Ngubani omele acinge nge-Minimal stimulation IVF + Iindleko kunye neNtlawulo zeNtlawulo
I-Mini-IVF (eyaziwayo njenge-IVF eyimfuneko okanye encinci) ifana ne- IVF eqhelekileyo kwiinkqubo ezisetyenziswa ngexesha lotyando. Njengoko i-IVF, ubeka iliso kulo lonke umjikelezo, ukufunyanwa kweqanda , ukuchumisa kwilebhu yeqanda kunye nesidoda, kunye nokudluliselwa kombindi
Yintoni eyahlukileyo yindlela asebenzisa ngayo amayeza ukukhuthaza ama-ovari ukuvelisa amaqanda.
Nangona i-IVF ejolise ekuveliseni amaqanda amaninzi ekufunyenwe, i-mini-IVF isebenzisa amayeza athathaka okanye amancinci amachiza ukuvelisa amaqanda ambalwa kuphela. Kungenziwa kwakhona ngaphandle kwezilwanyana ezivuselela izidakamizwa.
Ngenxa yokuba kusetyenziswe izilwanyana ezincinci eziphantsi, iindleko nganye ngomjikelezo ziphantsi, kwaye umngcipheko we- ovarian hyperstimulation syndrome (OHSS) unciphise.
Ngubani omele acinge nge-Mini-IVF?
I-Mini-IVF ingaba yindlela engcono xa ...
- Uloyiko lweenaliti. (Izidakamizwa ezimbalwa zokuzala zithetha iilisi ezincinci !)
- Unayo i- PCOS kwaye usemngciphekweni wokuphuhlisa i-OHSS .
- Usuqala ukuqala unyango lomhlaza, wenza i-IVF ukugcina ukuzala kwakho ngaphambi kokuba unyango, kwaye izidakamizwa zokuzala zingadlulela umhlaza onayo.
- Unayo iindawo zokugcina ii-ovarian . Ngeendawo ezincinci ze-ovarian, amayeza aphezulu okuvelisa izidakamizwa akunakwenzeka ukuba avelise amaqanda aphezulu. Imali esetyenzisiweyo kulezo ziyobisi zingatshatyalaliswa.
- Awunayo imali kwi-IVF eqhelekileyo , ebiza kakhulu.
Isibini sinokukhetha kwakhona i-mini-IVF ukuba ifuna ukuthintela ingozi yokuphindaphindiweyo ngexesha lokwela i-IUI . Nge-IUI, ugqirha akakwazi ukulawula ukuba mangaphi amaqanda anganisela. Nge-mini-IVF, unokugqiba ukutshintshisa imibusi enye okanye ezimbini.
Enye inzuzo kwi-mini-IVF ungayenza imijikelezo yonyango emva koko.
Awudingi ukuphumla. Ukuba uhamba ngesizathu esithile, oku kungenza i-mini-IVF ibe yi-IVF eqhelekileyo.
Amachiza athathwa ngexesha le-Mini-IVF
Ngexesha le-mini-IVF, i- Clomid ingasetyenziselwa ukuvuselela ama-ovari, esikhundleni se- gonadotropins . I-Gonadotropins ziquka amayeza angenayo ifana neGonal-F, Follistim, kunye nokunye.
Ngaphandle koko, isisombululo esincinci se-gonadotropins singasetyenziselwa, ngenjongo yokuvelisa amaqanda ambalwa kuphela.
Kwabesifazana abathile, kunokwenzeka ukuba wenze i-mini-IVF engenazo iziyobisi zokuvuselela i-ovulation. Ngamanye amaxesha uyaziwa nangokuthi "umjikelezo wemvelo."
Umjikelezo we-mini-IVF awuyi ku fa neleka ukuba kukho naziphi iingxaki nge-ovulation ekukhuseleni ukukhulelwa, kodwa kungenokuba ukhetho olwamkelekileyo kwiziganeko ezivaliweyo ze-fallopian tubes kunye nezinye iziganeko zokungabikho komntwana .
Ngaphandle kwezidakamizwa zokuvuselela i-ovari, ungaphinda ufune ukuthatha umphikisi we-GnRH (njengo-Anatagon kunye ne-Cetrotide), okuthintela i-ovulation ukuba ingabonakali kakhulu. Ukuba uhamba ngokukhawuleza, amaqanda akakwazi ukufunyanwa kumzimba kunye ne-IVF ayikwazi ukuqhubeka.
