Mitengo ya Chithandizo cha IVF ku Turkey

Pofuna kuti anthu omwe sangakhale ndi ana ndi njira zachilengedwe abereke ana, Chithandizo cha IVF ikugwiritsidwa ntchito. In vitro feteleza ndi njira yothandizira kubereka. Maanja omwe sangakhale ndi ana chifukwa cha matenda ena monga ukalamba, kusabereka kosadziwika bwino, matenda mwa amayi, kuchepa kwa umuna mwa amuna, kutsekeka kwa chubu mwa amayi, kunenepa kwambiri kumatha kukhala ndi ana ndi njirayi. Tikuwunikirani za chithandizo cha IVF, chomwe chimalola maanja omwe sangakhale ndi ana kuti azimva izi.

Masiku ano, ili m'gulu lamankhwala omwe amakonda kwambiri osabereka. IVF chithandizo chili patsogolo. Mu njira yochizira iyi, maselo oberekera amuna ndi akazi amasonkhanitsidwa mu malo a labotale. Mazira obereketsa m’malo a labotale amaikidwa m’mimba mwa mayi. Mwanjira imeneyi, mwayi wokhala ndi pakati ukuwonjezeka ndi njira yopangira insemination.

Kuti achite chithandizo cha IVF, maopaleshoni amachitidwa posonkhanitsa mazira, omwe ndi maselo obereketsa achikazi, ndi umuna, womwe ndi maselo oberekera aamuna, nthawi zina. Ubwamuna ukatha m'njira yathanzi, dzira limayamba kugawa. Panthaŵi imeneyi, dzira limene langokumana ndi umuna limayembekezereka kusandulika kukhala mluza, mluza umakaikidwa m’mimba mwa mayiyo. Mwanayo akamangirira bwino m’mimba mwa mayiyo, mimba imayamba. Pambuyo pa kulumikizidwa kwa mwana wosabadwayo, ndondomekoyi imapitirira ngati mimba yachibadwa.

Njira ya IVF Mazirawa akapangidwa ndi ubwamuna m’malo a labotale, akhoza kuikidwa m’chiberekero m’njira ziwiri zosiyana. Mu njira yachikale ya IVF, umuna ndi dzira zimasiyidwa mbali imodzi pamalo enaake ndipo amayembekezeredwa kuti adzibereke okha. Njira ina imatchedwa microinjection application. Mwanjira imeneyi, maselo a umuna amabayidwa mwachindunji mu selo la dzira pogwiritsa ntchito ma pipette apadera.

Ndi iti mwa njira ziwirizi yomwe ingakonde imasankhidwa ndi madotolo apadera malinga ndi mikhalidwe ya maanjawo. Cholinga cha mankhwalawa ndi umuna ndi mimba yathanzi. Pachifukwa ichi, kupereka malo abwino kwambiri ndi nkhani yofunika kwambiri.

Kodi IVF ndi chiyani?

Pochiza IVF, dzira lotengedwa kuchokera kwa mayi ndi umuna wotengedwa kwa abambo zimasonkhanitsidwa kumalo opangira ma labotale kunja kwa njira yoberekera ya mkazi. Mwanjira imeneyi, mluza wathanzi umapezeka. Ndi implantation wa analandira mwana wosabadwayo m`mimba mwa mayi, mimba ndondomeko akuyamba, monga mwa anthu amene kutenga mimba bwinobwino.

Ndi liti pamene Maanja Ayenera Kuganizira Chithandizo cha IVF?

Amayi omwe ali ndi zaka zosakwana 35 ndipo alibe vuto lililonse lomwe lingawalepheretse kutenga pakati akuyenera kuunika ngati sangathe kutenga pakati ngakhale kuti amagonana mosadziteteza komanso amagonana pafupipafupi kwa chaka chimodzi. Ndikofunika kwambiri kuyambitsa chithandizo ngati kuli kofunikira.

Azimayi omwe ali ndi zaka zoposa 35 kapena omwe adakhalapo ndi vuto lomwe lingawalepheretse kutenga mimba ayenera kuonana ndi dokotala ngati sangathe kutenga pakati pa miyezi 6 yoyesera. Ngati mimba sikuchitika mkati mwa miyezi 6, ndikofunika kugwiritsa ntchito njira zochiritsira zofunika mwamsanga kuti msinkhu usapitirire patsogolo ndipo nthawi siitayika.

