Iwe unofanirwa kutevera kurapa kwekubereka kana kuramba uchiedza iwe pachako here?
Ndeipi nzira yakanakisisa yekutora pamuviri kana uri kutarisana nekusaziva ? Hapana mhinduro yakananga.
Kazhinji, kana iwe usingakwanisi kutora pamuviri , danho rokutanga nderokuedzwa kwekubereka . Zvadaro, kana chimwe chikonzero (kana kuti chinokonzera) chinowanikwa, chirwere chakakodzera chinoshandiswa.
Kana iwe usisiri ovulating , Clomid inogona kuedzwa. Kana chirwere chemajeri chichiderera , IUI kana IVF inogona kukurudzirwa.
Asi iwe unoitirei kana chiremba wako asingazivi chakaipa?
Kusanzwisiswa kusina kutsanangurwa kunorapwa zvakasimba. Izvi zvinoreva chirongwa chekurapa chinotarirwa kuchiitiko chekliniki uye mamwe maitiro ekufungidzira.
Nyaya yakanyanya kufanana neyemapupa ekusaremekedzwa kusina kutsanangurwa inoita seyiyi:
- Upenyu hwekuchinja hunofanirwa (kufanana nekurema, kurega kusvuta)
- Ramba uchiedza iwe pachako (kana uri muduku uye uchida) kwemwedzi mitanhatu kusvikira pagore
- Clomid kana gonadotropin pamwe neIUI kwematatu kusvika matanhatu
- IVF mishonga yematatu kusvika matanhatu
- (Kazhinji) mishonga yechitatu yeVIVF (sokushandisa shanduko yeii kana kuti mutsara)
Dzimwe nguva, muzviitiko zvehupenyu husinganzwisisiki husinganzwisisiki kupfuura humwe hutachiwana hweVF, dzimwe nharo dzinopesana dzinofungidzirwa.
Pasi pane kunyatsoongorora chimwe chezvirevo izvi uye maitiro ekuita pamuviri kubudirira.
Upenyu Hwakachinja Mukusarudzwa Kwisina Kufanirwa Kuchengetedzwa
Kunyanya kana chikonzero chekushaya vana chichizivikanwe, kuvandudza hutano hwako hwose hunokosha.
Mararamiro anowanzoitwa maitiro anowanzoshandurwa kuti uvandudze kubereka kwako zvakasikwa ndezvi:
- Deredza uremu ( kana uwedzere kupfuura ) uye urovedza muviri.
- Rega kusvuta .
- Usanyanya kunwisa doro.
- Dzorera zvakare pamusoro pewainiinated drink .
- Deredza kuderedza kushungurudzika .
Nezvose zvakataurwa, hapana tsvakurudzo inoratidza kuti kuchinja uku kunogona kukubatsira iwe kubata.
Zvakakosha kuziva.
Tichifunga nezvekuputika-in-the-dark nzira yekutaura kusina kutsanangurwa kwekushaya vana, chero mararamiro anoita iwe iwe newawakaroorana naye kuita kuti uvandudze hutano hwako huri nani hahugoni kukuvadza uye hunogona kubatsira.
Kuedza Kuziva Pasina Kunyanya Kurapa Zvokurapa
Iwe zvichida haudi kunzwa kubva kuchiremba wako kuti danho rokutanga nderokuti "ramba uchiedza iwe pachako" kwemamwe mwedzi mitanhatu.
Zvisinei, pane dzimwe nguva, inogona kuva chirongwa chakanaka.
(Asi mushure mokunge uongororwa wakagutsikana kuti iwe unoratidzika seusina kutsanangurwa.) Haisi pfungwa yakanaka yekuramba uchiedza iwe pachako usati wave wakaedzwa kubva kune zvimwe zvikonzero zvekushaya vana nekuwedzera kwenguva.)
Zvinotarisirwa kutarisirwa ndezvokuti kana chiremba wako asingatauri kurapwa pakarepo, asi unoita maitiro ekudzidzira kubereka uye anogona kutarisa mamiriro ezvinhu sezvaunoedza iwe pachako kwechinguva chiduku.
Kuedzwa kwechirongwa chechipatara kwakarongerwa kuenzaniswa nekutarisira kutarisira (kune vakaroorana vane maitiro akanaka) neIUI pamwe nemishonga yekubereka.
Chidzidzo chacho chakaitika kwemwedzi mitanhatu.
Kune vakadzi vakagamuchira IUI pamwe nemishonga yekubereka ...
