Nguva yezvikamu zve IVF inotsamira pane zvipi zvigadziriswa zvinoshandiswa kuitakura. Pane kusiyana kwekuti mazuva akawanda nguva yenguva shoma ye IVF protocol ndeyekuti pituitary blockade nevagonist kana vanopikisa GnRH.
Inguva yakareba sei pfupi pfupi yeVIVF protocol yapera?
Nhamba pfupi purogiramu pamwe nekushandiswa kweGnRH agonist inofanira kupedza mazuva 28-35, uye ultrashort ine kushandiswa kwevanopikisa GnRH inotora mazuva 25-31 munguva.
Iyo pfupi uye yakareba protocol yeVIV inoshandisa zvirongwa zvakafanana zvehomoni, asi sumo yavo haina kutanga mumwedzi mumwe chete, asi inotora iyo yapfuura, iyo inopa huwandu hwakawanda hwemaawa akanaka. Kuti uite izvi, kudzivirirwa kweganda repituitary rinotanga vhiki isati yasvika, apo nhanho huru dzeVF dzinofanira kutanga.
Matanho eVF - short protocol
Chirongwa chemuchina weVF protocol rine maitiro mana ekushandiswa kwayo:
- kushungurudza kwekukwirira kwepamusoro (kushandiswa kwekusimudzirwa kweivulation muzvipembenene zvakasiyana-siyana zvemasikana emukadzi);
- kuvhara mazai emuviri (kubvisa kubudiswa kubva kuhutano hwehutano hwehutano hwemhodzi, chirongwa chemhosva - panguva yekuvhara kunokosha kuti urege kurara pabonde kwemazuva matatu);
- kubatanidzwa kwema embrosi (mushure mekuvhara pasi pasi microscope, dzidzai mashoko acho, sarudza uye simesa mazai ose uye fambisa embryos kune zvidimbu zveyygotic, kusvika 4 kusvika ku8 masero);
- Kusimwa kwemukati mumukomana (pamwe nekusimbiswa kwebasa rejena muviri neprogesterone nekudzivirira kwekuita pamuviri 2 mavhiki mushure mekugadziriswa).
Chirongwa cheVF mumazuva
Nguva yakatarwa yeVIV inobva pane zvinotevedzerwa zvinoshandiswa - kwenguva yakareba, zviduku kana zviduku. Nenguva yakareba, mukusiyana kubva kune vamwe, kubviswa kwehomoni yepituitary gland inotangira kubva pamazuva makumi maviri emasere ekutanga, inogamuchira huwandu hwemazai, asi kukurudzirwa kwechinhu chinonzi, ovarian hyperstimulation syndrome, inogoneka.
Muchidimbu uye ultrashort protocol, chirwere chinoputika chinotanga kubva pazuva rechipiri-5 rokutenda kumwedzi pamwe nekukurudzirwa pamwe chete panguva imwechete yekupisa simba, iyo inotora mazuva 12-17 muprototi pfupi, uye mazuva 8-12 chete mune ultrashort.
Kuvhara kwemavha mavari ne pfupi protocol yeVF inoitwa zuva re14-20 kubvira pakatanga kusvitsa, ne ultrashort kwemazuva gumi nemaviri ekuwedzera.
Kushandiswa kwemukati wehutachiona hwemagetsi ose ari kuitwa kwemazuva matatu mushure mekuvhara maawa, uye kutora pamuviri - mavhiki maviri mushure mekugadziriswa, asi panguva imwe chete vachitsigira basa rejena muviri nemaanorogu eprogesterone.