Ukwakhiwa kwe-in-vitro akukwenziwanga kubo bonke abesifazane abahlukunyezwayo, kodwa ngokuqinile ngokwezinkomba. Kunezifo eziningi ezibangelwa ukungasebenzi futhi azikwazi ukuqedwa ngosizo lwezokwelapha ezilungele ukwelashwa.
I-IVF: izinkomba nokuphikisana
Ngaphambi kokulungiselela ukusabalalisa okungekho emthethweni, kubalulekile ukuthola ukuthi yiziphi izimpawu ze-IVF. Izinkomba eziyinhloko ze-IVF:
- ukungabi nalutho okuphelele kwe-tubal (ukungabikho kokubili kwamatayipi amancane emva kokususwa kokusebenza);
- ukungabi nabantwana kwabesifazane emva kweminyaka engama-30 ababethelwa ngamatayipi angaphezu konyaka ngaphambi kwe-IVF;
- ukungabi namzimba okungapheli;
- i-endometriosis;
- ukungabi nalutho kwe-idiopathic emva kokuhlolwa okuphelele komtholampilo we-pair;
- isici samadoda (izibonakaliso ze-IVF - lokhu nokungasebenzi kwamadoda ngokungabi khona kwamandla wesilisa wesilisa ekukhuliseni).
Ezweni lakithi, abesifazane bangasebenzisa i-IVF yamahhala, kwi-quota federal ekhona ubufakazi. Ukuze uthole i-IVF yamahhala, izinkomba ezinkulu ziyi:
- ukungabi nabesifazane (ngokungabikho kwe-ovulation, umsuka we-tubal kanye nokungasebenzi kwe-idiopathic);
- ukungabi nabesilisa (kuphela uma kukhona ngesikhathi esifanayo ukungabi nabesifazane).
Ukwelashwa kwamadoda kuphela akukona ubufakazi ukuze kuqhutshwe i-IVF mahhala. Izimo zalo ngokusho kohlelo lwe-OMS ziyisifo sofuba, isisindo esisuka ku-50 kuya ku-100 kg, i-antimulylerov hormone kusuka ku-0.5 Ng / ml kuya ku-7 ng / ml, i-FSH engekho ngaphezu kwe-IU ngosuku lwesithathu lwesigodi kanye no-normospermia kumlingani wezocansi.
Ukuqhathaniswa kwe-IVF:
- izifo zomzimba nezingokwengqondo, lapho ukukhulelwa nokubeletha kunqatshelwe khona;
- ukungalungi kokubeletha kwamalungu omzimba wesifazane, lapho ukufakelwa nokubeletha okungenakwenzeka khona;
- izicubu ezinobuthi nezilimazayo zesisu kanye nama-ovari, noma yiziphi izicubu ezimbi nakakhulu ku-anamnesis;
- izinqubo ezivuthayo zokuvuvukala emzimbeni wesifazane kunoma yikuphi ukutholakala kwendawo.
Uma owesifazane ephethe i-fibromyoma, ngemuva kokususwa ngokushesha ngokushesha kwe-contraindication futhi i-IVF ingenziwa uma kunezinto eziyisisekelo kuzo.
Inqubo emfushane yokuqaliswa kwe-IVF
Kunezinhlobo zocwaningo ezenziwa ngaphambi kwe-IVF:
- Ezinyangeni ezimbalwa ngaphambi kwe-IVF, ukuhlolwa okuphelele kwesidoda sowesilisa kwenziwa, ama-smear angama-vagin, i-colposcopy, kanye nokwelashwa kwezinqubo ezivuthayo zokuvuvukala.
- Inyanga eyodwa ngaphambi kwe-IVF, isikhathi sesigaba se-follicular sinqunywe, isampula yegazi ithathwa nge-chromosomal, ukuhlaziywa kwe-immunological, amazinga e-hormone egazini, ukutholakala kwezifo ezibangelwa amagciwane, ukulungiselela umthambo wesimiso.
- Ngemuva kokunquma izinga le-estrogen, khuthaza i-ovulation ngaphansi kokuqondiswa kwe-ultrasound.
- Emva kokuvuselela, i-oocyte isiko lithathwa, amaqanda abonakala ngaphansi kwe-microscope.
- Bakhiqiza ucingo futhi balungiselela isidoda, engeza i-spermatozoa eyizinkulungwane ezingu-200-300 emaqanda owodwa okukhulelwa.
- I-embryo ifakwe amahora angu-40 kuya kwangu-50 kuya kwezigaba ezine.
- Dlulisa ama-embryos emangcwabeni ngokusebenzisa umsele womlomo wesibeletho kuze kube ngaphansi kwesibeletho.
- Besekela ukufakelwa kwe-embryo nge-progesterone therapy ngaphambi kweviki lama-20 lokukhulelwa.