Ukutyala kwakhona eminye imibungu ne-IVF: indlela ntoni?

ubomi Modern lisibeka sophuhliso sesizwe kunye nokwanda eshishini ekugqibeleni kukhokelela kwilahleko ulungelelwaniso phakathi komntu kunye nendalo. Iya isanda, kuvela iimeko xa isibini akakwazi ukukhawula umntwana kuphela iinzame ezibambeneyo. Maxa wambi isigwebo izandi une omnye wabalingane, kwaye nkqu namahlakani zempilo ingundoqo akuqinisekisi ukuba Union umvuzo umntwana kudala elindelwe.

Kwezinye iimeko, oku kuboniswa IVF

In vitro (IVF) aqeshwe ngaphambi nje liqhuba uphando ukuqinisekisa nakwenzeka lokukhulelwa. Imizamo ukuba ukunyanga ubudlolo basoloko walibala iminyaka emininzi, kodwa inkqubo balala emqokozweni ubude uyakwazi ukwehlisa amathuba yabaneziphumo ezihle kuphela. Ukubona kwawo kwamanyathelo, isibini unalo ilungelo lokufuna ekuqhubeni inkqubo-IVF emva kweminyaka emibini zonyango.

Njani na uphuhliso umbungu

Emva kokukhulelwa, iqanda ibekwe kwindawo ulwelo bekhululekile, omalunga nolo umzali yendalo. Ukuguqulwa iqanda eziqhelekileyo elilodwa, oko umbungu ezineseli enye-, nangoku na ukugqibezela inkqubo. Phambi ukutyala umbungu ngexesha IVF kufuneka kwenzeka ngaphezu kanye kwisahlulo iseli phantsi kweliso lomgadi i kweemveku, kubhiyozelwa kwisigaba esitsha ngasinye uphuhliso ephilayo.

Eliqala ngomhla wesibini neqanda, iiseli, ugqirha kusenokufuneka ukunika ingxelo umbungu elivumelana imithetho parameter. Ngamanye amaxesha, ukuba akanamandla, kodwa iphila, oko kuphakamisa imeko ngabom, ebavalelayo ukuba lokusekwa blastocyst (yenzeka ngosuku 6), yaye kuphela emva koko kuqaliswa kuloo ndawo ibinomthwebeba zesibeleko. Isiqinisekiso esinjalo sigwetyelwe nokuncipha unina, njengoko awuzibandakanyi ukuyilwa kumitha eliqela esizalweni, kwaye oko kunciphisa uxinzelelo emzimbeni.

Kwisahlulo cell exposure eliqhelekileyo elide avumelekile ngeembumba ziintsuku ezintathu. Emva koko, abanye babo, kodwa hayi ngaphezulu kwe ezimbini, idluliselwa umzimba kwisigulana, kwaye yeyona yomeleleyo mbelukazi aseleyo, engumkhenkce nitrogen engamanzi. Kodwa njani no- imibungu ne IVF?

Ukulungiselela abafazi kuba umbungu inkqubo ukutyala kwakhona

Kwaloo isigqibo sokuba umama ngendlela enzima ukutyala umbungu ngexesha IVF, isizathu kwanele umfazi ukuba uqwalasele imilinganiselo ukutya kunye yesiqhelo yemihla ngemihla. Yindlela ziphile kwaye inkqubo luvo kuxhomekeke umama okhulelweyo inkqubo ngayo ngempumelelo.

kwiiveki ezimbalwa phambi komhla egg retrieval abafazi ebonisa Iprothini lokudla isixa ubuncinane ezityebileyo, kunye nokungabandakanywa lilonke menu zomgubo emnandi soya iiproteins kunye equlethe yemfuzo izinto izitya. ethululwayo ekucetyiswa ukuba amanzi acocekileyo ngakumbi, freshes zendalo ngaphandle kudla ngumntu. Of iziqhamo kubhetele ukuba zikhetha kukhiwa (ukuba umzimba).

Ngaloo mini ukutyala ndiseyimbumba kwi wesibeleko ngexesha IVF, kungakuhle ukuba ukuvuselela kwegazi igazi amalungu zangasese, apho oogqirha ukucebisa amaqabane ukuba benze iintlobano zesini, ngoko nje, emva kokuba yococeko nemazi, lwaqokelelwa umzila.

kwiiyure ezimbini ngaphambi kwexesha elimisiweyo ukutyala umfazi kufuneka athathe ipilisi Piroxicam. Ukuya kwi-IVF, kungcono ukwehlisa umoya, khumbula ukuba ukutyala iteknoloji umbungu IVF yi yalula and non-traumatic.