Kodi Pali Kusiyana Kotani Pakati pa Katemera ndi Chithandizo cha IVF?

Pamaso mu m`galasi umuna chithandizo milandu amuna okhudzana ndi kusabereka katemera mankhwala zabwino. Pakatemera, monga mu chithandizo cha IVF, thumba losunga mazira la amayi limalimbikitsidwa. Mazirawo akasweka, umuna wotengedwa mwa mwamuna umayikidwa m’chiberekero ndi chida chotchedwa cannula.

Chisamaliro chiyenera kuchitidwa kuonetsetsa kuti machubu amodzi mwa amayi atsegulidwa kuti agwire ntchito yotemera. Ndi nkhani yofunikanso kuti zotsatira za kusanthula umuna mwa amuna ndi zachilendo kapena pafupi ndi zachilendo. Kuonjezera apo, mkazi sayenera kukhala ndi endometrial pathology yomwe ingalepheretse mimba.

Kodi IVF Treatment Process ndi yotani?

Amayi osamba nthawi zonse amatulutsa dzira limodzi mwezi uliwonse. Ntchito ya IVF Pankhaniyi, mankhwala akunja a m'thupi amaperekedwa kuti awonjezere mazira opangidwa ndi amayi. Ngakhale njira zochizira zimasiyana wina ndi mzake, kwenikweni mitundu iwiri yochizira ya mahomoni imagwiritsidwa ntchito yomwe imapereka kukula kwa dzira ndikuletsa kutulutsa dzira koyambirira.

Ndikofunikira kwambiri kutsatira mayankho a thumba losunga mazira mukamagwiritsa ntchito mankhwala a mahomoni komanso kusintha mlingo ngati kuli kofunikira. Pachifukwa ichi, kuyezetsa magazi ndi njira za ultrasound zimachitika nthawi zonse.

Choncho, mazira omwe afika msinkhu amasonkhanitsidwa ndi singano yosavuta yokhumba ndikuphatikizidwa ndi umuna wotengedwa kuchokera kwa mwamuna kumalo a labotale. Mwanjira imeneyi, umuna umachitika m'malo a labotale. Kuchotsa mazira nthawi zambiri kumachitika pansi pa anesthesia. Kuonjezera apo, pangakhale zochitika zomwe zimachitidwa pansi pa sedation ndi anesthesia wamba.

umuna, classic IVF njira Amaperekedwa poyika umuna ndi mazira mbali ndi mbali. Kuonjezera apo, umuna ukhoza kutheka mwa kubaya ubwamuna uliwonse m'dzira ndi maikulosikopu yokulirapo yokhala ndi jekeseni yaying'ono. Madokotala adzasankha njira yoyenera kwa odwala awo.

Pambuyo pa ubwamuna, mazira amasiyidwa kuti akule m'malo otentha komanso olamulidwa ndi chikhalidwe cha labotale kwa masiku awiri kapena atatu kapena nthawi zina masiku 2 mpaka 3. Kumapeto kwa nthawiyi, mazira abwino kwambiri omwe akutukuka amasankhidwa ndikuyikidwa muchiberekero.

Kudziwa kuchuluka kwa mazira omwe amasamutsidwa mwachindunji kumakhudza chiopsezo cha mimba yambiri komanso mwayi wa mimba. Pachifukwachi, chiwerengero cha miluza kuti anasamutsidwa mu ndondomeko kutsatira mluza khalidwe kukambirana mwatsatanetsatane ndi maanja. Kupatula nthawi zina, kusamutsidwa kwa embryo kumachitika pansi pa anesthesia kapena sedation.

Kodi Malire a Zaka mu Chithandizo cha IVF ndi chiyani?

Mu mankhwala a IVF, choyamba, nkhokwe za ovary za amayi zimafufuzidwa. Patsiku lachitatu la kusamba, kuyezetsa kwa mahomoni kumagwiritsidwa ntchito kwa odwala, komanso ultrasound. kufufuza kwa ovarian reserves zimachitika. Ngati, chifukwa cha mayesowa, zitha kudziwika kuti malo osungira mazira ali bwino, palibe vuto lililonse kugwiritsa ntchito mankhwala a IVF mpaka zaka 45.

Chifukwa cha kuipa kwa ukalamba, m'pofunikanso kufufuza mluza malinga ndi ma chromosome. Kuphatikiza apo, ndikofunikira kugwiritsa ntchito njira yodziwira ma genetic preimplantation mwa amayi omwe amayamba kulandira chithandizo cha IVF atatha zaka 38. Mwanjira imeneyi, ndizothekanso kudziwa momwe mwana alili.

