IVF: nui 'ike no nā mākua

'Epekema i ka lōʻihi ala i loko o kona aliʻi kona manaopaa, e kōkua i ka poe i pilikia me ka fertility hele mai. fertilization ma lūmaua iaoia, oi mau ike me IVF, i? ac? i loko o ka hapalua like 70-ies o XX kenekulia. Eia naʻe, pomaikai ole ana, a ea lawe mai i loko o keia kahua no na makahiki. Ka mua hoʻopaʻa pepa paʻi kiʻi i ka hanau ana o ke keiki hāpai aʻela i loko o lūmaua, iloko maʻEnelani i ka makahiki 1978. Mai laila, me ke kōkua o ka lūmaua fertilization e hoomalamalama i kela makahiki, aia no na umi o na tausani o nā keiki.

'Oiai,' ikepili helu e olelo, i nā wāhine a IVF hana hiki ke hoohalikeia ia i ka cakewalk. Ma ke ala ana i ka pale kaua paʻa, aa aku la i loko o lūmaua ka hapai ana, e lanakila nui nā pilikia. Poe akamai i ao aku i ka mea i pono ia e ahonui, a aole loa kuu mau lima. Eia nō 'oe pono e ike ina oe e noonoo ma ka lūmaua fertilization ina hana like me ka maoli wale o ka lilo ana i hapai i kekahi mau mea nui mau mea.

Pehea hana IVF?

Kamaʻilio i ka wahine, ka poe i hala mua ma kēia kaʻina hana a me oe, e loaa nui okoa nāʻana. Kekahi, e hai aku oe ia ia mea he hana mana, oiai kekahi poe e ao ana i ka lapaau, aole ia e haawi aku i kekahi hoʻohiki. A ma mua e hana ana i ko lakou mau hopena a, oe e ike pehea ia e hana. Hoʻomalu ma lūmaua fertilization ma hope o nā mea a pau kūpono e hoomakaukau ai ke kaʻina hana, a me ka Ikepili kaʻina kānāwai pa hua mai i ka wahine i ka ovaries. Kēia aaiaoe mea ua a laila e e fertilized ma ka sperm o ke kanaka ke hoʻomanawanui i ka kino waho. Aia he mau ki ina hana like o ka fertilization. Ma ka mea mua no hua kumu kōkua ma ke kau sperm, i ka lua oʻano mea he wahi ano, a hua mai la ia e intracytoplasmic sperm ka pahu kui. Inā fertilization ka holomua, ka embryos loaa i ka hopena, i ma lalo o 'inikua hooponopono. Ka mea ua ulu i loko o ke keʻena hoʻokolohua i ka kekahi kali. Ma ka helu o ka mea e like ai o ka embryos ua lawe mai i keia manawa. A wale laila ka mea, e hoololiia i loko o ka uterus o ka haumāna haʻawina kālā.

E kahaki ii ke kaʻina hana?

Aia nō i ka helu ana o kekahi kumu no ka'ēpoda, a me hookahi wahine e pono ai keia ina hana. Wahi a ka 'ikepili helu, ma ka United States wale, i kekahi i ka ewalu' Amelika paʻa e ka pilikia me ka infertility. IVF pono hui, ma i hoʻokahi hoapili ia poino mai ka hormonal imbalance, ina haʻahaʻa kane sperm helu i na wahine i hōʻike mai i ka haahaa nui o ka pio i loko o ka ovaries a fallopian paipu. Kēia papa hana ua hoike mai i kane infertility ole no i ka 'ē aʻe reproductive ma o na la pilikia i kō ai pilikia. Eia hou, aia no he pūʻulu o kanaka, ka poe e pono mau pou hua. No ka laʻana, ka mea, i e ka poe i undergone lapaʻau no ka maʻi 'aʻai, a me ke kanaka e loaa ana mai ka lupus. A, o ka papa, hapai i loko o ka ho'āʻo şarkı, a me ka lawelawe ana o kekahi mau pou hua fertilization i ka'ēpoda, i mea i loko o ka hookahi-wahine mare.

hoomakaukau ke kahua

E like me ka Sueldo Carolina, he hoʻomalu ma reproductive endocrinology a me ka infertility i loko o Miami, he piha papa o IVF lapaʻau hiki ke lawe mai i elua mahina. Kēia timescale e oko i ka ke ahonui, o ka ai 'likeʻole. Ma mua o nā embryos i podsazheny iāʻoe i loko o ka opu, e i e hele ma na kahua o ka hoʻonaʻauao o ko lakou hoomakaukau ana no ke kaʻina hana. Keʻanuʻu mua pono o ka suppression o ka mea maoli menstrual pōʻaiapuni. Kēia 'o ia hoʻi' oe makemake i kela la hōmona injections. Hormonal mana, IeAUPIIe, IAa IO mau he mau pule. I kekahiʻanuʻu Ua ovarian stimulation. No kekahi maoli kalapona i loko o na wahine i na ole aku ma mua o nā hua (IeAUPIIe, IAa IO kekahi). No ka maikaʻi i nā hualoaʻa o IVF o keia mea e ole e lawa.

