Kuti vanhu vasingakwanisi kuita vana nenzira dzepanyama vave nevana, IVF kurapwa inoshandiswa. In vitro fertilization inzira inobatsira yekubereka. Vakaroorana vasingakwanise kuita vana nekuda kwezvimwe zvirwere zvakadai sekukura, kushaya mbereko yezvisingazivikanwi, utachiona mumadzimai, kuderera kwembeu muvarume, kuvhara kwechubhu mumadzimai, kufutisa kunogona kuita vana nenzira iyi. Tichakuvhenekera nezvekurapa kweIVF, iyo inobvumira vakaroorana vasingakwanise kuita vana kuti vanzwe manzwiro aya.
Nhasi, iri pakati pemishonga inonyanya kufarirwa yekushaya mbereko. test test kurapwa kuri pamberi. Munzira iyi yekurapa, masero ekubereka echirume neechikadzi anounzwa pamwechete munzvimbo yerabhoritari. Mazai akaomeswa munzvimbo yerabhoritari anoiswa mudumbu raamai. Nenzira iyi, mukana wekuita pamuviri wevana unowedzera nemaitiro ekugadzira insemination.
Kuti uite kurapa kweIVF, maoparesheni anoitwa nekuunganidza mazai, ari maseru ekubereka echikadzi, uye urume, iwo masero echirume ekubereka, mune mamwe mamiriro. Mushure mekunge kubereka kwapera nenzira ine hutano, zai rinotanga kupatsanurwa. Panguva ino, pashure pokunge zai rasangana nomurume richitarisirwa kushanduka kuva chinhu chinonzi "embryo", "embryo" inoiswa mudumbu raamai. Kana "embryo" ikanyatsonamira mudumbu raamai, nhumbu inotanga. Mushure mekubatanidzwa kwe embryo, maitiro anoenderera sepamuviri wepanyama.
IVF nzira Mushure mekunge mazai asangana munzvimbo yerabhoritari, anogona kuiswa muchibereko nenzira mbiri dzakasiyana. Munzira yeClassic IVF, urume nezai zvinosiiwa zvakatarisana mune imwe nharaunda uye zvinotarisirwa kuzviberekesa. Imwe nzira inonzi microinjection application. Nenzira iyi, masero embeu anobayiwa akananga muzai sero achishandisa mapipette akakosha.
Ndeipi yenzira mbiri idzi ichasarudzwa inosarudzwa navanachiremba vane hunyanzvi maererano nehunhu hwevakaroora. Chinangwa chekurapa uku kubereka uyezve kubata pamuviri kune hutano. Panyaya iyi, kupa nharaunda dzakakodzera inyaya yakakosha.
Chii chinonzi IVF?
Kurapwa kweIVF, sero rezai rinotorwa kubva kuna amai nembeu yembeu yakatorwa kuna baba zvinounzwa pamwe chete murabhoritari iri kunze kwegadziriro yembereko yemukadzi. Nenzira iyi, "embryo ine hutano" inowanikwa. Nekuiswa kwe embryo yakawanikwa mudumbu raamai, chirongwa chepamuviri chinotanga, sevanhu vanova nepamuviri kazhinji.
Vakaroorana Vanofanira Kufunga Nezve IVF Kurapwa Rini?
Madzimai ane makore ari pasi pe35 okuberekwa uye asina matambudziko anogona kuvatadzisa kubata pamuviri vanofanira kuongororwa pavanenge vasingakwanisi kubata pamuviri zvisinei nekusangana pabonde pasina dziviriro uye nguva dzose kwegore rimwe chete. Zvakakosha zvikuru kutanga kurapwa kana zvichidiwa.
Vakadzi vane makore anopfuura makumi matatu nemashanu kana vakambosangana nedambudziko raizovatadzisa kubata pamuviri vanofanira kuonana nachiremba kana vatadza kubata pamuviri mushure memwedzi mitanhatu vachiedza. Kana mimba isingaitiki mukati memwedzi mitanhatu, zvakakosha kushandisa nzira dzinodiwa dzokurapa nokukurumidza kuitira kuti zera rirege kufambira mberi uye nguva haina kurasikirwa.
