Kumirira mwana nguva dzose kuedzwa kwemuvirikadzi kuti uve nesimba, kunyanya kana zvichiuya kune vanaamai vanotarisira vanopfuura makore makumi matatu nematatu kusvika ku5. Asi pane mamiriro ezvinhu apo "chinzvimbo chinonakidza" che "nguva" Amai vanoda kunyatsochenjerera kudzora. Izvo zvaunoda kuziva pamusoro pekupera kwekuita pamuviri mushure meVIV uye kupererwa kwepamuviri, uyewo kuitika kunopesana nemamiriro ezvinhu ezvirwere zvakasiyana-siyana zvisingaperi?
ECO: teknolojia yekubatsira
Kuberekwa, kunokonzerwa neVIV, nguva dzose kunoda kuwedzera kunyanya. Pashure pezvose, zvinosuruvarisa, hazvisi nguva dzose kuchengetedza. Maererano nemichina yakasiyana-siyana, inenge 30% yekuzvimba kwakadaro inoparadzaniswa musati mavhiki 12-14.
Zvimwe zvinhu zvinotungamirira kukusavhiringidzika kwepamuviri mushure meVIVF:
- immunogenetic (p., chromosomal kuchinja mumasero evabereki);
- kutapurika (kuvapo mumuviri wemubereki wepachirwere che latent kana chirwere chebhakitiriya - herpes simplex virus, cytomegalovirus, enterovirus, nezvimwewo.
- endocrine. Kukurudzirwa kweivulation kunotungamirira kuHodmonal change. Nokuda kwemasimba ekusimudza, izvo zvakaitika kuburikidza neHIVF, zvinokosha kuti nguva dzose ione muropa izvo zviripo zvehomoni zvinokonzerwa nekuchengetedzwa kwayo - estradiol uye progesterone.
- Pakutanga uye nguva dzose ultrasound kuongorora simba re fetus, ovary uye chiberekero. Uyewo, ultrasound inoongorora nzvimbo ye embryo (nzvimbo yakaderera inogona kukonzera kupererwa kwepamuviri), kusavapo kana kuvapo muuterine cavity yemvura yakasununguka (semuenzaniso, kuvhara ropa), musasa we fetal egg, nezvimwewo. Zvose izvi zvinobvumira kuona kutyisidzika kwekukanganisa kusati kwaitika uye kutora matanho akakodzera.
- Preimplantation diagnostics for the detection of chromosomal pathologies uye zvimwe zvirwere zvema genetic, kubuda kwezvinhu zvehupenyu uye ultrasound kuongorora kuderedza ngozi yekuberekwa kusagadzikana kwe fetus shure kweVFF (inogona kunge yakabatana nemakore ose amai uye zvikonzero zvekushaya mwana).
- Kunyatsoongororwa kwechirwere (mumutambo wepiri wechipiri, kutadza-chiberekero chisina kukwana chinowanzokura uye chinokurumidza kufambira mberi, icho chiri mumamiriro ezvinhu akaipisisa chinogona kukonzera kupererwa kwepachivande).
- Kudzivirirwa kwekuvandudzwa kwehutachiona hwehutachiona kana hwebhakitiriya.
- Kudya mavithamini-antihypoxants (C, E, beta-carotene, uye folic acid) kubvira pakuberekwa kwekutanga.
- multiplicity;
- mukana wekuparara kwepamuviri;
- ngozi ye intrauterine fetal pathologies;
- high infectious index.
Kubvisa pamuviri kamwe chete kunogona kukuvadza zvakasiyana-siyana zvinokonzera: mararamiro anokonzera uye kuchinja kwehutachiona hwemashure, hutachiona hwechibereko chemuviri, kunze kwezvinhu uye kushungurudzika. Mukuwedzera, muviri wechikadzi pazera remakore makumi matatu hawanzwisisi mwana asina rubatsiro runobatsira rwevamwe vezvokurapa. Izvi zvingave zvakakosha nokuda kwekuti mukuru kune mukadzi, zvakanyanya kuoma kwaari kuti atsungirire pamuviri, asiwo pamwe nekuti nezera iri muii, vakadzi vanogadziriswa nehutachiona, zvichiita kuti muve ne fetus ine maitiro asina kufanana ayo asingawanzowirirani nehupenyu .
Vakadzi vakawanda vanobudirira zvakare kuva nepamuvirizve gore mushure mokubvisa pamuviri kamwe chete.
Dambudziko rekuparara pamuviri rinoenderana nehutano hwehutano hunoita kuti usapere uye makore emukadzi: kusvika makore 35 - 10.5%, 35-39 makore-16.1%, makore anopfuura makumi mana -42.9%.
Chii chaunoda kuyeuka?
- Kakawanda kazhinji kuora kwepabonde kunoitika nekuda kwechromosomal kusagadzikana kwemasumbu, uye nezera vanowanzowanzogara. Munguva yehutachiona hwekugadzirira, zvinokurudzirwa kuti uwane mazano ekugadzirisa mazita: a geneticist achaongorora mamiriro ako ega uye aone kuti zvinokonzerwa sei nehutano hwema genetic.
- Taura nechiremba wako kuti uve nepamuviri wako mutsva pasi pekuongororwa kwakasimba kweutano, kutanga kubva munguva pfupi chaizvo.
- Rongedza kudya kwako kwezvokudya zvinovaka, kunwa mvura zhinji, usakanganwa nezvevhithamini uye zororo. Doro uye kusvuta zvinorambidzwa!
- Ramba uine mafungire akanaka. Kubata pamuviri kwenguva refu kunogona kuva kwakaoma mupfungwa: zviyeuchidzo zvekare zvakasara hazviiti zvekare.
Kumirira mwana uyu kunomanikidzwa kwakanyanya pamuviri, izvo zvinogona kukonzera kudzoka kwevakawanda "kurara" vasati varwara. Iyo yakakura yezera ramangwana, inowedzera mukana wekuti ane zvironda zvisingaperi. Kune zvirwere zvinotambudza nguva yekuzvitakura inosanganisira:
- zvirwere zvepfungwa yemwoyo (hypertension, chirwere chemwoyo);
- zvirwere zvekufema (bronchitis, asthma);
- chirwere chepso (pyelonephritis, glomerulo-nephritis, urolithiasis);