Yaya Surrogacy Aiki, Daidai?

Wadatacce

• Menene Magani?
• Me yasa Neman Magani?
• Ta Yaya Zaku Sami Mai Rarraba?
• Menene Dokokin Game da Matsala Yayi kama?
• Ta Yaya Mai Haihuwa Zai Yi Ciki?
• Menene Farashin Matsala?
• Ta Yaya Zaku Zama Majiɓinci?
• Hanyoyin Kiwon Lafiyar Haihuwa
• Bita don

Kim Kardashian ya yi. Hakanan Gabrielle Union. Kuma yanzu, Lance Bass shima yana yi.

Amma duk da alaƙa ta A-list da alamar farashi mai mahimmanci, maye gurbin ba kawai don taurari ba. Iyalai suna jujjuyawa zuwa wannan dabarar haihuwa ta ɓangare na uku saboda dalilai da yawa-amma duk da haka maye gurbin ya kasance wani abin sirri ga waɗanda ba su bi ta ba.

Amma ta yaya, daidai, ke yin aikin maye? Gaba, amsoshin duk tambayoyin da ke da alaƙa da ku, a cewar masana.

Menene Magani?

Barci Witt, MD, darektan kiwon lafiya a RASHIN Haihuwa.

"Haihuwar haihuwa tana amfani da ƙwai na mahaifiyar da aka yi niyya (ko ƙwai mai ba da gudummawa) da maniyyin mahaifin da aka yi niyya (ko mai ba da gudummawar maniyyi) don ƙirƙirar tayi, wanda daga nan ake jujjuya shi zuwa cikin mahaifa na mai maye," in ji Dokta Witt.

A gefe guda kuma, "surrogacy na gargajiya shine inda ake amfani da ƙwai na wanda ya maye gurbinsa, wanda ya sanya ta zama mahaifiyar yaron. Za a iya cim ma wannan ta hanyar haɗa maniyyi da maniyyi daga mahaifin (ko mai ba da maniyyi) wanda daga nan ya yi ciki, da sakamakon da aka haifa na iyayen da aka nufa, "in ji Dokta Witt.

Amma aikin tiyata na gargajiya ya yi nisa daga al'ada a 2021, a cewar Dr. Witt. "[Yanzu] ana yin shi da ƙyar saboda yana da rikitarwa, ta doka da ta motsin rai," in ji shi. "Tun da mahaifiyar kwayar halitta da mahaifiyar haihuwa iri daya ce, matsayin shari'ar yaron ya fi wahalar tantancewa fiye da yanayin yanayin haihuwa yayin da kwai ya fito daga iyayen da aka nufa." (Mai dangantaka: Abin da Ob-Gyns ke son mata su sani game da haihuwarsu)

Don haka rashin daidaituwa shine lokacin da kuka ji game da maye gurbin (ya kasance a cikin yanayin Kim Kardashian ko maƙwabcin ku) yana iya yuwuwar ɗaukar ciki.

Me yasa Neman Magani?

Abu na farko shine na farko: Bar ra'ayin cewa maye gurbin duk abin alaƙa ne. Akwai yanayi da yawa da suka sa wannan ya zama wata hanya ta likita. (Mai Alaƙa: Menene Rashin Haihuwa na Biyu, kuma Menene Zaku Iya Yi Game da Shi?)

Mutane suna bin mahaifa saboda rashin mahaifa (ko dai a cikin mace mai ilimin halitta wacce ke da hysterectomy ko kuma a cikin wanda aka sanya wa namiji a lokacin haihuwa) ko tarihin tiyatar mahaifa (misali fibroid tiyata ko dilation da yawa da hanyoyin warkewa, waɗanda galibi ana amfani da su. don share mahaifa bayan zubar da ciki ko zubar da ciki), in ji Sheeva Talebian, MD, masanin ilimin endocrinologist a CCRM Fertility a birnin New York. Wasu dalilan yin maye? Lokacin da wani ya taɓa fuskantar ciki mai rikitarwa ko haɗarin haɗari, ɓarna da yawa da ba a bayyana ba, ko gazawar hawan IVF; kuma, ba shakka, idan ma'aurata masu jinsi ɗaya ko mutum ɗaya da ba zai iya ɗauka ba yana bin iyaye.

