Kunzwisisa maitiro eVF, Dambudziko, Mariro & Kubudirira Mutengo
IVF inomiririra mu vitro fertilization, iyo inoreva kuti "pakubata pamuviri." Nekurapwa kweVIV, yai inoberekedzwa nehumuri mune petri dish. Kazhinji, mazai akawanda anowanikwa kubva kune amai venyama (avo vangangodaro kana kuti vasiri ivo mubereki akarongedzerwa), sezvisizvo mazai ose achazadza, uye kwete mazai ose anogadzirwa achava embryo inobatsira.
Mazuva mashomanana mushure mekuberekwa, mazai embryo kana mazai akaisvonaka anotamirwa kuna amai kana chibereko chechibereko chemukati kuburikidza nekateter kuburikidza nemukati.
Chero mimwe mazai mamwe ega angangodaro akachengetwa kuti awane maitiro emangwana.
Iyo IVF Inoshandiswa Rini?
Nemhaka yokuti mazai aya anowanikwa zvakananga kubva mumavhizha, uye embryo inotamirwa kumubereki kuburikidza nemucheto, IVF hairevi kuzaruka, pachena fallopian tubes . Vakadzi vakavharwa fallopian tubes vanogona kushandisa IVF kuti vawane pamuviri.
IVF inoshandiswawo kumatambudziko ekusava nemurume asina kukwanisa kukundwa neIUI kurapwa kana mamwe marapirwo. Mune zvimwe zviitiko, varume vasina hura mumumvuri wavo vanogona kunge vane hutachiwana huri kutorwa zvakananga kubva mumatsetse kana vas deferens. Varume vane uwandu hwemuviri wehutachiwana vanowanzoita kuti vabudirire mukurapa ne IVF.
IVF inogona kushandiswa pamwe chete neC ICSI , iyo inosanganisira kutora mhombwe imwe chete uye inopinda zvakananga muaii. Pasinei nehuroyi husina kunyanya kuiswa muzai, kubudiswa kwemvura kunenge kusisimbiswi, asi mukana wekuita pamuviri kubudirira zvakanyanya ne ICSI kupfuura pasina avo vanoda izvi.
IVF inogona kushandiswawo mumamiriro ekusaziva kusinganzwisisiki, vakadzi vanoda kushandiswa neii kana mubereki wemukomana, avo vari kushandisa chimiro chetsika kana gestational carrier, kana mushure mokunge maitiro akawanda asingakwanisi kubereka .
Nzira
Iyo nzira yeVVF inogona kunge yakasiyana zvakasiyana kune vanhu vakasiyana, zvichienderana nehupi huripo huripo hunobatsira hutano hunoshandiswa huri kushandiswa uye kana kwete kana kuti kwete kupa mazai , chirume, kana mazai anobatanidzwa.
Panewo mamwe mamiriro ezvinhu anotungamirira kumhepo inopfururwa mukati, zvichida nokuti hazvikwanisi follicles kukura kana nekuda kwekukurira kwekutyisa ovarian hyperstimulation syndrome (OHSS) .
Izvozvo zvakati, iyi inongororongedzerwo yemitemo.
Kazhinji, mukadzi wacho achatanga kutora mapiritsi ekuberekwa kana chirwere chinopindwa muropa chinodzivirira kuvhara kwemuviri kusati kwaitwa kurapwa , kupfigira mukadzi kuti ave nechirwere chekuvhara muviri. Izvi ndizvo zvakaitwa nachiremba anogona kutarisa ovulation uye kwete kurasikirwa nemazai asati awanazve. Mushure mekutanga kwebasa reropa uye an ultrasound, mukadzi wacho anotanga kutora mishonga yekukurudzira mishonga, kakawanda gonadotropins .
Muchidimbu chinokonzera IVF , Clomid kana pasina mishonga yekukurudzira ovulation inoshandiswa, asi izvi hazvishamisi. Kiriniki ichacherechedza follicle kukura uye mahomoni eine ultrasound uye neropa rinoshanda mazuva ose akawanda.
