Kubatana embryo kusvikira dumbu zuva zvinobuda?

Sezvo akazviratidza 1978 muchiedza mwana wokutanga pamuviri kunze muviri, ezvokunambira kunze kwomuviri waamai muchangosangana akapa mukana kune mamiriyoni vakadzi mufaro amai. Pari, chakagadzirwa insemination nzira rinoitwa munyika dzakawanda Russian uye dzimwe makiriniki, kubatsira vana vakaroorana kuwana-refu akamirirwa mwana.

zvokukura IVF

Pawakatanga vanoshanyira kiriniki chiremba anoongorora mukadzi, kudzidza nhoroondo chirwere uye inopa mazita anodiwa nzira kuti miedzo. Zvinofanira kucherechedzwa kuti vanhu vanofanirawo vape ropa uye seminal mvura yokutsvakurudza.

Pashure pakuongororwa tinogamuchirwa, chiremba, dzikapfeka hapana contraindications, otaura munzvimbo dzakati mukadzi. Saka akadana mumwe bara nzira ezvokunambira kunze kwomuviri waamai muchangosangana kurapwa, izvo zvinosanganisira matanho anorondedzerwa pazasi.

1. Ovarian dzishande. The nzira, zvichienderana dzinongoitika womukadzi kutenderera kunotora mazuva gumi kuti masvondo maviri uye kushandisa mishonga kuti chikuru zvinoita nhamba follicles. Zvinangwa izvi, vakadzi vari rakapa mishonga hormone anokonzera nokukurumidza sero kukura.
2. Ponji. Kana zai iri follicles vachikura, vanenge abudisa pachishandiswa chinokosha midziyo nepokuongorora Switch. Fence masero - asi kunorwadza muitiro, uye saka akaita pasi zvavo yokutindivadza. The yakakura follicle dzinokura, dzakanga mikana mukadzi kuva amai.
3. Muchangosangana. Nepo mukadzi avete patafura anodawo, murume anomurwira urume wevana ramangwana. Embryologists utachiona masero pasi maikorosikopu richibatanidza vabereki uye kuvasiya kuti zuva. Zuva rakatevera, ivo ongorora migumisiro uye kufambisa nourume masero chaiyo mhinduro, apo ivo kuchawedzera maviri, matatu kana mashanu mazuva.
4. Zvinotevera mudumbu kuchinjirwa kupinda uterine mhango.
5. Anonditsigira zvokurapa kurapa.
6. Yakatarwa B-hCG bvunzo, migumisiro izvo zvinogona kuonekwa pamusoro kwakatevedzana pamuviri.

Shure kwamazuva vangani embryo kwakunoitwa kuti dumbu?

vakadzi vose vari mumaminitsi, vachishamisika zuva ripi anouya mudumbu batanidza kuti dumbu pashure IVF? Zvinonzi vaidavira kuti Blastocisto, mwana ari mudumbu kuti Kutamiswa pazuva rechishanu wekusangana, wanamatira parusvingo dumbu mukati rokutanga. Kunyange zvazvo dzimwe nguva zvinogona kuitika gare gare. Kana anenge vari hwakatamisirwa dumbu pazuva ivepo yechipiri kana yechitatu, vasati kiya munzvimbo, zvingatora mazuva anenge maviri.

Vakadzi nzira pashure chinja

Kunyange zvazvo zvakanakira mubhedha zororo uye haina nekusimba, vanachiremba vakawanda kuti vanodavira kuti zviri nani pasi, asi kuda embryo kuti dumbu kuchaitika. Nezuva kusimuka, unofanira kusarudza, yakavakirwa murwere mamiriro utano. The kupfuura Zvakanyanya Kunaka Panguva Yepamuviri - zviri kugara pamubhedha mazuva maviri okutanga pashure kuchinjwa, ipapo zvakafanira kutama. Izvi imhaka yokuti munhu achiri upenyu chinokurwadzai kuzara ari chiuno, zvichiita kuti zviome kuisa embryo kuti dumbu. On zuva chii pashure IVF kuenda kubasa - ukasarudza. The chipatara wakabudiswa gwaro, kutorerwa basa mabasa vhiki imwe, asi chaizvoizvo vakadzi kuwana ezvokunambira kunze kwomuviri waamai muchangosangana nzira haisi incapacitated.

Kana ukasarudza kuenda kubasa, edza zvishoma kugara pane kombiyuta, kuronga pachavo famba pfupi munguva rokushanda. Uyewo, usakanganwa kuti haugoni kusimudza masimbi, uyewo kusvetuka uye kusimudza maoko ake pamusoro pomusoro wake. Pawakaperera nokuchengeta mirayiro izvi kuchawedzera zvikuru mikana kuda embryo kusvika dumbu. Pazuva chii pashure kuchinjwa, unogona kupa ropa kuti pamuviri kemikari, udza chiremba wako. Vakadzi vazhinji bvunzo ropa kuedza kufunga nzvimbo yayo tichibatsirwa pamuviri nemiedzo. Vanachiremba regai kuvakurudzira kushandisa kwavo, uye udane vakamirira kuongorora zuva, sezvo kemikari iri weti kakawanda kuvatumwa muropa, uye muedzo kungava venhema negative.