Inkqubo ukutyala umbungu

Umfazi akaboni indlela ukulungiselela transfer umbungu, ngoko ke asikwazi ukuba phambi kokuba umzila yeqokobhe kwimveku ngabom umonakalo ukuququzelela amaqanda ukukhululwa. Le nkqubo ibizwa ngokuba "hatching" kwaye inyanzelekile.

Ngoko ke, indlela yokumilisela imibungu ne IVF? Emva kokuba incoko kunye nogqirha, umfazi kuthatha indawo ekhululekile esitulweni yamanina. Kulo mzekelo, kungcono ukuba nelokuphumla uvale amehlo akho, uze ungakhathazeki, ebukele njengoko kwenziwa iimbumba ukutyala kwakhona. IVF kubaluleke kakhulu ukuba bagcine nokuzimisela yesigulane engqondweni. Le catheter, apho ugqirha ifaka kungena wesibeleko ekhokelwa ngokubona ultrasound akubangeli nobunzima kakhulu ukuba izihlunu zangasese bekhululekile kwaye nangoku.

Xa iindwendwe ezininzi nemazi, ukutyala ziimbumba ne-IVF passes, njengoko kuboniswe kule ncoko yokuqala: ngokukhuselekileyo kwaye kusemnandi sengqondo nenkathalo abasebenzi. Emva ukususwa isigulane catheter ucelwa ukuba kulala esofeni uzakubuyela kwaye abe nako ukwenza kancinane ngaphantsi kweyure enye. Ngeli xesha, i kweemveku iya kuvavanya i ityhubhu ngeembumba catheter afikelelekayo kwaye, ukuba imvume lomguli, ukuthumela nabo a ngumkhenkce cryogenic.

Yintoni cryopreservation

Ukwamkela ngaphambi kwemvume iperi amanani iiseli aqhamileyo mazikhethwe kuphela izinto ezomeleleyo ixesha elide, ezo ziya kuba nako ukusinda iimeko uxinezeleko defrosting elandelayo. Imibungu ngaphezulu cryopreserved, kokukhona kusenokwenzeka umfazi uza kuqalisa iinzame IVF kwi kulandelayo, ezinokuthi zenzeke kwiminyaka kamva.

Iqhwa iiseli intsholongwane kwenzeka kumazinga asezantsi kakhulu HG, ngqongqo -196 ⁰ C. Ekubeni inkqubo obrabatyvaniya nitrogen engamanzi nangenxa kwimo umbungu - uhlobo lwe ukuqaqadeka engqongqo phantsi kumzabalazo ezingadibaniyo ubomi, njalo iimbumba IVF akayicingi usebenzisa iiseli zinyibilikisiwe ngempumelelo ngakumbi ngokuba umfazi.

Ukuziqhelanisa emva ukutyala kwakhona

Ukususela mzuzu xa umfazi eshiya-ofisi kagqirha, kuba iba abanye ibalulekileyo iintsuku ezintathu ezilandelayo. Indlela emva spiking imibungu IVF iiyure 72 inika obezdvizhimost isigulane practical. Nokuba i ezinqabileyo ukufukuka kwigumbi langasese kukuba inkxaso ebonakalayo ezinqwenelekayo indoda yakhe, ukuze kuncitshiswe igazi kwemali isinqe. Unyango bamanzi contraindicated ngosuku lokuqala!

Nogqirha wakho acacisa ukutya, kodwa umfazi ukuba uphilile kunye nemimiselo ekhethekileyo bengengabo, emva spiking ndiseyimbumba ngexesha IVF badle konke oko ngaphambili, kodwa kugxininiswa kakhulu kwiimveliso zendalo, kwaye, kakade, ngaphandle ukuqukwa kwi ezityiwa ikofu, olunamafutha okanye inani elikhulu ukutya umgubo.

Kwiintsuku ezintathu kamva, elele isigaba indlela yomsebenzi nganiso iqala. Akukho ntshukumo umfazi ngesiquphe uyakwazi ukwenza ngenyameko imisebenzi esisiseko kwabendlu, ukuze bahambe ezitalatweni, uphambuke naziphi amava. Kweli nqanaba kubalulekile ukuba usele amanzi acocekileyo ezingezo-nezihlwahlwazayo.

ukulawula

Ngemihla zokuqala emva kokuba transfer umbungu lo mfazi idla ujongene nengxaki bakhulise ubushushu, kodwa xa ukhumbula kakuhle kongenelelo waba emzimbeni, impendulo amajoni omzimba ziya gca. Ukwehlisa izalathisi ubushushu akufuneki ukuba, xa imetyhuri liphuma ngasentla 37.6 ^0. Kufuneka ukuba umzimba wenu yedwa "sikwetyise 'ulwazi olutsha nazigqibo mhaka. Kwixa elizayo utyelelo kugqirha ziyenzeka ziyafunyanwa zihlalutywe.

