Izizathu for yokusizwa akuphumelelanga. Ngemva kokuthi i-IVF baphumelele lapho ukuphinde uzame?

Ukukhulelwa - kuyinto injabulo yangempela emndenini. Kodwa ngeshwa, akuzona zonke owesifazane unikezwa ukwazi injabulo umama. Uma ngasizathu simbe kungekho sokukhulelwa ngendlela engokwemvelo, onguchwepheshe ingagunyaza IVF. Lokhu iphinde itshalwe yokufakelwa zemibungu phakathi komgodi lesizalo. Nokho, asikho isiqinisekiso sokuthi esikhathini esizayo esiseduze kuyoba ingane eside elindelwe emkhayeni. Ngemva kokuthi i-IVF akuphumelelanga emva kwesikhashana ungazama futhi. Kodwa okokuqala kufanele sithole ukuthi kungani zonke sokukhulelwa lwenzeke.

Kubi izinga imibungu

I iphinde itshalwe ku umgodi we imibungu kwesibeletho kodwa nje bese kuba-IVF. Ngemva kokuthi i-IVF akuphumelelanga nakanjani kufanele sithole ukuthi kungani sokukhulelwa lwenzeke. Isizathu sokuqala kungaba ompofu izinga imibungu. Ideal for iphinde itshalwe eziphilayo kubhekwe, ehlanganisa amaseli 7-8, obonisa kakhulu ukusebenza division. Uma e inqubo nokuvuthwa we-embryo kukhulisa kancane, cishe njengoba esibelethweni, kungaguquki lutho. ukukhulelwa ezinjalo ngokuvamile eyeka ngendlela efanele usaqala, begodu i-embryo eshicilelwe lapho eseqala ukuya esikhathini njalo.

Ezimweni eziningi, imibungu ezimbi ezivezwa kusukela isidoda neqanda amaseli nge kahle. Ngakho-ke, ukuvuselelwa emva IVF kuhlulekile kufanele sifake ukuxilongwa ngokuphelele zezinto eziphilayo bobabili abashadile. Umuntu kumelwe enze ukuhlaziywa isidoda, futhi lona wesifazane ekhaya azokuqhubela inhlolovo ngesikhathi udokotela wezifo zabesifazane. Isazi ihlaziya futhi kuthatha swabs izitho zangasese kubantu besilisa nakubantu besifazane.

sesayensi yemibungu nokukhula kwayo abanolwazi uyakwazi ukuhlola iningi ngokunembile isimo umzimba, okuyinto ehlala umgodi we abesifazane kwesibeletho. Lokhu kufanele kube i-embryo ukusebenza eliphakeme, ngaphandle kwehlukana. Uma umzimba unohlobo angajwayelekile noma kuhlukane ezahlukene kancane, it is hhayi podsazhivayut ngoba ukuqhubeka ukukhulelwa. Cishe, lena akuyona i-embryo ezimiselwe ukuba abe yingane. kwesibeletho fertilization impumelelo kuncike abangochwepheshe lucwaningo inqubo. Ngakho-ke, kubonelelwa kakhulu ama-izibhedlela eziye kungase kutholakale ukuthi ohlangothini ezinhle. Ngemva kokuthi i-IVF akuphumelelanga uchwepheshe ofanelekayo izozama ukuhlonza imbangela isimo futhi benza konke abangakwenza ukuze ukukhulelwa oyifunayo kodwa iphutha.

Izinkinga endometrium

Isakhiwo kanye nosayizi endometrium unendima enkulu phakathi iphinde itshalwe sombungu. Ngemva izifundo eziningi kwatholakala ukuthi ngaphandle kwesibeletho fertilization wenziwa ngempumelelo uma ukujiya endometrial kuyinto 7-14 mm. izinkomba ezinjalo ngokwanele ukuba ngokuphephile unamathisele umbungu esibelethweni. Ngaphambi inqubo, onguchwepheshe kumelwe nifeze ucwaningo emshinini ultrasound. Ngemva kokuthi i-IVF akuphumelelanga bawenza ukuhlolisisa egcwele ngaphakathi komgodi lesizalo. zokugula Endometrial unqabe onguchwepheshe wokuqala. Iqiniso ukuthi inkinga ngaleli ingxenye yomzimba besifazane babevame avuse ekunqanyulweni kwesikhathi sokukhulelwa.

endometritis Okungalapheki - lo zokugula esiyisisekelo, ezingakwazi intuthuko yamakhono ukukhulelwa okunempilo. Lesi sifo kalula kungenzeka ukunquma esebenzisa ultrasound. inzwa kwesitho sangasese kusiza ukucacisa khona uketshezi esibelethweni, kanye ukukala isibunu lemali.

