Nhamba dzekutora mapatya Maitiro kana kuti nekuchirapa
Chii chinokurudzira mararamiro ako ekuva nemapatya? Kurapa kwechibereko kufanana neCommid , Gonal-F, uye Follistim inoita kuti zvive nyore kuti iwe uchatora mimba dzakawanda, asi zvakare, kukwirira kwako, makore, uye kunyange nhoroondo yemhuri inogona kuwedzera mikana yako yekuzvigadzira kupfuura imwe.
Zvinokonzera Mapatya Asina Utano Mishonga
Mishonga yekubereka haisi iyo chete yepamusoro mapatya. Zvimwe zvinhu zvinowedzera mikana yako yekutora pamuviri nemawanda inosanganisira ...
Age
Vakadzi vanopfuura makumi matatu vanowanzoita pamuviri mapatya. Izvi ndezvekuti hormone FSH inomuka sezvo mukadzi achikura. FSH, kana follicle inoita hormone, inokonzera kukura kweii mazai musati vasunungurwa.
Nhamba dzakakwirira dzeFSH dzinodiwa semukadzi wemakore nekuti mazai anoda kukurudzira kukura kupinda mumukadzi wechidiki.
Izvi zvisinganzwisisiki, zvakapiwa kuti kuwedzera kweFSH kunokonzerwa nekuderedza kubereka. Asi dzimwe nguva, follicles dzinodzvinyirira kusvika kumazinga akakwirira eFSH , uye maawa maviri kana kupfuura akawanda anosunungurwa, zvichiita kuti ave nepamuviri twese.
Family History
Imwe mhuri yezvakafanana nemapatya hazviiti kuti zvive nyore kuti iwe uchava nezvizhinji. Zvisinei, kana iwe uine mababa emunin'ina (asina kufanana) mumhuri yako, mikana yako yekuita mapatya inomuka. Kana pane vakomana vemapatya pamadzimai nababa, rutivi rwenyu rwemapatya runokura zvakanyanya.
Nhoroondo yemapatya pamadzimai edzimhuri inoratidza mikana yakawanda yekuputira maawa akawanda pahutenderedzwa , uye nhoroondo yemapatya ehama pachidimbu chechirume inoratidza huwandu hwakawanda hwomunhu anogadzira hutundu hwakakwana hunosvitsa mazai anopfuura rimwe .
Weight
Vakadzi avo vanorema-vane BMI vanopfuura makumi matatu-vanowanzoita pamuviri mapatya kune vakadzi vane utano hwakanaka hweBMI. Ichi chinhu chinotyisa sezvo vakadzi vane uremu hwepamusoro vanowanzovawo nekutambudzika kubata pamuviri .
Mafuta anowedzera anotungamirira kuwedzera mazinga eesrogen. Iyo yakakwirira masero eestrogen inogona kutungamirira kune kukurudzira kweivhai.
Panzvimbo pokusunungura dhi rimwe chete pahuputi , maovari anogona kusunungura maviri kana kupfuura.
Kureba
Vakadzi vane kureba kupfuura zviyero vanowanzova nemapatya. Chimwe chidzidzo chakawana kuti vakadzi vakadzika mashekeri 164.8 murefu (anenge 5 '4.8 ") vainyanya kubata mapatya kupfuura vakadzi vakadzika 161.8 cm (anenge 5' 3.7").
Chikonzero nei izvi zvichiitika hazvisi pachena, asi imwe nharo ndeyokuti kudya kunovaka muviri (izvo zvinogona kutungamirira kune kukwirira kwakawedzerwa) zvakasara kuwedzera kwehuwandu hwemapatya.
Nhamba yevana
Mababa mapaundi akawandisa kune vakadzi vakatora mimba dzakawanda uye vane mhuri huru.
Race
Vanhu veAfrica -America vanowanzova nemimba yemapatya kupfuura vakadzi veCaucasian. Vakadzi veAsia ndivo vasingakwanisi kubata mapatya.
Kuberekwa
Vakadzi vanoita pamuviri pavanenge vachiyamwisa vanowanzova nemimba yemapatya kupfuura vakadzi vasina. Ichokwadi kuti kunwisa kunogonawo kudzivisa kubereka nekudzivirira kubata pamuviri, kunyanya panguva yemwedzi mitanhatu yemwana kana mwana ari oga ane mukaka.
