Enkambisweni yokufaka umanyolo we-in vitro, imibono ye- protocol emfushane neyinde kakhulu ye-IVF isetshenziswa . Bathi inhlanganisela ethile yemithi yokukhuthaza umsebenzi we-ovarian. Ukuqokwa kwesiguli se-protocol kungumuntu ngamunye (kuncike eminyakeni yobudala, izifo ezithintekayo, imvelaphi ye-hormonal kanye nempumelelo yemizamo yangaphambilini ekuqothulweni kokufakelwa). Inhloso yendaba yethu ukucubungula izici ze-IVF protocol eside, futhi zingaki izinsuku, kanye nezinhlelo zayo.
I-protocol ye-IVF ende ihamba kanjani?
- Isigaba sokuqala se-protocol emide uma uzama ukusabalalisa ngokweqile ukuvimbela i-ovulation ngaphambi kwesikhathi. Ukuze wenze lokhu, izinsuku ezingu-7-10 ngaphambi kokuqala kokuya esikhathini, isiguli sinqunywe izidakamizwa ezivimbela imisebenzi yama-ovari (okungukuthi, ukunciphisa ukukhiqizwa kwe-hormone yokuvuselela i-luteinizing ne-follicle). Lezi zidakamizwa owesifazane kufanele athathe ezinsukwini ezingu-10-15, emva kwalokho i-ultrasound yesibeletho nama-ovari, kanye nokuhlolwa kwegazi kuze kube sezingeni le-estradiol. Uma umphumela ungakufaneleki ukwelashwa, khona-ke izidakamizwa kufanele zithathwe izinsuku ezingu-7 ngaphezulu.
- Ngemuva kokuqedwa kwezidakamizwa zokucindezela i-hormones kuya esigabeni sesibili se-protocol - ukuvuselela ama-ovaries. Ngenxa yalokhu, isiguli sinqunywe i-hormone - gonadotropin, evuselela i-ovulation. Ngenxa yalokho, i-follicles emibili noma ngaphezulu ephelele ingakhula ku-ovary. Ukulawula i-ultrasound kwenziwa ngosuku lwesikhombisa ngemva kokuqala kokudla kwe-gonadotropin. Ezimweni eziningi, le hormone kufanele ithathwe zingakapheli izinsuku eziyi-8-12.
- Isigaba sesithathu senqubo emide yilapho okuthiwa ukuqaliswa kwezintambo. Kulesi sigaba, ukuvuthwa kwe-follicles kuqinisekiswa, lapho i-ovules ekhule ngokugcwele iqukethe khona. Kulesi simo, misela i-hormone yezidakamizwa - i -gonadotropin ye-chorionic . Isimiso esiyinhloko sokuthatha i-HCG kuba khona okungenani ama-follicle amabili avuthiwe nezinga le-estradiol lokungenani okungama-200 pg / ml nge-follicle. Ukuphathwa kwe-hCG kwenziwa amahora angu-36 ngaphambi kweqoqo le-oocyte.
Ngakho, sazi ubude be-protocol ende ye-IVF ngezinsuku. Into esemqoka ngesikhathi sokugqugquzela ukulandela yonke imiyalelo (ukuthatha izidakamizwa ezidingekayo ezinsukwini) kanye nezifundo ezidingekayo. Ukuphulwa komunye wabo kungaphumelela umphumela olindelekile.