I-IVF ye-OMS - yonke into ofuna ukuyifumana malunga nenkqubo yamahhala

I-ECO MHI yenye yeenkonzo zonyango lokuzala, olunikezelwa kwibhajethi yelizwe. Inkqubo yolu hlobo inikezela ukuziphatha kwenkqubo ye-vitro fertilization ngaphandle kwesizathu. Cinga ngeenkcukacha ezingakumbi, fumana ukuba le nkonzo inikezelwa bani, yintoni efunekayo kule nto.

Ndiyakwenza i-IVF mahhala?

I-ECO yamahhala inikwe iSicwangciso soPhuhliso lweSithili. Isithili ngasinye solawulo sinquma iifomati zenkonzo enjalo yonyango, ukuyipeyinta unyaka. Ibhinqa inokufunda malunga nokwenzeka kwenkqubo ngokukhawuleza kwidolophana yakhe ngokuqhagamshelana nokubonisana kwabasetyhini kwindawo yokuhlala. Kwizo zixeko apho kukho amaziko okucwangcisa iintsapho, umgca wokuphathwa kakubi uthathwa ngqo ngedatha yeziko lempilo. Ukususela ngo-2016 i-IVF ye-MHI yenzelwa zonke iimeko zokungafumaneki . Imbango yindoda enzima.

Indlela yokwenza i-IVF inkululeko?

Ngaphambi kokuba wenze i- IVF ye-CHI, ibhinqa kufuneka liqhubeke nenkqubo ende yokufumana isabelo. Okokuqala, kufuneka uqhagamshelane neengcebiso zabasetyhini. Kule ntlangano, unokufumana yonke ingcaciso malunga nokuba mangakanani amaquotas abelwe kulo nyaka okhoyo, okuyimfuneko ukuze uyifumane. Ngaphambi kokufika ngexesha elimiselweyo kunye nosuku lwenkqubo, isigulane kulindeleke ukuba:

• uviwo olubanzi lwezonyango kunye nomyeni wakhe;
• samkela uluvo lwekhomishoni yonyango;
• ukhetho lwendawo yokuphathwa;
• ubhalele kumgca .

Yintoni ebandakanywe kwinkqubo ye-IVF ye-CHI?

I-ECO ngaphandle kwentlawulo kumgaqo-nkqubo inokuqhutyelwa kwiiprotokthi ezininzi. Kule meko, iindleko zezigaba ngamnye ziyahluka, kwaye kuxhomekeka kwisixeko, ummandla apho umfazi uya kuhamba khona. Uluhlu lweenkonzo ezibonelelwe kwikliniki nalo lukhululekile. Ngokuqhelekileyo, njengenxalenye ye-free vitro fertilization, ibhinqa inikwe iinkonzo zonyango ezilandelayo:

• ukukhuthazwa kwenkqubo yokwenza i-ovulation;
• ukugqithwa kwendawo yokuphosa;
• ICSI ;
• ukudluliselwa kwembungu.

Iikliniki ezininzi ezizimeleyo ezizodwa kwi-IVF zinika iinkonzo zabo mahhala njengenxalenye yenkqubo. Phakathi kwazo:

• ukunqanda kwama-embrosi - ukuba kuyimfuneko, kuya kubakho ukuphinda ukutshintshwa ngexesha;
• izifundo zokuxilonga - ukuzimisela kwinqanaba le- hCG , ukwenza i-ultrasound.

Indlela yokuqalisa i-IVF ye-OMS?

Ngokuqhelekileyo, abafazi abafuna ukungena kwinkqubo ye-vitro fertilization mahhala, abazi into efunekayo kwi-IVF ye-IVF. Okokuqala kufuneka uqinisekise ukuxilongwa, ukuseka imbangela yokungasebenzi . Ukwenza oku, kufuneka uqhagamshelane nekliniki, enelayisenisi yokuqhuba izifundo zoxilongo kwi-gynecology. Ngaloo ndlela, ungasebenzisa ukubonisana kwabasetyhini kwindawo yobhaliso lwakho.

Uphando alubandakanyi nje kuphela ukuhamba kwiphando ngabasetyhini, kodwa kunye nabafazi babo. Ubungakanani beminyaka yezifundo zonke kwi-IVF akhululeki kwi-CHI, de kube sekugqityiwe ekugqibeleni ukuxilongwa kwenyanga-3-6. Emva kwayo yonke imviwo, umfazi ufumana icatshulwa ekhadini lakhe lokugula. Esi sigqibo sinikezelwa ngumguli kwiKhomishoni yokukhethwa kwezigulane kwi-IVF ye-IVF.

