"Kusakosha" shoko risina kururama
Nhasi muUkraine, iyo inonzi "kusununguka" kwezvikamu zviviri zvechina. Vanachiremba vanotenda kuti kana mukadzi asingatauri nepamuviri mugore negore nguva dzose asina kudzivirirwa, inguva yekutanga kuongororwa uye kurapwa kwevakaroorana. Mwedzi gumi nemaviri haisi nguva dzisinganzwisisiki: nhamba dzinoratidza kuti muchetatu wehutano huviri hwemakumbo hunowanikwa mumwedzi mitatu yekutanga pasina zvirongwa zvekudzivirira, imwezve 60% - munguva dzezvinomwe zvinotevera, 10% inosara - mushure me11-12. "Asi isu, vanachiremba, hatidi shoko rokuti" kusununguka. " Tinosarudza kutaura "kusakwanisa kwenguva pfupi kubata pamuviri," nokuti kazhinji vanachiremba vanogona kuita izvi kusakwanisa kugadzirisa. " Nokuda kweizvi, pane nzira yeVF. Chinangwa chayo-kupa mukana wekusangana neii nehuta, uye chibereko chinoguma chichiisa mudumbu remukadzi. Regai zvikure sezvinoitwa nekuzvarwa kwepanyama. Asi zvisati zvaitika zvakakosha kuenda mumatanho akawanda ekuongorora - shure kwezvose, vabereki vari kumirira mwana ane utano, uye nokuda kweizvi zvinokosha kuti vose amai nababa vane utano.
Kunzvera kuongorora
"Kana vaviri vakaroorana vakatitaurira, tinotanga kuongorora murume. Kana chikonzero chekusakwanisa kubata chiri mumuviri wake, mamwe maitiro akachenjerera achaendeswa kune baba vanouya. Kana zviri zvakanaka naye, chinhu chinotevera chekucherechedza kwedu chinova mukadzi. " Kuongororwa kwemunhu: maitiro ekudzidzira (muna 30% yevarume vanotambura nekushaya vana, vanowana zvirwere zvepabonde zvinopesana nekukura); spermogram (kuongororwa kwehuwandu uye hutano hwepermatozoids) - zvinodiwa kuti uzviite zvisati zvishoma katatu mue laboratory imwechete; US scrotum (ingave kune zvinhu zvisiri izvo zvepanyama); kutakura smears kubva kuchirwere chetachiona; Ivai neongororo dzemahomoni. Kuongororwa kwemukadzi: hormonal analysis (ndiyo yehutachiona hwepabonde dzakanaka); kupa smears kubva kumudzimai kune zvirwere; Ultrasound ye uterine cavity; kuedza-kusangana nehuta nemukomana wemukati (hausi mhombwe dzemawere dzinowanikwa mukati maro); chengetedza hutano hwe fallopian tubes (nekubatsira kwechimiro chinopesana, icho chinokonzerwa mukati mumiriri weu uterine).
Contraindications kune IVF
• Zvirwere zvepfungwa uye zvepfungwa, umo iwe haugone kubereka.
• Kusangana kana kuwanikwa kubudirira kana kukanganiswa kweuterine, zvichiita kuti zvibvirire kuisa embryo.
• Mishonga yechipfuva uye mavhai.
• Kurwiswa kwakanyanya kwezvikadzi.
Chii chakashata?
Nhasi, vanachiremba vane kukanganisa kunenge makumi matatu nemaviri mumuviri wevarume nevakadzi vasingabvumi vaviri vacho kuti vave nevana. Asi vose vakabatana mune imwe nzira kana imwe kumamiriro mashanu ekutora pamuviri: mukadzi anofanira kunge ane chirwere (egg 1 kubva mu follicle). Svime chiremera chinofanira kunge chisina kukanganiswa, fura chirume. Icho chinonzi fallopian tube (inenge imwe chete) inofanira kunge iripo uye ichipfuura kuitira kuti musangano weii uye spermatozoon iwanike. Mucous uterus (kana endometrium) inofanira kuva yepamusoro, kuitira kuti embryo inamatira kune rusvingo rwechibereko uye uwedzere mberi. Spermatozoa inofanirwa kunge iine mafambiro (zvichida hafu yavo) uye chiyero chese - kwete pasi pemamiriyoni mashanu kusvika ku10 mu 1 ml yeviri. Kana chimwe chezviitiko izvi chisati chasangana, vanachiremba vanokwanisa kukurudzira IVF.
Kugadzirira kwe
6-11 zuva rekuenda kumwedzi - chengetedza chimiro chechibereko (nzvimbo yekubatanidza embryos) uye muhupo hwekusawirirana kwavo kururamiswa (pane izvi zvichienderana nekubudirira kwekubata uye kubereka kwomwana kuchapfuura). 19-24 zuva - mukadzi anounza zvikiti zvose nemigumisiro yekuongororwa kwechiremba: gynecologist, arapist, infectiologist, mammologist. Vanachiremba vanoongorora mamiriro ehupachiviri uye vanopinda mishonga iyo inotapira mutemo wehomoni we mavha mavari. Pashure pemavhiki maviri - ultrasound ye chibereko uye mavhai. Zvadaro zvinodhaka neFSH (follicle stimulating hormone) zvakabatana kukurudzira kukura kwe follicles mu mavharasi kwemazuva 12-14. Nguva yose ino, vanachiremba vari kutarisa kukura kwavo kugadzirisa chirwere chechirwere. Mushure memazuva 12-14 - zuva rekuenzanisa mazai rinosarudzwa. Pasi pese anesthesia, mukadzi anorohwa nerusvingo rwomukati rwemadzimai, nhombodo yakatetepa isina kubviswa kwemuviri inotorwa kubva pane zvinyorwa zve follicles uye pasi pe microscope inotarisa evha mu follicular fluid.
