Surrogacy Inoshanda Sei, Chaizvoizvo?

Zvemukati

• Chii chinonzi Kuberekera Vamwe?
• Nei Uchifanira Kutsvaga Kuva Nemumwe Munhu?
• Unowana Sei Mubatsiri?
• Ko Mitemo Inotenderedza Surrogacy Inotaridzika Sei?
• Anoberekera Mumwe Anowana Sei Kubata?
• Ndeapi Matengo Ekuita Surrogacy?
• Iwe Unogona Sei Kuve Anoberekera?
• Iyo Mental Health Impacts yeSurrogacy
• Ongororo ye

Kim Kardashian akazviita. Saizvozvowo Gabrielle Union. Uye ikozvino, Lance Bass ari kuzviitawo.

Asi kunyangwe iine runyorwa rweA-rondedzero uye nemutengo wakatarwa, surrogacy haisi yezviyeredzi chete. Mhuri dzinotendeukira kune iyi yechitatu-bato nzira yekubereka nekuda kwezvikonzero zvakasiyana - asi surrogacy inoramba iri chakavanzika kune avo vasina kuitevera.

Asi, chaizvo, surrogacy inoshanda sei? Mberi, mhinduro kumibvunzo yako yese ine chekuita ne surrogacy, sekureva kwenyanzvi.

Chii chinonzi Kuberekera Vamwe?

"Surrogacy izwi rinowanzoreva kurongeka pakati pemapato maviri: Mumiriri anobvuma kutakura nhumbu yevabereki vanenge vachida kana mubereki. Kune marudzi maviri ekuberekesa: gestational surrogacy uye surrogacy yechinyakare, "anodaro Barry Witt, MD, director wezvekurapa. WINFertility.

"Gestational surrogacy inoshandisa zai raamai vakatarisirwa (kana zai rinopa) uye urume hwababa vanotarisirwa (kana mupi werume) kugadzira iyo nhumbu, iyo inozotamisirwa muchibereko chemumwe munhu," anodaro Dr. Witt.

Kune rimwe divi, "kuberekera vechinyakare ndipo panoshandiswa mazai emumwe murume, zvichimuita amai vekubereka vemwana. Izvi zvinogona kuzadzikiswa nekudyara mutakuri nembeu yababa (kana mupi wembeu) uyo anobva abata, uye mwana anozovapo ndewemubereki anenge achitarisirwa,” anodaro Dr. Witt.

Asi zvechivanhu surrogacy iri kure neyakajairwa muna 2021, sekureva kwaDr. Witt. "[Zvino] zvinoitwa zvisingaite nekuti zvakaomesesa, zviri pamutemo nemumoyo," anotsanangura. "Sezvo amai venyama naamai vokuzvarwa vakafanana, zviri pamutemo mamiriro emwana zvakanyanya kunetsekana kuona pane mamiriro ekuzvitakura apo zai rinobva kumubereki akatarisirwa." (Zvakafanana: Izvo Ob-Gyns Vanoshuvira Vakadzi Kuziva Nezve Kubereka Kwavo)

Saka zvipingamupinyi ndezvekuti kana iwe uchinzwa nezve surrogacy (ingave iri nyaya yaKim Kardashian kana muvakidzani wako) ingangoita gestational surrogacy.

Nei Uchifanira Kutsvaga Kuva Nemumwe Munhu?

Chekutanga chinhu chekutanga: Rega pfungwa yekuti surrogacy ndeye zvese zveumbozha. Pane mamiriro akati wandei anoita kuti iyi ive nzira yekurapa inodiwa. (Zvakafanana: Chii chinonzi Kusabereka Kwechipiri, uye Chii Chaungaita Nezvazvo?)

