Dashen mahaifa na farko daga mai bayarwa wanda ya mutu yana kaiwa ga samun nasarar haihuwar jariri lafiya.
Rashin haihuwa cuta ce ta zamani wadda ke shafar akalla kashi 15 cikin 100 na mutanen da ke da shekaru na haihuwa . Mace na iya fuskantar rashin haihuwa na dindindin saboda wasu yanayi kamar matsalolin ovulation, lalacewar bututun fallopian, ƙarancin ƙwai da sauransu. Akwai kuma lokuta da mace ke iya samar da ƙwai a cikin kwai amma idan aka haife ta ba tare da mahaifa ba (mahaifa) ba za ta iya ɗaukar ɗa ba. Wannan ana kiransa rashin haihuwa a cikin mahaifa wanda babban dalilinsa na iya zama lahani ga haihuwa, rauni ko cututtuka kamar ciwon daji. Irin waɗannan mata suna da zaɓi ko dai su ɗauki yara ko kuma su yi amfani da wani madadin da zai iya ɗaukar jaririnsu tsawon lokacin da suke ciki . Idan mutum yana son ɗaukar ɗansa , za su buƙaci a dasa masa mahaifa. Wani muhimmin ci gaba a fannin lafiya a shekarar 2013 ya haifar da zaɓin amfani da mai ba da mahaifa 'mai rai' wanda galibi ƙaunatacce ne kuma wanda ke son bayar da gudummawa. Bayan an dasa masa mahaifa, majiyyaci zai iya ɗaukar jariri. Amfani da mai ba da haihuwa 'mai rai' babban ƙuntatawa ne, a bayyane yake saboda rashin masu ba da gudummawa.
Dasawa cikin mahaifa
Masana kimiyyar likitanci sun yi niyyar nemo wata hanyar da za ta maye gurbin amfani da masu ba da gudummawa masu rai kuma sun yi tunanin amfani da mahaifa daga mai ba da gudummawa da ya mutu. A lokacin da suke ƙoƙarin dashen mahaifa, sun fuskanci aƙalla yunƙuri 10 marasa nasara a baya yayin da abubuwa da dama suka shiga cikin wasa. Mafi mahimmanci shine kiyaye gaɓɓar mahaifa (mahaifa) ta rayu bayan mutuwar mai ba da gudummawa. Wannan yana da matuƙar ƙalubale. A cikin wani ci gaba na kimiyya a cikin rashin haihuwa a cikin mahaifa, wata mace da aka haifa ba tare da mahaifa ba ta zama mutum na farko da ta haifi jariri mai rai - jaririya mai lafiya mai nauyin kilo 6 - bayan an yi mata dashen mahaifa daga mai ba da gudummawa da ya mutu. A cikin binciken, masana kimiyya sun dasa mahaifa bayan an cire iskar oxygen zuwa ga gaɓɓar na tsawon kusan awanni takwas.
An haifi wannan mata mai haƙuri da cutar Mayer-Rokitansky-Küster-Hauser, yanayin da sassan tsarin haihuwa, kamar mahaifa, ke kasa haɓakawa ko da yake sauran gabobin kamar ovaries (wanda ke samar da qwai) suna tasowa kullum kuma mata sukan kai ga balaga. . Wanda ya ba da gudummawar mahaifa wata mace ce mai shekaru 45 da ta mutu sakamakon zubar jini a kwakwalwa. Aikin dashen dashen ya kasance ƙalubale sosai yana ɗaukar kusan sa'o'i 10 da rabi don samar da alaƙa mai kyau tsakanin mahaifar mai bayarwa da jini na jini, tsoka da magudanar haihuwa.
Da aka kammala dashen kuma macen ta fara yin al'ada na yau da kullun, a cikin kimanin watanni bakwai rufin mahaifa ya yi kauri har ya kai ga dashen ƙwai da aka daskare tun da farko a maganin IVF kafin a yi masa tiyata. An yi amfani da IVF don dawo da ƙwai daga majiyyaci kuma an yi amfani da shi don hadi a cikin dakin gwaje-gwaje don samar da tayin da aka dasa zuwa mahaifa. Ciki ya ci gaba daidai da al'ada kuma ba tare da rikitarwa ba. Majiyyaci ya bukaci maganin rigakafi don kamuwa da koda wanda zai iya haifar da ƙarin haɗari saboda bayan dasawa, ana ba majiyyaci magungunan rigakafi don hana tsarin rigakafi don kada ya ƙi dasawa. An haifi jaririn ne a cikin makonni 35 ta hanyar tiyatar tiyata, bayan haka an cire mahaifa daga jiki don majiyyaci ya daina shan magungunan rigakafi.
Wannan binciken da aka buga a cikin The Lancet ya bayar da tabbataccen shaida na amfani da gaɓɓai daga mai bayar da gaɓɓai wanda ya mutu kuma wanda zai iya amfanar da irin waɗannan mata da yawa. A watan Disamba na 2018, jaririn ya kasance cikin koshin lafiya watanni bakwai da kwana 20. Babban fa'idar wannan nasarar ita ce adadin mutanen da ke son bayar da gaɓɓai bayan sun mutu ya fi yawa, don haka wannan zai iya ba da ƙarin masu bayar da gaɓɓai. Idan aka kwatanta da dashen gaɓɓai, kuɗaɗe da haɗarin suma suna raguwa idan ya shafi mai bayar da gaɓɓai da ya mutu.
Muhawara mai cike da cece-kuce
An kuma haɗa wannan binciken dashen dashe da fuskoki da yawa masu jayayya. Misali, majiyyaci dole ne ya ɗauki nauyin magungunan rigakafi wanda ke shafar tsarin garkuwar mutum kuma yana sa mai karɓa ya fi kamuwa da cututtuka da rauni. Don haka, macen da ke karɓar dashen mahaifa tana cikin haɗari kuma masana suna jayayya idan irin wannan haɗarin ya cancanci ɗauka. Har ila yau, a cikin sharuddan kudi wannan hanya tana da tsada sosai domin ba wai kawai ya haɗa da hadadden tiyatar dashewa ba wanda ƙwararrun ƙwararrun likitocin ne kawai za su yi amma kuma farashin IVF yana buƙatar ƙididdige shi. Tun da ba a ɗaukar rashin haihuwa a matsayin cuta mai haɗari, irin wannan makudan kudaden da ake kashewa kan jiyya ko dai ta goyan bayan gwamnati ko na kamfanonin inshora ba su da farin ciki daga masu tsara manufofi da yawa.
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Source (s)
Ejzenberg D da abokan aikinsa 2018. Haihuwa bayan dashen mahaifa daga mamacin mai bayarwa a cikin wanda aka karɓa da rashin haihuwa a cikin mahaifa. The Lancet . 392(10165). https://doi.org/10.1016/S0140-6736(18)31766-5
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