Nzira Inowedzera Kubudiswa Kwemajini Anokwanisa
Kunyoresa-murairo izwi iro masayendisiti anoshandisa kurondedzera nzira yekuderedza kana kudzvinyirira mhinduro yemuviri kune zvinokonzera.
Apo inoshandiswa maererano ne in vitro fertilization (IVF) , pasi-mutemo unonyanya "kuvhara" mavha mavari kuti zvirambe zviri nani kuderedza ovulation uye kusasva mazai panguva yehutano.
Kune marudzi maviri emishonga anoshandiswa nokuda kwechinangwa ichi: GnRH agonist uye GnRH vanopikisa.
An agonist rudzi rwechirwere chinokurudzira mhinduro, asi mupikisi inoratidziro inodzivisa mhinduro.
Kunyange zvazvo zvirongwa zvekuita kwemishonga mbiri zvakasiyana, ivo vose vanoshanda nekudzvinyirira kushanda kwemuviri wemaromone akasiyana-siyana anokonzera mazai ekukurudzira nekuvhunga. Nenzira iyi, vanoderedza-kutonga mararamiro ehutano hwemaovha.
Nei Kutsika-Murairo Kunoshandiswa MuIVF Treatment
Mazamu ako ane zviuru zve follicles . Puropiyo imwe neimwe ine mazai asina kufanana kana oocyte.
Pakutanga kwamuviri wako, luteinizing hormone (LH) uye follicle inokurudzira hormone (FSH) inotanga kushambadzira muboka rekukwikwidza follicles. Sezvo follicles dzinotanga kukura muhukuru, dzichasunungura mamwe mahomoni kuti atungamirire kutenderera kweHH neFSH-dzimwe nguva, dzimwe nguva pasi-kusvikira kubuda kwekupedzisira kuchiitika.
Ovulation kazhinji inosanganisira dhi rimwe chete. Mushure mokunge mazai akasunungurwa, ose ezvimwe zvipuka muboka iro zvinosvava ndokufa.
Uine IVF, chiremba wako haadi kuti izvi zviitike. Pane kudaro, chinangwa chacho chichange chiri chokudzika-kutonga mhinduro iyoyo kuitira kuti:
- Miti follicles yakawanda inokwanisa kubudisa mazai anokwanisa, akakura.
- Mazai acho anoramba ari mu follicles kuitira kuti awane nyore kukohwa.
Zvinodhaka Zvinoshandiswa Kuderedza-Mutemo
Kune huwandu hwezvinodhaka zvinoshandiswa muVIV kuitira kuti zvive zvakanyatsozivikanwa sezvizvi:
- GnRH agonist inosanganisira mishonga yakadai seLupron (leuprolide) , Synarel (nafarelin), uye Zoladex (goserelin). GnRH inoratidzira kufanana nehomoni inowanzoitika inonzi gonadotropin-releasing hormone (GnRH) . Iyi ndiyo hormone inokonzera kuwedzera kwekugadzirwa kweFSH neLH. Nokushambadza muviri nemutowo we "fake" GnRH, mavhapiti anowedzera kukurira uye pakupedzisira akavhara kushandiswa kweLH neFSH mushure memavhiki matatu.
- VaGnRH vanopikisa vanosanganisira madhiragi Antagon (ganirelix) uye Cetrotide (cetrorelix). VaGnRH vanopikisa vanoshanda nekusunga kumubati weGnRH nekudzivirira kukwanisa kwayo kugamuchira zviratidzo zvemarudzi ose. Nokuita kudaro, kugadzirwa kweFSH neLH kwakapfigirwa pakarepo.
Mushure mokutora mishonga yeGnRH kwemazuva akawanda kana vhiki, shanduro inogona kushandiswa kusimbisa kuti uterine liningine yakaonda uye mazai akagadzirira kukohwa. Mishonga yemichero ingadaro inoshandiswa kuti ikurudzire mazhizha, mushure mokunge mazai aizotorwa pasi peanesthesia yemo.
Nzira Dzakasiyana dzeDhete-Mutemo
Kunyange zvazvo pasi-mutemo inzira inobatsira yekudzivisa mavhesi panguva yeVIV, haina kushanda zvakanaka kune vose vakadzi.
Izvi zvinonyanya kuitika kuvakadzi vane mazamu epasi mashoma (mazai akawandisa zvakanyanya).
Nemhaka yekuti paizova nehuwandu hushoma hwekushanda pamwe, zvinodhaka zveGnRH zvinogona kuita chimwe chinhu zvakanaka. Panzvimbo pokuderedza hutachiona, vanogona kuguma vachidzivisa kubhururuka zvachose.
Kune vakadzi ava, kune dzimwe nzira dzedzidzo dzekuberekwa dzichashandisa kuzadzika-mutemo:
- Kutanga mapiritsi ekuberekwa kwemwedzi mwedzi isati yaenda kuVIV uye zvakare kuderedza madhayisa kutengesa kusveta nekuita maitiro
- Kupa GnRH zvinodhaka pasi pasi kana mazuva mashomanana
- Kutanga chirwere cheGnRH zvakawanda munguva pfupi kupfuura nguva
- Kutanga uye nekumira majojo eGnRH pamatanho akasiyana
- Kuwedzera mamwe mahomoni ekurapwa
Munguva ino, chiremba achashandisa kuongorora ropa uye ultrasound kuti aongorore uye zviri nani kutonga kukura kweupenzi.
Sources:
> Badawy, A .; Wageah, A .; El Gharib, M. et al. "Nzira Dzakagadziriswa Kudarika-Kudzora kujekesa IVF / ICSI Mhinduro muVarombo Vashoma veOvarian." J Reprod Infertil. 2012; 13 (3): 124-30.
> Magon, N. "Gonadotropin-releasing hormone agonists: Kuwedzera vistas." Ind J Endocrinol Metab. 2011; 15 (4): 261-7; DOI: 10.4103 / 2230-8210.85575.