Kukurukurwa izwi rinoshandiswa kurondedzera kushandiswa kwemishonga-induced mazai emaawa akawanda anoshandiswa pakubatsira maitiro ekuberekorora kuberekwa zvakadai se in vitro fertilization (IVF ).
Kazhinji, mukadzi anouraya mazai anongova rimwe chete pairi. Nekushandiswa kwemishonga inobereka, anogona kukwanisa kubudisa mazai akawanda, izvo zvinogona kuwanikwa zvakare kubva mavha mavari asati apera.
Kukurukurirana hakufaniri kukanganiswa neovulation induction . Clomid ndiyo inowanzoshandiswa mukurapa induction mishonga.
Panguva yekuvhara mazai, chinangwa ndechokuti mazai mazai awedzere mazai imwe chete kana maviri. Nesimba guru, maawa anopfuura maviri anoda.
Kukurukurirana kunowanzoshandiswa panguva yekurapa IUI . Zvisinei, nekuda kwezvipingamupinyi zvehutachiwana huzhinji, kurapwa kweIUI kunowanzobatanidza kuvhara.
Ngozi dzekupona simba dzinosanganisira ovarian hyperstimulation syndrome , ovarian torsion, uye multiple (twins, triples, etc.) pamuviri .
Panewo zvimwe zvinogona kuisa njodzi nemigumisiro ine chokuita nemhando ipi yekurapa iri kushandiswa (IVF kana IUI), uyewo njodzi kune zvinodhaka zvinosarudzwa. (Zvimwe pamusoro apa iri pasi apa.)
Mishonga Inobatsira Yakashandiswa
Pane zvinangwa zviviri kana zvinosvika pakukurukura:
- Isai mazai mazai mukukura mazai akawanda
- Kudzivirira mavha mavari kubva pakusunungura mazai nguva pfupi
Kana mazai akazvimirira pachavo, ivo vacharasikirwa mukati mechidziro chemuviri. Kune IVF, chiremba wenyu anofanira kuve nokukwanisa kuvadzikinura zvakananga kubva kumashizha. Kushanda pamberi pekuwana mazai kwaizoita kuti IVF yako ishandiswe.
Kukurudzira kudengenyeka, mishonga inoberekwa inobereka inonzi gonadotropins inoshandiswa:
Kuchengetedza kuvhuvhuta nguva isati yasvika, kana GnRH agonist kana GnRH anopikisa anoshandiswa:
- Migumisiro Yechiratidzo yeGnRH Agonists (Lupron, Synarel, Suprecur, uye Zoladex)
- GnRH Antagonists (Antagon, Ganirelix, Orgalutran, uye Cetrotide) Maitiro Okupedzisira
Ko Clomid kana Letrozole Inoshandiswa Here?
Clomid uye letrozole hazviwanzoshandiswa kushandiswa kwepamusoro. Izvi zvinodhaka zvinosarudzwa zvinowanzosarudzwa nokuda kwekuvhara mazai. (Kana iwe uchida mazai maviri chete kana kupfuura.)
Kunyange zvazvo zvichikwanisa kuva ne IVF kupfurikidza kushandisa Clomid kana letrozole, iyo inonyanya kufanana neicho chinozivikanwa se "chimiro chepanyama."
Chimiro cheVF chizvarwa kana IVF ichiitwa kunze kwekunyanya kuderedza mavha mavari. Mamwe mazai maviri kana maviri anodzorerwa.
Kuberekwa kwemazuva ese kunopera nemasikirwo emitambo IVF, kunyange pane nguva apo ndiyo nzira yakakodzera yekurapa.
Makaita Makiki Akawanda Sei?
Nhamba ye mazai iwe unoda kuve wakakura hunoenderana nekuongorora kwako uye chirongwa chekurapa.
Nhamba "yakanaka" ye mazai inotorwa zvakare ichaenderana nehutano hwehutano hwako uye ruzivo. Usatya kubvunza.
Munguva ye ultrasound kuongororwa kweAVF, chiremba wako achayera uye anoverenga kuti vangani follicles vari kukura mumayamu.
Mukati me follicles maoocyte , kana mazai.
Asi kwete mapurisa ose achakupai zza. Haasi mazai ose achava embryo. Uye kwete mazamu ose achava nemwoyo murefu uye ane utano hwakakwana hwokutamiswa.