- 33 muzana yevakadzi vanoita pamuviri
- 23 muzana yehutachiwana pakuenda pakuguma kwekudzidza
Kune vakadzi vasingagamuchiri kurapwa, vachienda kutarisira kutarisira nzira ...
- 32 muzana vakazvitakura vari voga
- 27 muzana yevakadzi vane pamuviri vaive vachienda pakuguma kwekudzidza
IUI pamwe nekushandisa zvinodhaka kune avo vane chirevo chakanaka hazvina kusimbisa mararamiro avo ekuzvitakura kubudirira. Vakaroorana avo vairamba vachiedza ivo pachavo vaigona kunge vaine mimba sevaya vakagamuchira kurapwa.
Kupiwa kurapwa mari , kuwedzera mungozi yemishonga , uye kuwedzerwa kwehutano hwehutachiwana hwekuwanda , kuedza iwe pachako kwechinguva chiduku kunogona kuva sarudzo yakanakisisa.
Kuvaka pakutsvakurudza uku, imwe yedzidzo yakatarisa zvinoitika apo vakaroorana vanopiwa chirongwa chekurapa zvichienderana nekutsvaga.
(Kufanirwa kwavo kwakagadziriswa nokutarisa nguva yavo uye kuti vakagara vachiedza sei kubata pachavo.)
Muchidzidzo ichi, vakaroorana vakagoverwa kune imwe yenzira zvitatu: kutanga nekutarisira kutarisira, tanga neIUI nemishonga inobereka, kana kuti enda kurondedzero yeVIV.
Muchikamu chinopfuura 90 muzana yevakaroorana vakagoverwa kune vanotarisira-vatungamiri-boka rokutanga.
Nokuguma kwekudzidza, 81.5 muzana yevakaroorana vakawana pamuviri.
Paavo vane pamuviri, 73,9 muzana vakaberekwa vasina mushonga wokuberekwa.
Izvo zvinonyanya kushamisika, kunyanya kana iwe uchiona kubudirira kwehuwandu hwekushaya simba kune vose.
(Kana tichitarisa zvose zvisingabatsiri zvinokonzera uye matambudziko, mararamiro ekuberekwa aripo mushure mekurapa anenge ari pasi pe50 muzana.)
Uri kuramba uchiedza chisarudzo chakanaka kwauri here?
Sezvo nguva dzose, kurukurai zvamunogona kuita nachiremba wenyu. Zvose zvidzidzo pamusoro apa zvinongosanganisira vakaroorana vane maitiro akanaka. Vakanga vari parutivi ruduku uye vakanga vasina kuedza kwemakore.
Kazhinji kutaura, kutarisira kutarisira kwemwedzi mitanhatu kusvika pagore inongoratidzira nzira yakanaka kana ...
- A kuburikidza nekugadzira kubereka kwakaitwa, pamwe nevarume nevakadzi vanoberekwa vanoedzwa. (Kuongororwa kunofanira kuva "kusinganzwisisiki.")
- Ovarian reserve test ( FSH , AMH, uye antral follicle counts ) inoratidzika zvakanaka.
- Wakaedza kwemakore mashoma kusvika maviri iwe pachako.
- Iwe uri nemakore makumi matatu kana makumi matatu.
Is Clomid Isingasarudze Sarudzo Yakanaka Yekusanzwisiswa Kusina Kunzwisisika Here?
Clomid ndiyo inonyanya kutaurwa inobereka mishonga, uye inogona kubatsira vakadzi vasingasviki. (Inogonawo kukurudzira kushandiswa kwemurume kune zvimwe zvinokonzera kusagadzikana kwevarume.)
Chiremba wokutanga wauchaona apo uchiedza kubata chirwere chako chisina simba ndeche gynecologist yako. Vangangodaro vanokupa Clomid, kunyange kana iwe usina unzwisiswa kusabereka, uye kukutumira iwe munzira yako.
Izvi zvingava kuparadza nguva uye kukutsanangurira kune njodzi nemigumisiro isina kubatsirwa.
Ruzivo rwekutonga muScotland rwakanga ruchibatanidza vakadzi 580 vasina kufanirwa kusununguka.
