Kusarudza Chiremba, Zvaunotarisira Panguva Yenzira, uye Kuva Nemwana
Kubereka kwechikadzi kunouya nezuva rokupera. Zvinosuruvarisa, mazai edu haagoni kumirira kusvikira tagara takagadzirira kuva nevana. Vakadzi vanopfuura makore makumi matatu vanowanzosangana nezera risina hanya. Dambudziko rekushaya vana pazera remakore makumi mana uye rakapfuura.
Iko hakusi iyo imwe nzira yekugadzirisa kukwegura. Kunyange zvazvo hupenyu husina kunaka hunoita kuti kukura kuve kunopera ( kusvuta , somuenzaniso, kwemaii maevari asati apera), kurarama hutano hakunonoki zvinhu.
Izvozvo zvakati, kune imwe nzira yekugadzirisa kukwegura kwemaawa ega-uye ane cryopreservation , kana kusarudza mazai echando. Mazai echando muma 20s kana makumi matatu ekutanga achachengetedza hupenyu hwavo hwe "huduku" kunyange hukasimbiswa uye hunoshandiswa makore gumi gare gare.
Kuti zvive pachena, hazvizokupi zvakafanana zvekutora pamuviri kudai wainge waedza zvakasununguka panguva yekuzununguka. (Maitiro ako akanaka ekutora pamuviri ndeyekuita zvepabonde mumakore ekuma20 kana kuti makore ekutanga makumi matatu.) Asi mazai mazaya acho achava akakwirira kwazvo kupfuura chero maoocyte chero ipi zvayo akazowana makore akazotevera.
Heino nzira yekuisa mazai ako mazai, kubva pakusarudza kliniki kuenda kune (tariro) kuva nemwana.
Chokutanga, Kunyatsotsvakurudza Ongororo Egg Freezing
Kusarudza kusunungura mazai ako kunogona kukupa ruzivo-asi iwe chete kana ukapinda mairi nezvose zvakanyatsoitika. Unonzwisisa ngozi here? Kunyatsonzwisisa zvizere? Unoziva here kuti kubudirira kwehuwandu huripi, kazhinji, uye, kunyanya, kwezera rako razvino?
Semuenzaniso, mukadzi anosununguka pazera remakore makumi matatu anowanzoita kuti abudirire kupfuura mukadzi anosununguka pazera remakore makumi matatu nemasere.
Chimwe chezvinhu zvinonyanya kukosha kuziva ndezvokuti mazai echando anouya asina chekuita. Dzimwe nguva, mazai echando anotumidzwa se "inshurensi yekubereka." Izvozvo hazvina kururama. Inishuwarenzi inobhadhara paunenge uchitaura.
Mazai ako echando angaita kana kuti haangakuwani mwana.
Usati watanga kutsvaga chiremba, tsvakurudza izvo chaizvo zvekugarana kwezai mazaya . Verenga kubva kune zvinyorwa zvinonzi pro uye zvinopesana namazai echando. Iyo nyaya inokakavadzana, isina mhinduro dzakajeka.
Uyewo, cherechedza kuti nepo mazamu ehurumende anowedzera mazai akachengetwa nemakiriniki ekuberekera anogona kukupa humwe njere, iyo inonyanya kutengesa zviitiko. Zvinotengeswa kukutengesa iwe kubereka kuchengetedza basa. Tora mazano avo, asi usashandise semugove wako chete.
Kusarudza Doctor uye Fertility Clinic
Kuti uise mazai ako, iwe uchada kuwana kliniki yekubereka .
Kunyanya zvakanyanya, iwe unoda kuwana kliniki yekubereka nekana rakanakisisa yebhu, uye iwe unoda chiremba uyo ane ruzivo rwekushanda pamwe nekusarudza mazai evha kana vadzidzisi vezai . Sei tichifanira kusarudza mazai evha kana mazai evha? Nokuti idzi ndidzo vakadzi vane kubereka kwakanaka, uye vanoda rudzi rwakasiyana rwekucherechedza uye kutarisirwa panguva yekukurudzirwa kwevashandi kupfuura varwere vasina simba.
Uyewo zvinokosha-iwe uchada kusarudza lab iro rine ruzivo uye unyanzvi kuti urege kungoomesa mazai ako, asiwo uchinge usvike uye uasvire gare gare. Kungova neruzivo nekuvhenekera hazvina kukwana.
