Ukulungiselela kunye nokuziphatha kwe-IVF kufuneka kucaciswe ngokucacileyo kwizigaba ezithile ngexesha elithile, eliqinisekisa ukuphunyezwa ngempumelelo kwenkqubo.
IVF: izigaba ze
Izigaba eziphambili ze-IVF protocol zi:
- ukuvuselelwa kokugqithisa;
- ukugqitywa kwama-ovari kunye nokukhutshwa kwama-oocytes;
- ukuchumisa i-ova kunye nokulima kombungu;
- ukufakelwa kwisisu sombungu.
Izigaba ze-IVF ngeentsuku
Zonke izigaba zenkqubo ye-IVF kufuneka zenziwe ngokukodwa iintsuku ezibekwe kulo ngokwale nkqubo. Ukuze ukwazi ukuba zeziphi iintsuku ezithile ze-IVF kufuneka ziqhutywe, kukho umgaqo-mfutshane omfutshane malunga nokuba ubude becandelo ngalinye kuboniswe ngokucacileyo:
- ukukhutshwa kwe-pituitary gland kunye ne-agonists GnRHR - ukususela kumhla we-3 kuya kwe-12 ukuya ku-17;
- ukuvuselelwa kwama-ovari (ngexesha elinye kunye nokukhutshwa);
- ukugqitywa kwee - follicle ze- ovariya ukukhipha amaqanda (iintsuku ezili-14 ukuya kwe-20 ukususela ekuqaleni kokuvuselela);
- ukudluliselwa kombindi okhulelweyo kumbele (iintsuku ezi-3-5 emva kokugqitywa);
- ukuxhaswa komzimba ophuzi kunye nokulungiselelwa kweprogesterone (ukuya kulawulo lweHCG kwi-12-20 emva kokudluliselwa);
- ukulawula ukukhulelwa (i-ultrasound) kwiintsuku ezingama-12-14 emva kokudluliselwa, ubude bazo zonke izigaba ukusuka kwiintsuku ezingama-28 ukuya kwii-35.
Izigaba ze-IVF zihluke kakhulu xa zisetyenziselwa abaphikisana ne-GnRH kwi-vitro fertilization:
- Ukuvuselela kuqala ukusuka kwiintsuku ezi-2 ukuya kwezi-5 zomjikelezo kwaye kuthatha iintsuku eziyi-8 ukuya ku-12;
- ukugqithwa kwenziwa ngomhla we-10-14 ukususela ekuqaleni kokuvuselela;
- Ukutshintshwa kwembungu kwenziwa emva kweentsuku ezingama-3-5 emva kokukhishwa kwe-ovarian;
- Ukuxhaswa komzimba ophuzi kunye neprogesterone ilawulwa ngeentsuku eziyi-12;
- ukulawula ukukhulelwa - iintsuku eziyi-12-14 emva kokudluliselwa kombindi, ubude bexesha le-IVF leentsuku ezingama-25-31.
Amanyathelo okulungiselela i-IVF
Ukongezelela kwi-IVF ngokwayo, eyenziwa ngokuchanekileyo ngokwemiqathango ethile kwiintsuku ezithile, kubaluleke kakhulu ukulungiselela ilona inyanga eziliqela ngaphambi kokuba inkqubo.
Ngomhla we-IVF, kukho iimviwo ezilandelayo: misela indawo yokugcina i-ovarian, ulungise ukusebenza kwe-uterus kunye ne-tubes ye-IVF (ngokwezalathiso), khangela i-spermogram yeqabane. Kwiimvavanyo ezinyanzelekileyo, lona wesifazane unikeza ukuhlolwa kwegazi jikelele, ukuhlolwa kwegazi nge-syphilis, i-HIV, i-hepatitis, ubukho be-antibodies ukuya ku-rubella. Ibhinqa lihlolwa ngumjobi wezilwanyana kwaye ithatha ama-swabs wesisu.