Kufanele kuqashelwe ukuthi isimo endometrium kwabesifazane kwesibeletho incike amasosha omzimba wendawo. Uma ubulili bubuhle has a ukumelana abampofu ukuba namagciwane abangela izifo futhi amagciwane, cishe ngeke kuphele kahle IVF. Ngemva kokuthi i-akuphumelelanga IVF owesifazane nakanjani kufanele kudlule CBC. Ngokukhethekile ikhokhelwa elingamathalenta elithwala umoya-mpilo. Uma lokhu ipharamitha komzimba lingaphansi kunalokhu okujwayelekile, isiguli ezinqunyiwe imunnostimuliruyuschie, kanye nensimbi Izithako.

Pathology esibeletho

Uma emva IVF akuphumelelanga akukho nezikhathi emjikelezweni yesibili, isiguli kufanele sinake isimo amashubhu fallopian. Omunye pathologies ezimbi kakhulu kuba khona hydrosalpinx. Ngenxa isimiso we fallopian amashubhu owesifazane uba oyinyumba ngokuphelele. Ngisho inqubo IVF akukuniki elamukelekile.

Gidrosalpinsk - kuba zokugula sina, lapho amashubhu fallopian buthelela esiningi ngokweqile uketshezi. Okuvame kakhulu imbangela yokugula aphume ashone izinqubo ezingamahlalakhona ukuvuvukala kule ukhalo. Ngaphansi ngokuvamile, ukuvimbela eba ngenxa izici isakhiwo kwesibeletho. Esimeni sesibili, inkinga isixazululekile ngumuntu kokungenela kuhlinzwa. Kuyaphawuleka ukuthi kukhona gidrosalpinksa kokubili single futhi follicular. Esimweni sokuqala, ukuqeda inkinga kungenzeka ngokushesha okungaka. Ngayiphi indlela washaya ekuguleni amashubhu fallopian, kungatholakala kuphela emva luhlolo egcwele ngaphakathi komgodi lesizalo.

Inkinga iwukuthi lapho kusaqalwa gidrosalpinsk cishe akusho ukuzibonakalisa. Thola ukugula kungenzeka ngesikhathi ultrasound kuphela. Ngaphambi ukulungiselela for yokusizwa ngemva komzamo ongaphumelelanga, kufanele aphathe izitho okhalo, kanye ukuqeda ukuvimbela amashubhu fallopian uma ikhona. Eminye imitholampilo futhi luqhutshwa ukwelashwa ezinkulu. Amashubhu, okuyinto ibanjiwe hydrosalpinx lususwe. Ngokuvamile, ngemva kokuhlinzwa ezinjalo ngenxa kwesibeletho fertilization abesifazane abakhulelwe ngempumelelo.

kwezinso zofuzo

Uma ukukhulelwa ingekho emva umzamo kuhlulekile ka-IVF, zofuzo ochwepheshe batusa ukuba uthole ukuhlolwa karyotype. Okuwukuphela kwendlela ukunquma uma kukhona ngeziphambeko kusukela omunye abalingani. Ezimweni eziningi, imibungu ayilungile ekuthuthukiseni ungahlali isikhathi eside ingaphakathi lesizalo. Ngenxa yalokho, lo mbhangqwana kwadingeka ukuba ukhathazeke lenqwaba imizamo kuhlulekile ka kwesibeletho fertilization.

Ngokuvamile abashadayo abaphethwe ukungazali, elesishiyagalolunye chromosome kombhala kwenzeka. Lungisa le zokugula, ngeshwa, akunakwenzeka. Singagcina ngokubu- kholwa isimangaliso. Kokunye kweziyishumi izimo, umuntu angabona ngokuvamile baba ukhulelwe futhi une ingane ephile saka.