"Ndinonzwa zvakanaka chaizvo kuti nzvimbo inotora mari yako kuomesa mazai ako inofanira kunge iine ruzivo rwekuti tinoziva zvokuita nemazai ako paunenge uchida kuvanyengedza, uye kuti mitezo yekuzvitakura inomira," anotsanangura Dhiana Chavkin, nyanzvi yehutano inobvuma kubereka uyo akashandisa unyanzvi hwake kubatsira kubvisa zvirongwa zvekuchengetedza kubereka munyika yose.
Kuwana kliniki ine ruzivo chinhu chikuru. "Zvimwe makiriniki anopa kuchengetedzwa kwekuita kuchengetedza (zvekugara nevamwe uye zvimwewo) pasina kuita mahombekombe akawanda ekufambisa / kutora kuti ave nechokwadi chokuti vakanyatsogadzirisa nzira yacho," anodaro Dr. Kevin Doody, chiremba wezvekubereka vana muDallas, Texas.
"Zvichava makore mune zvimwe zviitiko vasati vatadzi vaziva kana mazai avo akapona."
Cherechedza kuti havasi kliniki yose yekuberekwa inonyora pane webhusaiti yavo iyo inopa mazai echando echisarudzo. IAmerican Society for Reproductive Medicine (ASRM) yakarayira kurwisana zvakananga kuvakadzi nokuda kwekugadzirisa zvinokonzerwa. Ichi ndicho chikonzero hazvingave pachena kuti vanopa basa racho, kunyange kana vachiita uye vangave vachiripa kwemakore.
Yeuka zvakare, kuti chiitiko chebasa-chisingaiti chiitiko chinopfuurira kunze kwekuisa mazai echando. Jira rinopisa-pamwe chete nekugunzva uye kunamatira-inogona kuva chikamu chekurapwa kweVF , chirongwa cheii rinopa IVF, uyewo chikamu chekurapa-chinoda kubatsirwa kuchengetedza.
Zano rakapiwa kuvarwere vasingakwanisi kugadzirisa nzira yekusarudza kliniki yekubereka yakafanana nevaya vari kutsvaga mazai echando echando. Izvozvo zvakati, pano mimwe mibvunzo yaunofanira kuibvunza:
- Kwemakore mangani bhadhi yako yakapa mazai echando echando? (Kubvira muna 2013 mhinduro yakanaka.)
- Wakambove nemuviri wekutakura kubva kune mazai anogadziriswa mubasa rako rako here?
- Gore rino, ingani mazai e-frozen-thaw maitiro awakaita, uye kunze kwehuwandu hwacho, vangani vanoita pamuviri vakaberekwa?
- Ko inguva yeii yechando inotengesa inodhura? (Zvimwe pamusoro apa iri pasi apa.)
- Paavhareji, ingani mamiririri ako mazhenesheni ako anodikanwa?
Kubvunzurudza Nezvekuberekwa kweEpocrinologist
Mushure mokunge muwana kliniki (kana maviri) yaunofarira kushanda nayo, danho rako rinotevera nderekugadzwa kusangana neine mwana wechikoro chekubereka vana (kana kuti nyanzvi yekuberekwa). Iyi kusarudzwa ingasununguka kana inogona kuva nemari.
Chinangwa chikuru chekugadzwa uku ndechekuti iwe utaure nachiremba pamusoro pezvauri kutsvaga uye kupa mamwe mararamiro ako ezvehutano, uye kuti chiremba arondedze mazai echando kupisa, apindure chero mibvunzo yaunayo, akupe ( inofanirwa) zvinetso zvekubudirira, uye kurukura nezvezvinogona kuitika zvekuita. Iyi musarudzo yekubvunzurudza iripo kuti ikubatsire kuita sarudzo yakagadziriswa pamusoro pekuti ingasunga kana kwete.
Usatya kubvunza mibvunzo yakawanda sezvaunoda. Kunyanya ivai nechokwadi kuti mubvunze kuti chiremba anofunga kuti chii chinotarisirwa kuti zvibudirire, zvichienderana nezera rako razvino. Vachakwanisa kupa pfungwa iri nani mushure mekuedzwa kwekuberekwa.
