Ukuze ufumane amaqanda alungele ukuchumisa, ukulungiselela okukhethekileyo kusetyenziswa ukukhuthaza ama-ovari. Ukuhlanganiswa kwezi zi yobisi kunokungafani. Ukudibanisa okunjalo kuthiwa ngamaprotokthi. Ngokuqhelekileyo kwi-vitro fertilization, kukho iintlobo ezimbini zeprotocol. Lo ngumgaqo omude kunye omfutshane we-IVF. Basebenzisa leziyobisi ezifanayo. Umgaqo-mfutshane omfutshane uhlukile kwixesha elide kuphela kunye nexesha lesicelo. Ukuze unqume ukuba yiyiphi imigaqo-nkqubo yokusebenza, ugqirha uhlolisisa imbali yonyango yesigulane. Ikwaqwalasela ubudala, ubunzima, imeko yenkqubo yokuzala. Cinga ukusetyenziswa kweziprotoksi kumzekelo we-protocol emfutshane IVF.
Isicelo kunye nobude benkqubo emfutshane ye-IVF
Abaninzi abasetyhini abasombulula iingxaki zokukhulelwa ngale ndlela, banomdla kwithuba elide elilandelwayo. Ngokukodwa, umgaqo-mfutshane mfutshane ufana nomjikelezo wendalo. Kuphela iiveki ezi-4, ngelixa elide liveki ezintandathu. Olu hlobo lomgaqo-nkqubo lusetyenziswa ukuba ibhinqa ineempendulo zentlupheko ye-ovarian kwiimjikelezo zangaphambili zenkqubo eninzi. Isibonakaliso sokusetyenziswa sineminyaka yobudala. Ukuba ibhinqa likhulile kunexesha elicetyiswayo ekufakeni i-vitro fertilization, isebenziswano elifutshane.
Iimpawu ezahlukileyo zeprotocol e mfutshane
Uhlobo oluphambili phakathi kwendlela emfutshane kunye nexesha elide kukuba, nge-protocol e mfutshane, isigulane ngokukhawuleza siya kwisigaba esichukumisayo, ngelixa elide likhona nesigaba esilawulayo. Ngokuqhelekileyo isigaba esivuselelayo siqala ngosuku lwesithathu lomjikelezo. Ngeli xesha, isigulane siza kuhlola, sidlula ukuhlolwa kwegazi. Ngelo xesha, ugqirha wenza uviwo ukuze aqiniseke ukuba izicubu zesisu ziyancipha emva kokuya esikhathini.
Iiprospecies ze-IVF protocol kunye nexesha lemiqathango yeprotocol
Kuxhomekeke kwiiyiphi iziyobisi ezisetyenziswayo, kukho imfutshane kunye ne-agonists, mfutshane kunye nabachasene kunye ne-ultra-short with antagonists protocol.
Mfutshane kunye nama-agonists, i-GnRH iquka ii-6 eziphambili. Isigaba sokuqala lukhuselo lwe-pituitary gland. Eli nqanaba liphela ukusuka ngomhla wesithathu womjikelezo ukuya ekugqibeleni. Isebenzisa olo lungiso lomgaqo-mfutshane omfutshane njenge-agonists GnRH, dexamethasone, folic acid. Ukhuthazo luqala ngeentsuku eziyi-3-5 zomjikelezo kwaye luhlala iintsuku ezingama-15-17. Emva koko ulandele ukuhamba. Yenzelwa iintsuku ezili-14 ukuya kwe-20 emva kokuqalisa ukuvuselela. 3-4 iintsuku emva kokugqithiselwa ukutshintshwa. Inqanaba elilandelayo lenkxaso. Emva kokudluliselwa ngomhla weshumi elinesine, ulawulo lokukhulelwa lwenziwa. Ewonke, le protocol yahlala kwiintsuku ezingama-28-35. Ukungalungi kwenkqubo yenkqubo ye-ovulation, umgangatho ophantsi we-oocytes. Idibaniso kukuba le protocol ihanjiswa ngokulula.
Mfutshane (iifutshane) kunye nabachasene nomgaqo-nkqubo unamanqanaba afanayo njengemfutshane kunye ne-agonists, kuphela ngaphandle kwesigaba sokukhutshwa kwesiganeko.
Kukho le nto ingumgaqo-nkqubo ngaphandle kwemigca ye-gonadoliberin (ecocekileyo). Kwezinye iimeko, amacebo angabandakanyi ukukhusela i-pituitary gland isetyenziswe. Kule meko, kuphela amalungiselelo aqukethe i-FSH anokusetyenziswa. Ngokomzekelo,
Isici somgaqo-mfutshane
Xa usebenzisa le protocol, ukukhutshwa ngokukhawuleza akunakwenzeka, ekubeni iziyobisi ezizodwa zikhupha i-LH. Ukongezelela, abafazi bayawunyamezela ngokupheleleyo zonke izigaba zeprotocol. Kwaye kukho ukuhlaziywa ngokukhawuleza kwe-pituitary gland function. Umzimba womntu awuxhomekekanga kwizinto ezimbi kunye nomngcipheko wokuphuhlisa i-cyst kunye nale protocol incishisiwe. Umgaqo-mfutshane omfutshane uhlala ixesha elingaphantsi kwaye abafazi bafumana uxinzelelo olunzulu lweengqondo.