Ndivanaani Vanofanirwa Kufungisisa Zvishoma Kukurudzirwa IVF + Zvinodhura uye Kubudirira Kwemari
Mini-IVF (inozivikanwawo seyi micro or minimal stimulation IVF) yakafanana neyakakurumbira IVF mune nzira inoshandiswa panguva yekurapa. Sezvo neAVF, unotarisa mukati mokutenderera, mazai ekudzorera , kubereka murabhu yeii uye chirume, uye kuberekwa kwemuviri
Ndezvipi zvakasiyana nemishonga yakawanda inoshandiswa kuita kuti mazai aite mazai.
Kunyange zvazvo IVF inofanirwa kubudisa maawa akawanda ekudzorera, mini-IVF inoshandisa mishonga isina simba kana kuderedza mishonga yemishonga yekubereka maawa mashomanana chete. Izvo zvinogonawo kuitwa kunze kwemishonga ipi zvayo inokurudzira.
Nemhaka yokuti kuderedza mishonga yemichero inoshandiswa inoshandiswa, mutengo wega wega wega uri pasi, uye ngozi ye ovarian hyperstimulation syndrome (OHSS) inoderedzwa.
Ndiani Anofunga Kufungidzira Mini-IVF?
Mini-IVF inogona kunge iri nani kana ...
- Iwe unotya nyuchi. (Zvishomanana zvinodhaka zvinodhaka zvinoreva majekiseni mashomanana !)
- Iwe une PCOS uye uri pangozi yekukura kweHSSSS .
- Iwe uri kuda kutanga kenza mishonga, uri kuita IVF kuchengetedza kubereka kwako usati watapwa, uye mishonga yekubereka inogona kupedza kenza yaunayo.
- Iwe une ovarian reserves . Iine mazamu epasi mashoma, mizinga yakakura yemishonga inobereka haigoni kubudisa huwandu hwemazai. Mari inoshandiswa pamishonga iyoyo inogona kuparadzwa.
- Iwe hauna mari yekugadzirwa kweVIVF , iyo inodhura zvikuru.
Vakaroorana vanogonawo kusarudza mini-IVF kana vachida kudzivisa njodzi inowanikwa yekuwedzera muIUI kurapwa . Ndiine IUI, chiremba haakwanisi kudzora kuti vangani mazai angasva. Uine mini-IVF, unogona kusarudza kutumira imwechete kana maviri mazai.
Imwe mukana kune mini-IVF iwe unogona kuita miitiro yekurapa kudzokera kumashure.
Iwe haufaniri kuzorora. Kana iwe uri mukukurumidzira chimwe chikonzero chaicho, izvi zvingaita kuti mini-IVF isarudze kune yakasarudzika IVF.
Mishonga Inotorwa MuMidhi-IVF
Mudiki -IVF, Clomid inogona kushandiswa kukurudzira mazai, pane gonadotropins . Gonadotropin inosanganisira mishonga inoshandiswa seGonal-F, Follistim, nezvimwe.
Zvimwewo, masero maduku egonadotropin anogona kushandiswa, nechinangwa chekubereka mazai mashoma.
Kune vamwe vakadzi, zvinokwanisika kuita mini-IVF isina hutachiona hwekukurudzira mishonga. Iyi dzimwe nguva inozivikanwawo se "chisikwa."
Chinhu chemazuva mashoma-IVF rinenge chisina kukodzera kana pane matambudziko ane ovulation achidzivirira kubata pamuviri, asi inogona kuva sarudzo yakagamuchirwa mumamiriro ekudzivirira fallopian tubes uye zvimwe zviitiko zvekushaya mwana .
Kunze kwekuvhara mazai emishonga, iwe unogonawo kutora mutanhi weGnRH (kufanana neAnatagon uye Cetrotide), izvo zvinodzivisa kuvhuvhuta kubva pakuitika kare kare. Kana iwe uchinge uchinge wavhara, mazai haagoni kubviswa kubva mumuviri uye IVF haigone kuitika.