Kurukura Maitirwo Eki Kusvuta
Pamberi pekuongororwa kana kurapwa kunotanga, iva nechokwadi chokuti unoziva nezvezvose zvakakwana usati wasayina. Makiriniki akawanda haazokwanisi kukupa pfungwa yakanaka yemutengo wakakwana kusvikira mushure mekugadzwa kwekubvunzurudza uye zvichida kumwe kuongorora kwokutanga kubereka. Ichi ndechokuti ingani mitsva inogona kudiwa inokonzerwa nezera rako uye ikozvino mahara mahara. Zvimwe zvezvi hazvizozivikanwi kusvikira iwe wapfuura nepakati rimwe chete.
Izvozvo zvakati, kuongororwa uye zvikamu zvinofanira kuvapo musati makagara pasi kuti mutaure nachiremba. Paunenge uchibvunza pamusoro pengozi, iva nechokwadi chokuti iwe unowana mashoko akazara anosanganisira:
- Mazano ekugadza
- Kuongorora kwehutano (mamwe angave akafukidzwa nehutano inshuwarhu yako yehutano)
- Kuwedzera zvinodhaka zvinodhaka
- Kuongorora kweii yechando kupisa
- Iko chai chaiyo kutora uye kupora
- Gore negore kuchengetwa kwamazai
Tsvaga kana mutengo wekuzadza unosanganisira gore rokutanga kana mwedzi mitanhatu yekuchengetedza, kana kana mari iyo iri kuwedzera pamutengo wakataurwa. Kana iwe usina mari yakazara yekuziva, haugone kuenzanisa izvo kune zvimwe zvipatara zvinogona kupa. Usatya kutaurira kune kliniki imwe chete, asi usaita sarudzo yako chete pamutengo kana. Mari yako ichaparara kana kliniki isina unyanzvi hwokubata mazai ako.
Pakati payo, rimwe mazai echando anopisa ari pakati pe $ 7,000 ne15,000. Mari yekuchengetedza inotangira kubva pa $ 500 kusvika ku $ 1 000 pagore. Iwe unogona kudikanwa kupfuura imwe yepamhanho kumabhangi akakwana mazai, uye mamwe maitiro anogona kudiwa kana iwe uri nemakore makumi matatu kana kupfuura.
Mamwe makiriniki achapawo mutengo wakatarwa wehutambo-hutachiona-embryo-kuendesa mberi mberi (Ichi ndicho chikamu cheitiro iyo yaizoitika kana ukasarudza kushandisa mazai ako, makore akawanda mune ramangwana). Tichifunga nezvekutengesa kwezvinhu uye kukwira kwemari yekurapa, izvi zvakakosha kufunga pamusoro pokusarudza kliniki.
Iwe haungatombofaniri kushandisa chikamu icho chebasa. Tariro kuti iwe uchatora pamuviri paunenge uchigadzirira kutanga kuedza kubata pamuviri. Zvisinei, kubvumirana pamusoro pemari inotangira mberi kunogona kukubatsira kuronga uye kunogona kuderedza mari yako gare gare, kana uchida kushandisa mazai ako.
Initial Testing Stage
Icho chinangwa chikuru chekuedzwa musati mazai evha ndechekuongorora nzvimbo yako yekubereka iripo uye kuratidza kuti hauna zvirwere zvinotapurirana zvepabonde (STD / STIs). Kana iwe uine STD, iwe unogona kuisa mazai ako. Iwe unongoda kuve nemutachiona uchitarirwa kutanga. Chirwere chekuita chinogona kuwedzera mungozi yehutachiona huzhinji panguva iyo, iyo inogona kuisa kubereka kwako (uye kunyange hupenyu hwako) pangozi.
Chimwe chinhu icho chiremba wako achange achienzanisa ndiyo yako mavhisi ekuchengetedza. Izvi zvinoitwa nebasa reropa, kutarisa mahomoni ako e AMH neFSH . Iwe unogonawo kunge une antral follicle count , iyo inyanzvi yekuongorora ultrasound.
