Kutheni Unokufuna I-FET, Yintoni onokuyilindela, iingozi kunye neendleko
Ukutshintshwa kwe-embrase okanye i-FET, uhlobo lwe- IVF yonyango apho i-embropreserved embryo eyenziwa kwimijikelezo epheleleyo ye- IVF ishenxiswa ize idluliselwe kwisibeletho somfazi. I-embropreserved embryo inokuvela kumjikelezo we-IVF wesibini oqhelekileyo, okanye mhlawumbi ibe ngumbindi wesibonelelo. Ukuba umbindi wesibonelelo usetshenzisiwe, umbungu awuhambelani nomzimba kunye nomfazi okanye iqabane lakhe.
Ininzi yexesha, ukutshintshwa kwebraza ekhutshuweyo kuyenzeka xa kukho "ii-embryos" ezingaphezulu emva komjikelezo we-IVF. Ukutshintshwa "okutsha" ngokuqhelekileyo kukhethwa. Nangona kunjalo, abanye oogqirha bacebisa ukutshintshwa kwe-embryo ekhethiweyo-ebizwa ngokuba yi-"frozen all" indlela-apho ukutshintshwa okutsha kungakhange kwenziwe. Kule meko, zonke iibrashi ziyagcinwa kwaye zihanjiswe kumjikelezo we-FET ngenyanga ezayo okanye njalo.
Yonke into ofuna ukuyifumana malunga nokujikeleza kwe-FET-IVF ingezantsi.
Izizathu Ukuba Unako Ukufumana I-FET-IVF Cycle
Unokukhetha ukuba nomjikelezo we-FET-IVF ukuba ...
Utshintsho olutsha lwe-IVF aluphumelelanga kwaye unama-embropreserved embryos .
Ngexesha lokunyanga kwe-IVF, enye okanye imibusi eninzi ingabangela. Kukhuselekile kuphela, ke, ukudlulisela omnye okanye isibini ngexesha. Ukutshintshela ama-embryo amaninzi kunyusela umngcipheko wokukhulelwa okuphezulu (njengama-triplets okanye ama-quadruplets.) Enyanisweni, ukunciphisa oku mngcipheko, abanye oogqirha bancoma "ukukhetha" ukutshintshwa kwesisu esisodwa okanye i-eSET , kwizigulane ezinengqiqo.
Ngamanye amaxesha, kukho "i-embryos" eyongezelelweyo emva komjikelezo we-IVF. Uninzi lwabantu lukhetha ukunqanda, okanye ukunyusa i-embropreserve, iibrasi zabo ezingaphezulu. Umzekelo, masithi uthi ufumane ama-embrosi amahlanu. Masisithi ugqirha wakho uncoma ukhetho olukhethiweyo lwe-embryo. Oku kuya kuthetha ukuba enye imbryo iya kutshintshwa, kwaye ezinye ezine ziza kugcinwa.
Masithi enye imbryo idluliselwe ayiphumelelanga ukukhulelwa okuphumelelayo. Kule meko, unokhetho olubini: Unokwenza olunye umjikelezo we-IVF otsha, okanye ungadlulisela enye okanye ezimbini kwiimbrusi zakho zangaphambili. Inketho eyona nto ichanekileyo iyakuba kukudlulisa enye yemibungu yakho yangaphambili. Yiyo ke into eninzi izandululo eziza kukhetha ukuzenza.
Ufuna ukunika umntwana wakho okhulelwe i-IVF umntakwabo .
Umzekelo wethu ngasentla, ukutshintshwa kwe-embrasi entsha akuzange kubangele ukukhulelwa. Masithi oko. Emva koko, uneemibusi ezine ezisalindelwe kwi-cryopreservation. Ama-embro-cruspreserved ahlala kwiqhwa ngonaphakade.
Kwixesha elizayo, unokwenza isigqibo sokwenza umjikelo we-FET-IVF ukunika umntwana wakho umntakwabo. (Olunye uhlobo luya kukwenza omnye umjikelezo omtsha kwaye ungasebenzisi ii-embropreserved embryos, kodwa njengoko kukhankanywe ngaphambili, le ndlela iyabiza.)
Iimbrusi ziyahlolwa .
Ukuxilongwa kwe-genetic pre-plantation (PGD) kunye nokuhlolwa kwe-genetic pre-plantation (PGS) kuncediswa ubuchwepheshe bokuzala okuvumela ama-embrosi ukuba ahlolwe isifo sesifo okanye iimpazamo ezithile. Oku kwenziwa ngokukhankanya umbungu ngosuku lwesithathu okanye ezintlanu emva kokuchumisa, emva kokufunyanwa kweqanda.