Pambuyo pa zaka 35 mwa akazi, chiwerengero cha mazira chimachepa. Pambuyo pa m'badwo uno, ovulation imasokonekera ndipo kuwonjezera pa izi, zovuta zakuwonongeka kwa dzira zimakumana. Ngakhale malo osungira mazira ali oyenera IVF, mwayi wopambana mu IVF udzakhala wotsika kwambiri. Pachifukwa ichi, ndizofunikira kwambiri kuti amayi omwe ali ndi vuto losabereka asadikire zaka zambiri kuti abereke ana ndikuyamba kulandira chithandizo mwamsanga.

Palibe njira yodziwira mimba mu chithandizo cha IVF cha amayi omwe ali okalamba ndipo ali ndi mavuto mu chipinda cha ovarian. Azimayi amene akukonzekera kubereka ana atakalamba ndipo ali ndi dzira lochepa la ovary akhoza kutenga mimba m'zaka zotsatira ndi kuzizira kwa dzira. Ndikofunikira kuti oyembekezera omwe ali ndi zaka zoposa 35 afufuzidwe ndi akatswiri a perinatology pamene ali m'kalasi la mimba yomwe ili pachiopsezo chachikulu.

Kodi malire a zaka za IVF mwa amuna ndi chiyani?

Mwa amuna, kupanga umuna kumapitilirabe. Ukala wa umuna umachepa pakapita nthawi, kutengera zaka. Amuna opitilira zaka 55 amakhala ndi kuchepa kwa umuna. Apa, kuwonongeka kwa DNA ya umuna chifukwa cha msinkhu kumatengedwa ngati chinthu.

Ndi Mikhalidwe Yotani Yofunika Pachithandizo cha IVF?

Monga zimadziwika, chithandizo cha IVF chimakondedwa kwa maanja omwe ali ndi vuto losabereka komanso omwe sangakhale ndi pakati mwachibadwa. Pachifukwachi, amayi osakwana zaka 35 ayesetse kutenga pakati popanda kulera kwa chaka chimodzi asanapemphe IVF. Chifukwa cha kuchepa kwa nkhokwe za ovary mwa amayi opitirira zaka 1, nthawi yogonana imatsimikiziridwa ngati miyezi isanu ndi umodzi. Kupatula izi, anthu omwe ali oyenera kulandira chithandizo cha IVF ndi awa;

·         Amene ali ndi matenda opatsirana pogonana

·         Azimayi omwe ali ndi vuto la msambo

·         Omwe machubu awo adachotsedwa ndi ntchito

·         Omwe ali ndi kuchepa kwa nkhokwe za mazira

·         Anthu omwe ali ndi chiberekero cha chiberekero kapena machubu otsekedwa chifukwa cha opaleshoni ya m'mimba

·         Omwe adakhalapo ndi ectopic pregnancy kale

·         Odwala omwe ali ndi vuto la ovarian

Zomwe zili zoyenera kuti abambo ayambe kulandira chithandizo cha IVF ndi awa;

·         Anthu omwe ali ndi mbiri ya banja la mavuto osabereka

·         Amene ali ndi matenda opatsirana pogonana

·         Omwe amayenera kugwira ntchito m'malo opangira ma radiation

·         Omwe ali ndi vuto lotulutsa umuna msanga

·         Amene ali ndi undescende opaleshoni machende

Anthu omwe ali oyenera kulandira chithandizo cha IVF;

·         Kukhalapo kwa matenda a chiwindi kapena HIV mwa mmodzi wa okwatirana

·         Anthu odwala khansa

·         Kukhala ndi chibadwa mwa m'modzi mwa okwatirana

Kwa Ndani Mankhwala a IVF Sagwiritsidwa Ntchito?

Kwa omwe chithandizo cha IVF sichimagwiritsidwa ntchito Anthu ambiri amadabwanso ndi nkhaniyi.

·         Ngati sipanga kupanga umuna ngakhale mu njira ya TESE mwa amuna omwe satulutsa umuna

·         Azimayi amene adutsa m'nyengo yosiya kusamba

·         Njira yothandizirayi singagwiritsidwe ntchito kwa anthu omwe chiberekero chawo chinachotsedwa kudzera m'ma opaleshoni osiyanasiyana.