Ovarian reserve test inopa chiremba wako pfungwa yekuti mazai akawanda aunayo mumapapiro ako. Hazvisi zvachose kuverenga-hatina teknolojia yekupa mhinduro iyoyo. Izvo haikwanisi kutaura kuti maitiro ako ndeapi ekudzivirira pamuviri iwe pachako, pasina mushonga wekubereka , uyewo hazvingakuudze "makore mangani" wamusiya wekuberekwa kwepanyama.
Izvo zvatinoziva ndezvokuti kana amai vekuvhara mazamu vashoma, haasati aita zvakanaka kubereka zvinodhaka. Izvi zvinoreva kurapwa kweVF ishoma kuti ibudirire, uye, maererano neii inotonhora, zvinoreva kuti kuwana huwandu hwemazai hushoma.
Chii chinoitika kana nzvimbo dzako dzekuvhara mairi dzichiwanika kuti dzakaderera? Ichi chinhu chinokurukura nachiremba wako. Izvi zvinowanzoitika kana iwe uri mumakore ekupedzisira makumi matatu kana makumi matatu. "Vakwegura havakwanisi kubatsirwa kuchengetedza kubereka," anodaro Dr. Doody. "Mukana wavo wokuzvitakura wakaderera nemazai matsva uye akaderera nechando."
Kuronga Egg Kufungidza Purogiramu
Kana ukangobvumirana pamusoro pemari dzemari, wakapedza zvose kuedza kushandiswa kwekubereka , uye wakabvunza mibvunzo yako pamusoro pekugadzirisa, ichava nguva yekugadzirisa mazai ako echando. Zuva racho richasarudzwa zvichienderana nekuenda kwako kumwedzi. Iwe uchada kuronga zvose zvinodhaka zvinodhaka zvekufamba mberi zvisati zvatanga. Izvi zvinonyanya kuva mahomoni anokonzerwa.
Mumwe munhu pane kliniki yekubereka achakutsanangurira kuti ungabata sei uye kushandisa madhiragi ekubereka. Iwe uchange uchizvipa iwe majekiseni (kana, iwe unogona kuva neshamwari kuti uite izvozvo kwauri, kana iwe uriwo squeamish kuti uzviite iwe pachako). Majekiseni acho angangodaro ari mukati memafuta ane simba emuviri wako. Iwe uchatanga kutora mimwe mishonga isati yatanga nguva inotevera inotanga.
Injodzi Mishonga Inoshandiswa Mukati Egg Freezing
Zvichienderana nehutano hwechiremba wako, unogona kunge uchizvipa iwe pakati pejoka rimwe chete nhatu pazuva. Izvi zvinogona kusiyana zvichienderana nokuti uri kupi mukufamba kwako.
Iyi mishonga inobereka ine zvinangwa zviviri zvekutanga: kukurudzira mazai mumapiro ako ega uye kuchengetedza kutungamira chirongwa chekuvhara mazai kuitira kuti mazai arege kubvumira asati agone kuwanikwa.
Kubereka zvinodhaka izvo iwe ungave uchizvitora zvinosanganisira:
- Gonadotropins , iyo mahomoni-akafanana kune ayo muviri wako unobereka panguva yaanoenda kumwedzi.
- GnRH vanopikisa kana GnRH agonists , iyo inobatsira chiremba wako kuchengetedza kudzora pamusoro pehutano hwekuita
Zvimwe zvinowanzovhiringidza zvemishonga iyi zvinosanganisira misoro, kupisa kunopisa, kubvongodza, mafungiro emhepo, kusuruvara, uye chirwere. Yako injection sites ingangove yakasuruvara kana yakatsvuka. Ichokwadi kuti munhu wese anogadzikana zvakasiyana nemahomoni. Kana iwe uine hanya nezvimwe rutivi rwomugumisiro uri kuitika, taura nachiremba wako.
Dambudziko rakakura rekushandisa zvinodhaka zvinoshandiswa nehutachiona hutachiona hutachiona, kana OHSS. Kusvikira 10 kubva muzana yevakadzi vanoenda kuburikidza neVIV kana kuti mazai echando vanogona kuve neHSSSS. Hew OHSS inogona kukonzera kusagadzikana, kusanganisira kubvongodza, kunyorova kuwedzera, kuora mwoyo, uye kurara.
