Isikhathi sama-follicle ane-IVF. Ilungiselela ukukhishwa kwe-follicles

Akunakwenzeka ukucabanga umndeni ogcwele ngaphandle kwezingane. Njengoba bethi, "abantu bahlangana, abantu bayathandana, bashade," kodwa ngeshwa, ngenzalo, hhayi bonke. Imithi yanamuhla ixazulula le nkinga ngokuphumelelayo. Enye yezindlela ku-in vitro fertilization. Ukwenziwa kwe-follicles ne-IVF kulokhu kuyindlela ephoqelekile.

Yini i-IVF?

I-IVF (in vitro fertilization) yindlela yokufakelwa kwengane, ngenxa yalokho amaqanda avela ku-ovary ahlanganiswe nethubhu yokuhlolwa egcwele umthamo wesondlo nesilisa wesilisa. Ezinsukwini ezimbalwa emva kokuqothulwa okufakelwayo, iqanda lifakwa esibelethweni, lapho liqala khona. Abesifazane batuswa ukuba bathathe i-progesterone ye-hormone, eyilungiselela isibeletho ngokubhekwa kwengane.

Ezimweni eziningi, umbungu ukhula kahle. Ngokuvamile, ukwandisa amathuba okukhulelwa, batshala imibungu emibili noma emithathu. Ukuhlolwa kokukhulelwa emva kokufaka umanyolo ohlakaniphile kunikelwa ezinsukwini eziyisikhombisa kuya kweziyishumi.

Uma ngemuva kwenqubo kukhona imibungu "eyengeziwe," iqhwa ukusebenzisa isikhathi esizayo (lapho okokuqala kungenzeki ukuthi ukhulelwe noma uma lo mbhangqwana ufuna ingane yesibili).

Amaqanda, njengendoda, ungasebenzisa owakho noma umnikeli. Indlela yokufaka umanyolo we-in vitro iboniswa kulabo abashadile abahlukumezekayo, abesifazane abavinjelwa ngamatayipi omzimba, kanye nabesilisa abanesidingo esincane (kancane).

Ngokwesilinganiso, inqubo eyodwa ye-IVF ithatha amasonto amathathu kuya kwanguyisithupha futhi ibiza ama-ruble angu-120-150 ayizinkulungwane. Ukuzama ukukhulelwa ngokusebenzisa ukuchithwa kokufakelwa kufanele kwenziwe uma i-IVF ihlulekile kathathu.

Izigaba ze-IVF

Ngaphambi kwe-IVF, udinga ukuhlolwa okuphelele futhi uxhumane nodokotela wakho ngezingozi nezinkinga ezingenzeka. Uchwepheshe kufanele ahlole isiguli esihlalweni, enze i-ultrasound futhi anikeze zonke izivivinyo ezidingekayo (i-blood for hormones, ukuhlolwa kwe-cytological smears, ukushaywa kwama-STD njalonjalo).

Ukuze uthole ukusabalalisa okuphumelelayo kokufakelwa, owesifazane nendoda badinga:

• Yiba nenempilo, ungenayo izinqubo zokuvuvukala ezinzima futhi ezingapheli.
• Ukuhola indlela yokuphila enempilo, ukuyeka imikhuba eyingozi, kufaka phakathi ikhofi.
• Ukuvivinya umzimba.
• Landela ukudla, udle amavithamini nsuku zonke.
• Ungathathi imithi ngaphandle kwemithi.

Ukwakhiwa kwe-in vitro kwenziwa ngezigaba eziningana futhi kungathatha amasonto amathathu kuya kwamasonto.

Isigaba sokuqala ukulungiselela. Kubandakanya ukuhlola okuphelele kokubili abalingani.

