Amathuba IVF impumelelo

Wonke isibini esitshatileyo iye amathemba eziphakamileyo IVF, ufuna ukuba bafumane kuqala. Le amathuba ephila. Kwi-avareji, Ngokwezibalo-50% ye-in vitro inkqubo kwezichumiso iphela ngempumelelo. Nangona kunjalo, inani kuxhomekeke kwizinto ezininzi, kuquka indlela impilo yamadoda nabafazi, njengoko indlela isandi ukuya kuqeqesho kunye nobuchwepheshe oogqirha. Kufuneka uthathe ingqalelo icandelo zendalo; naxa yendalo kwezichumiso amathuba ukukhulelwa ayikho-100%. Ngokuqhelekileyo, umfazi esempilweni ngokupheleleyo inokuba umjikelo sexesheni, xa kukho zoboya ubuntwana ukuba ayikwazi ukusebenza ngokupheleleyo kwaye ukwenza amaqanda ezikumgangatho ophezulu ekwaziyo isichumiso.

Esiza kuxubusha ngayo ngokweenkcukacha izinto ezibonakalisa yoko entle IVF kuqala.

Age umama okhulelwe

Physiologically umzimba imazi amalungiselelo ukuze emva kwezithandani Ukusikwa 35, inani kunye nomgangatho gametes iqala ukuhla. Ngokutsho kwamanani asemthethweni kwenzeka ukukhulelwa yendalo njengomsebenzi ubudala kwezi meko zilandelayo:

• Ukususela kwiminyaka 35 ukuya 37 - 30%;
• 38 - 41 ngonyaka - 20%;
• iminyaka 42-45 - 5%.

Ngenxa yoko, kungcono ukuba elinye inkqubo-IVF, iiteknoloji ezintsha ukuvumela ukuba ngumkhenkce iiseli iqanda wafumana ukuba kusetyenziswa emva kwexesha elithile, nokuba isigulana kweminyaka engama-40. Nangona kunjalo, iminyaka emva kwexesha sokuzala akukho sizathu sokukholelwa ukuba i-IVF yokuqala kwakuya ingaphumeleli, amathuba nje ngaphantsi kunolo amantombazana.

Waba yintoni nenzalo

Kukho izizathu inkunzi nemazi. Kungenzeka kukho izibini apho impilo kamama elizayo kulungile, kodwa uyise waligcina umsebenzi encinane okanye inani eliqingqiweyo ngamadlozi. Kulo mzekelo, oogqirha bacebisa sebenzisa IVF ICSI xa yenzala lesitofu iqanda umzimba inaliti okhethekileyo. Kukholelwa ukuba amathuba ifakwe kule ndlela, ngaphezu kwabo bonke abanye, kunye nemililo ngakumbi ekuqaleni.

Kwakhona banethuba elibhetele abafazi abasele abantwana ngokusebenzisa zendalo okanye IVF lwangaphambili, kulo mzekelo, lo uphethwe "nenzalo eziziisekondari." iziphumo ezilungileyo ukususela lilinge lokuqala ukulindela kunye isithintelo noTubhali okanye ukungabikho.

Amatyala unzima - ubukho endometriosis kukhokelela udonga ukuxozwa, ukulahlekelwa iimpawu zazo qualitative, nto leyo umbungu akakwazi qhoboshela isibeleko. Ngenxa yokuba zoviwo lokulungiselela nezoviwo ezibalulekileyo kunye nonyango ngabazali, ukwenzela ukunciphisa zonke izinto ezibangela ukusilela kunokwenzeka. Kuyenzeka ukuba akunakwenzeka ukuba ukukhulelwa ngenxa iimpawu yemfuza, kule ngobuwena, ukubala iindleko 3-5 "no-".

Indlela entle abasebenzi bezonyango

Kulo mbandela isiqinisekiso oogqirha 'ixhomekeke lomlimganiselo wempumelelo phantse-50%. Ukuze ukusebenza le nqubo eziphakamileyo, kufuneka ngamnye kunye isibini ngasinye:

• Ukuqhuba uviwo ebanzi, ukuchonga iingxaki, hayi kuphela nenqanaba ngesondo, kodwa co-morbidities;
• Ukusebenzisa unyango umgangatho izifo ezikhoyo;
• Mnike protocol kakhulu ngokupheleleyo neqanda;
• Chithani inkqubo iqanda retrieval ephuma follicle aqolileyo, yaye emva kweentsuku ezimbalwa - ukutshintshela phakathi wesibeleko.

Eyona nto ibalulekileyo ukulungiselela kukuba ukujonga amanqanaba hormone, elileli, iziphawuli ezifana AMH, FSH kunye LH. Abazange kuphela kunokubangela oogqirha sesikimu protocol echanekileyo, kodwa kuya kunika ithuba lokuba ukuvavanya kwangaphambili okuba nako. Ngokomzekelo, xa lokufunyaniswa nezigulane hyperprolactinemia, esihanahanisa- okanye hyperthyroidism IVF kunokuba ingaphumeleli okanye nakanjani na, nasemva kokuba iinzame eziliqela.

Ukongeza, elabhoratri mayixhotyiswe ngezixhobo kakhulu kule mihla, apho kunokwenzeka ukwenza amadlozi kwangaphambili ukuvavanya umgangatho ngeembumba kunye nobuchule babo ukuphuhlisa.

Ngokubanzi, kufuneka kuqondwe ukuba wonke umzimba ezahlukeneyo, yaye iya kusebenza njani zonke iinkqubo eziyimfuneko ekuqaleni ukukhulelwa kunye nophuhliso okuqhelekileyo umntwana kuxhomekeke kuye. Kaninzi ukungaphumeleli kungabangela uxinezeleko, ukungondleki kakuhle, iimeko amahlwempu zokusingqongileyo, njengokuba umfazi emva "podsazhivaniya" imibungu lungahambelani ngokupheleleyo zonke iingcebiso eziya kuba unobangela ukungaphumeleli emizameni yokuqala.

Ukuze ukwandisa amathuba akho, kufuneka athobele zonke iingcebiso ingcali, ukuqonda okucacileyo kwisigaba ngasinye neqanda, yaye, ke, inkolelo yokuba yonke bamele baphume. Ke ukuba okwesihlandlo sokuqala, ngoko ke lesibini okanye lesithathu!

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