Unofanirwa kutanga nehuongorori hwekuwanda kwako mikana yekudzivirira. Vanotanga kuderera kubva pamakore anenge makumi matatu nemaviri. Mushure mekunge makore makumi mana chete, makore 4 kusvika ku5 chete ezvokuedza kumubatanidzwa anoguma nemubereki. Izvi zvinokonzerwa nekuti pakufamba kwenguva muwandu, uye kunyanya kukosha - huwandu hwemazai hunoderera.
Kunyange zvakadaro, vanachiremba vanoziva kuti zvakakosha kuedza. Kune zviitiko apo vakadzi vane makore makumi matanhatu nemakore vane makore vakava vana vevana kubva mumuedzo wekuedza. Kunyatsofanotaura, kuti vangani vanofonera vachadikanwa, hapana anozopa. Zvisinei, chiito chinoratidza kuti mu80% yevakadzi, pamuviri unotanga kutanga nechechipiri kana yechitatu kuedza kwekuberekwa kwevana neVFF. Ndicho chiremba chete anokwanisa kusarudza zvakananga kana iyi nzira yepamusoro-tech inoratidzwa kwauri.
CHIKAMU CHOKUTANGA
Kutanga, chiremba achada kuongororwa kwakaitwa: ECG, ropa paR, HIV, hepatitis B uye C, swabs pamiti uye oncocytology, mbeu (kana zvimwe zviedzo) zvezvirwere zvepabonde, Zuva rekufamba (estradiol, prolactin, FSH, LH, TTG - idzi ndidzo dzinodiwa zvidimbu). Izvo zvinodiwawo kuisa tsananguro yezvirwere zvepachiviri ku rubella, kuvapo kwezvirimwa kubva mumugero wechiberekero uye mabhakoni mbeu. Zvose izvi zvidzidzo zvinodiwa kuti uone kuve kwakagadzikana kwomuviri wako kuitira nzira, pamwe chete nekudzivisa zvinogona kuitika.
Kumanyorero: kuongororwa kweVIV kunogona kuendeswa mberi musangano revakadzi rekutarisana (pasina mari), mune imwe nzvimbo yezvechiremba kana mubazi rega rega. Chinhu chikuru ndechekuti nzira yeVF inotanga, zvakakosha kuchengeta imwe nyanzvi uyo achakutungamirira iwe nekupindura nekuda kwechigumisiro.
KUTSANIRA METHODZO
Mushure mokunge iwe uye chiremba wako uine chokwadi chekuti pane zvisiri izvo zvinopesana nekuda kwezvikonzero zvehutano, unogona kukurukura kuti ndeipi nzira yekurapa kuberekwa yakakunakira iwe. Izvo hazvina zvakawanda zvingasarudzwa, uye kusarudzwa kwavo kunofanira kuswedera pedyo, zvichienderana nemunhu.
Kukurudzirwa kweivulation ndeye kana vaviri vacho vachikwanisa kuve nemuviri wega, asi nokuda kwezvikonzero zvinoverengeka basa rekuvhara maitiro rinenge risina basa. Mumamiriro ezvinhu akadaro, simbisa mazai mavari, kuverenga zvakanakisisa zvekubata kwezuva racho, uye ipapo zvinhu zvose zvinoitika zvakasikwa - sezvakagadzirirwa nemhando.
Insemination yekuzvipira nemarume emurume uye kupa mhombwe ndiyo iyo nyaya apo varume vanonzi spermatozoa "vane mhosva" yekushaya vana. A chaiyo yakagadzirirwa "solution" yepermatozoa inopindwa mubereki, yakambotariswa ne spermogram.
