Imiphumela IVF kwabesifazane. Izigaba kanye IVF

Wasiza ubuchwepheshe zokuzala eminyakeni yamuva kuye ukujabulele ngazimbili amaningi amakhulu. Isiguli ngasinye has izinkomba zabo ngenxa yalezi zizathu noma ezinye izinqubo. Owesifazane oyedwa kwabesifazane abayishumi nezinkinga akhulelwe, IVF izidingo. Mayelana nalesi zokukhwabanisa uzokutshela sihloko lanamuhla. Uzofunda iziphi ngemiphumela IVF, kanye bakwazi bajwayelane izigaba umcimbi.

Ngo kokukhulelwa kwesibeletho

Iyini inqubo? Ngo kokukhulelwa kwesibeletho - a zokukhwabanisa yokunikeza lokuzalwa ngaphandle emzimbeni womuntu wesifazane. Amathuba ekhulelwe okungamaphesenti angu-60. Akuwona wonke amapheya wemiphumela emihle eyatholakala ngesikhathi umzamo wokuqala. Eminye imikhaya bephoqeleka ukuba ngokuphindaphindiwe iphendukele ngaphandle kwesibeletho inqubo kokukhulelwa.

Inqubo iqhutshwa ngezindlela ezahlukene. ukuthatha Njalo ku-akhawunti isimo lesiguli kanye nezici zayo ngazinye. Inqubo Man cishe asihlangene ngalutho. Kodwa uma izinga isidoda sakhe ayiyinhle, futhi kukhona ezinye zokukhwabanisa isicelo. Ngo kokukhulelwa kwesibeletho inikezwa imibhangqwana ayikwazanga okukhulelwa ingane ngokwemvelo. Uhlu izimpawu eziyinhloko: engekho amashubhu fallopian noma amaqanda, ompofu izinga isidoda umlingani, ayikwazi ukulungiswa. Izivumelwano efundelwa IVF kungaba kokubili eside futhi short, nge ukulungiswa ubuncane hormone noma giperdlinnye ultra. Kodwa iningi ezimbili zokuqala asetshenziselwa. Funda kabanzi mayelana nokuthi yiziphi imiphumela IVF kungaba, funda ku. Ungakhohlwa ukuthi umzimba ngamunye nesineke ngabanye.

Ezisheshayo futhi eside imiphumela emibi-IVF

Kunengqondo ukuphetha ngokuthi kungenzekani okubi phakathi kwesibeletho fertilization olandelwayo?! Kodwa ngisho noma ngesikhathi ukushukuma futhi ngemva kwaso ngeke ukubhekana nanoma ibuphi ubunzima abangahlangabezana nabo esikhathini esizayo. Zonke imiphumela IVF zingahlukaniswa zibe ekuseni khulu, ngemuva kwesikhathi.

Lo mqeqeshi owake wapheka zihlanganisa izimo ezingezinhle ezingalindelekile noma nezinkinga ezingase ziphakame phakathi noma ngokushesha ngemva ezishukumisayo weseli ukufuduka. Izimo ezivamile kubhekwa OHSS - hyperstimulation wesibeletho syndrome. Phakathi nale nkathi, ukuxakeka ezingase ziphakame ezifana njengemithi yokungezwani komzimba nokuthile, noma ukungabekezeleli elinye izidakamizwa, ukusabela ezingezinhle, ukuvuvukala. Ngokuvamile, imiphumela ngokushesha IVF - kungcono ubuhlungu esiswini, ukwakheka oketshezini pozadimatochnom isikhala, ukuhlukumeza ka sezinyawo, isicanucanu nokuhlanza, isibindi ukungasebenzi okubangwa ukusetshenziswa esiningi izidakamizwa. Phakathi wokubhoboza, owesifazane kungabangela ukopha, okuyilona elisebenzayo futhi izimo hhayi mnandi kakhulu.

