MuVitro Fertilization (IVF) kurapwa kunze kwenyika
In vitro kuberekesa (IVF) zvinoreva nzira dzakasiyana siyana dzekurapa apo zai rinosangana nembeu kunze kwemuviri, kana nemamwe mazwi, "in vitro". Zygote (zai rakaberekerwa) rinobva rakura murabhoritari kwemazuva maviri kusvika matanhatu, isati yaendeswa muchibereko chaamai amai vane chinangwa chekutanga nhumbu. IVF inowanzo shandiswa kubatsira kubata pamuviri kana kubata kwechisikigo kusisagone Kune matanho akati wandei kune iyo IVF nzira, imwe neimwe iine chinangwa chekuwedzera mukana wekubata nhumbu nekubudirira.
Iyo chaiyo maitiro uye marapirwo anodikanwa anozosiyana pane imwe nyaya nenyaya, zvichienderana nemamiriro ezvinhu evarwere. Mune zvimwe zviitiko, ovarian hyperstimulation ichashandiswa, uko kune akawanda ovari follicles anogadzirwa achishandisa kubereka mishonga yakadai seinopinda jekiseni gonadotropin. Muzviitiko zvakawanda zvekurapa kweovarian hyperstimulation kurapwa, angangoita mazuva gumi ejekiseni anodikanwa. Ovarian hyperstimulation inogona kuve nemhedzisiro, iyo ichatsanangurwa nachiremba anotungamira. Natural Natural in vitro fertilization inoreva IVF inoitwa isina ovarian hyperstimulation, uye milVF inoreva maitiro achishandisa zvidiki zvidiki zvemushonga unodzvinyirira Zvakaoma kupa chaiyo yekubudirira mwero weIVF, sezvo zvinoenderana nezvinhu zvakawanda zvinosanganisira zera murwere uye nenyaya dzekubereka.
Chirevo chazvino chakawana kuti nhumbu yakawanikwa paavhareji mune ingori pazasi pe30% yeese IVF macircule, nekuzvarwa mhenyu mune zvishoma zvishoma pane makumi maviri neshanu muzana ezviuru zvese. Zvisinei nhamba iyi inosiyana zvakanyanya - mukadzi ari pasi pemakore makumi matatu nemashanu ane IVF ane mukana we25% wekuita mwana, nepo mukadzi anodarika makumi mana ane mukana we35%. Kubudirira kwehuwandu pamazera ese ezvikwata zviri kuramba zvichikura hazvo, sezvo matekinoroji matsva uye matekinoroji achigadzirwa.
Ndekupi kwandingawane IVF kunze kwenyika?
IVF makiriniki muSpain Spain ndiyo imwe yenzvimbo dzinotungamira pasi rose dzekurapa IVF, ine mukurumbira wemakiriniki epasi rese uye nyanzvi. Varwere vazhinji vanobva pasirese pasirese vanoenda kumaguta akadai seAlicante, Palma de Mallorca, Madrid, neMurcia vachitsvaga kurapwa kweIVF. Makiriniki eVIV muTurkey Tey ndeimwe sarudzo yakakurumbira yemabatiro ekubereka, nemakiriniki muguta guru Istanbul inopa yakanyanya mhando IVF kurapwa pamitengo inodhura. IVF makiriniki muMalaysia Malaysia imwe nyika inopa IVF kurapwa. Malaysia iri kumusha kune akati wandei emakiriniki ehunyanzvi hwekubereka ayo anoziva sevamwe veakanakisa kumaodzanyemba-kumabvazuva kweAsia.,
Pane zvinhu zvakawanda zvinogona kukanganisa mutengo
Wana Mahara Kubvunzana
In vitro fertilization (IVF) ndiyo nzira iyo ovum yemukadzi (mazai) akaiswa kunze kwemuviri asati aiswa muchibereko, kuitira kuti awedzere mikana yekubata nhumbu zvinobudirira. IVF inoshandiswa kune varwere vane dambudziko rekubata mwana zvakasununguka. Matambudziko ekushaya mbereko anogona kukonzerwa ne endometriosis, low sperm count, matambudziko ne ovulation, kana matambudziko ane fallopian machubhu kana chibereko. Maitiro acho anotanga nemajekiseni ehormone kukurudzira kugadzirwa kwemazai mazhinji, panzvimbo yeyakajairika imwe pamwedzi. Mazai aya anokura, obva abviswa muchivharo chemukadzi muchirongwa chinonzi kudzoserwa kwezai. Izvi zvinowanzoitwa pasi pekunyaradza netsono, uye zvinogona kukonzera kusagadzikana mushure meizvozvo. Vanachiremba vanowanzo tora pakati pe5 ne30 mazai. Dzimwe nguva mupi wezai anogona kupa mazai eIVF.