Ndeupi Musiyano Uripo Pakati Pekuvhaira uye Kurapwa kweIVF?
Pamberi pe in vitro fertilization kurapwa mune zviitiko zvechirume-zvine hukama uye zvisina kurongeka kushaya mbereko vaccination therapy zviri nani. Muchirongwa chekudzivirira, semukurapa kweIVF, maovari evakadzi anokurudzirwa. Kana mazai atsemuka, mbeu dzinotorwa kubva kumurume dzinoiswa muchibereko nechiridzwa chinonzi cannula.
Chenjero inofanira kuitwa kuti pave nechubhu imwe chete yevakadzi yakavhurika kuitira kuti kubayiwa kwejekiseni kuitwe. Iyo inyaya yakakoshawo kuti mhedzisiro yekuongorora urume muvarume ndeye yakajairika kana iri pedyo neyakajairika. Mukuwedzera, mukadzi haafaniri kunge ane endometrial pathology iyo inodzivirira kubata pamuviri.
Ndeipi IVF Treatment Process?
Vakadzi vanogara kumwedzi vanobudisa zai rimwe chete mwedzi woga woga. IVF application Muchiitiko ichi, kunze kwemishonga yehomoni inopiwa kuti iwedzere nhamba yemazai anogadzirwa naamai. Kunyangwe marapirwo ekurapa achisiyana kubva kune mumwe nemumwe, zvakanyanya maviri akasiyana mahormone kurapwa anoshandiswa anopa kukura kwezai uye kudzivirira ovulation munguva yekutanga.
Zvinonyanya kukosha kutevera mhinduro dzemaovari paunenge uchishandisa mishonga yehomoni uye kugadzirisa muyero kana zvichidiwa. Nokuda kweizvi, kuongororwa kweropa uye maitiro e ultrasound anoitwa nguva dzose.
Nokudaro, mazai anenge asvika pakukura anounganidzwa netsono yakapfava uye akabatanidzwa nembeu inotorwa kubva kumurume munzvimbo yerabhoritari. Nenzira iyi, fetereza inoitwa munzvimbo yerabhoritari. Kutora mazai kunowanzoitwa pasi peanesthesia. Mukuwedzera, panogona kunge kune zviitiko apo inoitwa pasi pe sedation uye anesthesia yemunharaunda.
fertilization process, classic IVF nzira Inopihwa nekuisa urume nemazai parutivi. Mukuwedzera, kubereka kunogona kuwanikwa kuburikidza nekupinza mbeu imwe neimwe muzai pasi pemaikorosikopu inokwirisa ine jekiseni duku. Vanachiremba vachasarudza kuti ndeipi nzira yakakodzera varwere vavo.
Mushure mekusangana, mazai anosiiwa kuti akure munzvimbo yekushisa nemhepo inodzorwa netsika munzvimbo yerabhoritari kwemazuva maviri kusvika matatu kana dzimwe nguva mazuva mashanu kusvika matanhatu. Pakupera kwenguva iyi, ma embryos ari kukura anosarudzwa uye anoiswa muchibereko.
Kusarudza nhamba yema embryos inotamiswa zvakananga kunokanganisa njodzi yekuzvitakura kwakawanda uye mukana wekubata pamuviri. Nechikonzero ichi, huwandu hwema "embryos" hunofanirwa kutamiswa munzira inotevera mhando ye "embryo" inokurukurwa zvakadzama nevaroora. Kunze kwezviitiko zvisingawanzoitiki, kuendesa embryo kunoitwa pasi peanesthesia kana sedation.
Chii chinonzi Age Limit muIVF Kurapa?
Mukurapa kweIVF, chekutanga, maovarian reserves evakadzi anotariswa. Pazuva rechitatu rekuenda kumwedzi, kuongororwa kwehomoni kunoshandiswa kune varwere, pamwe ne ultrasonography. kuongororwa kwemaovarian reserves inoitwa. Kana, semhedzisiro yebvunzo idzi, zvikaonekwa kuti maovarian reserves ari muchimiro chakanaka, hapana chakaipa mukushandisa kurapwa kweIVF kusvika zera re45.
