Yintoni enokuyilindela, Ngaba ibuhlungu, Kutheni kwenziwa
Ukugqithiswa kwe-embrying transfer is a common procedure eyenziwa kwiiklinikhi ezininzi zokuzala. Ukutshintshela kwangempela embryo kwenzeka phakathi komjikelezo wakho we- IVF , ngelixa ukutshintshwa kwebriki kungenziwa phambi okanye ngexesha lokujikeleza kwe-IVF. Ukutshintshwa kwengqumbo ebunzima kuye kwadibana nezinga eliphezulu lokukhulelwa kwe-pregnancy. Ukutshintshwa kwe-embrying-eyinika ugqirha ithuba lokuba uphumelele ubuchule obufunekayo ukwenzela ukutshintshisa kwakho-kunokunyusa amathuba okukhulelwa.
I-short-short running down of IVF unyango ihamba kanje:
- umjikelezo wangaphambili we-IVF (apho udla khona kwiipilisi zokulawula ukuzalwa, i- GnRH Agonists , okanye ezinye iyeza "zokuvala" umjikelezo wakho wokuzala)
- ukuvuselela i-ovulation (apho ujoya i- gonadotropins ukukhuthaza ukukhula kobugqwetha kunye nemveliso, kunye nokusebenzisa i-ultrasounds kunye negazi ngokubanzi ukujonga ukukhula)
- ukufunyanwa kweqanda (apho amaqanda ahluthweyo asuswa kwii-ovari nge-aspiration aspiration),
- kwaye, ekugqibeleni, iintsuku ezimbalwa emva kokufunyanwa, ukudluliselwa kwembungu (apho amaqanda azaliswayo adluliselwa kwisibeleko sakho okanye kwisibeletho somntwana)
Fumana inkcazelo engakumbi apha:
Ukutshintshela "ukudlulisa" ukutshatyalaliswa kwembungu kuyimfuneko yokutshatyalaliswa kokutshatyalaliswa kwangempela kwembungu.
Ivumela ugqirha ukuba anqume indlela "engcono" yokuhamba kwindawo efanelekileyo yokubamba indawo embryo kwisibeleko sakho, ukulinganisa ubude ukusuka kwisibeleko ukuya kuloo ndawo efanelekileyo, kwaye uqinisekise ukuba akukho ziqhuma zendlela ezingalindelekanga endleleni (njenge-fibroid engabonakaliyo, iishubhu ezibomvu emlonyeni wesibeleko, okanye enye ingxaki engenza ukutshintshwa kunzima).
Ukudluliselwa kombindi kunokubonakala ngathi kufanele kube yinkqubo elula kumjikelezo we-IVF, kodwa ukuba yenziwe ngokungalunganga, umjikelezo wonke ungalahleka.
Kukhona ukungavumelani phakathi koogqirha malunga nokuba nini na ukukhwabanisa imbryo, kodwa okwangoku, uninzi lwabagqirha bokuzala luvuma ukuba lungcono.
Oku ngakumbi kule mpikiswano ngezantsi. Okokuqala, yilokho okumele ulindele ngexesha le nkqubo.
Xa Utshintshiselwa Ngxolongo?
Oku kuya kuxhomekeka kukhetho lwakho logqirha. Ukutshintshiselwa kwe-embryo ukudluliselwa kungenzeka:
- Ingaphezulu kwenyanga ngaphambi kokujikeleza kwe-IVF, ngexesha le- HSG , i-saline hysterography, okanye i- hysteroscopy
- Inyanga ngaphambi kokuba ujikeleze uqobo lwe-IVF, ngokuqhelekileyo xa inkqubo yokuzala ithuliswa phantsi kunye neepilisi zokulawula ukuzalwa okanye i-Lupron (Oku kubonakala ngathi yinto eqhelekileyo yokutshintshwa kwembumbulu.)
- Ngexesha lokufumana iqanda. Kule meko, awuyi kuphinda wazi ukuba kwenzeka okokuba uya kuba phantsi kwe-anesthesia.
- Ngomhla ofanayo kunye nokutshintshwa kwembumbulu. Okokuqala, ugqirha uyagqithisa, kwaye ngoko nangoko, ukutshintshwa kwangoku.
Yintoni eyenzekayo ngexesha loTshintsho lwe-Embryo Transfer?
Mhlawumbi uya kuxelelwa ukuba eze kwinkqubo ene-bladder epheleleyo. Le zizathu ezibini:
- Isikhwama sakho esipheleleyo siqhubelela isibeleko singene ukulungelelaniswa okuhlukileyo, okwenza ukutshintshwa kube lula
- Isalathisi esipheleleyo sinceda ngekhwalithi yefayili ye-ultrasound
Uyakucelwa ukuba ulale emhlane wakho, kunye neenyawo zakho ezinokukhuphaza, kufana ne-pap smear okanye uvavanyo lwamaxesha onke. I-speculum iya kusetyenziswa ukunceda ugqirha wakho abeke indawo yesikhephe ngaphakathi nangomlomo wesibeleko kwisibeletho sakho.
Iinjongo zoogqirha bakho ngexesha lokudityaniswa kwe-embrying transfer may include:
- Ukukhetha i-catheter efanelekileyo ukuyisebenzisa kunye ne-anatomy yakho ethile
- Ukuqinisekisa ukuba akukho "i-speed bumps" ukukhusela i- catheter ukungena emlonyeni wesibeleko
- Ukubonakalisa indlela efanelekileyo kakhulu esuka kwintsholongwane ukuya kwindawo yokudlulisa kwi-uterus, eyahlukahluka ngokwemiqathango yesisu
- Ukulinganisa umgama ukusuka kwisibeleko somlomo wesibeleko ukuya kwindawo ehambelanayo yokutshintshwa kwisibeleko
Akuyi kuba nayiphi na imibusi kwi-catheter ngexesha lokutshintshwa.
