Lidzawagwiritsenso: zofunika kwa makolo

Science yafika nthawi yaitali kuti atsale ake wolemekezeka kuthandiza anthu amene ali ndi mavuto ndi chonde. umuna mu njira m'galasi, kwambiri imadziwika monga lidzawagwiritsenso, anayamba kupanga m'ma 70 ntchentche wa XX atumwi. Komabe zinalephereka ndipo researches ikuchitika m'munda umenewu kwa zaka zambiri. Woyamba zalembedwa kubadwa kwa mwana cholandiridwa mwa m'galasi, kunachitika mu England mu 1978. Kuyambira pamenepo, mothandizidwa ndi mu m'galasi umuna kuyatsa chaka chilichonse pali zikwizikwi ana.

Ngakhale ziwerengero akulonjeza, osati onse ndondomeko akazi lidzawagwiritsenso angayerekezedwe cakewalk a. Pa njira awiri chandamale analoŵa mu m'galasi mimba, ayenera kugonjetsa zopinga zambiri. Akatswiri akuchenjeza kuti m'pofunika kukhala oleza mtima konse adatchithisira manja. Pano pali zina zofunika muyenera kudziwa ngati mukuganiza mu m'galasi umuna ndondomeko monga mwayi weniweni wokhala ndi pakati.

Kodi lidzawagwiritsenso?

Kulankhula kwa akazi amene kale mwa ndondomeko imeneyi ndipo udzapeza ndemanga osiyana kwambiri. Wina akhoza kukuuzani kuti ndi chozizwa, pamene ena akuchenjeza kuti mankhwala sapereka wosatsimikizika. Ndi pamaso kuchita nokha yankho, muyenera kudziwa momwe ntchito. Akatswiri mu umuna m'galasi pambuyo njira zonse zoyenera kukonzekera ndi kuwunika akuyamba mpanda mazira a mkazi. Nkhanizi kumtundu kenako kuti umuna ndi umuna wa munthu kunja kwa thupi la wodwalayo. Pali njira ziwiri za umuna. M'nthawi othandizira pa dzira anaika umuna, chimake chachiwiri ndi mfundo khalidwe ndi opangidwa ndi intracytoplasmic jekeseni umuna. Ngati umuna ndi bwino, mazira analandira chifukwa, ndi moyang'aniridwa ndi achipatala. Mabukuwa wakula zasayansi kwa malire ena. Mu ziyenera a mtundu wa mazira ndi ikuchitika nthawi imeneyi. Ndiyeno yekha iwo anasamutsa mu chiberekero cha wolandira.

Kuti timvetse ndondomeko?

Pali zifukwa zingapo enieni mabanja kapena amayi osakwatiwa funika njirayi. Malinga ndi kafukufuku, mu United States yekha, chimodzi mwa zisanu ndi zitatu awiri American ali ndi mavuto ndi osabereka. Lidzawagwiritsenso analimbikitsa awiriawiri, imene wina akudwala vutoli m'thupi, ngati otsika wamwamuna achiyesa umuna mu akazi anasonyeza kuchuluka otsika umakakumana ndi mazira kapena chiberekero. njira Zimenezi zikusonyezedwa osabereka wamwamuna kapena chifukwa mavuto ena ndi ubereki kuchititsa movutikira pathupi. Komanso, pali gulu la anthu amene muyenera mazira. Mwachitsanzo, angakhale anthu amene akhala akukonza mankhwala khansa, kapena munthu amene akudwala lupus. Ndipo, ndithudi, pakati pa mayeso chubu ndi thandizo kwa umuna mwiniwake dzira ndi mabanja omwe ali ndi mwamuna mnzake.

siteji kukonzekera

Malinga Sueldo Carolina, katswiri wa endocrinology ubereki, osabereka ku Miami, njira zonse za lidzawagwiritsenso mankhwala mpaka miyezi iwiri. timescale Izi zingasiyane malingana ndi kulolerana wa mankhwala osiyanasiyana. Pamaso pa mazira ndi podsazheny kwa inu m'mimba, inu umayenera kudutsamo magawo ambiri a pokonzekera ndondomeko. Chinthu choyamba kumafuna yimitsira wa mkombero zachilengedwe kusamba. Izi zikutanthauza mukuyembekezera jakisoni timadzi tsiku. ulamuliro m'thupi, zambiri kumatenga masabata ochepa. Chotsatira ndi yamchiberekero kukondoweza. Pakuti mkombero wina chibadwidwe akazi kupereka mazira oposa awiri (zambiri imodzi). Pakuti zabwino lidzawagwiritsenso zakuthupi si kokwanira.