Ngaphambi kokuba ufumane inkqubo ye-IVF ngaphandle kwentlawulo, ngokwe-MHI, intombazana kufuneka iphumelele ngokupheleleyo kunyango olumiselweyo. Ukuba iinyanga ezi-9-12 emva kokuxilongwa "kokungabikho ntsholongwane", iziphumo zonyango - akukho ukubuyiswa komsebenzi wokuzala, kukho izibonakaliso zokuhamba kwenkqubo ye-IVF. Kuphela emva koko kukho ithuba lokufumana isabelo.

Indlela yokufumana i-IVF nge-MHI?

Iprogram ye-ECO yamahhala inikezela ukuphunyezwa kwenkqubo ngenjongo yohlahlo lwabiwo-mali, ngokubhekiselele kwizintlu zokulinda. Ziqulunqwe yiKhomishoni ngokusekelwe kumagunya ezempilo yendawo. Isiseko sokubandakanya isigulane kuloluhlu lokulinda sisicatshulwa esiphelweni sokuhlolwa konyango.

Uluhlu lwamaphepha e-IVF

Ukuze ube ngumgca wenkqubo, kufuneka unikeze ipakethe yamaxwebhu. Ukwamkelwa kwesicelo kunye namaphepha afanelekileyo akwenziwa ngamakhomishoni wesithili. Uluhlu lwamaphepha e-IVF kumgaqo we-CHI lubonakala kanje:

• iipasipoti ze-2 abashade (abalingani) kunye neikopi;
• nkqubo ye-inshorensi yempilo kunye nekopi yayo;
• SNILS;
• icatshulwa malunga neenkqubo zonyango eziye zadlulelwa (iikopi ezi-2);
• iziphumo zophando;
• ukuthunyelwa kwi-IVF kwi-gynecologist yesithili;
• imvume ebhaliweyo yokucwangciswa kwedatha yomuntu siqu;
• ileta yesiqinisekiso esivela kwintombi ekhethiweyo kwiklinikhi, eqinisekisa ubungqina be-ECO MCH.

Uhlalutyo lwe-IVF

Iziphumo zezifundo zelabhoratri ziyisiseko solawulo lwe-IVF. Uluhlu olupheleleyo lweengxoxo zowatshato lufumaneka kwinqanaba lokubonisana. Isiseko semisebenzi yokuxilonga kukuba:

• I-ultrasound yeenxalenye zeplavic ;
• Ukuhlolwa kwegazi ngamahomoni (AMG, FSH );
• biochemistry yegazi;
• I-Smears esuka kwi-urethra kunye nesini;
• iimvavanyo zokwenza i-ovulation;
• i-spermogram (ngamadoda).

Ubungakanani boluhlalutyo lwe-IVF ye-MHI lulinganiselwe. Abacwangcisa abafazi le nkqubo kufuneka bathathe le ngqalelo ingqalelo. Ngoko, ukususela kwinqanaba lokufumanisa isiphumo solu vavanyo ukuhanjiswa kwedatha kwiKhomishoni, kungekudluli kweenyanga ezili-6. Ngaphandle koko, iintlobo ezithile zophando ziya kufuneka ziphinde zibuye. Xa uvavanya ukuba kungenzeka i-IVF, oogqirha bavavanya imeko yangoku yenkqubo yokuzala. Isigulane sibonelela ngecatshulwa ekhadini lesiphene, apho iziphumo zophando kungekhona kuphela, kodwa kunye neqabane liboniswa.

Iimpawu ze-IVF

Ukunyusa i-vitro fertilization phantsi kweprogram yelizwe akunakwenzeka kuzo zonke iimeko. Ezi zilandelayo zibonakaliswe kule nkqubo:

• ukungabikho kwemvelaphi ye-tubal;
• ukungabikho kwintlungu ebangelwa ukungabikho komntwana kubangelwa ukuphuhliswa kwamathambo e-fallopian (ukukhutshwa, ukuvinjelwa, ukuguqulwa kwe-stenosis);
• Ukungabikho kokuqala kwabantwana abasetyhini abanxulumene nezijikelezo zokuhamba kwimihla ngemihla;
• ukungabikho kokukhulelwa kwisithuba seenyanga ezili-12 emva kokunyanga kwonyango;
• ubukho bendoda ebangela ukungabikho (ukuphazamiseka kwesakhiwo seesini zesini zesini).