On imiphumela yesikhathi eside, odokotela kuseyimpikiswano kuze kube yilolu suku. Kuyaziwa ukuthi eyaziwa inqubo IVF kuba kahle entsha, it ligubuzelwe izinganekwane eziningi. Kukholakala ukuthi lokhu zokukhwabanisa obangela ukukhula okukhulu kuwuphawu lwesimila. Kuyingozi ikakhulukazi uma isimo sawo azalelwa ebulalayo. Izikhundla kungabangela ubuhlungu bekhanda kwabesifazane, inqubo kunciphisa Ngokuzayo reserve wesibeletho. Noma yimuphi IVF isikhungo yesimanje pre-uhlole owesifazane, ukutadisha ingozi izimo ezimbi.

Wesibeletho hyperstimulation syndrome - kwetintfo njalo

Yini engaba imiphumela IVF, usuwazi. Kuwufanele ukugqamisa OHSS - hyperstimulation wesibeletho syndrome. Akuve kuyingozi nokuthi ingabe uyafisa yini kuhlale?

Wesibeletho hyperstimulation syndrome - isimo okubangwa kokungenela hormone emzimbeni wesiguli. Ngesinye isikhathi ka-IVF owesifazane iyaphoqeleka ukuba izidakamizwa ukufukula ukukhula follicle. Odokotela kudingeka uthathe amaqanda angaphezu kwelilodwa noma ezimbili - ukuze sibe abaphumelela udinga ngaphezulu. Ngokuvamile, odokotela ukuthola kusuka amaqanda wentombi ngoba 10-20 follicle. Lapho le ndlala emjikelezweni yemvelo akakwazi zifezeke okuningi. Against isizinda amalungiselelo amaqanda ukwanda ngobukhulu, zuza izinhlumba follicular amaningi. Izimpawu zalesi simo ngokuvamile lokhu okulandelayo: ubuhlungu esiswini aphansi, okwandisa ubukhulu nezindlala ocansini, ukunqwabelana uketshezi esiswini, amahlule. Ukwelashwa kuyadingeka okwazo zonke iziguli nale nkinga.

Ubukhulu emibi zingase zishintshe kakhulu. Odokotela ngokuvamile ziphendukela ukwelashwa sinenkonzo yokunakekela iziguli emakhaya, kodwa akazange ukuvala amathuba esibhedlela. Wesibeletho hyperstimulation syndrome kuyingozi ngoba akha isimila ingavuthi nesisontekile, liqhume. Kuyinto kubabangele ubuhlungu oyingozi futhi ukopha zangaphakathi ezidinga kokungenela kuhlinzwa. Imiphumela extreme sezulu imicimbi, okuyinto odokotela banovalo kungenzeka kanje: thromboembolism, zokuphefumula, inhliziyo noma izinso ukwehluleka, apoplexy wesibeletho. Ukwelashwa kuhilela ukudla ukudla okuthile, ukuphumula, ukuphuza izinto eziwuketshezi, ukusetshenziswa kwegazi thinners.

protocol iDemo noma eside: ukukhetha

Kuyini IVF nemiphumela kwabesifazane, ozifundile. Naphezu kwakho konke lokhu, abaningi wobulili bubuhle isixazululekile kule zokukhwabanisa. Ezimweni eziningi, khetha eside noma esifushane inqubo olandelwayo. Uyini umehluko, noma ngabe kukhona Ukukhetha isiguli?

Uma ukhetha IVF isikhungo esihle-ke zizenzele esazo isinqumo mayelana nokukhetha umngane olandelwayo, cishe, ngeke kwenzeke. Ngemva anamnesis udokotela unquma ukuthi imaphi indlela yakho ikufanele wena. protocol Long isetshenziselwa abesifazane nge reserve ezinhle wesibeletho. Uma izimpahla amaqanda une encane, ukubala olandelwayo iDemo. Uzoqala kusukela ngosuku 3rd noma 5th komjikelezo zemvelo, ezishukumisayo ihlala kwezinsuku ezilinganiselwa kwezingu-10-14 of. Isiguli unikezwa imithi ukuvimbela nge-ovulation kwesikhathi. protocol Long kuyinto alifani eside - isilinganiso amasonto 3-5. Ngaphambi overstimulation isiguli udokotela ekunika imithi ukuthi ukuvimba ukukhiqizwa LH. Ngemva kokufinyelela namagugu awo okungenani kusebenze iqala wesibeletho imithi ezifanele. Kukholakala ukuthi ngu inqubo gormonoblokiruyuschey phambi IVF incike lokhu kwakuyoba nomphumela omuhle ukuhlinzwa. Ngempela, iphesenti sokukhulelwa ephakeme e protocol eside.