Ta Yaya Zaku Sami Mai Rarraba?

Labarun aboki ko memba na iyali da ke ba da gudummawa don ɗaukar yaro ga ƙaunatacce? Wannan ba kawai abubuwan fina -finai bane ko kanun labarai. A zahiri, ana gudanar da wasu shirye -shiryen maye gurbin da kansu, a cewar Janene Oleaga, Esq., Mataimakin lauyan fasahar haihuwa. Fiye da haka, kodayake, iyalai suna amfani da hukumar bada agaji don nemo mai ɗauka.

Yayin da tsarin zai iya bambanta daga wannan hukuma zuwa wata, a Circle Surrogacy, alal misali, "ƙungiyoyin daidaitawa da na shari'a suna aiki tare don ƙayyade mafi kyawun zaɓin daidaitawa dangane da abubuwa da yawa," in ji Jen Rachman, LCSW, abokin hulɗa a Circle. Matsayi.Waɗannan sun haɗa da yanayin da magajin yake rayuwa, ko yana da inshora, da kuma abubuwan da suka dace daga iyaye da aka yi niyya da wanda zai maye gurbin, ta bayyana. "Da zarar an sami wasa, za a canza bayanan bayanan iyayen da aka nufa da masu maye (ba tare da wani takamaiman bayani ba). Idan duka bangarorin biyu sun nuna sha'awar, Circle ya shirya kiran wasa (yawanci kiran bidiyo) tare don maye gurbin da iyayen da aka yi niyyar su. mu san juna."

Kuma idan bangarorin biyu sun amince su ci gaba da wasa, tsarin ba zai ƙare a nan ba. "Likitan IVF a likitanci yana duba masu maye bayan an yi wasa," in ji Rachman. "Idan saboda kowane dalili mai maye gurbin bai wuce gwajin likita ba (wanda ba kasafai yake faruwa ba), Circle Surrogacy yana gabatar da sabon wasa kyauta." (Mai dangantaka: Shin yakamata ku gwada Haihuwar ku kafin ma kuyi tunanin Samun Yara?)

Gabaɗaya, "mai yuwuwar maye gurbin zai sadu da ƙwararrun haihuwa don yin takamaiman gwaje-gwaje don tantance ciki na mahaifa (yawanci saline sonogram a ofis), canja wurin gwaji (canja wurin amfrayo don tabbatar da cewa za a iya shigar da catheter lafiya). ), da kuma duban dan tayi don tantance tsarin mahaifa da ovaries," in ji Dokta Talbian. "Matar za ta buƙaci sabunta Pap smear kuma idan ta wuce shekaru 35, [a] mammogram na nono. Za ta kuma sadu da mai neman haihuwa wanda zai kula da ciki." Yayin da ake ci gaba da aikin binciken likita, an tsara kwangilar doka don bangarorin biyu su sa hannu.

Menene Dokokin Game da Matsala Yayi kama?

To, hakan ya danganta da inda kake zama.

"[Akwai bambancin ban mamaki] daga jiha zuwa jiha," in ji Oleaga. "Alal misali, a Louisiana, ba a ba da izini ba don biyan diyya (ma'ana ku biya ma'aikaci) ko kaɗan. A New York, diyya ga mahaifa ba ta halatta ba sai wannan Fabrairun da ya gabata. Idan kun bi ka'idodin yana da kyau a saman jirgi kuma gaba daya. na doka, amma haka ne yadda jihohi suka bambanta. "

Albarkatun kamar Ƙungiyar Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙasar nan (LPG) da Ƙaddamar da Iyali, sabis na haihuwa, duka biyun suna ba da cikakken ɓarna na dokokin yanzu na maye gurbin jihohi a gidajen yanar gizon su. Kuma idan kuna tunanin zuwa ƙasashen waje don zama magabata, za ku kuma so ku karanta game da hukunce-hukuncen al'umma game da maye gurbin ƙasa da ƙasa a shafin yanar gizon Ma'aikatar Harkokin Wajen Amurka.