Intlawulo yeNtsebenzo ye-Mini-IVF
Imilinganiselo yempumelelo ye-mini-IVF ngokuqhelekileyo isezantsi kune-IVF eqhelekileyo, kodwa oko akuthethi ukuba akuyona into engcono kwiibini zithile.
Uvavanyo olulinganiselayo lwaluqhathanisa unyango oluqhelekileyo lwe-IVF ukuya kwi-mini-IVF. Esi sifundo kwakubandakanya ama-564 amabhinqa aneminyaka engama-39 okanye engaphantsi. Baye banikezelwa ngokulandelelana iqela le-mini-IVF okanye iqela eliqhelekileyo le-IVF. Bafumana unyango kwiinyanga ezintandathu.
Nazi iziphumo zesifundo:
- I-49% yeqela le-mini-IVF lazala kwaye ekugqibeleni lazala
- U-63% weqela eliqhelekileyo le-IVF wakhulelwa kwaye ekugqibeleni wazala
- Akukho nanye yeqela le-mini-IVF eyenze i-ovarian hyperstimulation syndrome (OHSS)
- 5.7% yeqela eliqhelekileyo le-IVF lenze i-OHSS
- Iigonadotropini ezingaphantsi kwee-gonadotropin zazisetyenziselwa kwiqela le-mini-IVF, ukunciphisa iindleko ezipheleleyo kumjikelezo
Ngokusekelwe kwiziphumo zolu cwaningo, i-mini-IVF ingaba yinto ekhethekileyo ngokukhethekileyo kumfazi ogxininini lokuphuhlisa i-OHSS.
Uphando lwafumanisa ukuba izinga lamawele laliphantsi kakhulu nge-mini-IVF, nangona isifundo senze ukuhanjiswa kwesisu esisodwa kwisigulane se-mini-IVF kunye nokutshintshwa kwembilini kwi-IVF. Kucacile ukuba, ukuba udlulisela iimbumba ezimbini endaweni enye, ireyiti lamawele iya kuba phezulu.
Izifundo ezongezelelweyo kufuneka zenzelwe ukuthelekisa iindleko ezipheleleyo ngokuzalwa kobomi nge-mini-IVF kunye ne-IVF eqhelekileyo kunye nokuchonga ukuba ngaba imilinganiselo yeeplani iyakuboniswa ngokwenene phakathi kweenkqubo ezimbini.
I-Mini-IVF Emva kokuhluleka kwe-IVF eqhelekileyo
Ayikho into ebaluleke kakhulu? Akunjalo.
UGqirha uJohn Zhang, umsekeli kunye nomlawuli wezokwelapha weNew Hope Hope Centre, uchaza ukuba i-mini-IVF ijolise ukuvelisa amaqanda asemgangathweni, ngelixa i-IVF eqhelekileyo iya kuhamba.
Kwamanye amabhinqa, ukuzama ukuvelisa amaqanda amaninzi kunokuphefumula kwaye kubangele iingxaki. Ukufumana unyango oluqhelekileyo lwe-IVF aluthetha ukuba i-mini-IVF ayiyi kusebenza.
"Ukusilela umjikelezo kwenzeka ngenxa yezizathu ezininzi," kusho uDkt. Zhang. "Eminye yale migangatho ephezulu ehambelanayo nemigodi yeqanda, uxinzelelo, imvelo engamahlwempu ekhusela iqanda ekuveliseni, ama-hormone angalunganga kunye nokunye. Kwiimeko ezininzi, umntu osilela umjikelezo oqhelekileyo uya kuba neenhlanhla kangcono ngenkqubo yokuvuselela efana ne-mini-IVF kuba ingavelisa amaqanda aphezulu aphezulu.
"Kukho imeko kwimiba imeko, kodwa akufanele ucinge ukuba umjikelezo omnye uyaphela, zonke izibonelelo ziya kuthi," kuchaza uDkt. Zhang. "Uphononongo lubonisa ukuba abafazi banokuphumelela ngokuphezulu ngokuvuselela ngaphantsi kwexesha elide. Ngokuzama enye unyango, sibone impumelelo engcono. "
Iindleko ze-Mini-IVF
Enye yezona zinzuzo ezinkulu kwi-mini-IVF yindleko ephantsi nganye ngomjikelo.
