Muyenera kuyamba ndi kufufuza momwe mungatenge mimba. Amayamba kusiya kuyambira pafupi zaka 37. Pambuyo pokhapokha ali ndi zaka makumi anayi okha, ndi 4-5% yokha ya feteleza imakhala ndi pathupi. Izi ndi chifukwa chakuti patapita nthawi ndalamazo, ndipo chofunika kwambiri - mazira amachepa.
Komabe, madokotala amatsimikiza kuti kuli koyenera kuyesa. Pali milandu pamene amayi azaka 60 amakhala ndi ana ochokera ku chubu. Zochitika zenizeni, ndizoimbira zingati zomwe zidzafunike, palibe amene angapereke. Komabe, chizoloŵezi chimasonyeza kuti 80% mwa amayi, mimba imayamba kale ndi yachiwiri kapena yachitatu kuyesedwa kwa chithandizo cha infertility ndi IVF. Ndi dokotala yekha amene angadziwe bwinobwino ngati njirayi ikuwonetsedwera.
WOYAMBA
Choyamba, adokotala amafunikira mayesero akuluakulu: ECG, magazi pa RW, HIV, hepatitis B ndi C, kusinthana ndi zomera ndi zojambula zam'mimba, mbewu (kapena mayesero ena) a matenda opatsirana pogonana, mayeso ambiri a magazi a mahomoni, Tsiku lozungulira (estradiol, prolactin, FSH, LH, TTG - izi ndi zofunika magawo). M'pofunikanso kupereka kafukufuku wa ma antibodies kwa rubella, kupezeka kwa mbewu kuchokera ku khola lachiberekero ndi umuna wa umuna. Maphunziro onsewa ndi ofunikira kudziwa momwe thupi lanu likukonzekera, komanso kupeŵa mavuto.
Kulembera: Kufufuza kwa IVF kungaperekedwe pasadakhale muzomwe amayi akufunsana (kwaulere), kuchipatala kapena ku labotale. Chinthu chachikulu ndi pamene ntchito ya IVF idayambika, ndikofunikira kuti muzitsatira katswiri wina yemwe adzatsogolere ndikuyankha chifukwa cha zotsatira zake.
Kusankha Njira
Pambuyo panu ndi dokotala wanu mutsimikiza kuti palibe zotsutsana pazifukwa za umoyo, mungathe kukambirana njira zomwe mungachite kuti muzitha kuchiza. Pali zosankha zambiri, ndipo zisankho ziyenera kuyankhidwa, malinga ndi makhalidwe omwe ali nawo.
Kulimbikitsidwa kwa chiwopsezo ndiko ngati banjali likhoza kutenga pakati pawokha, koma pazifukwa zingapo ntchito yopanga mazira sizimachitika. Zikatero, yesetsani mazira ambiri, kuwerengera bwino kwa pathupi la tsikulo, ndiyeno zonse zimachitika mwachibadwa - monga mwachilengedwe.
Kutsekemera mwadzidzidzi ndi umuna wa mwamuna ndi wopereka umuna ndizochitika pamene abambo spermatozoa "ali ndi mlandu" chifukwa cha kusabereka. Spermatozoa imayikidwa mkati mwa chiberekero, yomwe imafufuzidwa kale ndi spermogram.
Ndipotu, IVF imathandizira pazitsulo zikapanda kugwedezeka kwa mazira, kusowa kwathunthu kapena kuwonongeka, ndi endometriosis, osadziŵika bwino ndi madokotala osagwira ntchito kapena atayesa kuti asamangidwe. Njira iyi ikuwonetsedwa pa nkhani ya kusabereka kwa amayi komanso ngati mayi ali ndi chiopsezo chamatenda nthawi zonse. Pamene spermatozoa ilibe ntchito zokwanira, ICSI idzakuthandizani - kutsekula kwa umuna mu cytoplasm ya dzira mothandizidwa ndi ma micromanipulators apadera.
Kulemba. Mosiyana ndi zomwe anthu ambiri amakhulupirira, ICSI si njira yosiyana, koma njira yowonjezereka yothandizidwa ndi matenda a IVF, ndipo sizingatheke nthawi zonse.
Choncho adokotala analimbikitsa IVF. Pulogalamuyi ikhoza kuyambitsidwa mwamsanga mukatha kufufuza, pa tsiku la 2-3 la ulendo (ndi nthawi ya masiku 28). Kuchokera tsopano, mudzakhala ndi mankhwala opatsirana pogwiritsa ntchito mankhwala osokoneza bongo. Ultrasound - kusankha mankhwala - ultrasound - mlingo kusintha. Momwemo, masiku 14 adutsa.
Kulemba. Mosiyana ndi zomwe anthu ambiri amakhulupirira, mankhwala oterewa si owopsa kwa thanzi. Komanso, masiku ano mapiritsi amaloledwa ndi jekeseni ndipo savulazidwa ndi iwo kusiyana ndi mankhwala omwe amagwiritsidwa ntchito, mwachitsanzo, pochiza fuluwenza.