Don haka a, ƙayyadaddun bayanan shari'a na maye gurbin suna da sarƙaƙƙiya mai ban mamaki - ta yaya iyayen da aka yi niyya ke kewaya wannan? Oleaga ya ba da shawarar ganawa da wata hukuma da yuwuwar neman shawarwarin doka kyauta daga wanda ke aiwatar da dokar iyali don ƙarin koyo. Wasu ayyuka, kamar Faɗar Iyali, suma suna da zaɓi akan gidan yanar gizon su don tuntuɓar ƙungiyar sabis na shari'a tare da kowace tambaya don taimakawa masu yuwuwar iyaye su fara. Abin da za a tuna, shi ne, duka iyayen da aka nufa da wanda za a haifa suna buƙatar wakilci na doka domin a aiwatar da aikin dasa amfrayo a cikin mahaifa. Wannan yana hana al'amura masu ɓarna zuciya yin wasa cikin layi.

"Tsawon lokaci, kowa yana jin tsoron cewa mai maye gurbin zai canza ra'ayinta. Ina tsammanin yawancin jihohi suna da waɗannan dokoki don wani dalili," in ji Oleaga. "[A matsayina na magaji], kun sanya hannu kan odar kafin haihuwa cewa 'Ni ba iyaye ba ne,' wanda ya kamata ya ba wa iyayen [da aka yi niyya] kwanciyar hankali da sanin cewa an san hakkokinsu na iyaye yayin da jaririn yake. cikin mahaifa. " Amma, kuma, ya danganta da inda kake zama. Jihohi da dama suna yi ba ba da izinin umarni kafin haihuwa yayin da wasu ke ba da izinin haihuwa bayan haihuwa (wanda ainihin iri ɗaya ne da takwarorinsu na "pre" amma ana iya samun su bayan bayarwa). Kuma a wasu jihohin, hanyar da za ku bi ku kiyaye haƙƙin mahaifanku (umarnin haihuwa, odar haihuwa, ko ɗaukar haihuwa) ya dogara da matsayin ku na aure da kuma wani ɓangare na ma'aurata ko masu luwadi, da sauransu. dalilai, bisa ga LPG.

Ta Yaya Mai Haihuwa Zai Yi Ciki?

Mahimmanci, aikin tiyata na ciki yana amfani da hadi a cikin vitro; ana yin girbin ƙwai (cirewa) daga mai ba da gudummawa ko mahaifiyar da aka yi niyya kuma aka haƙa su a cikin ɗakin binciken IVF. Kafin a shigar da embryos a cikin mahaifar mai ɗaukar ciki, dole ne a "shirya ta hanyar likitanci don karɓar tayin don dasawa," in ji Dokta Witt.

"[Wannan] yawanci ya haɗa da magani wanda ke hana ovulation (don haka [ita] ba ta yin kwai da kwai a lokacin sake zagayowar), sannan estrogen wanda ke ɗaukar kimanin makonni biyu don sa rufin mahaifa yayi kauri," in ji shi. "Da zarar murfin mahaifa ya yi kauri sosai [mai ɗaukar ciki] yana ɗaukar progesterone, wanda ke balaga rufin don ya zama mai karɓuwa ga amfrayo wanda aka sanya cikin mahaifa bayan kusan kwanaki biyar na progesterone. yana shiga kowane wata a cikin mata masu haila”. (Mai Alaƙa: Daidai Yadda Matsayin Hormone ɗinku ke Canzawa Lokacin Haihuwa)

"A lokuta da yawa, iyayen da aka yi niyya suna yin gwajin kwayoyin halitta a kan amfrayo don zaɓar tayi da ke da lambobin chromosome na yau da kullun don haɓaka rashin aiki na aiki da rage haɗarin ɓarna a lokacin daukar ciki," in ji Dokta Witt.