Isigaba sesibili yisisusa sokuvuthwa. Kuwo wonke owesifazane ovuthiwe ophilile ngesikhathi sokuhamba esikhathini esisodwa, amaqanda avuthiwe. Ukuphumelela ngempumelelo odokotela be-IVF kudingeka uthole amaqanda amabili noma ngaphezulu. Ngakho-ke, ukuvuthwa kwegazi kuvuselelwe ngosizo lwezimiso ezihlukahlukene ze-hormone ("Meganin", "Diferelin", "Organutran", "Menopur", njll). Imithi enjalo ingahle ibekwe udokotela kuphela. Amathebulethi athathwa ngokuqondiswa okuqinile kwachwepheshe. Ngezikhathi ezithile, i-ultrasound ingenziwa ukuze kunqume ukukhula kwezintambo.

Uma izintambo zifinyelela ku-16-20 mm, qhubeka esigabeni sesithathu. Lokhu kufakwa kwe-follicles ene-IVF - ukukhipha amaqanda avuthiwe ngenaliti ekhethekile. Inqubo ithatha imizuzu engu-15 kuya kwezingu-30 futhi yenziwa ngaphansi kwe-anesthesia yendawo ehlanganisa i-ultrasound. Ngesikhathi esifanayo ukugqunywa umlingani kumele kudlule isidoda.

Iqanda nesidoda ziyathunyelwa ebhokisatri ukuze kwenziwe ucwaningo oluqhubekayo nokukhulelwa.

Isigaba sesine ukukhulelwa. Amaqanda avuthiwe afakwa ebhodini lelabhuthrikhi ene medium nutrient. Khona-ke insimu ijojwe lapho. Amandla okuphela kwezinsuku ezimbili noma ezimbili (okungajwayelekile - ezinhlanu) kufakwe esitokisini, lapho ukukhulelwa kwenzeka khona. Uma iseli liqala ukuhlukanisa ngokushesha, selivele libizwa ngokuthi umbungu, olungele ukufakwa.

Isigaba sesishiyagalombili ukudluliselwa kwemibungu emgodini we-uterine. Inqubo ithatha amaminithi amaningana futhi ayibuhlungu ngokuphelele. I-embryo ifakwa esibelethweni nge-catheter ekhethekile. Ama-embrypreserve "ama-superfluous" asebenza ngokuzayo.

Emasontweni amabili okuqala umbungu uqala izimpande esibelethweni. Ukuxilongwa kokukhulelwa kungenziwa izinsuku ezingu-10-14 emva kwenqubo. Kunezimo lapho ukukhulelwa kokuqala kungenzeki. Ungaphelelwa ithemba. Ngemva kwesikhashana, ungazama futhi. Ngemuva kwemizamo emithathu engaphumeleli, i-IVF ayisekho.

Enye yezinhlelo zokufaka umanyolo we-in vitro ngumama wokubeletha. Isetshenziswa ezimweni lapho owesifazane engakwazi ukubeletha khona yedwa. Umama wokuzikhethela ugunyazwe ngokomthetho eRussia, e-Ukraine, e-Kazakhstan nakwamanye amazwe ase-United States. Kwamanye amazwe kungavunyelwe noma akulawulwa umthetho.

Isikhathi sama-follicle ane-IVF

Ukugqama kwe-follicles yikhiqizwa amaqanda avuthiwe ukuze kuqhutshekwe ukufaka umanyolo ku-vitro. Inqubo yenziwa nge-transvaginally (ngokusebenzisa ubulili) ngaphansi kwe-anesthesia ejwayelekile. Ezimweni ezingavamile, i- anesthesia yendawo ingenziwa . Ukukhishwa kweqanda kulawulwa yi-ultrasound. Isikhathi simizuzu engu-10-15.

Ngaphambi kokuba i-follicle iguqulwe kubalulekile ukugcina lezi zidingo ezilandelayo:

• Izinsuku ezimbili noma ezintathu ngaphambi kwenqubo odinga ukugwema ubulili.
• Qaphela ukudla okukhethekile kwamaphrotheni. Isikhathi esithile, shiya imikhiqizo edala ukuvutshelwa.
• Ukuxhaphazwa kufanele kwenziwe ekuseni ngesisu esingenalutho.
• Izinsuku ezilodwa nesigamu ngaphambi kokuphambana, udinga ukujoba ukulungiselela kwe-hCG okuzosheshisa ukuvuthwa kwe-follicles.