Pambuyo pa milungu iwiri, mankhwala akugwiritsidwa ntchito pofuna kulimbitsa thupi. Ndikofunika kuti mazirawa abweretse 5 mpaka 10 kuposa nthawi zonse. Pakapita masiku khumi ndi awiri, maola 48-72 adokotala adzayang'ana njirayo ndi ultrasound ndi mayeso a magazi. Panthawi imeneyi zidzakhala zofunikira kuonetsetsa kuti mukutsatira mapuloteni, kumwa mowa woposa 2 malita a madzi patsiku ndipo, simungamwe mowa ndi kusuta.
Gawo ili la chithandizo cha kusachiritsika ndilowopsyeza chifukwa mu 3 peresenti ya matenda a hyperstimulation syndrome angayambe - kuwonjezeka kochulukira m'mimba mwake. Mwamwayi, madongosolo a zamakono zamakono ndi kuyang'anitsitsa mosamala kwa msinkhu wa mahomoni m'magazi kumachepetsa chiopsezo cha mavuto ngati amenewa pachabe. Kulemba. Pamene zokopa sizimakhala zovuta, koma kupwetekedwa m'mimba mwake kumatheka - chifukwa tsopano akugwira ntchito molimbika kuposa nthawi zonse.
Spermatozoa inapatsidwa mazira okhwima komanso ochiritsidwa. Mlandu wa ang'ono: maola 4-6 kuti agwire mazira mu chofungatira chapadera mu mbale zodzaza ndi michere ya zakudya, pambuyo pake osakaniza mbali yeniyeni ya umuna kwa iwo. Wothandizira amakhala pafupifupi maola 20. Kumapeto kwa nthawiyi, ndizotheka kunena ngati feteleza zachitika kapena ayi. Mudzadziwitsidwa pa foni mukamafunika kuwonekera pamapeto
Kulemba. Ngati umuna wa mwamuna wosauka, pali chiopsezo kuti mimba sichidzachitika. Pankhaniyi, ingopulumutsa ICSI, pamene dzira lirilonse limaikidwa ndi spermatozoa. Njirayi ndi yopweteka komanso yofulumira. Mothandizidwa ndi catheter yopyapyala, "ofuna" amalowetsedwa m'chiberekero. Ola limayenera kugona kuchipatala - ndipo mukhoza kupita kwanu. Kaya chirichonse chinayenda bwino, chidzadziwika pambuyo pa masabata awiri.
Padzakhala mapasa, katatu kapena mwana mmodzi, sikutheka kuneneratu. Malingana ndi ziwerengero, mwana mmodzi amangobadwa theka la milandu. Pafupifupi aliyense wachitatu Wodwala IVF akuyenera kukhala mayi wa mapasa, mmodzi pa asanu amabereka katatu.
Kulemba. Musayesetse kutenga mimba nokha masiku oposa 14 pogwiritsa ntchito mayesero: chifukwa cha mankhwala otchedwa hormonal treatment, yankho lirilonse lidzakhala lolondola ndi 30%.
ZOKHUDZA KWAMBIRI
Ulendo wonse wa IVF umatenga pafupifupi mwezi umodzi. Mwamwayi, atatha kuyembekezera "inde", ambiri amamasuka: zikuwoneka kuti chirichonse chimadalira chirengedwe. Koma nthawi zambiri, popanda thandizo la mankhwala m'miyezi yoyamba, kumamatira zakudya ndi regimen zomwe zikugwirizana ndi dokotala, sizivuta kupanga mwana wamtsogolo. Zonsezi pa nthawi yonse ya ECO ndi bwino kusiya ndudu, khofi, mowa, maswiti ambiri. Koma iwe umayenera kumwa madzi ambiri (oposa 2 malita pa tsiku) ndi kupita ku dokotala woleredwa.
MAFUNSO AMENE ADZATITHANDIZA ZONSE
1. Ndi mayesero angati? Kodi ndizowopsa kuchita masewera olimbitsa thupi kangapo?
Pambuyo pa mazirawo, amayi 35-40% ndi amene amatha kutenga mimba. Ndi bwino kukhala okonzeka kutenga 3-4 kapena kuposa. Kudya kwa mahomoni nthawi yayitali sikuli koopsa - lero mugwiritsire ntchito mankhwala osokoneza bongo ndipo mumaganizira zochitika zonse za thupi la mayi.
2. Kodi simukuyenera kuyeretsa ngati mwanayo sakudziwa?
Kulephera kwa IVF sikukhudza thupi mwanjira iliyonse: palibe chifukwa chodikirira kutaya padera kapena mavuto oopsya ndi kuyeretsa ntchito. Koma siyenso kuyambitsa kuyitana kwachiwiri nthawi yomweyo - kupumula kuyenera kukhala osachepera miyezi 3-4.
3. Ndine wosakonzekera kubereka mapasa, osataya katatu. Pankhani ya kuchipatala ndi IVF, izi zingakhale zabwino. Ndiyenera kuchita chiyani?