Ngamanye amaxesha, iziphumo zibuyela emva ngexesha lokutshintshwa kwesibindi. Nangona kunjalo, ukuba i-biopsy yemihla yesihlanu iyenziwa, okanye ukuhlolwa kofuzo kuyinkimbinkimbi kwaye kufuna ixesha elingakumbi, zonke iimbryos eziphilayo ziyi-cryopreserved. Emva kokuba iziphumo zibuyele, izigqibo zenziwa kwiimibusi. Ezi ziya kuba yi-FET-IVF.
Unokwakheka kwe-embryo ekhethiweyo, kunye okanye ngaphandle kwe-PGD / PGS.
Eyaziwa nangokuthi "i-frozen all" protocol, yilapho ukutshintshwa kwe-embrasi entsha kungeyona inxalenye yesicwangciso nonke. Oku kuya kwenzeka ngePGD / PGS, kodwa kungenziwa kwakhona ngaphandle kokuhlola i-genetic.
Kukho imfundiso yokuba izidakamizwa zokuzala ezikhuthaza i-ovaries ezilungileyo aziyi kudala imimiselo efanelekileyo yokufakelwa kwisisu.
Oku kuthetha ukuba ukutshintshwa okutsha kunokungabikho kancinci ukuphumela ekukhulelweni okunempilo, okuqhubekayo.
Ukuze ugweme le ngxaki, iintsuku ezintathu ukuya ezintlanu emva kokufunyanwa kweqanda, zonke ii-embrys zigcinwe. Inyanga ezayo okanye kwinyanga elandelayo, xa i-endometrium inelungelo lokudala ngaphandle kwempembelelo yezilwanyana ezivuselela i-ovari, ukutshintshwa kwe-embraza ekhutshiwe kungenziwa.
Ngelo thuba le-FET, ugqirha wakho unokumisela imishanguzo ye-hormone yokuphucula i-endometrial reception. Oku kuyinyani ngakumbi ukuba awuyikuzondeza. Okanye, ugqirha wakho angenza i-FET njengengqungquthela "yendalo", kunye namayeza e-hormone asetyenziswayo. (Okunye ngezantsi apha.)
Umngcipheko wakho we-OHSS wawuphezulu, kwaye ukutshintshwa okutsha kwacinywa.
I-Ovarian hyperstimulation syndrome (OHSS) yingozi yobunzima beziyobisi ezinokuthi (ezinqabileyo) zikhokelela ekulahlekelweni kokuzala kunye nokufa. Ukuba umngcipheko we-OHSS ubonakala uphakamileyo ngaphambi kokutshintshwa kwe-embrasi entsha, kunokucinywa kwaye yonke imbryo igqithwe . Oku kungenxa yokuba ukukhulelwa kunokudlulela i-OHSS. Kungathatha ixesha elide ukubuyela kwi-OHSS ukuba ukhulelwe. Xa usubuye uphumele kwi-OHSS, umjikelo wokutshintshwa kwebraza ungabonakaliswa.
Utshintsho olutsha olususukwini luye lwakhanselwa ngenxa yezizathu ngaphandle kwe-OHSS.
I-OHSS yeso sizathu esiqhelekileyo sokutshintshwa kwe-embrasi entsha ukuze sikhuliswe, kodwa kukho ezinye iimeko. Ukutshintshela kwakho okutsha kunokufuna ukukhanselwa xa ufumana umkhuhlane okanye esinye isifo emva kokufunyanwa kweqanda kodwa ngaphambi kokutshintshwa. Kwakhona, ukuba izimo ze-endometrili zibukeka zilungile kwi-ultrasound, ugqirha wakho unokuncoma ukuba i-cryopreserving yonke imbrusi. Ngomhla kamva, unokucwangcisa i-FET-IVF.
Usebenzisa umnikeli wombindi.
Ezinye iibinibini zikhetha ukunikela ngeembryo zazo ezingasetyenziswanga kwesinye isibini esingazalanga. Ukuba uthatha isigqibo sokusebenzisa umxhasi wombungu, umjikelo wakho uya kuba yindlela yokudlulisa i-embraza.
Ukutshintshiswa okutshintshileyo ngokubhekiselele ku-Fresh: Nguwuphi na owona mhle?
Ezinye iziphumo ziye zafumanisa ukuba izinga lokukhulelwa lilungcono kunye nokutshintshwa kwebraza egciniweyo kunokugqithiswa kombindi. Ucwaningo luye lwafumanisa ukuba ukukhulelwa okukhulelwe emva kokutshintshwa kwebrizo egciniweyo kunokufumana iziphumo ezingcono zentsana.
Uninzi lwezi zifundo zenziwe kwintombi ezincinci ezinokubhengezwa kakuhle, ngoko kuyacaca oko kuya kuthetha ntoni kubantu abangaphezu kweminyaka engama-35 okanye nabasetyhini. Uphando olungakumbi kufuneka lwenziwe.