Apo follicles dzinoita zvakagadzirira, mukadzi wacho achawana jekiseni reHCG kuti akure mazai. Kuwana mazai kuchagadziriswa nhamba chaiyo yeawa mushure mejojo, iyo iyo mukadzi achawana IV sedation uye mazai achadzorerwa kuburikidza nesimbi inotungamirirwa ne-ultrasound kuburikidza nemadzimai edzimba.
Apo mukadzi wacho ari kutora mazai, murume wacho ari kupa shanduro yemudzimai.
Dzimwe nguva izvi zvinowanikwa kamwe panguva yekudzoka uye zvakare pane imwe nguva isati yatora zuva (uye rakanyanyisa), kana yakaoma matambudziko kana kufunganya kugadzira muenzaniso.
Mhando ichapfuura nenzira yakashambidzwa yekuchenesa, uye mazai achaiswa mune imwe tsika. Mbeu ichaiswa mazai, mune tarisiro yokuti hutumbi huchaitika.
Mazuva mashomanana gare gare, nyanzvi yemukoro ichabatsira kusarudza hutano hwakanaka hwemazamu anogadzirwa, kana aripo, uye chiremba wako wekubereka huchakubatsira kusarudza kuti mangwana embryo angatamurei. Zvinyorwa zvitsva zvinogona kunge zvichinyorwa kune imwe nguva, zvichipiwa kune mumwe murume nemudzimai, kana kukandwa kunze.
Success Rate
Mukana wako wekuita IVF kubudirira unobva pane zvakasiyana-siyana, kusanganisira makore ako, zvinokonzera (s) zvekushaya simba kwako, kana mazai anopa kana kuti kwete mairi ari kushandiswa, zviitiko zvekare zvekurapa, uye ruzivo rwekliniki mune zvido zvako.
Izvozvo zvakati, kazhinji, kurapwa kweVIV kunobatsira chaizvo. Maererano nenhamba dze2009 dzakagadzirwa neSosaiti Relief Reproductive Technologies (SART), kuvakadzi vaduku vanopfuura 35, iwandu yezvokuzvarwa patsva panguva yeVIVF yakanga iri inenge 41 muzana.
Kubudirira kwehuwandu kunopera nezera, pamwe ne12 muzana yekubudirira kwevakadzi vane makore 41 kusvika ku 42.
Kudzivirirwa
IVF inowanzochengeteka, asi sekune nzira ipi zvayo yezvehutano, kune ngozi. Chiremba wako anofanira kugara newe uye achitsanangure zvose zvinogona kuitika migumisiro uye njodzi dzeimwe neimwe nzira.
Ovarian hyperstimulation syndrome (OHSS) inowanikwa mu10 muzana yevakadzi vanoenda kuburikidza nehutano hweVF. Kune vakadzi vazhinji, zviratidzo zvichave zvinyoro uye zvichadzoka nyore nyore. Nokuda kwezana duku, OHSS inogona kuva yakanyanya uye inogona kudiwa muchengeti. Pasina 1 kubva muzana yevakadzi vanoenda kuburikidza neii kuwanikwa vanozoona ropa revhapiti kana kushaya kwepvo nekuda kweHSSSS.
Iko kutora mazai kunogona kukonzera kupera uye kunetseka panguva kana mushure mekugadzirisa, asi vazhinji vakadzi vanozonzwa vari nani mune rimwe zuva kana zvakadaro. Kazhinji zvinetso zvinosanganisira kuvharwa kwechimbichimbi, chirwere, kana mutezo yeropa; utachiona hwepelvic; kana kubuda ropa kubva kumakumbo evhavha kana mapirvic.
Kana hutachiona hweplavic hukaitika, iwe ucharapwa nemishonga inorwisa mabhakitiriya. Muzviitiko zvisingaiti zvehutachiona hwakakomba, chibereko, maovari kana fallopian tubes zvingada kubudiswa chirwere.
