ECO MHI ndeimwe yemishandiro emishonga yekuberekwa, iyo inopiwa kubva kubhadharo yehurumende. Purogiramu yemhando iyi inopa hutano hwehutano hwe in vitro fertilization pasina chekuita. Chimbofunga nezvazvo zvakanyanya, tsvaga kuti ndiani uyu anopiwa basa iri, chii chinodiwa pane izvi.
Ndingaita IVF pasina here?
ECO yakasununguka inopiwa neFederation Development Program. Nharaunda imwe neimwe yekutonga inogadzira zvinyorwa zvekurapa kwakadaro, kuveza kwegore. Mukadzi anogona kudzidza pamusoro pekugona kwekuita nzira yacho zvakananga mumusha maro kuburikidza nekubvunzurudza kwevakadzi kune nzvimbo yaanogara. Mune maguta ayo maiva nehutano hwemhuri, nzira yekushandiswa inoshandiswa zvakananga nemashoko ehurumende yezvokurapa. Kubva muna 2016 IVF yeMHI inoitwa nekuda kwezvinhu zvose zvekushaya simba . Chimwe chinhu chinorema murume chikonzero.
Nzira yekuita sei IVF?
Musati maita IVF yeCI, mukadzi anofanira kutora nguva yakareba yekuwana chikamu. Kutanga, iwe unofanirwa kutaurirana nekubvunzurudza kwevakadzi. Mune sangano iri, anogona kuwana ruzivo rwehuwandu hwezvakawanda zvehuwandu hwakapiwa gore razvino, izvo zvinodiwa kuti uzviwane. Usati wasvika panguva yakatarwa uye zuva rekuita, murwere anotarisirwa kuti:
- chirongwa chakazara chekurapa nemurume wake;
- kuwanikwa kwemaonero ezvokurapa;
- kusarudzwa kwenzvimbo yekugadzirisa;
- nyorera kumutsara .
Ndezvipi zvinobatanidzwa muzvirongwa zveVII zve CHI?
ECO isingabhadharwi pamutemo inogona kuitwa pamitemo yakawanda. Muchiitiko ichi, mari yezvikamu zvega ega inogona kusiyana, uye inobva kune guta, nzvimbo iyo mukadzi achazoita. Urongwa hwehutano hwakapiwa nekliniki hunewo mahwanda. Kakawanda, sechikamu chekusununguka mu vitro fertilization, mukadzi anopiwa nemishonga inotevera yezvokurapa:
- kukurudzira kwehutano hwekuvhara;
- kupiswa kwepuropiki yakatsvuka;
- ICSI ;
- embryo transfer.
Makiriniki akawanda ari oga anonyanya kuwanikwa muIVF anopa mabasa avo pachavo pasina chikwereti sechikamu chepurogiramu. Pakati pavo pane:
- kusunungura mazai - kana zvichidiwa, zvichave zvichiitika kudzokorora kubvumira munguva;
- zvidzidzo zvekutsvaga - kusarudza kwehuwandu hweHCG , kutakura kwechidimbu.
Kutanga sei IVF yeOMS?
Kakawanda, vakadzi vanoda kurongerwa mu in vitro fertilization pasina, havazive zvinodikanwa neIVF yeVFF. Kutanga iwe unoda kutsigira kuongororwa, kuti utange chikonzero chekushaya vana . Kuti uite izvi, unofanirwa kuonana nekliniki, iyo ine permiti yekuita zvidzidzo zvekuongororwa mumunda wezvirwere. Sezvo zvakadaro, unogona kushandisa kubvunzurudza kwevakadzi panzvimbo yekunyora kwako.
Kuongororwa kunosanganisa kwete kupfurikidza kwekutsvakurudza nevakadzi, asiwo nevakaroorana navo. Ivhareji yenguva yezvidzidzo zvose muVIV hazvibhadharwi nokuda kweCI, kusvika pakuguma umo kuongororwa kunoratidzwa - mwedzi 3-6. Mushure mekuongorora kwose, mukadzi anotora chikamu kubva kumukati wake wepati. Izvi zvinopiwa nemurwere kune Komisheni yekusarudzwa kwevarwere kweVFF yeVIV.
