Yuav tsis muaj peev xwm xav txog ib tsev neeg puv puv uas tsis muaj menyuam. Raws li lawv hais, "neeg sib ntsib, tib neeg poob rau hauv kev hlub, sib yuav", tab sis, hmoov tsis, tsis yog txhua tus ua tiav nrog cov xeeb ntxwv. Cov tshuaj niaj hnub ua tiav daws qhov teeb meem no. Ib txoj hauv kev yog hauv vitro fertilization. Follicle puncture thaum IVF nyob rau hauv cov ntaub ntawv no yog ib tug yuav tsum tau txoj kev.
IVF yog dab tsi?
IVF (hauv vitro fertilization) yog qhov kev xav ntawm tus menyuam mos, vim tias cov qe rho tawm ntawm zes qe menyuam tau muab sib xyaw rau hauv lub raj tshuaj uas muaj cov khoom noj nruab nrab nrog txiv neej phev. Ob peb hnub tom qab kev tsim insemination, lub qe yog muab tso rau hauv lub tsev menyuam, qhov twg nws yuav siv sij hawm hauv paus. Cov poj niam raug txhawb kom noj cov tshuaj hormone progesterone, uas npaj lub tsev menyuam rau kev yug menyuam.
Feem ntau, lub embryo pib hauv paus tiav. Feem ntau, txhawm rau kom muaj feem yuav xeeb tub, ob lossis peb lub embryos tau cog. Kev kuaj cev xeeb tub tom qab yug me nyuam tom qab xya mus rau kaum hnub.
Yog tias "ntxiv" embryos tseem nyob tom qab txheej txheem, lawv yuav khov rau yav tom ntej (thaum nws tsis tuaj yeem xeeb menyuam thawj zaug lossis thaum nkawm niam txiv xav tau tus menyuam thib ob).
Qe, zoo li phev, tuaj yeem siv tus kheej lossis pub dawb. Cov txheej txheem hauv vitro fertilization yog qhia rau cov khub niam txiv uas raug kev txom nyem los ntawm kev xeeb tub, cov poj niam uas muaj kev cuam tshuam ntawm cov hlab ntsha, nrog rau cov txiv neej uas tsis muaj peev xwm (qeeb) phev.
Ntawm qhov nruab nrab, ib txoj kev IVF siv sijhawm peb mus rau rau lub lis piam thiab raug nqi 120-150 txhiab rubles. Kev sim cev xeeb tub nrog kev siv tshuaj tua kab mob yuav tsum raug tso tseg yog tias IVF ua tsis tau peb zaug.
IVF theem
Ua ntej IVF, koj yuav tsum tau kuaj tag nrho thiab sab laj nrog koj tus kws kho mob txog qhov muaj feem cuam tshuam thiab teeb meem. Tus kws kho mob tshwj xeeb yuav tsum tshuaj xyuas tus neeg mob ntawm lub rooj zaum, ua ultrasound thiab sau tag nrho cov kev ntsuam xyuas tsim nyog (ntshav rau cov tshuaj hormones, kuaj cytological ntawm smears, smears rau STDs, thiab lwm yam).
Rau kev ua tiav kev tsim cov noob qoob loo, poj niam thiab txiv neej xav tau:
- Yuav kom noj qab nyob zoo, tsis txhob muaj cov txheej txheem mob hnyav thiab mob ntev.
- Ua lub neej noj qab nyob zoo, tso tej cwj pwm phem, nrog rau kas fes.
- txwv kev ua lub cev.
- Ua raws li kev noj haus, noj cov vitamins txhua hnub.
- Tsis txhob noj tshuaj tshwj tsis yog kws kho mob tau sau tseg.
Extracorporealfertilization yog nqa tawm nyob rau hauv ob peb theem thiab yuav siv sij hawm li ntawm peb mus rau rau lub lis piam.
