I-vitro fertilization, eco kumjikelezo wemvelo

NgoJulayi, umntwana wokuqala wehlabathi kwi-tube test - uLouise Brown - waba neminyaka engama-32 ubudala. UBrithani ufanele azalwe kuye ootata - i-embryologist uRobert Edwards kunye nomzimba wezifo zengqondo uPatrick Steppe. Bahlakulele iteknoloji ye-eco (in vitro fertilization), eyanika ubomi abangaphezu kwezigidi ezi-2 zezingane. I-vitro fertilization, i-eco kumjikelezo wemvelo - ayisekho iindaba kwixesha lethu.

"Ukungenanto" igama elibi

Namhlanje e-Ukraine, ileyibhile "ukungabi nantlungu" kuyo yonke ididi yesine. Oogqirha bakholelwa ukuba xa umfazi engakhulelwa ngexesha lonyaka kunye noqhelwano oluqhelekileyo ngaphandle kokukhuselwa, sekuyisikhathi sokuqala uviwo kunye nonyango lwababini bomtshato. Iinyanga ezili-12 azikho ixesha elingalindelekanga: iinani libonisa ukuba kwisithathu sesibini sempilo enesibini ephilile ngaphandle kweenyanga zokuqala, ngaphandle kwe-contraceptive, enye i-60% - ngeesisixhenxe ezizayo, i-10% esele - emva kwe-11-12. "Kodwa thina, oogqirha, asiyithandi igama elithi" ukungabikho. " Sithanda ukuthetha "ukukhubazeka okwethutyana," kuba amaninzi amaxesha oogqirha banakho ukukwazi ukulungisa. " Ngenxa yoko, kukho indlela ye-IVF. Ingundoqo yayo - ukunika ithuba lokuhlangabezana neqanda kunye nesidoda, kunye nombungu obangela ukuba ubeke kwisibeleko somfazi. Makube nokukhula njengemvelo yendalo. Kodwa kusengaphambili kuyimfuneko ukuhamba ngezigaba eziliqela zoviwo - emva koko, abazali balindele umntwana ophilileyo, kwaye oko kuyimfuneko ukuba bobabini nonina baphilile.

Uviwo oluyimfuneko

"Xa isibini esitshatileyo sisithetha nathi, siqale sihlolisise indoda. Ukuba imbangela yokungakwazi ukukhulelwa kusemzimbeni wakhe, izenzo ezingakumbi ziza kubhekiswa kwisebe elizayo. Ukuba kulungile kuye, into elandelayo yenkcazelo yethu iba ngumfazi. " Ukuxilongwa komntu: izifundo zofuzo (ngo-30% wamadoda aphethwe yintsholongwane, afumana ukuphazamiseka kwemfuza okuphazamisa ukukhulelwa); i-spermogram (uqikelelo lobungakanani kunye nomgangatho we-spermatozoids) - kuyinto enqwenelekayo ukwenza oku ngaphantsi kwesithathu kwi-laboratory efanayo; I-scrotum yase-US (ingaba kukho ukungaqhelekanga komzimba); ukuhanjiswa kwee-smears ezivela kwi-urethra yezifo; Iimviwo zeemodem. Ukuxilongwa komfazi: ukuhlalutya kwe-hormone (yile nqanaba le-hormone yesini). ukunika i-smears ukusuka kwisisu ngenxa yezifo; I-ultrasound ye-uterine cavity; uxhumano lwe-sperm kunye ne-mucus yomlomo wesibeleko (ingaba iiseliti zithengiswa kuyo); tshekisha ubuchule beembalo ze-fallopian (ngoncedo lomthombo ochaseneyo, ojoyiweyo kwisibilini se-uterine).

Ukungqinelana kwi-IVF

Izifo zengqondo kunye neengqondo, apho ungakwazi ukuzala.

• Uphuhliso olusakhulayo okanye oluthe lwafunyanwa okanye olwenziwe ukukhubazeka kwesigxina sezilwane, okwenza kube nzima ukuvelisa imbungu.

• Izibilini zesisu kunye namaqanda.