Vanhu vanoteedzera surrogacy nekuda kwekushaikwa kwechibereko (kungave mune mukadzi wekuzvarwa uyo akave nehutachiona kana mune mumwe munhu akapihwa murume pakuzvarwa) kana nhoroondo yekuvhiyiwa kwechibereko (semuenzaniso kuvhiyiwa kwefibroid kana kuwedzererwa kwakawanda uye maitiro ekurapa, ayo anowanzo shandiswa kujekesa chibereko mushure mekuparara kana kubvisa nhumbu), anotsanangura Sheeva Talebian, MD, anozvara endocrinologist kuCCRM Fertility muNew York City. Zvimwe zvikonzero zve surrogacy? Kana mumwe munhu akambosangana nemimba yakaoma kana ine njodzi huru, miscarriage yakawanda isingatsananguriki, kana kutadza kutenderera kweIVF; uye, hongu, kana murume kana murume kana murume kana murume asina murume asingatakure ari kuteedzera kuve mubereki.

Unowana Sei Mubatsiri?

Nyaya dzeshamwari kana nhengo yemhuri yakazvipira kutakura mwana kune waunoda? Izvo hazvisi chete zvinhu zvemamuvhi kana hutachiona misoro. Mamwe hurongwa hwekuberekera mwana, chokwadi, hunoitwa zvakazvimirira, sekureva kwaJane Oleaga, Esq., gweta rinobatsira rehunyanzvi hwekubereka. Zvizhinji, zvakadaro, mhuri dzinoshandisa surrogacy agency kuwana mutakuri.

Nepo maitiro acho achisiyana kubva kune rimwe agency kuenda kune rimwe, paCircle Surrogacy, semuenzaniso, "zvikwata zvinowirirana uye zvepamutemo zvinoshanda pamwechete kuti vaone sarudzo dzakanakisisa dzinoenderana nezvakasiyana zvinhu," anodaro Jen Rachman, LCSW, shamwari inosvikira kuCircle Surrogacy. Izvi zvinosanganisira nyika inogara mumwe munhu anotsiva mwana, angave aine inishuwarenzi, uye nezvinodiwa zvakafanana kubva kuvabereki vakatarisirwa uye muberekwi, anotsanangura. "Kana mutambo wawanikwa, zvigadziriswidzo zvevabereki vakatarisirwa uye vanoberekerwa (vasina ruzivo rwekuzvizivisa) vanozopanana. Kana mapato ese aratidza kufarira, Circle inoronga kufona kwemutambo (kazhinji vhidhiyo kufona) pamwe chete kune vanoberekera mumwe mukadzi uye chinangwa vabereki kuzivana."

Uye kana mapato ese akabvumirana kutsvaga mutambo, maitiro haagumire ipapo. "Chiremba weIVF anorapa mishonga mushure mekugadzirwa," anodaro Rachman. "Kana nekuda kwechikonzero chipi zvacho mumiriri akasapfuura kuongororwa kwekurapa (izvo zvisingawanzo), Circle Surrogacy inopa mutambo mutsva mahara." (Yakabatana: Unofanirwa Kuwana Kuzvara Kwako Kuedzwa Usati Wanyatsofunga NezveKuva Nevana?)

Kazhinji, "anogona kutsigira achasangana nenyanzvi yembereko kuti aite bvunzo dzakananga kuti aongorore mukati mechibereko (kazhinji in-office saline sonogram), kuendesa kuyedza (kunyomba embryo kutamiswa kuti uve nechokwadi chekuti catheter inogona kuiswa zvakanaka. ), uye transvaginal ultrasound kuongorora chimiro chechibereko nemavha,” anodaro Dr. Talebian. "Anozoberekera mumwe murume achazoda Pap smear yakamutsiridzwa uye kana ave nemakore makumi matatu nemashanu, [a] mammogram yemazamu. Achasanganawo neanotarisirwa kunge ari chiremba wekubereka uyo achabata pamuviri pake." Pari kuongororwa kwechiremba kuchiri kuitika, chibvumirano chepamutemo chinonyorwa kuti mapato ese asaine.

Ko Mitemo Inotenderedza Surrogacy Inotaridzika Sei?

Zvakanaka, zvinoenderana nekwaunogara.

