Zotsatira za lidzawagwiritsenso kwa akazi. Magawo ndi lidzawagwiritsenso

Zothandizira ubereki luso mu zaposachedwapa zaka watumikira ambiri awiriawiri. Wodwala aliyense ali zizindikiro zawo amenewa kapena njira. Mmodzi mwa akazi khumi ndi mavuto pathupi, lidzawagwiritsenso zosowa. Za mpheto izi angakuuzeni Nkhani lero. Mudzaphunzira kodi zotsatira za lidzawagwiritsenso, komanso athe timudziwe bwino magawo a chochitika.

Mu umuna m'galasi

Kodi ndondomeko? Mu umuna m'galasi - ndi mpheto kupereka kubadwa kunja kwa thupi la mkazi. Mwina wa mimba ndi 60 peresenti. Osati awiriawiri zonse zabwino analandira pa ulendo oyamba. Mabanja ena amakakamizidwa mobwerezabwereza amachita mu m'galasi umuna ndondomeko.

Kayendesedwe amachitika m'njira zosiyanasiyana. Nthawi zonse kuganizira mmene alili ndi zinthu payekha. Man ndondomeko pafupifupi kanthu kochita ndi. Koma ngati khalidwe la umuna wake ndi osauka, ndipo pali ena mpheto ntchito. Mu umuna m'galasi wapemphedwa kuti mabanja sangathe pakati mwana mwachibadwa. Mndandanda wa zizindikiro zazikulu ndi: pakalibe Ukalawu kapena mazira, osauka khalidwe umuna okondedwa, sizingasinthe. Ndondomeko kuchitidwa lidzawagwiritsenso ukhoza kukhala wautali ndi waufupi, ndi kukonzedwa osachepera m'thupi, kapena kopitilira muyeso giperdlinnye. Koma ambiri woyamba awiri ntchito. Werengani zambiri za iwo ndi zomwe zotsatira za lidzawagwiritsenso kungakhale, kuphunzira. Musaiwale kuti thupi la wodwala aliyense payekha.

Zichitike ndi yaitali zoipa zotsatira za lidzawagwiritsenso

Zingatanthauze kuti zingachitike oipa mu m'galasi umuna protocol? Koma ngakhale pa nthawi ya kukondoweza kenako simungathe mavuto alionse amene iwo amakumana m'tsogolo. Zotsatira za lidzawagwiritsenso akhoza kugawidwa mu oyambirira ndi mochedwa.

Zoyambazo monga zosayembekezereka zinthu zoipa kapena mavuto amene mkatimkati kapena nthawi yomweyo pambuyo kukondoweza cha kusamuka selo. The mavuto ambiri amaona OHSS - yamchiberekero hyperstimulation syndrome. Nthawi imeneyi, zosokonezeka angakhalepo monga ziwengo kapena tsankho mankhwala wina, zochita zoipa, kutupa. Nthawi zambiri, nthawi yomweyo zotsatira za lidzawagwiritsenso - Ndi ululu pamimba, mapangidwe madzimadzi mu malo pozadimatochnom, kuphwanya chopondapo, kunyansidwa ndi kusanza, chiwindi kukanika chifukwa cha ntchito yaikulu Mlingo wa mankhwala. Pa puncture, mkazi zingachititse magazi, amenenso mavuto osangalatsa kwambiri.

Pa zotsatira yaitali, madokotala akusiyana maganizo kwambiri pankhani lero. Amadziwika kuti ndondomeko lidzawagwiritsenso ndi mwachilungamo latsopano, izo waphimbika mu nthano zambiri. Akukhulupirira kuti mpheto zimenezi zimachititsa kukula kwambiri ndi chotupa. Makamaka oopsa ngati awo chikhalidwe cha chiyambi cha zilonda. Mpheto zingachititse mutu mu akazi, ndondomeko amachepetsa tsogolo yamchiberekero malo. Aliyense ano lidzawagwiritsenso pakati chisanafike kusanthula mkazi, kuphunzira za chiopsezo cha zosasangalatsa zinthu.

Yamchiberekero hyperstimulation syndrome - vuto kawirikawiri

Kodi zikhoza kukhala zotsatira za lidzawagwiritsenso, mukudziwa kale. M'pofunikanso kuunikila OHSS - yamchiberekero hyperstimulation syndrome. Koopsa ndi kapena palibe nthawi zonse?

Yamchiberekero hyperstimulation syndrome - chikhalidwe chifukwa cha phukusi m'thupi m'thupi la wodwalayo. Pa nthawi imodzi lidzawagwiritsenso mkazi amakakamizidwa kutenga mankhwala Zimachititsa kukula follicles. Madokotala kuchitapo mazira oposa mmodzi kapena awiri - kukhala bwino muyenera kwambiri. Nthawi zambiri, madokotala amalandira kwa thumba losunga mazira ndi mkazi kwa 10-20 follicles. Pamene iyo ili mu dongosolo zachilengedwe sangathe kugwira ntchito zambiri. Against maziko a kukonzekera mazira kuwonjezeka kukula, tenga cysts angapo follicular. Zizindikiro za chikhalidwe ichi kawirikawiri izi: ululu pamimba m'munsi, kuwonjezera kukula kwa zopangitsa kugonana, kudzikundikira madzimadzi m'mimba magazi kuundana. Therapy n'kofunika odwala onse ndi vutoli.

