Ba a yin haɗin gizon-in-vitro ga dukan mata masu fama da rashin haihuwa, amma bisa ga alamu. Akwai wasu cututtuka wadanda ke haifar da rashin haihuwa kuma ba za'a iya kawar da su tare da taimakon magungunan ra'ayin mazan jiya ba.
IVF: alamomi da contraindications
Kafin yin shirye-shiryen maganin kwari, yana da kyau a gano abin da alamun ke yi na IVF. Babban alamomi ga IVF:
- cikakke tubal rasa haihuwa (rashin duka fallopian shambura bayan da aiki kau);
- rashin haihuwa a cikin mata bayan shekaru 30 da suka yi amfani da roba na tubes na fallopian fiye da shekara guda kafin IVF;
- immerlogical infertility;
- endometriosis;
- rashin jin daɗin ciki na idiopathic bayan binciken cikakken jarrabawa na biyu;
- namiji factor (alamomi ga IVF - wannan kuma namiji rashin haihuwa ba tare da samuwa na namiji namiji zuwa hadi).
A} asarmu, mata za su iya amfani da IVF kyauta, a fannin tarayya don abin da akwai shaidar. Don samun kyautar IVF kyauta, alamun sune:
- ƙananan mace (ba tare da jima'i ba, asalin tubal da rashin haihuwa);
- namiji rashin haihuwa (kawai idan akwai a cikin lokaci mata haihuwa).
Sai kawai namiji mara haihuwa bai riga ya kasance shaida ba don kyautar IVF kyauta. Yanayin shi bisa ga shirin OMS shine rashin haihuwa, nauyin daga 50 zuwa 100 kg, hormone antimulylerov daga 0.5 ng / ml zuwa 7 ng / ml, FSH ba fiye da 15 IU a kan 2-3rd rana na sake zagayowar da kuma normospermia a cikin abokin tarayya.
Contraindications zuwa IVF:
- cututtuka na jiki da ta shafi tunanin mutum, wanda ciki har da ciki da haihuwar su an hana su;
- nakasar haihuwa na jikin mata na mace, wanda ba a iya ginawa ba kuma tayi ciki;
- m da ciwon ciwace ƙwayar cuta daga cikin mahaifa da ovaries, kowane mummunan ciwace-ciwacen magunguna ko da ma a cikin motsi;
- m ƙwayoyin ƙullun ƙwayoyin jiki a jikin mace na kowane harshe.
Idan mace tana da fibromyoma, to, bayan da ta cire ta da sauri sai a janye shi kuma a iya yin FF IV idan akwai kayayyaki na asali.
Tsarin doka na IVF
Akwai wasu binciken da aka yi kafin IVF:
- Bayan 'yan watanni kafin IVF, cikakken jarrabawar kwayar mutum ta yi, smears, da kuma maganin tsarin ƙwayoyin ƙwayoyin cuta.
- Wata daya kafin IVF, tsawon lokacin ƙaddarar ya ƙayyade, ana ɗaukar samfurin jini don chromosomal, bincike na immunological, matakan hormone cikin jini, gabanin cututtukan cututtuka, shirye-shirye na al'adar embryo.
- Bayan kayyade matakin estrogen, ya karfafa kwayar halitta karkashin kulawar duban dan tayi.
- Bayan motsa jiki, ana daukar al'adun odacyte, an gano qwai a ƙarƙashin microscope.
- Suna samar da shinge da shirya sperm, ƙara 200-300 dubu spermatozoa zuwa daya kwai ga hadi.
- An amfrayo da amfrayo na tsawon 40-50 zuwa hudu.
- Canja wurin embryos na catheter ta hanyar canji na kwakwalwa zuwa kasa na mahaifa.
- Suna tallafawa ginin embryo tare da farfadowa na ci gaba kafin zuwan 20 na ciki.