Zvisinei, zvinokwanisika kuve nepamuviri panguva yekuyamwisa-uye nemapatya!
Chimwe chidzidzo chakawana chiyero chemapatya kuva 11,4 muzana pakati pevakadzi vanoyamwisa, vachienzanisa ne1 muzana chete muvakadzi vasina kuyamwisa.
Kudya
Kunyange zvazvo kutsvakurudza kuchiri kuenderera mberi, dzimwe tsvakurudzo dzakawana kuti vakadzi vanodya zvakawanda zvekutengesa marisi zvinowanzoita kuti vawane mimba mapatya.
Imwe nyanzvi ndeyekuti mahomoni ekukura anopiwa kumombe anokanganisa mahomoni evanhu.
Mikana Yokuva Nemapatya Nehutano Zvirwere
Mishonga inobereka iyo inosimudzira ovulation inogona kutungamirira kumapatya, katatu, kana kuwedzerwa mazana akawanda. Kubata mishonga yakawanda inogona kuve pangozi yekurapa , iyo inogona kuderedzwa nekuchenjerera kutarisa, kushandiswa kwemukomana mumwechete (kwechirwere cheVIV), uye iyo yakaderera zvikuru inogona kuyerwa (apo inorapwa ne gonadotropins.)
Iwe unganetseka kuti sei kuve nekuwana mitezo kunoonekwa se "ngozi" uye kwete iyo inobatsira kubereka kurapa. Mushure mezvose, kunyanya kana wakanga uchirwadziwa kuti uwane pamuviri, hazvikwanisi here kuropafadzwa kaviri kana katatu chinhu chakanaka?
Nyaya yenyaya yacho ndeyokuti kuwanda kwepamuviri kunouya nehungwaru kune amai nevana. Chinangwa chechiremba chako ndechekuti iwe uve nepamuviri uye unoberekera mwana ane utano panguva imwe.
Haasi mishonga yose yekusabereka inowedzera mararamiro emapatya, asi akawanda anoita. Kurapa zvinodhaka uye kurapwa kunogona kutungamirira kumapatya zvinosanganisira ...
- Clomid
- Femera
- Gonadotropins (inonziwo injectables) saGonal-F uye Follistim
- IUI kurapa , kana kushandiswa pamwe chete nemishonga yekuberekwa
- IVF mishonga
Clomid uye Femera vane yepasi yakawanda yemapatya, kubva pa5 kusvika ku12 muzana. Chiyero chezvikamu zvitatu uye zvakakwirira zvepurogiramu chiri pasi pe1 muzana. Gonadotropins, ingava yakashandiswa kana kuti isina IUI kurapwa, ine yepamusoro yemapatya. Maererano nezvimwe zvidzidzo, kusvika 30 muzana yekubata pamuviri yakagadzirwa ne gonadotropin inotungamirira kuwanda. Vazhinji vavo vane pamuviri vane mapatya maviri, asi kusvika ku5 muzana ndeyechitatu kana kuti kutakura pamuviri.
Kusiyana nekutenda kwakakurumbira, kurapwa kweVIV hakusi iyo inowanzoita katatu uye yakakura yekutakura pamuviri. Dhiyabhorosi inounganidzwa neCDC inoratidza kuti chiyero cheVF-chikafu katatu muna 2014 chaiva nemimba yepamuviri (asi chete 0,9 muzana yekuberekwa kunorarama, yakaderera pamusana pekudzivirira pamuviri.)
IVF mapatya haana kufanana, uye mapatya maviri ari akakwirira kupfuura vakadzi vari pasi pemakore 35, pa12.1 muzana imwechete yekushandurwa muna 2014. IWF twin rate yakaderera vakadzi vane makore makumi matatu kusvika ku35 kusvika ku1.1 kubva kune vakadzi vane makore 35 kusvika ku37 uye 5.3 yevakadzi vane makore 38 kusvika ku40-zvichida nekuda kwechikamu chose chakaderera kubudirira kubudirira semukadzi wemakore.
Ndezvipi Zvakakosha Zviviri Zvokuberekwa?