Kutaura zvazviri, IVF inobatsira mumamiriro ezvinhu apo kune kuvhiringidzika kweiyo fallopian tubes, kusakwana kwavo zvachose kana kukuvadza, ne endometriosis, isina kutsanangurwa navanachiremba vasingagoneki kana kuti mushure mekubudirira kwekuedza kushandiswa kwemaitiro. Uyewo nzira iyi inoratidzirwa munyaya yekusununguka kwevarume uye kana mukadzi ane nguva yakakwirira yezvirwere zvepachiviri kumunhu. Apo spermatozoa isina basa rakakwana, ICSI inobatsira - kuiswa kwehuta mukati me cytoplasm yeii nekubatsirwa kwema micromanipulator chaivo.
Kunyorera. Kusiyana nekutenda kwakakurumbira, ICSI haisi iyo nzira yakasiyana, asi inongowedzera chikwata chekushaya rubatsiro neVIV, uye haigoni kudiwa nguva dzose.
Saka, chiremba akakurudzira IVF. Purogiramu inogona kutanga pakarepo mushure mekuongororwa, pazuva rechipiri chechipiri (nekufamba kwenguva kwemazuva makumi mana). Kubva zvino zvichienda mberi, iwe uchawana chirwere chema hormonal kuti usimbise gland pituitary. Ultrasound - kusarudzwa kwemishonga - ultrasound - kuchinjwa kwemazi. Mumamiriro aya, mazuva 14 achapfuura.
Kunyorera. Kusiyana nekutenda kwakakurumbira, yakadaro iyo hormone therapy haina ngozi kune utano. Uyezve, nhasi mapiritsi anotsiviwa nemajojo uye hapana chakaipa kubva kwavari kupfuura kubva kumishonga inoshandiswa, somuenzaniso, pakuchengetedza fenza.
Mushure memavhiki maviri, zvinodhaka zviri kushandiswa kukurudzira kusimwa kwe follicles. Zvakakosha kuita kuti mazai emuviri ave nekuvabudisa 5 kusvika 10 zvakapetwa kupfuura nguva. Mukati mazuva 10-12, maawa ose 48-72 chiremba achaongorora nzira ne ultrasound uye kuongorora ropa. Munguva iyi ichave yakakosha kuitevedza kutenderwa kweprotein yezvokudya, kunwa kudarika 2 litita emvura pazuva uye, chokwadi, haugone kunwa doro uye kusvuta.
Iyi danho rekushaya rubatsiro kune chiitiko chinotyisa nokuti mu3% yemakadhi a hyperstimulation syndrome anogona kukura - kuwedzerwa kwakanyanya mumashizha. Nenzira, mazuva ano kurapwa kwemazuva ano nekuchenjerera kutarisa kwemazinga ehomoni muropa kunoderedza ngozi yezvinetso zvakadaro pasina. Kunyorera. Kana kukurudzira hakuiti chero kunzwisisika kusingafadzi, kunze kwekuti marwadzo ari mumapapiro omukati anokwanisika - nokuti iye zvino anoshanda zvakasimba kupfuura zvenguva dzose.
Mazai akabatwa akakura uye akadzorerwa, spermatozoa akapiwa. Nyaya yemaduku: maawa mana kusvika maawa matanhatu kubata mazai mune imwe yekushambadza yakakosha mumidziyo izere nemuviri wezvokudya, mushure mokunge musanganiswa wakasarudzwa chikamu chesemuro kwavari. Mutauriri wacho unotora maawa anenge makumi maviri. Pakupera kweizvi nguva, zvatove zvigoneka kutaura kana kushambadzira kwakaitika kana kwete. Iwe uchaziviswa pafoni paunoda kuonekwa pamagumo ekupedzisira
Kunyorera. Kana chirume chemurume ane hutsika hwakanaka, pane ngozi yokuti pamuviri hahuzoitiki. Muchiitiko ichi, ingochengetedza ICSI, apo rimwe rega rinogadziriswa nema spermatozoa yakasarudzwa. Nzira yacho inorwadza uye inokurumidza. Nekubatsirwa kwecatheter shoma, "vakabhabhatidzwa" vanoiswa mubereki. Iawa inofanirwa kurara pasi muchipatara - uye iwe unogona kuenda kumba. Pasinei nokuti zvinhu zvose zvakafamba zvakanaka, zvichazozivikanwa mushure memavhiki maviri.