Kuyimfuneko ukuba banikele ingqalelo izitofu echongiweyo. Zonke iimveliso ziya kuba ezintathu (uphawulo standard): iinaliti ezimbini "utrozhestan" ngobusuku emva kokuba inkqubo, inaliti olunye 'dlala "kusasa kunye ezintlanu iinaliti (iiyure limited scheme)" Fragmin "onoxanduva igazi kwegazi abaqhelekileyo kwi amalungu zangasese. "Fragmin" bangagxothwa kolu luhlu, ukuba iziphumo igazi ekunqandeni coagulation yomguli akuthethi baphambuke kwisiqhelo.

Ukuziphatha kwe ephilayo ngenxa IVF

Yokothuka abafazi, xa ujongene nesenzeko emva okuhlatywa, bona okungaqondakaliyo, ngenxa isiqulatho ulwazi eliphantsi. Apha ngezantsi kukho uluhlu iziganeko ezinjalo, kwakunye iinketho ukuba impendulo echanekileyo kubo:

• Ukuzoba, izenzo iintlungu esiswini emva inkqubo njengoko esexesheni, - eqhelekileyo epheleleyo. Thatha nto phambili kungabi.
• Amanzi kusisi eluhlobo ezingamanzi ezipinki ngosuku 6-12 th emva transfer umbungu - umphumo ndilindelwe zinqwenelekayo, besithi koko iye ndakutywina eludongeni isibeleko. Ngokuqhelekileyo, ukuba loo ukopha awutsali iiyure ezingaphezu kwama-4. Ugqirha kufuneka ezishukuxa le meko kunye nokuqhuba uhlolo ukuze ahlaziye ngokufanelekileyo imeko yomguli.
• ukopha kakhulu okanye avulele umbala elingqingqwa ukubonakalisa ukutyala ukungaphumeleli kwaye kufuneka esibhedlele ngokungxamisekileyo. Kwiimeko ezinqabe kakhulu, la manyathelo athathwe ngokukhawuleza ukugcina ukukhulelwa.

Kanye iiveki ezimbini emva kokuba okuhlatywa, uyohlolwa chorionic yabantu gonadotropin (hCG). Ezi ziphumo thaca kwi-mini, kwaye umfazi ndivuyisane ngokwethu ukuba xi kwale hormone ebalulekileyo ziya kwandiswa. Ngamanye amaxesha hCG test kufuna uphindaphindo emva kweeyure ezingama-72; ulawulo okunjalo ngenxa yobukho ukuzikisa wobulali.

iintsuku ezisixhenxe emva kokuba unikezelo wegazi hormone (kwi affirmative) ultrasound wenziwe, sivakalisa ukukhulelwa. Emva kwenye kweentsuku 14 ubamisele yesibini - ukuvavanya uphuhliso olungekazalwa mfundiso.

Kwimeko apho ulawulo hCG elibi amachiza ukugcina IVF kwisiphumo ziyakupheliswa.

iintsuku ezibalulekileyo, ekufuneka uye iintsuku 5-7, nikhonze umlinganiselo othile iinzame ayiphumelelanga ukutyala kwakhona.

Oko nefuthe kwiziphumo ukutyala kwakhona

common factor ibe lukhuni kuthinjwe umbungu isibeleko are fibroids. Spiking 1 IVF umbungu kule meko ikhutshwa phandle ukuze elilodwa wayengekho kummandla ithumba, okwakha ukuze bandise. Ezinye iimeko ezibalulekileyo ezifanelekileyo ukusinda bemveku emzimbeni kamama bukaThixo ibizwa ngokuba ixesha elikhethwe kakuhle (ngokuqhelekileyo umjikelo weentsuku ezili-20) kunye nokuvuthwa ngokupheleleyo iiseli ivundiswe. Ukuba amanye amagama zisetwa ngoogqirha, kufuneka kube lula, kuba umzimba alusoloko lusebenza ngathi clockwork, kwaye bokuqonda ukuba athathele ingqalelo ngamnye yabafazi, ukuba akwazi ukumisela nemiphumo emihle.

Kodwa kwimeko engamelanga ithathwe njenge uvavanyo elibi, ukuba uvuyo ngumama na wena - ipesenteji yokwenene lweempumelelo emva lilinge lokuqala akufane ngaphezu kwe-45%. Kusenokufuneka ukuba utshintshe kancinane kwizidlo okanye ukunika imikhuba emibi, ukuba sele awusele wenze oko, yaye qiniseka ukuba uzame kwakhona ngokusebenzisa iiseli intsholongwane emva cryopreservation.