Ngokwesinqumo sikaHulumeni waseRussia Federation womhlaka 22 Okthoba 2012, i-IVF (in vitro fertilization) kusukela ekuqaleni kuka-2013 ifakwe ohlelweni lwezinhlinzeko zikahulumeni zokunakekelwa kwezempilo mahhala. Lokho manje ungabheka i-IVF yamahhala yenqubomgomo ye-MHI.
Ngemuva kokuba i-IVF ihlanganisiwe ku-MMI, umbuso uzimisele ukuxhasa uhlelo ngalesi sikhwama samaRuble ayizinkulungwane ezingu-106. Leli nani lihlanganisa izindleko zemithi. Uma udinga ukwandisa izindleko, isiguli singakhokha umehluko.
Uhlelo lukahulumeni lwe-IVF alunciphisi inani lemizamo, futhi alukwazi ukuhlukanisa phakathi kwamabhangqwana abanobudlelwane babo obhalisiwe ngokomthetho nalabo abaphila "umshado womphakathi". Ukusetshenziswa kwe-IVF ohlelweni lwe-CHI kungaba bobabili abangabodwa abangabodwa kanye nemibhangqwana yobulili obufanayo. Ithuba lokuthola inqubo ye-IVF mahhala inganikezwa nemibhangqwana engavumelani, okungukuthi, lapho umlingani enesimo esihle se-HIV.
Isiguli sinelungelo lokuzikhethela ngokuzimela umtholampilo lapho efuna ukwelashwa khona - umphakathi noma wangasese. Kunoma yikuphi, uhulumeni uzokhokha imali evunyelwene nayo esikhungweni sezokwelapha. Into esemqoka ukuthi lesi sikhungo sezokwelapha siphethe isivumelwano nesiKhwama se-OMC.
Yini okudingayo ukusebenzisa uhlelo lwe-ECO?
Ukuze ukwazi ukuthola inqubo ye-IVF yamahhala yenqubomgomo ye-MHI, isiguli kufanele sithobele izimo eziningi ezidingekayo:
- uma ukukhulelwa kungenzeki phakathi konyaka owodwa wezocansi ezijwayelekile futhi ezingavimbelwe, owesifazane unesitatimende sokuya emtholampilo ekhethekile ukuthola izizathu zokungabikho kokukhulelwa;
- Ukuthola izizathu zokungakhulelwa, owesifazane nomlingani wakhe kudingeka bahlole izidingo. Lokhu kufaka phakathi: ukuhlolwa kwe-tubal permmeability, isimo se-endometrial, ukuhlolwa kwesimo se-ovulatory nesimo se-endocrine, izifundo zohlobo lomlingani, ukuhlolwa komuntu wesifazane nowesifazane ngenxa yezifo zohlelo lwe-genitourinary. Ukuhlolwa okunjalo kuqhutshwa ezinhlanganweni zezokwelapha ezivunyelwe ukwenza imisebenzi emkhakheni wezinkinga zokubeletha, izifo zokubeletha kanye ne-urology;
- uma kutholakala izifo, kubalulekile ukuba ufunde ukwelashwa futhi uthole ukukhishwa mayelana nokuhlolwa kanye nokwelashwa okwenziwe, kanye nokudluliselwa kokwelashwa okungenasifo nokusetshenziswa kwe-ART (ubuchwepheshe bokuzala bokusiza), ikakhulukazi - IVF;
- uma kungekho ukuphikisana nezinqubo zokufaka umanyolo we-in vitro, kudingeka uthathe isinqumo ngokukhetha komtholampilo. Uma unenqubomgomo ye-MHI, ungafaka isicelo kunoma imuphi umtholampilo ofakwe kwirejista yezinhlangano zezokwelapha ezenza imisebenzi enkampanini yomshuwalense wezokwelapha eziphoqelekile futhi ube nelayisense ehambelanayo;
- ukhetha umtholampilo, kufanele wenze i-aphoyintimenti. Ukuze wenze lokhu, udinga ukuba nepasipoti, inqubomgomo ye-MHI evumelekile, okukhipha ngemithi yangaphambilini, i-SNILS, isiqondiso senkampani yezokwelapha kanye nemiphumela yocwaningo. Ngendlela, ungaphumelela ekuhloleni futhi ulungiselele uhlelo lwe-ART ngqo emtholampilo lapho uhlose ukubhekana ne-IVF;
- Ngesikhathi se-IVF isiguli kufanele silandele ngokucophelela yonke imiyalelo kadokotela.
Uhlelo lwezenhlalakahle lwe-IVF yamahhala lubandakanya:
- ukuvuselela ukuvuthwa kwezidakamizwa (ukunikezwa kwezidakamizwa ngokuhambisana nomthetho weRussian Federation);
- ukukhishwa kwe-follicles;
- ukulima imibungu;
- ukudluliselwa kwemibungu ebonakalayo emgodini we-uterine.
Kufanelekile ukuphawula ukuthi ngisho nangaphambili, abesifazane baseRussia abatholwa "ukungabi nabantwana" babe nethuba lokuthola inqubo ye-IVF ngokubambisana nesabelomali sesifundazwe. Kodwa-ke, i-ECO yafakwa ngalesosigaba "sokunakekelwa kwezokwelapha okusezingeni" futhi isabelo esincane kakhulu sabelwe kuso.