Zviratidzo zveVIV

Mu-vitro fertilization hazviiti kune vose vakadzi vanotambura nekushaya vana, asi zvakasimba maererano nezviratidzo. Kune huwandu hwezvirwere zvinokonzera kusununguka uye hazvibviri kubviswa pamwe nekubatsirwa kwehutano hwakanaka uye hwekuporesa.

IVF: zviratidzo uye zvinopesana

Usati wagadzirira kugadziriswa kwepfungwa, zvakakosha kuziva kuti chii chinoratidzwa neVF. Zviratidzo zvikuru kune IVF:

• mhedziso yekusapera (kubviswa kwemaviri fallopian tubes mushure mekushanda kwavo);
• kusabereka mumadzimai mushure memakore makumi matatu (30) avo vakagadziriswa pamapapiro anopfuura makumi mana asati asvika IVF;
• immunological infertility;
• endometriosis;
• Idiopathic infertility mushure mekugadzirisa kwekliniki yakazara yeviri;
• murume chinokonzera (zviratidzo zveVIVF - ichi uye murume kusagadzikana mukusavapo kwekwaniso yevarume vevarume kusvika kumusana).

Munyika yedu, vakadzi vanogona kushandisa zvakasununguka IVF, pamutengo wehurumende kune uchapupu. Kugamuchira IVF isingabhadharwi, zviratidzo zvikuru ndezvi:

• kusununguka kwevakadzi (mukusabatwa kweivulation, tubal yakatanga uye idiopathic infertility);
• murume asingabatsiri (chete kana paine nguva imwechete yekusununguka kwevakadzi).

Kutenda kwevarume bedzi hakusi uchapupu kuitira kuti uite IVF pasina mutero. Maitiro ayo maererano nehurongwa hweOMS ndiwo tubal kuberekwa, uremu hunosvika 50 kusvika ku100 kg, antimulylerov hormone kubva ku 0.5 ng / ml kusvika kune 7 ng / ml, FSH isati yakapfuura 15 IU pazuva re 2-3 rokutanga uye normospermia mune zvepabonde.

Contraindications kune IVF:

• zvirwere zvepanyama uye zvepfungwa, umo mimba uye kubereka zvinopesana;
• kuberekwa kusagadzikana kwezvikadzi zvepabonde, umo kuiswa uye kubereka kwe fetus hazvigoneki;
• zvirwere zvinopisa uye zvinosuruvarisa zvechibereko uye mavhai, chero maronda anonyangadza kunyange muamnesnesis;
• maitiro makuru ekuputira mumutumbi wemukadzi wekupi kwaunogara.

Kana mukadzi ane fibromyoma, ipapo mushure mokunge akurumidza kubvisa kushandiswa kwepachipiri kunodzingwa uye IVF inogona kuitwa kana pane zvigadzirwa zvayo.

Short protocol yeVIV implementation

Kune huwandu hweongororo dzinoitwa pamberi peVIVF:

1. Mwedzi mishomanana vasati vasvika IVF, kuongorora kwakazara huro hwemunhu hunoitwa, vaginal smear, colposcopy, uye kurapwa kwezvirwere zvisingaperi.
2. Mwedzi mumwe chete usati watanga IVF, nguva ye follicular phase inotsanangurwa, shanduro yeropa inotorwa nokuda kwechromosomal, immunological analysis, hormone levels muropa, kuvapo kwezvirwere zvehutachiona, kugadzirirwa kwemubramu tsika.
3. Mushure mekutarisa huwandu hweestrogen, simbisai ovulation pasi pekutarisa kwe ultrasound.
4. Mushure mokusimudzira, maoocyte tsika inotorwa, mazai anoonekwa pasi pe microscope.
5. Vanogadzira fence uye vanogadzira chirume, kuwedzera 200-300 zviuru spermatozoa kune rimwe jira rekuita.
6. Iyo embryo inobatanidzwa kwemaawa 40-50 kusvika kumakamuri mana.
7. Shandurai catheter embryos kuburikidza nemugero wemumuromo wechikamu kusvika pasi pechibereko.
8. Vanotsigira embryo implantation neprogesterone therapy musati vhiki ye20 yekutakura.