"[Pane musiyano unoshamisa] kubva kudunhu kuenda kudunhu," anodaro Oleaga. "Semuenzaniso, muLouisiana, kuzviitira mumwe muripo [zvichireva kuti unobhadharira mumwe mukadzi mari yechibatiso] hakubvumidzwe zvachose. MuNew York, kubhadharira kuzviisa muchibereko kwakange kusiri pamutemo kusvika muna Kukadzi apfuura. zviri pamutemo, asi ndiyo nzira iyo nyika dzinosiyana. "

Zviwanikwa zvakaita seRegital Professional Boka reAmerican Society reRubereko Mishonga (LPG) uye Mhuri Inceptions, basa rekubereka, zvese zvinopa kuparara kwakazara kwemitemo yazvino yekuzvipira pane avo mawebhusaiti. Uye kana iwe uri kufunga kuenda kunze kwenyika kune surrogacy, iwe zvakare uchazoda kuverenga pamusoro pechisarudzo chenyika pasurrogacy yepasi rese pawebhusaiti yeDhipatimendi reHurumende reU.S.

Saka hongu, iwo marezinesi emutemo ekuberekera mumwe mwana akaomesesa - vabereki vanovavarira vanofambisa sei izvi? Oleaga anokurudzira kusangana nesangano uye pamwe kutsvaga kubvunzurudzwa kwemahara kwepamutemo kubva kune mumwe munhu anoita zvemhuri kudzidza zvakawanda. Mamwe masevhisi, akadai seFamily Inceptions, anewo sarudzo pawebhusaiti yavo kuti ubate timu yezvemutemo yesangano nemibvunzo chero ipi zvayo kubatsira vangangove vabereki vamangwana kuti vatange. Chinhu chekurangarira, hazvo, ndechekuti ivo vaviri vabereki vakatarisirwa uye vanoberekera mumwe mwana vanofanirwa kumiririrwa zviri pamutemo kuitira kuti vatore nzira yekuisa iyo embryo muchibereko chemukadzi. Izvi zvinodzivirira zviitiko zvinoshungurudza kubva kutamba pasi mutsetse.

"Kwenguva yakareba, munhu wese aitya kuti surrogate [aizo] shandura pfungwa dzake. Ndinofunga nyika zhinji dzine mitemo iyi panzvimbo," anodaro Oleaga. [Semunhu anotsiva], unosaina murayiro wokuti mwana asati azvarwa uchiti ‘Handisi mubereki anodiwa,’ izvo zvinofanira kupa vabereki [vanodiwa] pfungwa yekuchengeteka vachiziva kuti kodzero dzavo dzepamutemo sevabereki dzinozivikanwa mwana achiri muduku. muchibereko. " Asi, zvakare, zvinoenderana nokuti unogara kupi. Nyika dzinoverengeka dzinodaro kwete bvumira mirairo yekuberekwa kusati kwaitika vamwe vachibvumira mirairo yekusununguka (izvo zvakangofanana ne "pre" mumwe wavo asi anongowanikwa mushure mekusununguka). Uye mune dzimwe nyika, nzira yaunokwanisa kuchengetedza nayo kodzero dzevabereki vako (pre-birth order, post-birth order, kana post-birth adoption) zvinoenderana nekwauri kuroora kana kuroorwa uye kana chikamu chemurume nemukadzi kana ngochani, pakati pezvimwe. zvinhu, zvinoenderana neLPG.

Anoberekera Mumwe Anowana Sei Kubata?

Chaizvoizvo, gestational surrogacy inoshandisa in vitro fertilization; mazai acho anovhiyiwa (anotorwa) kubva kune anopa kana mubereki anodiwa uye anoberekeswa murabhoritari yeIVF. Mazai aya asati aiswa muchibereko cheanotakura, inofanira kunge "yakagadzirirwa kurapwa kuti igamuchire mwana," anodaro Dr. Witt.

"[Izvi] zvinowanzobatanidza mushonga unodzvinyirira kubuda (saka [iye] haabudise zai rake panguva yekutenderera), inoteverwa neestrogen iyo inotorwa kwemavhiki maviri kuita kuti uterine lining iwedzere," anotsanangura kudaro. "Kana uterine lining yanyatsokora zvakakwana [gestational carrier] inotora progesterone, iyo inokura jira kuti rigamuchire "embryo" inoiswa muchibereko mushure memazuva mashanu eprogesterone. anopedza mwedzi mumwe nomumwe ari kumwedzi. (Zvakafanana: Kunyatsochinja Kwemahomoni Ako Panguva Yepamuviri)

"Muzviitiko zvakawanda, vabereki vanotarisirwa vanoita ongororo yemajini pamazai kuti vasarudze mazai ane nhamba dzekromosomu zvakajairika kuti awedzere mikana yekushanda uye kudzikisa njodzi yekuparara panguva yekuzvitakura," anowedzera Dr. Witt.

