Migumisiro IVF vakadzi. Nzendo uye IVF

Yokubatsira kubata pamuviri inoshanda mumakore achangodarika takanakidzwa zvikuru yezvinoita zhinji. Mumwe murwere ane zvairatidza dzavo kuti izvi kana dzimwe nzira. Mumwe vakadzi gumi nematambudziko yokubereka, IVF zvinodiwa. About kumonyanisa ichi vachakuudza nyaya yanhasi. Uchadzidza chii hunoguma IVF, uyewo kukwanisa tinyatsoziva nzendo chiitiko.

Ezvokunambira kunze kwomuviri waamai muchangosangana

Chii nzira? Ezvokunambira kunze kwomuviri waamai muchangosangana - munhu zvitinakire kupa yokuberekwa kunze muviri mumwe mukadzi. Mukana pamuviri anenge 60 muzana. Havasi majoko ose zvakanaka mugumisiro inotengwa pakutanga kuedza. Dzimwe mhuri vanomanikidzwa kakawanda kuita ezvokunambira kunze kwomuviri waamai muchangosangana pakuvhiya.

Nzira iri kuitwa nenzira dzakasiyana-siyana. Nguva dzose kufungawo murwere mamiriro wayo nomumwe zvinhu. Man nzira iri zvinenge nechokuita. Asi kana kunaka dzisingaoneki wake murombo, uye pane dzimwe evanhu anoshanda. Ezvokunambira kunze kwomuviri waamai muchangosangana iri basa vakaroorana vasingakwanisi pamuviri muropa. Mazita huru zvinoratidza: pasina fallopian sepombi kana ovaries, chenhando dzisingaoneki mumwe, hazvigoni kugadziriswa. Protocols zvinoitiswa IVF ingava yakareba uye pfupi, pamwe risingamboshandisi nokururamiswa hormone, kana Ultra giperdlinnye. Asi vazhinji maviri okutanga kushandiswa. Verenga zvimwe pamusoro pavo uye chii pamigumisiro IVF anogona, kudzidza pamusoro. Usakanganwa kuti muviri mumwe murwere nomumwe.

Nokukurumidza uye refu nemigumisiro yakaipa IVF

Zvaizoratidza sokuti zvingaitika zvakaipa panguva ezvokunambira kunze kwomuviri waamai muchangosangana dzakati?! Asi kunyange kana panguva kurudziro uye pashure pacho musingadi nemamiriro chero matambudziko ivo nazvo mune ramangwana. Zvose zvakaipira IVF unogona kukamurwa mangwanani uye kunonoka.

Aimbova zvinosanganisira chisingatarisirwi kunaka ezvinhu kana matambudziko dzinomuka panguva kana pakarepo mushure kweiyi muchitokisi yokutama. The inonyanya ezvinhu anonzi OHSS - ovarian hyperstimulation syndrome. Panguva iyi, matambudziko angamuka zvakadai chisimbwa kana kusada mumwe mushonga, nenjodzi, kuzvimba. Kazhinji, pakarepo migumisiro IVF - chinhu kurwadziwa mudumbu, paumbwe mvura iri nzvimbo pozadimatochnom, kutyorwa chitsiko, kuda kurutsa uye kurutsa, chiropa dysfunction kunokonzerwa nokushandisa yakawanda zvinodhaka. Panguva ponji, mukadzi anogona kukonzera ropa, riri ezvinhu haana unofadza zvikuru.

On the zvenguva refu, vanachiremba vari hotly nharo kusvikira nhasi. Zvinozivikanwa kuti ari IVF nzira iri ravakwa, zvinonzi yakafukidzwa ngano zhinji. Zvinofungidzirwa kuti zvitinakire ichi kunokonzera kwakanyanya kukura ane bundu. Zviri kunyanya ngozi kana hunhu hwavo yaigara nyanyisa. Bata anogona kukonzera nomusoro vakadzi, muitiro kunoderedza remangwana ovarian chengetedza. Chero ano IVF muzinda pre-ongorora mukadzi, kudzidza mukana zvisingafadzi ezvinhu.

Ovarian hyperstimulation chirwere - a kakawanda kuomesa

Chii chingava zvakaipira IVF, imi munotoriziva. Zvakakodzera kuratidza OHSS - ovarian hyperstimulation syndrome. How nengozi ndiye uye kana pane nguva dzose?

Ovarian hyperstimulation chirwere - mamiriro yakakonzerwa hormone kupindira mumuviri murwere. Pane imwe pavaipfuura IVF mukadzi anomanikidzwa kutora mishonga inotokonya kukura follicles. Doctors vanofanira kutora mazai vanopfuura kana vaviri - kuti kubudirira unoda zvakawanda. Kazhinji, vanachiremba kubva womukadzi ovaries nokuda 10-20 follicles. Kana shwanu iyi chaiwo kutenderera asingakwanisi kushanda kunze zvikuru. Tikafunga kugadzirira ovaries kuwedzera kukura, wana vakawanda follicular cysts. Kazhinji Zviratidzo izvi ezvinhu ndiwo zvinotevera: kurwadziwa yepazasi mudumbu, kuwedzera kukura bonde omumuviri, kuunganidza Urume mudumbu, ropa. Zvipatara anodiwa varwere vose vane dambudziko iri.