Nekuda kwemhedzisiro yakaipa yekuchembera, zvinodikanwawo kuongorora embryo maererano nemakromosomes. Pamusoro pezvo, zvakakosha kushandisa preimplantation genetic diagnosis nzira muvakadzi vanozotanga kurapwa kweIVF mushure memakore makumi matatu nemasere. Nenzira iyi, zvinokwanisikawo kuziva mamiriro embryo.
Mushure memakore makumi matatu nemashanu muvakadzi, nhamba yemazai inoderera. Mushure mezera iri, ovulation inovhiringidzika uye kunze kweizvi, matambudziko ekuderera kwehutano hwezai anosangana. Kunyange kana maovarian reserves akakodzera IVF, mikana yekubudirira muIVF ichave yakaderera zvikuru. Nekuda kwechikonzero ichi zvakakosha kuti madzimai ane dambudziko rekushaya mbereko vasamirire kuti vachembera vave nevana votanga kurapwa nekukasika.
Iko hakuna nzira yekuzadzikiswa kwekubata pamuviri mukurapa kweIVF yevakadzi vakura uye vane matambudziko mukamuri yeovarian. Vakadzi vanoronga kuita vana vabva zera uye vane maovarian reserves vanogona kubata pamuviri mumakore anotevera nechando. Zvakakosha kuti mimba inopfuura makore makumi matatu nemashanu iongororwe navanamazvikokota veperinatology kana vari mukirasi ine ngozi yekuzvitakura.
Chii chinonzi Age Limit yeIVF muVarume?
Muvarume, kugadzirwa kwembeu kunoenderera mberi. Hunhu hwembeu hunodzikira nekufamba kwenguva, zvichienderana nezera. Varume vane makore anopfuura makumi mashanu nemashanu vane kuderera kwembeu motility. Pano, kuparara kwesperm DNA nekuda kwezera kunoonekwa sechinhu.
Ndeapi Mamiriro Anodiwa Pakurapa IVF?
Sezvinozivikanwa, kurapwa kweIVF kunosarudzwa kune vakaroorana vanoonekwa kuti havana mbereko uye vasingakwanise kubata pamuviri. Nechikonzero ichi, vakadzi vari pasi pemakore makumi matatu nemashanu vanofanira kuedza kubata pamuviri pasina kudzivirira kubata pamuviri kwegore rimwechete vasati vanyorera IVF. Nekuda kwekuderera kwemaovarian reserves muvakadzi vanopfuura makore makumi matatu nemashanu, nguva yebonde inotarwa semwedzi mitanhatu. Kunze kweizvi, vanhu vanokodzera kurapwa IVF ndevanotevera;
· Avo vane chirwere chepabonde
· Vakadzi vane kushaya kumwedzi
· Avo vane machubhu akabviswa nekushanda
· Avo vane kuderera kwemazai reserves
· Vanhu vane uterine adhesions kana machubhu akavharwa nekuda kwekuvhiyiwa kwedumbu
· Avo vakamboita ectopic pregnancy kare
· Avo vane ovarian kuzvimba
Mamiriro ezvinhu akakodzera kuti varume vatange kurapwa kweIVF ndeaya anotevera;
· Vanhu vane nhoroondo yemhuri yematambudziko ekushaya mbereko
· Avo vane chirwere chepabonde
· Avo vanofanirwa kushanda munzvimbo yemwaranzi
· Avo vane dambudziko rekubuda urume nguva isati yakwana
· Avo vane undescended testicle surgery
Vanhu vakakodzera zvakakwana kurapwa kweIVF;
· Kuvapo kwehepatitis kana HIV mune mumwe wevakaroorana
· Vanhu vane cancer kurapwa
· Kuve neiyo genetic mamiriro mune mumwe wevakaroora
Kunaani Kurapa kweIVF Kusina Kushandiswa?
Kune avo IVF kurapwa haina kushandiswa Nyaya iyi inoshamiswawo nevakawanda.
· Kana pasina kugadzirwa kwembeu kunyangwe nenzira yeTESE muvarume vasingaburitse urume
· Muvakadzi vakapfuura nekuenda kumwedzi
· Iyi nzira yekurapa haigone kushandiswa kune vanhu vane chibereko chakabviswa kuburikidza nekuvhiya kwakasiyana-siyana.
