Iko ICSI-IVF Ndiyo, Sei Yakagadzirwa, uye Kuti Yakachengeteka
ICSI-IVF inomutauro chaiwo wei in vitro fertilization iyo inowanzoshandiswa mumamiriro ezvinhu ehurume asina simba , mushure mekunge yakapererwa kukundikana kubereka kuedza nemaitiro anowanzoitwa IVF, kana mushure mokunge mazai echando (kuchengeta oocyte) . Zvinonzi ick-kuona IVF , ICSI inomirira intracytoplasmic chirwere chinonzi sperm. Munguva yeVIV yakawanda, huzhinji huzhinji hunoiswa pamwe nehai, mune tariro yokuti imwe yemhando inopinda uye inodiridza mazai ega.
Ne ICSI-IVF, embryologist inotora chirume chimwechete uye inokuvadza zvakananga muzai.
Mamwe makiriniki ekubereka anopa ICSI yega yega IVF. Vamwe vanochengetedza kurapwa kune avo vane utera husina hanya hwemurume kana chimwe chikonzero chinoratidzira chikonzero. Pane zvikonzero zvakanaka zvinopesana nekushandiswa kweCII nguva dzose. (Ngozi dze ICSI-IVF dziri pasi apa.)
Nezvo zvakati, ICSI-IVF yakaita kuti vakawanda vasingakwanisi kutora mimba kuti vawane pamuviri apo, kunze kweivo, vangadai vasina kukwanisa kubata pamuviri vachishandisa mazai avo nemaviri.
Nei ICSI-IVF Yakaita?
ICSI-IVF inowanzoshandiswa mumamiriro ekurwa kwevanhu vasina simba , kusanganisira:
- Yakadzika kwazvo sperm count (inozivikanwawo se oligospermia)
- Yakasvibiswa mhando yemurume (inozivikanwawo seti teratozoospermia)
- Varombo vashoma musangano (unozivikanwawo se asthenozoospermia)
Kana munhu asina chirume muhomwe yake, asi ari kubudisa mbeu, anogona kuwanikwa kuburikidza ne testicular sperm extraction, kana TESE.
Simba rinodzokorora kuburikidza neTESE rinoda kushandiswa kweI ICSI. ICSI inoshandiswawo mumatambudziko ekudzokazve kwemajeri kana chirume chinodzingwa kubva mumuguta wemurume.
Murume akaremara kusununguka haasi iye chete chikonzero ICSI-IVF inoshandiswa. Zvimwe zvikonzero zvinokonzera uchapupu hwe ICSI zvinosanganisira:
- Pakupedzisira IVF yakanga iine mazai mashoma kana asina mazai : Dzimwe nguva, mazai akawanda akadzorerwa, uye huwandu hwevarume hunoita hutano hwakanaka, asi hapana mazai anogadzirwa. Munyaya iyi, munguva inotevera IVF, ICSI inogona kuedzwa.
- Mbeu yakasvibirira iri kushandiswa : Kana iyo yakagadziriswa nemumvuri isingaoneki inoshanda, ICSI-IVF inogona kukurudzirwa.
- Oocyte yakasvibirira iri kushandiswa : Vitrification ye mazai dzimwe nguva inogona kukonzera kuoma kweizi yeii. Izvi zvinogona kukonzera kubereka, uye IVF neC ICSI inogona kukunda kukurira.
- PGD iri kuitwa : PGD (preimplantation genetic diagnosis) ndiyo inyanzvi yeVIV inobvumira kuongorora maitiro emarusi. Pane kunetseka kuti maitiro ehutachiwana anowanzoita kuti hutachiona masero (avo vasina kumborera mazai e "egg") kuti "vasungirire" embryo, uye kuti izvi zvinogona kupindira nemigumisiro yakarurama yePGD.
- IVM (in vitro maturation) iri kushandiswa: IVM inyanzvi yeVVF iyo mazai anotsvaga kubva mavha mazai vasati vakura zvakakwana. Vanopfuura nepakati pezvikamu zvekupedzisira zvekutsvaga mumashini. Imwe tsvakurudzo yakawana kuti maAVM mazai angasapedzisira agadzirwa nemasero emusero pamitengo yakafanana neyendarama IVF. Kutsvakurudza kwakawanda kunodiwa, asi zvingave kuti IVM neCISI yakanaka.
Zvipingamupinyi Zvikonzero zvekushandisa IVF-ICSI
IVF ne ICSI inogona kuva teknolojia yakawanda kana ichidiwa. Zvisinei, kune kumwe kusabvumirana pazvinogona uye zvisingagoni kuvandudza kubudirira kwemitengo. Kutsvakurudza kuri kupfuurira, asi heino mamwe mamiriro ayo American Society of Reproductive Medicine anorondedzera IVF ne ICSI inogona kunge isina kubvumidzwa:
- Mazana mashoma mazai akadzorerwa : Kunetseka ndechokuti nemaawa mashoma mazai, sei kutora mungozi kuti havazogadziriswa? Zvisinei, kutsvakurudza hakuna kuwanikwa kuti kuberekwa kana kurarama mazera ekuberekwa kunovandudzwa apo ICSI inoshandiswa.
- Kusanzwisiswa kusinganzwisisiki : Manzwiro mushure mekushandisa ICSI kuti abate zvisina kufanira kusununguka ndeyokuti sezvo tisingazivi chakaipa, kubata zvose zvinogona kuva chirongwa chakanaka chekuita. Izvozvo zvakati, kutsvakurudza zvakanyanya hazviwani kuti ICSI yekusadudzira kusinganzwisisiki inovandudza zvikuru mararamiro ekuberekwa kwehupenyu.