Urume hunoshandiswa pakusangana hunogona kubva kune mumwe wako kana kubva kune anopa murume. Mazai aya anogadzirwa kunze kwemuviri, uye mazamu akasarudzwa akanyatsoiswa muchibereko. Yakakurudzirwa yeIn vitro fetiraiza (IVF) inokurudzirwa mumamiriro ezvinhu apo pane matambudziko ekubata pamuviri nenzira yechisikigo. Izvi zvinogona kunge zvichikonzerwa nezvinetso nekubereka kwevanhurume (kuderera kwesperm kuverenga kana kushomeka kwepasi), kana matambudziko nekubereka kwevanhukadzi, semuenzaniso kukuvara kana kudzivirirwa fallopian machubhu kana kusagadzikana kweovulation. IVF inokurudzirwa senzira kana paine mukana wakanaka wekubudirira. Vadzidzi vanofanirwa kuve nehuremu hune hutano uye chibereko chine hutano. Mikana yekubudirira inoderera nezera, asi mukadzi mukuru kuti abudirire kuva nemwana ane IVF aive nemakore makumi matanhatu nematanhatu. Nguva inodikanwa Avhareji urefu hwekugara kunze kwenyika 66 - 2 mavhiki. Nguva inodiwa kunze kwenyika inoenderana nehurongwa hwekurapa, uye kana paine matanho eIVF anogona kuitwa pamba. Varwere vanogona zvakare kutanga kurapwa vobva vadzokera kumba kana kuenda kunofamba kwemazuva akati wandei. Varwere vanokwanisa kubhururuka nekukurumidza kana embryo kana mazai achangotamiswa. Huwandu hwenzendo dzekune dzimwe nyika dzinodiwa 3. Muedzo wekuzvitakura unowanzoitwa kwakapoteredza mazuva gumi nemana kusvika gumi nemaviri mushure mekuchinjiswa kwemukomana
IVF kutenderera kunotanga nemushonga wekudzvinyirira iyo yekuenda kumwedzi. Izvi zvinogona kupihwa nemurwere, sejekiseni rezuva nezuva kana pfapfaidzo yemumhino, uye inogara kwemavhiki maviri. Mushure meizvozvo, mukadzi anotanga kushandisa follicle inosimudzira mahormone (FSH) iri muchimiro chejekiseni rezuva nezuva. Iyi hormone inowedzera huwandu hwemazai anogadzirwa nemazai, uye kiriniki inoongorora mafambiro.
Iyi nhanho inowanzo kutora mazuva gumi kusvika gumi nemaviri. Nguva dzakakomberedza makumi matatu nemana kusvika makumi matatu nemasere mazai asati aunganidzwa, pachave nejekiseni rekupedzisira rehomoni rinosimbisa mazai kuti akure.,
Mazai acho anounganidzwa kubva mumazai achishandisa tsono ine hutungamiriri hweultrasound, kazhinji apo murwere akagara. Mukadzi anobva apihwa mahormone ekugadzirira mudungwe wechibereko wechibereko.
Mazai akaunganidzwa anobva aiswa murabhoritari uye anowanzo bvumidzwa kuti akure kwemazuva 1 kusvika mashanu. Kana yakura chete, panowanzove pakati pe5 ne1 mazai anosarudzwa kuti aiswe. Kutenderera kweIVF kurapwa kunotora pakati pe2 ne4 mavhiki.,
Kutumira maitiro ekuchengetedza Varwere vanofanirwa kumirira kwakatenderedza 9 kusvika kumazuva gumi nemaviri mimba isati yaonekwa.
Kana bvunzo ikaitwa pamberi peizvi, mhedzisiro yacho inogona kunge isiri yechokwadi. Zvinogona kusagadzikana Zvinogona kupisa kupisa, kushushikana kwemusoro, kutemwa nemusoro, kuda kurutsa, kurwadziwa kwepamuviri kana kuzvimba.,
Zvinotevera ndizvo zvakanakisa zvipatara gumi zveIn Vitro Fertilization (IVF) munyika
| # | chipatara | nyika | manzwiro | mutengo | |
|---|---|---|---|---|---|
| 1 | BLK-MAX Super Specialty Chipatara | India | New Delhi | --- | |
| 2 | Chiangmai Ram Chipatara | Tairendi | Chiang Mai | --- | |
| 3 | Medipol Mega University Chipatara | Teki | Istanbul | --- | |
| 4 | Ghent University Chipatara | Bherujiyamu | Ghent | --- | |
| 5 | Dharamshila Narayana Superspeciality Hos ... | India | New Delhi | --- | |
| 6 | As-Salam International Chipatara | Egypt | Cairo | --- | |
| 7 | Genolier Clinic | Siwizarendi | Genolier | --- | |
| 8 | Fortis Escorts Mwoyo Institute | India | New Delhi | $2570 | |
| 9 | Apollo Gleneagles Hospital | India | Kolkata | --- | |
| 10 | Prime Hospital | Mubatanidzwa Arabhu Emeretsi | Dubai | --- |
Vanotevera ndivo vanachiremba vakanakisa veIn Vitro Fertilization (IVF) munyika:
| # | Chiremba | ZVINOKOSHA | CHipatara | |
