Mu Vitro Feteleza (IVF)

Zamkati

• Chifukwa Chiyani Kuphatikiza Kwa Vitro Kumachitika?
• Kodi Ndingakonzekere Bwanji Feteleza wa Vitro?
• Kodi Feteleza wa Vitro Amachitika Bwanji?
• Kukondoweza
• Kubwezeretsa Dzira
• Kusokoneza
• Chikhalidwe cha Embryo
• Tumizani
• Kodi Zovuta Zomwe Zimakhudzana ndi Feteleza Vitro Ndi Ziti?
• Kodi Chiyembekezo Chosakhalitsa Ndi Chiyani?

Kodi Feteleza wa Vitro ndi Chiyani?

In vitro feteleza (IVF) ndi mtundu wa ukadaulo wothandizira uchembere (ART). Zimakhudzanso kupeza mazira kuchokera mchiberekero cha mayi ndikuwaphatikiza ndi umuna. Dzira loberekali limadziwika kuti mluza. Mluza umatha kuzizidwa kuti usungidwe kapena kutumizidwa m'chiberekero cha mkazi.

Kutengera ndi momwe zinthu ziliri, IVF itha kugwiritsa ntchito:

• mazira ako ndi umuna wa mnzako
• mazira anu ndi umuna wopereka
• mazira opereka ndi umuna wa mnzanu
• mazira opereka ndi umuna wopereka
• mazira operekedwa

Dokotala wanu amathanso kuyika mazira m'chiberekero, kapena chonyamulira. Uyu ndi mayi yemwe amakunyamulirani mwana wanu.

Kuchuluka kwa IVF kumasiyanasiyana. Malinga ndi American Pregnancy Association, kuchuluka kwa kubadwa kwa azimayi ochepera zaka 35 omwe akutenga IVF ndi 41 mpaka 43%. Mlingowu umagwera 13 mpaka 18 peresenti ya azimayi azaka zopitilira 40.

Chifukwa Chiyani Kuphatikiza Kwa Vitro Kumachitika?

IVF imathandiza anthu osabereka omwe akufuna kukhala ndi mwana. IVF ndi yokwera mtengo komanso yowononga, kotero maanja nthawi zambiri amayesa njira zina zothandizira kubereka poyamba. Izi zitha kuphatikizira kumwa mankhwala obereketsa kapena kutulutsa umuna wa intrauterine. Pogwiritsa ntchito njirayi, dokotala amatumiza umuna mwachindunji m'chiberekero cha mayi.

Mavuto osabereka omwe IVF ingakhale ofunikira ndi awa:

• amachepetsa kubereka kwa amayi azaka zopitilira 40
• machubu oletsedwa kapena owonongeka
• Kuchepetsa ntchito yamchiberekero
• endometriosis
• chiberekero cha fibroids
• kusabereka kwa abambo, monga kuchepa kwa umuna kapena zovuta zina mu umuna
• kusabereka kosadziwika

Makolo amathanso kusankha IVF ngati atha kutenga ana awo. Labu ya zamankhwala imatha kuyesa mazirawo ngati ali ndi vuto linalake. Kenako, adotolo amangobzala mazira opanda zolakwika za majini.

Kodi Ndingakonzekere Bwanji Feteleza wa Vitro?

Asanayambe IVF, azimayi amayesedwa kaye m'mimba. Izi zimaphatikizapo kutenga magazi ndikuyesera kuti muwone ngati ma follicle olimbikitsa mahomoni (FSH). Zotsatira za kuyesaku zidzakupatsani chidziwitso cha dokotala wanu kukula ndi mtundu wa mazira anu.

Dokotala wanu ayang'ananso chiberekero chanu. Izi zingaphatikizepo kupanga ultrasound, yomwe imagwiritsa ntchito mafunde omveka kwambiri kuti apange chithunzi cha chiberekero chanu. Dokotala wanu amathanso kuyika gawo kudzera mumaliseche anu ndi chiberekero chanu. Mayesowa atha kuwulula chiberekero chanu ndikuthandizira adotolo kudziwa njira yabwino yoperekera mazirawo.

Amuna ayenera kuyezetsa umuna. Izi zimaphatikizapo kupereka nyemba zamasamba, zomwe labu liziwunika kuchuluka, kukula, ndi mawonekedwe a umuna. Ngati umuna uli wofooka kapena wowonongeka, njira yotchedwa intracytoplasmic sperm injection (ICSI) itha kukhala yofunikira. Pakati pa ICSI, katswiri amalowetsa umuna m dzira. ICSI itha kukhala gawo la njira ya IVF.

Kusankha kukhala ndi IVF ndi chisankho chaumwini. Pali zifukwa zingapo zofunika kuziganizira.