Maererano nedhesi rakakonzerwa neCenters for Disease Control, paive nemapfumbamwe 133 155 akaberekerwa muUnited States muna 2015. Ndiyo 33.5 kubva ku1 000 vanoberekwa vachirarama, kana kuisa imwe nzira, anenge 3.35 muzana yekuzvarwa patsva.
Paiva nezvizvarwa zvitatu zvitatu zvitatu zvekuberekwa, 228 quadruplet births, uye 24 quintuplet kana kuberekwa kwepamusoro. Nhamba idzi dzinosanganisira kuwanda kwepachizvarirwo, pamwe chete nevaya vane mimba yekurapa .
Mutengo wevana vakaberekwa vakawanda unowedzera uye wakaputika mukati mema1990, asi wave uchiderera pamusoro pemakore gumi apfuura. Izvo zvikamu zvehutatu uye zvepamusoro zvekuzvitakura zvakaderera 36 kubva muna 2004.
Mikana yekuva nemafuta maviri
Munharaunda yakawanda, kufanana nemakumbo maviri ekuzvitakura kunowanikwa 0.45 muzana yenguva, kana kuti 1 muvabereki 250.
Kunyange zvazvo vazhinji vane pamuviri vakawanda vane pamuviri nemishonga yekubereka iri mababa mapatya, kushandiswa kwehutano hwekubereka kunowedzera mukana wako wekuva nemapatya akafanana. Maererano nekumwe kuongorora, mapatya akafanana akaumba 0.95 muzana yehutumbi hwakakonzerwa nekurapa. Izvozvo zvakapetwa nehuwandu hwehuwandu hwevanhu.
Hazvizivikanwi kuti sei kurapwa kwekubereka kunotungamirira kune mamwe mapatya akafanana. Imwe nyanzvi ndeyekuti mazai emagariro anowanikwa mukati meVIVF anowedzera dambudziko rekunama twinning. Imwe nyanzvi ndeyekuti kurapwa kunoshandisa gonadotropin kunounza ngozi yakawanda yemapatya akafanana.
Shoko Rinobva Kunyanya
Mikana yako yekuva nemapatya haingatenderi chete pamashandisirwo ako ekushandisa zvinodhaka, asiwo emhuri yako nhoroondo, dzinza, zera, nezvimwe zvinhu zvakawanda. Izvi zvinoshanda pamwe chete. Mune mamwe mazwi, mukadzi akareba ane nhoroondo yemhuri yemapatya ehama anowanzoita kuti ave nepamuviri mapatya panguva yekurapa kunobatsira kupfuura mukadzi mutsva asina mhuri yemhuri yemapatya.
Mikana yako yekubata mapatya ichabatwawo nechinangwa chako chekushaya mwana. Mukadzi wechidiki ane mazai ane utano anowanzoita kuti ave nepamuviri semapatya kupfuura mukadzi anopfuura makumi mana, ane mazai ei ari murombo.
Iyo mapatya nemazana akawanda anosiyanawo kubva pakiriniki yekuberekera kuchipatara. Twinji yemitengo yakasiyana maererano nekunyatsorongeka kwavanoona kuvhara kweivulation panguva yekushandiswa kwezvinodhaka uye kushandiswa kwemamota akawanda panguva yaVIV.
Nepo kuva nemapatya kunzwika semhando yeviri-kune-imwe inobata chero vaviri vanodikanwa vangada kuva nekutevera kusununguka, zvakanyatsonaka kuronga mwana ane utano. Chiremba wako anogona kuderedza matanho emawanda uye nekucherechedza nekucherechedza uye imwe-embryo kutengesa panguva yeVIV.
Zvisinei, kana iwe uine mimba mapatya kana kupfuura, ziva kuti kutarisira kwakanaka kwepabonde kunogona kuderedza ngozi yako yezvinetso. Kunewo mazhinji maitiro anobatsira pakuva nemapatya .
> Sources:
> Kubatsira Reproductive Technology (ART) Mushumo . National Summary Report: 2014. Center for Disease Control.
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> Akawanda: mapatya, katatu uye kupfuura. March weDhimes.
> Schachter M, Raziel A, Friedler S, Strassburger D, Bern O, Ron-El R. "Monozygotic twinning after shure yakabatsira maitiro ekubereka: chimwe chinhu chinenge chisina kukwanisa kuita micromanipulation." Kuberekwa kwevanhu. 2001 Jun; 16 (6): 1264-9.
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