"Kusadziletsa" ndi mawu olakwika
Masiku ano ku Ukraine, amatchedwa "kusabereka" kwa onse awiri. Madokotala amakhulupirira kuti ngati mkazi sakhala ndi pakati panthawi yokhazikika popanda chitetezo, ndi nthawi yoyamba kufufuza ndi kuchiza onse awiri. Miyezi 12 si nthawi yopanda malire: ziŵerengero zimasonyeza kuti pa magawo atatu a miyezi itatu yoyamba popanda kulera, 60% - pa zisanu ndi ziwiri zotsatira, 10% otsala - pambuyo pa 11-12. "Koma ife, madokotala, sitimakonda mawu oti" infertility. " Timakonda kunena kuti "kusakwanitsa kutenga pakati," chifukwa kawirikawiri madokotala amatha kuthetsa izi. " Kwa ichi, pali njira ya IVF. Chofunika chake - kupereka mwayi wokumana ndi dzira ndi umuna, ndipo mimbayo imayika m'mimba mwa mkaziyo. Lolani kuti likhale ngati chilengedwe. Koma pasanapite nthawi ndikofunika kuti tithe kudutsa muzigawo zingapo za kuunika - pambuyo pake, makolo akuyembekezera mwana wathanzi, ndipo chifukwa cha izi nkofunikira kuti amayi ndi abambo ali ndi thanzi labwino.
Kufufuza kofunikira
"Pamene okwatirana atiyitana, timayang'ana munthu. Ngati chifukwa cholephera kugona chiri m'thupi lake, zochita zowonjezereka zidzakambidwa kwa abambo amtsogolo. Ngati zili bwino ndi iye, chinthu chotsatira cha chidwi chathu chimakhala mkazi. " Kuzindikira kwa munthu: maumwini apamwamba (mwa amuna 30 peresenti omwe amavutika chifukwa cha kusabereka, amapeza matenda omwe amabweretsa umuna); spermogram (kuyerekezera kuchuluka ndi ubwino wa spermatozoids) - ndizofunika kuzichita osachepera katatu mu labotale imodzi; US scrotum (ngati pali zovuta za thupi); kubereka kwa smears kuchokera ku urethra kwa matenda; Khalani ndi mayeso a mahomoni. Kusanthula kwa mkazi: Kusanthula kwa mahomoni (ndilo mlingo wa mahomoni ogonana bwino); kupereka smears kuchokera kumaliseche kwa matenda; Ultrasound ya uterine cavity; kuyesa-kukhudzana ndi umuna ndi chiberekero wamkati (musati umuna wa umuna umalowetsedwa mmenemo); onetsetsani kuti patapita nthawi mazira amatha (mothandizidwa ndi sing'anga yosiyana, yomwe imayikidwa mu chiberekero cha uterine).
Zotsutsana ndi IVF
• Matenda a m'maganizo ndi opweteka, omwe simungathe kubala.
• Kukula mwakuthupi kapena kupweteka kwa chiberekero cha uterine, zomwe zimapangitsa kukhalabe kovuta kuika mwanayo.
• Kupweteka kwa chiberekero ndi mazira.
• Kutentha kwakukulu kwa ziwalo zoberekera.
Cholakwika ndi chiyani?
Masiku ano, madokotala ali ndi zolakwira pafupifupi 32 mu thupi la abambo ndi amai omwe samalola kuti banja likhale ndi ana. Koma onsewa amakhala okhudzana ndi njira zisanu zogonana: mkazi ayenera kukhala ndi ovulation (1 dzira kuchokera mu follicle). Chiberekero choyipa chiyenera kukhala chosagwedezeka, tsika umuna. Mphuno yamtundu umodzi (umodzi) iyenera kukhalapo ndi yosadetsedwa kuti msonkhano wa dzira ndi spermatozoon ukhale wotheka. Chiberekero cha mucous (kapena endometrium) chiyenera kukhala chapamwamba kwambiri, kotero kuti kamwana kamene kangakhoze kulumikiza ku khoma la chiberekero ndikukula patsogolo. Spermatozoa iyenera kukhala yogwira ntchito (pafupifupi theka la iwo) ndi chiwerengero chonse - osachepera 5-10 miliyoni mu 1 ml ya umuna. Ngati chimodzi mwazifukwazi sichikugwirizana, madokotala akhoza kulangiza IVF.
Kukonzekera
Tsiku lachisanu ndi chimodzi chachisanu ndi chimodzi chakumapeto kwa msambo - fufuzani momwe chiberekero chimakhalira (malo amodzi a mazira) ndi kupezeka kwachilendo kukonzekeretsa kwawo (pazimene zimadalira momwe mimba ndi kutenga mwana zidzakhalire bwino). 19-24 tsiku - mkazi amabweretsa zilembo zonse ndi zotsatira za kafukufuku wa madokotala: azimayi, odwala, infectiologist, mammologist. Madokotala amafufuza momwe chiberekero chikuyendera ndipo amamwa mankhwala osokoneza mavitamini a mazira. Patapita milungu iwiri - chiberekero cha chiberekero ndi mazira. Kenaka mankhwala osokoneza bongo ndi FSH (follicle stimulating hormone) amagwirizana kuti ayambe kukula kwa follicles mu mazira ambiri masiku 12-14. Nthaŵi yonseyi, madokotala akuyang'ana kukula kwawo kuti asinthe mlingo wa mankhwala. Pambuyo masiku 12-14 - tsiku lachitsanzo la mazira lasankhidwa. Pakati pa anesthesia, mkazi amathyoledwa ndi khoma lachitini la vaginja, singano yopyapyala popanda kudula mimba imatengedwa kuchokera mu zinthu za follicles ndipo pansi pa microscope amayang'ana dzira mu follicular fluid.