• Kodi mutani ndi mazira omwe sanagwiritsidwe ntchito?
• Kodi mukufuna kusamutsa mazira angati? Mazira ambiri omwe amasamutsidwa, chiopsezo chotenga mimba zingapo. Madokotala ambiri satumiza mazira opitilira awiri.
• Mukumva bwanji za kuthekera kokhala ndi mapasa, mapasa atatu, kapena kutenga pakati kangapo?
• Nanga bwanji zamalamulo ndi malingaliro okhudzana ndi kugwiritsa ntchito mazira, umuna, ndi mazira operekedwa ndi munthu wina?
• Kodi ndizovuta zachuma, zakuthupi, komanso zamaganizidwe zomwe zimakhudzana ndi IVF?

Kodi Feteleza wa Vitro Amachitika Bwanji?

Pali njira zisanu zomwe zikukhudzidwa ndi IVF:

1. kukondoweza
2. kubweza dzira
3. kusokoneza
4. chikhalidwe cha mluza
5. kusamutsa

Kukondoweza

Mkazi nthawi zambiri amatulutsa dzira limodzi nthawi iliyonse yakusamba. Komabe, IVF imafuna mazira angapo. Kugwiritsa ntchito mazira angapo kumawonjezera mwayi wopanga mwana wosabadwa. Mudzalandira mankhwala obereketsa kuti muwonjezere kuchuluka kwa mazira omwe thupi lanu limatulutsa. Munthawi imeneyi, adotolo azikayezetsa magazi pafupipafupi kuti awone momwe mazira amapangira ndikudziwitsa dokotala nthawi yomwe angawapeze.

Kubwezeretsa Dzira

Kubwezeretsa mazira kumatchedwa follicular aspiration. Ndi njira yochitira opaleshoni yochitidwa ndi anesthesia. Dokotala wanu adzagwiritsa ntchito wand wa ultrasound kuti atsogolere singano kudzera mumaliseche anu, m'chiberekero chanu, komanso muzitsulo zokhala ndi dzira. Singanoyo imayamwa mazira ndi madzimadzi kuchokera pagawo lililonse.

Kusokoneza

Mwamuna mnzakeyo tsopano akuyenera kupereka nyemba zamwamuna. Katswiri amaphatikiza umuna ndi mazira mu mbale ya petri. Ngati izo sizipanga mazira, dokotala wanu atha kusankha kugwiritsa ntchito ICSI.

Chikhalidwe cha Embryo

Dokotala wanu amayang'anira mazira omwe ali ndi umuna kuti awonetsetse kuti akugawana ndikukula. Mazirawo akhoza kuyesedwa kuti awone ngati ali ndi majini pano.

Tumizani

Mazirawo akakula mokwanira, amatha kuikidwa. Izi zimachitika masiku atatu kapena asanu pambuyo pa umuna. Kuika magazi kumaphatikizapo kulowetsa chubu chofewa chotchedwa catheter cholowetsedwa mumaliseche anu, kupyola chiberekero chanu, ndi chiberekero chanu. Dokotala wanu amatulutsa kamwana kameneka m'chiberekero mwanu.

Mimba imachitika pomwe mluza umadzilimbitsa kukhoma lachiberekero. Izi zimatha kutenga masiku 6 mpaka 10. Kuyezetsa magazi kumatsimikizira ngati muli ndi pakati.

Kodi Zovuta Zomwe Zimakhudzana ndi Feteleza Vitro Ndi Ziti?

Mofanana ndi njira iliyonse yamankhwala, pali zoopsa zomwe zimakhudzana ndi IVF. Zovuta zimaphatikizapo:

• kutenga mimba kangapo, komwe kumawonjezera chiopsezo chobadwa ndi mwana wochepa komanso kubadwa msanga
• kupita padera (kutaya mimba)
• ectopic pregnancy (pamene mazira amalowetsa kunja kwa chiberekero)
• Matenda a ovarian hyperstimulation syndrome (OHSS), omwe samapezeka kawirikawiri pamadzi ndi chifuwa
• Kutaya magazi, matenda, kapena kuwonongeka kwa matumbo kapena chikhodzodzo (kawirikawiri)

Kodi Chiyembekezo Chosakhalitsa Ndi Chiyani?

Kusankha kulowa mu vitro feteleza, komanso momwe mungayesere ngati kuyeserera koyamba kwalephera, ndi chisankho chovuta kwambiri. Zovuta zachuma, zakuthupi, komanso zamaganizidwe zitha kukhala zovuta. Lankhulani ndi dokotala wanu kwambiri kuti mudziwe zomwe mungachite komanso ngati vitro feteleza ndiyo njira yoyenera kwa inu ndi banja lanu. Funani gulu lothandizira kapena mlangizi kuti akuthandizeni inu ndi mnzanu panthawiyi.