Examination kanye nokulungiselela - i yisigaba esibaluleke

Ukuze IVF nemiphumela lona wesifazane waba omuhle kuphela, kubalulekile ukuba sicabangele zonke izincomo udokotela. Ucwaningo sokuqala nesibaluleke kakhulu kutfola supply amaqanda. Setha akusiyo njengoba kunzima njengoba kubonakala. Enough ukuba unikele ngegazi ukuze hormone AMH, FSH futhi LH. Kususelwa amagugu etholwe, udokotela ziyonquma isikhathi olandelwayo. Abashadile kudingeka ukuthi zihlolelwe igciwane, futhi lona wesifazane kumele zihlolelwe amasosha rubella. Ngempela bahlola ingaphakathi langaphakathi kwesibeletho. Uma it has polyp, ukuvuvukala, noma izinhlumba, basuke isuswe ngaphambi kokuqala protocol. Indoda ihambisa isidoda ukuhlaziywa ukunquma abo okuzala.

Ngaphambi ukushukuma pair Kunconywa ukuba silondoloze enempilo, kumelwe uyeke utshwala nokubhema ukuqeda ezemidlalo esindayo. Ukudla kudliwe abazoba abazali kumelwe babe abacebile amaprotheni. Uma unesifo esingelapheki, qiniseka ukuthi uyamtshela udokotela wakho ngazo.

Ukusetshenziswa kwezidakamizwa hormone: Ukukhuthazwa

Izigaba IVF zihlukaniswe ezintathu eziyinhloko: ukulungiselela kanye ukuphuza imithi, wokubhoboza kanye kokukhulelwa, ukudluliswa umbungu nokusekelwa. Imithi adingekayo ukushukuma, esimisiwe udokotela. Ukuze kwandiswe isibalo follicle esetshenziswa FSH amalungiselelo esekelwe, isibonelo, "Puregon". Enza kwale hormone kuholela nokuvuthwa amaqanda 5-30 ngesikhathi. Qaphela ukuthi akuzona zonke lezi kungaba ephelele futhi efanelekayo kucutshungulwe.

Ukuvimbela isizukulwane hormone siqu esetshenziswa izingoma uvimba ukusebenza pituitary. "Orgalutran" libhekisela ezinjalo. Ngokushesha ngaphambi wokubhoboza yowesifazane iqondiswa izidakamizwa equkethe human chorionic gonadotropin (hormone yokukhulelwa).

Follicle wokubhoboza kanye ova elivundisiwe

Collection nokucutshungulwa follicle - izinyathelo ezilandelayo. Eco kocingo impahla kuhilela usebenzisa izinzwa. Izikhundla ubuhlungu ngempela, ngakho-ke akuyona eyenziwa "inzuzo". Phakathi inaliti wokubhoboza control ohlangothini Kwenziwa Usebenzisa isithwebuli ultrasonic. Udokotela ekhetha Indlela ejule kunazo zonke futhi ephansi nomthelela. Inqubo ihlala okuyisilinganiso sabangu-isigamu sehora. Kodwa ngenxa ukusetshenziswa izinzwa, isiguli kufanele baqashwe odokotela i eyengeziwe amahora 2-3.

Ngemva wokubhoboza we follicle ziphathwa isidoda umlingani ke ibekwe endaweni evumayo izingane ezingaba khona. IVF ihilela ukuhlela spiking imibungu ukuze ngosuku lwesithathu noma lesihlanu (kuye ngomuntu ngamunye).

