Xa isibini sifuna umntwana, kwaye umfazi akakwazi ukukhulelwa ngokwemvelo ixesha elide, intsapho iqala ukuzama iindlela zokuzenza. Enye indlela enjalo ngu-ECO ICSI (ICSI). Oku kukufakelwa kwe-vitro fertilizer usebenzisa i-intracytoplasmic injection.
ECO kunye ne-ICSI - yintoni na?
I-IVF yokuchithwa kwempahla yinkqubo apho amaqanda kunye ne-spermatozoa zifakwa kwisitya esinye. Kule ndawo, ukukhulelwa kwenzeka kwindlela "yemvelo". Kodwa i-ECO yi-ICSI iqhutywayo kunye nokuphulwa komthetho kunye nokungaqhelekanga kumadoda. Kunokwenzeka ngolunye uhlobo oluqhelekileyo nolulungileyo lwe-tadpole.
Ukuphendula kumbuzo odumile malunga nokuba yi-IVF IVF, yintoni indlela inkqubo ngokwayo eqhubekayo, kufuneka kuthiwe le nkqubo inokwenziwa ngokufanelekileyo phantsi kwe-microscope. I-embryologist ithatha i-spermatozoon eyi-1 kwaye iyifake ngqo kwiqanda ngoncedo lwezixhobo ezincinci zezixhobo (inaliti kunye ne-sucker ephethe i-capillary). Le ndlela inceda ukuqubha zonke i-oocytes ezithe zafunyanwa ngexesha lokugqitywa.
I-ECO kunye ne-ICSI yinkqubo enzima kakhulu efuna umsebenzi ocacileyo kunye wokukhawuleza weengcali. Le nqubo iqhutyelwa phantsi kwenyuka kane. Ngale ndlela, oogqirha basebenzise inkqubo ephezulu yokuchithwa kwezinto ezincinci ezifakwe kuzo izixhobo zeglasi. Ngomdlalo wokuzonwabisa, kukuvumela ukuba uguqulele ukunyakaza kwezandla zibe yinto enobuncinci bokusebenza kwezixhobo.
ECO Izibalo ICSI
Ngaphambi kokuvuma le nkqubo, ezininzi izibini zinomdla kumbuzo wendlela i-IVF ECHO eyiyo ngayo. Ngokwezibalo, iirhafu zokuzala ziza kusuka kwi-30 ukuya kuma-80%. Ukukhulelwa kuxhomekeke kwimimandla eyahlukeneyo, ebaluleke kakhulu kuyo:
- Umgangatho weeseli zegciwane. Ngokomzekelo, i-spermatozoon ekhethiweyo ingaba neemeko ezibalaseleyo ngaphandle, kodwa iqulethe i-chromosomal. Ichaphazela umphumo we-IVF IVF kunye nesakhiwo seqanda, ngakumbi ukukwazi ukwahlula.
- Ubudala bomfazi. Yonke iminyaka emi-5, ukunciphisa kakhulu impendulo ekuvuseleleni okufakwayo. Ngokomzekelo, ngaphambi kokuba uneminyaka engama-30, ithuba lokukhulelwa ukusuka kuqala li malunga ne-48%, ukuya kuma-35-40%, emva kweminyaka engama-45-kuphela 20%.
- Isethi yemfuza yabazali. Umjikelezo owenziwe ngawo ukunikezela unika ithuba elincinane lokuchumisa.
- Ukulimala kwizinto eziphilayo ngexesha lochumiso lwe-ICSI.
- Impilo yowesifazane kunye nokukwazi kwakhe ukunyamezela umntwana oqinileyo.
Ngaphambi kokuqala kwenkqubo, unina omele ulindele ukutyelela umgqirha wezifo zengqondo, kunye noyise-kunye ne-genetics, ukwenzela ukuba angadluliseli ukungabikho kwengqondo kumntwana. Sekuya kubakho ukunikezela konke ukuhlalutya, ukudlula okanye ukuqhutyelwa ukuhlolwa okulukhuni, kwaye xa kwenzeka, kunye nonyango kumyeni nomfazi. Akukho ugqirha onokunika isiqinisekiso esingu-100% sokuba emva kokusebenza kwe-ICSI iqanda liya kuzaliswa ngokuchanekileyo.
Ukuba ukukhulelwa akuzange kwenzeke emva kokukhuthazwa okulandelelanayo, ukuphumelela kwezi zamehlo ezilandelayo kuncitshiswa kakhulu. Ngamanye amaxesha kukho iimeko apho ukufunyanwa kwexesha elide kulindelekile ukususela ukususela nge-9. Kwiimeko ezinqabileyo, oogqirha banikela iindlela ezizezinye zokunyanga ukungabikho komntwana: umniki-mpahla, i-ovules, imbryos okanye umama wokuzalwa .
Iyintoni inkqubo ye-IVF IVF - inyathelo ngesinyathelo?