Ukuze iziguli abanezihlobo ukukhubazeka kwezakhi zofuzo, kungcono ukwenza umuthi zofuzo zomuntu ngamunye. Ngakho, sesayensi yemibungu nokukhula kwayo umuntu angakwazi ukuhlonza amathuba wokuthuthukisa imibungu yekhwalithi ephansi. Uma kungenzeka nesenzakalo okukhulelwa enempilo ingaphezu kuka-50%, ngaphandle kwesibeletho fertilization kwenzeka. Uma kwezinso zofuzo itholiwe, abazali esizayo belulekwa ukuba kudlule kokuxilongwa. Ucwaningo esizayo ekuboneni ukuthi inzalo esizayo ngeke balizuze ifa ukuphambuka, okuhlanganiswayo ku karyotype abazali.

Kubalulekile nokukhumbula ukuthi inkinga nge zofuzo - lokhu akulona umusho. Ezinye izifo zizuzwe ngu inzalo ka-athikili abathile kuphela. Ngo kokukhulelwa kwesibeletho has omunye inzuzo enkulu. Leli yithuba ukuhlela ubulili umntwana.

Izinkinga omzimba abesifazane

Kungaba nzima ukubikezela umphumela IVF ukwelashwa. Ngemva kokuthi i-IVF akuphumelelanga, ochwepheshe abaningi batusa ukuba abesifazane ibhekane cwaningo esesimisweni somzimba sokuzivikela i umzimba. Ukusebenzisa cwaningo akakwazi ukunquma ngokuthe khona amasosha ukutheleleka okuyisisekelo.

Inkinga imibhangqwana eminingi ubuye ukungavumelani zofuzo. Ngokuvamile, lesi simo siyenzeka lezi zithandani kanye RH konfiliktom, lapho owesifazane, isibonelo, has a negative RH isici, futhi indoda - omuhle. Sikamama okhulelwe uthola umbungu njengoba nomzimba angaphandle. Amasosha Omzimba ocushiwe futhi ababulala umzimba okuncane, ongakaqaliswa kwadingeka isikhathi ukuthola kahle kuphela ukwakha isizinda kuleli kwesibeletho. Ukuze Esimweni esinjalo akazange kuphakama, owesifazane RH negative, ezinsukwini ezimbalwa emva kokukhulelwa uchitha esibhedlela. Uma kudingeka, umama olindele umntwana iqondiswa ongaphakeme umthamo "Immunoglobulin" ukulungiselela.

Ubudala isiguli

Ngokuvamile iziguli ngaphandle kwesibeletho imitholampilo kokukhulelwa kukhona abesifazane abangaphezu kweminyaka engu-iminyaka engu-40. I ubulili fair iminyaka bezama ukuthola ukhulelwe indlela yemvelo futhi ekugcineni kuphela nokufuna usizo lochwepheshe bezokwelapha. Kodwa isikhathi esiyigugu ingakulahlekela kakade. Inkinga iwukuthi ngeminyaka, ikhono ukuzalwa abantu besifazane kakhulu ziyancipha. Kungase kungabi njalo uhambe kahle, futhi-IVF. Ngemva kokuthi i-IVF akuphumelelanga abesifazane abadala badinga isikhathi esengeziwe ukuze alulame.

Ubudala uyise esizayo nakho kubalulekile. Ngokuvamile, amantombazane asemasha awakwazi ukukhulelwa ngoba nje uzakwethu ubulili Ubuyisé kakade 45. Njalo ngonyaka, izinga isidoda liwohloka kakhulu. Iqembu ingozi sihlanganisa amadoda nge ngokweqile isisindo kanye notshwala abathandi ugwayi.

Ozakwethu ubudala maphakathi, owafika inqubo IVF okokuqala, zidinga ukunakekela okukhethekile phezu ingxenye nabezokwelapha. Pair kuyodingeka ahlolwe ngokugcwele emzimbeni futhi sidlule kokuxilongwa phambi iphinde itshalwe umbungu esibelethweni. Ngo abesifazane abaneminyaka engaphezu kuka-45 ngokuvamile isimo lapho ngemva IVF kuhlulekile akukho izinkathi izinyanga 3. Kukhona ithuba ukuthi ubulili bubuhle ongene esiteji menopause nokukhulelwa ingekho ngezizathu bokuphila.

ukhuluphele

Ukukhuluphala cishe njalo into ethile ebiyisithiyo evamile sokukhulelwa sokukhulelwa. Izinkinga ezivamile zenzeka kusaqalwa. Lokhu kungenxa zokugula of follicle wesibeletho. Indlela ukuthola ukusuka IVF kuhlulekile? Okokuqala, udinga ulahlekelwe isisindo. Abazimele, ungasebenzisa izincomo a okunomsoco. Ungagxambukeli, futhi amakilasi egumbini ukuqina.