• Ukuvuvukala ngokugqithisileyo kwezitho zangasese.

Yintoni ephosakeleyo?

Namhlanje, oogqirha banokuphulwa malunga no-32 emzimbeni wamadoda nabasetyhini abangavumeli ukuba isibini sibe nabantwana. Kodwa zonke ziyazalana ngenye indlela kwiimeko ezintlanu zokukhulelwa: umfazi kufuneka abe ne-ovulation (1 iqanda ngaphandle kobuqili). Umlomo wesibeleko kufuneka ungabi ncitshitshisiwe, weqa isidoda. I-tube fallopian (ubuncinane omnye) kufuneka ibe khona kwaye idlulele ukwenzela ukuba intlanganiso yeqanda kunye ne-spermatozoon iyenzeka. I-uterus ye-mucous (okanye i-endometrium) ifanele ibe yimigangatho ephakamileyo, ukuze i-embryo inamathele eludongeni lwesisu kwaye iqhube phambili. I-Spermatozoa kufuneka ibe nokuhamba ngokusebenzayo (ubuncinci isiqingatha kubo) kunye nesixa-mali-kungeyi ngaphantsi kwe-5-10 yezigidi kwi-1 ml yesidoda. Ukuba ubuncinci kule miqathango ayifumanekanga, oogqirha banokuncoma i-IVF.

Ukulungiselela

Umhla wesi-6-11 womjikelezo wesini - hlola imeko yesibindi (indawo yokunamathiselwa kwemibusi) kunye nobukho bokungalungi ukulungiswa kwazo (kule nto kuxhomekeke ekusebenzeni ngokuphumelelayo ukukhulelwa nokuzala komntwana). Ngomhla wama-19-24-umfazi uzisa zonke izatifikethi ngeziphumo zophando loogqirha: i-gynecologist, i-therapist, i-infectiologist, i-mammologist. Oogqirha bahlola imeko ye-uterus baze bajobe iyeza elingaqulunqanga umgaqo we-omones. Emva kweveki ezimbini - i-ultrasound ye-uterus nama-ovari. Emva koko iziyobisi kunye ne-FSH (i-follicle stimulating hormone) zixhunyiwe ukukhuthaza ukukhula kobugqwetha kwiiyunithi kwiintsuku eziyi-12-14. Kulo lonke ixesha, oogqirha bajonga ukukhula kwabo ukuguqula umthamo weziyobisi. Emva kweentsuku eziyi-12-14 - usuku lokunyulwa kweeqanda lonyulwa. Ngaphantsi kwe-anesthesia jikelele, ibhinqa lihlaywe ngodonga olusecaleni lomfazi, inaliti encinci ngaphandle kokusikwa kwesisu isathathwa kwizinto ezilandelwayo kwiifollicki kwaye ngaphantsi kwe-microscope bajonga iqanda kwi-follicular fluid.

