Chikonzero nei Unogona Kuda FET, Zvaunotarisira, Ngozi & Mari
Kushandurwa kwemazamu echando, kana kuti FET, inorwara yeAVF apo chirwere chinonzi cryopreserved chakaumbwa muhuwandu hweVFF hwakazara chinoshungurudzwa ndokuendeswa kumuviri wechikadzi. Iyo yakagadziriswa embryo inogona kubva kumukadzi yakamboitika kare yaVF, kana kuti inogona kunge inopa mubereki. Kana mukomana anopa mhumbu ari kushandiswa, muhucheche hausi hutano hwechibereko kune mukadzi kana mudzimai wake.
Kazhinji yenguva, kutengesa kwemazamu echando kunoitika apo kune "mamwe" embryos mushure mekunge maitiro anowanzoitwa IVF. A "kutsva" kutumirwa kunowanzodiwa. Zvisinei, vamwe vanachiremba vari kukurudzira kusarudzwa kwakasvibira embryo kuendesa-zvakare kunonzi se "kufungidzira zvose" nzira-apo kutsvaga kutsva hakuna kuedza. Muchiitiko ichi, mazai ose anonzi cryopreserved uye anoshandiswa muFET mumwedzi unotevera kana zvakadaro.
Zvese zvaunoda kuziva nezvekuva neFET-IVF ndeyepasi.
Zvikonzero Zvaunogona Kuva nazvo neFET-IVF Cycle
Iwe unogona kusarudza kuva neFET-IVF kana kana ...
Mushonga weVIVF mutsva unokundikana uye iwe une mazai anonzi cryopreserved .
Munguva yekurapa kwaVIV, imwe kana mazamu akawanda angaguma. Inongova yakachengeteka, zvisinei, kutumira mumwe kana vaviri panguva imwe. Kutapudza mazamu akawanda kunowedzera njodzi yepamusoro-kutora mimba yakawanda (sematatu kana kuti mana.) Kutaura zvazviri, kuti vawedzere kuderedza ngozi iyi, vamwe vanachiremba vanokurudzira "kusarudza" kusarudzwa kwemashure embryo kuendesa, kana eSET , kune varwere vane chirevo chakanaka.
Dzimwe nguva, pane "mamwe" embryos mushure mekunge IVF yakatenderera. Vanhu vakawanda vanosarudza kusunungura, kana kuti cryopreserve, mazai avo akawanda. Semuenzaniso, ngatiti iwe unowana mavhabhu mashanu. Ngatitaurirewo kuti chiremba wako anokurudzira kusarudza imwe yemubereki kutengesa iwe. Izvi zvinoreva kuti imwe mucheche ichaendeswa, uye iyo ina inenge ichinyorwa.
Ngatitaurirei kuti imwe embryo inotamirwa haina kuita kuti munhu ave nepamuviri akabudirira. Muchiitiko ichi, une zvingasarudzwa zviviri: Unogona kuita imwe itsva, yakakwana IVF, kana iwe unogona kutora imwe kana maviri yemaprose ako akambonyorwa kare. Iko inoshandiswa mari yakawanda inoshandiswa inogona kunge iri kutumira imwe yemavhesi ako akave akaoma. Izvi ndizvo zvinosarudzwa nevarume vakawanda.
Iwe unoda kupa mwana wako weVIV-pamuviri mukoma wako .
Mumuenzaniso wedu pamusoro apa, kutengesa kutsva kwemashure hakuna kubvisa pamuviri. Ngatiti inodaro. Zvadaro, une mazai mana anoramba achimirira mukugadzirisa. Mazai anonzi cryopreserved anogona kugara muchando nokusingaperi.
Mune ramangwana, unogona kusarudza kuita FET-IVF kuronga kupa mwana wako munin'ina wako. (Zvimwe zvaunogona kuita ndezvekuita imwezve mutsva uye usingashandisi mavara ako egoropreserved, asi sezvakambotaurwa, iyi inzira inodhura.)