Vakadzi vacho vakanga vasina kukwana kune rimwe remapoka matatu kwemwedzi mitanhatu yekurapa:
- Anotarisira kutarisira
- Clomid kurapwa
- IUI ndoga (kwete zvinodhaka)
Kuberekwa kwekurarama kweboka rimwe nerimwe kwaiva:
- 17 muzana yekutarisira kutarisira
- 13 muzana yeCommid
- 22 muzana yehutano hweIUI
Zvinonakidza kuziva kuti kuberekwa kwemazuva kwakange kwakaderera pane kutarisira kutarisira, uye izvi zvinonzwisisika. Clomid migumisiro inowedzera kuderedza zvimwe zvekubereka kwako.
Meta-kuongororwa kwezviverengero zvakasiyana-siyana zvekudzivirira miedzo yeClomid yekusadudzira kusina kutsanangurwa kwakaonekwa semigumisiro yezvidzidzo zvinomwe zvakasiyana. Zvose zvinokwana 1 159 mazano akabatanidzwa munyaya ino.
Ichi chidzidzo chakawanawo kuti hakuna humwe uchapupu hwokuti Clomid chete ndiyo mushonga unoshanda wekusatsanangurirwa kusabereka.
Clomid kurapwa haisi kukuvadza. Kurapa kunongorudzirwa chete kusvika kumatanhatu matanhatu, zvichienderana nekukwanisa kuwedzerwa ngozi yekenza .
Kana chiremba wako anotsanangura Clomid oga, kurukura kana zvingava zviri nani kuramba uchiedza iwe pachako kwenguva refu, kana kuti kurukura kana vachizofunga kutamira zvakananga kuIUI neComomid.
(Izvi zvingada kuenderera kune kliniki yekubereka uye yekupedzisira yekubereka vana . Vashomanana vemazino vanogadzikana kana vane ruzivo mukurapa IUI kurapa.)
IUI uye Zvinodhaka Zvokurara Zvisina Kujekeswa Zvisina Kuita
Kune avo vasina kufanirwa kusununguka, IUI ndoga kana kuti nemishonga yekuberekwa yakaratidzwa kuti zvishoma kuwedzera matambudziko ako ekudzivirira.
Uchapupu hahuna simba. Zvisinei, nemhaka yemari yakakwirira uye kusagadzikana kweVIV, IUI nemishonga inobereka inobatsira kuedza.
Nokuda kwekusaziva kusununguka, Clomid neIUI inoita sarudzo yakasarudzwa pamusoro peIUI ne gonadotropins.
Mune maitiro akasiyana-siyana ekudzidzira, maitirwo akange aine maitiro matatu kuIUI uye Clomid, kana IUI ne gonadotropins, kana IVF.
Mimba yekutakura yaiva:
- 7.6 kubva muzana pamakwikwi eColomid neIUI
- 9,8 muzana yega yega yegonadotropins neIUI
- 30,7 muzana yega yega yeVIVF
Gonadotropins inodhura uye inowanzoita kuti uwane ovarian hyperstimulation syndrome (OHSS) uye kutora mimba yakawanda . Asi vangave vasina kuwedzera hutachiwana hwemahutano zvakakwana kuitira kuti zviitike zviitiko izvozvo.
Ndezvipi zvakasiyana-siyana zveIUI iwe unofanira kuedza? Izvi zvinoenderana nezera rako uye kufarira kwako mukutsvaga IVF chirwere kana IUI inofanira kukundikana.
Kune avo vanozarurirwa kuVIV, zvitatu zveIUI neComomid zvinogona kunge zvakakosha kutongwa vasati vaenda kuIVF.
Maererano nechimwe chidzidzo chinotaurwa pamusoro apa, vakaroorana vakaedza IUI ne gonadotropin vasati vadzokera kuIVF vakatora nguva refu kuti vawane pamuviri uye vakashandisa mari yakawanda kurapwa zvakakwana.
Kune avo vasingagamuchiri kana kukwanisa kutsvaga kurapa kweVF, tsvakurudzo inoratidza IUI nemishonga yekuberekwa inokosha yekuedza kusvika kusvika mapfumbamwe.
Nzira Yako Yakanakisisa Yokubudirira neVIVF
Kana zvasvika pakurapa kusanzwisiswa kusinganzwisisiki, IVF ine zvakanakisisa zvekuita pamuviri kubudirira.
Mimba yehutachiwana hweVIVF kurapa katatu zvavari ivo IUI neClomid. (Izvi zvichasiyana nezera, zvakadaro.)
Sezvataurwa pamusoro apa, kutora pamuviri kweComidid neIUI ndi7,6 muzana. Kubata pamuviri kwehuwandu hwehuwandu hweVIV kune 30.7 muzana.