Ndeapi Matengo Ekuita Surrogacy?

Spoiler yambiro: Iwo manhamba anogona kuve anoshamisa zvinoshamisa. “Maitiro acho anogona kuva asingadhuri vakawanda,” anodaro Dr. Talebian. "IVF mutengo unosiyana asi hushoma hunosvika $ 15,000 uye hunogona kukwira kusvika pamadhora zviuru makumi mashanu kana mazai evanenge vachidawo achidikanwa." (Yakabatana: Iko Kwakanyanya Mutengo weVIV yeVakadzi MuAmerica Chaizvo Zvakakosha?)

Pamusoro pemari yeIVF, Dr. Talebian anonongedza kuti kunewo maagency nemari yemutemo. Kune avo vari kushandisa mazai evanopa, pane mutengo unobatanidzwa neizvozvo futi, uye vabereki vakatarisirwa vanowanzo bhadharira zvese zvekurapa panguva yekuzvitakura nekuzvitakura. Pamusoro pezvese izvi, pane mubhadharo wemubhadharo, uyo unogona kusiyana zvichienderana nenyika yavanogara, kunyangwe vaine inishuwarenzi, uye iyo agency yavanoshanda nayo nemari yakatarwa, sekureva kweCircle Surrogacy. Sezvataurwa pamusoro apa, dzimwe nyika hadzitenderi vatsigiri kuti vabhadharwe. Kune avo vanoita, zvakadaro, surrogacy fizi inotangira pamadhora zviuru makumi maviri nezvishanu kusvika pamadhora zviuru makumi mashanu, anodaro Rachman - uye zviri pamberi pako kuti uwane muripo wemubhadharo wakarasika (nguva yakatorwa kuenda kumisangano, kutumira-kutumira, nezvimwewo), kuchengetwa kwevana (kune vamwe vana paunoenda, woti, nguva dzakatarwa), famba (funga: kuenda uye kubva kumisangano yezvokurapa, kuendesa, kune anobvumirwa kushanyira, nezvimwewo), uye nezvimwe zvinoshandiswa.

Kana iwe wakazvifungidzira kuti zvese zvinowedzera kusvika kune yakawanda heti, uri kutaura chokwadi. (Inoenderana: Mari Yakakwirisa Yekusabereka: Vakadzi Vari Mungozi Kubhuroka KweMwana)

“Muitiro wokuberekera mwana mumwe munhu [zvose] unogona kubva pamadhora 75 000 kusvika kumadhora anopfuura 100 000,” anodaro Dr. Talebian. "Mamwe mainishuwarenzi anopa mabhenefiti ekuzvara anogona kuvhara zvakasiyana-siyana zvehurongwa uhu, zvichideredza mari yekubuda muhomwe." Zvakadaro, kana surrogacy iri nzira inodiwa uye yakanakisa, vanhu vanogona kuwana rubatsiro rwemari kuburikidza nerubatsiro kana zvikwereti kubva kumasangano akaita seGift of Parenthood. (Unogona kuwana rondedzero yemasangano anopa mikana iyi uye maitiro avo ekushandisa pamhepo, senge pamawebhusaiti emabasa ekubereka.) "Ndakaziva vanhu vakagadzira mapeji eGoFundMe kuti vabatsire kuunganidza mari yekuita izvi," anowedzera Dr. Talebian.

Pane misiyano yakakura yakatenderedza chii uye isingafukidzwe neinishuwarenzi yako, zvakadaro, maererano naRachman. Kuvhara kunowanzova kushoma uye mari zhinji imari yekunze kwehomwe. Nzira yakanakisa yekudzidza izvo zvichave uye zvisingavharwe ndeyekutaura zvakananga nemumiriri weinishuwarenzi anogona kukuisira izvi.

Iwe Unogona Sei Kuve Anoberekera?