Ugqirha wakho angaphinda ajobe idayi ebomvu ngexesha lokutshintshiselwa. Emva kokuba i-catheter isuswe, ugqirha uya kuqinisekisa ukuba ayikho idayi eluhlaza okwesibhakabhaka esele kwintonga yecathter okanye kumnyango wakho wesibeleko.
Ngaba I-Mock Embryo ichithwa?
Unokuziva utyumbile okanye ubuhlungu obubukhali kodwa bubekezeleleka xa kukho i-catheter, ingakumbi ukuba ugqirha wakho kufuneka adlulisele kwiindawo ezininzi ukuze afumane ukubekwa ngokufanelekileyo, okanye ukuba ugqirha wakho unzima ukuyidlulisa i-catheter nge-os.
Abanye besetyhini baziva bephuka kancinci ngethuba le-pap smear, kwaye akukho nto.
Ukuba ugqirha wakho ugweba ngengozi i-fundus yesibindi sakho (ngokusemthethweni udonga lwangemva), unokuziva unomdla oqinileyo.
Abanye abesetyhini banokuphazamiseka kakhulu ngemfuneko yokucima-ukususela kweso sitsha esipheleleyo uya kuba-nokuba nayiphi na into engeyiyo into ephazamisayo. Bazama nje ukuzama ukukhawulela etafileni!
Ukuba ukutshintshwa kwebridi edidekile kwenziwa ngexesha lokufumana iqanda, uya kuba phantsi kwe-anesthesia kwaye akayi kuva nto.
Unako ukufumana ezinye iikrampu ezinomsebenzi ngosuku lwenkqubo, kodwa akukho nto ekumele ikugcine ukuhamba ngosuku lwakho oluqhelekileyo.
Iindleko zokuTshintshiselwa kweNdlunkulu yokuThuthukiswa kweNdleko?
Umrhumo unokungeniswa kwiphakheji "ye-IVF" okanye ihlanganiswe kunye nokutshatyalaliswa kwangempela kwembungu okanye ukufunyanwa kweqanda.
Ngokomyinge, xa kucatshulwe yedwa, ukuhanjiswa kwebbr
Kutheni Kutshintshwe Umthunzi We-Embryo Transfer?
Ukudluliselwa kombindi kudinga ukuthatha ii-embrosi kwi-catheter uze uwadlulisele kwisibeleko nge-cervix. Inokubonakala ngathi iyinkqubo elula, ngakumbi xa uyiqhathanisa nokufunyanwa kweqanda okanye kwithuba lokuvuselela umjikelezo.
Nangona kunjalo, kuvela inkqubo enzima kunokuba ibonakale.
Akwanele ukuba ulahle nje loo maqhekeza naphi na phakathi kwimbumba. Kukho indawo efanelekileyo apho kufuneka ifakwe khona.
Kwakhona, ukuba ukudluliselwa kunzima, kwaye ugqirha wakho kufuneka adlulise isibeleko esininzi ukuze afune indawo yendawo, okanye i-catheter ichukumisa i-fundus ye-uterus, inokubangela iziphene ze-uterine.
Ezi zintlukwano zingenza ukuba ama-embrasi axoshwe.
Olunye uphando olwedluliselwe ngaphezu kwe-4,000 embryo ukudluliselwa lukhangelekile ukuba lubone ukuba ixesha elinzima ngakumbi lokudluliselwa kwembungu kuthintela ukukhulelwa kwamazinga. Yenza. Xa kuthelekiswa nokudluliselwa kanzima, bekukho amaxesha angama-1.7 ukukhulelwa kwabasetyhini ababenokulula "okanye" okuphakathi ".
Kodwa ngaba ukutshintshiselwa kokutshatyalaliswa kwemibhobho kukuphucula indlela ohambelana ngayo nokutshintshela kwangempela? Le ngongoma yempikiswano.
Enye yeengxabano ezichasene nokutshintshiswa kweentlobano kukuba zihlala zenziwa ngaphambi kokuba umjikelezo we-IVF uqale, ngaphambi kokuba kuqhutywe i-ovarian stimulation. I-ovaries ezikhuthazayo ziguqula indawo kunye "nemida" yesisu. Ngoko imilinganiselo eyasebenza xa ungakhange ukhuthazwe ngamachiza enokuzala ingahluka.
Uphando lwexesha elizayo luya kuba nethemba lokuba i-embryo transfer transfer can really help the transfer of the embryo ngokuthe ngqo okanye kungekhona, kwaye nini kwakuza kuba lixesha elifanelekileyo lokuyenza. Okwangoku, ukhetho lwakho logqirha luza kuthatha ixesha kwaye kwaye ingaba uya kuba neengcambu zokutshintshwa kwembungu.
> Imithombo:
Izakhiwo L1, Van Voorhis BJ. "Ukuphucula ubuchule bokudluliselwa kwembungu. "Fertil Steril. Ngo-Agasti ka-2010; 94 (3): 785-90. i-doi: 10.1016 / j.fertnstert.2010.03.030. Epub 2010 Apr 21.
Singh Singh, Gupta P, Mittal S, Malhotra N. "Ulungelelaniso lobunzima bezobugcisa ngexesha lokudluliselwa kombindi kunye nenani lokukhulelwa kweklinikhi. "J Hum Reprod Sci. 2012 Sep; 5 (3): 258-61. i-doi: 10.4103 / 0974-1208.106337.