Ola X
Dzira liyikidwa mu chikho chapadera ndi madzi akufanana ndi uterine chubu chilengedwe. Chophimba ichi chimayikidwa mu chofungatira chomwe chimakhala chosasungunuka nthawi zonse pa 37 ° C, ndipo madziwo amapindulanso kwambiri ndi carbon dioxide, monga carbonated (kufanana ndi mphamvu yotetezera magazi). Kenaka munthu amapereka umunawu, omwe madokotala amawagwiritsira ntchito mwapadera maola awiri (kuti umuna wonse umagwira ntchito, ndipo chiwerengero chawo - osachepera kuposa chizolowezi). Ngati chiwerengero cha umuna ndi chachilendo, kachigawo kakang'ono kameneku kowonjezedwa ku dzira. Ngati zidachitika kuti palibe spermatozoa yokwanira, madokotala amalephera kulongosola imodzi yokha, yamphamvu kwambiri ndi yathanzi (kumangirira kokwanira khoma ndi singano yopyapyala). Zakudya ndi maselo zimabweretsedwanso mu makina osungira madzi ndipo pambuyo pa maola 16-18, zygote imapangidwa - 2 nucleoli, yamwamuna ndi yaikazi, iliyonse imakhala ndi ma chromosomes 23. Zimagwirizanitsa, ndipo ngati chinthu chimodzi chimakhala chosasangalatsa - pali matenda, ndikofunikira kubwereza kuyesanso kachiwiri. Ndiyeno ola la X: pa 2-2 tsiku tsiku loyamba ndi maselo 4 kapena 8 a khalidwe lapamwamba limasamutsidwa pachiberekero ndi kathete. Izi zimachitidwa popanda anesthesia, chifukwa ndondomekoyi ndi yopweteka ndipo imatenga mphindi zisanu kapena zisanu. Panthawiyi, mayi akugona mu mpando wa amayi, akhoza kuona njira yonse pazenera. Mazira osasunthika amakhala odzola mu nayitrogeni yamadzi pa kutentha kwa -19 ° C - mwadzidzidzi nthunzi idzatembenuzidwanso. Patangopita milungu iwiri, mayiyo akuyesa kutenga mimba ndipo, ngati atakhala ndi mwayi, amabwera kuchipatala patapita milungu iwiri kuti akapeze ngati mwanayo ali pamtendere. Zomwezo, ndi njira yonse IVF. Nthawi zambiri mimba ndi 52-72%. Kodi ndizovuta? Inde! Koma zotsatira - banja losangalala - ndilofunika.
Osati mibadwo yonse ikugonjera ... kutenga pakati
"Ngati pali mavuto otha kutenga pakati, nkoyenera kuti mayi apite kuchipatala kwa zaka 35. Chowonadi ndi chakuti akazi ovulala ali ndi zaka zambiri, ndi angati kwa iwoeni. Kwa nthawi yonseyi, khalidwe lawo likukulirakulira chifukwa cha kusintha kwa zaka zakubadwa, zachilengedwe zosavomerezeka, zizoloŵezi zoipa, matenda, kusayenda kosayenera ndi zakudya. " Nthawi yabwino yoyembekezera ndi ya 20-35 zaka. Pambuyo pa 35, mwayi wokhala ndi khanda ndi 2 peresenti, ndipo pambuyo pa zaka 40 - ndi 15-20% okha omwe angathe kutenga pakati. Amuna anali olemera: spermatozoa yawo imasinthidwa masiku 72 (chodabwitsa ichi chimatchedwa spermatogenesis). Choncho, ngakhale atakalamba kwambiri, maso athu amatha kupereka zakuthupi za umuna.
Living Capital
Ena samafuna kudikira mpaka kukalamba, kulingalira kuti umuna wawo ukhale wamkulu, ndipo amachita bwino: ndi mwayi wangati umene watikonzera moyo! Uwu (ndi dzira, nayenso) ukhoza kuzizira kwa zaka khumi kapena kuposerapo. Mapindu a zochita zotere amatsimikiziridwa ndi Wachiwongerezi Diana Blood. Ali ndi zaka 29, anakhala mkazi wamasiye, koma patapita zaka zinayi, chifukwa cha mbewu zachangu, mkaziyo anabala mwana wamwamuna, ndipo patapita zaka zitatu - wachiwiri. Pempho la Diana, bwalo lamilandu la Britain linapeza kuti ana onse ali olondola, ngakhale kuti bambo awo anali atakhala kale kale. Anthu a ku Ulaya amagwiritsira ntchito mwayi umenewu kuti asungire mazira awo mwachisawawa kuti asagwirizane ndi unhurried ndipo, chofunika kwambiri, kusankha kwabwino kwa mnzanuyo. Ambiri mwa anthu a ku Belgium omwe anafunsidwa asanakwanitse zaka 38, adanena kuti izi zimawapatsa mpata wokhala ndi ntchito yabwino komanso kuti asafulumire kukwatirana.