The lonse zotsatira olakwika akhoza osiyana kwambiri. Madokotala amakonda amachita chithandizo outpatient, koma sanali kukusalani kuthekera m'chipatala. Yamchiberekero hyperstimulation syndrome ndi oopsa chifukwa anapanga chotupa akhale zopotoka, zimaphulika. Ndi zinadzala ndi ululu waukulu ndi magazi mkati zofuna alowererepo pa opaleshoni. Zotsatira za zochitika kwambiri nyengo, limene madokotala mantha akhale motere: thromboembolism, kupuma, mtima ndi impso kulephera, yamchiberekero enaake owononga. Chithandizo kumaphatikizapo ena zakudya, zina, kumwa madzi, kugwiritsa ntchito thinners magazi.

Short kapena yaitali protocol: kusankha

ndi zotsatira lidzawagwiritsenso akazi Kodi, mwaphunzila. Ngakhale, ambiri a kugonana fairer ndi kuthetsedwa kwa mpheto izi. Nthawi zambiri, kusankha yaitali kapena lalifupi protocol ndondomeko. Kodi kusiyana kwake, ngati pali kusankha mtima?

Ngati inu mumawatcha wabwino pakati lidzawagwiritsenso, ndiye kusankha okha zochita za kusankha protocol, anthu ambiri mwina, izo sizingatheke. Pambuyo anamnesis dokotala n'kuona njira zoyenera. protocol Long ntchito kwa amayi ndi yamchiberekero malo abwino. Ngati kotunga mazira inu yaing'ono, kudalira protocol yochepa. Iye kuyambira tsiku 3 kapena 5 cha mkombero lanu lachibadwa, kukondoweza kwa kumatenga pafupifupi masiku 10-14. The wodwala mankhwala osokoneza bongo kuteteza ovulation msanga. Long protocol ilipo safanana yaitali - avareji 3-5 masabata. Isanafike overstimulation wodwalayo dokotala n'kukulemberani mankhwala kuti ndigwire yopanga LH. Atafika zake osachepera kutsegula akuyamba yamchiberekero mankhwala oyenera. Amaona kuti ndi ndondomeko gormonoblokiruyuschey pamaso lidzawagwiritsenso zimadalira ziyende bwino a ntchito. Ndithudi, kuchuluka mimba apamwamba mu protocol yaitali.

Kuona ndi kukonzekera - ndi gawo lofunika

Kuti lidzawagwiritsenso zotsatira popeza mayiyo anali zabwino zokha, m'pofunika kuganizira kuwapempha dokotala onse. The Musanayambe ndi zofunika kwambiri ndi kudziwa kotunga mazira. Ikani si monga zovuta monga izo zikuwoneka. Zokwanira kuti apereke magazi mahomoni AMH, FSH ndi LH. Kutengera pa mfundo analandira dokotala kudziwa nthawi ya protocol lapansi. onse awiri, ziyenera kuyesedwa matenda, ndi mkazi ayenera kuyesedwa kwa chitetezo ku chikuku. Kwenikweni anafufuza M'mimbamo mkati mwa chiberekero. Ngati ali ndi tizilombo ting'onoting'ono, adhesions, kapena cysts, iwo achotsedwa isanayambe protocol lapansi. Man akukamba umuna kusanthula kudziwa chonde awo.

Pamaso awiri kukondoweza tikulimbikitsidwa kuti ndi moyo wathanzi, kuti musiye mowa ndi kusuta fodya, kuthetsa masewera lolemera. Chakudya ankadya makolo oyembekezera ayenera kukhala wolemera mu mapuloteni. Ngati muli ndi matenda aakulu, sindilephera dokotala ako.

Ntchito m'thupi mankhwala: kukondoweza

Magawo a lidzawagwiritsenso anawagawa zitatu: kukonzekera ndi kumwa mankhwala, puncture ndi umuna, mwana wosabadwayo kutengerapo ndi thandizo. Mankhwala wofunikila kukondoweza, woikidwa dokotala. Pofuna kuonjezera chiwerengero cha follicles ntchito yokonzekera FSH zochokera Mwachitsanzo, "Puregon". Kukwapula wa timadzi umenewu umatipatsa kusasitsa mazira 5-30 panthawi. Dziwani kuti si onse awa akhoza kukhala wangwiro ndi oyenera processing zina.

Pofuna kupewa m'badwo mahomoni omwe ntchito nyimbo kutsekereza ntchito pituitary. Zikuphatikizapo "Orgalutran." Asanalankhule puncture wa mkazi kutumikiridwa mankhwala okhala anthu chorionic gonadotropin (ndi timadzi mimba).