|---|---|---|---|---|
| 1 | Dr. Sonu Balhara Ahlawat | IVF Nyanzvi | Artemis Hospital | |
| 2 | dr. Aanchal Agarwal | IVF Nyanzvi | BLK-MAX Super Hunyanzvi H ... | |
| 3 | Dr. Nalini Mahajan | IVF Nyanzvi | Bumrungrad International ... | |
| 4 | Dr. Puneet Rana Arora | IVF Nyanzvi | Paras Zvipatara | |
| 5 | dr. Jyoti Mishra | Gynecologist uye Obstetrician | Jaypee Hospital | |
| 6 | Dr. Sonia Malik | IVF Nyanzvi | Max Super Specialty Hospi ... | |
| 7 | Dr. Kaushiki Dwivedee | Gynecologist uye Obstetrician | Artemis Hospital | |
| 8 | Dr. S.Sharada | IVF Nyanzvi | Chipatara cheMetro neMoyo ... |
Icho chikamu chemaitiro apo varwere vanogona kunzwa kurwadziwa ndeye kazhinji majekiseni ehomoni uye kudhirowa kweropa. Kazhinji yenguva izvi zvinogona kuitwa nediki subcutaneous tsono dzinoderedza marwadzo uye dzinobaiwa munzvimbo dzakasiyana siyana kuti dzinyaradzwe. Vamwe varwere vanogona kunyorerwa majekiseni eprogesterone, iyo inofanirwa kubaiwa mumhasuru. Vanogona kazhinji kuitiswa mumagaro, ayo anowanzo kugadzikana. Vamwe varwere vanonzwawo kusagadzikana panguva ye trans-vaginal ultrasounds inodiwa kutarisa fallopian machubhu. Kusagadzikana uku kwakafanana nekuitwa pap smear. Panguva yekutora oocyte (zai) chaiyo, murwere ari pasi peanesthesia yemasikati, iyo inovaita kuti vave nehope, uye varwere vakawanda vanorara kuburikidza nekuita. Migumisiro yeanesthesia inowanzopera inenge awa imwe gare gare. Kuendeswa kwe embryo kwakafananawo ne pap smear pakuti inosanganisira kuisa speculum, uye dundira rakazara rinodiwa panguva ye5-10 maminetsi. Zvisinei, hapana kumwe kusagadzikana kunobatanidzwa.
Hazvibviri kuvimbisa kuti chero nzira yeIVF ichashanda. Varwere vazhinji vanoda kutenderera kwakati wandei kweIVF kurapwa vasati vakwanisa kubata pamuviri. IVF inzira yakaoma kunzwisisa iyo inosanganisira akati wandei akasiyana ayo akaoma kufanotaura. Chiremba wako anogona kukupa rumwe ruzivo nezve mikana yako yekuve nepamuviri neIVF panguva yekubvunza kwako.
Zvimwe zvidzidzo zvakaratidza kubatana kunogoneka pakati pekushandiswa kwemishonga inokurudzira maovha kune mamwe marudzi egomarara reovarian. Zvakadaro, mhedzisiro iyi inoonekwa seyekutanga uye yakavakirwa pahuwandu hwevanhu vashoma. Zvidzidzo zvenguva pfupi yapfuura zvakaramba mhedzisiro iyi, asi tsvakiridzo yakawanda inoda kuitwa. Nyanzvi dzakawanda dzinokurudzira kuti varwere vashandise mishonga iyi kwenguva shoma inogoneka. Zvinokurudzirwa kuti varwere vese veIVF vagamuchire bvunzo dzepelvic uye vataure chero zvisiri izvo kuna chiremba wavo nekukurumidza, zvisinei kuti ndeipi mishonga inoshandiswa. Iwe unofanirwa kukurukura nachiremba wako chero zvinokunetsa nezve njodzi dzegomarara. mwedzi.
IVF ine njodzi yekuzvara vanhu vakawanda kana kamwana kanopfuura kamwe kakaiswa. Kushandiswa kwemajekiseni ekuzvara zvinodhaka zvakare kunotakura njodzi yekusagadzikana senge ovarian hyperstimulation syndrome. Huwandu hwekubvisa pamuviri hunowedzerawo kuvarwere vakura, sepamuviri chaiwo. Nzira yekudzorera mazai inotakurawo dambudziko rematambudziko anogona kuderedzwa nekusarudza chiremba ane ruzivo rwakanyanya. Kune zvakare njodzi yakawedzera zvishoma yekuremara kwekuzvarwa muvarwere vakura.
Varwere vechikadzi vane makore anopfuura makumi mana vanoonekwa sevarombo vanoda IVF nekuda kwenjodzi dzakawedzerwa dzemimba yakaoma. Zvinokurudzirwa zvakare kuti varwere vanofutisa vadzikire uremu kuti vawedzere mikana yekuve nenhumbu ine hutano, uye varwere vanosvuta vanofanirwa kuregedza. Varwere vanofanira kunge vaine hutano hwakakwana kuti vakwanise kushivirira maitiro akasiyana anobatanidzwa. Mamwe makiriniki anoda kuti varwere vaedze kubata pamuviri kwechisikigo kwenguva shoma vasati vatanga kurapwa kweIVF, kazhinji mwedzi gumi nemiviri.
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