Ukulungiswa nokuziphatha kwe-IVF kufanele kucaciswe ngokucacile ngezigaba ezithile ngesikhathi esithile, okuqinisekisa ukugcwaliseka ngempumelelo kwenqubo.
IVF: izigaba ze
Izigaba eziyinhloko ze-IVF protocol yilezi:
- ukugqugquzelwa kokuphakama okukhulu;
- ukugcoba ama-ovari ngokukhipha ama-oocyte;
- ukukhulelwa kwe-ova kanye nokutshalwa kombungu;
- ukufakwa ngaphakathi kwesibeletho sombungu.
Izigaba ze-IVF ngezinsuku
Zonke izigaba zenqubo ye-IVF kufanele zenziwe ngokuqondile nezinsuku ezinikezwe lokhu ngokusho kweprotocol. Ukuze ukwazi ukuthi yiziphi izinyathelo ezithile ze-IVF okumelwe ziqhutshwe ngazo, kunesiphakamiso esifushane lapho ubude besigaba ngasinye kuboniswa khona ngokucacile:
- ukuvinjelwa kwe-pituitary gland nama-agonists GnRHR - kusuka kumjikelezo wezinsuku ezintathu ukuya ku-12-17;
- ukuvuselela ama-ovari (kanye kanye nokuvinjelwa);
- ukukhishwa kwama- ovarian follicles ukukhipha amaqanda (izinsuku ezingu-14-20 kusukela ekuqaleni kokuvuselela);
- ukudluliselwa kombungu okhulelwe kumbele (izinsuku ezingu-3-5 emva kokugqunywa);
- ukusekelwa komzimba ophuzi ngamalungiselelo e-progesterone (kuze kulawulwe i-hCG ku-12-20 ngemva kokudluliswa);
- ukulawula ukukhulelwa (ultrasound) ezinsukwini ezingu-12-14 emva kokudluliswa, ubude bazo zonke izigaba kusukela ezinsukwini ezingu-28 kuya kwezingu-35.
Izigaba ze-IVF ziyahlukahluka uma zisebenzisa abathintekayo be-GnRH ukuze kutholakale ukukhulelwa kwe-in vitro:
- ukuvuselela kuqala kusukela ezinsukwini ezimbili kuya kwezinhlanu zomjikelezo futhi kuthatha izinsuku ezingu-8-12;
- ukukhishwa kwesikhumba kwenziwa ngosuku oluyi-10-14 kusukela ekuqaleni kokuvuselela;
- Ukudluliswa kombungu kwenziwa ngezinsuku ezingu-3-5 emva kokukhishwa kwe-ovarian;
- ukusekelwa komzimba ophuzi nge progesterone kulawulwa izinsuku ezingu-12;
- ukulawula ukukhulelwa - izinsuku ezingu-12-14 emva kokudluliswa kombungu, isikhathi esiphelele sezinhlelo ze-IVF izinsuku ezingu-25-31.
Izindlela zokulungiselela i-IVF
Ngaphandle kwe-IVF ngokwayo, eyenziwa ngokuvumelana nalokho okulandelwayo ngezinsuku ezithile, kubalulekile ukuyilungiselela owesifazane ezinyangeni eziningana ngaphambi kwenqubo.
Ebusuku be-IVF, kuhlolwa izibalo eziningana: ukucacisa indawo yokugcina ama-ovari, ukulungiselela ukusebenza kwesibeletho namabhubhu we-IVF (ngokusho kwezinkomba), hlola i-spermogram yomlingani. Kuhlolwa okugunyaziwe, owesifazane unikeza ukuhlolwa kwegazi jikelele, ukuhlolwa kwegazi kwe-syphilis, i-HIV, isifo sofuba, ukutholakala kwama-antibodies ku-rubella. Owesifazane uhlolwe yi-gynecologist futhi uthatha ama-swabs wesisu.