Usati wawana chirongwa cheVIV pasina mvumo, maererano neHIHI, musikana anofanira kunyatsopfuurira kuburikidza nehutano hwakarongwa. Kana mwedzi 9-12 mushure mekutsvaga kwe "kusununguka", migumisiro yekurapa - hakusi kudzorerwa kwekuberekwa kwebasa, pane zviratidzo zvekufamba kwepurogiramu yeVF. Izvo chete mushure meizvi kune mukana wekuwana chikamu.
Nzira yekuwana sei chikamu cheVIV neHIHI?
Iko purogiramu yeECO yakasununguka inopa kugadziriswa kwemaitiro nenzira yekubhadharisa bhajeti rehurumende, maererano neurongwa hwekumira. Iko inogadziriswa neKomisheni pamusana pehutano hwehutano hwehutano. Nheyo yekubatanidza murwere mune urongwa hwekumirira ndeye chikwata kubva pakuguma kwekuongororwa kwechiremba munguva pfupi yapfuura.
Rwendo rwemashoko eWIV
Kuti uve mutsara wekugadzirisa, iwe unofanira kupa mapepa emagwaro. Kugamuchirwa kwechikumbiro uye mapepa akakodzera kunoitwa nemakomisheni emunharaunda. Izvo zvinyorwa zveVIVF pamutemo weCI rinoratidzika seizvi:
- mapasipoti maviri evakaroorana (vanobatana) nemakopi;
- utano hwehutano inshuwarisi uye kopi yayo;
- SNILS;
- tsvina pamusoro pemishonga yekurapa akave apfuura (2 makopi);
- migumisiro yeongororo;
- kutumira kune IVF kubva kune gynecologist wesangano;
- chibvumirano chakanyorwa chekugadzirisa dunhu rega;
- tsamba yechipupuriro kubva kumukadzi akasarudzwa nekliniki, iyo inotsigira kuti ECO MCH inogona kuvapo.
Inotsvakurudza IVF
Migumisiro yeongororo yekuongorora ndiyo nheyo yekutungamirirwa kweVIV. Nyaya yakazara yeongororo yekuwanikwa inowanikwa panharaunda yekubvunzurudza. Nheyo yezviitiko zvekuongorora ndeiyi:
- Ultrasound yenhengo dzomukati ;
- kuongororwa ropa kwehomoni (AMG, FSH );
- biochemistry yeropa;
- Smears kubva kuUrethra nemukadzi;
- miedzo yeivulation;
- spermogram (mune varume).
Nguva yenguva yekuongororwa kweVIV yeMHI inogumira. Vakadzi vachironga nzira iyi vanofanira kutora pfungwa iyi. Saka, kubva panguva yekugamuchira chigumisiro chekutsvakurudza kune kuendesa kwemashoko kuKomisheni, pasina mwedzi mitanhatu inofanira kupera. Kana zvisina kudaro, mamwe marudzi ekutsvakurudza achafanira kudzoka zvakare. Panoongorora hutano hweVIV, vanachiremba vanoongorora huri huno huri hwehutano hwomukadzi. Murwere anopa chikamu kubva kune imwe kadhi yakabuda kunze, iyo migumisiro yekutsvakurudza kwete chete iye oga, asiwo nemumwe wako inoratidzwa.
Zviratidzo zveVIV
Kubuda mu vitro fertilization pasi pehurongwa hwehurumende hazvibviri mumatambudziko ose. Zviratidzo zvinotevera zvakagadzirirwa izvi:
- kusabereka kwetabal kubva;
- kusabereka kunokonzerwa nehutano husina kunaka mukukudzirwa kwe fallopian tubes (kudzivirira, kudzivirira, stenosis);
- kunyanya kusununguka kwevakadzi vanobatana nemashamba ekuenda kumwedzi;
- kunyangwe kusabatwa kwepamuviri mumwedzi gumi nemaviri mushure mekurapwa kwakapedza;
- kuvapo kwechimume chikonzero chekushaya vana (kukanganiswa kwechimiro chemashure evanhukadzi zvepabonde).
