Iphinde itshalwe imibungu nge IVF: kanjani kwenzekani?

kusukela epilweni yangamalanga yesimodeni lisibeka lwekutfutfukisa nokwanda of umkhakha nakanjani kuholela ekulahlekelweni ibhalansi yemvelo phakathi komuntu nemvelo. Bayanda, kuphakama izimo lapho umbhangqwana ayikwazi okukhulelwa ingane kuphela imizamo ngokuhlanganyela. Ngezinye izikhathi lo musho umsindo ekuxilongelweni omunye abashadayo, ngisho ngokuphelele abalingani impilo akuqinisekisi ukuthi Union umvuzo ingane eside elindelwe.

Kwezinye izimo, sikhonjiswa IVF

Ngo kokukhulelwa kwesibeletho (IVF) uqokwa kuka survey kokuqhuba uqinisekise ukuthi akunakwenzeka lokukhulelwa. Imizamo aphathe ukungazali zivame imisiwe iminyaka eminingi, kodwa inqubo abakhiqizi isikhathi uyakwazi ukwehlisa ematfuba umphumela omuhle kuphela. Ukubona ukwehluleka izinyathelo, lo mbhangqwana unelungelo lokufuna ukuba kusetshenziswe ekufezeni inqubo IVF emva kweminyaka emibili yokwelashwa.

Kangakanani ukuthuthukiswa umbungu

Emva kokukhulelwa, iqanda ibekwe endaweni emananzi ukhululekile, eseduze ukuba nolomzali zemvelo. Ukuguqulwa iqanda ezejwayelekile zygote, ukuthi kuyinto Umbungu owumphumela, namanje akusho ukuqedela inqubo. Ngaphambi iphinde itshalwe umbungu ngesikhathi IVF kufanele kwenzeke ngaphezu kwesikhathi esisodwa cell division ngaphansi ebhekiwe i sesayensi yemibungu nokukhula kwayo, sigubha esigabeni esisha ngasinye ukuthuthukiswa i umzimba.

Kusukela ngosuku sokukhulelwa yesibili, amaseli, udokotela angase abe ukunikeza i-akhawunti we-embryo okuhambelana nemithetho ipharamitha. Ngezinye izikhathi, uma ibuthakathaka, kodwa iphila, ke kuphakamisa isimo lebekiwe ukwakheka blastocyst (kwenzeka ngosuku 6), bese kuphela busuka ingaphakathi lesizalo. nesiqinisekiso okunjalo walungisiswa ingozi ephansi kumama njengoba akufaki kumiswa fetus eziningana esibelethweni, futhi ngaleyo ndlela kunciphisa ingcindezi emzimbeni.

Ngo evamile cell division eside ovumelekile ukuchayeka zemibungu kuyinto izinsuku ezintathu. Ngemva kwalokho, ezinye zazo, kodwa akukho engaphezu kwemibili, idluliswe emzimbeni wesiguli, futhi anamandla kakhulu kunazo zezinhlobo ezisele, simisiwe liquid nitrogen. Kodwa kanjani ngokuxhunyelelwa imibungu nge IVF?

Ilungiselela abesifazane ngoba umbungu inqubo iphinde itshalwe

kakhulu isinqumo sokuba ube umama ngendlela enzima iphinde itshalwe umbungu ngesikhathi IVF, kuyinto esanele sokuba ngowesifazane ukuba ubuyekeze namazinga ukudla kwansuku zonke. Kuyinto uhlelo ephilile enamandla futhi uhlelo strong sezinzwa incike umama okhulelwe inqubo siphumelela kangakanani.

Emasontweni ambalwa ngaphambi kosuku egg ukubuyisa abesifazane ekuboniseni amaprotheni yokudla nge inani lemali elincane amanoni inyumbazane ingqikithi imenyu ufulawa amnandi futhi isoya protein ne oqukethe izakhi izakhi izitsha. isiphuzo Kunconywe amanzi ahlanzekile ngaphezulu, freshes yemvelo ngaphandle izithasiselo yokufakelwa. Izithelo kungcono bakhetha a uphayinaphu fresh (uma iguliswa).

Ngosuku iphinde itshalwe embryo esibelethweni ngesikhathi IVF, kuyinto efiselekayo ukuze sikhuthaze kwegazi igazi kwezitho okhalo, odokotela beluleka owakwakhe ukuba benze ubuhlobo bobulili, futhi kuphela ke, ngemva inhlanzeko zesifazane, eqoqwe kuma yenzeka.

amahora amabili ngaphambi kwesikhathi esimisiwe iphinde itshalwe owesifazane udinga ukuthatha iphilisi Piroxicam. Eqhubekela phambili IVF, kungcono ukuzola futhi khumbula ukuthi iphinde itshalwe umbungu IVF ubuchwepheshe kobuhlungu nokungezona Kwenhlekelele.

