Long protocol IVF - masiku angati?

Mu njira ya mu vitro feteleza, ziganizo za ndondomeko ya IVF yayitali ndi yayitali . Iwo amatanthauza kusakaniza kwina kwa mankhwala kuti athandize ovarian ntchito. Kusankhidwa kwa wodwalayo ndi ndondomeko yeniyeni (kumadalira zaka, matenda osokoneza bongo, mahomoni komanso kuyesayesa koyambirira kwa insemination). Cholinga cha nkhani yathu ndi kuganizira zomwe zimachitika pa IVF protocol, ndipo ndi masiku angati, komanso ndondomeko zake.

Kodi IVF protocol yayitali bwanji?

1. Gawo loyamba la protolo yayitali pamene mukuyesera kupanga mankhwala osokoneza bongo ndikuteteza kusamvana msanga. Pochita zimenezi, masiku asanu ndi awiri (7-10) asanayambe kusamba, wodwala amaikidwa mankhwala omwe amaletsa kugwira ntchito kwa mazira a m'mimba mwake (kutanthauza kuti kuchepetsa kupangidwa kwa ma lyminium ndi ma folmoni). Mankhwalawa amai ayenera kutenga masiku khumi ndi asanu ndi awiri (15-15), pambuyo pake ma ultrasound ya chiberekero ndi mazira, komanso kuyezetsa magazi kwa mlingo wa estradiol. Ngati zotsatirazi sizikugwirizana ndi chithandizo chake, ndiye mankhwalawa ayenera kutengedwa masiku asanu ndi awiri.
2. Pambuyo pochotsa mankhwala osokoneza mahomoni amapita ku gawo lachiwiri la ndondomeko - kutonthozedwa kwa mazira. Pachifukwachi, wodwalayo amalembedwa ndi hormone - gonadotropin, yomwe imayambitsa matenda ovunda. Chotsatira chake, follicles awiri kapena angapo amatha kukula pa ovary. Kuteteza ultrasound kumachitika tsiku lachisanu ndi chiwiri mutangoyamba kumene gonadotropin kudya. Kawirikawiri, hormone iyi iyenera kutengedwa mkati mwa masiku 8-12.
3. Gawo lachitatu la protolo yayitali ndi chomwe chimatchedwa kuwunika kwa follicles. Panthawiyi, kukula kwa follicles kumatsimikiziridwa, komwe mavuni okhwima ali nawo. Pachifukwa ichi, perekani mankhwala opangidwa ndi mankhwala a hormone - chorionic gonadotropin . Chinthu chachikulu chokhalira HCG ndi kukhalapo kwa mitundu iwiri yokhala ndi mavitamini okhwima ndi deradi ya estradiol ya 200 pg / ml pa follicle. Utsogoleri wa hCG umachitika maola 36 musanayambe kusonkhanitsa oocyte.

Motero, tinadziŵana ndi kutalika kwa ndondomeko yaitali ya IVF masiku. Chinthu chachikulu pa nthawi yolimbikitsa ndikutsatira malangizo onse (kutenga mankhwala oyenera masiku) ndi maphunziro oyenerera. Chiwawa cha mmodzi mwa iwo chikhoza kuthetsa zotsatira zake.