Yiyiphi i-ICSI-IVF kukuba, Kutheni Yenziwe, nokuba Kukhuselekile
I-ICSI-IVF yindlela ekhethekileyo yokuchumisa in vitro esetyenziswa ngokuqhelekileyo kwiimeko zesifo esingenakunzima kwesilisa , emva kokuphindaphindiwe kwemizamo yokuchumisa i- IVF, okanye emva kokuqanda amaqanda (ukugcinwa kwe-oocyte) . Ukubhengezwa ick-see IVF , i-ICSI imele ijoka le-intracytoplasmic injection. Ngexesha eliqhelekileyo le-IVF, ubuninzi besilisa bubekwa kunye neqanda, benethemba lokuba enye yesidoda iya kungena ize iqule iqanda.
Nge-ICSI-IVF, i-embryologist ithatha isidoda esisodwa kwaye iyalitshiza ngqo kwiqanda.
Ezinye iikliniki zokuzala zincoma i-ICSI yonke imjikelezo ye-IVF. Abanye balondoloza unyango kulabo abanesifo esingathandabuzekiyo besilisa okanye esinye isizathu esibonisa isigqibo. Kukho iingxoxo ezintle ngokuchasene nokusetyenziswa rhoqo kwe-ICSI. (Ingozi ye-ICSI-IVF ingezantsi.)
Ngaloo nto yathi, i-ICSI-IVF incede ezininzi izibini ezingapheliyo ukuba zikhulelwe xa, ngaphandle kwayo, bezingeke zikwazi ukukhulelwa ngokusebenzisa amaqanda kunye nesidoda.
Kutheni i-ICSI-IVF eyenziwe?
I-ICSI-IVF isetyenziswe ngokubanzi kwiziganeko zokungabikho komntu onamandla , kuquka:
- Inani elincinci kakhulu lomzimba (esaziwa nangokuthi i-oligospermia)
- Isibindi esingaqhelekanga (esaziwa nangokuthi i-teratozoospermia)
- Ukunyakaza kweentlobo zesisu (kwaziwa nangokuthi yi-asthenozoospermia)
Ukuba indoda ayinayo nayiphi na inambuzane e-ejaculate yayo, kodwa ikhiqiza isidoda, iyakuthi ifunyenwe ngokusebenzisa i-testicular extraction, okanye i-TESE.
I-Sperm ibuyiswe kwi-TESE idinga ukusebenzisa i-ICSI. I-ICSI iphinda isetyenziswe kwiimeko zokubuyiswa kwe-ejaculation ukuba i-sperm ifunyanwa kumchamo womntu.
Ukunyamekela kwindoda engeyona nto iyona kuphela isizathu sokusebenzisa i-ICSI-IVF. Ezinye izizathu ezisekelwe kubungqina be-ICSI ziquka:
- Umjikelezo we-IVF wangaphambili wawunamaqanda ambalwa okanye awunamaqanda azalisiweyo : Ngamanye amaxesha, inani elincinci lamaqanda libuyiselwa, kwaye inani labasilisa libukeka liphilile, kodwa akukho maqanda athobisa. Kule meko, ngexesha lomjikelezo we-IVF olandelayo, i-ICSI ingazama.
- I-sprozen spro isetyenziselwa : Ukuba i-sprown sperm ibonakala ingasebenzi, i-ICSI-IVF ingacebisa.
- Ii-oocytes eziqingqiweyo zisetyenzisiweyo : I-Vitrification yamaqanda ngamanye amaxesha ingabangela ukuba lukhuni kwegobolondo leqanda. Oku kunokunyanzelisa ukuchumisa, kunye ne-IVF ne-ICSI inokunceda ukunqoba le nto.
- I-PGD yenziwe : I- PGD (i-pre-plantation genetic diagnostic) i-teknoloji ye-IVF evumela ukuhlolwa kwe-genetic yama-embryos. Kukho inkxalabo yokuba ubuchule obuncitshulwa rhoqo bungenza iiseli zesininzi (ezingakhange zifake iqanda) ukuba "zixhomeke" embryo, kwaye oku kungaphazamisa iziphumo ezichanekileyo zePGD.
