"Infertility" yog lo lus tsis zoo
Niaj hnub no nyob rau hauv Ukraine, daim ntawv lo "infertility" rau txhua tus khub plaub. Cov kws kho mob ntseeg hais tias yog tus poj niam tsis tau xeeb tub hauv ib lub xyoo nrog kev sib nraus tsis muaj kev tiv thaiv, nws yog lub sijhawm pib kev kuaj thiab kho ntawm ob tus txij nkawm. 12 lub hlis tsis yog ib lub sij hawm tsis txaus ntseeg: cov ntawv txheeb pom tau tias pom tias nyob rau hauv ib feem ntawm kev noj qab haus huv ob leeg pom tshwm sim hauv thawj peb lub hlis uas tsis muaj cov tshuaj tiv thaiv kab mob, lwm 60% - thaum lub xya tom ntej, ntxiv 10% - tom qab 11-12. "Tab sis peb, cov kws kho mob, tsis nyiam lub sij hawm" infertility. " Peb xav hais tias "ib ntus tsis muaj peev xwm xeeb tub," vim hais tias feem ntau cov kws kho mob muaj peev xwm ua tsis tau qhov no. Rau qhov no, nws muaj tus qauv ntawm IVF. Nws essence - muab ib lub sij hawm los ntsib cov qe thiab phev, thiab lub resulting embryo tso nyob rau hauv lub plab ntawm tus poj niam. Cia nws tsim nrog natural conception. Tab sis ua ntej nws yuav tsum mus ob peb theem ntawm qhov kev xeem - tom qab tag nrho, cov niam txiv yuav tos tus me nyuam noj qab nyob zoo, thiab qhov no nws yog ib qho tseem ceeb uas niam thiab txiv muaj kev noj qab haus huv.
Yuav tsum tau xeem
"Thaum muaj txij nkawm peb nyob, peb xub mus kuaj ib tug txiv neej. Yog hais tias qhov ua rau lub cev tsis muaj peev xwm yog nyob hauv nws lub cev, ua ntau yam ceev faj ntxiv yuav qhia rau tus txiv neej yav tom ntej. Yog hais tias nws yog tag nrho txoj cai nrog nws, tus kwv txuas ntxiv ntawm peb paub yuav ib tug poj niam. " Kev kuaj ntawm ib tug txiv neej: kev tshawb nrhiav (hauv 30% ntawm cov txiv neej uas raug kev tsim txom los ntawm kev mob ntxiv, lawv pom cov kab mob genetic ntshawv siab uas cuam tshuam nrog fertilization); spermogram (ib qho kev ntsuas ntawm qhov ntau thiab zoo ntawm cov kab mob spermatozoids) - nws yog ntshaw ua nws tsis tsawg tshaj peb zaug hauv tib txoj kev kuaj; US scrotum (seb puas muaj cov kev hloov hauv lub cev); kev xa los ntawm smear los ntawm qhov zis rau kab mob; Muaj tshuaj hormonal. Kev kuaj mob ntawm ib tug poj niam: hormonal tsom (yog theem ntawm kev sib deev hormones xyua); muab smears los ntawm qhov chaw mos rau cov kab mob; Ultrasound ntawm kabmob uterine; kev sib kis ntawm cov phev nrog lub ncauj tsev menyuam (tsis phev hlwb tau bogged hauv nws); khij lub patency ntawm lub plab hlaub ntog (nrog kev pab ntawm qhov nruab nrab qhov sib txawv, uas yog txhaj rau hauv lub uterine kab noj).
Contraindications rau IVF
• Cov kab mob kev mob hlwb thiab kev mob, uas koj yug tsis tau.
• Kev txhim kho los yog kev loj hlob lossis deformities ntawm lub uterine kab noj hniav, ua rau nws tsis tuaj yeem cog cov embryo.
• Cov qog rau ntawm tsev menyuam thiab cov qe menyuam.
• Ua rau mob qeeb ntawm tus qau.
Dab tsi yog qhov tsis ncaj ncees?