Kodi Magawo Othandizira a IVF ndi ati?

Anthu omwe amafunsira chithandizo cha IVF amadutsa magawo angapo motsatizana panthawi ya chithandizo.

Kuyeza kwachipatala

Nkhani zam'mbuyomu za maanja omwe amapita kwa dokotala kuti akalandire chithandizo cha IVF zimamveka ndi dokotala. Kenako, mapulani osiyanasiyana amapangidwa okhudza chithandizo cha IVF.

Kukondoweza kwa Ovarian ndi Kupanga Mazira

Patsiku lachiwiri la msambo, amayi oyembekezera omwe ali oyenera kulandira chithandizo cha IVF mankhwala owonjezera dzira amayamba. Mwanjira imeneyi, zimatsimikiziridwa kuti mazira ambiri amapezeka nthawi imodzi. Pofuna kuonetsetsa kukula kwa dzira, mankhwala ayenera kugwiritsidwa ntchito pafupipafupi kwa masiku 8-12. Pochita izi, ndikofunika kupita kwa dokotala nthawi zonse kuti ayang'ane mazira.

Kusonkhanitsa Mazira

Pamene mazira kufika chofunika kukula dzira kukhwima singano ndi kukula kwawo. Mazira akakhwima, amasonkhanitsidwa mosamala, makamaka pansi pa anesthesia, ndi njira zomwe zimatenga mphindi 15-20. Zitsanzo za umuna zimatengedwanso kuchokera kwa abambo omwe adzakhale pa tsiku lotolera dzira. Maanja amafunsidwa kuti asagonane masiku 2-5 ndondomekoyi isanachitike.

Ngati umuna sungapezeke kwa bambo amene adzakhale Mtengo wa TESE umuna umapezeka ndi Njira imeneyi imagwiritsidwa ntchito kwa anthu omwe alibe umuna m'machende. Njirayi, yomwe imatenga mphindi 30, imachitika mosavuta.

Feteleza

Pakati pa mazira omwe amatengedwa kuchokera kwa mayi ndi umuna kuchokera kwa abambo, abwino amasankhidwa ndipo maselowa amaphatikizidwa m'malo a labotale. Miluza yomwe ili ndi feteleza iyenera kusungidwa m'malo a labotale mpaka tsiku lomwe amasamutsidwa.

Embryo Transfer

Miluza imene imathiridwa ubwamuna m’malo a labotale ndipo ili yapamwamba kwambiri imasamutsidwa kupita ku chiberekero cha mayi pakatha masiku 2-6 ubwamuna watheka. Ndi njira yosinthira, chithandizo cha IVF chimaganiziridwa kuti chatsirizidwa. Pakatha masiku 12 pambuyo pa njirayi, amayi oyembekezera amafunsidwa kuti ayese mimba. Mwanjira imeneyi, zimatsimikiziridwa kuti chithandizocho chimapereka yankho labwino kapena ayi.

Ndikofunika kuti maanja asagonane pambuyo pa kusamutsidwa mpaka tsiku loyesa mimba. Ndi zotheka kuti amaundana ndi ntchito otsala khalidwe miluza pambuyo mluza kutengerapo. Choncho, ngati palibe mimba woyamba mankhwala, kutengerapo ntchito angathe kuchitidwa ndi otsala mazira.

Ndi Zinthu Ziti Zomwe Zimakhudza Chiwopsezo Chopambana mu Chithandizo cha IVF?

Pali zinthu zingapo zomwe zimakhudza kuchuluka kwa chithandizo cha IVF.

·         Mavuto osabereka osadziwika bwino

·         Onse awiri akusuta

·         Kupsinjika maganizo, kudya zakudya zosayenera, kumwa mowa

·         Amayi azaka zopitilira 35

·         Cholemera kwambiri

·         Ma polyps, fibroids, zomatira kapena endometriosis zomwe zimalepheretsa kulumikizana ndi chiberekero

·         Kuchepetsa nkhokwe za ovarian

·         Kukhala ndi zovuta zina m'chiberekero ndi machubu

·         Umuna wosakhala bwino

·         Mavuto ndi chitetezo cha mthupi chomwe chimawononga umuna kapena mazira

·         Kuchepa kwa umuna komanso mavuto osunga umuna

Kodi Kamwanako Amayikidwa Bwanji M'chiberekero Pambuyo pa Ubwamuna wa Mazira?

