Kev cia siab rau tus me nyuam yog ib qho kev sim ntawm poj niam lub cev rau lub zog, tshwj xeeb tshaj yog thaum nws tuaj tos leej niam uas muaj hnub nyoog laus dua 30-35 xyoos. Tab sis muaj ntau zaus thaum "qhov chaw txaus" ntawm "hnub nyoog" Niam yuav tsum tswj fwm tshwjxeeb. Yam koj yuav tsum paub txog thaum cev xeeb tub tom qab IVF thiab nchuav menyuam, thiab qhov chaw tiv thaiv kab mob ntawm cov kab mob ntev ntev?
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Cev xeeb tub, vim los ntawm IVF, yuav tsum nco ntsoov nce siab. Tom qab tag nrho, hmoov tsis, nws tsis yog ib txwm tau khaws nws. Raws li ntau qhov chaw, muaj li 30% ntawm cov kev pabcuam li kev tu ncua ua ntej 12-14 lub lim tiam.
Lub ntsiab tseem ceeb uas ua rau kev qaug zog ntawm cev xeeb tub tom qab IVF:
- immunogenetic (xws li, chromosomal hloov hauv lub hlwb cov niam txiv);
- kis tau (muaj nyob rau hauv lub voj voos ntawm ib tug kab mob latent los yog kab mob kis tus kab mob - herpes simplex virus, cytomegalovirus, enterovirus, thiab lwm yam.
- endocrine. Txaus siab ntawm ovulation ua rau hormonal hloov. Rau hormonal yug ntawm cev xeeb tub, uas tau tshwm sim nrog kev pab los ntawm IVF, nws yog ib qhov tsim nyog yuav tau txiav txim siab nyob rau hauv cov ntshav cov ntsiab lus ntawm hormones lub luag hauj lwm rau nws preservation - estradiol thiab progesterone.
- Thaum ntxov thiab nquag ultrasound los ntsuam xyuas lub zog ntawm tus me nyuam hauv plab, zes qe menyuam thiab lub tsev menyuam. Kuj, ultrasound tshuaj xyuas qhov chaw ntawm lub embryo (qhov chaw qis qis yuav ua rau qaub ncaug), tsis tuaj los yog muaj nyob rau hauv lub uterine kab noj dawb cov kua (xws li, ntshav txhaws), detachment ntawm fetal qe, thiab lwm yam. Tag nrho cov no pub rau txhawm rau txhawm rau kev cuam tshuam kev cuam tshuam ua ntej thiab tsim nyog ntsuas.
- Preimplantation diagnostics rau qhov kuaj tau chromosomal pathologies thiab qee cov kab mob caj ces, qhov kev kuaj ntawm biochemical thiab ultrasound kev ntsuam xyuas kom txo tau cov teeb meem ntawm lub fetus ntawm tus fetus tom qab IVF (lawv tuaj yeem hais txog leej niam lub hnub nyoog thiab ua rau txiv neej ntxiv lawm tshob).
- Kev soj ntsuam ntawm lub ncauj tsev menyuam (hauv ob peb lub trimester, qhov khaus mis ntawm ncauj tsev menyuam feem ntau tshwm sim thiab sai zuj zus, uas nyob rau qhov teebmeem scenario tuaj yeem ua rau mob qaub ncaug).
- Kev tiv thaiv ntawm kev loj hlob ntawm cov kab mob kis los yog kab mob.
- Qhov kom noj cov tshuaj vitamins-antihypoxants (C, E, beta-carotene, thiab cov tshuaj folic acid) los ntawm kev xeeb tub ntxov.
- sib npaug;
- qhov yuav qeeb me nyuam;
- kev pheej hmoo ntawm cov leeg hauv plab mog tuaj;
- siab tshwm sim rau theem.
Txoj kev rho menyuam tuaj yeem ua rau muaj ntau yam ua rau: kev mob caj pas thiab kev hloov hauv cov keeb kwm hormonal, pathologies ntawm lub ncauj tsev menyuam, lwm yam thiab kev nyuab siab. Tsis tas li ntawd, tus poj niam lub cev thaum muaj hnub nyoog peb caug yuav tsis tuaj yeem nqa tawm tus menyuam tsis muaj kev pabcuam ntawm cov kws kho mob tshwjxeeb. Tej zaum nws yuav tsis muaj qhov tseeb ntau dua qhov tseeb uas tus poj niam laus, nws nyuaj rau nws rau nws cev nqaij daim tawv tsis muaj mob, tab sis kuj nrog qhov tseeb uas muaj hnub nyoog hauv qe, cov poj niam yauv mus hloov cov caj pas, ua rau muaj lub fetus uas muaj kev txawv txav ntawm genetic abnormalities uas feem ntau incompatible nrog lub neej .
Cov poj niam feem ntau yeej xeeb tub dua ib xyoos tom qab qhov kev rho me nyuam tawm.
Txoj kev pheej hmoo ntawm qaub ncaug yog nyob ntawm ob hom kab mob ua rau infertility thiab lub hnub nyoog ntawm tus poj niam: txog 35 xyoo - 10.5%, 35-39 xyoo-16.1%, ntau tshaj 40 xyoo -42.9%.
Koj yuav tsum nco qab zoo li cas?
- Feem ntau cov nqaij mos ua rau tshwm sim vim chromosomal abnormalities ntawm embryos, thiab nrog lub hnub nyoog lawv feem ntau ua heev. Thaum lub sijhawm npaj muaj menyuam hauv plab, nws yuav tsum tau mus cuag cov neeg tawm tswvyim caj tes: tus kws kho mob yuav kuaj xyuas koj cov ntaub ntawv thiab nrhiav seb qhov teeb meem ntawm txoj kev npaj caj ces yog li cas.
- Hu rau koj tus kws kho mob kom tau koj qhov kev xeeb tub tshiab hauv kev saib xyuas mob nruj, pib txij lub sij hawm luv heev.
- Kho koj cov khoom noj rau kev noj qab haus huv, haus dej kom ntau, tsis txhob hnov qab txog cov vitamins thiab so kom txaus. Dej cawv thiab haus luam yeeb raug txwv!
- Coj tus cwj pwm zoo. Kev xeeb tub ntev ntev yuav nyuaj rau koj lub hlwb: nco txog cov kev poob yav dhau los tsis nco qab kiag tam sim ntawd.
Tos tus me nyuam yog ib qho kev nyuab siab heev ntawm lub cev, uas tuaj yeem ua rau muaj mob ntau dua "tsaug zog" ua ntej tus kab mob. Qhov ntau dua ntawm lub hnub nyoog ntawm leej niam lub neej, qhov siab dua yuav ua rau nws muaj mob nqaij. Rau cov kab mob uas nyuaj rau lub cev xeeb tub xws li:
- kab mob ntawm cov hlab plawv (kub siab, mob plawv);
- kab mob ntawm txoj hlab ntsws (mob ntsws, mob ntsws asthma);
- kab mob raum (pyelonephritis, glomerulo-nephritis, urolithiasis);