Zizindikiro za IVF

Mu-vitro feteleza sizimayendetsedwa kwa amayi onse omwe akudwala matenda osabereka, koma mosamalitsa malinga ndi zizindikiro. Pali matenda ambiri omwe amachititsa kuti munthu asabereke ndipo sangathe kuchotsedwa mothandizidwa ndi chithandizo chamakono.

IVF: zizindikiro ndi zotsutsana

Musanayambe kukonzekera kupanga mankhwala osokoneza bongo, ndibwino kuti mudziwe zomwe zikusonyeza kuti IVF. Zizindikiro zazikulu za IVF:

• Kutha kwachitsulo chosaphatikizapo (kutayika kwa ziphuphu zolakwika pambuyo pochotsa ntchito);
• Kusabereka kwa amayi omwe atatha zaka makumi atatu (30) omwe adakhala ndi ziphuphu zowonjezera chaka chimodzi asanafike IVF;
• kusamalitsa thupi;
• endometriosis;
• kupatsirana kwachinyengo pambuyo pofufuza kafukufuku wathunthu wa awiriwa;
• Mwamuna (zizindikiro za IVF - kusagwirizana ndi izi ndi amuna pamene kulibe kuthekera kwa umuna wamwamuna ku umuna).

M'dziko lathu, akazi angathe kugwiritsa ntchito mwayi wa IVF, pa chigawo cha federal chomwe pali umboni. Kuti mulandire IVF yaulere, zizindikiro zazikulu ndi izi:

• Kusabereka kwa amayi (ngati kulibe ovulation, tubal kochokera komanso kutaya kwachibadwa);
• Kusabereka kwa amuna (pokhapokha ngati panthawi imodzimodziyo ndi amayi osabereka).

Kusabereka kwa amuna okha sikunali umboni kuti azichita ma ARV. Zomwe zimayenderana ndi dongosolo la OMS ndizosafalikira kwa tubal, kulemera kwa 50 mpaka 100 makilogalamu, antimulylerov hormone kuchokera ku 0,5 ng / ml mpaka 7 ng / ml, FSH yosapitirira 15 IU pa tsiku la 2-3 la chizunguliro ndi normospermia kwa chibwenzi.

Zotsutsana ndi IVF:

• Matenda a thupi ndi a m'maganizo, omwe mimba ndi kubala zimatsutsana;
• zovuta zapachiyambi za ziwalo zoberekera zazimayi, zomwe zimakhala zosatheka kuika ndi kubereka mwanayo;
• zilonda zam'thupi zapachiberekero ndi mazira, mavotolo aliwonse oopsa ngakhale anamnesis;
• Njira zopweteka kwambiri m'thupi la mkazi wa malo alionse.

Ngati mkazi ali ndi fibromyoma, ndiye atachotsedwa mwamsanga, contraindication imachotsedwa ndipo IVF ikhoza kuchitidwa ngati pali zofunika.

Ndondomeko yochepa ya kukhazikitsa IVF

Pali mafukufuku angapo omwe amachitika asanafike IVF:

1. Miyezi yochepa musanayambe IVF, kuyang'ana kwathunthu umuna wa munthu kumachitidwa, mazira a m'mimba, mapuloteni, ndi chithandizo chamatenda aakulu.
2. Mwezi umodzi usanakhale wa IVF, nthawi ya follicular imavomerezedwa, sampuli ya magazi imatengedwa kuti ikhale ndi chromosomal, immunological analysis, maselo a magazi m'magazi, kukhalapo kwa matenda a tizilombo, kukonzekera kamwana ka chikhalidwe.
3. Pambuyo poyesa mlingo wa estrogen, tsitsani ovulation pansi pa kuyang'anira ultrasound.
4. Pambuyo potsitsimula, chikhalidwe cha oocyte chimatengedwa, mazira amadziwika pansi pa microscope.
5. Amapanga mpanda ndikukonzekera umuna, kuwonjezera spermatozoa 200-300,000 kuti dzira likhale ndi umuna.
6. Mimbayo imaphatikizidwa kwa maola 40-50 mpaka 4 magulu.
7. Tumizani mazira a catheter kudzera mumtsinje wa chiberekero mpaka pansi pa chiberekero.
8. Amathandizira kulumikizidwa kwa mluza ndi mankhwala a progesterone musanafike sabata la 20 la mimba.