Inqubo iphinde itshalwe umbungu

Lo wesifazane akaboni ukuthi belungiselela ukudluliswa embryo yoke, ngakho-ke asikwazi ukuthi lungakapheli yenzeka igobolondo umbungu ezilimele lula amaqanda ukukhululwa ngamabomu. Inqubo ebizwa ngokuthi i "ukuchamisela" futhi Kuphoqelekile.

Ngakho, indlela ngokuxhunyelelwa imibungu nge IVF? Ngemva ingxoxo nge udokotela, owesifazane enza isikhundla ukhululekile esitulweni izifo zabesifazane. Kulokhu, kungcono uphumule futhi vala amehlo akho, futhi ungakhathazeki, ukubukela njengoba kwenziwa imibungu iphinde itshalwe. IVF kubaluleke kakhulu ukuba bagcine ukuzimisela lesiguli engqondweni. I ipayipi, lapho udokotela ifaka ku wesibeletho uholwe ultrasound observation akusho ibakhathaze ezinzima uma imisipha okhalo bekhululekile futhi namanje.

Ukwahlulela ngokubukeka izivakashi zesifazane eziningi, iphinde itshalwe imibungu nge IVF sihamba, njengoba wakhomba e izingxoxo kwangaphambilini: ngokuphepha futhi ngaphansi kwesimo sengqondo sokukhathalela kwabasebenzi. Ngemva ukususwa isiguli ipayipi ucelwa ukuba ulale embhedeni ukuze ulondoloze futhi usesimweni sokuba uvume afeze engaphansana nje kwengu-ihora elilodwa. Phakathi nalesi sikhathi, le sesayensi yemibungu nokukhula kwayo zizodingida asele ipayipi tube eqandisiwe iphila futhi, uma imvume lesiguli, ukuthumela nabo ube yiqhwa cryogenic.

Kuyini cryopreservation

Ukuthola kwemvume pair of izinombolo lamaseli avundiswa akhethiwe izinto kuphela onamandla futhi iqine, lezo uzokwazi ukusinda izimo ezicindezelayo defrosting okwalandela. Imibungu ngaphezulu cryopreserved, kulapho cishe owesifazane izoqhuba futhi imizamo IVF okulandelayo, okungase kwenzeke ngemva kweminyaka eminingi.

Misa germ cells kwenzeka ngamazinga aphansi kakhulu HG, ngokuqinile -196 ⁰ C. Njengoba inqubo obrabatyvaniya liquid nitrogen futhi okwalandela nokuvuselelwa umbungu - uhlobo ukuqina eqinile nakho ngeke kusize ngaphansi umzabalazo ezingahlangani ukuphila, wakuphindaphinda IVF imibungu ukuxhumelela usebenzisa amaseli incibilikiswa kuphumelele kakhulu ngowesifazane.

Ukuzijwayeza ngemva iphinde itshalwe

Kusukela ngesikhathi lapho owesifazane eshiya kwehhovisi likadokotela, ngoba kuba lonke ezibaluleke kakhulu ezinsukwini ezintathu ezizayo. Mode ngemva spiking IVF imibungu amahora 72 inikeza esisebenzayo obezdvizhimost nesineke. Ngisho ne ezingavamile ekuphumeni egumbini yangasese ukusekela efiselekayo ngokomzimba umyeni wakhe, ukuze ukunciphisa igazi ligeleze ukhalo. ukwelashwa Water contraindicated ngosuku lokuqala!

Ukuze udokotela wakho acacisa Ukudla, kodwa uma owesifazane enempilo neziqondiso ezikhethekile akuzona, ngemva spiking embryo ngesikhathi IVF angadla konke, kodwa ne Ukugcizelelwa imikhiqizo yemvelo, kanye, yebo, ngaphandle ukufakwa ekudleni ikhofi, oily noma inani elikhulu ukudla ufulawa.

Ngemva kwezinsuku ezintathu, elele imodi isigaba womsebenzi ngokulinganisela iqala. Ayikho okungazelelwe ukunyakaza owesifazane ongenza ngokucophelela imisebenzi semakhaya, ukuhamba emgwaqweni, sigweme noma ikuphi nakho. Kulesi sigaba kubalulekile phuza amanzi amaningi okumsulwa-non-carbonated.

ukulawula

Ngo emva ukudluliswa umbungu ngezinsuku zokuqala ngokuvamile owesifazane bebhekene nenkinga wokukhulisa lokushisa, kodwa uma ukhumbula okushiwo kokungenela kwaba emzimbeni, amasosha omzimba impendulo kuyoba sobala. Ukwehlisa izinkomba thermometer akufanele kube, uma mercury kunqoba 37.6 ^0. Udinga ukunikeza umzimba wakho wedwa "inhlabamkhosi" ulwazi olusha futhi bakwemukele yokuthi. Esikhathini esizayo esiseduze Ukuvakashela udokotela lomkhuba ishuthiwe nokuhlaziwa.

