Ubwenzi wa mwana wosabadwayo kuti chiberekero tsiku nchiyani chimabwera?

Popeza anaonekera mu 1978 mu kuwala kwa mwana woyamba pakati kunja kwa thupi, mu m'galasi umuna anapereka mwayi kwa akazi ambiri tikapeze chisangalalo cha amayi. Panopa, ndondomeko yokumba insemination imagwiridwa mu zipatala zambiri Russian ndi achilendo, kuthandiza mabanja opanda ana kuti mwana yaitali.

magawo a lidzawagwiritsenso

Panthawi yoyamba kukaona chipatala dokotala anayendela mkazi, ndikuwerenga mbiriyakale ya matenda ndiponso limapereka mndandanda wa ndondomeko zofunika mayesero. Tikumbukenso kuti amuna komanso kuti apereke magazi ndi madzimadzi seminal kafukufuku.

Pambuyo zotsatira za amalandira, dokotala, kuganiza contraindications ayi, anayambitsanso mu protocol mkazi. Choncho anaitana mmodzi kuwombera njira mu m'galasi umuna chithandizo, womwenso masitepe pansipa.

1. Yamchiberekero kukondoweza. Ndondomeko, malingana ndi mkombero zachilengedwe mkazi chimakhala cha masiku khumi milungu iwiri ndi kugwiritsa ntchito mankhwala kuti yaikulu zotheka angapo follicles. Pakuti zolinga zimenezi, akazi chikalata mankhwala m'thupi timayambitsa kwafalikira selo.
2. Puncture. Pamene dzira mu follicles ndi okhwima, iwo yotengedwa mwa zida wapadera zida ndi kachipangizo a. Mpanda maselo - m'malo chowawa ndondomeko, choncho anachita pogonekedwa ndi mankhwala ambiri. Ikuluikulu follicle kukula, ndi apamwamba mwayi wa mkazi kukhala ndi mwana.
3. Umuna. Ngakhale mkazi wagona pa tebulo ya opareshoni, munthu akukamba umuna ana m'tsogolo. Embryologists maselo nyongolosi pansi maso pa zikugwirizana makolo ndi kuwasiya iwo kwa tsiku. Tsiku lotsatira, iwo kuunikira zotsatirazo ndi kusuntha maselo ukala mu njira yapadera, pamene iwo chidzakula kwa masiku awiri, atatu kapena asanu.
4. Zotsatirazi Ndisanaumbidwe kutengerapo mu uterine patsekeke.
5. Amandithandiza mankhwala kuchipatala.
6. Kuikidwa ndi mayeso B-hCG, zotsatira zomwe Tingaone pa mimba zotsatira.

Patapita masiku angati Ndisanaumbidwe amamangirira chiberekero?

akazi onse mphindi alikudabwa tsiku zimene amadza mwana wosabadwayo angagwirizanitse kwa chiberekero pambuyo lidzawagwiritsenso? Akukhulupirira kuti blastocyst, mluza amene anasamutsidwa pa tsiku lachisanu la umuna, amamangiriridwa ku linga la chiberekero pa tsiku loyamba. Ngakhale nthawi zina zingachitike pang'ono. Ngati mazira ndi kunditumiza ku chiberekero tsiku wachiwiri kapena wachitatu linakhalapo, pamaso iwo logwirana mu malo, zingatenge masiku osachepera awiri.

akazi mode pambuyo kutengerapo

Ngakhale ubwino bedi zina ndipo osati kutsimikiziridwa, madokotala ambiri okonda amakhulupirira kuti ndi bwino kugona pansi, pamene ubwenzi wa mwana wosabadwayo kuti chiberekero kudzachitika. Pa tsiku kudzuka, inu muyenera kuganiza, zochokera ukupeza wodwalayo. The mulingo woyenera kwambiri - ndi kukhala mu bedi woyamba masiku awiri pambuyo kulanda, ndiye m'pofunika kusuntha. Ichi ndi chifukwa choona kuti moyo amakwiya kuchulukana mu mafupa a chiuno, kupanga kovuta angagwirizanitse Ndisanaumbidwe kuti chiberekero. Pa tsiku pambuyo lidzawagwiritsenso kupita ku ntchito - mwaganiza. Chipatala kalata, kuchotseredwa ntchito ntchito kwa mlungu umodzi, koma kwenikweni akazi akukumana mu ndondomeko m'galasi umuna si sangathenso.

Ngati mwaganiza kupita ku ntchito, kuyesa zochepa kukhala pa kompyuta, kukonza okha nezi lalifupi pa onse antchito a. Komanso, musaiwale kuti simungathe zolemera, komanso kulumpha ndi manja ake pamwamba pamutu wake. Compliance ndi malamulo amenewa kungathandize kwambiri kuwonjezera mwayi wakuti ubwenzi wa mwana wosabadwayo kuti chiberekero. Pa tsiku pambuyo kulanda, mukhoza kupeleka magazi kwa mimba timadzi, auzeni adokotala. akazi ambiri magazi kuyesera kupeza malo ake mothandizidwa ndi mayesero mimba. Madokotala sali amalangiza ntchito zawo, ndi kuwatcha kuyembekezera kusanthula tsiku, monga timadzi mu mkodzo kangapo poyerekeza ndi mwazi, ndi mayeso kungonyenga-negative.

