Nyob rau hauv vitro fertilization tsis yog ua rau tag nrho cov poj niam mob ntawm infertility, tab sis nruj me ntsis raws li lub indications. Muaj ntau hom kab mob ua rau infertility thiab tsis tuaj yeem raug tshem tawm nrog kev pab kho ntawm kev kho mob thiab kev kho mob phais.
IVF: qhov taw qhia thiab kev tsis sib haum xeeb
Ua ntej npaj rau khoom neeg tsim khoom, nws yog qhov tsim nyog kom pom ntawm qhov tshwm sim li cas IVF. Lub ntsiab ntawm IVF:
- meej tubal infertility (tsis tuaj yeem plab hlaub qes tom qab lawv txoj kev tshem tawm);
- infertility nyob rau hauv cov poj niam tom qab 30 xyoo uas tau ua underwent plasty ntawm lub plab hlaub ntog ntau tshaj ib xyoo ua ntej IVF;
- immunological ntxiv lawm tshob;
- endometriosis;
- idiopathic infertility tom qab ua tiav kev soj ntsuam ntawm tus khub;
- txiv neej yam (indications rau IVF - no thiab txiv neej ntxiv lawm thaum tsis muaj peev xwm ntawm tus txiv neej phev rau fertilization).
Nyob rau hauv peb lub teb chaws, cov poj niam tuaj yeem coj kom zoo dua IVF, ntawm tsoomfwv qib siab uas muaj pov thawj. Kom tau txais IVF dawb, qhov tseem ceeb qhia tau yog:
- pojniam ntxiv lawm tshob (thaum tsis tuaj yeem tsim menyuam, tub qhev yug thiab idiopathic infertility);
- txiv neej infertility (tsuas yog tias muaj tib lub sijhawm poj niam ntxiv lawm tshob).
Tsuas yog txiv neej ntxiv lawm xwb tseem tsis tau muaj ib zaj lus tim khawv thiaj li coj tau IVF dawb xwb. Cov mob ntawm nws raws li OMS qhov kev pab cuam yog tubal infertility, hnyav ntawm 50 mus rau 100 kg, antimulylerov hormone ntawm 0.5 ng / ml rau 7 ng / ml, FSH tsis siab tshaj 15 IU ntawm 2-3 hnub ntawm lub voj voog thiab tus qauv hauv tus txiv neej pw hauv siab.
Contraindications rau IVF:
- kev mob lub cev thiab kev puas hlwb, thaum uas cev xeeb tub thiab kev yug menyuam;
- congenital malformations ntawm poj niam qhov chaw mos plab hnyuv siab raum, nyob rau hauv uas lub implantation thiab kev coj tus kheej ntawm fetus yog tsis yooj yim sua;
- benign thiab malignant hlav ntawm lub tsev menyuam thiab ovaries, muaj cov hlav malignant txawm nyob hauv lub anamnesis;
- acute inflammatory processes nyob rau hauv lub cev ntawm ib tug poj niam ntawm txhua localization.
Yog hais tias ib tug poj niam muaj qhov fibromyoma, ces tom qab nws tshem tawm qhov contraindication yog rho thiab IVF yuav ua tau yog tias muaj cov khoom siv yooj yim rau nws.
Luv luv kev cai ntawm kev siv IVF
Muaj ntau qhov kev soj ntsuam uas ua tau ua ntej IVF:
- Ob peb lub hlis ua ntej IVF, kuaj tag nrho cov phev ntawm ib tug txiv neej tau ua, mob plab zawm, plab hnyuv, thiab kev kho mob ntawm kev mob mus ntev.
- Ib lub hlis ua ntej IVF, lub sij hawm ntawm qib follicular yog txiav txim siab, kev kuaj ntshav coj mus rau chromosomal, immunological tsom, hormone theem hauv cov ntshav, muaj cov kab mob kis, npaj ntawm embryo culture.
- Tom qab txiav txim siab txog theem ntawm cov tshuaj no, hnia ovulation nyob rau hauv kev saib xyuas ntawm ultrasound.
- Tom qab tsim kho, cov kab mob oocyte yog noj, lub qe yog txheeb xyuas nyob rau hauv lub tshuab kuaj kab mob.
- Lawv tsim laj kab thiab npaj cov phev, ntxiv 200-300 txhiab tus spermatozoa rau ib lub qe rau fertilization.
- Lub embryo yog muab ncu rau 40-50 teev mus rau 4 zaus.
- Hloov lub catheter embryos los ntawm poj niam tsev menyuam qhov ncauj mus rau hauv qab ntawm lub tsev menyuam.
- Lawv txhawb embryo implantation nrog progesterone therapy ua ntej lub lim tiam 20th ntawm cev xeeb tub.