Awa X
Evha inogadzirirwa mukombe chaiyo ine mvura inomiririra uterine tube inzvimbo. Ichi chigadziko chinowanikwa mu-incubator apo kutonhora kunogara kwakachengetedzwa pa37 ° C, uye mvura yacho inowedzera kugoverwa nek carbon dioxide, yakafanana ne carbonate (iyo inofanidza kushaya simba kweropa revanhu). Ipapo murume anopa hura, iyo vanachiremba vanobata nemhinduro dzakakosha kwemaawa maviri (iyo yose mbeu inoshingaira, uye nhamba yavo - kwete pasi pemaitiro). Kana chirume chechimiro chakakosha, chikamu ichi chinowedzerwa kumazai. Kana zvikaitika kuti hamuna kukwana spermatozoa, vanachiremba vanotaura nechinangwa chimwe chete, chakasimba uye chine utano (kukwana kwakakwana kworusvingo rwaro neine tsono shoma). Iyo ndiro ine masero inodzorerwa kumashure muyo incubator uye mushure memaawa 16-18, zygote inoumbwa - 2 nucleoli, mukono nehadzi, imwe neimwe ine 23 chromosomes. Vanobatana, uye kana imwe nucleus imwe isingafadzi - kune chirwere, zvinokosha kudzokorora kuedza zvakare. Uyezve X-awa: pazuva rechipiri-rechipiri embryo ine 4 kana 8 masero emhando yakanakisisa inotamirwa kumuberekwa necatheter. Izvi zvinoitwa pasina anesthesia, nokuti nzira yacho haina maturo uye haitoreri kupfuura 5-10 maminitsi. Panguva ino, mukadzi akarara muchigaro chegadzimai, anogona kuona zvose zvakagadziriswa pahwindo rekuona. Mazai anonyanyisa akaomeswa mumvura ine nitrogen mumhepo inenge yakasviba -196 ° C - kamwe-kamwe mhepo inotanga kudzoka zvakare. Kwapera vhiki mbiri, mukadzi anoenda pamuviri wekutora pamuviri uye, kana akawana ruzivo, anouya kuchipatara mamwe mavhiki maviri gare gare kuti aone kana embryo yakanyatsobatanidzwa. Izvozvo, chaizvoizvo, uye iyo yose nzira IVF. Kuwanda kwekuita pamuviri kune 52-72%. Zvakaoma here? Chokwadi! Asi mhedzisiro - mhuri inofara-yakakosha.
Havasi vose vane makore vanozviisa pasi ... kubata
"Kana pane matambudziko ane kukwanisa kubata pamuviri, zvinonzwisisika kuti mukadzi aende kuchipatara kwemakore 35. Ichokwadi ndechokuti vakadzi vekudzimai vane makore akawanda kwazvo, vangani ivo pachavo. Nokuda kwei nguva iyi, hutano hwavo huri kuwedzera nekuda kwekuchinja kwehutano, kusagadzikana kwezvisikwa, tsika dzakaipa, zvirwere, kufamba kusina kunaka uye kudya kunovaka muviri. " Nguva yakanakisisa yepamuviri ndeyemakore makumi maviri nemaviri nemashanu. Pashure pemakore makumi matatu nemashanu, mikana yekuberekwa mwana inowanikwa kaviri, uye pashure pemakore makumi mana - 15-20% chete yehutano hwekuita pamuviri. Varume vakanga vachikwereta: spermatozoa yavo inovandudzwa mazuva makumi maviri nemanomwe (ichi chiitiko chinonzi spermatogenesis). Nokudaro, kunyange mumakore akwegura, maziso edu anogona kupa zvinhu zvakanakisisa zvekudyara.
Living Capital
Vamwe havadi kumirira kusvika kukweguru, vachifunga kuti chirume chavo chiri chikuru, uye vanochiita zvakanaka: inguva shoma sei upenyu hwakagadzirirwa kwatiri! Uhu (uye evha, zvakare) inogona kuve yakanyungudzwa kwemakore gumi kana kupfuura. Kubatsirwa kwezviito zvakadaro kunoratidzwa nemutauro weChirungu Diana Ropa. Pazera remakore makumi maviri negumi nemashanu, akava chirikadzi, asi makore mana gare gare, nekuda kwemvura yakasviba yakawanda, mukadzi wacho akazvara mwana, uye shure kweimwe makore matatu - yechipiri. Pakukumbira kwaDhiana, dare reBritish rakawana vaviri vacheche zvakakodzera, kunyange zvazvo baba vavo vakanga vagara vafa. Vanhu veEurope vanowanzoshandisa mukana uyu kuchengetedza mazai avo echando nokuda kwekusagadzikana uye, kunyanya kukosha, sarudzo yepamusoro yemudzimai. Vazhinji vekuBelgien vakaongororwa vasati vava nemakore makumi matatu nemasere vakataura kuti izvi zvinovapa mukana wekunyarara vachiita basa uye kwete kukurumidza nemuchato.