Ihora X

Iqanda libekwe kwikomityi ekhethekileyo kunye ne-liquidity simulating ye-tube uterine. Esi sikheji sifakwa kwindawo yokufakelwa i-incubator apho ukushisa kugcinwa rhoqo kwi-37 ° C, kwaye i-liquid iyagciniswa ngakumbi ne-carbon dioxide, njenge-carbonated (ukufanisa umthamo wegazi lomntu). Emva koko le ndoda inika phezu kwesidoda, apho oogqirha baphatha izisombululo ezizodwa kwiiyure ezimbini (ukuba zonke izidumi zisebenza, kunye nenani labo - lingekho ngaphantsi kwesiqhelo). Ukuba isibalo sabasilisa siqhelekile, le ngxube iyongezwa kwiqanda. Ukuba kwenzeka ukuba akukho zityalo ezaneleyo, oogqirha ngenjongo yokwazisa omnye kuphela, onamandla kwaye onempilweni (ukutshatyalaliswa ngokwaneleyo kwodonga lwawo ngenaliti encinci). Isitya kunye neeseli zibuyiselwa kwi-incubator kwaye emva kweeyure eziyi-16 ukuya kwe-18, i-zygote yenziwa - 2 i-nucleoli, indoda kunye neyesetyhini, nganye iqukethe i-chromosomes ezingama-23. Zidibanisa, kwaye ukuba ubuncinci bodwa buncinci - buninzi bentsholongwane, kubalulekile ukuphinda uphinde uzame. Kwaye i-X-hora: ngosuku lwesi-2-2 i-embryo kunye neeseti ze-4 okanye ezithandathu zekhwalithi ephezulu zihanjiswe kwisibeleko nge-catheter. Oku kwenziwa ngaphandle kwe-anesthesia, kuba inkqubo ayizintlungu kwaye ayithathi ngaphezu kwemizuzu emi-5-10. Ngelo xesha, ibhinqa elisezantsi kwisihlalo somzimba, sinokubona yonke inkqubo kwinkqubo yesikrini. Ama-embrosi aphezulu aphephelwa nge-nitrogen e-liquid kwiqondo lokushisa -196 ° C - ngokukhawuleza i-steam iya kubuyela kwakhona. Kwiiveki ezimbini kamva, lo mfazi ufumana uvavanyo lokukhulelwa kwaye, xa kunenhlanhla, uza kwikliniki emva kweeveki ezimbini emva koko ukuba afune ukuba ingaba umbungu unamathele. Oko, ngokwenene, kunye nenkqubo yonke ye-IVF. Ubunzima bokukhulelwa ngu-52-72%. Ngaba kunzima? Kakade! Kodwa umphumo - usapho olonwabileyo-lufanelekile.

Akuyena wonke umntu othobelayo ... ukukhulelwa

"Ukuba kukho iingxaki ngokukwazi ukukhulelwa, kuyacetyiswa ukuba ibhinqa liye eklinikhi iminyaka engama-35. Inyani yinto yokuba abesetyhini abaneminyaka emininzi ubudala ubudala, bangaphi kuye. Kulo lonke ixesha, umgangatho wabo uhlahloka ngenxa yeenguqu ezinxulumene neminyaka, imvelo engalunganga, imikhwa emibi, izifo, ukunyakaza okungafanelekanga kunye nokutya. " Ixesha elihle kakhulu lokukhulelwa liyiminyaka engama-20-35. Emva kweminyaka engama-35, amathuba okukhulelwa umntwana aphindwe kabini, kwaye emva kweminyaka engama-40 - kuphela i-15-20% yamathuba okukhulelwa. Amadoda ayengumngcipheko: i-spermatozoa yabo ihlaziywa rhoqo kwiintsuku ezingama-72 (le ngqungquthela ibizwa ngokuba yi-spermatogenesis). Ngoko ke, kwimeko yobudala obukhulu kakhulu, i-macho yethu inokubonelela ngemveliso esemgangathweni.

Capital Life

Abanye abafuni ukulinda kude kube yiminyaka yobudala, becinga ukuba imbewu yabo ibe yinkunzi, kwaye bayenza okulungileyo: indlela encinci inobomi obulungele ngayo! I-Sperm (kunye neqanda, nayo) inokuqhwala ukuya kwiminyaka eyi-10 okanye ngaphezulu. Iintlawulo zezenzo ezinjalo zibonakaliswa nguNgesikazikazi u-Diana Blood. Xa wayeneminyaka engama-29, waba ngumhlolokazi, kodwa emva kweminyaka emine, ngenxa yempahla enqabileyo yembewu, umlingane wazala unyana, kwaye emva kweminyaka emithathu-yesibini. Ngesicelo sikaDiana, inkundla yaseBrithani yafumana ukuba abantwana babesemthethweni, nangona uyise wayesefile. Abantu baseYurophu ngokubanzi basebenzisa elo thuba ukugcina amaqanda abo atyunyiwe ngenjongo yokungaxhatshazwa kwaye, ngokubaluleke kakhulu, ukhetho olufanelekileyo lweqabane. Uninzi lwabantu baseBelgien abahlolisiswe ngaphambi kokuba baneminyaka engama-38 bayixelele ukuba oku kubanika ithuba lokuzimela ngokuzimeleyo kwaye bangahambi ngokukhawuleza nomtshato.