Mazira ambiri akamabzalidwa, amatha kukhala ndi pakati. Koma chiopsezo chokhala mayi wamkulu ndi chapamwamba. Choncho, kawirikawiri 2-3 mazira amabzalidwa, ena onse ndi oundana. Ngati ndi kofunika, ndizotheka kuchepetsa - mazira amodzi kapena ambiri "osafunika". Njirayo ndi yotsutsana ndi mfundo zoyendera, komabe teknoloji ilipo, ndipo ikhoza kuchitidwa ngati kuli kofunikira.
4. Kodi chiopsezo chachikulu kuti mwana adzabadwira ndi chiwonongeko chotani?
ECO-ana samasiyana ndi mimba mwachirengedwe. Iwo amakhalanso ndi ubwino: zamakono zamakono zimathandiza kuthetsa chitukuko cha matenda ambiri. Kukhala ndi chidaliro kuti mwanayo adzakhala bwino adzapatsidwa chithandizo choyambirira cha ma genetic diagnosis (PGD). Amalola kuvumbulutsa zolakwika pakukula kwa mluza, kukhalapo kwa matenda opatsirana. Ndipo kwa ma rubles makumi asanu ndi limodzi (60,000) mungathe kusankha mwana wamtsogolo wamwamuna.
5. Kodi pali njira yochitira IVF popanda kugwiritsa ntchito mahomoni?
Inde, njira iyi imatchedwa IVF m'chilengedwe. Mankhwala omwe amachititsa kukula kwa follicles, pakali pano sagwiritsidwa ntchito. Koma izi n'zotheka kokha ngati dzira limodzi limapsa. Njira imeneyi ndi yowonjezereka kwa thupi, komanso imakhala yochepa kwambiri (mimba imapezeka mu 16% ya milandu). Zina mwa zochepetsera ndi zovuta kwambiri pulogalamuyi: chifukwa ngati puloteni ndi yokhayo, zolakwitsa zilizonse (mwachitsanzo, powerengera nthawi ya mankhwala pa nthawi ya ovulation) sizilandiridwa.
MMENE MUNGASANKHE ECO-CENTER?
1. Choyamba, bungwe liyenera kukhala ndi chilolezo choyenera cha IVF (pogwiritsa ntchito "Certificate of Embryology ndi Clinician").
2. Onetsetsani kuti chipatala chili ndi antchito ochepa omwe angagwiritsidwe ntchito bwino:
katswiri wa zachipatala (katswiri wamabereka);
feteleza;
andrologist (izi ndi zofunika ngati mukusowa kufufuza zambiri pa umoyo wabwino);
katswiri wamagetsi;
Namwino ndi namwino.
3. Yesetsani kuti muyambe kuyenda pang'onopang'ono ndikuyang'anitsitsa zipangizo zamakono komanso zamakono: mipando yamakono yamakono ndi mipando ya amayi, zipangizo zamakono, zowonongeka kwa umuna ... Ngati muli kutali ndi mankhwala, funsani mafunso pamene zipangizozo zasinthidwa, momwe mungakonzere njira zogwiritsira ntchito ndi njira.
4. Fotokozerani, ngati pali zotheka kuchipatala ngati kuli kofunikira kuti mufufuze kafukufuku wina.
5. Chikhazikitso chiyenera kukhala malo abwino - nthawi zambiri muyenera kupita kuchipatala.
ECO MAFUNSO
Ndi anthu ochepa chabe omwe akudziwa kuti kuyambira posachedwapa, akazi a ku Russia ali ndi mwayi wopeza ndondomeko popanda kulipilira ndalama, mapulogalamu a ECO a ku Moscow amagwiritsa ntchito CPPS. Pulogalamuyi ikuphatikizapo:
mayesero awiri a IVF + PE;
Kuzizira ndi kusungira mazira pa chaka;
kupweteka kwa mazira;
mankhwala oyenera.
Kuti mugwiritse ntchito ufulu wa IVF, muyenera kutumizidwa kuchokera ku Federal Health Agency. Ndibwino kuti mupange pepala ndi zida zankhondo: ndi zowonjezera, kufufuza, spermogram ndi kuganiza kuti muli ndi infertility ndipo njira yokhayo yothetsera ingakhale IVF. Kuonjezerapo, muyenera kukwaniritsa zofunikira zina:
zaka - 22-38 zaka pa nthawi yoikidwa mu pulogalamuyi;
kumakhala kosatha ku Moscow;
kukhalapo kwa ukwati wobvomerezeka ndi kupezeka kwa ana wamba;
kukhalapo kwa kusabereka kwa zaka zoposa 2 popanda kuthandizidwa kwa mankhwala ena, kapena kusabereka kwapadera, kapenanso kusagwirizana;
Kusagwira ntchito kuchokera ku opaleshoni, mankhwala opangira ovulation kwa miyezi isanu ndi umodzi ndi chithandizo cha mwamuna kapena mkazi;
kusakhala ndi matenda osokoneza maganizo ndi amaganizo.