Ukuphindaphinda i-IVF ye-OMS inokwenzeka emva kokufakela kwiphakethi yamaxwebhu. Ukongezelela kwezi zibonakaliso, kukho iikhowudi zokukhetha, ubukho obunyanzelekileyo bokufumana isabelo se-IVF:

• ubunzima bomfazi phakathi kwe-50-100 kg;
• izinga le-antimulylerovoy hormone (AMG) - 0,5-7 ng / ml;
• Uxinaniso lwe-FSH ngosuku lwesithathu lomjikelo-15 IU;
• normospermia kwiqabane.

Kuze kube luni i-IVF ye-OMS?

Kubalulekile ukuba uqaphele ukuba xa ukwabiwa kwee-quotas, oogqirha bawubhale ingqalelo ngaphandle kwemeko yempilo, kunye nobudala bomguli. Kukho imigaqo ethile. Ngoko ubudala bomfazi we-IVF ngokwe-CHI akufanele kudlule iminyaka engama-39. Ukukhulelwa kwabasetyhini abadala kunxulumene neengozi ezininzi-ukuzala okunzima, ukungabikho komntwana obusweni bokukhula komntwana. Ngenxa yoko, amaziko ayithathi inqubo yabasetyhini abaqalayo kwinkqubo yokunyanga baphila iminyaka engama-39 ubudala.

Ukungqinelana kwe-IVF

I-IVF yamahhala ye-OMS inokwenzeka ukuba impilo yesigulane iyahlangabezana neempendulo. Nangona unomnqweno omkhulu, in vitro fertilization ayisoloko inokwenzeka. Ukungqinelana kwenkqubo:

• iifom ezisebenzayo zesifo sofuba, kungakhathaliseki ukuba lilungu elichaphazelekayo;
• i-hepatitis yentsholongwane;
• HIV;
• Uphilisa kumfazi okanye iqabane;
• iimpawu ezingamanzi zendalo;
• izilonda ezinobungozi kwinkqubo yokuzala efuna unyango lotyando;
• izifo zesistim ejikelezayo;
• izifo ze-endocrine, ezihamba kunye neengxaki zemethambo;
• iingxaki ezingapheliyo ezingapheliyo ngengqondo;
• izifo zesimiso senzwa;
• ukungabi namandla;
• izifo ze-genitourinary system;
• ukungaphumeleli kwindlala;
• ukungabikho kokuzalwa komntwana wesisu, apho ukufakelwa kweqanda lomntwana ongenakwenzekayo akunakwenzeka;
• ukungasebenzi komntwana wesifo senhliziyo;
• utyhafu, utyhefu.

Inkqubo ye-IVF ye-MHI kwizigaba

Ukuchumisa okungaphezulu kwexesha kulandelwa ixesha elide lokulungiselela. Isigulane kufuneka silandele yonke imiyalelo yesigqirha ukuze kufezwe injongo. Emva kokugqitywa koqeqesho, ngomhla otyunjweyo, inkqubo ye-IVF yenziwa, izigaba zazo zilandelayo:

1. Ukukhuthazwa kwamaqanda. Eli nqanaba liquka ukuthatha izidakamizwa ze-hormonal ezandisa inani laloo maqanda. Ngxeshanye, ukuhlolwa kwe-endometrial
2. Ukugqithwa kwee-follicle. Kule nqanaba, ukuqokelela kweeseli zentsholongwane ezivuthiweyo zenziwa ngokuchumisa ngakumbi phantsi kweemeko zelabhoratri. Kule meko, i-anesthesia yokuxhamla isetyenziswa. Ukunyanzelana ngokwawo kulawulwa yi-ultrasound.
3. Ukufakela umthambo weeseli zentsholongwane kunye nokulima kwama-embrosi. I-embryologist yenza ukuchumisa kweqanda elincinci nge-sperm, enezakhiwo ezichanekileyo, zihambelana nazo zonke iiparitha.
4. Ukutshintshwa kwama-embro kwi-uterine cavity.
5. Inkxaso yesigaba esilungileyo sokuphunyezwa ngokuphumelelayo kwembungu.
6. Iimpawu zokuxilonga ukucacisa ukuqala kokukhulelwa.

Zingaphi iimbumba zifakelwa i-IVF ye-OMS?

