Imiphumo IVF kwabasetyhini. Izigaba kunye IVF

Ukuncediswa ubuchwepheshe zokuzala kwiminyaka yakutshanje baye baphinda ngababini ezinkulu ezininzi. isigulane ngalinye kuyabonisa zabo ngenxa yezi okanye ezinye iinkqubo. Umntu ngamnye kumanina ezilishumi abafumana iingxaki kumitha, iimfuno-IVF. Malunga lo buqhinga uya kukuxelela inqaku yanamhlanje. Uza kufunda yintoni imiphumo IVF, ngokunjalo abe nako aqhelane amanqanaba siganeko.

In vitro

Yintoni le nkqubo? In vitro - izakhi yokubonelela lokuzalwa ngaphandle komzimba lomfazi. Amathuba lokukhulelwa imalunga-60 ekhulwini. Ayizizo zonke izibini iziphumo ezidibanisayo lufumaneka ngeenzame lokuqala. Ezinye iintsapho banyanzelwa ukuba ukubhenela ngokuphindaphindiweyo in vitro yokwenza isichumiso.

Nkqubo ziqhutywa ngeendlela ezahlukeneyo. Ngalo lonke ixesha yisa ingqalelo imeko yomguli kunye neempawu zayo ngabanye. Inkqubo Umntu phantse nanto yakwenza. Kodwa ukuba umgangatho isidoda wakhe waba sisweli, kwaye kukho abathile ukuphululwa isicelo. In vitro wabelwa ukuba izibini akakwazi ukukhawula umntwana ngokwendalo. Uluhlu kubonakala eziphambili zezi: nokungabikho tubes okanye amaqanda, amahlwempu iqabane amadlozi umgangatho, asikwazi alungiswe. Izivumelwano olwenziwe ne IVF kunokuba elide elifutshane, kunye ubuncinane nokulungiswa hormone, okanye giperdlinnye ultra. Kodwa ke uninzi ezimbini zokuqala zisetyenziswa. Funda ngakumbi ngabo yaye yintoni imiphumo IVF ingaba, ufunde on. Musa ukulibala ukuba umzimba isigulane ngasinye.

iziphumo zangoku kunye ixesha elide ezingalunganga IVF

Kubonakala ngathi ingenzeka embi ngexesha neqanda protocol?! Kodwa kwanokuba ngexesha uvuselelo kunye nasemva kokuba akuyi nazo naziphi na iingxaki ukuba nazo kwixesha elizayo. Zonke iziphumo IVF lungahlulwa-hlulwa zibe phambi kwexesha nasemva kwexesha.

I yangaphambili ziquka iimeko ezingalindelekanga ezimbi okanye neengxaki ngethuba okanye ngoko nangoko emva kokuba ukukhuthazwa weseli yemfuduko ezivelayo. Le meko iqhelekileyo kugqalwa OHSS - hyperstimulation ovarian syndrome. Ngeli xesha, iingxaki ezinokuvela ezifana nokwaliwa okanye wayengabunyamezeli kwelinye ichiza, reactions oqatha, ukudumba. Ngokufuthi, imiphumo olukhawulezileyo IVF - ukuba loo iintlungu esiswini, ukuyilwa ulwelo kwi pozadimatochnom isithuba, kophulwa umthetho isitulo, isicaphucaphu nokugabha, isibindi kwekhono ezibangelwa kukusetyenziswa izixa ezikhulu iziyobisi. Ngexesha okuhlatywa, umfazi kunokubangela ukopha, nto leyo nayo iimeko mnandi kakhulu.

Ngeziphumo ixesha elide, oogqirha ngokushushu ziphikisana unanamhla. Yinto eyaziwayo ukuba inkqubo-IVF yi kahle entsha, oko ligutyungelwe kwiintsomi ezininzi. Kukholelwa ukuba le ukuphululwa ibangela ukukhula kakhulu ithumba. Kuyingozi ngakumbi xa imo yabo imvelaphi ebulalayo. Buqhinga kungabangela yintloko kwabasetyhini, inkqubo kunciphisa elizayo reserve ovarian. Naliphi na iziko IVF mihla pre-ukuhlola umfazi, ukufunda umngcipheko neemeko ezingentle.