Kudluliswa zemibungu iphinde itshalwe

muva umthetho Russian unqume ukuvimbela ukudluliselwa inqwaba imibungu. Manje emtholampilo anqunyelwe ezimbili (esimweni kakhulu, ezintathu) amaseli avundiswa. Zilungiselele yokuthi abazi zonke ukumila. umbungu ngokuxhunyelelwa akudingi izinto zokubulala izinzwa. Lapho ipayipi mncane ngqo enikeziwe iqanda eselivundisiwe kule ingaphakathi lesizalo siqedwa ngu inqubo edlulisa amashubhu fallopian. Izikhundla ihlala akukho kuka imizuzu 10-15. Ngesikhathi inqubo, owesifazane bangezwa ukungakhululeki imnene futhi kuyoba khona ubuhlungu kancane.

ngemva kokuhlinzwa

Yiziphi ngemiphumela IVF? Izibuyekezo kukhona nabesifazane ababemkhalela, badabula le nqubo, ethi ukuthi kwadlula isikhathi esithile ngemva ukudluliswa, kwakudingeka bahlale ngaphakathi kwezindonga isikhungo sakho sezokwelapha. Phakathi nale nkathi, odokotela batusa ukuthi ukuphumula. Ngakho-ke, ukuze ubuyele izimo evamile usazothola behluleka. Emva ukudluliselwa odokotela ukubukela owesifazane, ngaphandle yezinkinga kungenzeka. Uma kukhona ukopha, ubuhlungu acute ngemva IVF lokushisa evamile, khona-ke isiguli usungaya ekhaya. Owesifazane nerejista ukusekelwa okuqhubekayo, sihlinzekela ukusetshenziswa kwezidakamizwa isekelwe progesterone. Kufanele zisetshenziswe ngokuqondene kokungenela kwaba umzimba ophuzi akakwazi ngokuzimela silondoloze sokukhulelwa, okungase amaningi.

umphumela omuhle: sokukhulelwa

Linganisa yi zokukhwabanisa kungaba kwenziwe emva kwezinsuku 10-14. Ukuhlolwa sokukhulelwa ngokuvamile uninformative. Kubonisa a yi emihle ngenxa yokubakhona hCG i-hormone injected. Ngakho-ke kungcono ukuya ultrasound nodokotela wakho. Ngemva kwamasonto amabili nokudluliswa emshinini ezinhle sizobonisa khona noma ukungabi khona esibelethweni kule ingaphakathi lesizalo. Futhi impendulo esingayethemba yombuzo uyonika kwegazi okungaqhathaniswa nako hCG. Imiphumela evumayo kakhulu IVF - sokukhulelwa.

Ukubeletha ngemva IVF

Kanjani izingane zizalwa? IVF akudingi Ukubeletha. Kodwa, njengoba umkhuba imibukiso, ukubuyekezwa, kunikezelwe ukuba kaningi. Isizathu esikhulu lesi sifo bangaba abesifazane ezingamahlalakhona, izifo izifo zabesifazane emlandweni, nokukhulelwa izingane eziningi ngasikhathi. lokuzalwa Yemvelo ngemva IVF akuhlukile kokujwayelekile. Kodwa uma kubalulekile ukusho ukuthi nalesi sokukhulelwa bavame ukuba yezinkinga ezifana placenta previa, ngaphambi kwesikhathi lamabutho ngwengwzi, abasebenzi ababuthakathaka.

uhlangothi kwenqondo

Ngokuvamile abesifazane kokuba IVF nemiphumela kuthabathela ecaleni ngokwengqondo. Lokhu ngokuvamile kuba uma usebenzisa donor impahla: isidoda noma amaqanda. Ehlanganisa naye njalo uzama ukuthola lapho kuzalwa izici ingane ukuthi musa uqondane izici zabo. Ngakho abazali, odokotela belulekwa ukuba njalo uthintane nesazi sengqondo, njengoba isimo Kuvunguza ingalawuleki.

Ukwehluleka e-IVF njengoba olutholwa abesifazane kunzima kakhulu. Iziguli eziningi ufuna ukuqala ngokushesha kule olandelwayo elandelayo. Kodwa umzimba udinga isikhathi sokusukuma. Athole amandla, ngesikhathi esilandelayo uma amathuba ngoba lokhu kwakuyoba nomphumela omuhle kuyoba ephakeme.

Kufinyeta

Kusukela sihloko ungathola ukuthi yini imiphumela IVF. Le nqubo kuba buhlungu sina umzimba female. Ngakho-ke, kumelwe silungiselele kusengaphambili. I ngokuphelele ukulungiswa futhi kuyoba indlela izinto njengomuntu ohluzekile, ayanda amathuba Chile oqondile. Inhlanhla futhi ukubekezela!