Kuyadingeka ukuba banake imijovo okhethiwe. Yonke imikhiqizo kuyoba amathathu (ukubiza ejwayelekile): ngemijovo emibili "utrozhestan" ngobusuku emva inqubo, umjovo owodwa we "Progesterone" ekuseni ezinhlanu imijovo (amahora elinganiselwe scheme) "Fragmin" unesibopho evamile kwegazi ezithweni kwezitho zangasese. "Fragmin" kungenziwa kulolu hlu, uma imiphumela coagulation igazi ekunqandeni lesiguli akusho bachezuke kuyinsakavukela.

Ukuziphatha umzimba ngenxa yokusizwa

Ngenxa yokwethuka abesifazane, lapho bebhekene imihlola emva wokubhoboza, bona ezibonakala engaqondakali, ngenxa ongaphakeme Imininingwane okuqukethwe. Ngezansi uhlu izenzakalo ezinjalo, kanye okukhethwa kukho impendulo enembile kubo:

• Ukudweba, esilawulayo ubuhlungu besisu emva inqubo umuntu esesikhathini, - kuyinsakavukela ngokuphelele. Thatha lutho olunye akufanele kube.
• osenyameni kwesitho sangasese ngesimo uketshezi Pinkish ngosuku 6-12 th emva ukudluliswa umbungu - umphumela olulindelekile futhi efiselekayo, ethi nolwelwesi zase zihleliwe odongeni kwesibeletho. Ngokuvamile, uma ukopha enjalo ihlala hhayi ningi than 4 amahora. Udokotela kufanele kube mayelana isimo futhi ukuqhuba ukuhlolwa ukuze ahlaziye kahle ngezimo zesiguli.
• ukopha ngokweqile noma ukukhishwa-signal umbala obukhulu le iphinde itshalwe ukwehluleka futhi kudingeka esibhedlela esiphuthumayo. Ezimweni ezingavamile, kwezinyathelo ezathathwa ngokushesha ukulondoloza sokukhulelwa.

ngemva ncamashi amasonto amabili wokubhoboza, sesivivinyo chorionic womuntu gonadotropin (hCG). Imiphumela ethulwa ngosuku olufanayo, futhi owesifazane angeke ukuhalalisela thina uma lokuhlushwa le hormone ezibalulekile izokwenyuka. Ngezinye izikhathi hCG ukuhlolwa kudinga ukuphindaphinda ngemva kwamahora angu-72; ukulawula okufana kungenxa yokuba khona emakamu omnene.

izinsuku eziyisikhombisa ngemva ukulethwa igazi kule hormone (ngoyebo) ultrasound eyenziwa, ememezela okukhulelwa. Ngemva komunye izinsuku ezingu-14, misa yesibili - ukuhlola ukuthuthukiswa umbungu igxilile.

Uma othile hCG ekuphathweni ezimbi izidakamizwa ukuze silondoloze IVF umphumela inqanyulwe.

zinsuku zokugcina ezibucayi, okumele bahambe izinsuku 5-7, ukukhonza ngesilinganiso esithile umzamo uhlulekile iphinde itshalwe.

Lokho kungaba nomthelela emphumeleni iphinde itshalwe

Isici Afana Ngaso ukuthi inkimbinkimbi ukunamathela umbungu esibelethweni kukhona fibroids. Spiking 1 IVF umbungu kulesi simo Kwenziwa ukuze zygote wayengekho eduze kwe-isimila, okuyinto ivame ukuba sandise. Okunye izimo kubaluleke esihle sokusinda umbungu umzimba kamama ibizwa ngokuthi isikhathi ekhethwe kahle (ngokuvamile ezingu-20 umjikelezo) kanye nokuvuthwa elilungile lamaseli avundiswa. Uma neminye imibandela asethwe ngodokotela, kufanele ungakhathazeki, ngoba umzimba akusebenzi njalo like clockwork, futhi umehluko wemisindo nemiqondo yamagama ukuthi inake nobunye bomuntu ngamunye ezinhlelo abesifazane, bayakwazi ukunquma nomphumela omuhle.

Kodwa ngisho esimweni akufanele kubhekwe njengento engeyona ukuhlolwa negative, ukuthi intokozo umama Akusikho okwenu - iphesenti wangempela impumelelo emva umzamo wokuqala kuyaqabukela ezingaphezu kuka 45%. Kungase kudingeke ukuba kancane ukushintsha yokudla noma ukuyeka imikhuba emibi, uma ungenzanga kanjalo, futhi qiniseka uzame futhi usebenzisa ama-germ cells ngemva cryopreservation.