Follicle puncture ndi ubwamuna umakakumana

Collection ndi processing wa follicles - mfundo zotsatirazi. Eco mpanda chuma kumafuna kugwiritsa ntchito mankhwala ochititsa dzanzi ambiri. Mpheto Chowawa kwambiri, kotero si ikuchitika "phindu". Pa puncture singano kulamulira mbali ikuchitika ntchito sikana akupanga. dokotala anasankha kwambiri ndi otsika-amadza njira. Kayendesedwe kumatenga pafupifupi theka la ola. Koma chifukwa cha ntchito mankhwala, wodwala ayenera kuunikira madokotala zina maola 2-3.

Pambuyo puncture wa follicles ndi ankachitira umuna okondedwa, ndiye anaikidwa ana angathe malo abwino. Lidzawagwiritsenso kumaphatikizapo spiking mazira kwa wachitatu kapena chachisanu tsiku (malingana ndi munthu).

Posamutsa mazira ndi Kudzalanso

Russian malamulo posachedwapa ankatsutsana ndi chiletso kulanda yaikulu chiwerengero cha mazira. Tsopano kuchipatala okha awiri (pa nkhani kwambiri, atatu) ukala maselo. Khalani okonzeka chakuti iwo alibe onse mizu. Ndisanaumbidwe kumezetsanitsa sikutanthauza ochititsa dzanzi. Pamene catheter woonda mwachindunji aziwapatsa ukala dzira mu uterine M'mimbamo likuchotsedwa ndi ndondomeko kudutsa ndi chiberekero. Mpheto kumatenga zosaposa mphindi 10-15. Pa ndondomeko, mkazi, akhoza kusapeza wofatsa ndi zowawa kulongolola.

pambuyo ndondomeko

Kodi zotsatira lidzawagwiritsenso chiyani? Reviews wa akazi amene anadutsa njirayi, kuti kwa nthawi yaitali kuchokera kutengerapo, iwo anayenera kukhala mwa mpanda wa bungwe la zachipatala. Pa nthawi imeneyi, madokotala amanena kuti ndi mpumulo. Choncho, kubwerera ku alipidwa milandu inu chifuniro akadali salephera. Pambuyo kulanda madokotala kuonera mkazi, kupatulapo mavuto zotheka. Ngati pali magazi, pachimake ululu pambuyo lidzawagwiritsenso yachibadwa kutentha, ndiye wodwala kupita kunyumba. Mkazi akaundula thandizo zina, amapereka ntchito mankhwala zochokera progesterone. Iwo ayenera ntchito monga kwa alowererepo panali thupi chikasu sangathe paokha kukhala mimba, kumene kungakhale angapo.

zabwino: mimba

Amayang'anitsitsa chifukwa cha mpheto akhoza kuchitika pambuyo pa masiku 10-14. A mayeso mimba zambiri uninformative. Izo zikusonyeza ndi zabwino chifukwa kukhalapo kwa hCG timadzi jekeseni. Choncho ndi bwino kupita ultrasound ndi dokotala. masabata awiri pambuyo kulanda makina abwino adzakusonyezani kukhalapo kapena kusapezeka kwa linagwira mu uterine patsekeke. Komanso yankho lodalirika la funso amapereka poyerekeza magazi chiyeso hCG. Zotsatira zake zabwino kwambiri lidzawagwiritsenso - mimba.

Kubadwa pambuyo lidzawagwiritsenso

Kodi ana amabadwa? Lidzawagwiritsenso sikutanthauza gawo la Kaisara. Koma, ikusonyeza kumapeto, ndi ndemanga, kuti amagwira ntchito nthawi zambiri. Chifukwa chachikulu cha matenda angakhale akazi aakulu, matenda matenda mu mbiri, ndi mimba angapo. Natural kubadwa pambuyo lidzawagwiritsenso si losiyana kwa masiku. Koma m'pofunika kuti ndi mimba imeneyi zambiri ndi mavuto monga latuluka previa, msanga retinal detachment, ntchito ofooka.

mbali Psychological

Nthawi zambiri akazi ndi zotsatira lidzawagwiritsenso ku mbali maganizo. Izi nthawi zambiri pamene ntchito zinthu mwiniwake: umuna kapena dzira. Ongokhala ake kuti amangofuna kupeza mu kubadwa kwa mbali mwana kuti sizigwirizana ndi zizindikiro zawo. Choncho makolo, madokotala akulangizidwa kuti nthawi zonse kufunsa akatswiri a zamaganizo, monga vuto Kodi mwauzimu kulamulira.

Kulephera lidzawagwiritsenso zinthu ndi akazi ndi zovuta kwambiri. odwala ambiri akufuna kuyamba pomwepo protocol lotsatirali. Koma thupi amafunika nthawi kuti achire. Odzidalira, nthawi yotsatira mwayi kwa zotsatira zabwino adzakhala apamwamba.

kuti adzimvera

Kuchokera m'nkhani mungapeze zimene Kodi zotsatira lidzawagwiritsenso. njirayi ndi nkhonya kwambiri thupi wamkazi. Choncho, tiyenera kukonzekera kuti pasadakhale. The bwino kukonzekera ndi adzakhala ndi udindo njira, ndi apamwamba Mwina chifukwa positive. Zabwino zonse ndi kuleza mtima!