Chii chinonzi IVF Kurapa Matanho?
Vanhu vanonyorera kurapwa kweIVF vanopfuura nematanho akati wandei achitevedzana panguva yekurapa.
Kuongororwa kwechiremba
Nyaya dzakapfuura dzevaviri vanoenda kwachiremba kunorapwa IVF dzinonzwikwa nachiremba. Zvadaro, zvirongwa zvakasiyana-siyana zvinoitwa maererano nekurapwa kweIVF.
Kukurudzira Ovarian uye Kuumbwa Kwezai
Pazuva rechipiri rekuenda kumwedzi, amai vane pamuviri vakakodzera kurapwa kweIVF mushonga unowedzera zai inotanga. Nenzira iyi, inovimbiswa kuti nhamba huru yemazai inowanikwa kamwechete. Kuti uve nechokwadi chekukura kwezai, mishonga inofanira kushandiswa nguva dzose kwemazuva 8-12. Muchiitiko ichi, zvakakosha kuenda kune chiremba nguva dzose kutarisa mazai.
Kuunganidza Mazai
Kana mazai asvika pakukura kunodiwa zai maturation tsono nekukura kwavo. Mushure mokunge mazai akura, anounganidzwa zvakanyatsonaka, kunyanya pasi peanesthesia, nemaitiro anotora maminitsi 15-20. Masperm samples anotorwawo kubva kuna baba-to-be pazuva rekuunganidza zai. Vakaroorana vanokumbirwa kuti vasaita zvepabonde 2-5 mazuva asati aitwa.
Kana urume husingawanikwe kubva kuna baba micro TESE urume hunogona kuwanikwa ne Iyi nzira inoshandiswa kune vanhu vasina urume mumachende avo. Iyo nzira, iyo inotora kusvika kumaminitsi makumi matatu, inoitwa zviri nyore.
fertilization
Pakati pemazai anotorwa kubva kuna amai nembeu kubva kuna baba, emhando yepamusoro anosarudzwa uye masero aya anosanganiswa munzvimbo dzemurabhoritari. Mazai akaiswa fetiraiza anofanira kuchengetwa munzvimbo yerabhoritari kusvika zuva raanotamiswa.
Embryo Transfer
Ma "embryos" anoiswa murabhoritari uye ari emhando yepamusoro anoendeswa mudumbu raamai pakati pemazuva maviri kusvika matanhatu mushure mekusangana. Nekuchinjisa maitiro, kurapwa kweIVF kunoonekwa sekupedzwa. Mazuva gumi nemaviri mushure mekuita uku, vanaamai vane pamuviri vanokumbirwa kutora muedzo wepamuviri. Nenzira iyi, inovimbiswa kuti kurapwa kunopa mhinduro yakanaka kana kwete.
Zvakakosha kuti vakaroorana vasaita zvepabonde mushure mekutamiswa kusvikira zuva rekuongororwa pamuviri. Zvinogoneka kuomesa uye kushandisa yakasara mhando embryos mushure mekutamisa embryo. Nokudaro, kana pasina pamuviri mukurapa kwekutanga, kushandiswa kwekutamisa kunogona kuitwa nemasara embryos.
Ndezvipi Zvinhu Zvinokanganisa Chiyero chekubudirira mukurapa kweIVF?
Pane zvinhu zvakati wandei zvinokanganisa mwero wekubudirira kweIVF kurapwa.
· Dambudziko rekushaya mbereko risingatsananguriki
· Vose vakaroorana vari kusvuta
· Kushungurudzika, kudya kwakashata, kushandisa doro
· Vakadzi vanopfuura makore makumi matatu nemashanu
· High weight factor
· Polyps, fibroids, adhesions kana endometriosis inodzivirira kunamatira kuchibereko
· Yakaderera ovarian reserves
· Kuva nemamwe matambudziko muchibereko uye fallopian tubes
· Urume husina kunaka
· Matambudziko nemasoja emuviri anokuvadza urume kana maovari
· Kuderera kwembeu uye matambudziko nekuchengetedza urume
Embryo Inoiswa Sei Muchibereko Mushure meKubereka Kwemazai?