Rapanzvimbo zvakaipa zvinogona zvakasiyana chaizvo. Doctors kazhinji kuita outpatient kurapwa, asi haana kudzivirira kubata muchipatara. Ovarian hyperstimulation chirwere zvine ngozi nokuti makaumba chikofu anogona wakarukwa, kuparuka. It hwakazara kurwadziwa uye munyika ropa rinoda kuvhiya kupindira. Migumisiro yokunyanyisa zviitiko okunze, izvo vanachiremba vanotya angava sezvinotevera: thromboembolism, kufema, mwoyo kana itsvo kukundikana, ovarian apoplexy. Treatment kunosanganisira imwe kudya, zororo, kushapira zvinwiwa, kushandiswa kweropa thinners.

Pfupi kana refu dzakati: sarudzo

Chii IVF zvaitika kuvakadzi, chawakadzidza. Pasinei neizvi, vakawanda naka pabonde zviri kugadziriswa kuti evanhu ichi. Kazhinji, sarudza refu kana pfupi dzakati pakuvhiya. Ndoupi musiyano, kana pane Kusarudzwa murwere?

Kana kudana akanaka IVF centre, zvino kusarudza voga pamusoro kusarudza dzakati, Ungangove, hazvizovi zvinobvira. Mushure anamnesis chiremba anosarudza iyo nzira zvakakunakira. Long dzakati rinoshandiswa vakadzi nezvakanaka ovarian chengetedza. Kana nerubatsiro mazai une diki, kuvimba pfupi Protocol. Achaita kutanga kubva 3rd kana 5th zuva rako rwokuzvarwa kutenderera, pfungwa chinogara avhareji mazuva 10-14. Murwere anopiwa mishonga kudzivisa rokusamhanyira ovulation. Long dzakati iri akagamuchirawo refu - avhareji vhiki 3-5. Asati overstimulation murwere chiremba prescribes mishonga adzikatidza kugadzirwa LH. Pashure richisvika pasipasi tsika dzayo pamusoro activation inotanga kwakakodzera mishonga ovarian. Zvinofungidzirwa kuti kubudikidza gormonoblokiruyuschey nzira IVF asati kunotsamira zvakanaka Zvaizobuda oparesheni. Zvechokwadi, kuti chikamu pamuviri yepamusoro muna refu Protocol.

Ongororo uye kugadzirira - chinhu Danho rinokosha

Kuti IVF nemigumisiro mukadzi akanga chete akanaka, zvakakodzera kufunga zvose chiremba kurumbidzwaka. Wekutanga inokosha chaizvo kuongorora kuti kuona nerubatsiro mazai. Zviisei hakusi nyore sezvo zvinoita. Enough kuti vape ropa mahormone AMH, FSH uye LH. Zvichienderana netsika vakawana, chiremba achasarudza nguva yose Protocol. Vose vakaroorana vanofanira kuongororwa kuti chirwere, uye mukadzi anofanira kuongororwa kuti antibodies kuti rubella. Hazvo amutsvaka womukati mhango pakati dumbu. Kana ane polyps, adhesions, kana cysts, ivo vanobviswa pamberi kutanga Protocol. Man Anorwira urume ongororo kuziva chokubereka yavo.

Kukuchidzira vaviri ari pamberi ichikurudzirwa kuchengetedza utano hwakanaka, kurega doro uye kuputa, kubvisa mitambo inorema. Food ukapisa vabereki vanotarisira vanofanira kuva akapfuma mapuroteni. Kana uine chirwere chisingaperi, iva nechokwadi kuudza chiremba wako pamusoro pavo.

Kushandiswa hormone zvinodhaka: kurudziro

Zvokukura IVF akakamurwa zvitatu huru: kugadzirira uye mishonga, ponji uye fertilization, mudumbu kuchinjirwa uye rutsigiro. Medicines zvaidiwa dzishande, vakagadzwa chiremba. Kuti kuwedzera uwandu follicles vaishandisa FSH kugadzirira kwakavakirwa Somuenzaniso, "Puregon". Kurova pakati kemikari ichi inotungamirira kuti kuibvisa mazai 5-30 panguva. Cherechedza kuti havasi vose izvi zvinogona kuva kwakakwana uye akakodzera kuti zvimwe kugadzira.

Kuti adzivise chizvarwa pachavo mahormone vaishandisa nziyo ichivharira oparesheni pituitary. "Orgalutran" rinoreva vakadaro. Pakarepo asati ponji mumwe mukadzi akapiwa mushonga ine munhu chorionic gonadotropin (kemikari akazvitakura).