Kuwedzerwa kwema embryo kunogona kukonzera kugadzika kunononoka panguva yekuita. Kazhinji, vakadzi vachabva vachinetseka, kubuda ropa, kana kutarisa mushure mekutengeswa. Muzvikamu zvisingawanzoitiki, utachiona hunogona kuitika. Utachiona hunowanzobatwa nemishonga inorwisa mabhakitiriya.
Pane ngozi yekuwanda, inosanganisira mapatya, katatu, kana kupfuura. Kubata pamuviri kunogona kuva nengozi kune vose vacheche uye amai. Zvakakosha kukurukura nachiremba wako kuti mazamu akawanda angatungamirire sei, sezvo kutora zvinopfuura zvakakosha kuchawedzera mungozi yako yekuita mapatya kana kupfuura.
Imwe tsvakurudzo yakawana kuti IVF inogona kukonzera njodzi yezvimwe zvinokanganisa kuberekwa zvakakwana, asi njodzi ichiri shoma. Kutsvakurudza kwakawanawo kuti kushandiswa kweI ICSI neVIV, mune dzimwe mamiriro ehurume kusagadzikana , kunowedzera dambudziko rekushaya vana uye zvimwe zvikanganiso zvepabonde zvekuberekwa kwevana. Iyi njodzi, kunyange zvakadaro, ichiri pasi (pasi pe1 peresenti inobatwa naVIV-ICSI).
Kuberekwa kweVIV
IVF ine njodzi yakakura yekubata mitezo, uye kuve nepamuviri yakawanda kunotakura matambudziko kune vose amai nemucheche. Ngozi dzehutano hwakakura dzinosanganisira kushanda kwenguva pfupi uye kubereka, kubvisa pamuviri kumwana, C-chikamu chekubereka , kuberekwa kunokonzera kukwirira kweropa, uye gestational chirwere cheshuga .
Kutsvakurudza kwakawana zvakare kuti vakadzi vanoita pamuviri neVIV vanogona kunge vaine basa risina nguva , kunyange nevana vasina mwana.
Vakadzi vane mimba neVIV vanogona kunge vaine ruzivo muhutano hwepakutanga , asi zviri nyore kuti vaone kuti havagoni kukuvadza pamuviri.
Ngozi yekuparara pamuviri inenge yakafanana kune vakadzi vane mimba chaivo, vane ngozi yekukwira nemakore. Kune vakadzi vechidiki mumakore avo makumi maviri, muzana wekuparara kwepamuviri kwakaderera se 15 muzana, nepo kuvakadzi vanopfuura makumi mana, chiyero chekupotsa pamuviri chinogona kunge chinopfuura 50 muzana.
Kune 2 kusvika ku4 muzana yekutengesa kwe ectopic pregnancy ne IVF mimba .
Mutengo
Ivhareji mari yeVIV ndeye $ 12,000, asi izvi zvinogona kusiyana zvichienderana nehupi hutaneti huri kushandiswa. IVF neiyo mupiro ndiyo inonyanya kukosha, uye rimwe bheji iripo kubva kune $ 25,000 kusvika ku $ 30,000.
> Sources:
> Kubatsira Kuberekwa Kwekuberekwa Kwekombiki: Mutungamiri wevarwere. American Society of Reproductive Medicine. http://www.asrm.org/uploadedFiles/ASRM_Content/Resources/Patient_Resources/Fact_Sheets_and_Info_Booklets/ART.pdf
> Clinic Summary Reports. Society of Assisted Reproductive Technologies. https://www.sartcorsonline.com/rptCSR_PublicMultYear.aspx?ClinicPKID=0
> Ngozi dzeIn Vitro Fertilization (IVF) Mwoyo Murefu. American Society of Reproductive Medicine. http://www.asrm.org/uploadedFiles/ASRM_Content/Resources/Patient_Resources/Fact_Sheets_and_Info_Booklets/risksofivf.pdf