Kusamutsa dzira lokhala ndi umuna kulowa m'chiberekero ndi njira yosavuta komanso yanthawi yochepa. Panthawiyi, catheter yopyapyala ya pulasitiki imayikidwa pachibelekero choyamba ndi dokotala. Chifukwa cha catheter iyi, ndizotheka kusamutsa mwana wosabadwayo kupita m'mimba mwa mayi. N'zotheka kupeza mazira ochuluka kuposa momwe amafunikira chifukwa cha singano zomwe zimapangidwira dzira zomwe zimagwiritsidwa ntchito musanayambe ndondomekoyi. Pankhaniyi, otsala khalidwe mazira akhoza atapanga ndi kusungidwa.

Kodi Kutolera Mazira Ndikopweteka?

kumaliseche kwa ultrasound Amalowetsedwa m'matumbo a m'mimba mothandizidwa ndi singano zapadera. Zimatsimikiziridwa kuti zinyumba zodzaza madzimadzi zotchedwa follicles, kumene mazira amakhala, zimachotsedwa. Madzi awa omwe amatengedwa ndi singano amasamutsidwa mu chubu.

Madzi omwe ali mu chubu amakhala ndi maselo aang'ono kwambiri omwe amatha kuwonedwa ndi maikulosikopu. Ngakhale kuti kusonkhanitsa dzira sikupweteka, njirazo zimachitidwa pansi pa kuwala kapena anesthesia wamba kuti odwala asamve bwino.

Kodi amayi oyembekezera ayenera kupuma nthawi yayitali bwanji atasamutsa mluza?

Kutumiza kwa mluza Ndikofunika kuti amayi oyembekezera apume kwa mphindi 45 zoyambirira. Palibe vuto kusiya chipatala pakatha mphindi 45. Pambuyo pake, amayi oyembekezera safunikira kupuma.

Amayi oyembekezera angathe kupitiriza ntchito ndi zochita zawo mosavuta. Pambuyo pa kusamutsidwa, amayi oyembekezera ayenera kukhala kutali ndi masewera olimbitsa thupi ndi zochitika zina monga kuyenda mofulumira. Kupatula apo, akhoza kupitiriza moyo wawo wamba.

Zoyenera kuchita ngati umuna uli wochepa kapena palibe umuna womwe umapezeka pakuwunika kwa umuna?

Ngati kuchuluka kwa umuna ndi kocheperako kuposa momwe mukufunira, umuna wa in vitro ukhoza kuchitidwa ndi njira ya microinjection. Chifukwa cha njirayi, umuna umatheka ngakhale umuna wochepa wapezeka. Ngati mulibe umuna mu umuna, maopaleshoni amachitidwa kuti afufuze umuna m'machende.

Kodi Zowopsa za Chithandizo cha IVF Ndi Chiyani?

Zowopsa za chithandizo cha IVFImapezeka, ngakhale yaying'ono, pamlingo uliwonse wa chithandizo. Popeza zotsatira za mankhwala ogwiritsidwa ntchito nthawi zambiri zimakhala zolekerera, sizimayambitsa mavuto.

M'njira za IVF, pamakhala chiopsezo chotenga mimba kangapo ngati dzira lopitilira limodzi lasamutsidwa kupita m'mimba mwa amayi oyembekezera. Pafupipafupi, mimba yambiri imapezeka mumodzi mwa mayesero anayi aliwonse a IVF.

Malinga ndi kafukufuku wa asayansi, zawoneka kuti njira ya IVF imawonjezera pang'ono chiopsezo cha ana obadwa msanga kapena kubadwa ndi kulemera kochepa.

Ovarian hyperstimulation syndrome imatha kuchitika mwa amayi oyembekezera omwe amathandizidwa ndi FSH kuti ayambitse kukula kwa dzira mu njira ya IVF.

Chithandizo cha Turkey IVF

Popeza dziko la Turkey likuchita bwino kwambiri pa chithandizo cha IVF, alendo ambiri azachipatala amakonda kuthandizidwa m'dziko lino. Kuphatikiza apo, popeza ndalama zakunja ndizokwera kwambiri kuno, chithandizo, kudya, kumwa komanso malo ogona ndizotsika mtengo kwambiri kwa omwe akuchokera kunja. Chithandizo cha Turkey IVF Mutha kulumikizana nafe kuti mumve zambiri za.