Hooloihiia culturing o embryos ma lūmaua. Mahi o gametes a me embryos - He aha ka mea?

No ka makahiki hou aku he iwakalua i loko o ka'ēpoda, ka mea i pilikia me ka hapai ana a me ka hanau ana o ke keiki, i ka manawa i loko o ka palapala o ka lūmaua fertilization polokalamu. O ka papa, i ka manawa ia mea hala loa he pipiʻi kaʻina hana, i ka hopena o ka i, aole ia e mau hālāwai me ka 'upu' ana o nā mea maʻi, akā, ka mea, no ka manawa no ka mea makemake lākou mau keiki genetically mau. embryo moʻomeheu apono 'e koho wale i ka loa viable, e like me hoʻopau kekahi aaiaoe maʻi.

terminology

Ma lūmaua fertilization - o ka olelo o ka enehana reproductive, i komo ai fertilization o ka hua manu uterus ka makuwahine mawaho, a me ka embryo podsazhivaniya makaukau no elima-i nā lāʻehiku.

I ka mahi ana o embryos - mea e kākoʻo i ke ana a me ke ola o kanaka embryos mua kanu houʻia aku ia i loko o ka uterus.

kahua o ka hoʻonaʻauao o ka IVF

IVF ke kaʻina hana no oia no kekahi mau kapuai a kūlana:
1. Stimulation o superovulation, ma laua me ka ka mālamaʻana o ka follicle Kin a me ka ulu ana o ka endometrium.
2. Follicle puncture.
3. oocyte fertilization ma ka lūmaua a culturing embryos.
4.ʻimi hoʻopunipuni malama i ka luteal pae o ka menstrual pōʻaiapuni.
5. embryo pakuiia auanei lakou a me kaʻike, a hāpai keiki.

No ka bipi wahine i ka manawa i IVF me superovulation.

Nāʻikepili a me Contraindications no IVF

Hoike no keia 'inikua manipulation o ke alo o ka wahine infertility i mea hoʻopale iʻike mau Inc, aka ua IVF hoʻolako i ka lani kiekie loa pahiki o ka hapai ana.

Contraindications i ka mea hookahi:
- extragenital pathology, hoʻoweliweli abortion;
- malformations a me deformations o ka uterus;
- hikoko o ka uterus a me ovaries;
- huʻi hoʻoʻino mai (ole wale ka reproductive'ōnaehana);
- i ke alo o ka maʻi 'aʻai i ka mōʻaukala.

Makaukau no ka IVF

Ka mua ke kahua - i ka ohi ana o Ka Ikepili a me ka loaʻaʻana o nā pathologies. E hana i kēia, i ka hoʻomanawanui pono kekahi i ke koko hoao no hormones, e like me ka 'ike piha kālailai o mau biochemistry a me ka tollerantnost monakō koko. Performed manawa hooikaika ma urogenital nā mea palahēhē a me ultrasound o na reproductive nā loko.

Hoapili ia, e hana i semen Ka Ikepili e hōʻoia i ka wa e kaawale aku o kāne infertility. Pono lawe haukaʻe i cytology a me ka colposcopy e hookaawale ia ka mālama '-cancerous kulana. Expectant makuahine e alakaʻi i ke ao ma luna o kukui nā mea palahēhē (rubella, toxoplasmosis, herpes, cytomegalovirus a me ka chlamydia), e like me keia e loli i ka wā e hiki mai kūpono 'ana o ke fetus. I ka pau ana o ka ultrasound scan NineManga.com o ka mammary glands a me ka thyroid.

Ka lua o ka mua ua lawe mai koke mua lapaau. Ua ninoieo o ekolu points:
- noho male pono kekahi, e ho'āʻo ai no HIV, mea hoʻomaʻi hepatitis, syphilis, kiʻi i ka hopena o ko lākou koko pae a me RH ololi;
- Women Pono e e ikea ai ke koko kōpaʻa, piha koko helu, mimi, biochemistry, e like me ka ike i ka manawa o ka coagulation;
- ka expectant makuahine pono i manao ai i ke kino i loaʻa nā ole contraindications e hāpai keiki.

I ka hana o ka IVF

Mua i ke kauka, ma hope o nā mea a pau o ka mea e ho'āʻo ai, e lawelawe ai ovarian stimulation i ka wahine i mea e kiʻi hou ola hua. I ka hoike o ka ai 'hoʻomaka ma ka lā 21 o ka menstrual kalapona, a mau no ka mahina. Iloko o keia manawa, ke kahuna lapaau noke nā kahu nānā, e like me ka follicle oʻoʻana, a kūkulu i ke endometrium i loko o ka uterus hoʻohana ultrasound. A me kekahi wahine i lawe kālailai ma hormones, ma ka mea e ike i ka pau kiʻi. A hiki i ka hua manu ripens, outpatient hana lawe mai lākou withdrawal. Naʻe, i kēia kaʻina e pale aku i kekahi o nā kumumea:
- i ka nele o ovarian pane i ka stimulation;
- i ke alo o adhesions i loko o ka pelvic lua;
- premature ovulation;
- anovulatory kalapona (ka wā o ka oo follicles komo ia i hua manu). A pau kēia mau hiʻona e e noʻonoʻo mua me ka paipai 'o ka hui, e hoʻomaka IVF.

