IVF (in vitro fertilization): yintoni kwaye yenziwa njani

Umxholo

• Xa kubonisiwe
• Kwenziwa njani
• Umngcipheko ophambili wokuchumisa i-In vitro

Ukuchumisa i-In vitro, ekwabizwa ngokuba sisifinyezo se-FIV, yindlela yokuncedisa yokuzala equkethe ukuchumisa kweqanda isidoda elabhoratri, emva koko sifakwe ngaphakathi esibelekweni, kwaye zonke iinkqubo zenziwa kwiklinikhi yokuzala, ngaphandle kwezokwabelana ngesondo. ukubandakanyeka.

Le yenye yezona ndlela zixhaphakileyo ezisetyenziswayo zokuncedisa ekuveliseni kwaye zinokwenziwa kwiiklinikhi zabucala nasezibhedlele nakwi-SUS, kubonisiwe kwizibini ezingakwaziyo ukukhulelwa ngokuzenzekelayo kunyaka omnye wokuzama ngaphandle kokusebenzisa iindlela zokuthintela ukukhulelwa.

Xa kubonisiwe

Ukwenza ukuchumisa i-In vitro kuyabonakaliswa xa abasetyhini benotshintsho kumanina okuphazamisa ukuvuthwa okanye ukuhamba kwamaqanda ngemibhobho. Ke, ngaphambi kokuba obu buchule bokuzala buvezwe, kwenziwa iimvavanyo zokuchonga unobangela wobunzima bokukhulelwa kwaye, ngenxa yoko, ugqirha angabonisa olona nyango lufanelekileyo.

Nangona kunjalo, ukuba ukukhulelwa akwenzeki nasemva konyango oluboniswe ngugqirha wezifo zabasetyhini, okanye xa kungekho lonyango lotshintsho oluqwalaselweyo, ukuchumisa i-In vitro ingabonakaliswa. Ke, ezinye zeemeko apho ukuchumisa i-In vitro Ingathathelwa ingqalelo yile:

• Ukulimala kwesifo sephepha;
• Ukunamathela kakhulu kwe-pelvic;
• Isalpingectomy yamazwe amabini;
• Ulandelelwano lwezifo zentsholongwane;
• Ukumodareyitha ukuya kwi-endometriosis ebukhali.

Ukongeza, ukuchumisa i-In vitro Ingabonakaliswa nakwabasetyhini abangakhange bakhulelwe emva kweminyaka emi-2 ye-salpingoplasty okanye apho isithintelo se-tubal sihlala emva kotyando.

Kwenziwa njani

IVF yinkqubo eyenziwa kwiklinikhi yokuncedisa ukuvelisa eyenziwa kwezinye izigaba. Inyathelo lokuqala liqukethe ukukhuthaza ii-ovari ukuze amaqanda aneleyo aveliswe ngokusetyenziswa kwamayeza. Amaqanda avelisiweyo emva koko aqokelelwa ngumnqweno ongaphandle kunye ne-ultrasound aze athunyelwe elebhu.

Inyathelo elilandelayo kukuvavanya amaqanda ngokubhekisele ekusebenzeni kwawo kunye nokuba kunokwenzeka kokuchumisa. Ke ngoko, emva kokukhethwa kwamaqanda abalaseleyo, amadlozi aqala nokulungiswa, kukhethwa isidoda esisemgangathweni, oko kukuthi, abo banesimo esifanelekileyo, amandla kunye ne-morphology, kuba ngawona akwaziyo ukuchumisa iqanda ngokulula ngakumbi.

Emva koko, isidoda esikhethiweyo sifakwa kwiglasi enye apho amaqanda abekwa khona, emva koko ukuchunyiswa kwamaqanda kubonwa ngexesha lenkcubeko ye-embryonic ukuze kufakwe embryus enye okanye nangaphezulu kwisibeleko sowasetyhini, kunye nokuzama ukumiliselwa. kufuneka yenziwe ngugqirha wezifo zabasetyhini kwiklinikhi yokuncedisa yokuzala.

Ukuqinisekisa impumelelo yonyango emva kweentsuku ezili-14 ze-IVF, kufuneka kwenziwe uvavanyo lokukhulelwa kwekhemesti kunye novavanyo lokukhulelwa ukulinganisa isixa se-beta-HCG. Malunga neentsuku ezili-14 emva kolu vavanyo, uvavanyo lwe-ultrasound lwangaphantsi lunokwenziwa ukuvavanya impilo yowasetyhini kunye nombungu.

Umngcipheko ophambili wokuchumisa i-In vitro

Enye yeengozi eziqhelekileyo zokuchumisa i-In vitro kukukhulelwa kwamawele ngenxa yobuninzi beembumba ngaphakathi kwesibeleko sowasetyhini, kwaye kukho umngcipheko okhulayo wokuqhomfa okuzenzekelayo, kwaye ngenxa yesi sizathu ukukhulelwa kufuneka kusoloko kuhamba nengcali yokubelekisa kunye nogqirha okhethekileyo ekuncedeni ukuzala.

Ukongeza, ezinye iintsana ezizalwe ngeendlela ze-in vitro fertilization zinomngcipheko ophezulu wokuba notshintsho olunjengeengxaki zentliziyo, imilebe yomlebe, utshintsho kwi-esophagus kunye nokungalunganga kwi-rectum, umzekelo.