Umjikelezo oqhelekileyo we-IVF uhlawula kwi-15,000 eyi-$ 000, ngokuxhomekeke kwimiqathango efunekayo.
I-Mini-IVF ixabisa i-$ 5,000 ukuya kwi-7,000 ngomjikelezo ngamnye.
- Ixabiso le-IVF lindleko ngokwenene?
- Iindlela ezi-7 zokuhlawula ngaphantsi (kwaye ufumane i-Cash) kwi-IVF
U-IUI uthelekisa njani kwi-Mini-IVF Treatment?
IUI unyango libiza ngaphantsi kwe-mini-IVF. Kodwa nge-IUI, umngcipheko wokuphindaphinda uphakamileyo.
Nge-mini-IVF, enye imbryo idluliselwa. Nge-IUI, awukwazi ukulawula ukuba mangaphi amaqanda aya kufakwa.
Kwakhona, amazinga okuphumelela kwe-IUI athambekele kuncinci kune-mini-IVF.
Iimeko ezinokuthi zinciphise ukuya kwi-Mini-IVF
Ukuba awukhulelwa emva kwemijikelezo embalwa, iindleko zingenokuba zikhulu kakhulu ekuhambeni kwexesha.
Nge-IVF eqhelekileyo, ukuba omnye umjikelezo awusebenzi, udla ngokuba nemibusi esele yashiya. Ezi zingasetyenziselwa ngexesha lokutshintshwa kwe-embraza ye-embryo (FET).
Nge-mini-IVF, awunamathuba amaninzi okuba neyodwa imibyusi eseleyo .
Kukho umngcipheko omkhulu wokuba ungaba namaqanda ukutshala xa usebenzisa i-mini-IVF. Ayikho yonke iqanda eveliswayo iya kusinda kwinkqubo ye- IVF .
Ngokomzekelo, nge-IVF eqhelekileyo, ukuba amaqanda ama-10 athatyathwa, kunokwenzeka ukuba i-five kuphela inokuthi iqulethwe. Kuzo, zintathu kuphela ziba nemibungu enempilo yokudlulisa.
Ukuba uqala kunye namaqanda amabini okanye amathathu kuphela, kwaye zonke ezo maqanda aziqhelwanga okanye azihlali kwisithuba sombungu okwaneleyo ukutshintshwa, ulahlekelwe ngumjikelezo wonke.
I-Mini-IVF ayifanelekanga xa udinga ubuninzi bamaqanda.
Ukuba unqanda amaqanda akho , okanye umnikeli weqanda unika amaqanda , kufuneka usebenzise iziyobisi ezininzi zokuzala ukuze kuveliswe inani elikhulu le- oocytes .
Ngaphantsi
Xa kuthelekiswa ne-IVF eqhelekileyo, i-mini-IVF ihlawula ngaphantsi komjikelezo kwaye inciphise umngcipheko wokuphucula i-ovarian hyperstimulation syndrome. Nangona kunjalo, amazinga okuphumelela ngokuqhelekileyo aphantsi kunye ne-mini-IVF.
Xa kuthelekiswa ne-IUI, i-mini-IVF ixabisa ngaphaya kwe-IUI kodwa iphucule izinga lokuphumelela kokukhulelwa. Kananjalo ungancipha ukuba ukhulelwe ngokuphindaphindiweyo nge-mini-IVF xa kuthelekiswa nonyango lwe-IUI.
> Imithombo:
> Zhang JJ1, Merhi Z2, Yang M3, Bodri D3, Chavez-Badiola A3, Repping S4, van Wely M4. "I-IVF yokunciphisa i-IVF ngokuqhelekileyo: isilingo esilawulwa ngokungahleliwe." U-J Obstet Gynecol. 2016 Jan; 214 (1): 96.e1-8. i-doi: 10.1016 / j.ajog.2015.08.009. Epub 2015 Agasti 8.
> UDkt. John Zhang, uMsunguli kunye noMlawuli wezoNyango weNew Hope Nursing Centre; UDkt. Zaher Merhi, uMlawuli woPhando noPhuhliso kwi-IVF Technologies. Udliwano lwe-imeyili ngo-Agasti 29, 2016.