Mphamvu ya IVF kupambana

Banja lirilonse, lomwe limakhala ndi chiyembekezo chachikulu pa IVF, limafuna kupeza zotsatira pa kuyesa koyambirira. Mpata wotero umakhalapo. Kawirikawiri, malinga ndi chiŵerengero, 50% mwa mavitamini operekera mavitamini ndi opambana. Komabe, chiwerengerocho chimadalira zinthu zambiri, monga umoyo wa abambo ndi amai, kotero njira yoyenera yophunzitsira ndi akatswiri a madokotala. Ndiyeneranso kulingalira za chilengedwe: ngakhale ndi feteleza, chidziwitso cha mimba sichifanana ndi 100%. Kawirikawiri, mkazi wokhala ndi thanzi labwino amatha kuchita msambo pamene mapuloteni aang'ono omwe amawoneka kuti sangathe kugwira ntchito mokwanira ndikupanga mazira abwino omwe amatha kupanga umuna.

Tiyeni tione mwatsatanetsatane zifukwa zomwe zimayambitsa zotsatira zabwino za IVF koyamba.

Zaka za amayi oyembekezera

Physiologically, thupi lachikazi limakonzedwa motero kuti, pambuyo poletsa kupitirira kwa zaka 35, chiwerengero ndi ubwino wa maselo obereka amabwera kuchepa. Malingana ndi chidziwitso cha boma, mimba yobadwa imapezeka malinga ndi zaka zotsatilazi:

• Kuyambira zaka 35 mpaka 37 - mu 30%;
• Zaka 38 - 41 - 20%;
• 42-45 zaka - mu 5%.

Choncho, ndibwino kuti musayambe kupititsa patsogolo njira ya IVF, zipangizo zamakono zamakono zimaloleza kufalitsa mazira omwe agwiritsidwa ntchito pakapita nthawi, ngakhale wodwalayo ali ndi zaka zoposa 40. Komabe, nthawi yoberekera yobereka si chifukwa chokhulupirira kuti kuyesa koyambirira kwa IVF sikungakhale kovuta, mwayi wa kuyesa koteroko ndi wochepa kuposa wa atsikana aang'ono.

Nchiyani chimayambitsa infertility?

Pali zifukwa za akazi ndi amuna. Chodabwitsa kwambiri ndi cha maanja, pomwe thanzi la mayi wamtsogolo liri bwino, koma abambo ake ali ndi ntchito zochepa kapena nambala yochepa ya spermatozoa. Pachifukwa ichi, madokotala amalimbikitsa kugwiritsa ntchito IVF ndi ICSI pamene umuna umayikidwa ndi singano yapadera mu thupi la dzira. Zimakhulupirira kuti nthenda ya umuna mu njirayi ndi yamtali kuposa ena onse ndipo nthawi zambiri imagwira ntchito kuyambira nthawi yoyamba.

Komanso, amayi omwe ali kale ndi ana mwachibadwa kapena kuchokera ku IVF apitalo amakhala ndi mwayi waukulu, pamtundu wotero "kusabereka kwachiwiri" kumapezeka. Zotsatira zabwino zoyesayesa zoyambirira zikhoza kuyembekezera ngati chitetezo cha mitsempha yamtundu kapena kusowa kwawo.

Mavuto ovuta kwambiri ndiwo kukhalapo kwa endometriosis, zomwe zimapangitsa kuti mphuno zichepetse, kutayika kwa makhalidwe awo, chifukwa chakuti mwanayo sangathe kugwirizana ndi chiberekero. Choncho, kuyambilana koyamba ndi chithandizo cha makolo am'tsogolo n'kofunika, kuti athe kuchepetsa zonse zomwe zingayambitse kulephera. Zikutheka kuti n'kosatheka kutenga mimba chifukwa cha zamoyo zamtunduwu, mwa izi ndi zofunikira kuwerengera 3-5 "kubwezeretsa".

Kuchita zamakhalidwe a anthu azachipatala

M'magaziniyi, pafupifupi 50% ya kupambana zimadalira ziyeneretso za madokotala. Pofuna kutsimikiza kuti njirayi ikhale yodalirika, iyenera kukhala yokonzedwa ndi aliyense payekha:

• Kuchita kafukufuku wambiri, yang'anani mavuto osati ndi chiwalo chogonana, komanso matenda okhudzana;
• Pezani chithandizo choyenera cha matenda omwe alipo;
• Onetsetsani kuti puloteni yabwino kwambiri mu vitro feteleza;
• Mwachidziwitso, ndondomeko yowonjezera dzira kuchokera ku phwangwala yakucha, ndipo patatha masiku angapo - amasamutsidwa pachiberekero.

Gawo lofunika kwambiri pakukonzekera ndilo tanthauzo la mahomoni, omwe ndi zizindikiro monga AMG, FSH ndi LH. Iwo amangouza madotolo dongosolo lovomerezeka la protocol, koma amaperekanso mwayi wofufuza momwe angapangidwire. Mwachitsanzo, pamene munthu akudwala matenda a hyperprolactinemia kwa odwala, hypo-hyperthyroidism, IVF ikhoza kukhala yopanda ntchito kapena ngakhale kugwira ntchito ngakhale patapita nthawi zingapo.

Kuwonjezera apo, ma laboratori ayenera kukhala ndi zipangizo zatsopano zamakono, kumene kuli kotheka kuchita feteleza, kuyesa pasadakhale ubwino wa mazira ndi kuthekera kwawo kukula.

Kawirikawiri, m'pofunika kumvetsetsa kuti chiwalo chilichonse chili chokha, komanso momwe njira zonse zofunika pakuyambira pakati pa mimba ndi chitukuko cha mwana chidzangodalira paokha. Nthawi zambiri zolephereka zingayambitse nkhawa, zakudya zoperewera bwino, zovuta zachilengedwe, komanso mayi atatulutsa mazira sangagwirizane ndi malingaliro onse, zomwe zingayambitse kusayesa.

Kuonjezerapo mwayi, nkofunikira kutsata ndondomeko zonse za akatswiri, kumvetsetsa momveka bwino gawo lililonse la mavitamini okhudzana ndi umuna komanso, ndithudi, chikhulupiliro chakuti zonse zidzachitikadi. Ndipo ngati simunapite nthawi yoyamba, ndiye kuchokera pa yachiwiri kapena chachitatu!

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