- IVM (ukuvuthwa kwe-in vitro) isetyenziselwa: i- IVM yinknoloji ye-IVF apho amaqanda afunyanwa kwiiyunithi ngaphambi kokuba aqokelele. Bahamba ngeendlela zokugqibela zokuvuthwa kwilebhu. Olunye uphando lufumene ukuba amaqanda e-IVM ayengenakucetyiswa ngamaseli esilisa kwizinga elifaniswa ne-IVF yendabuko. Uphando oluthe lufunekayo, kodwa mhlawumbi i-IVM ne-ICSI yinto efanelekileyo.
Izizathu eziphikisanayo zokusebenzisa i-IVF-ICSI
I-IVF ne-ICSI ingaba bugcisa obukhulu xa kufuneka. Nangona kunjalo, kukho ukungavumelani xa kunako kwaye akunako ukuphucula amazinga okuphumelela. Uphando luqhubekayo, kodwa ke ezinye iimeko apho i-American Society of Medicine Reproductive ibika i-IVF ne-ICSI ayinakuqinisekiswa:
- Amaqanda ambalwa kakhulu athatyathwa : Ixhalaba kukuba ngamaqanda ambalwa kangaka, kutheni athathe umngcipheko wokuba akayi kufakwa? Nangona kunjalo, uphando alufumananga ukuba ukukhulelwa okanye ukuhlala kwamazinga okuzalwa kuphuculwa xa i-ICSI isetyenziswa.
- Ukungabonakali kokungazalanga : Ingqiqo emva kokusebenzisa i-ICSI ukunyanga ukungabonakali kokungabonakali kukuba kuba singayazi into engafanelekanga, ukunyanga zonke izizathu zendlela esilungileyo yokusebenza. Oko kwathiwa, uphando olude alufumananga ukuba i-ICSI ye-infertility engachazwanga iyanceda kakhulu ukuphucula amazinga okuphumelela kokuzalwa.
- Ubudala bomama obusondeleyo : Akukho bukho ubungqina bokuba ubudala bomama obudala buchaphazela amazinga okuchumisa. Ngoko ke, i-ICSI ayinakufuneka.
- Uhlobo lwe-IVF-ICSI (oko kukuthi, i-ICSI kuwo wonke umntu): Ezinye ze-endocrinologists zokuzala zikholelwa ukuba zonke izigulane zifanele zifumane i-ICSI ekupheliseni ithuba lokungaphumeleli kokukhulelwa. Nangona kunjalo, uphando lufumene ukuba kuzo zonke izigulane ezingama-33, enye kuphela inokuzuza ngokusetyenziswa rhoqo kwe-IVF-ICSI. Bonke abanye babeya kufumana unyango (kunye nemingcipheko) ngaphandle kwenzuzo enokwenzeka.
Iyiphi inkqubo ye-ICSI-IVF?
I-ICSI yenziwe njengenxalenye ye-IVF . Ekubeni i-ICSI yenziwe kwibhuyibhile, unyango lwakho lwe-IVF aluyi kubonakala luhluke ngakumbi kunonyango lwe-IVF ngaphandle kwe-ICSI.
Njengoko nge-IVF rhoqo, uya kuthatha izidakamizwa ezivuselela i-ovarian , kwaye ugqirha wakho uya kujonga inkqubela yakho ngeemvavanyo zegazi kunye ne-ultrasounds. Emva kokuba ukhule ngokwaneleyo iifolli ezintle ezilungileyo, uya kuba nokufumana iqanda , apho amaqanda asuswa kumaqanda akho kunye nenaliti ekhethekileyo, ekhokelwa yi-ultrasound.
Iqabane lakho liza kunika isampula yakhe yesininzi ngaloo mini (ngaphandle kokuba usebenzisa umniki wesini okanye isidoda esasifudumele.)
Xa amaqanda afunyanwa, i-embrologist iya kufaka amaqanda kwiinkcubeko ezikhethekileyo, kwaye isebenzisa i-microscope kunye nenaliti encinane, inoda enye iya kutsalwa kwiqanda. Oku kuya kwenziwa kwiqanda ngalinye elifunyenwe.