Panova nemapatya, katatu kana mumwe mwana, hazvigoni kutaurira. Maererano nehuwandu, mwana mumwechete anoberekwa muhafu yezviitiko. Inenge yega yega yega yeVIV-murwere inotarisirwa kuva mai vemapatya, chimwe chevashanu chinobereka katatu.
Kunyorera. Usaedza kuona kuberekwa iwe pachako kwemazuva gumi nemashanu uchishandisa miedzo: nekuda kweHonmonal therapy, mhinduro chero ipi zvayo ichave yakarurama chete ne30%.
LONG-AWAY FINAL
Zvose zvinotenderera IVF zvinotora mwedzi. Zvinosuruvarisa, mushure mekunge kwenguva refu yakamirirwa "hongu", vazhinji vanozorora: zvinoita sokuti zvinhu zvose zvinoenderana nemasikirwo. Asi mune dzimwe nguva, pasina kuwedzerwa kwemishonga mumwedzi yekutanga, kubatisisa kudya uye regimen inofananidzwa nechiremba, hazvisi nyore kuchengeta mwana weramangwana. Zvose zvakakwana kweECO nguva yose zviri nani kurega fodya, kofi, doro, masukisi akawanda kwazvo. Asi iwe unoda kunwa mvura yakawanda (inopfuura 2 litres pazuva) uye kuenda kune chiremba anorangwa.
MIBVUNZO ICHO ICHOKUDZIDZA VOSE
1. Ndedzipi miedzo? Izvo zvinokuvadza kuita zvinokonzerwa nehommonal kakawanda here?
Mushure mokutora mazai, makumi matatu kubva ku35 kusvika ku40% yevakadzi vanotora pamuviri. Zviri nani kuva akagadzirira kutora 3-4 kana kupfuura kuedza. Nguva yakareba kudya kwehomoni haisi nengozi - nhasi shandisa zvinodhaka zvechizvarwa chekupedzisira uye funga nezvezvinhu zvose zvehupenyu hwomumazuva anouya.
2. Haufaniri kuchenesa kana embryo isingazivi?
Izvo hazvina kubudirira IVF haibatsiri muviri nenzira ipi zvayo: hapana chikonzero chekumirira kusununguka kwepamuviri kana zvinetso zvinopisidzira nekugadzira basa. Asi hazvisizvowo kutanga kutora kechipiri panguva imwechete - kuputsa kunofanira kunge kwave mwedzi 3-4.
3. Handisati ndakagadzirira kubereka mapatya, regai kutora katatu. Mumamiriro ezvinhu ekushaya rubatsiro neVIV, izvi zvingave zvakanaka. Chii chandinofanira kuita?
Iyo mazai akawanda anodyarwa, anowedzera mikana yekuve nepamuviri. Asi njodzi yekuva amai vakuru yakakwirirawo. Saka, kazhinji chete 2-3 mazai akadyarwa, mamwe ose akaoma. Kana zvichidikanwa, zvinogona kuderedza - imwe kana kupfuura "zvisina kufanira" embryos. Nzira yacho inopesana nehutsika hwemaonero, zvisinei, teknolojia inowanikwa, uye inogona kushandiswa kana zvichidikanwa.
4. Ingozi yakareba sei yokuti mwana achaberekwa ane chirwere chisina kunaka?
ECO-vana havana kusiyana kubva pamuviri nenzira yakasikwa. Vane kunyange zvakakosha: teknolojia yezuva ranhasi inoita kuti zvibvirire kudzivirira kusimba kwezvirwere zvakawanda. Kutenda kuti mwana achave wakanaka achapiwa kusati kwatsvaga maitiro ekuongorora zviratidzo (PGD). Iyo inobvumira kuratidza kukanganisa mukukudziridza kwema embryo, kuvapo kwezvirwere zvema genetic. Uye kune mamwe mabhiriyoni makumi matanhatu emabhules iwe unogona kusarudza uhu hwemangwana mwana.
