufunika kwa kafukufuku wowonjezera omwe akuwonetsa kuti bungwe ndi ndondomeko zoyenera kuchita (ngati zili m'ndandanda wa inshuwalansi ya umoyo wathanzi, adzakhala omasuka kwa wodwalayo) . Ngati sakugwirizana ndi chigamulo cha komitiyi, ikhoza kuimbidwa mlandu wapamwamba kapena kukhoti.