Handizvo chete kuti kubudirira kwehuwandu kune huwandu hweVIV, chikonzero che "kusanzwisisika" kusununguka dzimwe nguva kunowanikwa munguva yekurapa.
Chero panguva yeIVF inogona kuvhara mazai, hutachiona hutachiona, uye hutachiona hunoonekwa hunoenderana.
Zvose zvakati, IVF inoparadza uye inodhura .
Iwe unogona kufunga kufamba kuIVF ndicho chisarudzo chakanakisisa (chakapiwa kuti ndicho chakanaka kubudirira mazinga). Izvo zviri nani kuti vazhinji varoorana vape IUI naClomid kuedza kutanga.
Makambani akawanda emishuwarenzi (ayo anopa chero rudzi rwehuwandu hweVIV) hunoda kurapwa kunodhura kunotanga kuedza kutanga.
Zvisinei, kuenderera mberi kuVIV uye kuputika IUI kunogona kuva sarudzo yakanakisisa kana iwe uine makore 38 kana kupfuura.
Ichi chinhu chinokurukura nachiremba wako.
Kunopfuura IVF yekusatsanangurwa kusina kufanira
Zvakadini kana IVF iga isina kukwana? Kana kuti zvakadini kana IVF inotadza?
Panogona kunge pane dzimwe nzira.
Kurapa maitiro ekudzivirira mafungiro : Kune dzidziso yokuti maseru evanhu vemazuva ano anogona kuita basa mukusaziva kusina kutsanangurwa, kudzokororwa kweVF kusinganzwisisiki, kana kupererwa kwemazuva ose.
Pasinei nezita ravo, "maseru ekuuraya" haasi akaipa. Iwe unoda ivo. Iwe hausi kuda kuti vanyanyisa kuita zvekare kana kuti vane zvizhinji zvezvo.
Kuvhara kwekwakaputika nechinhu chinonzi intralipids munguva yehutano hweVIV kunogona kuderedza kusvibiswa kwemasimba ekuuraya anouraya masero.
Zvisinei, pane ikozvino hakuna uchapupu hwakasimba hurapi ino inogona kuvandudza IVF inorarama kuberekwa mazinga.
Kubviswa kwepometrial deposit deposits : Vamwe vanodavira kuti kusadudzira kusinganzwisisiki kunogona kukonzerwa nekuguma kwemetometriosis .
Mune mhaka iyi, magadzirirwo endometrial angasave ari kukonzera kurwadziwa kana kupindira zvakananga ne ovulation kana fallopian tubes, asi kuvapo kwavo kunogona kuwedzera "kutsamwa" kwehutano hwekubereka.
Izvi zvinogona kuva chikonzero chekudzoka kweVF kudzokorora, maererano nedzidziso iyi.
Vamwe vanachiremba vacharatidza kuti chirwere chinonzi laparoscopic chinorwara uye chinobvisa endometriosis inenge isati yasvika IVF ichiedzwa. Vamwe vanongoratidzira izvo mushure mekunge vadzokororwazve IVF.
Pasinei nokuti kurapwa uku kunogona kuvandudza mararamiro ekuzvarwa patsva haisi pachena.
Mupiro weGamete : Kana mazai, hura, kana embryo yehutano matambudziko akawanikwa munguva yeVIV, chiremba wenyu anogona kukurudzira kushandisa gamete kana embryo mupi weiyo inotevera IVF.
Mhizha inopiwa ndiyo inonyanya kukosha, inoteverwa nemhemberero yekupa, uye ipapo chirume chinopiwa.
Kubudirira kwehuwandu hwevana vanoita mazai kakawanda hukuru, iyo inhau dzakanaka.
Embryo mitsva yezvipo ichasiyana zvichienderana nepo inobva embryo. Semuenzaniso, mishonga yakawanda yemambryo inowanikwa kubva kune mamwe embryos akaumbwa kune imwe mhuri isingabatsiri yeVFF kurapa.
Kuzvidzivirira : Kana chirwere cheVIV chikaramba chichipera mushure mokunge uchangamire, kutora chirwere kunogona kuva danho rinotevera.
Kuzvidzivirira kunodhura zvikuru uye kwete (zviri nyore) zviripo zviri pamutemo munzvimbo dzose. Kune avo vanogona kuwana nekuwana maitiro ekuzvipira, inogona kuva nzira yavo kubereka.
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