Ukuba ukuchumisa kwenzeka, kwaye ama-embrosi aphilileyo, i-embryo okanye ezimbini ziya kudluliselwa kwisibeleko sakho, nge-catheter efakwa kwi-cervix, iintsuku ezimbini ukuya kwiintsuku emva kokufunyanwa.
Unokufumana ulwazi oluthe nkcukacha apha apha kwi- IVF Treatment Step by Step .
Ingakanani i-ICSI-IVF?
Inkqubo ye-ICSI ngokwayo ixabisa phakathi kwe-$ 1,400 ukuya kwii-2,000 zamawaka. Oku kungaphezulu kweendleko eziqhelekileyo ze- IVF , ekuthengeni iindleko ze-12,000 ukuya kwii-15,000 zamawaka. Ingadla ngaphezu kweli xa ezinye iindlela ze-IVF zisetyenziselwa.
Ziziphi iingozi ze-ICSI-IVF? Ngaba Ikhuselekile KuNtsana?
I-ICSI-IVF ihamba nayo yonke ingozi yokujikeleza kwe-IVF, kodwa inkqubo ye-ICSI izisa ezinye ezongezelelweyo.
Ukukhulelwa okuqhelekileyo kuza nomngcipheko we-1.5 ukuya kwe-3 weengcambu zesiphene esikhulu sokuzalwa. I-ICSI unyango ithatha umngcipheko okhuselekileyo wokuba neziphene zokuzalwa, kodwa kusenqabile.
Ezinye iziphene zokuzalwa ziyakwenzeka kakhulu nge-ICSI-IVF, ngokuthe ngqo i-Beckwith-Wiedemann syndrome, i-Angelman syndrome, i-hypospadias, kunye ne-chromosome engavamile. Zenzeka zingaphantsi kwe-1 ekhulwini zeintsana ezikhulelwe zisebenzisa i-ICSI nge-IVF.
Kukho ukwanda kancinci kancinane kwintsana yomntwana eneengxaki zokuzala esikhathini esizayo. Oku kungenxa yokuba ukungabikho komntwana kungadluliselwa kwizityalo zomzimba.
Le ingozi eyongezelelweyo yintoni eyenza oogqirha abaninzi bathi ICSI ayifanele isetyenziswe yonke imjikelezo ye-IVF. Yinto enye ukuba ufuna i-ICSI ukukhulelwa. Emva koko, unokuxoxa kunye noogqirha bakho ubuchule kunye neengxaki zokusebenzisa le teknoloji yokunceda. Nangona kunjalo, ukuba unokwenza umjikelezo we-IVF ophumeleleyo ngaphandle kwe-ICSI, kutheni ubungozi bokunyuka kokuncipha kokuzalwa?
Iyiphi Intlawulo Yempumelelo ye-ICSI-IVF?
Inkqubo ye-ICSI ixhoma ama-50 ukuya kuma-80 ekhulwini amaqanda. Unokucinga ukuba onke amaqanda athotyiswa nge-ICSI-IVF, kodwa ayenjalo. Ukufakela umquba akuqinisekanga nangona i-sperm ifakwe kwiqanda.
Khumbula ukuba amazinga okuchumisa akukuxeleli ukukhulelwa kweklinikhi okanye uhla lokuzalwa.
Xa kwenzeka ukufumba, isantya esiyimpumelelo yesibini esisebenzisa i- ICSI ne-IVF ifana nesibini isibini esisebenzisa unyango lwe-IVF.
> Umthombo:
> Iphepha leNtsholongwane eliMonde: Intracytoplasmic Injection Injection (ICSI) . Umbutho waseMelika weMithi yokuzala.
> IiKomishoni zokuSebenza zeMerika Society for Medicine Reproductive and Society for Technology Reproductive Technology. "Intracytoplasmic injection sperm (i-ICSI) yeyona nto engeyindoda engabonakaliyo: inkokheli yekomiti. " Fertil Steril . 2012 Dec; 98 (6): 1395-9. i-doi: 10.1016 / j.fertnstert.2012.08.026. Epub 2012 Septemba 12.