Mazai aya ari kuiswa mazita .
Preimplantation genetic diagnosis (PGD) uye preimplantation genetic screening (PGS) inobatsirwe kuberekwa kwekombiki inobvumira mazamu kuti aongororwe nezvehutachiona chaihwo kana zvirema. Izvi zvinoshandiswa kuburikidza nekusvibisa embryo pazuva zuva rechitatu kana shanu mushure mekuberekwa, mushure mokutora mazai.
Dzimwe nguva, zvigumisiro zvinodzoka munguva yekuita itsva yekumbomira kuendeswa. Zvisinei, kana zuva re5 biopsy rapera, kana kuongorora mazita ekugadzira kwakaoma uye kunoda nguva yakawanda, ipapo mazai ose akashongedzerwa anowanikwa. Kana imwe nguva migumisiro inodzoka, zvisarudzo zvingaitwa pane mazai ekutumira. Izvi zvaizova FET-IVF maitiro.
Iwe unenge uchisarudzwa yakanamatira embryo kuendesa, kana usina kana PGD / PGS.
Izvo zvinozivikanwa se "kufungidzira zvose" protocol, iyi ndiyo apo kutorwa kwemasvikiro matsva hakusi chikamu cherongwa zvachose. Izvi zvinogona kuitika nePGD / PGS, asi inogonawo kuitwa pasina maitiro ekuongorora.
Pane chirevo chokuti mishonga inobereka inokurudzira mazai mazai zvakanakisisa hazviiti kuti zvive zvakakosha mumamiriro ekuberekwa.
Izvi zvinoreva kuti kutsvaga kutsva kunogona kunge kusingakwanisi kubhadhara pamuviri wakasimba, unoramba uchiita pamuviri.
Kuti udzivise dambudziko iri, mazuva matatu kana mashanu mushure mokutora mazai, mazamu ose anowanikwa. Mwedzi unotevera kana mumwedzi mushure mokunge, endometrium yave nemukana wekuumba pasina simba rekuvhara mishonga inokurudzira, kuendeswa kwechando kwemazamu kunogona kuitika.
Munguva iyoyo yeFET, chiremba wako anogona kupa mishonga yemishonga kuti iwedzere kugadziriswa kwemugumo. Izvi zvinonyanya kuitika kana iwe usingazviiti iwe pachako. Kana kuti, chiremba wako anogona kuita FET semutambo "wechisikigo," nemishonga inoshandiswa nemashonga inoshandiswa. (Zvimwe pamusoro apa iri pasi apa.)
Ngozi yako yeHSSSS yakakwirira, uye kutsvaga kutsva kwakabviswa.
Ovarian hyperstimulation syndrome (OHSS) ingozi yekuita zvinodhaka zvinogona kuita zvakanyanya (asi zvisingawanzoitiki) zvinokonzera kurasikirwa kwekubereka uye kunyange rufu. Kana njodzi yako yeHSS inowanikwa yakakwirira musati mutsva wokutengesa embryo inogona kuitika, inogona kubviswa uye mazamu ose anogadziriswa . Izvi ndezvokuti pamuviri unogona kupedza HSSSS. Zvinogona kutora nguva yakareba kuti uwane kubva kuHSSSS kana uri nepamuviri. Kana ukangosununguka kubva kuHSSSS, mazai echando ekufambisa embryo anogona kurongwa.
Kuwedzerwa kwekutsvaira embryo kwakabviswa nokuda kwezvikonzero kunze kweHSSSS.
OHSS ndicho chikonzero chinowanzovhiringidza kuendeswa kwema embroyo kuti isunungurwe, asi kune zvimwe zvingaita. Kudzorera kwako kutsva kunogona kuregererwa kana iwe uwana chirwere ichi kana zvimwe zvirwere mushure mekutora mazai asi musati watora. Uyezve, kana mamiriro ekupedzisira ekutendekera asingatarisi akanaka pane ultrasound, chiremba wako anogona kukurudzira cryopreserving mazai ose. Pane imwe nguva, iwe unogona kuronga FET-IVF.