Ovarian hyperstimulation syndrome - ingxaki rhoqo

Ucinga ukuba yintoni imiphumo IVF, sele uyazi. Iyafuna ukuqaqambisa OHSS - hyperstimulation ovarian syndrome. Njani yingozi ngayo kunye nokuba khona njalo?

Ovarian hyperstimulation syndrome - yimeko ebangelwa ungenelelo hormone emzimbeni yesigulane. Ngelo xesha omnye IVF umfazi onyanzelwayo ukuba uthathe iziyobisi ukukhuthaza ukukhula zoboya. Oogqirha kufuneka uthathe amaqanda ngaphezulu omnye okanye emibini - ukuze uphumelele kufuneka ngakumbi. Amaxesha amaninzi, amagqirha abazifumana amaqanda eli bhinqa ngenxa 10-20 zoboya. Xa le ndlala kumjikelo yendalo ayikho nako ukusebenza ngaphandle kwangangoko. Ngokuchasene imvelaphi ngamalungiselelo amaqanda ukwanda ngobukhulu, bafumane cysts ezininzi follicular. Iimpawu zesi sifo idla kulandelayo: intlungu osesiswini, ukunyusa ubungakanani kwamadlala ngesondo, ukuqokelelana ulwelo esiswini, egazi. Therapy kuyimfuneko ukuze zonke izigulane nale ngxaki.

Isikali zeziphumo ezibi yahluke kakhulu. Oogqirha ukubhenela unyango zezigulana, kodwa akazange ukuvala amathuba esibhedlele. Ovarian hyperstimulation syndrome kuyingozi kuba zenza cyst basenokuba ecikizekileyo, ephothiweyo, ndiziqhawule. It igcwele lumngcungcuthekise yophela ngaphakathi efuna ungenelelo yotyando. Imiphumo kwiziganeko ezikhulu zemozulu, apho oogqirha ukoyika ukuze kwenziwe ngolu hlobo lulandelayo: thromboembolism, ezokuphefumla, intliziyo okanye kidney ukungaphumeleli, apoplexy ovarian. Unyango kubandakanya ukutya ethile, ukuphumla, ukusela kakhulu iziselo, ukusetyenziswa ithinasi kwegazi.

Omfutshane okanye omde protocol: ukhetho

Yintoni iziphumo IVF kumabhinqa, uye wafunda. Nakuba kunjalo, uninzi besini wamhle ukuba isonjululwe kule nokwenza izinto. Kwiimeko ezininzi, khetha inkqubo yomthetho elide okanye elifutshane. Yintoni umahluko, ukuba kukho kukhethwe umguli?

Xa ufowunela iziko elungileyo IVF, emva koko yenze isigqibo malunga nokukhetha i protocol, mhlawumbi, akuyi kuba lula. Emva anamnesis ugqirha egqiba yeyiphi indlela okulungileyo wena. Long protocol lisetyenziswa amabhinqa reserve elungileyo ovarian. Ukuba unikezelo amaqanda unaso encinane, ukubala kwi protocol elifutshane. Uya kuqalisa ukususela ngomhla wesi-3 okanye 5 lomjikelo wakho, yashukunyiswa ithatha i avareji leentsuku 10-14. Isigulane unikwa amachiza ukuthintela ovulation kwexesha. Long Iziphakamiso olunge elide - umlinganiselo kwiiveki 3-5. Phambi kokuba overstimulation yomguli ugqirha ekunika ezithintela imveliso LH. Emva kokuba amanani ayo ubuncinane ukuqalisa iqala amayeza ovarian ezifanelekileyo. Kukholelwa ukuba inkqubo gormonoblokiruyuschey phambi IVF ixhomekeke zihambe kakuhle lo msebenzi. Eneneni, ipesenti ukukhulelwa ephakamileyo lo protocol elide.