- Zvekare zera remhuri : Hapana huripo huripo huripo hwekuti makore ekuberekwa akapfuura anokanganisa kuwedzera kwemari. Saka, ICSI inogona kunge isingakoshi.
- Routine IVF-ICSI (kureva, ICSI kumunhu wose): Mamwe magumo ekupedzisira ekuberekorora vanodavira kuti murwere wese anofanira kuwana ICSI kubvisa kukwanisa kwekukura kwekukura. Zvisinei, tsvakurudzo yakawana kuti kune vatatu 33, varimi chete ndivo vaizobatsirwa nekushandisa nguva dzose yeVF-ICSI. Vamwe vose vaizove vachigamuchira kurapwa (uye njodzi) pasina zvingave zvichibatsira.
Ndeipi nzira ye ICSI-IVF?
ICSI inoitwa sechikamu cheVF . Sezvo ICSI iri kuitwa murabhu, kurapa kwako kweVIV hakuzove kwakasiyana chaizvo nekurapa kweVIV pasina ICSI.
Sezvakaitwa neVIV nguva dzose, iwe uchatora mishonga inokurudzira mavari , uye chiremba wako achacherechedza kufambira mberi kwako neropa rekuongorora uye kuwedzerwa. Kana uchinge wakakura zvakakwana zvakakwana zvema follicles , iwe uchatora mazai , apo mazai anobviswa kubva mumavhengi ako ane tsanangudzo yakasiyana-siyana, inotungamirirwa ne ultrasound.
Waunofambidzana wako achapa sarudzo yake yemusi iwoyo musi iwoyo (kunze kwekuti iwe uri kushandisa mhondi wemuviri kana kuti mbeu yaive yakanyanyisa.)
Kana kamwe mazai akadzorerwa, mubereki wemukati achaisa mazai mune imwe tsika, uye achishandisa microscope uye nhokwe duku, chirume chimwe chete chichaiswa muzai. Izvi zvichaitwa kune rimwe rega rinotorwa.
Kana uchinge uchinge wakura, uye mazai acho ane hutano, hucheche kana maviri achaendeswa kuchibereko chako, kuburikidza nekateta yakaiswa mumukati mutezo, mazuva maviri kusvika mashanu shure kwekuwanazve.
Iwe unogona kuwana mamwe mashoko akajeka pano mune iyi IVF Treatment Step by Step .
Inguva yakawanda ICSI-IVF inodhura zvakadini?
Iyo nzira yeCII inobhadhara pakati pe $ 1,400 kusvika $ 2,000. Izvi zviri pamusoro pemari yakawanda yeVIV , iyo inowanikwa inodhura $ 12,000 kusvika ku $ 15,000. Inogona kudhura zvinopfuura izvi kana mamwe maitiro IVF ari kushandiswa.
Ndezvipi Ngozi dze ICSI-IVF? Inochengeteka Kumucheche Here?
ICSI-IVF inouya nematambudziko ose eAVF nguva dzose, asi nzira yeCII inotanga zvimwe zvakare.
Chirwere chepamuviri chinowanikwa nehutachiwana hwe5 kusvika ku3 muzana yekuremera kwekuberekwa kukuru. ICSI kurapa inowedzera ngozi yakawanda yekuremara kwekuberekwa, asi ichiri kuwanana.
Zvimwe zvirema zvakaberekwa zvinowanzoitika ne ICSI-IVF, kunyanya Beckwith-Wiedemann syndrome, Angelman syndrome, hypospadias, uye kromosome yepabonde isingaiti. Zvinowanikwa mune zvishoma pasi pe1 muzana yevana vakaberekwa vachishandisa ICSI neVIV.
Panewo kuwedzerwa kangoverengeka kowakomana mwana ane matambudziko ekuberekwa munguva yemberi. Izvi ndezvokuti kusununguka kwevarume kunogona kupfuudzwa pamagetsi.
Izvi zvinowedzera njodzi ndezvikonzero vanachiremba vazhinji vari kutaura kuti ICSI haifaniri kushandiswa kweVIVF yose. Chimwe chinhu kana iwe uchida ICSI kuti uve nemimba. Zvadaro, unogona kukurukura nevanachiremba iwe unhu uye hutano hwekushandisa shanduro iyi yakabatsiridzirwa yokubereka. Zvisinei, kana iwe unogona kubudirira IVF kupfuura pasina ICSI, nei uchikuvadza kunyange kuwedzera kuduku kwekuremara kwekuberekwa?
Chii Chinobudirira Mukana we ICSI-IVF?
Iko chirongwa cheCII chinogadzira 50 kusvika ku80 muzana mazai. Unogona kufunga kuti mazai ose anogadzirwa ne ICSI-IVF, asi haaiti. Fertilization haibvumirwi kunyange kana chirwere chinoshandiswa muzai.
Yeuka kuti mazai ekudyara haakuudzei kuberekwa kwekliniki kana kuzvarwa kwehutano hwehutano.
Pane imwe nguva kufungidzirwa kunoitika, kubudirira kwevamwe vaviri vachishandisa ICSI neAVF kwakafanana nevakaroorana vachishandisa zvirwere zveVIV.
> Kwakabva:
> Mwoyo Murefu Sheet: Intracytoplasmic Sperm Injection (ICSI) . American Society of Reproductive Medicine.
> Dzidzira Matare eAmerican Society yeRecductive Medicine uye Society for Assisted Reproductive Technology. "Intracytoplasmic chirwere chemajoni (ICSI) yevanhu vasiri murume chinokonzera kusagadzikana: maonero emakomiti. " Fertil Steril . 2012 Dec; 98 (6): 1395-9. doi: 10.1016 / j.fertnstert.2012.08.026. Epub 2012 Sep 12.