Kugadzirira uye mufambiro weVF zvinofanira kujekeswa zvakajeka pane dzimwe nhanho mune imwe nguva, iyo inoita kuti kubudirira kugadziriswa kwetsika yacho.
IVF: zvikamu zve
Mitsara mikuru ye IVF protocol ndeyikuti:
- kushungurudzika kwekukunda;
- kuvhara mazai echando nekudzura maoocyte;
- kubereka kwehuvha uye embryo kukura;
- kuisa mukati mechibereko chemukati.
IVF zvishoma nemazuva
Zvikamu zvose zveAVF chirongwa chinofanira kuitika mumazuva chaiwo akapiwa izvi maererano neprotocol. Kuti uzive kuti ndeapi mazuva mamwe maitiro eIV anofanira kuitwa, pane purotiti pfupi iyo iyo nguva yega rimwe nerimwe inoratidzirwa zvakajeka:
- kuvhara gland pituitary neagonist GnRHR - kubva pa3 kusvika ku12-17 zuva;
- kushungurudza mavha mavari (panguva imwe chete nekudzivirirwa);
- kuvhara mazai ovarian follicles kuti vabvise mazai (mazuva 14-20 kubva pakutanga kwekusimudzira);
- kutumirwa kwemucheche inoberekwa mubereki (mazuva matatu mushure mekuputika);
- kutsigira kwemuviri muviri neprogesterone kugadzirira (kusvika pakugadzirisa hCG pa12-20 mushure mekutumira);
- kutora pamuviri (ultrasound) pamazuva 12-14 mushure mokunge kutumirwa, nguva yezvikamu zvose kubva pamasikati kusvika kune makumi matatu.
Zvikamu zveAVF zvakasiyana zvishoma pavanoshandisa vadzivisi veGnRH ye in vitro fertilization:
- kukurudzira kunotangira kubva pa2 - mazuva mashanu ekutenderera uye kunotora mazuva 8-12;
- kurohwa kunoitwa musi wa10-14 kubva pakatanga kwekusimudzira;
- Kuberekwa kwemazamu kunoshandiswa kwemazuva matatu mushure mekuvhara mazai;
- kutsigirwa kwemuviri muviri neprogesterone kunotarisirwa kwemazuva gumi nemaviri;
- Kudzora kwekuita pamuviri - 12-14 mazuva mushure mekuberekwa kwemuviri, nguva yose yeVII inotanga mazuva 25-31.
Nhanho dzekugadzirira IVF
Mukuwedzera kune IVF pachayo, iyo inoitwa zvakananga maererano neprototi yemamwe mazuva, zvakakosha kuti igadzirire iyo mukadzi mwedzi yakawanda isati yasvika.
Mumazuva eEVF, mimwe miongorudzo inoshandiswa: chengetedza nzvimbo yekuvhara mazai, ita maitiro ekugadzirira kwechibereko uye tubhu yeVIV (maererano nezviratidzo), tarisa spermogram yemumwe wako. Kubva kuongororwa kunotarisirwa, mukadzi anopa kuongororwa ropa, kuongororwa kweropa kwechirwere, HIV, hepatitis, kuvapo kwezvirwere kuRubella. Mukadzi anoongororwa nemudzimai wegynecologist uye anotora vaginal swabs.