ECO - ndi chiyani ndipo zimatheka bwanji?

Chidule cha IVF chakumveka ndi mkazi aliyense, koma sizimayi zonse zomwe zimadziwa izi komanso zomwe zimachitika. Pansi pa mawu awa, mu mankhwala opatsirana, ndizozoloŵera kumvetsetsa ubwino wa dzira lokhwima lokolola ndi spermatozoa pansi pa ma laboratory. Mwa kuyankhula kwina, kuyambitsidwa kwa selo lachiwerewere lachimuna kumachitika kunja kwa thupi lachikazi. Ndondomekoyi imapangitsa kuti pakhale mwayi wokhala ndi mimba ndipo imagwiritsidwa ntchito pazochitika pamene anthu okwatirana, pazifukwa zina, samatenga mimba mwachibadwa kwa nthawi yaitali. Tiyeni tiyang'ane pa IVF mwatsatanetsatane, ndikuuzeni momwe njirayi ikuyendera pang'onopang'ono.

Kodi IVF ikuphatikizapo chiyani?

Choyamba, ziyenera kuzindikiridwa kuti muzochitika zonsezi, njirayi ikhoza kukhala ndi maonekedwe okhudzana ndi thupi la mkazi, kupezeka kapena kupezeka kwa kuphwanya kwake.

Komabe, nthawi zambiri, njira ya IVF ikuphatikizapo izi:

• Kulowetsedwera kwakutchuka (dzina lachiwiri - kukondoweza kwa ma thumba losunga mazira);
• kupuma kwa follicles m'mimba mwake.
• feteleza a oocyte omwe adasonkhanitsidwa ndi kulima kwawo;
• kutumizira mazira mu uterine cavity;
• thandizo la gawo la luteal;
• Kupeza mimba kwa nthawi yaying'ono.

Nthaŵi zina, insemination yokhazikika ikhoza kukhala yopanda gawo loyambirira, pansi pa zochitika za msambo. Ganizirani momwe mungapangire IVF mwatsatanetsatane.

Kutengeka kwa kupambana

Cholinga cha sitejiyi ndi kupeza maselo ochuluka omwe angathe kuphulika. Pankhaniyi, mitundu yambiri ya zotchedwa protocol zingagwiritsidwe ntchito. Zakale, kapena momwe zimatchulidwanso, ndizitali, yambani tsiku la 21 la ulendo. Amatha pafupifupi mwezi. Pachifukwa ichi, kusankha chisankho cholimbikitsira, komanso mankhwala omwe akuyenera kuperekedwa ndi mlingo wawo umapangidwa payekha. Pogwiritsa ntchito pulogalamu yayifupi , imayamba ndi masiku 3-5 pazondomekoyi ndipo imatha masiku 12-14 okha.

Tiyenera kukumbukira kuti sitejiyi ikuphatikizapo kuyang'anira njira yopititsira patsogolo mapuloteni, komanso endometrium, yomwe ikugwiritsidwa ntchito pogwiritsa ntchito makina opanga ma ultrasound. Pankhaniyi, chiwerengero cha follicles, makulidwe awo amalembedwa, makulidwe a endometrium alizikika.

Kuthamanga kwa follicles

Njirayi imaphatikizapo kuchotsedwa kwa maselo achiwerewere kuchokera ku thupi. Ikuchitika transvaginally, pogwiritsa ntchito ultrasound. Pankhaniyi, amagwiritsa ntchito singano. Chifukwa cha kusokoneza, mazira 5-10 amapezeka. Ndondomeko yokha imagwiridwa ndi matenda a anesthesia omwe amalowa m'mimba kapena m'midzi. Nthawi yeniyeni itatha mpandawo, mayiyo achoka pamalopo.

Manyowa a oocyte ndi in vitro chikhalidwe

Mazira, komanso pamodzi ndi spermatozoa atengedwa kuchokera kwa wokwatirana kapena wopereka ndalama, amaikidwa mu mulingo wamchere. Ndi panthawi imeneyi kuti umuna umachitika. Mothandizidwa ndi makapu aatali apadera pogwiritsa ntchito microscope, feteleza ya dzira imachitika ndipo kuyamba kwa spermatozoon mkati mwake.

Pambuyo pa izi, njira yowalima ikhoza kutenga masiku 2-6, malinga ndi njira ya IVF yosankhidwa ndi dokotala.

Kutumiza feteleza

Choyamba, tiyenera kukumbukira kuti kuponderezedwa kumeneku kungagwiritsidwe pa magawo osiyanasiyana a chitukuko cha mimba: kuchokera ku zygote kupita ku blastocyst siteji. Pofuna kukwaniritsa zotsatira zake, malinga ndi machitidwe apadziko lonse, maambukidwe am'mimba amatumiza mazira awiri kamodzi.

Ngati tikulankhula za momwe mazira amazemberedwera ndi IVF, ndiye kuti njirayi, monga lamulo, sikuti munthu amafunika kuti anesthesia ayambe. Mothandizidwa ndi catheter yapadera yomwe imayambira mu chiberekero kudzera mumtsinje wa chiberekero, mazira omwe amakula amanyamula.

Thandizo la gawo la luteal

Zimapangidwa ndi kukonzekera kwa progesterone. Ndikofunika kuti mupangidwe bwino kwa mwana wosabadwa m'mimba mwa uterine myometrium.

Kusanthula kwa mimba

Zimapangidwa ndi kukhazikitsa ndondomeko ya hCG m'magazi a mkazi ndipo imachitika kale pa tsiku la 12-14 kuchokera panthawiyi. Kutsimikiziridwa kwa ultrasound ya kupambana kwa IVF kungakhoze kuchitidwa kuchokera masiku 21 mutatha kusintha. Mwa njirayi, imachokera mu nthawi ino (tsiku lodzala) kuti chiwerengero choterechi chimaonedwa kuti ndikutenga mimba ndi IVF.