Niaj hnub no, cov kws kho mob muaj txog 32 kev ua txhaum ntawm lub cev ntawm cov txiv neej thiab cov poj niam uas tsis pub ob leeg muaj menyuam. Tab sis lawv txhua tus muaj feem xyuam rau hauv ib txoj kev los sis lwm rau tsib yam kev mob nkeeg: ib tug poj niam yuav tsum muaj ovulation (1 lub qe tawm ntawm cov follicle). Lub ncauj tsev menyuam yuav tsum tsis txhob poobsiab, hla cov phev. Txoj hlab ntaws hauv plawv (tsawg kawg ib qho) yuav tsum muaj tam sim no thiab cov khoom yoojyim kom lub rooj sib tham ntawm lub qe thiab cov kab xev yog ua tau. Mucous uterus (los yog endometrium) yuav tsum muaj kev zoo siab, yog li ntawd lub embryo tau muab mus rau ntawm phab ntsa ntawm lub tsev menyuam thiab tsim ntxiv. Spermatozoa yuav tsum muaj mob me (tsawg kawg yog ib nrab ntawm lawv) thiab tag nrho cov nyiaj - tsis pub tsawg tshaj 5-10 lab nyob rau hauv 1 ml ntawm cov phev. Yog tias tsawg kawg yog ib qho ntawm cov mob no tsis tau ntsib, kws kho mob tuaj yeem pom zoo IVF.
Kev npaj ntawm
6-11th hnub ntawm kev coj khaub ncaws - kuaj xyuas seb tus menyuam qhov chaw mos (qhov chaw txuas ntawm embryos) thiab thaum muaj qhov txawv txav lawv kho (ntawm qhov no yog nyob ntawm seb qhov kev nkag siab thiab kev coj ntawm tus me nyuam yuav kis tau licas). 19-24 hnub - ib tug poj niam nqa tag nrho cov ntawv pov thawj nrog cov ntsiab lus ntawm cov kws kho mob: gynecologist, therapist, infectiologist, mammologist. Cov kws kho mob xyuas cov mob ntawm lub tsev menyuam thiab hno tshuaj uas tsis ua kom cov kev cai hormonal ntawm lub zes qe menyuam. Tom qab 2 lub lim tiam - ultrasound ntawm uterus thiab ovaries. Tom qab ntawd cov tshuaj siv nrog FSH (follicle stimulating hormone) txuas nrog txoj kev loj hlob ntawm cov hauv paus hauv cov zes qe menyuam rau 12-14 hnub. Tag nrho lub sij hawm no, cov kws kho mob tau saib lawv txoj kev loj hlob los kho cov tshuaj ntawm cov tshuaj. Tom qab 12-14 hnub - hnub ntawm qe ntawm qe yog taw. Hauv qab tshuaj loog, muaj ib tug poj niam raug nkaug los ntawm phab ntsa ntawm qhov chaw mos, ib rab koob me me uas tsis muaj qhov hno ntawm lub plab yog muab los ntawm cov hauv paus ntawm lub hauv paus thiab hauv qab microscope lawv saib cov qe hauv cov kua nplaum (follicular fluid).
Teev X
Lub qe yog tso rau hauv ib lub khob tshwj xeeb nrog lub simulating lub uterine raj chaw. Cov thawv no yog muab tso rau hauv ib qho chaw ua haujlwm uas qhov ntsuas kub tas li ntawm 37 ° C, thiab cov kua ntxiv tau nrog carbon dioxide, zoo li carbonated (simulating lub peev xwm ntawm tib neeg cov ntshav). Tom qab ntawd tus txiv neej txhais tes dua cov phev, uas cov kws kho mob kho nrog cov ntsiab lus tshwj xeeb rau ob xuab moos (tias tag nrho cov phev yog nquag, thiab lawv tus naj npawb - tsis pub tsawg tshaj li qub). Yog hais tias cov phev suav ua ke, qhov feem no yog ntxiv rau lub qe. Yog tias nws tshwm sim tsis muaj cov tshuaj txaus spermatozoa, cov kws kho mob xav ua kom tsuas yog ib qho, qhov muaj zog tshaj plaws thiab muaj kev noj qab haus huv (muaj peev xim ntawm nws cov phab ntsa nrog rab koob). Cov tais nrog lub hlwb muab tso rov qab rau hauv lub incubator thiab tom qab 16-18 teev, zygote yog