Nhanho yekutanga ndeyekuzadza kunyorera nesangano rekuzvidzivirira, iro raunogona kuwana pane webhusaiti yewebsite.Vanoberekera vamwe vanofanira kunge vari pakati pemakore makumi maviri nemana nemakumi mana ekuberekwa, kuva neBMI pasi pemakore makumi matatu nemaviri, uye vakazvara mwana mumwechete (saka varapi vanokwanisa kusimbisa vanyengeri vanokwanisa kutakura nhumbu ine hutano kusvika panguva), sekureva kwaDr Talebian. Anoti zvakare mukadzi akaberekerwa munhu haafanire kuyamwisa mwana kana kuti akambosununguka kanopfuura kashanu kana kuti maC-section anodarika maviri; vaifanirawo kuva nenhumbu dzakapfuura dzisina kuoma, nhoroondo yokupfupfudzika kunopfuura kamwe, kuva noutano hwakanaka kazhinji kazhinji, uye kudzivisa kusvuta nezvinodhaka.

Iyo Mental Health Impacts yeSurrogacy

Uye kunyange zvazvo zviri zvomuzvarirwo kushamisika pamusoro pezvimiro zvendangariro zvokutakura mwana wausingamutsi, nyanzvi dzine mamwe mashoko anokurudzira.

"Vazhinji vanoberekera vamwe vana vakashuma kuti havana rudzi rwechisungo chakafanana chavakava nacho panguva yekuzvitakura nevana vavo uye kuti zvinoita kunge chiitiko chakasimba chekuchengeta vana," anodaro Dr. Witt. "Vanoberekerwa vanowana mufaro unoshamisa pakukwanisa kwavo kubatsira vabereki kuzadzisa zvinangwa zvemhuri uye kuziva kubva pakutanga kuti mwana haasi wavo.

Nepo rutsigiro ruripo rwevanozvitorera ruchitsamira pasangano, "vabatiri vese muchirongwa chedu vakabatana nemushandi wezvemagariro anotsigira uyo anoongorora nemukadzi anoberekerwa mumwe nemumwe pamwedzi kuti aone kuti ari kuita sei / anonzwa sei pakuberekerwa mwana," anodaro Solveig Gramann , director wezvekubatira mumwe mukadzi paCircle Surrogacy. "Mutsigiri wesocial worker acharamba achibatana neanomiririra kusvika ave nemwedzi miviri mushure mekusununguka kuti ave nechokwadi chekuti ari kujairana nehupenyu hwepashure, asi isu tinowanikwa kuti tigare nevanomiririra kwenguva yakareba kupfuura iyo kana vachida rutsigiro (semuenzaniso, akange aine dambudziko rekusununguka kana ruzivo rwepashure pekusununguka uye anoda kuenderera mberi nekutarisa mumwedzi yakati wandei mushure mekusununguka).

Uye kana vari vabereki vakatarisirwa, Rachman anoyambira kuti inogona kuve danho rakareba rinogona kuunza mamwe manzwiro akaomarara, kunyanya kune munhu akatombosangana nekushaya mbereko kana kurasikirwa. "Kazhinji, vabereki vakatarisirwa vanozoenda kunopihwa mazano kukiriniki yavo yeVIV kuti vaone kuti vafunga kuburikidza nehurongwa hwavo hwekuzvitorera uye vari papeji rimwe chete neyavakabatira mwana wavo," anodaro. (Yakabatana: Katrina Scott Anopa Vafudzi Vake Kutaridzika Kwakasviba Mune Icho Chechipiri Kusabereka Kunotaridzika Senge)

"Ini ndinokurudzira vabereki vakatarisirwa kutora moyo pamusoro pekuti vakagadzirira here pamoyo uye mune zvemari kufambira mberi nechizvarwa," anodaro Rachman. "Maitiro aya ndeemarathon, kwete mabhaisikopu, uye zvakakosha kuti unzwe wakagadzirira kutora izvo. Kana iwe wagadzirira kuvhura moyo wako kune izvi maitiro, zvinogona kuve zvinoshamisa zvinoshamisa uye zvinopa mubayiro."

Ongororo ye