Iwe uri kushandisa mubereki wemukomana.
Vamwe vakaroorana vanosarudza kugovera mavana avo asina kushandiswa kune mumwe munhu asingabereki. Kana iwe ukasarudza kushandisa mupiro wemubereki, urongwa hwako huchava hutano hwemafremu embryo.
Kushambadzira kwakashata vs. Mutsva: Ndeipi Iyo Yakanakisisa?
Zvimwe zvidzidzo zvakaona kuti kutora mimba kunotapira nechando chakavhara embryo kudarika pane kuve nekufambiswa kwema embryo. Zvidzidzo zvakare zvakaona kuti kutakura pamuviri kwakagadzirwa mushure mekunyudzwa kwemazamu embryo kunogona kuva nemigumisiro yakanaka yechecheche.
Zvizhinji zvezviongorori izvi zvakaitwa kuvakadzi vaduku vane maitiro akanaka, naizvozvo hazvizivikanwi kuti zvinorevei kune avo vanopfuura makore makumi matatu kana makumi matatu kana kuti nehurombo husina kunaka. Tsvakurudzo yakawanda inofanira kuitwa.
Zvisinei, kana zvichiratidza kuti ndeyechokwadi kuti FET-IVF inogona kutungamirira kune kuberekwa kurarama pane kutengesa kutsva, chii chinogona kuva chikonzero chacho?
Sezvambotaurwa, imwe nzira inogona kuitika ndeyokuti mishonga inobereka iyo yakakosha yekunyanya kushandiswa kwemaawa inenge isingasviki pakugadzirwa kwemakemikari. Izvi zvinoreva kuti kukurudzira mavha mavari mukati rimwechete-ne chirongwa chekuendesa mazai panguva isiri yekusimudzira-inogona kunge iri nani pakugadzirisa.
Chikonzero chechipiri chinokwanisika chingave chokuti mazai anoramba aripo anonyanya kupera. Iyo mazai asina simba angasazopona nguva yakareba murabhu uye kushandiswa kwemvura. Ichi ndicho chimwe chezvipingamupinyi zvaunotora pakusarudza mazai embryo kuendesa. Mamwe mazai angasaita. Zvisinei, vamwe vanachiremba vanopikisa kuti mazamu asina simba akadaro haaizoita kuti ave nepamuviri hwakanaka chero ipi zvayo.
Cherechedza: Iwe unogona kunge wakaverenga pamusoro pezvidzidzo zvepakutanga, izvo zvakafananidza kutengesa kutsva nechando. Zvakawanda zvezvikwereti izvi zvekare zvakagumisa kuti kutsva kwema embroyo kutengesa kwakagadziriswa nekudzivirira kwepamusana kupfuura kuwedzerwa kwemazamu embryo. Zvisinei, kutsvakurudza ikoko hakugoni kushandiswa kune "kufungidzira-zvose" kurongedza. Zvidzidzo zvekare zvinosanganisira kutora mazamu mashoma-kupfuura-akanaka, kuvhundusa, uye kutora mazai anotarisa zvakanaka pakarepo. Zvinonzwisisika kuti embryo shoma-ye-yakanaka inogona kuva nehuwandu hwekubudirira huri nani kune vakanaka vanotaridzirwa mumutambo mutsva.
Nzira yeFET-IVF: Chii chaunotarisira panguva yekurapa
Kune marudzi maviri ehutano hweFET-IVF maitiro: mahomoni ekusimbisa maitiro uye "maitiro" evanhu. Nzira inowanzoitwa yeFET-IVF yakatenderera inotenderedzwa. Izvi ndezvokuti zuva rekutsvaga riri nyore kuronga (zvichiita kuti zvive nyore kune kliniki yekubereka uye lab), uye nokuti kubatsirwa kwemhomhoni kunoda kana kune madzimai ehupenzi.