Semuenzaniso, unogona kuva nemapi 10 asi uwane mazai 7 kana 8. Kubva paaya ma7 kana 8 mazai, mana chete kana matanhatu anogona kuvhara, uye vaviri chete kana vatatu chete vanogona kunge vane utano hwakakwana hwokutamirwa.
Ichi ndicho chikonzero iwe unoda kubudisa mazai akawanda, kuwedzera maitiro ako ekuzvitakura kubudirira.
Kazhinji kutaura, nokuda kwechiitiko chinowanzoitwa IVF, chiremba wako anotarisira kutora mazai gumi nemaviri kubva mumavhizha ako. Pose paine mazai ari pakati pe8 ne15 anogona kuverengwa senhamba yakanaka.
Kana iwe ukakonzera vana kana vashoma follicles, chiremba wako anogona kubvisa IVF yako.
(Chikonzero chacho ndechokuti matambudziko ako ekuzvitora kubudirira ari pasi nevana kana maawa mashoma. Vanoda kudzivisa kukuisa pangozi uye kuwedzera mari yako yemari, pasina zvishoma.)
Kana iwe ukabereka mhando dzakawanda dze follicles - dzinopfuura makumi maviri - zvinogonawo kuti chiremba wako angabvisa chirwere chacho. Izvi ndezvokuti njodzi yako ye ovarian hyperstimulation yakakwirira.
(Kune nzira dzekudzivirira dambudziko uye kuramba nekufamba, mune zvimwe zviitiko.Kuenzaniso, vanogona kutora mazai asi kwete kutora mazai embryo.Vangagona kuvhara mazai ehutano akaenzana uye kuronga kuidzosera mushure mekuvhara mavha mavari. kuna chiremba wako pamusoro pemamiriro ako chaiwo.)
Kana iwe uine mini kana micro-IVF , chinangwa chingangodaro kubereka vana kana mashanu follicles.
Kunyange zvazvo zviduku zvishanu zvishanu mu IVF yakazara zvinogona kuonekwa sechiratidzo chisina kunaka, panguva ye mini-IVF, izvi zvinogona kuva zvakanaka.
Kana iwe uri kuva neIUI purogiramu neupupuriro, ipapo hapana kana kupfuura mana ari nani. (Yeuka, kana iwe ukavhunga mazai mana, pane imwe nguva unogona kutora mamiriyoni mana.) Vanachiremba vakawanda vanongomirira maawa mairi kana maviri eIUI purogiramu.
Ndezvipi Zvinobudiriridza?
Kubudirira kwehutano kuchaenderana nemhando ipi yekurapa iri kushandiswa (IVF, IUI, mini-IVF), kuongorora kwako, uye makore ako.
Kazhinji, IVF kubudirira mazinga ari nani kupfuura IUI mazinga. Asi iwe haungadi kushandisa chirwere chinoparadza, chinodhura kana uchida. Kune vakadzi vanopfuura makore makumi mana uye vakadzi vanowanikwa nevanonyanya kuvhara mavari (inozivikanwawo sePPI kana kukanganisa kusati kwasvika kare), kukunda kunogona kunge kusingabudiriri.
Izvozvo hazvirevi kuti IVF haikwanise kukubatsira iwe kubata. Iwe unogona kutsvaga nyanzvi ane ruzivo mune izvi zviitiko. Kana, iwe ungada kuongorora kushandisa dhi donor . IVF kubudirira mazinga nemupi weii wakanaka chaizvo. Zvakanaka, chiremba wako haazodi kukuisa iwe kuburikidza neVIV kana kuti kukunda kana vasina kufunga kuti ichakushandira iwe. Ichi ndicho chikonzero ovarian reserve kuedza kwaitwa.
Ovarian reserve test inotarisirwa kufanotaura kuti ndiani asingazopinduri uyewo kubereka zvinodhaka munguva yeVIV. Chimwe chiedzo vamwe vanachiremba vanoita kuti vafanotaurire kukwanisa kukunda kunakidzwa kunozivikanwa seComidid dambudziko.
Kunobva:
Ovarian Kukurudzira kweVIV mu Low Responders. Nzvimbo dzepamusoro dzeHerciti dzeChicago. https://www.advancedfertility.com/ivf-low-response.htm