Kukondoweza cha kukula kwa mazira

Kukondoweza komanso amapereka oyamba kukonzekera m'thupi, mwachitsanzo follikostimuliruyuschego pituitary timadzi. Zimenezi zosamala madokotala kuonetsetsa kukula moyenera oocytes. Ndipo kamodzi zinthu zapsa, izo zidzachotsedwa mazira a. Izi zimachitika ndi maola 34-36 pambuyo jekeseni wa chorionic anthu gonadotropin. Akatswiri pambuyo dzira katengedwe yomweyo manyowa iwo, ndipo kenako kubereka nthawi zonse kulamulira khalidwe. Kamodzi yabwino ya mazira yotheka amasankhidwa, iwo anakhala pansi mu chiberekero mkazi. Malingana ndi madokotala, iyi ndi yosavuta ndondomeko kuti sikutanthauza ochititsa dzanzi. Mazira anayikidwa mu catheter zofewa, natisunthitsa mu chiberekero kudzera pa khomo pachibelekeropo.

Mphamvu ya lidzawagwiritsenso

Mwina zonsezi mwai chadzidzidzi madokotala ndi thupi la mkazi, inu kuganiza za dzuwa mkulu wa njira imeneyi. Komabe, lidzawagwiritsenso sapereka ukutitsimikizira. Zachitikiranji zimenezi? Mwatsoka, pali sadziwa thunthu ndi Maphunziro Akakhalidwe Kazolengedwa. Nthawi zina thupi wamkazi kotero capricious (makamaka pankhani ya kukhalapo m'menemo za thupi yachilendo) chofunika filigree mwatsatanetsatane njira mawerengedwe pakati pa masitepe. Dziko mlingo bwino za 30 peresenti. Komabe, ambiri ankalemekeza zipatala pamaso kwambiri luso akatswiri Mwina ziyende bwino, monga ulamuliro, ndi kawiri.

Ndi zaka, chindichepere mwayi kupambana

Dziwani kuti m'zaka zingapo zapitazi, zizindikiro za bwinobwino mu m'galasi umuna mankhwala kwambiri kuchuluka. Komabe, madokotala akadali nawo angapo zopinga, omwe amagwira ntchito yofunika m'badwo mkazi. Kuchokera pa ziwerengero kuyambirira, ichi ndi zifukwa zina, akatswiri amamasulira chigamulo ngati mankhwala ayenera kupitiriza kapena ayi.

chifuniro yaitali bwanji njira?

Bwino lidzawagwiritsenso kumatengera zifukwa zambiri, kotero Supeza ziwerengero mmene njira zambiri adzafunika munthu weniweni. Anthu ena amathera ochepa zoyesayesa zinalephereka, koma ena amagwira ntchito nthawi yoyamba. Pali ziwerengero wamakani pa njira kale udzatha, omwe pafupifupi amapereka kuyesetsa kupeza pakati pa akazi pa zaka 40. Malinga ndi kafukufuku zopezera 2014, pafupifupi chiwerengero cha m'zinthu chifukwa mimba, zosiyanasiyana malinga ndi zaka mayi.

Akazi achikulire pansi zaka 35 anali ndi lidzawagwiritsenso bwino peresenti 42,6 milandu. akazi 44 wazaka nawo mwayi wochepa kwambiri kupambana - peresenti 2,7 yokha ya kulemera okwana obwera ndi. Ndicho chifukwa dokotala yomweyo kuchenjeza makasitomala awo kuti sitiyenera kuyembekezera 100 peresenti dzuwa. Ngati inu kubwera ku phwando, mudzakhala analidziwitsa kuti lidzawagwiritsenso - njira kuyeserera kangapo. Akatswiri simungathe kudziwa pasadakhale mmene thupi lanu angachite kuti kumayambiriro mankhwala a. Only pamene muyamba chithandizo, mukhoza kutenga zolosera choyamba.

kuopsa

Monga ndondomeko zina chamankhwala, lidzawagwiritsenso ana amakumana ndi mavuto ambiri, mavuto ndi zosokonezeka. Choyamba, zosokonezeka zitheka mukamafinya mazira kuchokera mazira a. Pambuyo podsazhivaniya mazira zotheka ectopic pregnancy, yamchiberekero hyperstimulation syndrome ndi ntchito msanga. Wina vuto ambiri mwa amayi apakati ndi mimba. Choncho, n'kofunika kugwiritsa ntchito mazira watsopano, kotero kuti thupi ankakhulupirira kuti iwo chitakhazikitsidwa m'mimba mwa njira yachibadwa. Malinga ndi kafukufuku, pafupipafupi padera ndi apamwamba kwambiri pa nkhani ya insemination, mazirawo ntchito.

Ndipo, ndithudi, ngozi yaikulu mu padera zaka mkazi. Ngati ife kulankhula za mavuto chifukwa cha mankhwala osokoneza bongo, ndiye pali "mwa mpikisano" timadzi kukonzekera "Clomid" imene imapangitsa zochita kwambiri chowawa.

Kukonzekera zochokera progesterone kuyambitsa maganizo thupi. Choncho, ngati muli zina nkhawa gawo lirilonse la mankhwala, muyenera auzeni adokotala anu.