Inkinga ukuzalwa inzalo ephile kahle abesifazane okhuluphele, kodwa futhi amadoda hhayi kuphela. Ngu amadoda abakhuluphele ngokuvamile aba isidoda abampofu ukuhlaziywa. Ngenxa yalokho eliphansi imibungu okukhulile dlulisa ingaphakathi lesizalo ngemva iphinde itshalwe.

Emumva IVF

umzimba Female emva isisu ayibhampise ehlukile. Konke kuncike izici bokuphila. Kaningi kuyenzeka ukuthi ngemva IVF kuhlulekile akukho nezikhathi. Izibuyekezo lodokotela abonisa ukuthi umjikelezo kubuyiselwa ezinyangeni ezimbalwa. Uma ukopha kokuya esikhathini esilandelayo akezi ngendlela esifike ngesikhathi, kutuswa ukuba kudlule kokuxilongwa okwengeziwe udokotela wezifo zabesifazane. Lo chwepheshe angabeka hormone ukusiza ngokuphepha ukubuyisela umjikelezo.

Ngemva i kokukhulelwa akuphumelelanga futhi bangezwa nezikhathi esindayo. Asikho isizathu sokuba netwetwe, kodwa bonana nodokotela wakho kuqala sisenjalo namanje. Mhlawumbe ngale ndlela umzimba female kuqeda umbungu okungahambisani engraft phakathi komgodi lesizalo. Ukopha lokuqala kokuya esikhathini ngemva kuhlulekile kwesibeletho fertilization ingahlala izinsuku 7-10.

Ukukhulelwa ngemva IVF kuhlulekile

Uma ukholwa ukuthi izibalo, 30% of the imibhangqwana emva IVF kuhlulekile ikhulelwa ngokwemvelo. Lokhu kungenxa inqubo inselele ukuthi wenziwa emtholampilo. Phela, ochwepheshe kungukuthi kuphela adluliselwe esibelethweni umbungu kwesibeletho, kodwa futhi kwenziwe ukuhlolisisa egcwele kokubili abalingani, ukukhomba imbangela ukungabi nenzalo. Abaningi sifo emva kokwelashwa ukunikeza umphumela omuhle. Ukuze ezinyangeni ezintathu ezedlule kungenzeka ukuthola sokukhulelwa oyifunayo. Ngemva kokuthi i-akuphumelelanga IVF ngenyanga ukubambezeleka kungaba ukumangala yangempela.

Uma kwesibeletho fertilization isidlulile ngaphandle yalokho, akufanele siphelelwe ithemba. Zama kungaba kudala njengoba ngenyanga ezayo. Matanisa sonke isikhathi kudingeka ahole indlela yokuphila enempilo futhi ngidla ngendlela efanele. Umsebenzi we-oyisazi ukuhlonza imbangela yokungaphumeleli. Ungase udinge ukwelashwa bobabili abangane bomshado esibhedlela. Ngaphezu kwalokho kumelwe sidlule kokuxilongwa.

Kufinyeta

kwesibeletho inqubo kokukhulelwa kudinga nezindleko ezidingeka zezimali. Omunye Ungaqonda abashadayo, uma babefisa sokukhulelwa ngenxa umzamo eside ingekho. Nokho, ungalilahli ithemba. Into esemqoka - ukugcina zonke iseluleko udokotela kanye ahlolwe ngokugcwele emzimbeni. Ezimweni eziningi, ukukhulelwa kwenzeka kusukela umzamo wesibili noma wesithathu.

inqubo-IVF akuyona ingozi emzimbeni yabesifazane. Ngakho-ke, kungenzeka ukuba enze into nenombolo enganqunyelwe yezikhathi. Nokho, ngemva kwemizamo eminingana akuphumelelanga, onguchwepheshe ingagunyaza enye - by amaqanda donor noma isidoda.