Mumatambudziko akaoma, OHSS inogona kutungamirira pakurasikirwa kwekubereka uye kunyange rufu. Zviratidzo zvakanyanya zveHSSSS zvinosanganisira kukurumidza kuwedzera kuwanda, kurwadziwa kwepamuviri kamuviri, kuputika kwakanyanya, kusvetuka kukuru, kushungurudza kwakanyanya, dutu, kupererwa kwemhepo, kana kukurumidza kushaya mwoyo. Taurira chiremba wako kana une zviratidzo zveHSSSS .
Kuongorora kweChirungu
Chimwe chikamu chakakosha chegadziriro iri kutarisa mazai (kana kuti follicle) kukura mukati mavari mavari. Chiremba wako anoda kuwana nzvimbo inotapira yekukurudzira mazai mazai kuti akure zvakakwana mazai ebhangi, asi kwete pamusoro pekuvadzidzisa uye kukonzera ovarian hyperstimulation syndrome (OHSS).
Tarisira kuva neropa rekuita uye kutengesa kwemazuva ose mazuva mashomanana, uye zvichida zuva rega rega, sezvaunoswedera pedyo neii yekudzoka kweii.
Egg Retrieval uye Egg Freezing
Majekesiti nekuongororwa kwemavha mavari kuchaita masvondo maviri kusvika ku3. Kamwe iyo follicles inosvika pane imwe chimiro uye chikwata chekukura, chiremba wako achaita kuti mazai awanezve. Iwe uchave uri pasi pekusimudzirwa kweii rinotora. Munguva iyi, chiremba wako achishandisa nyerere inotungamirirwa ne ultrasound kuti inopinda mukati memadzimai ako emadzimai uye kusvika kune mavha mavari. Ikoko, chiremba wako anonyatsoteerera "kutsva" follicle imwe neimwe nenyuchi. Muchikamu chimwe nechimwe mapurisa ndeyeii.
Mazai acho anobva atorwa kumabhasi iyo embryologist inoshandisa vitrification kuti igopedze . Iyo chine mazai ako ichanyorwa zvakanyatsorongwa uye ichaiswa muchigadziro chisarudzo, kuichengetedza yakaoma uye yakachengeteka kusvikira wagadzirira kuishandisa munguva yemberi.
Iwe unogona kutarisana nekudzvinyirira uye kutarisa mushure mokutora mazai. Ikoko kune ngozi inowanikwa yehutachiona. Kana iwe ukava nefivha kana kurwadziwa kunowedzera, udza chiremba wako pakarepo. Kunewo njodzi kune sedation, iyo chiremba wako anofanira kukutsanangurira iwe.
Kana Wagadzirira Kuedza Kuva Nemwana
Mazai enyu anokwanisa kugara muchando nguva dzose (chero bedzi iwe uchiramba uchibhadhara kuchengetedza kwavo). Kana ukasarudza kuti unoda kuedza uye kuva nechecheche, iwe unotanga kuedza kwete pasina mazai akachengetwa. Izvozvo zvingava kuburikidza nepabonde nemumwe wako, kana nemunhu anopa mhondi uye insemination . Zvichienderana nezera rako, unogona kuedza kwemwedzi 6 kana gore.
Kana iwe usingabudiriri kutora pamuviri nenzira iyi, chete ipapo ungada kuongorora kushandisa mazai ako pazaya. Chiremba wako achaita tsvakurudzo itsva yekuberekwa panguva iyoyo. Kana uine mukomana wako, iye achada kuongorora maruva . Yeuka kuti kubereka kwako ndiyo hafu ye equation. Zvino, pamwe chete nechiremba wako, iwe uchasarudza hurongwa hwekuita. Izvozvo zvinogona kusanganisira kuedza mamwe maitiro epasiki ekuberekesa ekutanga, kana kuti iwe unogona kuenda zvakananga kushandisa yako cryopreserved mazai.
Nokuda kwekurovedzwa uku, iwe uchatora mahomoni kuti uone kutenderera uye ugadzire kubatana kwepometrial . Mamwe emaoko enyu anogwirwa mazai achaputirwa mubhuku. Vaya vanopukunyuka mutsva vachagadziriswa pamwe chete nemudiwa wako kana kuti mwana wemupeki. Mazai aya achadikanwa kushandiswa achishandisa ICSI, kana intracytoplasmic chirwere chemuviri .