FET neHormonal Support
IFET-IVF inotenderera nehutemoni inotsigira pamagumo ekutanga kwemwedzi, zvakadai saivo inowanzoitwa IVF. Injections yezvinodhaka zvinoreva kudzora nekuvhara kubereka kunopiwa. Kazhinji, GnRH agonist Lupron inoshandiswa, asi mamwe mishonga yekudzivirira-kudzvinyirira inogona kusarudzwa pane.
Kana ukangowana nguva yako, basa rekutanga re ultrasound uye neropa rinorayirwa. Kana vose vakatarisa zvakanaka, estrogen supplementation inotanga. Izvi ndezvekubatsira kuchengetedza michina yakagadziriswa yemapetometrial. Estrogen supplementation inoenderera mberi kwemavhiki maviri. Imwe yema ultrasound uye mamwe mabasa eropa anorayirwa. Kuongororwa panguva yeFET-IVF yakakosha zvikuru kudarika panguva yakatarwa yeVF.
Mushure memavhiki maviri ekutsigirwa kweesrogen, kutsigirwa kweprogesterone kunowedzerwa. Izvi zvinogona kuva neprogesterone mumajisi emafuta kana zvichida nevakadzi vedositories . Kuendeswa kwemuviri kunogadziriswa zvichienderana ne) apo progesterone supplementation yakatanga, uye b) panguva ipi iyo embryo yakagadziriswa.
Somuenzaniso, kana embryo yakasvibiswa pazuva reSvondo mushure mekuvhara mazai, ipapo kuvhara kwemazamu kunotora nguva yeZuva 6 mushure mekunge progesterone supplementation inotanga.
FET Purogiramu Yakasikwa
NeFET yakasikwa, kushandiswa kwemishonga hakusi kushandiswa kudzivisa kana kudzora ovulation. Pane kudaro, kuendeswa kwembryo kwakarongeka zvichienderana nepo ovulation inowanzoitika.
Nguva yekutumira embryo yakakosha. Izvo zvinofanira kuitika imwe nhamba yemazuva mushure mekuvhura. (Sezvataurwa pamusoro apa, zuva iroro richabva pasinei nokuti imbryo yakanyorova paZuva 3 kana Zuva 5 mushure mekutora mazai.)
Nokuti nguva inotarisirwa, hutenderedzwa hunonyatsotariswa kana pamba neavulation predictor miedzo kana pakiriniki yekuberekwa ine ultrasound uye basa reropa. Sezvo mavheti ekugadzirisa kitsiti haasi nyore nguva dzose kududzira, vanachiremba vakawanda vanoramba vachivimba ne ultrasound uye nebasa reropa kusvika panguva yekuendeswa.
Apo ovulation inowanikwa, progesterone supplementation inotanga, uye zuva rekutumira embryo rakarongwa.
Ndeipi Dambudziko reFET-IVF?
A mazaya embryo kuenderera mberi ane huwandu huwandu hunopfurikidza nehuwandu hweVFF. Chimwe chezvinhu zvinotyisa kune IVF (uye kubereka zvinodhaka) ndeye ovarian hyperstimulation syndrome (OHSS). Zvisinei, iwe haufaniri kunetseka neHSS muyedzi yeFET sezvo mavhariyoni anosimudzira mishonga haashandisi.
Zvichienderana nehuwandu hwemamu inotamiswa, pane njodzi yekuzvitakudza kazhinji. Kunyange mapatya ane mapatya anouya nehuwandu huwandu kune amai nevana . Embryo kutengesa inouya nehuwandu huwandu hweEctopic pregnancy . Panewo ngozi shoma yekutapukirwa.
Nekanyororeswa, mamwe mazai angasapona maitiro echando nematope. Nekusarudzwa kwakasvibiswa kwekudzivirira embryo, izvi zvinoreva kuti iwe unogona kurasikirwa nemazai angadai akawanikwa kana wainge waita kutsvaga kutsvaga.
