Ndifuna usana: Ukuhamba ngenjongo!

1. Umnqweno wokuba nomntwana awupheleli kwingeniso, ubudala, ukuthanda isini, okanye ijografi.
2. Uphando lubonisa ukuba abafazi abavela kumazwe anengeniso ephantsi kunye nephakathi (LMICs) kunye nakwizixeko ezikhulu zaseYurophu naseMelika baya kuhamba ukuya kwenza umntwana.
3. UMbutho wezeMpilo weHlabathi uqikelela ukuba isibini kwisibini kwi-LMICs sineengxaki zokuzala.

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Ukwenza umntwana

Kuqikelelwa ukuba kwizigidi ezili-186 zezibini kula mazwe (ngaphandle kweTshayina) zichithe iminyaka emi-5 bezama ukukhulelwa ngaphandle kwempumelelo. Ngelixa iimeko zonyango zixhaphakile kwiingxaki zokuzala kumazwe aphesheya kobutyebi, kwezinye iinkcubeko, abafazi abangazalanga badla ngokuthintelwa ziintsapho zabo kwaye bakhutshelwe ngaphandle kwimicimbi yezentlalo nakwinkcubeko. Basengozini enkulu yokuba ngamaxhoba obundlobongela basekhaya okanye baqhawule umtshato ngabayeni babo. Ngelixa ukungachumi kunokwenzeka ukuba kubangelwe ziinkqubo zenkqubo yokuzala eyindoda njengowasetyhini, kuhlala kungamabhinqa abekwa ityala ngokusilela ukuvelisa umntwana.

Imicimbi yezeMpilo

Ukungafumani bantwana kuthathwa njengomba wezempilo onzima kwaye kuchaphazela i-8-10 yepesenti yezibini ezitshatileyo kwihlabathi jikelele. Amaziko oLawulo lweSifo (CDC - 2013) kunye neOfisi yeMpilo yabasetyhini (2019) yafumanisa ukuba iipesenti ezisi-9 zamadoda kunye neepesenti ezili-10 zabasetyhini abaneminyaka eyi-15 ukuya kwengama-44 bajongana nemingeni yobudlolo e-US kunye nengxelo ye-Reproductive Biological Endocrinology (2015) igqibe kwelokuba malunga ne-48.5 yezigidi zezibini ezitshatileyo zifumana ubudlolo kwihlabathi liphela.

The Centres for Disease Control and Prevention (CDC) Uqikelela ukuba abahlali baseMelika abayi-750,000 bahamba phesheya bezokufumana ukhathalelo lwempilo minyaka le. Ukhenketho lokuchuma Okwangoku ilawula ngaphantsi kweepesenti ezi-5 ze-55 yeedola (2014) yentengiso yezokhenketho kwezonyango; Nangona kunjalo, kulindeleke ukuba iphantse iphindwe kane ngobukhulu kule minyaka imbalwa izayo. Kuqikelelwa ukuba intengiso yehlabathi yetekhnoloji yokunceda inzala ivelise imali eyi- $ 22.3 yezigidigidi (2015) ngeziyobisi zokuchuma ziyindawo ekhula ngokukhawuleza yamayeza.

Yintoni?

Abantu bayavuma ukuba bajongene "nemiba yokuzala," xa bengakwazi ukukhulelwa kwekliniki emva kweenyanga ezili-12 zokuzama ukulala. Ubudlolo, okanye ukungakwazi ukukhulelwa, kuchaphazela malunga ne-8-12 yeepesenti zezibini ezifuna ukukhulelwa, okanye i-186 yezigidi zabantu kwihlabathi jikelele. Kwezinye iindawo, izinga lokungafumani bantwana lidlula umndilili wehlabathi kwaye linokuya phezulu ukuya kutsho kuma-30 ekhulwini kuxhomekeke kwilizwe.

Ezona nkqubo ziphambili kukukhuliswa kwe-in-vitro (IVF), ukufakwa ekhaya ngomnikeli kunye nokuzala omnye umntu noyanyaniswa neTekhnoloji yoNcedo yokuZala (ARTs).

Ukhuthazo lokuhamba ukuya kufumana unyango lubangelwa yi-inshurensi yezempilo enganelanga okanye engekhoyo ekhaya kunye nokwanda kweemfuno zeenkqubo ezinokuthi zingabandakanywa kwizicwangciso ze-inshorensi ezikhoyo ezifana nonyango lokuzala, ukunikezelwa ngokutsha ngokwesini, ukwakhiwa ngokutsha kwamazinyo, kunye notyando lokuthambisa.

Abanye abakhenkethi babandakanyeka kukhenketho lokuchuma xa bebona ukuba oogqirha abangcono (okanye abaphuculweyo) bafumaneka ngaphandle kwendawo abahlala kuyo ngelixa abanye bekhangela unyango lokuzala ngaphandle kwendawo yabo ukuze bathintele imithetho, inyathelo elisecaleni kwezomthetho / lokuziphatha / ngokwenkolo okanye ezinye izithintelo, kunye/okanye uphephe uluhlu olude lokulinda.

Izizwe ezininzi aziluvumeli unyango lwenzala kubantu besini esifanayo okanye kwabasetyhini abangatshatanga. Ngokutsho kwabaphathi beZiko loPhuhliso kunye noManyano lwezeMpilo (IDIS Foundation), “izizathu zokuba abantu baye kukhangela unyango lokuchuma kumazwe angaphandle zinokuhlelwa ngokweendidi: iindleko, umgangatho, nokufumaneka konyango…”

Nangona kunjalo, nangona oogqirha abagqwesileyo kunye neeklinikhi eziphambili kakhulu amathuba okuba nomntwana ngoncedo lwezesayensi yezonyango ayilunganga. Kubafazi abangaphantsi kweminyaka engama-35, ngama-36 eepesenti kuphela aya kuthi akhulelwe kumjikelo ngamnye we-IVF besebenzisa amaqanda abo angafrizwanga (CDC). Ngeminyaka yobudala engama-41, ingaphantsi kwesibini kwisithathu kuloo nto; emva kwama-42, amanani awela kwesinye isiqingatha ukuya kwiipesenti ezi-6. Iirhafu ze-IVF zisebenzisa iqanda lomnikeli ziphezulu kodwa zisengaphantsi kweepesenti ezingama-50. Ngelixa iqondo lempumelelo libonakala rosier kwiiwebhusayithi zeklinikhi, uCarolin Schurr, ugqirha wejografi kwiDyunivesithi yaseBern ofunda ngomzi mveliso wokuchuma welizwe liphela ngumgangatho wempumelelo epapashiweyo kuba “kuxhomekeke kwindlela ozibala ngayo, kwaye lininzi igumbi ukukhohlisa. ”

Nokuba yeyiphi idatha, ukhenketho lokuchuma luyakhula njengoko ukhathalelo lwempilo olungcono lufumaneka kwiindawo ezifuna ukuhamba kwaye indawo yokuya kuyo inikezela ngetekhnoloji yezobuchwephesha, amayeza amatsha, izixhobo zale mihla, ukwamkela iindwendwe, kunye nokhathalelo lomntu “kwixabiso. ” amaxabiso.