IVF (in vitro fetiraiza): chii uye inoitwa sei

Zvemukati
Kuberekesa in vitro, inozivikanwawo nechidimbu FIV, inzira yekubatsira kubereka iyo inosanganisira kusangana kwezai nembeu murabhoritari, inozoiswa mukati mechibereko, uye maitiro ese anoitwa mukiriniki yekubereka, pasina kusangana pabonde. kubatanidzwa.
Iyi ndeimwe yenzira dzinonyanya kushandiswa dzekubereka uye dzinogona kuitwa mumakiriniki akazvimirira nezvipatara uye kunyangwe muSUS, ichiratidzwa kune vakaroorana vasingakwanise kubata nhumbu kamwechete mugore rimwe rekuyedza vasina kushandisa nzira dzekudzivirira nadzo.

Kana zvaratidzwa
Kuita kwekusangana in vitro zvinoratidzwa kana vakadzi vaine shanduko yemadzimai inokanganisa ovulation kana kufamba kwemazai kuburikidza nemachubhu. Nekudaro, iyi nzira yekubereka isati yaratidzirwa, bvunzo dzinoitwa kuti dzione chikonzero chekuoma kwekuva nepamuviri uye, nekudaro, chiremba anogona kuratidza kurapwa kwakanyanya.
Nekudaro, kana iyo nhumbu ikasaitika kunyangwe mushure mekurapa kwakaratidzwa nachiremba, kana kana pasina kurapwa kweshanduko yakacherechedzwa, kusangana. in vitro inogona kuratidzwa. Nekudaro, mamwe emamiriro ezvinhu mune kusangana in vitro inogona kutariswa ndeiyi:
- Isingachinjiki turu kukuvara;
- Yakasimba pelvic adhesions;
- Bilateral salpingectomy;
- Sequelae yechirwere chepachivi chinoputira;
- Pakati nepakati kune endometriosis yakaoma.
Mukuwedzera, kubereka in vitro inogona zvakare kuratidzirwa kune vakadzi vasina kubata nhumbu mushure memakore maviri esalpingoplasty kana panogara chipingaidzo chetubal mushure mekuvhiyiwa.
Zvinoitwa sei
IVF maitiro anoitwa mukiriniki yekubatsira kubereka inoitwa mune mamwe matanho. Nhanho yekutanga inosanganisira kusimudzira mazai kuitira kuti huwandu hwakakwana hwemazai hunogadzirwa kuburikidza nekushandisa mishonga. Mazai anogadzirwa aya anobva aunganidzwa ne transvaginal aspiration ne ultrasound otumirwa ku laboratory.
Nhanho inotevera kuongorora mazai maererano nekugona kwawo uye mukana wekusangana. Nekudaro, mushure mekusarudzwa kwemazai akanakisa, urume hunotangawo kugadzirirwa, nembeu yemhando yepamusoro iri kusarudzwa, ndiko kuti, avo vane hunhu hwakakwana, kusimba uye morphology, sezvo aya ari iwo ari kukwanisa kuisa zai nyore nyore.
Zvino, urume hwakasarudzwa hunounzwa mugirazi rimwe chete maanoiswa mazai, uyezve kusangana kwemazai kunoonekwa panguva yetsika dzeembryon kuitira kuti rimwe kana mamwe mazai agone kuiswa muchibereko chemukadzi., Uye kuedza inofanirwa kuitwa nachiremba wemadzimai kukiriniki yekubatsira kubereka.
Kuti uve nechokwadi chekubudirira kwekurapwa mushure memazuva gumi nemana eIVF, bvunzo yemishonga yekuzvitakura uye bvunzo yekuzvitakura inofanira kuitwa kuyera huwandu hwe beta-HCG. Anenge mazuva gumi nemana mushure meiyi bvunzo, iyo transvaginal ultrasound test inogona kuitwa kuyedza hutano hwemukadzi uye nhumbu.
Njodzi huru dzekusangana in vitro
Imwe yenjodzi dzinowanzoitika pakusangana in vitro ndiko kubata kwemapatya nekuda kwekuvapo kwemazai akati wandei mukati mechibereko chemukadzi, uyezve kune njodzi yakawedzera yekubvisa nhumbu, uye nekuda kwechikonzero ichi nhumbu inofanirwa kugara ichiperekedzwa nachiremba uye chiremba ane hunyanzvi mukubatsira kubereka.
Uye zvakare, vamwe vacheche vanozvarwa nein vitro michina yekudyara vane njodzi yakakwira yekuve neshanduko dzakadai sedzematambudziko emoyo, muromo unocheka, shanduko mudumbu nekukanganisa mune ruruzi, semuenzaniso.