A maganizo superfluous kusokoneza ubwenzi wa mwana wosabadwayo kuti chiberekero. Pa tsiku akusankhidwa ndi kuwunika? Gwirizanani, musayembekezere kuti kwa nthawi yaitali chonchi, koma malangizo a madotolo ndi kuleza mtima kuthetsa inu ku maganizo.

Zizindikiro kubwera mimba

Popeza ndondomeko ya njira yokumba insemination limodzi ndi chiwerengero chachikulu cha kukonzekera m'thupi, kudziwa mimba chifukwa makhalidwe ena m'malo ovuta. mankhwala onse ogwiritsidwa ntchito kulenga maziko mimba zothandiza ubwenzi wa mwana wosabadwayo kuti chiberekero. Iwo anafika anachedwa tsiku kusamba zimene a kuzungulira, yokumba insemination ndipo si monga chizindikiro yofunika.

Malinga ndi ndemanga zambiri akazi akukumana lidzawagwiritsenso, chizindikiro chokha cha mimba zotsatira ndi kumverera kwa chidzalo pamimba m'munsi. Iwo ubwera pang'onopang'ono, ndipo kukhala kosatheka kudziŵa kuti tsiku Ndisanaumbidwe angagwirizanitse kwa chiberekero. Zizindikiro kubwera mimba akhoza kusokoneza kwambiri thanzi ndipo nthawi zina moyo wa mayi. Izi imakhudzanso amenewa yoopsa mnzake lidzawagwiritsenso ndi yamchiberekero hyperstimulation.

Zizindikiro za matenda hyperstimulation

syndrome Izi ndi mdani mnzake yamchiberekero superovulation, kwambiri complicating ndondomeko lidzawagwiritsenso chithandizo. Mwachitsanzo, ngati syndrome akufotokozera yomweyo pambuyo dzira katengedwe, madokotala anagona Ndisanaumbidwe kutengerapo kuzungulira lotsatira. Mbali kwambiri khalidwe ndi hyperstimulation ngati zotengeka monga:

• distension m'mimba;
• infrequent pokodza;
• kuphwanya mpando;
• nseru, kusanza;
• kufupika kwa mpweya;
• kuwonjezera circumference m'mimba;
• ululu m'dera la thumba losunga mazira ndi.

Komanso, pamene ultrasound matenda mu zonse m'mimba ndi chimafotokozera madzi ufulu.

Matendawa angagwe ngati anachita ubwenzi wa mwana wosabadwayo kuti chiberekero. Pa tsiku n'zotheka kumva wayamba hyperstimulation, ndi wovuta kuyankha. Izi zidalira pa chikhalidwe wamkulu wa mkazi ndi kuchuluka unachotsedwa foni yake.

Zinthu zokhudza ubwenzi wa mwana wosabadwayo kuti chiberekero

Malinga ndi kafukufuku, n'kutheka mimba pambuyo lidzawagwiritsenso ndi 40%, ndipo malinga mkazi wamng'ono kuposa zaka 35. Pambuyo m'badwo uno, mlingo bwino yafupika kwambiri. Ena amati madokotala, ndi mpikisano - ndinu mwayi kapena ayi. Zoonadi, akazi ambiri amatenga mimba pa tiyese choyamba, koma pali anthu amene asanakhale amayi kudutsa lidzawagwiritsenso pafupi kakhumi.

Pakuti azimayi amenewa, pali ena ayamikira kusintha kuthekera ubwenzi wa mwana wosabadwayo kuti chiberekero. Pa zimene tsiku ndi nkhani kulanda, kodi kudya, kodi kumwa, momwe zinthu - zinthu zonse. Motero ndi Dziwani kuti zingakhale bwino ngati Ndisanaumbidwe chidzakula lidzasendera iwo ku tsiku lachisanu kapena lachisanu ndi chimodzi pambuyo puncture lapansi. Komanso, kuwonjezera mwayi wa mimba, masiku pang'ono kulanda ayenera kuyamba kumwa mapiritsi "piroxicam". Asayansi French asonyeza kuti mankhwala kumawonjezera mwayi za ubwenzi angapo a Ndisanaumbidwe kuti chiberekero. Pa tsiku kuyamba kutenga izo, n'zosiyana: munthu amamwa masiku angapo, ndipo munthu aganiza kuti akathe kutengapo piritsi limodzi isanafike kusamutsa. Komanso, mwayi ndi kuonjezera ngati mu protocol kudya mapuloteni chakudya ndi kumwa madzi ambiri ngati kuli kotheka.

Moyo pambuyo mayeso abwino

Chinthu chovuta kwambiri pamsewu kwa mayi wadutsa. mimba kuti zinali zosavuta, kuyesera kuyenda kwambiri mu mpweya wabwino, kudya zakudya zomanga thupi, musakhale mantha ndi kuonetsetsa kuti mankhwala mankhwala. Kumbukirani kuti kwambiri mimba akamagwira lidzawagwiritsenso anatayika chifukwa ntchito molakwika mankhwala. Komanso, Mulimonsemo, Musasinthe okha mankhwala m'thupi, kudikira kuti achite dokotala. Mwachibadwa, kuthandiza ntchito ya corpus luteum akatulutsidwa "Urozhestan", ayenera kugwiritsidwa ntchito kufikira za sabata la 20 mimba. Kusiya kumwa mankhwala amene ali ndi udindo kwa kupanga progesterone, dokotala adzalola pang'ono kale - penapake 16-17 sabata TH.