Ko te tūponotanga o te angitu IVF

He tumanako tiketike katoa hoa faaipoipo mo IVF, e hiahia ana ia ki te tiki i runga i te piro tuatahi. te tīariari i tēnei tūponotanga. I te toharite, kia rite ki tatauranga 50% o te i roto i vitro kikiritanga tukanga mutu pai. Heoi, tei te ahua i runga i ngā āhuatanga maha, tae atu pehea te hauora o tangata me te wahine, pera me te huarahi tangi ki te whakangungu me te ngaiotanga o kaiwhakaako. kia tango te reira i ki pūkete te wāhanga tūturu: ara, no te kahore te mea tūturu tūponotanga kikiritanga o hapūtanga 100%. Tikanga, ka taea e te wahine tino hauora kia he huringa paheketanga, ka i reira he follicles teeki kore e taea e ngāue kakato me ki te hanga i te hua taea o te kikiritanga-kounga tiketike.

whakaaro tatou i roto i te taipitopito i te āhuatanga e whakatau he hua pai i runga i te IVF piro tuatahi.

whaea expectant Age

Physiologically whakaritea tinana wahine e kia e muri pehanga o tahuri 35, te nui me te kounga o tohuhema tīmata ki te peka ke. E ai ki tau e pā ana puta te hapūtanga tūturu rite te mahi o te tau i roto i te wā e whai ake nei:

• Mai i 35 ki te 37 tau - 30%;
• 38 - 41 tau - 20%;
• 42-45 tau - 5%.

Ko te kupu, he pai ke e kore e ki te faataime i te tukanga IVF, tukua nga hangarau atu hou ki te whakatio pūtau hua whiwhi ki te whakamahi i muri i te tetahi wa, ara, ki te ko te manawanui pakeke atu i te 40 tau. Heoi, e kore te mea mutunga o tau whakaputa uri te take ki te whakapono e e kia whai hua i te nganatanga IVF tuatahi, he raro noa atu i taua o ngā kōtiro taitamariki tūponotanga.

Ki te aha te pākoko

He take tane, he wahine. Te nuinga pea i reira he faaipoipo i reira te hauora o te whaea i mua nei ko te tika katoa, engari i mahara ki tona papa mahi iti te maha iti o te parāoa ranei. I roto i tenei take, tūtohu whakamahi IVF ICSI ina te patia parāoa ki te tinana ngira motuhake hua manu tākuta. Kei te whakapono te reira e te tūponotanga o te kikiritanga i roto i tenei tikanga, ki runga ake etahi katoa, me te ake ahi i te tuatahi.

Hoki i te wahine tupono nui e whai tamariki i te tikanga tūturu ranei i IVF mua kē, i roto i tenei take, te tātaritanga he "pākoko tuarua." hua pai i te nganatanga tuatahi ki te titau me te arai Tupara kore ranei ona.

Ko te take tino uaua - te aroaro o te endometriosis arata'i ki taiepa hahore, ngaro ratou āhuatanga kounga, hua kukune kore e taea e tāpiri ki te kōpū. No te mea he nui whakamātautau tuatahi, me te maimoatanga o te mau metua, i roto i te tikanga ki te whakaiti take taea katoa o te kore. tupu te reira i e he reira taea ki te tiki hapu e tika ana ki ngā āhuatanga ira, i roto i tenei whakatinanatanga, ki te tātai i te utu o 3-5 "täpiritanga".

Ko te ngaio o ngā kaimahi hauora

I roto i tenei take o te tohu tākuta 'tei tata 50% auau angitu. Ki he tiketike te whai huatanga o te tukanga, i takitahi ratou ki ia takirua:

• Ki te whakahaere i te whakamātautau whānui, te tautuhi i raruraru, e kore anake ki te ao fakasekisualé, engari ano hoki tahi-morbidities;
• Whakatinana kounga maimoatanga o te mate tīariari;
• Whakahere i te kawa tino ikeiketanga o roto vitro te kikiritanga;
• Te whakapau tukanga hua tiki kounga i te ruahuru paari, a muri iho i te torutoru nga ra - ki te whakawhiti ki te kōpū.

Ko te taahiraa tino nui i roto i te faaineineraa, ko ki te whakatau i te taumata hormonal, ara i roto i taua tohu rite AMH, FSH ko LH. e kore ratou muhumuhu noa kaiwhakaako ki te kaupapa kawa tika, engari ka whakarato he wāhi ki te aromatawai i roto i mua i te tūponotanga o abnormalities. Hei tauira, i roto i te tātaritanga o tūroro i hyperprolactinemia, hypo- hyperthyroidism IVF ranei e taea e whai hua ranei ara kore, ara i muri i te maha o nganatanga.

I tua atu, kia rite rawa te taiwhanga ki te taputapu hou te nuinga, kei hea he reira taea ki te kawe i roto i insemination i roto i mua ki te aromatawai i te kounga o embryos me ratou kaha ki te whakawhanake.

I roto i te whānui, kia mohio ki taua mea e he rerekē katoa te tinana, a pehea e mahi i te tukanga katoa e tika ana mo te timatanga o te hapūtanga me te whanaketanga noa o te tamaiti tei katoa ki runga ki a ia. E mea pinepine e taea kore meinga te ahotea, rawakore kai tōtika, ngā āhuatanga taiao rawakore, rite kore e taea e te wahine i muri i "podsazhivaniya" embryos tino ū ki te tūtohutanga katoa e ka hei te take o te kore i roto i te nganatanga tuatahi.

Hei faarahi i to outou tūponotanga, me ū koe ki tūtohutanga katoa o nga tohunga, he mārama māramatanga o ia wāhanga o roto i vitro kikiritanga, a, o te akoranga, te whakapono e me tae mai katoa i roto. A, ki te kahore te wa tuatahi, na te tuarua tuatoru ranei!

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