Mikana ye IVF kubudirira

Mumwe nemudzimai vakaroorana, vanoisa tariro yakawanda paVIV, vanoda kuwana mugumisiro pakuedza kwekutanga. Simba rakadaro rinovapo. Paavhareji, maererano nehuwandu, 50% ye in vitro fertilization nzira dzinobudirira. Zvisinei, chimiro chinoenderana nezvimwe zvinhu, zvakadai sehutano hwevarume nevakadzi, saka nzira yakakodzera yekudzidziswa uye unyanzvi hwechiremba. Izvo zvinokosha kuti tifungisise nezvechimiro chezvinhu zvakasikwa: kunyange nehutachiwana huripo, mikana yekuita pamuviri haina kukwana 100%. Kazhinji, mukadzi ane hutano hwakakwana anogona kuva nekuenda kumwedzi apo mapurisa asingaonekwi asingagoni kushanda zvizere uye kuumba mazai ehupamhi anokwanisa kubereka.

Ngationgororei pane zvimwe zvikonzero izvo zvikonzero zvinogadzirisa mhinduro yakanaka yeVF kubva panguva yekutanga.

Zera raamai vakamirira

Physiologically, muviri wechikadzi unorongerwa nenzira iyo, mushure mokudzivisa kutendeuka kwemakore makumi matatu nemakore, nhamba uye hutano hwemasero ekuberekwa hunotanga kuderera. Maererano nehupfumi hwemashoko, hutumbi hwepanyama hunoenderana nemakore muzviitiko zvinotevera:

• Kubva pamakore makumi matatu nemakumi matatu nemakumi matatu nemasere;
• 38 - 41 makore - mu20%;
• 42-45 makore - mu5%.

Nokudaro, zviri nani kuti usadzokorora nzira yeVFF, iyo inyanzvi yemichina yezuva ranhasi inobvumira kupisa mazai akawanikwa kushandiswa mushure meimwe nguva, kunyange kana murwere ane makore anopfuura makumi mana. Zvisinei, nguva yekupedzisira yekuberekwa haisi chikonzero chekutenda kuti kuedza kwekutanga kweVF kuchave kusina maturo, mikana yekuedza kwakadaro yakaderera kupfuura yevasikana vaduku.

Chii chinokonzera infertility?

Kune zvikonzero zvevakadzi nevakadzi. Mukana mukuru pane vose vari mumhuri, apo hutano hwemamazuva anouya hwakanaka, asi baba vake vane basa shoma kana nhamba shomanana yepermatozoa. Muchiitiko ichi, vanachiremba vanokurudzira kushandisa IVF ne ICSI apo chirume chinoshandiswa nemusere chaiwo mumuviri weii. Zvinotendwa kuti mukana wekudyara mumugwagwa uyu wakakwirira kudarika vamwe vose uye unowanzoshanda panguva yekutanga.

Uyewo, vakadzi vanototanga vana nenzira yepanyama kana kubva kune vekare IVF vane mikana yakawanda, mumamiriro ezvinhu akadaro "kusununguka kwechipiri" kunoonekwa. Migumisiro yakanaka kubva pamuedzo wokutanga inogona kutarisirwa kana kukanganisa kweiyo fallopian tubes kana kusavapo kwavo.

Matambudziko akaoma zvikuru ndeokuvapo kwe endometriosis, zvichiita kuti kudonha kwemadziro, kurasikirwa kwehutano hwavo hunhu, semugumisiro wekuti embryo haigoni kuisa pachibereko. Nokudaro, kutanga kwekuongorora uye kurapwa kwevabereki munguva yemberi kunokosha, kuitira kuti kuderedza zvingangoita zvikonzero zvekukundikana. Izvi zvinoitika kuti hazvigoneki kutora pamuviri nekuda kwezvakasiyana-siyana, mune izvi zvakasiyana-siyana zvinotofanira kuverenga kuti "kudzorera" 3-5.

Unyanzvi hwevashandi

Munyaya iyi, inenge 50% yekubudirira kunobva pane zvinodiwa zvechiremba. Kuita kuti hutungamiri hwehutano hwacho huve hwakareba, dzinofanira kunge dzakagadzirirwa negaviri imwe neimwe:

• Kufambisa kuongorora kwakakwana, tsvaga matambudziko kwete chete nenhengo yebonde, asiwo zvirwere zvinosangana;
• Kuita hutano hwehutano hwezvirwere zviripo;
• Anopa purogiramu yakanakisisa yeprotro fertilization;
• Nechiritidzo, iyo nzira yekubudiswa kweii kubva muhuputi yakabikwa, uye mushure memazuva mashomanana - kuendeswa muchibereko.

Nzvimbo inonyanya kukosha mukugadzirira ndiyo tsanangudzo yemarimoni, iyo zviratidzo zvakadai se AMG, FSH uye LH. Havasi kungoudza vanachiremba nzira yakarurama yeprotocol, asiwo ichapa mukana wekuongororodza mukana wehutano husati hwaitika. Somuenzaniso, kana kuongororwa hyperprolactinaemia kune varwere, hypo-hydrothy hyperthyroidism, IVF inogona kusakosha kana kunyange kusashanda kunyange mushure memaitiro akawanda.

Mukuwedzera, ma laboratori anofanira kunge akachengetedzwa nemichina yezvino, iyo inogona kuitisa kubereka, kuongorora nguva isati yakadini kunaka kwemazai uye kukwanisa kwavo kukura.

Nenzira yakawanda, zvakakosha kunzwisisa kuti chimiro chega choga chiri chega, uye kuti nzira dzose dzinodiwa sei kutanga kwekuzvimba uye kuberekwa kwakanaka kwechecheche kunongotarisa pachako pachako. Kazhinji kukundikana kunogona kukonzera kushungurudzika, kushaya zvokudya zvakashata, kusagadzikana kwezvakatipoteredza, uye mukadzi mushure mekuvhara mazai angave asingateereri zvakakwana mazano ose, izvo zvinokonzera kukundikana pakutanga kuedza.

Kuti kuwedzere mikana, zvakakosha kuti titevedze mazano ose evanyori, kunzwisisa kwakanzwisisika kwechikamu chega chega mu in vitro fertilization uye, zvechokwadi, kudavira kuti zvose zvichaitika chaizvoizvo. Uye kana isiri kubva panguva yekutanga, kubva kune yechipiri kana yechitatu!

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