Ithayimthebhile yeemviwo namalungiselelo - i nqanaba ebalulekileyo

Ukuze somyeni nemiphumela kweli bhinqa HIV kuphela, kubalulekile ukuqwalasela zonke iingcebiso kagqirha. Uphando lokuqala kwaye kubaluleke kakhulu kukuqinisekisa unikezelo amaqanda. Sibeke ayikho nzima kubonakala. Yanele ukuba unikele ngegazi ukuze iihomoni AMH, FSH kunye LH. Ngokusekelwe amaxabiso ifunyenwe, ugqirha uza kuqinisekisa ixesha protocol. Omabini amaqabane kufuneka zihlolelwe losuleleko, kwaye umfazi kufuneka zihlolelwe izilwa-rubella. Ngokuyimfuneko bahlola kwisisu yangaphakathi isibeleko. Ukuba ngayo polyp, azikhuli, okanye cysts, zithulwe phambi kokuqala protocol. Man ihambisa uhlalutyo amadlozi ukuqinisekisa abo okuzala.

Phambi kokuba isibini kushukumisa Kucetyiswa ukuba ukugcina indlela yokuphila esempilweni, ukuba nikhumke utywala kunye nokutshaya, ukuphelisa imidlalo enzima. Ukutya osetyenzisiweyo abazoba abazali kufuneka babe zizityebi ngakwicala leeprothini. Ukuba unesifo esinganyangekiyo, qiniseka ukuba uxelele ugqirha wakho ngayo.

Ukusetyenziswa kweziyobisi hormone: Ingqondo

Amanqanaba IVF yahlulwe ezintathu eziphambili: ukulungiselela ukuthatha amayeza, zokuhlatywa yaye isichumiso, transfer umbungu kunye nenkxaso. Amayeza afunekayo ukuze ukukhuthazwa, amisiweyo ugqirha. Ukuze kwandiswe inani zoboya kusetyenziswa amalungiselelo FSH ngokusekelwe, umzekelo, "Puregon". Enza ukuba kwale hormone ikhokelele ekukhuleni amaqanda 5-30 ngexesha. Qaphela ukuba ayisizizo zonke ezi kunokuba epheleleyo nefanelekileyo ukuze kuqhutywe.

Ukuthintela isizukulwana iihomoni eyakho kusetyenziswa ezaqanjwa zovala nokusebenza yebhinqa. "Orgalutran" libhekisela ezinjalo. Kwangoko phambi okuhlatywa bomfazi elawulwa ichiza equlethe chorionic gonadotropin oluntu (hormone ukukhulelwa).

Follicle okuhlatywa kanye ova ayaqhama

Uqokelelo kunye nokuqwalaselwa zoboya - la manyathelo alandelayo. izinto olubiyele Eco kubandakanya usebenzisa Ukubulawa jikelele. Ukuxhaphaza kakhulu buhlungu, oko akwenziwanga ngoko waphuma "inzuzo". Ngexesha inaliti okuhlatywa ulawulo zokukhomba yenziwa usebenzisa i scanner cuke. Ugqirha ukhetha indlela ngokunzulu kakhulu low-nempembelelo. Inkqubo ithatha i-avareji sisiqingatha seyure. Kodwa ngenxa yokuba ukusetyenziswa zomzimba, isigulane kufuneka esweni amagqirha ukuba iiyure ezongeziweyo 2-3.

Emva okuhlatywa le zoboya baphathwa iqabane somyeni, ngoko ibekwe kwindawo indawo evumayo isakhono sabantwana. IVF kubandakanya spiking imibungu ngomhla wesithathu okanye sesihlanu (ngokuxhomekeke ngamnye).