Follicle ponji uye nembeu OVA

Collection uye kubudiswa follicles - anotevera. Eco fenzi zvinhu kunosanganisira kushandisa neimwewo yokutindivadza. Bata chaizvo kunorwadza, saka haisi kuitwa "mari". Panguva tsono ponji achitaura kuzvidzora rinoitwa achiedza ultrasonic scanner. Chiremba akasarudza kupfuura revanoshamwaridzana uye kucheka nzira. Procedure chinogara avhareji hafu yeawa. Asi nokuda pakushandisa yokutindivadza, murwere inofanira kuongororwa vanachiremba okuwedzera maawa ane 2-3.

Pashure ponji of follicles vabatwe dzisingaoneki naye, ipapo akaisa yakanaka ezvinhu zvinogona vana. IVF kunosanganisira spiking tuvana rechitatu kana reshanu (kuchitsamira pamunhu).

Tama tuvana uye kudyarwazve

mitemo Russian achangobva akasarudza kurambidza kuchinjwa vazhinji tuvana. Zvino kukiriniki havabvumirwi maviri (kwazvo nyaya, vatatu) nourume masero. Kugadzirira chokwadi kuti havafaniri zvose midzi. Muviri kusonanidzwa hakurevi yokutindivadza. Kana nhete anobudisa mushonga zvishoma nezvishoma zvakananga kusvitsa Zai iri uterine mhango panobviswa kubudikidza muitiro nepamahofisi fallopian sepombi. Bata rinovapo hakuna kupfuura maminitsi 10-15. Munguva nzira, mumwe mukadzi anogona kuona munyoro kusanzwa uye anokakavara nokurwadziwa.

pashure nzira

Ndezvipi zvakaipira IVF? Reviews yevakadzi vakayambuka nzira iyi, vachiti kuti kwechinguva pashure kuchinjwa, vaifanira kuramba mukati mamasvingo tsika yokurapa. Panguva iyi, vanachiremba vanoti kuti zororo. Naizvozvo, kudzokera zvatinosiita nyaya uchange kupera. Pashure kuchinjwa vanachiremba kuona mukadzi, dzakakudzingai zvinogoneka matambudziko. Kana paine ropa, kurwadziwa pashure IVF kuipa tembiricha, zvino murwere anogona kuenda kumba. Woman kunonyora mamwe rutsigiro, anopa kushandisa zvinodhaka kwakavakirwa progesterone. Vanofanira kuiswa nokuda kupindira yaiva yeyero muviri hausi kukwanisa vakazvimiririra tiine pamuviri, izvo zvinogona vakawanda.

Positive mugumisiro: pamuviri

Ongorora mugumisiro evanhu anogona kuitwa pashure pemazuva 10-14. A pamuviri bvunzo kazhinji uninformative. Zvinoratidza yakanaka mugumisiro nokuda pamberi hCG kemikari jekiseni. Naizvozvo zviri nani kuenda nokuda Ultrasound nachiremba wako. Mavhiki maviri pashure kuchinjwa muchina akanaka icharatidza kuvapo kana pasina ovum iri uterine mhango. Uyewo mhinduro yakavimbika kuna mubvunzo achapa kuenzaniswa ropa muedzo hCG. The kupfuura zvakanaka zvaitika kuti IVF - pamuviri.

Kuzvarwa pashure IVF

How vanozvarwa? IVF haatarisiri munhu caesarean chikamu. Asi, sezvo tsika inoratidza uye ongororo, zvinonzi basa kazhinji. The chikuru chinokonzera chirwere chinogona kwaramba vakadzi, gynecological zvirwere munhau, vakawanda pamuviri. Natural kuberekwa pashure IVF hakuna kumbosiyana dzose. Asi kamwe zvakafanira kutaura kuti vane pamuviri ichi vangangova yematambudziko hwakadai placenta previa, magadzirira retinal yokuzviparadzanisa, simba basa.

Psychological divi

Kazhinji vakadzi vane IVF yakaipa kubva mupfungwa divi. Izvi Kazhinji kana uchishandisa anyatsoronga zvinhu: dzisingaoneki kana zai. Rinoumbwa wake kuti inongogara kuedza kuwana mukuzvarwa mwana zvinhu regai nezvatakarerekera zvinhu zvavo. Saka vabereki, vanachiremba vari zano kuti nguva dzose kubvunza wepfungwa, sezvo mamiriro aigona zononoka kudzora.

Kukundikana muna IVF sezvo ruzivo nevakadzi Zvakaoma chaizvo. Varwere vakawanda vanoda kutanga pakarepo muna zvinotevera Protocol. Asi muviri inoda nguva apore. Wana simba, inotevera nguva mikana yokuti zvakanaka zvichatoipa kwirirei.

To muchidimbu

Kubva nyaya unogona kuwana chii hunoguma IVF. nzira iyi haisi kurwadzisa munhukadzi muviri. Saka, tinofanira kugadzirira nokuti pachine. The zvakawanda kwazvo kugadzirira uye ichava basa kusvika, dzakanga mukana munhu akanaka mugumisiro. rombo rakanaka uye kushivirira!