Kudzokorora IVF yeOMS kunogoneka mushure mokunge kuiswa patsva kwemapuraneti. Mukuwedzera kune zviratidzo izvi, kunewo zvigadziriswa zvinosarudzwa, kuvapo kwezvinodiwa kuti uwane chikamu cheVIV:
- kurema kwomukadzi mukati me50-100 kg;
- iyo ye antimulylerovoy hormone (AMG) - 0,5-7 ng / ml;
- kuongororwa kweFSH pazuva rechitatu rokutenderera - 15 IU;
- normospermia munharaunda.
Kusvika kuzera rei IVF yeOMS?
Zvakakosha kuziva kuti kana kugoverwa quotas, vanachiremba vanocherechedza zvimwe kunze kwehupenyu hwehutano, uye nguva yevangangwara. Pane zvimwe zviyero. Saka makore emukadzi weVIV maererano neCI haafaniri kudarika makore 39. Kuberekwa mumadzimai akwegura kunobatanidzwa nehupenyu hwakawanda - kuberekwa kwakaoma, congenital anomalies yekukura kwe fetal. Nemhaka yeizvi, nzvimbo idzi hadzitori nzira yevakadzi avo pakutanga kwekurapa kwemakore makumi mana nemakore makumi mana.
Contraindications yeVF
Free IVF yeOMS inogoneka kana hutano hwemurwere hunoenderana nemitemo. Kunyange nechishuwo chikuru, in vitro fertilization haisi nguva dzose inogoneka. Contraindications kune nzira ndeiyo:
- maitiro anoshanda echirwere, pasinei nhengo yakakanganiswa;
- viral hepatitis;
- HIV;
- syphilis mumukadzi kana shamwari;
- neoplasms yezvakaipa;
- zvirwere zvinotapira muhutano hunoda kurapwa;
- zvirwere zvekufamba kwepasi;
- zvirwere zvekupedzisira, zvichienderana nehutano hwemagetsi;
- kuramba kwenguva refu uye kusingaperi kwepfungwa dzepfungwa;
- zvirwere zvehutano hwemitsipa;
- hepatic insufficiency;
- zvirwere zvejenitourinary system;
- chisingakoshi renal failure;
- kuberekwa kusakanganiswa kwechibereko, umo kushandiswa kwema fetal egg hakubviri;
- kuberekwa kusagadzikana kwemwoyo yematambudziko;
- kushungurudza, kupisa.
Nzira yeIVF yeHIHI muzvikamu
Extracorporeal fertilization inotangira nguva refu yekugadzirira. Murwere anofanira kutevera mitemo yose yechiremba kuitira kuti azadzise chinangwa chikuru. Chete mushure mokupedzwa kwekudzidziswa, pazuva rakasarudzwa, nzira ye IVF inogadzirwa, zvikamu zvayo zvinotevera:
- Kukurudzirwa kweivhai. Iyi nhanho inosanganisira kutora mishonga yemasimoni inowedzera nhamba yeiyo imwechete iyo inopisa mazai. Panguva imwe chete, endometrial monitoring
- Puncture of follicles. Panguva ino, kuunganidzwa kwemasero emagetsi matsva kunoitwa kuti iwedzere kuwedzerwa pasi pemahara laboratory. Muchiitiko ichi, intravenous anesthesia inoshandiswa. Iko kushandiswa pachayo kunotungamirirwa ne ultrasound.
- Kufungidzira majeri masero uye kukura mazai. Iyo embryologist inogadzira kubereka kwezai rakanaka nehuta, iyo ine chimiro chakanaka, inopindirana nemarongerwo ose.
- Kudhindwa kwemabramu muUterine cavity.
- Kutsigira kwechikwata chechikwata chekugadziriswa kwema embryo.
- Kuongorora maitiro ekugadzirisa kutanga kwekuzvimba.
Ndeapi mazamu anokwidzwa neAVF yeOMS?