A okushamisira manzwiro kukanganisa kubatana embryo kusvika dumbu. Musi yakatarwa ongororo? Bvumiranai, usamirira kuti refu kudaro, asi kunenge navanachiremba uye mwoyo murefu Achabvisira iwe kubva rekusuwa.

Zviratidzo kuuya pamuviri

Sezvo nedanho chakagadzirwa insemination unyanzvi achabatsirwa akawandisa kugadzirira hormone, kusarudza mumwe pamuviri nokuda nehwunhu nani akaoma. mishonga All kushandiswa pave kumashure pamuviri hunotsigira kuda embryo kusvika dumbu. Zve yanonoka kumwedzi chii zuva kutenderera, chakagadzirwa insemination uye haina sechinhu chinokosha chakarurama.

Maererano zvakawanda nezvaro vakadzi kuwana IVF, chiratidzo chete okuparadza pamuviri zviri kunzwa zvizere muna rezasi mudumbu. Inouya zvishoma nezvishoma, uye haikwani kuziva kuti zuva ipapo mudumbu kuisa muchibereko chemusikana. Zviratidzo kuuya pamuviri kunogona kuva nengozi kuti utano uye dzimwe nguva upenyu mukadzi. Izvi zvinoshanda akadaro akaoma shamwari IVF ndiyo ovarian hyperstimulation.

Zviratidzo hyperstimulation chirwere

chirwere ichi anotyisa shamwari ovarian superovulation, yekudyidzana complicating muitiro IVF kurapwa. Somuenzaniso, kana urwere hwapedyo pakarepo pashure zai kudzosa, vanachiremba kuisa mudumbu kuchinjirwa unotevera kutenderera. Zvikuru maitiro zvinhu zviri hyperstimulation zvakadai nezvekufadza se:

• distension mudumbu;
• nguva nenguva weti;
• kutyora nechigaro;
• kuda kurutsa, kurutsa;
• kupfupika mweya;
• kuwedzera abdominal sekamufarenzi;
• marwadzo munzvimbo yacho ovaries.

Uyewo, kana Ultrasound zvokuongorora iri abdominal mhango chinorondedzerwa akasununguka zvokunwa.

The chirwere zvingaitika kuva paakasangana kuda embryo kusvika dumbu. On zuva chii zvinokwanisika kunzwa yatanga hyperstimulation, unonetsa kupindura. Zvose zvinoenderana mukuru mamiriro ezvinhu mukadzi uye mari rabviswa kubva kwake muchitokisi.

Zvinhu kukanganisa kubatana embryo kuti dumbu

Maererano nenhamba, mukana pamuviri pashure IVF anenge 40%, uye anopiwa kuti mukadzi muduku pane makore 35. Pashure zera ichi, mwero wokubudirira ipfupi kwazvo. Vamwe vanoti vanachiremba, ari rotari - imi rombo kana kwete. Zvechokwadi, vakadzi vazhinji pamuviri wokutanga wekuedza, asi kune avo, asati ava madzimai kuenda kuburikidza IVF pamusoro kagumi.

Vakadzi ava, pane dzimwe kunenge kuvandudza mikana kuda embryo kusvika dumbu. On chii zuva ichapiwa kuchinjwa, chii kuti adye, chii amwe, sei kuti kuzvibata - nyaya dzose. Naizvozvo pakutanga kwezvose zvinokosha kuziva kuti zvaizova nani kana embryo pachamera uye richabva kwavari wechishanu kana rechitanhatu zuva pashure ponji. Uyezve, kuwedzera mikana pamuviri, mazuva mashoma asati kuchinjwa vanofanira kutanga kunwa mapiritsi "piroxicam". Masayendisiti French kwakaratidza kuti zvinodhaka izvi kunowedzera mikana vakawanda chaizvo embryo kusvika dumbu. On zuva ripi kutanga kuushandisa, maonero akasiyana: mumwe anonwa mazuva mashoma, uye munhu anofunga kuti hazvina kukwana kuti kutora chimwe piritsi asati uchatamisa. Uyewo, mikana kuwedzera kana yose dzakati kudya mapuroteni zvokudya nokunwa mvura yakawanda.

Upenyu mushure akanaka bvunzo

Danho yakaomesesa mumugwagwa amai akapfuura. Kuti pamuviri paiva nyore, edza kufamba zvakawanda yakachena mhepo, kudya mapuroteni zvokudya, regai kuva huta uye nokuchenjerera kuti zvokurapa mushonga. Yeuka kuti yakawanda pamuviri yaunganidzwa IVF vakarasika nokuda kushandisa zvisina kufanira zvinodhaka. Uyewo, chero zvazvingava, regai kukanzura pachavo hormone kurapa, kumirira kuita chiremba wako. Kazhinji, kutsigira basa corpus luteum mbeu pauri "Urozhestan", inofanira kushandiswa kusvikira pamusoro vhiki yechi20 pamuviri. Regai kushandisa zvinodhaka kuti vane basa kugadzirwa progesterone, chiremba achairega zvishoma apfuura - kumwe muna 16-17 vhiki fung.