Kudzalanso mazira ndi lidzawagwiritsenso: momwe izo zikuchitika?

moyo wamakono kuzichita chitukuko zazikulu ndi kuyanga a makampani zivute zitani kumabweretsa imfa ya bwino zachilengedwe pakati pa mwamuna ndi chikhalidwe. Makamaka, zinthu wapatsidwa angapo akhoza sanaime mwana yekhayo ndi khama olowa. Nthawi zina chitsutso zikumveka ndi matenda a mmodzi wa akazi, ngakhalenso thanzi mtheradi abwenzi sizitanthauza kuti Union mphoto yaitali mwana.

Nthawi zina, imasonyezedwa lidzawagwiritsenso

Mu umuna m'galasi (lidzawagwiritsenso) amasankhidwa palibe kale kuposa kuchititsa Kafukufuku kutsimikizira kuti n'zosatheka pathupi. Kuyesa kuchitira osabereka Nthawi zambiri kuchedwa kwa zaka zambiri, koma wosabereka ndondomeko nthawi amatha Mwina ndi zotsatira zabwino kuchepetsa yekha. Kuona kupanda miyeso, banjali ali ndi ufulu amaumirira wozengereza lidzawagwiritsenso ndondomeko zitapita zaka ziwiri mankhwala.

Kodi kukula kwa mwana wosabadwayo ndi

Pambuyo umuna, dzira aikidwa mu malo madzi omasuka, oyerekeza kuti kholo achilengedwe. Kusintha kwa dzira wamba mu zygote, ndiko limodzi tating'ono wosabadwayo, komabe kumaliza ndondomekoyi. Pamaso Kudzalanso Ndisanaumbidwe pa lidzawagwiritsenso ayenera kuchitika kangapo magawano foni kuyang'aniridwa zonse embryologist ndi, kuchita chilichonse msinkhu wa chitukuko cha chamoyo.

Kuyambira tsiku lachiwiri la umuna, maselo, adokotala akhoza kupereka mlandu wa mwana wosabadwayo limafanana ndi malamulo chizindikiro. Nthawi zina, ngati iye ali ofooka, koma yotheka, izo zinagwira malo yokumba mapangidwe a blastocyst (zimachitika pa tsiku 6), kenako okha anadzetsa pa uterine patsekeke. Kudziwa zimenezi wolungama chiopsezo kuchepetsa mayi, monga amakonda mapangidwe fetuses angapo m'mimba, motero minimizes mavuto pa thupi.

Mu yachibadwa magawano selo kololeka akuti padzuwa la mazira ndi masiku atatu. Pambuyo pake, ena a iwo, koma oposa awiri, ndi kunditumiza ku thupi la wodwalayo, ndi wolimba kwambiri toyesa otsala, atapanga asafe. Koma bwanji za kumezetsanitsa mazira ndi lidzawagwiritsenso?

Kukonzekera akazi ndondomeko Kudzalanso Ndisanaumbidwe

Ganizo lomwelo kukhala mayi isanentsa kuitowera Kudzalanso Ndisanaumbidwe pa lidzawagwiritsenso, ndi chifukwa chokwanira kuti mkazi kubwerezanso mfundo za chakudya ndi tsiku chizolowezi. Ndi chitetezo athanzi ndi amphamvu mantha dongosolo zimadalira mayi woyembekezera mmene bwino ndondomeko.

masabata angapo isanafike tsiku dzira katengedwe akazi kusonyeza mapuloteni zakudya ndi osachepera kuchuluka kwa mafuta ndi kupatulana okwana ufa menyu lokoma ndi soya wolemera mapuloteni ndi munali zinthu zasinthidwa chibadwa mbale. Analimbikitsa kumwa kwambiri woyera madzi, freshes achilengedwe popanda zina yokumba. Zipatso bwino amakonda chinanazi atsopano (ngati si matupi awo sagwirizana).

Pa tsiku la Kudzalanso Ndisanaumbidwe mu chiberekero pa lidzawagwiritsenso, ndi zofunika kuti Zimachititsa magazi aziyenda bwino mu ziwalo m'chiuno, limene madokotala kulangiza akazi kuchita kugonana, ndi pamenepo pokha, pambuyo ukhondo wamkazi, anasonkhana pa implantation.

maola awiri nthawi yoikidwiratu isanakwane Kudzalanso mkazi ayenera kutenga mankhwala Piroxicam. Atapitirira lidzawagwiritsenso, ndi bwino kukhadzikika ndipo kumbukirani kuti Kudzalanso Ndisanaumbidwe lidzawagwiritsenso luso ndi sabweretsa chisoni ndipo sanali zoopsa.