5. Pane nzira yekuita IVF nekusanyanya kushandiswa kwehomoni?
Hungu, iyo nzira inonzi IVF mumamiriro ekusika. Zvinodhaka zvinokurudzira kukura kwe follicles, munyaya iyi haishandisi. Asi izvi zvinobvira chete kana imwe yega inobereka. Iyi nzira inowedzera "ushamwari" kumutumbi, asiwo zvishoma kushanda (kubata pamuviri kunowanikwa chete mu16% yemhosva). Pakati pezvipfeko uye kukwirira kwakanyanya kwepurogiramu: nokuti kana follicle ndiyo chete, zvikanganiso chero chipi zvacho (somuenzaniso, pakuverenga nguva yemishonga panguva yeivulation) hazvigamuchirwi.
NZIRA YAKASARUDZA ECO-CENTER?
1. Chokutanga pane zvose, sangano rinofanira kuva nerayenzi yakakodzera yeVIV (pachishandiswa "Certificate of Embryology uye Chiremba").
2. Iva nechokwadi chokuti kliniki ine zvishoma zvinodiwa nevashandi kuti vabudirire:
chiremba-gynecologist (nyanzvi yekuberekwa);
embryologist;
andrologist (izvi zvinokosha kana uchida kutsvakurudza kwakawanda pamusoro pehutano hwevamwe);
anesthesiologist;
mukoti uye mukoti.
3. Edza kuenda kune imwe mini-kutarisa uye uongorore huwandu uye hutano hwezvigadziri: mazuva ano mashizha emagetsi uye magadziro emagetsi, thermostats, sperm analyzers, incubators ... Kana iwe uri kure nemishonga, bvunza mibvunzo kana iyo yekugadzirisa yakagadziridzwa, nzira yekuvandudza nzira dzekuongorora uye nzira.
4. Tsanangura, pasinei nokuti kune chiitiko muno mumakiriniki kana zvichidiwa kuti uite mamwe tsvakurudzo.
5. Hurongwa hunofanira kunge huri nyore - iwe unowanzofanira kushanyira kliniki.
ECO FOR FREE
Vanhu vashoma vanoziva kuti kubvira munguva pfupi yapfuura, vakadzi vechiRussia vane mukana wekutora nzira pasina kubhadhara penny, pachena ECO-zvirongwa muMoscow zvinoshandisa CPPS. Purogiramu inosanganisira:
miviri miviri yeVF + PE;
kushungurudza uye kuchengetedza mazai mukati megore;
cryoperation of embryos;
mishonga inokosha.
Kuti ushandise kodzero yekusunungura IVF, unoda kutumira kubva ku Federal Federal Agency. Zvakanakisisa kuenda papepa zvakakwana zvakashongedzwa: neyekusvitsa, kuongorora, spermogram uye kugumisa kuti iwe une infertility uye nzira chete yekugadzirisa inogona kuva IVF chete. Mukuwedzera, unofanira kusangana nedzimwe nzira:
makore - 22-38 emakore panguva yekuiswa muzvirongwa;
chokwadi chokugara zvachose muMoscow;
kuvapo kwewanano yakanyoreswa uye kusavapo kwevana vanowanzoonekwa;
kuvapo kwekushaya vana kwemakore anopfuura 2 mukushaikwa kwekubudirira kwemamwe marapirwo, kana kuti zvachose tubal infertility, kana maitiro akabatanidzwa ekushaya vana;
kusabatwa kwemaitiro ekuvhiya, kuiswa kwechipiri kwekuvhenekera kwemwedzi mitanhatu uye kurapwa kwemumwe wako;
kusabatwa kwezvirwere zvepfungwa uye zvepfungwa.