Nangona kunjalo, ukuba kuyinyaniso ukuba i-FET-IVF inakhokelela ekuzalweni okuphilayo kunokugqithiswa ngokutsha, ingaba yintoni isizathu?
Njengoko kuthethwe ngaphambili, enye ingcamango enokwenzeka kukuba ukuba izidakamizwa zokuzala ezilungele ukuvuselela i-ovarian zingaphantsi kohlobo lwe-endometrial. Oku kuthetha ukuba ukuvuselela ama-ovari kumjikelezo omnye-kunye nesicwangciso sokudlulisa imibusi ngexesha lomjikelezo ongeyonto-kungasilungele ukufakelwa.
Isizathu sesibini sinokuthi ukuba imibusi esinda kwi-cryopreservation inamandla. Iimbrusi ezinobuthakathaka zingenakuphila ngexesha elide kwi-lab kunye ne-frozen-thaw process. Le ngenye yemingcipheko oyithathayo xa ukhetha ukutshintshwa kwebridi. Ezinye iimbumba zingenakuzenza. Nangona kunjalo, abanye oogqirha bathi iingqumbo ezincinci zazingenakukhokelela ekukhulelweni okunempilo kunoma yintoni na.
Qaphela: Usenokuba ufunde ngezifundo zangaphambilini, eziqhathanisa ukutshintshwa okutshintshileyo kunye nolushushu. Uninzi lwezi zifundo ezindala zaphetha ukuba izijikelezo zokutshintshwa kwembumbulu zineziphumo zokukhulelwa kangcono kunokugqithiswa kwebraza. Nangona kunjalo, olo phando alinakusetyenziswa kwi-"frozen-all". Izifundo ezindala zibandakanya ukuthatha ama-embryos angaphantsi kwe-african, eziqhwaqayo, kunye nokutshintshisa ama-embri ekhangeleka ngokukhawuleza. Kunengqiqo ukuba ama-embrasi angaphantsi-afanelekileyo ayakuba nempumelelo engaphantsi kwezinto ezibukeka ezigqithiselweyo kumjikelezo omtsha.
Inkqubo ye-FET-IVF: Yintoni enokuyilindela ngexesha loPhulo loTywala
Kukho iintlobo ezimbini ezibalulekileyo ze-FET-IVF imijikelezo: imijikelezo yexmonal kunye neemeko "zendalo". Umjikelezo oqhelekileyo owenziwa nge-FET-IVF umjikelezo oxhaswa ngamahomoni. Oku kungenxa yokuba usuku lokudlulisa kulula ukulawula (ukwenza kube lula kwiklinikhi yokuzala kunye nelebhu), kwaye ngenxa yokuxhaswa kwe-hormone kuyadingeka ukuba kukho iingxaki zengqumbo zamabhinqa.
FET kunye neNkxaso yeHormonal
Umjikelezo we-FET-IVF kunye nenkxaso ye-hormones iqala ekupheleni komjikelezo wangaphambili wokuya esikhathini, kufana nomjikelezo we-IVF. Izilwanyana zesilwanyana ezibhekiselele ekulawuleni nokuvala umjikelo wokuzala. Ngokuqhelekileyo, i-GnRH i-agonist iLupron isetyenzisiweyo, kodwa ezinye iimveliso zonyango ziyakunyuselwa esikhundleni.
Emva kokuba ufumana ixesha lakho, umsebenzi we- ultrasound kunye nomsebenzi wegazi uyalelwa. Ukuba zonke zibukeka kakuhle, ukuzaliswa kwe-estrogen kuqalisiwe. Oku kukukunceda ukuqinisekiswa kokutya kwe-endometrial. Ukuxhaswa kwe-Estrogen kuyaqhubeka malunga neveki ezimbini. Olunye uhlobo lwe-ultrasound kunye nomsebenzi wegazi luyalelwe. Ukubeka iliso ngexesha lomjikelo we-FET-IVF lukhulu kakhulu kunethuba lokujikeleza kwe-IVF.
Emva kweeveki ezimbini ze-estrogen inkxaso, inkxaso yeprogesterone yongezwa. Oku kungenziwa nge-progesterone kwiiyoyile zeoli okanye mhlawumbi kunye nezindlovu zesini . Ukudluliselwa kombindi kuhleliwe ngokusekelwe kwi-a) xa kuqalwa ukuxhaswa kweprogesterone, kwaye b) kwinqanaba liphi i-embryo i-cryopreserved.
Ngokomzekelo, ukuba imbryo yayigcinwe kwi-Day 5 emva kokufunyanwa kweqanda, ukutshintshwa kwebridi echwayibhileyo kuya kuhlaziywa ngoSuku 6 emva kokuqala kwe-progesterone.