Tariro, iwe uchawana mazamu mashoma ane utano. Imwe kana mbiri yemambrus aya ichaendeswa kumubereki wako. Mushure mokunge mushure mutsva, iwe unogona kutora progesterone supplementation kuburikidza nejisi kana vaginal suppository. Zvadaro, iwe kumirira uye tariro yekubata pamuviri mutevedzeri kuve kwevhiki 2 gare gare.
Chii Chinoitika Kana Ndisingatauri Mazai Ako Akatsva?
Izvo zvinoita kuti vakadzi vashomanana vafunge, asi iwe unogona kunge usingakwanisi kubata nemafuta ako ega. Izvi zvinogona kuitika nekuda kwezvikonzero zvakasiyana siyana, kusanganisira mazai asingasarwi mutsva, mazai asingasviki, kusanganisa mazai ane utano, kana kungoita kuti mimba iite "kunamatira."
Kana imwe nguva mazai ako akashandiswa, zvakasarudzwa zvinoenderana nemamiriro ako ezvinhu zvino. Iwe unogona kuramba uchiedza kuve nemimba yekurapa kwaVIV, uchishandisa mazai maawa mavari panguva ino. Kunyange zvakadaro, kana mazamu ako evhayasi ari pasi, kana mazai ako haasati agamuchira mishonga yekubereka, iwe unogona kuongorora kufungidzira mazai evha . Embryo donor IVF ndeimwe nzira.
Zvimwe zvingasarudzwa (kunze kwekuberekwa kwechibereko) zvinosanganisira vana vasina kubhadhara , kuvabereki vana, kana kubvumirwa.
Ko Kana Ndisingambofi Ndichishandisa Mazai Anga Akavhenganiswa?
Vazhinji vakadzi havangashandisi mazai avo echando. "Ndinofunga kuti vakadzi vakawanda havangashandisi mazai ayo aripo," anodaro Dr. Doody. "Vangangobata pamuviri uye vasingadi, kana kuti vanoda kugara vasina vana."
Saka, chii chinoitika kune wako usina kushandiswa mazai anogadzirwa?
- Unogona kuzvichengeta pachando uye unoramba uchibhadhara. Zvimwe zvinonzwisisika, iwe unogona kuva nemazai akadzimwa. Kurasa mazai hazvisi zvakasiyana nekurasikirwa kwemazuva ose okuenda kumwedzi. Iwe hausi kurasira mazai, ayo vamwe vane tsika kana kuti zvekunamata kune.
- Panogona kuva nemukana wekupa zvipo kuvatsvakurudzo yesayenzi.
- Imwe nzira inogona kuitika ndeyokuti ugovapa ivo vasina vana vakaroorana uye vanova maii evha . Ichi hachisi chisarudzo chekutora zvishoma, uye iwe unofanirwa kutaurira kumurambi uye gweta rekubereka asati aita sarudzo iyi.
Kana iwe uchida kugovera mazai ako, iwe unogona kunge wakadarika kuongororwa kwakawedzerwa uye kuunganidzwa kwemashoko panguva yezai rinopisa. Kana iwe uchifunga kuti unogona kufunga kugovera mazai ako munguva yemberi, taura nachiremba wako wekubereka usati watanga mazai echando kupisa.
> Sources:
> Chavkin, Diana E. MD. HRC Fertility muLos Angeles. Hurukuro naVaJuly 17, 18, uye 19, 2017.
> Cobo A1, García-Velasco JA2, Coello A3, Domingo J4, Pellicer A5, Remohí J3. "Oocyte vitrification sechisarudzo chakanaka chekusarudzwa kwekubereka kuchengetedza." Fertil Steril . 2016 Mar; 105 (3): 755-64.e8. doi: 10.1016 / j.fertnstert.2015.11.027. Epub 2015 Dec 10.
> Doody, Kevin J. MD. The Center for Assisted Reproduction (CARE Fertility). Bvunzurudzai July 13, 2017.
> In vitro fertilization (IVF): Ndeipi ngozi? Chokwadi Sheet. American Society for Reproductive Medicine.
> Oocyte yakakura kukurasikirwa: mutungamiri. Makomiti Okudzidzira eAmerican Society yekuberekwa Mishonga uye Society for Assisted Reproductive Technology.