Ukudlulisa imibungu kanye ukutyala

kutshanje umthetho Russian igqibe sokuvala udluliselo inani elikhulu imibungu. Ngoku ke basekliniki babini (kwimeko kakhulu, ezintathu) iiseli ivundiswe. Zilungiselele ngenxa yokuba ingengabo bonke abantu bube. umbungu yokumilisela ayidingi zomzimba. Xa catheter obhityileyo anikwe iqanda em- zesibeleko iyapheliswa yi kwinkqubo abapasa tubes. Buqhinga awutsali ngaphezu kwemizuzu 10-15. Ngexesha inkqubo, umfazi bangase ubuhlungu wobulali kunye neentlungu ekhathazayo.

emva kwenkqubo

Yiyiphi imiphumo IVF? Izimvo zabafazi wadlula kule nkqubo, esithi ukuba kangangexesha elithile emva ugqithiselo, kwafuneka ukuba bahlale phakathi kweendonga kwiziko lonyango. Ngeli xesha, oogqirha bacebisa ukuba ezinye. Ngoko ke, ukuba babuyele amatyala njengesiqhelo uza kuphela. Emva kokuba transfer koogqirha ukubukela umfazi, ngaphandle iingxaki kunokwenzeka. Ukuba kukho uyopha, iintlungu etsolo emva IVF lobushushu eziqhelekileyo, ngoko ke isigulane ukuya ekhaya. Woman bubhalwe inkxaso engaphezulu, ubonelela ukuba ukusetyenziswa kweziyobisi esekelwe yiprogesterone. Kufuneka isicelo njengoko songenelelo yaba umzimba emthubi angabi nako ukugcina ngokuzimeleyo ukukhulelwa, esenokuba ezininzi.

japan Positive: ukukhulelwa

Ukuvavanya ngenxa yokuntlokothiswa enokwenziwa emva kweentsuku 10-14. A uvavanyo lokukhulelwa isoloko uninformative. Ibonisa iziphumo ezidibanisayo ngenxa yobukho hCG hormone zifakwa. Ngoko ke kungcono ukuya ukuba ultrasound kunye nogqirha wakho. Kwiiveki ezimbini emva kokuba udluliselo umatshini kuya kubonisa ubukho okanye ukungabikho iqanda em- zesibeleko. Kwakhona impendulo ethembekileyo lo mbuzo uya kuyinika uvavanyo lwegazi lokuthelekisa for hCG. Iziphumo ezininzi ezifanelekileyo IVF - yokukhulelwa.

Lokuzalwa emva kwe

abantwana bazalwa njani? IVF ayifuni icandelo ngoqhaqho. Kodwa ke, njengokuba imiboniso yokusebenza, kunye nohlolo, oko lwanziwa kaninzi. Esona sizathu sokuba esi sifo kuba abafazi ezingapheliyo, izifo yamanina kwimbali, ukuba ukhulelwe. ukuzalwa Natural emva IVF akukho kwahluka njengesiqhelo. Kodwa xa kuyimfuneko bathi nale ukukhulelwa kusenokwenzeka ukuba babe neengxaki ezifana beendawo previa, wona ngaphambi semehlo, abasebenzi buthathaka.

icala Psychological

Amaxesha amaninzi abasetyhini ukuba imiphumo IVF kwicala nasengqondweni. Oku kudla xa usebenzisa izinto donor: isidoda okanye iqanda. Eyenziwa umfazi liqhubeka njalo lizama ukufumana ekuzalweni iimpawu umntwana musa idibana kunye neempawu zazo. Ngoko ke abazali, oogqirha bacetyiswa ukuba kusoloko adibane isayikholojisti, njengoko imeko kungajikeleza ngaphandle kolawulo.

Ukungaphumeleli e IVF njengoko ezifunyanwa abafazi kunzima kakhulu. Izigulane ezininzi ufuna ukuqala kwaoko protocol ilandelayo. Kodwa umzimba kufuneka ixesha ukululama. Zenzele amandla, ixesha elizayo amathuba ukuze zihambe kakuhle kuya kuba ngaphezulu.

Ngamafuphi

Ukususela Inqaku angasifumani yintoni imiphumo IVF. Le nkqubo igalelo kakhulu umzimba ababhinqileyo. Ngoko ke, kufuneka sizilungiselele yona kwangaphambili. Olunzulu ngakumbi ukulungiswa kwaye iya kuba indlela uxanduva ngakumbi, ayanda amathuba iziphumo ezidibanisayo. luck Good nomonde!