A hiki i ka wā e hiki mai makua kāne a me ka Anonymous mau pou, e hele aku lākou aaiaoe mea hiki ke lawe mai fertilization ina hana. Lōʻihi manawa i loko o lūmaua moʻomeheu o embryos mea pono e koho i ka loa viable embryos. Mahope o elima a eono mau lā ma hope o fertilization, e hoolilo kekahi mau embryos i loko o ka opu i ka opu o ka makuwahine. Mau pule ma hope, i ka expectant makuahine donates koko ma ke kiʻekiʻe o ke kanaka chorionic gonadotropin (HCG) e hooholo hāpai keiki.

Hooloihiia mahi o embryos

Loa pinepine, e hoomanawanui i ka poe i malamaia lakou nei, no ka mea, kekahi 'inikua kōkua, ua nui na mea pohihihi. Kekahi o ia hele me keia: "ka moʻomeheu o ka gametes a me embryos, aha ka ia?", Ke pane Ua loa na mea a me ka luna 'i ka ia manawa. 'O kēia ka hana ana a ka embryo mea ola i kona pa i loko o ke kino o ka makuwahine o ka. Hooloihiia mahi o embryos ma lūmaua pipiʻi, kiʻekiʻe-ʻenehana hana i ka pono kekahi 'ike e a me Hawaiʻi. Hoikehonua, keʻena hoʻokolohua i mau ke hou i loko o keʻano hana o ka fertilization a me ka lako a pan. Na hope HOU - i ka mahi ana o embryos ma EmbrioGen kaiapuni. Additional ulu kumumea i ke kiʻekiʻe pahiki o embryo implantation i loko o ka uterine paia.

Mua, o ka mahi ana o embryos i ala wale i ka palaoa ke kahua, a hoonoho iho la ma ka uterus, he ekolu mau lā ma hope o ka "ka hapai ana", akā, e lawe kumu wale i ka hapaha o na hihia a pau o IVF. Akā, ma hope o ka ulu i ke ano o loko o lūmaua moʻomeheu o embryos i ka blastocyst ke kahua, ua mahuahua no ka laulā o ka hana. Ua koi 'ia kekahi hou moʻomeheu Media a me incubators.

Pros a me Con o ke kaʻina hana

Oia i kekahi kaʻina hana no ka hōʻike 'ana i ka moʻomeheu o embryos a hiki i ka aʻe kiʻekiʻe.

1. Ua kōkua e koho i ka loa i'ōlelo mai ai ma ka hua'ōlelo o ka implantation embryos.
2. Ua ho'ēmi i kā ka helu o ka chromosomal abnormalities, e like me ka blastocyst ke kahua ia mea hiki ke kumumea a me ka ole.
3. He ua oi physiological kokoke loa i kahi.
4. Ua ho'ēmi i kā ka pilikia o mau pregnancies, no ka mea, nui ka pono mau embryos kahi o ka elima, e like me ma mua, e lilo i hapai.
5. Ectopic hāpai keiki ia lŘlŘ i ka manawa e emi ma mua o mua.

Eia naʻe, he mau keakea o keia ina hana. Ka mua ka mea ole a pau nuclei ke ulu i ka makemake ke kahua. Nō incubator'ōnaehana a me ka moʻomeheu Media nō e pono ai i ka hoʻoikaika 'ana, me kahi kokoke i hiki i ka maoli ana. Inā emi o eha embryos ola mai, alaila, i ka pahiki mea e noho makaukau no ka kanu houʻia aku ka mea, he'āina uuku. Kekahi hua, e like me ia ma mua wale nō o ka IVF - i piha kumu hoʻomalu o ka pomaikai. No kauka-reproductive'ōnaehana i loko o ke ao nei e e lawelawe i ka olelo i keia iaoia o ka hope loa oiaio. Epekema nō i e hakaka ai.

ʻaoʻao 'ole o ka IVF

Adverse 'ole ma hope o IVF, ma ka manawa, a ua hoʻohana' ia no ka wā lōʻihi o embryos i:
- mau hāpai keiki i mau embryos hoololiia i loko o ka opu;
- ectopic hāpai keiki (neʻe hiki ole ke hoʻokoe 'embryo i loko o ka uterus);
- excessive stimulation o na ovaries (ovarian hyperstimulation maʻi pale hiki aku ai i ka infertility);
- maʻiʻaʻai a me ka kahe ana ke koko.