tsim - 2 nucleoli, txiv neej thiab poj niam, txhua tus muaj 23 chromosomes. Lawv sib tshuam, thiab yog tias muaj tsawg kawg yog ib qho keeb yog qhov loj - muaj cov kab mob pathology, nws yuav tsum rov ua dua qhov kev sim dua. Thiab tom qab ntawd ces X-teev: nyob rau hnub thib 2 thib plaub ntawm lub hnub yug nrog 4th lossis 8th ntawm lub hlwb ntawm qhov zoo tshaj plaws yog xa mus rau lub tsev menyuam los ntawm ib tus catheter. Qhov no yog tsis muaj tshuaj loog, vim txoj haujlwm tsis mob thiab siv tsis tshaj 5-10 feeb. Nyob rau lub sij hawm no, tus poj niam pw hauv lub rooj zaum gynaecological, tuaj yeem pom tag nrho cov txheej txheem ntawm kev tshuaj ntsuam xyuas. Superfluous embryos yog khov hauv cov kua nitrogen ntawm qhov kub ntawm -196 ° C - dheev cov pa yuav rov qab dua. Ob lub lim tiam tom qab, tus poj niam yauv mus kuaj qhov uas cev xeeb tub thiab, thaum muaj hmoo, tuaj rau ntawm qhov chaw kuaj mob ntxiv ob lub lis piam tom qab kom paub seb lub embryo puas ruaj ntseg zoo. Tias, qhov tseeb, thiab tag nrho txoj kev IVF. Qhov kev hnyav ntawm cev xeeb tub yog 52-72%. Nws puas nyuaj? Tau kawg! Tab sis qhov tshwm sim - ib tsev neeg zoo siab - yog nqi nws.
Tsis yog txhua lub hnub nyoog yog kev xa ... kev xeebntxwv
"Yog tias muaj teeb meem nrog kev muaj peev xwm xeeb tub, nws yog ib tus poj niam mus rau hauv lub tsev kho mob mus txog 35 xyoo. Qhov tseeb yog tias cov poj niam ovule muaj ntau xyoo, muaj pes tsawg leej rau nws tus kheej. Rau tag nrho cov sij hawm no, lawv zoo dua qub vim cov kev hloov hauv lub hnub nyoog, kev noj haus tsis zoo, kev coj tsis zoo, kab mob, kev tsis zoo thiab kev noj haus. " Lub sijhawm zoo tshaj plaws rau kev xeeb tub yog 20-35 xyoo. Tom qab 35 xyoos, qhov yuav muaj peev xwm yug me nyuam yog 2 npaug qis dua, thiab tom qab 40 xyoo - tsuas yog 15-20% ntawm qhov yuav tau xeeb tub. Txiv neej muaj luckier: lawv cov phev txiv hmab txiv ntoo yog kho txhua txhua 72 hnub (qhov tshwm sim no hu ua spermatogenesis). Yog li ntawd, txawm nyob hauv ib lub hnub nyoog siab heev, peb macho tuaj yeem muab cov ntaub ntawv zoo rau kev siv tshuaj.
Nyob Suav
Ib txhia tsis xav tos txog hnub nyoog laus, xav tias lawv cov phev yog peev, thiab lawv ua qhov yog: qhov tsawg kawg nkaus lub neej tau npaj rau peb! Phev (thiab qe, dhau lawm) tuaj yeem khov mus txog 10 xyoo lossis ntau dua. Cov txiaj ntsig ntawm kev ua li no yog qhov tseeb los ntawm cov lus Askiv Diana Blood. Thaum nws muaj 29 xyoos, nws tau los ua ib tug poj ntsuam, tab sis plaub xyoos tom qab ntawd, ua tsaug rau cov khoom uas tau khov lawm, tus txij nkawm tau yug ib tug tub, thiab tom qab lwm peb xyoos - ib qhov thib ob. Thaum thov ntawm Diana, lub tsev hais plaub British tau pom ob qho tag nrho cov me nyuam mos liab, tab sis lawv txiv tau ntev tuag lawm. Cov neeg European feem ntau siv lub sijhawm los khaws lawv lub qe khov rau lub hom phiaj ntawm unhurried thiab, qhov tseem ceeb, qhov kev xaiv ntawm tus txij nkawm. Feem ntau ntawm cov ntawv ceebtoom uas tshawb fawb ua ntej hnub nyoog 38 xyoos tau qhia tias qhov no ua rau lawv muaj lub sijhawm ua siab ntev rau kev ua haujlwm thiab tsis txhob maj nrawm nrog kev sib yuav.