Thawj theem yog kev npaj. suav nrog kev tshuaj xyuas tag nrho ntawm ob tus neeg koom tes.
theem thib ob yog qhov stimulation ntawm ovulation. Txhua tus poj niam noj qab nyob zoo tsim ib lub qe thaum lub caij cev khaub ncaws. Rau kev ua tiav IVF, cov kws kho mob yuav tsum tau txais ob lossis ntau lub qe. Yog li, ovulation yog txhawb nrog kev pab los ntawm ntau yam tshuaj hormonal (Megonin, Diferelin, Orgalutran, Menopur, thiab lwm yam). Cov tshuaj no tsuas yog muab los ntawm kws kho mob xwb. Cov ntsiav tshuaj tau noj nyob rau hauv kev saib xyuas nruj ntawm cov kws tshaj lij. Qee lub sij hawm, ib qho ultrasound yuav ua tau los txiav txim qhov kev loj hlob ntawm follicles.
Thaum cov hauv paus hniav ncav cuag 16-20 mm, mus rau theem thib peb. Qhov no yog puncture ntawm cov hauv paus hniav thaum lub sij hawm IVF - lub extraction ntawm mature qe nrog ib tug tshwj xeeb koob. Cov txheej txheem yuav siv li ntawm 15 mus rau 30 feeb thiab ua raws li kev siv tshuaj loog hauv zos nrog ultrasound. Ib txhij nrog kev sib tsoo, tus khub yuav tsum pub phev.
Qe thiab phev raug xa mus rau chav kuaj rau kev tshawb fawb ntxiv thiab fertilization.
theem plaub yog fertilization. Cov qe paub tab yog muab tso rau hauv ib lub raj kuaj sim nrog cov khoom noj nruab nrab. Ces cov spermatozoa txhaj muaj. Ib lub thawv rau ib lossis ob hnub (tsis tshua muaj tsib) tau muab tso rau hauv qhov chaw tsim khoom, qhov twg qhov kev xav tshwm sim. Thaum lub cell pib faib sai heev, nws twb hu ua embryo, uas yog npaj rau cog.
Thib tsib - hloov ntawm embryos mus rau hauv kab noj hniavtsev menyuam. Cov txheej txheem yuav siv li ob peb feeb thiab tsis mob kiag li. Lub embryo yog muab tso rau hauv lub uterine kab noj hniav siv ib tug tshwj xeeb catheter. "Ntxiv" embryo yog cryopreserved rau yav tom ntej siv.
Thawj ob lub lis piam lub embryo pib hauv paus hauv tsev menyuam. Kev xeeb tub tuaj yeem kuaj tau 10-14 hnub tom qab qhov txheej txheem. Muaj qee zaus thaum cev xeeb tub tsis tshwm sim thawj zaug. Tsis txhob poob siab. Tom qab ib pliag, koj tuaj yeem sim dua. Tom qab peb qhov kev sim ua tsis tiav, IVF tsis tau sau tseg lawm.
Ib qho ntawm cov kev pab cuam fertilization hauv vitro yog niam txiv surrogate. Nws yog siv nyob rau hauv rooj plaub uas tus poj niam yug tsis tau ib tug menyuam ntawm nws tus kheej. Surrogacy raug tso cai nyob rau hauv Russia, Ukraine, Kazakhstan thiab ntau lub xeev US. Hauv lwm lub tebchaws, nws raug txwv lossis tsis tswj los ntawm txoj cai.
Puncture ntawm follicles thaum IVF
Puncture ntawm follicles yog kev rho tawm ntawm cov qe loj kom ntxiv fertilization hauv vitro. Cov txheej txheem yog ua transvaginally (los ntawm qhov chaw mos) nyob rau hauv cov tshuaj loog. Muaj tsawg zaus, tshuaj loog hauv zos yuav ua tau. Qe retrieval yog saib xyuas los ntawm ultrasound. Sijhawm 10-15 feeb.
Ua ntej muab lub hauv paus, nws yog ib qho tseem ceeb kom ua raws li cov cai hauv qab no:
- Ob mus rau peb hnub ua ntej qhov txheej txheem, koj yuav tsum tsis txhob muaj kev sib deev.
- Ua raws li kev noj zaub mov tshwj xeeb protein. Muab cov khoom noj uas ua rau fermentation ib ntus.
- Kev yuav tsum ua thaum sawv ntxov ntawm lub plab khoob.
