Kusiyanitsa kwakukulu pakati pa IVF, kumagwiridwa ndi chilengedwe, kuchokera ku njira zina ndikuti palibe chifukwa chomwa mankhwala. Ndipo iwo, monga mukudziwa, angayambitse zotsatira zosiyanasiyana.
Pachifukwa ichi, gawo loyamba la IVF limasowa, zomwe zimapangitsa kuti mazira ndi mavitamini apitirire. Pulogalamu ya IVF, chilengedwe chikudikirira mpaka dzira limakula palokha. Kulamulira pa kusasitsa kwa dzira kumalola kuyang'anira ndi ultrasound ndi kutsimikiza kwa mlingo wa mahomoni. Pambuyo pa izi, tambani follicle ndi kutenga dzira. Gawo lotsatira ndilokudyetsa dzira, kulima kamwana kameneka ndi kumangika mu uterine. Pambuyo pa njirayi, palibe chosowa cha mankhwala ena.
Feteleza mu chilengedwe - zabwino
Kugwiritsiridwa ntchito kwa IVF mu kayendedwe ka chilengedwe pamodzi ndi ICSI kwambiri kumapangitsa kuti pakhale mimba. Popeza spermatozoon yathanzi ndi yodalirika imasankhidwa ndikuyikidwa mwachindunji mu cytoplasm ya selo la dzira. ICSI imagwiritsidwa ntchito pamaso pa kuwonongeka kulikonse kwa motility ndi khalidwe la spermatozoa.
ECO mu chilengedwechi imapewa kutulutsa thupi kwa thupi. Ndipo, motero, zimalepheretsa chitukuko cha ovarian hyperstimulation syndrome. Palinso ubwino wambiri mwa njira iyi:
- Vuto lokhala ndi mimba zambiri limachepa. Popeza dzira limodzi limapsa limodzi (osakhala awiri), ndiye kamwana kamodzi kakabzalidwa m'chiberekero.
- Kuopsa kwa mavuto monga kupha magazi ndi kutupa kumachepa.
- Zokwanira chifukwa cha kusabereka kumene kumayambitsa matenda kapena kusowa kwa mazira.
- Popanda kutulutsa mahomoni, kamwana kamene kamakhala bwino pa endometrium.
- Kuchepetsa ndalama zachuma poyerekeza ndi feteleza, zomwe zimafuna kusonkhezera mazira.
- Palibe zotsutsana.
- Kuti mutenge dzira, penti imodzi yokha yachitidwa, kotero kugwiritsidwa ntchito kungatheke popanda kupweteka kwa anesthesia. Ndipo pankhaniyi palibe mavuto omwe amachititsidwa ndi anesthesia.
- Kutheka kukwaniritsa njira zingapo zotsatizana.
Kulimbikitsidwa kwa thumba losunga mazira sikungagwiritsidwe ntchito ndi izi:
- zofanana ndi zotupa mu dongosolo la pituitary ndi hypothalamus;
- matenda a chiwindi, kapangidwe;
- adasamalidwa matenda opatsirana ndi thromboembolism.
Zili pansi pa zifukwa izi kuti umuna ukhoza kugwiritsidwa ntchito pa chilengedwe.
Kuipa kwa njirayo
Pali zovuta zina za njirayi, ndipo nthawi zina, IVF mu chilengedwe ndizosatheka. Popeza kuti chiwombankhanga chimodzi chimatha, palibe chitsimikizo chakuti mimbayo imakhala yotheka. Ndi zopanda ntchito kugwiritsa ntchito njirayi ndi kusakhazikika kwa msambo komanso kukhalapo kwa msanga.
Pakalipano, mankhwala osokoneza bongo akukhala otchuka kwambiri, omwe amachititsa kuti asamayambe kusamba ndi mankhwala osokoneza bongo. Kugwiritsa ntchito mankhwalawa kumapangitsa kuti pakhale mimba.
Zimanenanso kuti kuyesa kulikonse kwa IVF, kochitidwa mwachibadwa, kumawonjezera mwayi wokhala ndi pakati.