Kubudirira Kwemari ye Mini-IVF
Kubudirira kwehuwandu hweminini-IVF kazhinji huri pasi kudarika huwandu hweVF, asi izvozvo hazvirevi kuti haisi chakanaka pane vamwe vakaroorana.
Rimwe rondedzero yekuongorora yakafananidza kuenzaniswa kwekarwere hweVIV rinoshandiswa kune mini-IVF. Chidzidzo chacho chaisanganisira 564 vakadzi vane makore 39 kana vaduku. Vakanga vari pangozi vakagoverwa kudiki-IVF boka kana kuti boka re IVF. Vakapora kurapwa kwemwedzi mitanhatu.
Pano paiva nemigumisiro yekudzidza:
- 49% yechina mini-IVF yakaberekwa uye pakupedzisira yakabereka
- 63% yeboka rinowanzoitwa IVF rakagamuchira uye pakupedzisira rakabereka
- Hapana chechina-IVF boka rakagadzira ovarian hyperstimulation syndrome (OHSS)
- 5.7% yeboka rinowanzoitwa IVF rakagadzirwa neHSSSS
- Zvishoma nezvishoma gonadotropin zvishoma zvakashandiswa mumusana weVII-IVF, kuderedza mari yakawanda pese
Kubva pamigumisiro yechirongwa ichi, mini-IVF inogona kuva yakasarudzwa zvakanaka kune mukadzi ari pangozi yekuvaka OHSS.
Chidzidzo chacho chakawanawo kuti chiyero chemapatya chakanga chakadzika kwazvo ne mini-IVF, zvisinei kuti chidzidzo chacho chakanga chisina kuvhara embryo kune mini-IVF varwere uye kuwedzerwa kwechipiri embryo kune avo vanogara vaine IVF varwere. Zviri pachena, kana iwe uri kutumira mazai maviri pane imwe chete, muyero wemapatya uchava wakakwirira.
Zvimwe zvidzidzo zvinoda kuenzaniswa kuenzanisa mari yakawanda yehupenyu hwekuberekwa kweminini-IVF uye yakasarudzika IVF uye kuziva kuti maitiro ezvipembenene zvechokwadi akasiyana zvachose pakati pemitemo miviri.
Mini-IVF Mushure mekukundikana Chirongwa cheVIV
Haisi chikuru here nguva dzose zviri nani? Kwete hazvo.
Dhiyabhorosi John Zhang, nheyo uye mutungamiri wezvokurapa weThe New Hope Fertility Center, anotsanangura kuti mini-IVF inotarisirwa kubudisa mazai akakodzera, nepo huwandu hweVFF huri kuwanda.
Mune vamwe vakadzi, kuedza kubereka mazai akawanda kunogona kupisa uye kunokonzera zvinetso. Kuva nehutachiwana hweVIV hurapa husingarevi hazvireve kuti mini-IVF isingashandisi.
"Kukundikana kwepakati kunoitika kune zvikonzero zvakawanda," anodaro Dr. Zhang. "Zvimwe zvezvizvarwa izvi zvakasangana nehutano husina huno hunhu, kushungurudzika, uterine urombo huripo hunodzivirira mazai kubva pakuisa, mahomoni asina kunaka, nezvimwewo. Muzviitiko zvizhinji, mumwe munhu anokundikana kurongeka kwepamusoro achava nerombo rakanaka nechepasi rekusimudzira protocol semini-IVF sezvo inogona kubereka mazai akakwirira.
"Ndizvo zvakaitika mumamiriro ezvinhu, asi iwe haufaniri kufunga kuti nokuti rimwe denderedzwa rinokundikana, mishonga yose ichaita," akatsanangura Dr. Zhang. "Zvidzidzo zvinoratidza kuti vakadzi vanogona kubudirira zvikuru nekuderedza kwepamusoro kwemaitiro akawanda. Nokuedza imwe mushonga, taona kubudirira zviri nani. "
Mutengo weMini-IVF
Chimwe chezvakakosha zvikuru kune mini-IVF ndiyo mari yakaderera purogiramu.