Ngaphambi kokwenza oku kuvuselela, abazali abazayo mabaqale balungiselele izidalwa zabo. Inkqubo ye-ECO IVF yenziwa ngamanyathelo:
- Ukukhuthazwa kwama-ovari ukuvelisa ii-oocytes. Eli bhinqa lichazwe ngamachiza e-hormonal, okufuneka athathwe kwiiveki ezingama-2-3. Ngeli thuba, oogqirha bajonga ukuphuhliswa kwee-follicle kwaye balindele ukuvuthwa kwabo.
- I-egg extraction eyenziwa ngumnqweno kunye nokugqitywa kwee-follicles. Emva koko zibekwe iiyure eziliqela kumgangatho wezondlo kwaye ii-oocytes zifunyenwe. Le nqubo iyenziwa ngokusebenzisa i-anesthhesia yokuxhaswa.
- Ukulungiselela isityalo kunye nokuhlukanisa isidoda esisebenzayo , esiqala ukusikhunjulwa nge-micronetle (iphazamise umsila), ize ilandele kuyo.
- U tshintshelo. Kwi-microprimer, iqanda ligcinwe, kwaye i-microneedle ihlaba nge mvulophu yayo kwaye ijojowe kwisidoda.
Zingaphi iiqanda ezichumisiweyo zingabonwa ngosuku olulandelayo, kwaye emva kweentsuku ezingaphezulu ezintathu iintsuku zangaphambili zidluliselwa kwisibeleko sokuphuhlisa okuqhubekayo. Zilawulwa ngepatile encinci ngaphandle kokusetyenziswa kwe-anesthesia. Iingcali zikhetha ii-embrosi eziphambili kakhulu, kwaye ezinye zitshintshile kwaye zigcinwe ukusetyenziswa kwangaphambili xa ukukhulelwa kungenzeki.
Uqeqesho lwe-ECO ICSI
Ukufikelela kwisiphumo esiphezulu, oogqirha bancoma ukuqhuba ii-IVF nge-ICSI kumjikelezo wemvelo. Ngaphambi kokuqala kwenkqubo, abazali bexesha elizayo bafanele baholele indlela yokuphila enempilo, basebenzise, badle ngokufanelekileyo kwaye bayeke imikhwa emibi. Kwakhona, iingcali zincoma ukuba zithathe uvavanyo:
- HIV;
- I-Rh neqela legazi;
- Ukusabela kukaWasserman;
- i hepatitis;
- spermogram;
- STI;
- ECG;
- ukuhambelana, njl
I-ICSI ihamba nini ne-IVF?
Inkqubo ye-IVF IVF ibelwe kula maxesha alandelayo:
- Inani eliphumayo lamaqanda lingaphantsi kwe-4.
- Inani le-spermatozoa yeselula liphantsi.
- Kwimbewu, i-antisperm antibodies okanye i-pathologies zafunyanwa.
- I-Spermatozoa yafunyanwa ngokusebenzisa indlela yokugonywa esuka epididymis ngesikhumba.
- Ipesenteji ephantsi yokuqalisa ukukhulelwa kwe-IVF.
Zingaphi iimbumba ezitsalwa nge-ECO IVF?
Izigaba ze-IVF IVF zibandakanya ukubekwa kombungu webriyo kwisibeleko somfazi. Iingcali zikhetha kuzo ezifanelekileyo kwixabiso lezicucu 2-3. Ngokuqhelekileyo i-embryo enye ifakwe, kodwa kukho imeko xa kunjalo. Kwiimeko ezinjalo, kuvela ukukhulelwa okuphindaphindiweyo, okuqhubekayo okufana nokukhulelwa okuqhelekileyo. Kule meko, umama okhuselekileyo kufuneka athathe inani elongezelelweyo leProgesterone.
Ukukhulelwa emva kweVF IVF
Ukuphuhliswa ngokupheleleyo kweembungu, xa ukukhulelwa kwe-ECO IKI kufika, mhlawumbi ngo-90%. Ubu buchule buyekezela ithuba lokunyamezela umntwana ophilileyo, kodwa le ndlela ayinokhetho ngokwemvelo ukhethe iseli zesini. Ngenxa yesi sizathu, umntwana usenobungozi bokuzalwa. Ukuze oko kwenzeke ngaphambi kokuba ukhulelwe, kuyimfuneko ukutyelela i-genetic centre.
I-ECO ICSI - imfumba
Ndiyabulela ubugcisa bwanamhlanje, phantse onke amabhinqa angakhulelwa namhlanje. Kwixesha elibi lokukhulelwa emva kwe-IVF IVF okokuqala ngxaki kuthintela iimeko zendalo, kunye neziqinisekiso zeengcali kunye nempilo yabazali. Khetha ikliniki eqinisekisiweyo, uhambelane nokucebisa oogqirha, kholelwa kwisiphumo esihle kwaye ngoko uya kuyifumana.