ECO ICSI - zonse zokhudza njira yamakono ya umuna

Pamene banja likufuna kwenikweni mwana, ndipo mkazi sangakhoze kutenga mimba mwachibadwa kwa nthawi yayitali, banja limayamba kuyesa njira zopangira. Njira imodzi ndi ECO ICSI (ICSI). Izi zimakhala mkati mwa vitro feteleza pogwiritsa ntchito jekeseni la intracytoplasmic.

ECO komanso ICSI - ndi chiyani?

IVF insemination yokopa ndi njira yomwe mazira ndi spermatozoa amaikidwa mu chidebe chimodzi. Mu chikhalidwe ichi, kugonana kumachitika mwa njira yachilengedwe. Koma ECO ndi ICSI ikuchitidwa ndi kukwapulidwa kutchulidwa ndi kusalongosoka kwa amuna. N'zotheka ndi morphologically yofanana ndi yotheka tadpole.

Poyankha funso lodziwika bwino ponena za momwe IVF IVF iliri, momwe njirayo ikukhalira, ziyenera kunenedwa kuti njirayi ikuchitidwa mwaluso pogwiritsa ntchito microscope. Katswiri wa embryo amatenga 1 spermatozoon ndikuiyika mwachindunji mu dzira mothandizidwa ndi zipangizo zapadera (singano ndi sucker omwe ali ndi capillary). Njira imeneyi imathandizira kuthira manyowa onse omwe adapezeka pakutha.

ECO komanso ICSI ndi njira yovuta kwambiri yomwe imafuna ntchito yosavuta ndi yofulumira ya katswiri. Izi zimachitika pakuwonjezeka kambiri. Ndi njirayi, madokotala amagwiritsa ntchito njira yodalirika yopangira micromanipulation yomwe zipangizo zamagalasi zimagwiritsidwa ntchito. Kupyolera mu chisangalalo, zimakulolani kuti mutanthauzire kusuntha kwa manja kuti mukhale opaleshoni ya zipangizo.

ECO Statistics ICSI

Musanavomereze ndondomekoyi, mabanja ambiri amakhudzidwa ndi funso la zomwe IVF ECHO imachita. Malingana ndi ziwerengero, chiwerengero cha chonde chikhoza kukhala kuyambira 30 mpaka 80%. Mimba imadalira zinthu zosiyanasiyana, zofunika kwambiri ndi izi:

1. Mtundu wa maselo a majeremusi. Mwachitsanzo, spermatozoon yosankhidwa ikhoza kukhala ndi makhalidwe abwino kwambiri, koma imakhalanso ndi vuto lachromosomal. Zimakhudza zotsatira za IVF IVF ndi mazira a dzira, makamaka momwe amatha kugawa.
2. Zaka za mkaziyo. Zaka zisanu zilizonse, kuchepetsani kwambiri kuchitapo kanthu pa kukondweretsa. Mwachitsanzo, asanakwanitse zaka makumi atatu ndi zitatu (30), mwayi wokhala ndi pakati kuchokera pa woyamba ndi 48%, mpaka 35-40%, pambuyo pa zaka 45 - 20 peresenti yokha.
3. Chibadwa cha makolo. Kuzungulira kumene chiwopsezo chinachitika kumapereka mwayi wochepa wopambana umuna.
4. Kuwonongeka kwa zinthu zakuthupi panthawi ya fetereza ndi ICSI.
5. Thanzi la mkaziyo komanso kuthekera kwake kupirira mwana wamphamvu.

Asanayambe ndondomekoyi, amayi omwe akuyembekezera ayenera kupita kukaonana ndi mayi wodziwa za matenda a mayi, komanso bambo - komanso ma genetic, kuti asamaperekere mwanayo. Komabe zidzakhala zofunikira kupereka mayesero onse, kudutsa kapena kufufuza zovuta, komanso ngati pakufunika thandizo, ndi chithandizo kwa mwamuna ndi mkazi. Palibe dokotala yemwe angapereke chitsimikizo cha 100% kuti atachita ICSI dzira lidzalumikizidwa molondola.

Ngati mimba siidachitike pakatha zotsatira zinayi zotsatirazi, ndiye kuti zotsatira zowonongekazi zingachepe kwambiri. Nthawi zina pali zochitika zomwe kuikidwa kwa nthawi yaitali kuyembekezera kuyambira nthawi yachisanu ndi chitatu. Nthaŵi zambiri, madokotala amapereka njira zina zothandizira kusagonjetsa: kupereka spermatozoa, ovules, mazira kapena amayi amasiye .

Kodi ndondomeko yotani ya IVF IVF - sitepe ndi sitepe?