Kunyoresa zvinokuvadza mwana here? Meta-tsvakurudzo yakawana kuti kutakura nemucheche kubva kumafuremu embryo kuwedzerwa, zvingangova, kuva noutano kune avo vanobva kune dzimwe tsvina.
Frozen embryo kuendesa vana vaiva pa ...
- Dambudziko rezasi rekuberekwa
- Dambudziko rezasi rokutanga kuberekwa
- Dambudziko rezasi rekudzivirira kuberekwa
Chimwe chidzidzo chakafananidza nengozi dzeimwe rudzi rwekuremara kwekuberekwa muhupenyu hutsva hweFIV, kuvharwa kwemazamu embryo, uye vana vakangozvarwa vane pamuviri. Chidzidzo chacho chakawana kuti vana vaipetwa kazhinji katatu kuti vave nehutachiona hwekuzvarwa nehuwandu hweVIV huchiendeswa kana vachienzaniswa nevana vakaberekwa vana. Zvisinei, iyo ngozi yakawanda yakanga isingaoneki nechando chisina kutorwa. (Cherechedza kuti njodzi yakawanda yekuremara kwekuberekwa yakanga ichiri pasi.)
Ikoko kune inogona kuwedzerwa njodzi yevana vacheche vachizvarwa "yakakura nokuda kwezera remakore" kubva kune firiji embryo kuwedzerwa.
Mari yakawanda yeFET?
Ivhareji yemari yefrimu yekutengesa embryo iri pakati pe $ 3,000 ne5,000. Izvi zvinosanganisira kuongorora, chero hutachiona hwemasimoni, uye kuendesa kwaro pachako. Zvinhu zvepanyama zvinodhura zvishomanana, kubvisa zvinodhaka zvekushandisa zvinodhaka.
Uyu mutengo hauiti, zvisinei, unosanganisira mari kubva pamutambo wekutanga weVF , kana kutanga kokugadzirwa kwema embryos kana mari yekuchengetedza.
Paunenge uchitaura nachiremba wako pamusoro pezvinodhura, iva nechokwadi chokuti mutengo wavanenge uchitaura unosanganisira zvose kuitira kuti iwe ugone kuronga bhajeti yako zvakakodzera.
> Sources:
> Evans J1, Hannan NJ2, Edgell TA3, Vollenhoven BJ4, Lutjen PJ5, Osianlis T4, Salamonsen LA6, Rombauts LJ4. "Zvitsva zvinopesana nehutachiona hutachiona hutachiona: kutsigira zvisarudzo zvemakiriniki nesayenzi uye kuchipatara uchapupu." Hum Reprod Update. 2014 Nov-Dec; 20 (6): 808-21. doi: 10.1093 / humupd / dmu027. Epub 2014 Jun 10.
> Maheshwari A1, Pandey S, Shetty A, Hamilton M, Bhattacharya S. "Zvipembenene zvisinganzwisisiki uye zvepininatal muzvimedu zvekuimba zvisingabatanidzi zvichibva pakudzingiswa kwemazamu anokonzerwa nevefrozen anowanikwa mukati me in vitro fertilization treatment: kuongorora nekugadzirisa uye meta-analysis. "Fertil Steril. 2012 Aug; 98 (2): 368-77.e1-9. doi: 10.1016 / j.fertnstert.2012.05.019. Epub 2012 Jun 13.
> Pinborg A1, Henningsen AA, Loft A, Malchau SS, Forman J, Andersen AN. "Kubata mwana mucheche muzvinyorwa zvinonzi" singletons "zvinoberekwa mushure mekunyoroveswa kwekuberekwa kwechibereko (FET): ndezvikonzero zvekuberekwa kwevana kana kuti krisotechnique? "Hum Reprod. 2014 Mar; 29 (3): 618-27. doi: 10.1093 / humrep / det440. Epub 2014 Jan 9.