Ukutshintshwa kwembungu ngexesha le-IVF lwenziwa kwiinqanaba ezahlukeneyo zophuhliso lwe-fetus ezayo - ukusuka kwi-zygote ukuya kwinqanaba le-blastocyst (ngokuqhelekileyo i-reproductologists idibanisa i-embryo ngqo kule nqanaba). Yakhiwe ngomhla wesi-5-6 emva kokuqumba. Ukuze ufezekise umphumo ogqwesileyo, ukuhambelana nomsebenzi weziko lokucwangcisa iintsapho, oogqirha bafaka iibrus 2-3 ngexesha elifanayo. Ngethuba lokudluliselwa, i-catheter ekhethekileyo ifakwe kwisigxina se-uterine ngokusebenzisa umsele womlomo wesibeleko.

IVF kumjikelezo wendalo ngokweCI

Ukulungiselela inkqubo ye-IVF yinkqubo ende, enzima. Ngethuba elifanayo, akunakwenzeka ukuba kusetyenziswe yonke inkqubo yeenkqubo ze-in vitro yochumiso ngokwayo. Ngoko ukukhuthazwa kwama-ovari akunakwenzeka kubasetyhini abaneengxaki kunye nama-ovari okanye ababenomsebenzi kwizithobe zesini ngaphambili. Kwiimeko ezinjalo, ii-IVF zenziwa ngomjikelezo wendalo. Oogqirha bathatha iqanda elilodwa leqanda. Kule meko, iziyobisi ezisetyenziselwa ukugcina i-endometrium.

Umgaqo oyintloko wale hlobo lwe-IVF ayikho ukuphulwa komjikelezo wendalo. Oku kuphelisa ingozi ekhoyo enxulumene nokusetyenziswa kweziyobisi ze-hormone. Nangona kunjalo, kukho ukungahleleki kwe-IVF kumjikelezo wemvelo:

• amathuba amancinci omphumo omhle;
• ukuba inkqubo yokuchumisa ayiphumelelanga, akunakwenzeka ukuyiphinda ngexesha elifutshane.

I-OCO ye-OMS kunye neqanda lomnikelo

Inkqubo ye-IVF yalolu hlobo isetyenziswe xa umfazi engenawo amachiza asegciwane. Kule meko, iqanda lomnikeli lisetyenzisiweyo. Ngenxa yale njongo, oogqirha bavumelanisa izigaba zesigulane kunye nomjikelezo wabanikeli kunye neziyobisi ze-hormone. Emva kokuvuthwa, oogqirha bathatha iiseli zesini kumfazi onempilo, bafaka izigulane zabo nge-IVF.

Ngaba ikhefu eligulayo linikezwa yi-IVF ye-OMS?

Unomama abaninzi bokamva banomdla kumbuzo wokuba ngaba iphepha lokushiya lokugula libonelelwa nge-IVF ye-CHI. Ekupheleni kwenkqubo, isicatshulwa kwisiko lonyango, isigulane sithola isatifikethi kwiikopi ezi-2 kwinqanaba le-IVF. Omnye uhlala nomama ozayo, okwesibini - udluliselwa kwi-polyclinic kwindawo yokuhlala. Ngokwesi siqinisekiso kwaye wakhupha ikhefu lokugula, elinikezelwa kwindawo yomsebenzi.

Ngokuphathelele ixesha, ubude bezenzo zolu xwebhu, lunokunikezwa ngomhla wokuqala wonyango kwaye kude kube nokuhanjiswa kwegazi kwi-HCG (ukuhlolwa kwesiphumo senkqubo). Isibhedlele esivaliweyo kunye novavanyo olubi lwehomoni okanye emva kokuqinisekisa kokuqala kwesigxina. Kufanelekile ukukhumbula ukuba unokufumana isatifikethi sokukhubazeka komsebenzi kunoma yiphina inqanaba leprogram ye-IVF, ikhankanywe ngokwesicelo somguli.

Zingaphi iinzame ze-IVF ezingenziwa kwi-inshurensi yezempilo?

Inyaniso, zingaphi kangangoko unokwenza i-IVF ye-OMS, kuxhomekeke ngqo kwilizwe elihlala kuyo. Ngokomzekelo, kumazwe aseNtshona (iFransi, eAustria) kuvunyelwe ukuqhuba inkqubo enjalo ukuya kumaxesha amane. Kwamazwe afana neGrisi neHolland, abafazi bangasebenzisa imizamo e-3 yokukhulelwa umntwana nge-IVF mahhala. Ngokubhekisele kumazwe e-CIS, kwiinkalo ezininzi akukho mida oqinileyo ekuphunyezweni kwalo mgaqo - isibini sithumela amaxwebhu kwi-IVF kwi-MHI inani elingenamkhawulo wexesha. Ngokwenza oko, unyaka ongqinileyo ungasebenzisa inkqubo ngaphandle kwamaxesha ama-2.