Menene Farashin Matsala?

Faɗakarwar ɓarna: Lambobin na iya yin girma da yawa. "Tsarin na iya zama abin hana mutane da yawa," in ji Dokta Talebian. "Farashin IVF na iya bambanta amma a mafi ƙarancin kusan $15,000 kuma yana iya ƙaruwa zuwa dala 50,000 idan ana buƙatar ƙwai masu bayarwa kuma." (Mai Alaƙa: Shin Babban Kudin IVF ga Mata A Amurka Yana da Dole?)

Baya ga kudaden da ake kashewa na IVF, Dr. Talbian ya nuna cewa akwai kuma kudaden hukuma da na shari'a. Ga waɗanda ke amfani da ƙwai masu ba da gudummawa, akwai farashi mai alaƙa da hakan, kuma iyayen da aka yi niyya yawanci suna biyan duk farashin magani yayin ciki da haihuwa. Baya ga haka, akwai kudin da za a biya ma’aikatan, wanda zai iya bambanta dangane da yanayin da suke zaune, ko suna da inshora, da hukumar da suke aiki da ita da kuma kudaden da ta kayyade, a cewar Circle Surrogacy. Kamar yadda aka ambata a sama, wasu jihohi ba sa yarda a biya masu maye gurbinsu diyya. Ga waɗanda ke yin hakan, duk da haka, kuɗin yin rajista ya kama daga kusan $ 25,000 zuwa $ 50,000, in ji Rachman-kuma wannan shine kafin ku yi la'akari da diyya na asarar albashi (lokacin da aka cire don alƙawura, bayarwa, da sauransu), kula da yara (ga kowane yara lokacin da kuka je, faɗi, alƙawura), tafiya (tunani: zuwa da daga alƙawarin likita, bayarwa, don wakili don ziyarta, da sauransu), da sauran kuɗaɗe.

Idan kun yi tsammanin duk yana ƙarawa zuwa adadi mai yawa, kun yi daidai. (Dangane da: Babban Haɗarin Rashin Haihuwa: Mata Suna Hadarin fatara ga Jariri)

"Tsarin sakewa [gaba ɗaya] na iya zuwa daga $75,000 zuwa sama da $100,000," in ji Dokta Talbian. "Wasu inshorar da ke ba da fa'idodin haihuwa na iya rufe bangarori daban-daban na wannan tsari, rage yawan kuɗin da ake kashewa." Wancan ya ce, idan maye gurbin ya zama dole kuma mafi kyawun hanya, mutane na iya samun taimakon kuɗi ta hanyar tallafi ko lamuni daga ƙungiyoyi kamar Kyautar Parenthood. (Za ku iya samun jerin ƙungiyoyin da ke ba da waɗannan damammaki da tsarin aikace-aikacen su akan layi, kamar akan gidajen yanar gizon sabis na haihuwa.) "Na san mutanen da suka ƙirƙiri shafukan GoFundMe don taimakawa wajen tara kuɗi don aiwatarwa," in ji Dr. Talebian.

Akwai babban bambanci da ke kewaye da abin da inshorar ku bai rufe ba, kodayake, a cewar Rachman. Rufewa sau da yawa kadan ne kuma yawancin kuɗaɗen kashe kuɗi ne daga aljihu. Hanya mafi kyau don koyan abin da za a yi da wanda ba za a rufe ba shine yin magana kai tsaye tare da wakilin inshora wanda zai iya warware muku wannan.

Ta Yaya Zaku Zama Majiɓinci?