Ndondomeko Kudzalanso Ndisanaumbidwe

mkazi saona mmene pokonzekera Ndisanaumbidwe kutengerapo, choncho sangathe kudziwa kuti pamaso pa implantation la chipolopolo Ndisanaumbidwe mwadala kuonongeka kwa kumasula mazira. Ndondomeko amatchedwa "kuswa" ndipo kuvomerezedwa.

Kotero, momwe kumezetsanitsa mazira ndi lidzawagwiritsenso? Pambuyo pokambirana ndi dokotala, mkazi amatenga udindo omasuka pa mpando matenda. Pankhaniyi, ndi bwino kuti asangalale ndi kutseka maso anu, ndipo osadandaula, kuonera ngati kuti Kudzalanso mazira. Lidzawagwiritsenso Nkofunika kusunga kufunitsitsa wodwala m'maganizo. The catheter, zomwe dokotala amaika mu chiberekero motsogozedwa ndi kuonerera ultrasound sayambitsa kusapeza chachikulu ngati minofu m'chiuno ali omasuka ndipo apobe.

Tikayang'ana alendo ambiri wamkazi, Kudzalanso mazira ndi lidzawagwiritsenso chitadutsa, monga nalosa mwa kukambirana zoyambirira: bwinobwino ndi chikhalidwe cha wachikondi mtima wa ndodo. Pambuyo kuchotsa catheter wodwala anafunsa kuti pogona pa bedi kwa kumbuyo ndi tithe kugwira pang'ono poyerekeza ola limodzi. Panthawi imeneyi, embryologist zifotokoza otsala catheter chubu mazira ndi yotheka ndipo ngati chilolezo kwa wodwalayo, kutumiza iwo ndi amaundana cryogenic.

cryopreservation Kodi

Kulandira isanafike awiri chilolezo cha nambala ya maselo ukala amasankhidwa yekha olimba zinthu, iwo adzakhala ndi moyo zinthu zopanikiza wotsatira defrosting. Mazira zambiri cryopreserved, m'pamenenso mkazi adzayambiranso zoyesayesa lidzawagwiritsenso mu izi, zomwe zingachitike patapita zaka.

Amaundana maselo nyongolosi limapezeka pa mitengo otsika kwambiri a Hg, mosamalitsa -196 ⁰ C. Popeza ndondomeko obrabatyvaniya asafe ndi wotsatira konzanso wosabadwayo - mtundu wa okhwima oipa pansi wosadzayanjanika yolimbirana moyo, mobwerezabwereza lidzawagwiritsenso mazira kumezetsanitsa ntchito maselo thawed bwino kwambiri mkazi.

Anatengera pambuyo Kudzalanso

Kuyambira nthawi pamene mkazi asiya ofesi ya adokotala, chifukwa amakhala zina zofunika kwambiri masiku atatu. Mode pambuyo spiking lidzawagwiritsenso mazira kwa maola 72 Lili obezdvizhimost mtima. Ngakhale ndi osowa kuwuka mu chipinda Chimbudzi zofunika thandizo thupi la mwamuna wake, kuti kuchepetsa magazi kwa mafupa a chiuno ndi. mankhwala madzi contraindicated mu tsiku loyamba!

Kuti dokotala anu n'chakuti zakudya, koma ngati mkazi ali wathanzi ndi malangizo apadera sali, pambuyo spiking Ndisanaumbidwe pa lidzawagwiritsenso asadye zonse, koma ndi kutsindika pa mankhwala achilengedwe, ndipo, ndithudi, popanda kulolerana mu zakudya khofi, wochuluka kapena ambiri ufa zakudya.

Patapita masiku atatu, kunama mode gawo la zinthu zolimbitsa akuyamba. No mwadzidzidzi kayendedwe mkazi mosamala kugwira ntchito zofunika banja, kuyenda mu msewu, kupewa zimene anakumana nazo. Pa nthawi imeneyi n'kofunika kumamwa kowirikiza madzi oyera si enaake.

ulamuliro

Mu masiku oyamba pambuyo kulanda Ndisanaumbidwe mkazi nthawi zambiri vuto la kulera kutentha, koma ngati mukukumbukira akamanena za phukusi anali mu thupi, chitetezo cha m'thupi ayankhe adzakhala bwino. Kutsitsa zizindikiro thermometer ayenera kukhala, ngati Mercury limatuluka pamwamba 37.6 ^0. Muyenera kupereka thupi lanu nokha "kupukusa" zatsopano ndi kubwera kwa mawu ndi mfundo. Posacedwapa kudzacheza kwa dokotala chodabwitsa akumugwira ndi kusanthula kale.