Ngemuva kwenqubo, isiguli singase sibe nomuzwa wokuthi ugozi oluncane, ubuhlungu esiswini esingaphansi. Ama-ovari emva kokukhuphuka kwe-follicles ukwanda, ngezinye izikhathi kuze kube ngu-12 cm ububanzi. Kungase kube khona ukubonakala. Lo mbuso uthathwa njengokujwayelekile.

Ukubukeka kwesiphithiphithi nokuhlanza, ubuhlungu obukhulu kanye nokuphuma okunzima kufanele kube okwesabekayo. Izimpawu kufanele ziziswe ngokushesha kudokotela, njengoba lokhu kungase kube yingozi hhayi kuphela kwe-IVF, kodwa nangokwenyama yesiguli ngokwayo.

Ingxenye eyinhloko yokuqothulwa kwamakhemikhali ukuguqulwa kwe-follicles ene-IVF. Ukubuyekezwa mayelana nenqubo kuhluke kakhulu, kodwa ngaphandle kokukhulelwa kwakhe kwengane akunakwenzeka.

Indlela yokuziphatha emva kwe-IVF?

Umbhangqwana oshadile owenziwe nge-IVF, ngokungangabazeki, kakhulu ufuna ukuba nengane. Ngemuva kokufakelwa kombungu ophumelelayo, owesifazane udinga ukwanda kothando nokunakekelwa. Izinsuku zokuqala emva kwenqubo, kungcono ukuchitha isikhathi sakhe ekhaya.

Ukufakelwa kwe-embryo okuphumelelayo sekuyisikhathi sokuqala kokukhulelwa. Kodwa-ke, lokhu kukhulelwa kunesimo "se-whims" sayo. Ngokuvamile kaningi okokuphila komuntu wesifazane, ikakhulukazi isibeletho, kuziphatha ngokucindezelayo ekubhekaneni nombungu we-embryo nokulahla impilo entsha. Ngakho-ke, emva kwe-IVF, ukukhubazeka kwesisu kwenzeka kaningi.

Ukuze umise lokhu kwenzeka kunconywa ukuba ugweme imisebenzi yomzimba kanye nobulili ezinyangeni ezintathu zokuqala. Awukwazi futhi ukuthatha okugeza okushisayo bese uvakashela ama-saunas.

Kufanelekile ukushiya yonke imikhuba emibi, okuvame ukugqugquzela ukukhubazeka.

Indlela yokuphila enempilo, ukudla okunomsoco kanye namavithamini yizo zonke ezidingekayo ekugcineni ukukhulelwa. Kubalulekile ukukhumbula isimo sengqondo esihle kanye nemizwelo emihle. Phela, imicabango iyaqhubeka!

Ukuhlolwa kokukhulelwa, kanye negazi ku-HCG, kumele unikezwe okungenani amasonto amabili emva kwe-IVF. Emasontweni amahlanu kuya kwayisithupha okukhulelwa kuyadingeka ukuba ube ne-ultrasound, okuzoqinisekisa ukukhula kokugcina nokunamathiselwe okuphumelelayo kwembungu kuya kwesibeletho.

I-Ovarian hyperstimulation syndrome

Kumele kuqashelwe ukuthi ukukhishwa kwama-follicles ne-IVF (impendulo ngenqubo ehlukile) ingenye yezigaba ezibaluleke kakhulu zokukhulelwa. Kodwa-ke, ngokuqaliswa kwalo udinga amaqanda amaningi enempilo ngangokunokwenzeka. Ukuze wenze lokhu, khuthaza i-ovulation ngosizo lwezidakamizwa ezikhethekile ze-hormonal. Umthelela ohlangothini wezidakamizwa yi-hyperstimulation syndrome, okuholela ekunyuseni kwama-ovari, ukwakheka kwama-cysts kuwo, ukuqubuka kwala ma-cysts nokuqoqwa kwamanzi emzimbeni wesisu.