Kutakurwa kwezai rakasanganiswa muchibereko inzira yakareruka uye yenguva pfupi. Munguva iyi, katheta yepurasitiki yakaonda inoiswa mumuromo wechibereko kutanga nachiremba. Kutenda kune iyi catheter, zvinokwanisika kuendesa embryo mudumbu raamai. Izvo zvinokwanisika kuwana embryos akawanda kupfuura zvakafanira nekuda kwemazai-ekuvandudza tsono akaiswa mukuita kusati kwaitwa. Muchiitiko ichi, akasara emhando embryo anogona kuomeswa nechando uye kuchengetwa.
Kuunganidza Zai Kunorwadza Here?
ultrasound yevaginal Inopinda mumavhavha nerubatsiro rwetsono dzakakosha. Iyo inova nechokwadi chekuti zvimiro zvakazadzwa nemvura zvinonzi follicles, uko mazai aripo, zvinobviswa. Mvura iyi inotorwa netsono inoendeswa muchubhu.
Mvura iri muchubhu ine masero maduku zvikuru anogona kuonekwa pasi pemaikorosikopu. Kunyange zvazvo maitiro ekuunganidza mazai asingarwadzi, maitiro anoitwa pasi pechiedza kana kuti anesthesia yakawanda kuitira kuti varwere varege kunzwa kusagadzikana.
Vanaamai vari kutarisira vanofanira kuzorora kwenguva yakareba sei mushure mekutamiswa kwe embryo?
Post embryo transfer Zvakakosha kuti vanaamai vane pamuviri vazorore kwemaminitsi makumi mana nemashanu ekutanga. Hapana chakaipa pakubuda muchipatara mushure memaminitsi makumi mana nemashanu. Pashure pacho, vanaamai vane pamuviri havafaniri kuzorora.
Vanaamai vane pamuviri vanogona kuenderera mberi nebasa ravo uye mabasa avo nyore nyore. Mushure mekutamiswa, vanaamai vane pamuviri vanofanira kugara kure nekuremedza maekisesaizi uye zviitiko zvakaita sekufamba nekukurumidza. Kunze kwaizvozvo, vanogona kuenderera mberi nehupenyu hwavo hwemazuva ose.
Chii chaunofanira kuita kana nhamba yembeu yakaderera kana pasina mbeu inowanikwa mukuongororwa kwembeu?
Kana huwandu hwembeu huri pasi pechiyero chaunoda, in vitro fertilization inogona kuitwa neiyo microinjection nzira. Kutenda nenzira iyi, kubereka kunokwanisika kunyange kana nhamba shoma yembeu inowanikwa. Kana mubeche musina urume, kuvhiyiwa kunoitwa kutsvaga urume mumachende.
Ndedzipi Ngozi dzekurapwa kweIVF?
IVF kurapwa njodziIripo, kunyangwe idiki, padanho rega rega rekurapwa. Sezvo mhedzisiro yemishonga inoshandiswa zvakanyanya pamazinga anoshivirira, haakonzeri chero matambudziko.
Mukurapa kweIVF, njodzi dzekubata pamuviri dzakawanda dzinogona kuitika kana kamwana kanopfuura kamwe kakaendeswa mudumbu remadzimai akazvitakura. Paavhareji, kubata pamuviri kwakawanda kunoitika mune imwe kubva kune ina yega yekuedza IVF.
Maererano neongororo yesainzi, zvakaonekwa kuti nzira yeIVF inowedzera zvishoma njodzi yekuti vana vazvarwa nguva isati yakwana kana kuzvarwa vaine huremu hushoma.
Ovarian hyperstimulation syndrome inogona kuitika mumadzimai anotarisira vanobatwa neFSH kuitira kuti vatange kukura kwezai nenzira yeIVF.
Turkey IVF Kurapa
Sezvo Turkey ichibudirira zvikuru mukurapa kweIVF, vashanyi vazhinji vekurapa vanofarira kurapwa munyika ino. Pamusoro pezvo, sezvo mari yekunze yakakwira pano, kurapwa, kudya, kunwa uye pekugara mutengo unokwanisika kune avo vanobva kunze kwenyika. Turkey IVF kurapwa Unogona kutibata nesu kuti uwane rumwe ruzivo nezve.
Siya Mhinduro