- Ib hnub thiab ib nrab hnub ua ntej txhaj tshuaj, yuav tsum tau txhaj tshuaj hCG,uas yuav ua rau kom loj hlob ntawm follicles.
Tom qab cov txheej txheem, tus neeg mob yuav hnov mob me ntsis kiv taub hau, mob hauv plab plab. Lub zes qe menyuam tom qab follicle puncture nce, qee zaum mus txog 12 cm inch. Los ntshav kuj tuaj yeem tshwm sim. Cov mob no suav hais tias yog ib txwm muaj.
Cov tsos mob ntawm xeev siab thiab ntuav, mob hnyav thiab los ntshav hnyav yuav tsum ceeb toom. Koj yuav tsum ceeb toom rau tus kws kho mob tam sim ntawd txog cov tsos mob, vim qhov no tuaj yeem ua rau muaj kev phom sij tsis yog rau IVF nkaus xwb, tab sis kuj rau kev noj qab haus huv ntawm tus neeg mob nws tus kheej.
Lub ntsiab lus tseem ceeb ntawm kev tsim cov khoom tsim tawm yog qhov puncture ntawm follicles thaum IVF. Kev tshuaj xyuas txog cov txheej txheem txawv heev, tab sis yog tsis muaj nws, lub tswv yim ntawm tus me nyuam yog tsis yooj yim sua.
Yuav coj li cas tom qab IVF?
Ib khub niam txiv uas txiav txim siab rau IVF, tau kawg, xav kom muaj menyuam. Tom qab hloov lub embryo ua tiav, tus poj niam xav tau kev hlub thiab kev saib xyuas. Thawj hnub tom qab tus txheej txheem, nws zoo dua rau nws siv hauv tsev pw.
Kev cog qoob loo ntawm lub embryo tiav yog qhov pib ntawm cev xeeb tub. Txawm li cas los xij, xws li cev xeeb tub muaj nws tus kheej "whims". Feem ntau, thaum xub thawj, tus poj niam lub cev, tshwj xeeb tshaj yog, lub tsev menyuam, coj aggressively ntawm implanted embryo thiab tsis lees txais lub neej tshiab. Yog li ntawd, tom qab IVF, kev nchuav menyuam tshwm sim ntau zaus.
Yuav kom txwv qhov tshwm sim no, nws raug nquahu kom tsis txhob ua lub cev thiab kev sib deev thawj peb lub hlis. da dej kub thiab saunas kuj raug txwv.
Yuav tsum hais lus zoo rau txhua tus cwj pwm phem uas feem ntau ua rau nchuav menyuam.
Kev noj qab nyob zoo, noj zaub mov kom raug thiab cov vitamins yog txhua yam uas xav tau los tswj kev xeeb tub. Nws yog ib qho tseem ceeb kom nco ntsoov txog tus cwj pwm zoo thiab tus cwj pwm zoo. Tom qab tag nrho, kev xav materialize!
Kev kuaj cev xeeb tub, nrog rau cov ntshav rau hCG, yuav tsum tau noj tsawg kawg ob lub lis piam tom qab IVF. Thaum tsib mus rau rau lub lis piam ntawm cev xeeb tub, kev kuaj mob ultrasound yog qhov tsim nyog kom paub meej tias qhov kev loj hlob zaum kawg thiab kev ua tiav ntawm lub embryo rau lub tsev menyuam.
Ovarian hyperstimulation syndrome
Nws yuav tsum tau muab sau tseg tias follicle puncture thaum IVF (kev tshuaj xyuas txog cov txheej txheem sib txawv) yog ib qho tseem ceeb tshaj plaws ntawm fertilization. Txawm li cas los xij, rau nws txoj kev siv, koj xav tau ntau lub qe zoo li qub li sai tau. Ua li no, txhawb ovulation nrog kev pab los ntawm tshwj xeeb hormonal npaj. Ib qho kev phiv ntawm cov tshuaj yog hyperstimulation syndrome, uas ua rau lub zes qe menyuam loj, tsim cov hlwv ntawm lawv, rupture ntawm cov hlwv, thiab tsub zuj zuj ntawm cov kua nyob rau hauv lub plab kab noj hniav.