M'pofunika kulabadira jakisoni yoikidwiratu. Zonsezi adzakhala atatu (muyezo lakuti): jakisoni awiri "utrozhestan" usiku pambuyo ndondomeko, ndi jekeseni mmodzi ya "Progesterone" m'mawa ndi zisanu jakisoni (maola zochepa chiwembu) "Fragmin" udindo yachibadwa magazi aziyenda bwino mu ziwalo m'chiuno. "Fragmin" akhoza amachotsedwa mndandanda, ngati zotsatira za coagulation magazi wodwalayo clotting Kodi sasiya mwakale.

Khalidwe lake monga chotsatira cha lidzawagwiritsenso

Mantha akazi akakumana ndi zochitika pambuyo puncture, iwo mwakuwoneka zovuta kuzimvetsa, chifukwa otsika zili zambiri. Mmunsimu muli mndandanda wa zinthu zimenezi, komanso zimene mungachite kuti yankho lolondola kwa iwo:

• Mafanizo, obsessive ululu m'mimba pambuyo ndondomeko monga pa msambo, - ponseponse mtheradi. Tengani kalikonse sayenera.
• Zotuluka ku maliseche kwa mkazi, mu mawonekedwe a madzi pinkish pa 6-12 TH tsiku Ndisanaumbidwe kutengerapo - kuyembekezera ndi ankafunila kwenikweni akunena kuti analili unali wolunjika ku linga la chiberekero. Mwachibadwa, ngati magazi ngati kumatenga maora osaposera 4. dokotala ayenera kudziwa zinthu ndi kuchita kuyendera kuti bwino amayang'anitsitsa mmene wodwalayo.
• Kugwiritsa magazi kapena kukwaniritsa mtundu wakuda chizindikiro kulephera Kudzalanso ndipo muyenera mwamsanga m'chipatala. Nthawi zina miyezo anatengedwa mwachangu kupulumutsa mimba.

Chimodzimodzi masabata awiri pambuyo puncture, ndi mayeso pa chorionic anthu gonadotropin (hCG). Zotsatira zake zimakhala kuperekedwa tsiku lomwelo, ndi mkazi akhoza kudzamuthokoza tokha ngati anthu ambiri timadzi yofunikayi udzakhala wautali. Nthawi zina hCG mayeso amafuna kubwerezabwereza pambuyo maola 72; akulodnoleza zimenezi ndi chifukwa kukhalapo ndende wofatsa.

masiku asanu ndi awiri pambuyo yobereka magazi timadzi (mu inde) analengeza ultrasound, kulengeza mimba. Pambuyo masiku 14 anaika chachiwiri - kuwunika chitukuko cha mwana wosabadwayo mizu.

Mu nkhani ya hCG makonzedwe zoipa mankhwala kukhalabe lidzawagwiritsenso zotsatira kutha.

m'masiku otsiriza ovuta, amene ayenera kupita kwa masiku 5-7, kutumikira ena muyeso wa kuyesa analephera Kudzalanso.

Kuti zingakhudze zotsatira za Kudzalanso

Chinthu Common kuti complicates ubwenzi wa mwana wosabadwayo kuti chiberekero ndi fibroids. Spiking 1 lidzawagwiritsenso Ndisanaumbidwe imeneyi ikuchitika kuti zygote sanali pafupi ndi chotupa, amene amamuchititsa choonadi. zinthu zina zofunika yabwino kupulumuka wa mwana wosabadwayo thupi la mayi amatchedwa nthawi loyenera (zambiri masiku 20 mkombero) ndi kukhwima mulingo woyenera maselo ukala. Ngati mawu ena anapereka madokotala, ayenera osabanikira, chifukwa thupi sikuti ntchito ngati clockwork, ndi zina zabwino zimene kuganizira payekha akazi, ndi kudziwa bwino.

Koma ngakhale ngati ayenera kukhala mayeso zoipa, kuti chimwemwe cha mayi si inu - kuchuluka weniweni kupambana pambuyo ulendo woyamba ndi kawirikawiri kuposa 45%. Mwina pang'ono kusintha zakudya kapena kusiya zizolowezi zoipa, ngati mulibe kale, ndipo onetsetsani kuti yeseraninso ntchito maselo nyongolosi pambuyo cryopreservation.