Musanachite izi, makolo oyambirira ayenera kukonzekera zamoyo zawo. Njira ya ECO IVF ikuchitika pang'onopang'ono:

1. Kulimbikitsidwa kwa mazira ochulukitsa oocytes. Mkaziyo amaikidwa mankhwala osokoneza bongo, omwe ayenera kutengedwa mkati mwa masabata 2-3. Panthawiyi, madokotala akuyang'anira chitukuko cha follicles ndikuyembekezera kusasitsa.
2. Mazira a mzira amachitidwa ndi aspiration ndi kupuma kwa follicles. Kenaka amaikidwa maola angapo m'katikati mwa zakudya komanso ma oocyte amapezanso. Njirayi imagwiritsidwa ntchito pogwiritsa ntchito mankhwala osokoneza bongo.
3. Kukonzekera umuna ndi kulekanitsa umuna wokhudzana ndi umuna , umene umangoyambitsidwa ndi microneedle (yosokonezedwa ndi mchira), ndiyeno imayamwa mmenemo.
4. Tumizani. Pa microprimer, dzira limachitidwa, ndiye microneedle amathyoka ndi envelopu yake ndi jekeseni mu umuna.

Ndi mazira angati omwe ali ndi umuna omwe angadziwitsidwe tsiku lotsatira, ndipo patapita masiku atatu mazira oyambirira amachotsedwa pachiberekero kuti apite patsogolo. Amagwiritsidwa ntchito ndi catheter yochepa popanda kugwiritsa ntchito anesthesia. Akatswiri amasankha mazira oyambirira kwambiri, ndipo ena onse amasungunuka ndi kusungidwa kuti agwiritsidwe ntchito mtsogolo ngati mimba sichipezeka.

ECO ICSI - maphunziro

Kuti akwaniritse zotsatira zake, madokotala amalimbikitsa kuyambitsa IVF ndi ICSI mu chilengedwe. Asanayambe, makolo otsogolera ayenera kukhala ndi moyo wathanzi, kuchita masewera olimbitsa thupi, kudya bwino komanso kusiya makhalidwe oipa. Ndiponso, akatswiri amalimbikitsa kuyesa mayeso kuti:

• HIV;
• Rh ndi gulu la magazi;
• Chotsatira;
• chiwindi;
• spermogram;
• STI;
• ECG;
• kufanana, ndi zina zotero.

Kodi ICSI ili ndi IVF liti?

Ndondomeko ya IVF IVF imaperekedwa m'milandu yotsatirayi:

1. Chiwerengero cha mazira ndi osachepera 4.
2. Chiwerengero cha spermatozoa ndi chochepa.
3. Mu nyemba, ma antibodies antisperm kapena matenda omwe anapezekapo.
4. Spermatozoa anapezeka pogwiritsa ntchito njira yopaleshoni kuchokera ku epididymis kudzera pakhungu.
5. Kuchuluka kwachepa kwa kuyamba kwa feteleza ya IVF.

Kodi ndi mazira angati omwe amafesedwa ndi ECO IVF?

Miyeso ya IVF IVF imaphatikizapo kupachikidwa kwa mimba m'mimba mwa mkazi. Akatswiri amasankha kuchokera kwa iwo zabwino koposa kuchuluka kwa zidutswa 2-3. Kawirikawiri kamwana kamodzi kokha kamayikidwa, koma pali zochitika pamene zonsezo ndizo. Zikatero, mimba yambiri imachitika, yomwe imakhala ngati mimba yomwe imakhalapo nthawi zonse. Pankhaniyi, amayi oyembekezera ayenera kutenga Progesterone yowonjezereka.

Mimba pambuyo pa IVF IVF

Kukula kwathunthu kwa mimba, pamene mimba ya ECO IKI inabwera, mwinamwake mu 90%. Njirayi imapereka mpata wopirira mwana wathanzi, koma njira iyi si yachibadwa kusankha maselo a kugonana. Pa chifukwa chimenechi, mwanayo ali ndi congenital pathologies. Kuti zimenezi zitheke asanabadwe, m'pofunika kuyendera malo obadwa nawo.

ECO ICSI - misampha

Chifukwa cha zamakono zamakono, pafupifupi mkazi aliyense akhoza kutenga pakati lero. Pambuyo poyambitsa mimba pambuyo pa IVF IVF kwa nthawi yoyamba zimakhudza zonse zachirengedwe za chilengedwe, ndi ziyeneretso za katswiri ndi thanzi la makolo. Sankhani kachipatala chovomerezeka, kumamatira ku ndondomeko ya madokotala, khulupirirani zotsatira zabwino ndipo ndiye kuti mudzachipeza.