Ukwenziwa kochumiso nge-vitro akukwenziwanga kubo bonke abafazi abanesifo sokungabikho, kodwa ngokungqongqo ngokwemiqondiso. Kukho isibalo sezifo ezibangela ukungabikho komntwana kwaye asinakupheliswa ngoncedo lwonyango olukhuselekileyo nolunyango.
IVF: izibonakaliso kunye nokuchasene
Ngaphambi kokulungiselela ukuchithwa kwempahla, kubalulekile ukufumanisa ukuba zeziphi izibonakaliso ze-IVF. Iinkalo eziphambili ze-IVF:
- ukungabi nantathu (ukungabikho kwezibini zombini emva kokususwa kwazo);
- ukungabi nantlupheko kwabasetyhini emva kweminyaka engama-30 ababethelwa ngamathambo angaphezu konyaka ngaphambi kwe-IVF;
- ukungabikho komzimba;
- endometriosis;
- ukungazinzi emva kokuhlolwa ngokupheleleyo kweklinikhi yebini;
- into ebalulekileyo yindoda (izibonakaliso ze-IVF - oku kunye nokungabikho komntu ekungabikho kobuchule bendoda yesilisa ukukhulelwa).
Elizweni lethu, abafazi banokuxhamla kwi-IVF yamahhala, kwi-quota federal apho kukho ubungqina. Ukufumana i-IVF yamahhala, izibonakaliso eziphambili zi:
- ukungabikho komfazi (ekungabikho kwe-ovulation, imvelaphi ye-tubal kunye ne-idiopathic infertility);
- ukungabi namntwana (kuphela ukuba kukho ngexesha elifanayo lokungabikho komntwana).
Ukuphela kokusweleka kwesilisa akusekho ubungqina ukuze kuqhutywe i-IVF ngaphandle kwentlawulo. Imiqathango yalo ngokwemiqathango ye-OMS yi-tubal yokungasebenzi, isisindo esisuka kwi-50 ukuya kwi-100 kg, i-antimulylerov hormone ukusuka kwi-0.5 ng / ml ukuya kwi-7 ng / ml, i-FSH engekho ngaphezu kwe-15 ye-IU ngomhla wesi-2-3 womjikelezo kunye ne-normospermia kwiqabane lesini.
Ukungqinelana kwi-IVF:
- izifo zengqondo nezengqondo, apho ukukhulelwa nokubeletha kunqatshelwe;
- ukungasebenzi komntwana wesitho somzimba wesini, apho ukufakelwa kunye nokuthwala kwe-fetus akunakwenzeka;
- izicubu ezinobungozi kunye nezibi zesisu kunye namaqanda, naziphi na izihlamba ezibi nakwi-anamnesis;
- iinkqubo ezivuthayo ezinomzimba kumfazi wesiphi na indawo.
Ukuba ibhinqa ine fibromyoma, emva kokutshatyalaliswa kwayo ngokukhawuleza ukukhishwa kwe-contraindication ihoxiswe kwaye i-IVF ingenziwa xa kukho izinto ezisisiseko.
Imigaqo emfutshane yokuphunyezwa kwe-IVF
Kukho inani lophando olwenziwa ngaphambi kwe-IVF:
- Kwiinyanga ezimbalwa ngaphambi kwe-IVF, uvavanyo olupheleleyo lwesidoda somntu lwenziwe, i-smears yamasini, i-colposcopy, kunye nokunyangwa kweenkqubo ezingapheliyo zokuvuvukala.
- Ngenyanga enye ngaphambi kwe-IVF, ubude besigaba sesigxina sinqunywe, isampuli yegazi ithathwa njenge-chromosomal, uhlalutyo lwe-immunological, amazinga e-hormone egazini, ubukho bezifo zintsholongwane, ukulungiswa kwenkcubeko yesisu.
- Emva kokugqiba umgangatho we-estrogen, khuthaza i-ovulation phantsi kolawulo lwe-ultrasound.
- Emva kokuvuselela, inkcubeko ye-oocyte ithathwa, amaqanda afunyanwa phantsi kwe-microscope.
- Bavelisa ucingo kwaye balungiselela isidoda, bongeze i-spermatozoa i-200-300 lamawaka kwiqanda elinye lokuchumisa.
- I-embryo ifakwe kwi-40 ukuya kuma-50 ukuya kwii-4.
- Dlulisa i-embryyrus embryos ngokusebenzisa umdaka wesibeleko ukuya kumzantsi wesibeleko.
- Baxhasa ukufakelwa kwembumbulu kunye neyeza leprogesterone ngaphambi kweveki ye-20 yokukhulelwa.