Chimwe chinowanzoitwa IVF chinowedzera pamusana pe $ 15,000, zvichienderana nezvinodiwa zvinoda kuitwa.
Mini-IVF inodhura madhora 5 000 kusvika ku7 000 pese.
IUI Inofananidzwa Sei neMini-IVF Treatment?
IUI kurapa inodhura kudarika mini-IVF. Asi neIUI, njodzi yekuwanda yakareba.
Ne mini-IVF, imwechete yembryo inotamiswa. Ne IUI, haugoni kudzora mazai akawanda mazai anogadzirwa.
Uyewo, kubudirira kwemitengo yeIUI inowanzove yakaderera kupfuura mini-IVF.
Zvinogona Kuderera kusvika kuMidhi-IVF
Kana iwe usingafungi mushure mekufamba kwenguva shomanana, mari inogona kuve yakakura pakupedzisira.
Nekaiyo IVF, kana rimwe rakatenderera risina kushanda, kazhinji unenge uine mamwe mazai akasiyiwa kuti aome. Izvo zvinogona kushandiswa panguva yechando chisina kutorwa (FET).
Uine mini-IVF, iwe hauna mikana yekuti uwane mazamu akasara ekufamba kwenguva.
Panewo mukana mukuru wekusava nemazai ekudiridza kana uchishandisa mini-IVF. Kwete mazai ose anogadzirwa achapona muitiro weVIV .
Somuenzaniso, neine huwandu hweVF, kana mazai 10 akadzorerwa, zvinogona kuti zvikamu zvishanu chete zvinogona kuwedzerwa. Pakati pavo, zvitatu bedzi zvinogona kuva mazai ane hutano kutama.
Kana iwe uchitanga ne mazai maviri kana matatu chete, uye mazai ayo ose haafaniri kutora kana kuti haasati apona muchero wemukomana kwenguva yakakwana kuti uende, iwe warasikirwa nehupenyu hwose.
Mini-IVF haina kukodzera kana iwe uchida mazai akawanda.
Kana iwe uchisvibisa mazai ako , kana kuti mupi weii uchipa mazai , unoda kushandisa mishonga yakawanda yekubereka kuitira kuti uwane huwandu hweoocyte .
The Bottom Line
Kana uchienzaniswa nemafungiro eVF, mini-IVF inodhura zvishoma pamakiromita uye inoderedza dambudziko rako rekuwedzera mavari ovarian hyperstimulation syndrome. Zvisinei, kubudirira kwemitengo kakawanda kunowedzera ne mini-IVF.
Kuenzaniswa neIUI, mini-IVF inodhura zvishoma pane IUI asi yakagadzirisa pamuviri kubudirira mazinga. Iwe hausiwo mukana wekuita pamuviri wakawanda ne mini-IVF kana uchienzaniswa neIUI kurapwa.
> Sources:
> Zhang JJ1, Merhi Z2, Yang M3, Bodri D3, Chavez-Badiola A3, Repping S4, van Wely M4. "Minimal stimulation IVF vs inowanzogadzirwa IVF: chirongwa chinongororwa chisingatarisirwi." Am J Obstet Gynecol. 2016 Jan; 214 (1): 96.e1-8. doi: 10.1016 / j.ajog.2015.08.009. Epub 2015 Aug 8.
> Dr. John Zhang, Muvambi uye Chiremba Mukuru weNew Hope Fertility Center; Dr. Zaher Merhi, Mutungamiri weKutsvakurudza uye Kuvandudza muVF Technologies. Inobvunzurudzo yeEndaneti musi waAugust 29, 2016.