Mataki na farko shine cika aikace-aikace tare da hukumar kula da aikin tiyata, wanda yawanci zaka iya samu akan gidan yanar gizon hukuma. Ya kamata masu maye gurbin su kasance tsakanin 21 zuwa 40 shekaru, suna da BMI a ƙarƙashin 32, kuma sun haifi aƙalla ɗa ɗaya (don haka likitoci zasu iya tabbatar da cewa masu maye suna iya ɗaukar ciki mai kyau zuwa lokaci), a cewar Dr. Talebian. Har ila yau, ta ce kada wanda aka haifa ya kasance yana shayarwa ko ya sami haihuwa fiye da biyar ko fiye da sassan C-biyu; kamata ya yi su ma sun yi ciki a baya ba tare da wahala ba, tarihin zubar da ciki bai wuce daya ba, suna cikin koshin lafiya gaba daya, kuma su guji shan taba da kwayoyi.

Hanyoyin Kiwon Lafiyar Haihuwa

Kuma ko da yake yana da kyau a yi mamaki game da ɓacin rai na ɗaukar jariri ba za ku reno ba, masana suna da wasu kalmomi masu ƙarfafawa.

“Yawancin waɗanda za su maye gurbinsu sun ba da rahoton cewa ba su da irin dangantakar da suka samu a lokacin da suke da juna biyu da ’ya’yansu kuma hakan ya fi zama kamar ƙwararriyar renon jarirai,” in ji Dokta Witt. “Masu maye gurbin suna samun farin ciki mai ban sha’awa don yadda suke taimaka wa iyaye su cim ma burinsu na iyali kuma tun da farko sun san cewa yaron ba nasu ba ne.

Duk da yake tallafin da ake samu na masu maye gurbin ya dogara da hukumar, "duk masu maye a cikin shirin mu suna da alaƙa da ma'aikacin jin daɗin tallafi wanda ke dubawa tare da mataimaki a kowane wata don ganin yadda take yi/ji a cikin maye," in ji Solveig Gramann , daraktan ayyukan maye gurbin a Circle Surrogacy. "Ma'aikacin jin dadin jama'a na goyon bayan zai ci gaba da tuntuɓar ma'aikacin har sai ta kasance watanni biyu bayan haihuwa don tabbatar da cewa ta daidaita da kyau ga rayuwa bayan haihuwa, amma muna samuwa don kasancewa tare da masu maye gurbin fiye da haka idan suna buƙatar goyon baya (misali, tana da ƙalubalantar bayarwa ko ƙwarewar haihuwa kuma tana son ci gaba da dubawa cikin watanni da yawa bayan haihuwa). "

Kuma game da iyayen da aka yi niyya, Rachman ya yi gargaɗin cewa yana iya zama dogon tsari wanda zai iya haifar da wasu tatsuniyoyi, musamman ga wanda ya riga ya fuskanci rashin haihuwa ko asara. "Yawanci, iyaye da aka yi niyya za su yi zaman shawarwari a asibitin su na IVF don tabbatar da cewa sun yi tunani ta hanyar tsare-tsaren surrogage kuma suna kan shafi ɗaya da magajin nasu sau ɗaya ya dace," in ji ta. (Mai Alaƙa: Katrina Scott Ta Bawa Masoyanta Rawa Mai Kyau A Cikin Abin da Rashin Haihuwa Na Biyu Ya Kamata)

Rachman ya ce "Ina ƙarfafa iyaye da su yi tunani a kan ko suna shirye-shiryen motsa jiki da kuma kuɗi don ci gaba da aikin tiyata," in ji Rachman. "Wannan tsarin tseren gudun fanfalaki ne, ba tsere ba ne, kuma yana da mahimmanci ku ji kuna shirye don ɗaukar hakan. Idan kuna shirye ku buɗe zuciyar ku ga wannan aikin, yana iya zama kyakkyawa mai ban mamaki da lada."

Bita don