Qhov tshwm sim tsis zoo tuaj yeem zam tau nrog kev pab los ntawm kev tshuaj xyuas zoo uas tau ua ua ntej fertilization. Nws yog tsim nyog los soj ntsuam cov tshuaj hormones. Ua tsaug rau nws, koj tuaj yeem suav cov tshuaj pes tsawg ntawm cov tshuaj thiab tsis txhob hyperstimulation.
Yog tias tus neeg mob muaj cov tsos mob hauv qab no - mob thiab mob hauv plab hauv plab, qhov hnyav nce sai, nce lub duav ncig - nws yuav tsum mus ntsib kws kho mob tam sim ntawd. Nws yuav yogqhov pib ntawm hyperstimulation syndrome, qhov nruab nrab thiab qib hnyav uas xav tau kev kho mob hauv tsev kho mob.
Cov teeb meem tom qab IVF
Txhua txoj kev uas tau ua yam tsis tau npaj lossis los ntawm tus kws tshaj lij uas tsis muaj kev paub yuav ua rau muaj qhov tsis zoo. Qhov no kuj siv tau rau IVF. Yog li, stimulation ntawm ovulation tej zaum yuav ua rau hyperstimulation. Raws li qhov tshwm sim, ascites, cov kua dej ntau ntxiv hauv lub plab kab noj hniav, tuaj yeem txhim kho.
Cov teeb meem qee zaum tshwm sim tom qab cov txheej txheem yooj yim li follicle puncture. Kev tshuaj xyuas ntawm qee tus neeg mob txaus ntshai nyob rau hauv qhov xwm txheej - mob hnyav, los ntshav hnyav. Qhov no yog vim thaum lub sij hawm puncture ntawm lub follicle, lwm yam kabmob ntawm lub plab me me kuj tuaj yeem cuam tshuam.
Ib qho sib npaug ntawm qhov tshwm sim ntawm kev tsim cov tshuaj tua kab mob yog kab mob. Qhov laj thawj tseem ceeb yog kev tsis saib xyuas ntawm cov kws kho mob, cov mob tsis muaj menyuam.
Yog li ntawd, yuav tsum xaiv lub tsev kho mob rau IVF kom zoo. Thiab yog hais tias xws li ib tug manipulation li follicle puncture muaj tsis zoo tswv yim los ntawm cov neeg mob, ces lub tsev kho mob uas ua nws yuav tsum tau bypassed.
Contraindications rau IVF
IVF yog kev kho mob uas ua rau cov tsev neeg tsis muaj menyuam muaj caij nyoog los ua niam txiv. Txawm li cas los xij, cov txheej txheem no muaj nws cov contraindications. Nov yog:
- kab mob Somatic (kab mob ntawm lub plawv, cov hlab ntsha, lub ntsws, lub siab, lub raum, lub plab zom mov, kab mob caj ces thiab lwm yam).
- kab mob siab.
- Kev yug me nyuam, cov qauv txawv txav ntawm lub tsev menyuam.
- Nyob zoo thiab malignant formations nyob rau hauv lub tsev menyuam, thaum nws uatsis tuaj yeem follicle puncture thaum IVF (qhov tshwm sim - kev tuag ntawm tus neeg mob).
- Cov txheej txheem mob hnyav.
Tom qab kho cov kab mob uas tau teev tseg, koj tuaj yeem pib txoj haujlwm IVF. Yog tias kev kho mob tsis tau ua tiav, txoj hauv kev tawm tsuas yog siv qhov kev pabcuam "surrogate motherhood".
Zoo kawg
Ua tsaug rau cov thev naus laus zis kho mob tshiab, IVF ua rau ntau tus niam txiv muaj kev cia siab rau kev yug menyuam. Ntau txhiab tsev neeg twb tau siv lub sijhawm no los ua niam txiv thiab nyab xeeb.
Ntxhais ntawm cov hauv paus hniav thaum IVF yog qhov yuav tsum tau ua, yam tsis muaj lub tswv yim ntawm lub neej tshiab tsis tuaj yeem ua tsis tau. Lub qe rau fertilization yuav muab tau los ntawm ob tus poj niam uas yuav los ua niam thiab tus poj niam pub.