I-FET yeeNdalo
Ngomjikelo wemvelo we-FET, amayeza ayasetyenziselwa ukunqanda okanye ukulawula i-ovulation. Kunoko, ukudluliselwa kombindi kuhleliwe ngokusekelwe xa i-ovulation ivela ngokwemvelo.
Isikhathi sokudluliselwa kombindi kubalulekile. Kumele kwenzeke inani elithile leentsuku emva kokuhamba. (Njengoko kuchaziwe ngentla, loo mini iya kuxhomekeka ekubeni ingaba i-embryo yayinqabile ngomhla we-3 okanye umhla we-5 emva kokufunyanwa kweqanda.)
Ngenxa yokuba ixesha liyimfuneko, umjikelezo uhlolwe ngokukhawuleza ekhaya okanye ukuhlolwa kwee-ovulation tests okanye kwiklinikhi yokuzala ene-ultrasound kunye nomsebenzi wegazi. Ekubeni iikiti zokucwangcisa i-ovulation akusoloko kulula ukutolika, oogqirha abaninzi banokuthembela kwi-ultrasound kunye nokusebenza kwegazi ukuze ixesha lidluliswe.
Xa i-ovulation ifunyenwe, ukuxhaswa kweprogesterone kuqalisiwe, kwaye umhla wokutshintshwa kwembungu uhleliwe.
Ziziphi iingozi kwi-FET-IVF?
Umjikelo wokutshintshwa kwebindi okhukhulayo unomngcipheko ombalwa kunomjikelezo opheleleyo we-IVF. Enye yemingcipheko ephambili kwi-IVF (kunye neziyobisi zonyango) yi-ovarian hyperstimulation syndrome (OHSS). Nangona kunjalo, akudingeki ukhathazeke nge-OHSS kumjikelo we-FET ekubeni izidakamizwa ezivuselela ii-ovari zisetyenzisiwe.
Kuxhomekeke kwiingaphi iimbumba ezinokutshintshwa, kukho umngcipheko wokukhulelwa okubanzi. Kwaye ukukhulelwa ngamawele kuza nomngcipheko ophezulu kunina kunye neentsana . Ukutshintshwa kwembrama kufikeleleka kwengozi yokukhulelwa kwe-ectopic . Kukho umngcipheko omncinci wentsholongwane.
Nge-cryopreservation, amanye ama-embrasi angasayi kuphila kwinkqubo yomngcipheko. Ngendlela yokudlulisa i-embryo ekhethiweyo ekhethiweyo, oku kuthetha ukuba ungalahlekelwa yimibusi eyobe ifumaneka ukuba uye wayenza utshintsho olutsha.
Ngaba i-cryopreservation yenzakalisa umntwana? Uhlalutyo lwe-meta lubonise ukuba ukukhulelwa kunye neentsana ezisuka kwi-frozen embryo ukudluliselwa, ngokwenene, zibaphilile kunezo zivela kutshintshi.
Iintsana zokudlulisa i-embryo ezintshontsho zazi ...
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Olunye uphando lucatshangisa ingozi yoluhlobo oluthile lwesiphene sokuzalwa ekutshintshisweni okutsha kwe-IVF, ukutshintshwa kwebraza ekhutshiwe, kunye nezingane ezisemvelo ezikhulelwe. Uphononongo lufumene ukuba abantwana babesenokuba kathathu amathuba okuba babe nesiphene sokuzalwa kunye nokutshintshwa kwe-IVF entsha xa kuthelekiswa nabantwana abakhulelwe ngokwemvelo. Nangona kunjalo, loo mngcipheko wawungabonwa ngotshintsho lwebraza. (Qaphela ukuba umngcipheko wobukhulu bokuzalwa osoloko uphantsi kakhulu.)
Kukho umngcipheko owenyukayo wezinsana ezizalwe "ezinkulu kwixesha lokuguga" ukusuka ekutshintsheni kweqanda.
Ingakanani Imali ye-FET?
Iindleko eziqhelekileyo zokudluliselwa kombindi weqanda ziphakathi kwe-3,000 ne-5,000. Oku kubandakanya ukubeka iliso, nayiphi na inkxaso ye-hormone, kunye nenkqubo yokudlulisa ngokwayo. Umjikelezo wendalo uya kuba nexabiso elincinci, ukuphelisa iindleko zemveliso yobisi.
Le xabiso, kodwa, ingabandakanyi indleko kwi-IVF unyango lokuqala , okanye i-cryopreservation yokuqala yeembryos okanye imali yokugcina.
Xa uthetha ugqirha malunga neendleko, qiniseka ukuba ixabiso abacaphulayo liquka yonke into ukuze uhlele uhlahlo lwabiwo-mali ngokufanelekileyo.
> Imithombo:
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