Gwema imiphumela embi kungenziwa ngokuhlola okucophelela okuqhutshwa ngaphambi kokukhulelwa. Ukuhlaziywa kwamahomoni kuyadingeka. Siyabonga, ungabala inani elifanele lemithi futhi ugweme ukuguqula umzimba.

Uma isiguli sitholile lezi zimpawu ezilandelayo - ubuhlungu nokuhlaselwa esiswini esingaphansi, ukwanda okusheshayo kwesisindo, ukwanda kwesikhumba esiswini - udinga ukubonana nodokotela ngokushesha. Lokhu kungase kube ukuqala kwe-hyperstimulation syndrome, izinga elijwayelekile nelinamandla elidinga ukwelashwa kwesiguli.

Izinkinga emva kwe-IVF

Noma iyiphi inqubo eyenziwa ngaphandle kokuqeqeshwa noma isazi esingenalwazi kungaba nemiphumela emibi. Lokhu kukhathazeka ne-IVF. Ngakho-ke, ukugqugquzelwa kwe-ovulation ngezinye izikhathi kuholela ekuxosheni. Ngenxa yalokho, ama-ascites angathuthuka - isakhi se- fluid emgodini wesisu.

Ngezinye izikhathi ukucindezeleka kuphakama emva kwenqubo enjalo elula njengokunqunyulwa kwe-follicles. Ukubuyekezwa kweziguli ezithile kunesimo esesabekayo - ubuhlungu obunzima, ukuphuma okukhulu. Konke ngoba ngesikhathi sokugqunywa kwe-follicle kungathinteka nakwezinye izitho ze-pelvis encane.

Umphumela ovame ngokufanayo wokusabalalisa okufakelwayo ukutheleleka. Isizathu esiyinhloko - ukunganakeki kodokotela, izimo ezingezona oyinyumba.

Ngakho-ke, ukukhetha imitholampilo ye-IVF kuyadingeka kakhulu. Futhi uma ukuxhashazwa okunjalo, njengokugqama kwe-follicles, ukubuyekezwa kweziguli kunamabi, ngakho-ke isibhedlela esiqhubayo kufanele sigwenywe.

Ukuqhathaniswa kwe-IVF

I-ECO ukuphathwa kabi kwezokwelapha okunikeza imindeni engenamathuba ithuba lokuba abazali. Noma kunjalo, le nqubo inezingqinamba zayo. Lezi yizi:

• Izifo zesifo se-Somatic (izifo zenhliziyo, imithwalo yegazi, uhlelo lokuphefumula, isibindi, izinso, uhlelo lokugaya, izifo ze-genetic kanye nezinye).
• Izifo ze-psyche.
• Ukukhubazeka kwangasese, izinhlaka ezingavamile zesisu.
• Izakhiwo ezinobungozi ezimbi embelethweni, lapho kungenakwenzeka ukugcoba i-follicles ne-IVF (imiphumela yukufa kwesiguli).
• Izinqubo ezivuthayo zokuvuvukala.

Ngemuva kokwelashwa kwezifo, ungaqala uhlelo lwe-IVF. Uma ukwelashwa kwezifo kungazange kulethe imiphumela, indlela yokuphela kuphela yokusebenzisa isevisi "yokubeletha umama".

Isiphetho

Ngenxa yobuchwepheshe obusha bezokwelapha, i-ECO inikeza imibhangqwana eminingi ithuba lokuba nomntwana. Izinkulungwane zemindeni sezivele zisebenzise leli thuba futhi ziba abazali ngokuphepha.

Ukuqotshwa kwezintambo ezihambisana ne-IVF kuyisici esibophezelayo, ngaphandle kokuthi kungenakwenzeka ukuthi umklamo wokuphila okusha awunakwenzeka. Iqanda lokukhulelwa linganikezwa kokubili owesifazane ozoba umama, nomfazi ozinikelayo.