I-in vitro fertilization (IVF) ibhekwa njengendlela yonke futhi iyindlela ephumelelayo kakhulu yokuxazulula inkinga yokungasebenzi. Okuyinhloko yenkambiso ukuthola ukuthola amaqanda amaqanda amancane emaqanda amaqanda ngokufaka umanyolo oqhubekayo we-spermatozoa yomyeni. Imibungu ekhulayo iyalinywa esikhulwini esikhethekile ku-incubator, khona-ke le mibungu idluliselwa esibelethweni ngokuqondile.
I-in vitro fertilization isetshenziselwa ukwelapha izinhlobo ezihlukahlukene zokungazalwa, ngaphandle uma isisu sisuke senze izinguquko eziphawulekayo, njenge-intrauterine fusion yamadonga.
Ngokuvamile, indlela yokufaka umanyolo we-in vitro isetshenziselwa ukuphatha imibhangqwana eshadile, emva konyaka wokuphila ngokocansi okuvamile ngaphandle kokusebenzisa izisu zokubeletha, ungacabangi. Futhi i-IVF isetshenziselwa ukuvinjelwa kwezigubhu ze-fallopian, i-anatomy ephukile ye-tublopian tubes nama-ovaries, ne-spermatogenesis nokungazalwa kwamapayipi.
Inqubo ye-in vitro fertilization ihlanganisa izigaba ezine:
- Ukuvuselela ama-hormonal of ovulation yinkqubo yokuvuselela i-ovulation nezidakamizwa ukukhulula amaqanda amaningana ngesikhathi esisodwa.
- Ukunqunywa kwamapulisi - amaqanda avuthiwe akhishwa emilenzeni (ngokusebenzisa ubulili), ngokufakela inaliti kuwo, lapho i-follicular fluid iqukethe amaqanda. Ukuqedwa kwe-follicles kuyinqubo engenabuhlungu yowesifazane, eyenziwa ngaphansi kwe-ultrasound observation, ngaphandle kokusetshenziswa kwe-anesthesia.
- Ukuhlakulela imibungu kukubona indlela yokukhulelwa nokuthuthukiswa kwemibungu. Ngemuva kwamahora angu-4-6 emva kokugcoba kwe-follicles, i-spermatozoa ifakwa emaqanda, ngenxa yokuthuthukiswa kombungu okhulayo okhulayo kuqala ngokuhlukanisa amaseli.
- Ukudluliselwa kwemibungu - inqubo yokuhambisa imibungu emgodini we-uterine ngokusebenzisa i-catheter ekhethekile, eyenziwa ngomsele womlomo wesibeletho cishe amahora angu-72 emva kokukhulelwa kwe-oocyte. Ngokuvamile, imibungu engaba ngu-4 ithathwa ngamathuba amakhulu okukhulelwa. Inqubo yokudluliswa kombungu ayibuhlungu futhi ayidingi i-anesthesia noma i-anesthesia.
Kusukela ngosuku lokudluliswa kombungu, kulungiselelwe amalungiselelo akhethekile ukuze agcine ukuthuthukiswa kwawo okuqhubekayo nokujwayelekile, okumelwe kuthathwe ngokuqinile ngokwemithi kadokotela.
Ukuqala kokukhulelwa kungathathwa ngezinga le-gonadotropin ye-chorionic ngokuhlaziya igazi ngemva kwamasonto amabili ngemuva kokuba imibungu ihanjiswe emgodini wesibindi. I-gonadotropin ye-chorionic (HG) yiyona i-hormone yokukhulelwa ekhethekile yokuqala, eyenziwa yiqanda lomntwana futhi liyisibonakaliso esinokwethenjelwa sokuqinisekiswa kokukhulelwa.
Kakade amasonto amathathu emva kokufaka umanyolo we-in vitro nge-ultrasound, ungacabangela iqanda lokubeletha esibelethweni.
Ngemva kokufaka umanyolo we-in vitro, ukukhulelwa kwenzeka kuphela kuma-20% wamacala. Kunezici eziningana ezingaholela ekuhlulekeni, okuvame kakhulu ukuthi:
- ukungabi khona kwe-oocyte ukukhuthazwa kwe-hormonal ye-ovulation;
- ukuvela kwe-ovulation ngaphambi kwesikhathi;
- ukungabi namathuba okuthola amaqanda ekugqaseni ama-follicles;
- ukungafaneleki noma izinga elibi lama-oocyte atholakale ngokukhishwa;
- ukungenakwenzeka kokufaka umanyolo ku-sperm pathologies;
- inqubo yokwahlukana kwamaseli embungu akuqala;
- ukwakheka kwemibungu yekhwalithi empofu;
- Ukufakelwa kwemibungu engaphumeleli emgodini we-uterine.
Uma kungenjalo ukuqala kokukhulelwa, in vitro fertilization ingabuyekezwa. Kunezimo ukuthi ezinye imibhangqwana zikhulelwe emva kwemizamo engu-10 kuphela. Inombolo yemizamo evumelekile ye-IVF inqunywa udokotela kweso ngasinye icala.
Yiba nempilo futhi ujabule!