IVF kunye neqanda lomnikelo

I-vitro fertilization iya kuba yinkqubo ethandwa kakhulu. Amathuba okule nkqubo ayandiswa ngenxa yokuphuhliswa kweyeza kunye nezixhobo zobuchwepheshe kunye neyeza. Ngoko ke, ukuba ngaphambi kokuba kubekho umqobo we-IVF ngenxa yobudala bokuxhoma kwesikhashana, ngoku ubudala beli gulane alibaluleke kakhulu. I-IVF ene-egg donor yenza kube lula ukuzala umntwana nangemva kokuqala kokuphuma kwesisu.

Inkqubo yonke ihlukaniswe ngamacandelo ama-2: umfazi onika umxhasi ukhuthazwa ngama-ovari ukufumana ii-oocytes kunye nokugqithisa amaqanda. Oku kulandela ukufakelwa kokuqanda kwesoqanda kunye nokufakelwa kweqanda elixutywe kumnye umfazi.

Umfazi oninikeleyo kufuneka aqhube phambili ekuqhutyweni kwe-ovarian kwiintsuku ezilishumi okanye ezilishumi elinesibini. Le khosi inikeza iijojo zansuku zonke zezidakamizwa ze-hormone phantsi kokugqithiswa kogqirha. Xa kucaca kwi-ultrasound ukuba ezininzi iinkohlakalo zivuthiwe ngokwaneleyo, umnikeli unikezwa isiza esilawula ixesha lokuvuthwa kwaye sivumela ukukhupha iiseli phambi kokukhululwa kwemvelo.

Emva kokuqokelela amaqanda, okwenzeka phantsi kwe-anesthesia jikelele yesenzo esifutshane (imizuzu engama-10-20), ukukhulelwa kweqanda lomnikeli kunye nesidoda somlingane senziwa. Ukufakelwa kweqanda kwi-eco kwenziwa kwibhubhoratri. Emva koko kukho izikhetho ezi-2 zokwenza izinto ezongezelelweyo: ukhenkceza iqanda elichumisiweyo lokufakelwa kwexesha lokulibaziseka okanye ukufakwa ngokukhawuleza kweqanda kummkeli wesifazane.

Ngokuqhelekileyo iqanda elichumayo lifakwe ngokukhawuleza kwi-endometrium yesilwanyana esilungisiwe. Kule meko, umsebenzi wokuqala uyadingeka ukuvumelanisa umsebenzi we-hormone kumzimba wommkeli kunye nomnikeli. Okokuthi, umfazi oninikelayo kunye nommkeli wesibini uyavuma phakathi kwabo ukumkela izidakamizwa ezithile ze-hormone ukwenzela ukuba ngexesha lokulungiselelwa kweqanda, i-membrane ye-mucous ye-womb of the receptor yayilungele ukufumana imbungu. Ngokusondele kwithuba lokudluliselwa kwembungu, i-progesterone yehommoni inikwe ummkeli wesifazane. Kubaluleke kakhulu ukuveliswa nokuphuhliswa kakuhle kwembungu kwiiveki zokuqala zokukhulelwa.

Ukusebenza kweprogram ye-IVF, oko kukuthi, izinga layo lokuphumelela lilinganiselwa kuma-35-40%, oko kuthetha ukuba umfazi wesithathu ongakwazi ukukhulelwa ngokwemvelo unelungelo lokuba ngumama.