Embryo kutengesa panguva yeVIV inowanikwa pamatanho akasiyana ekuvandudzirwa kwemazamu - mune zygote kusvika pa blastocyst stage (kazhinji vana vanozvinyora vana vanobatanidza embryo zvakananga panguva ino). Inoumbwa musi we5th-6th mushure mokuberekwa. Kuti uwane chigumisiro chakanakisisa, kubatana kuchiito chekutungamirira nzvimbo dzokuronga mhuri, vanachiremba vanopinda 2-3 mazai panguva imwechete. Panguva yekuendesa, imwe catheter inoshandiswa inowanikwa muuterine cavity kuburikidza nemugero wemudumbu.
IVF mumamiriro ekusika maererano neCI
Kugadzirira kwaIVF nzira ndeyekureba, yakaoma. Panguva imwecheteyo, haisi nguva dzose kushandiswa kushandisa nzira dzose dze in vitro fertilization process pachayo. Saka kukurudzira kweivhai hazvibviri kuvakadzi vane matambudziko ane mazai ega kana vave nekushanda pane zvinyorwa zvepabonde munguva yakapfuura. Mumamiriro ezvinhu akadaro, IVF inoitwa nenzira yekuzvarwa. Vanachiremba vanotora mazai ega anouraya. Muchiitiko ichi, mishonga inoshandiswa kuchengetedza endometrium.
Pfungwa huru yemhando iyi yeVF haisi kupesana kwezvinhu zvakasikwa. Izvi zvinoderedza zvinogona kuitika zvinokonzerwa nokushandiswa kwemishonga inodhaka. Zvisinei, kunewo kusagadzikana kweIVF mumutambo wepanyama:
- mikana yakaderera yezvakaitika;
- kana chirongwa chekugadzira chisina kubudirira, hazvibviri kuzvidzokorora munguva pfupi.
ECO OMS pamwe nemupiro wei
Iyo nzira yeVIVF yemhando iyi inoshandiswa apo mukadzi asina hutachiona hwemagetsi. Muchiitiko ichi, zvo raanopa rinoshandiswa. Nokuda kweizvi, vanachiremba vanofananidza zvikamu zve murwere uye mupiro wezvokudya nemishonga yehomoni. Mushure mekutsvaga, madhii anotora masero ekurara kubva kumukadzi ane hutano, anodiridza varwere vavo vane IVF.
Ndiko kurwara kwezororo kunopiwa neVF yeOMS here?
Vanaamai vakawanda munguva yemberi vanofarira mubvunzo wekuti kana chirwere chezororo chakakonzerwa neIVF yeCI. Pakupera kwegadziriro yacho, chikamu chinobva kuchipatara, murwere anogamuchira chiziviso mumakopi maviri munharaunda yeVFF. Imwe inoramba iine amai vamangwana, yechipiri - inotamirwa ku polyclinic panzvimbo yekugara. Pamusoro peshoko iri uye akabudisa chirwere cherwere, chinopiwa panzvimbo yebasa.
Nezvo nguva, nguva yezviito zvebhuku rakadaro, rinogona kugoverwa kubva pazuva rokutanga rekurapa uye kusvikira kuendeswa kweropa kuHCG (kuongororwa kwegumisiro yeitiro). Yakavharwa kuchipatara nemuedzo wakaipa wehomoni kana mushure mekusimbiswa kwekutanga kwekuita gestation. Zvakakosha kukuyeuka kuti unogona kuwana chidziro chekusakwanisa kwebasa pane imwe nhanho yeprogram yeVF, inobudiswa maererano nekushandiswa kwemurwere.
Ndedzipi miedzo yakawanda inogona kuita IVF kuitiswa pamutemo wehutano inshuwarisi?
Ichokwadi, ingani kangani iwe unogona kuita IVF yeOMS, inofanirwa zvakananga nenyika yekugara. Semuenzaniso, munyika dzekuMadokero (France, Austria) inobvumirwa kuita nenzira yakadaro kusvika 4. Munyika dzakadai seGreece neHolland, vakadzi vanogona kushandisa 3 kuedza kubata mwana neVF pasina. Kana zviri zvenyika dzeCIS, mumatunhu akawanda hapana mhedziso yakasimba pamusoro pekushandiswa kweiyi nzira - vaviri vacho vanoendesa zvinyorwa zveVIV paMHI nhamba dzisingagumi. Mukuita, kwegore vana vakaroorana vanogona kushandisa nzira iyo isiri ye 2 nguva.