Stimulation o ka ulu o ka hua

Stimulation no hoi ua hoakaka no ka hoike ana i hormonal hoomakaukau, e laʻa me follikostimuliruyuschego pituitary hōmona. Kēia kaʻina ua akahele hoi malalo o ko lapaau e hōʻoia pono ulu o oocytes. A hookahi no ka mea, ua oo loa, ka mea e e wehe 'ia mai nā ovaries. Keia ua hana ma ka 34-36 hola ma hope o ka ka pahu kui ana o kanaka chorionic gonadotropin. Hoʻomalu ma hope hua ka hōkeoʻikepili koke fertilize ia, a laila, paka i kekahi mau mea e like ai i ka mana hoʻomalu. Once ka maikaʻi o viable embryos e wae, e noho i lalo i loko o ka wahine o ka uterus. Wahi a ke kauka, keia mea he mea hana i ka mea e koi anesthesia. Nā embryos e hoonoho iho i loko o kaʻaeʻae catheter, a laila 'o ia i loko o ka uterus ma ka cervix.

I ka laulā o ka IVF

Paha a pau kēia mau manipulations perpetrated ma ka lapaau ana me ka wahine i ka ke kino, e oe manaʻo e pili ana i ka ka hoʻokōʻana kiʻekiʻe o keia hana. Eia naʻe, 'aʻole IVF e haawi hoʻohiki. No ke aha la i keia ahaʻia nei? Eia naʻe, he mea uuku ike o ka'anatomia a me ka physiology. I kekahi manawa, ka wahine kino no laila, capricious (oi loa aku hoi, i ka wa e hele mai ai i ke alo ma loko o kekahi haole kino) ua koi 'ia nā kāwaha miomio i loko o ka ho omaulia kaulike ma waena o ke kapuai hookahi. Ke aupuni i ka pomaikai i kela mea ma kahi o 30 pakeneka. Eia naʻe, loa ua mahaloia ka haukapilaʻo ia ma ke alo o ka loa o kona mākaukau 'Oihana pahiki o ka maikaʻi hoʻokūkū, e like me ka rula, ua pāpālua.

Me ka makahiki, me ka emi wale o ka pomaikai

Ua mea waiwai 'ana i kumumanaʻo ana ma luna o ka mau makahiki i hala, nā hoailona o ka holomua pau' ana o ka loko o lūmaua fertilization ohe. Me ka nui loa, a mahuahua nui. Eia naʻe, kauka nō i ke alo i ka helu o nā pilikia, a Radio nui he kūlana o ka wahine o ka makahiki. Ma muli o ka mua koho, no keia a me nā kumu, poe akamai i hoʻihoʻi i ka verdict like no ina paha lapaʻau e hoʻomau paha ole.

Pehea lā ka lōʻihi o makemake i nā kaʻina hana?

I ka pomaikai o ka IVF hilinaʻi nui ma luna o na mea he nui aʻe, no lailaʻoe e loa ka huli 'ikepili helu i ka nui o na hana e pono i kekahi kanaka. Kekahi kanaka pana aku au i kekahi mau pomaikai ole ka ho'āʻo 'ana, akā, no kekahi mea i hana i ka manawa mua. Aia He He paʻakikī 'ikepili helu ma luna o ka ua ana kaʻina hana, a kokoke haawi mai ma ka ho'āʻo e e hapai i loko o nā wāhine ma luna o ka makahiki o 40 makahiki. E like me kaʻikepili loaa i ka 2014, o ka awelika helu o nā pōʻaiapuni kūpono ma ka hāpai keiki, pēlā nō ke kaumaha ma muli o ka makahiki o ka makuwahine.

Women ma lalo o 35 makahiki i ka holomua IVF i loko o 42,6 pakeneka o ka hihia. 44-makahiki-luahine, he mea uuku wale no ka pomaikai - wale 2,7 pakeneka o ka huina kaumaha o na comers. A no ke aha la ke kauka koke ao aku lākou nā mea mālama mai i ka mea e ole ana 100 pakeneka ka hoʻokōʻana. Inā 'oe i hele mai i ka hookipa, oe e e hoʻomaopopo' ia IVF - he ano o ka hookolokolo ana a me ka hewa. hiki ole poe akamai i ike ia ma mua ana kou kino, e pane koke ana i ka hoʻokomo 'ia' ana o ka lāʻau. Wale ka wā e hoʻomaka lapaʻau, e hiki ke lawe i nā nā wānana waiwai mua.

ka pilikia

Like kekahi'ē aʻe 'inikua kaʻina hana, IVF mea fraught me na mea he nui ka pilikia,ʻaoʻao' ole a me nā complications. Mua o nā mea a pau, e hiki complications ka wā wehe i ka hua, mai na ovaries. Ma hope o podsazhivaniya embryos hiki ectopic hāpai keiki, ovarian hyperstimulation maʻi pale a me premature hana. Kekahi mea e like me ka pilikia ma ka hapai wahine i abortions. Nolaila, ia mea nui, e hoʻohana hou embryos, no laila, i ke kino i hoomaopopoia e ka mea, i ia kumu i loko o ka opu ma ka maoli 'ana. E like me ka 'ikepili helu, i ke alapine (frequency) o ka miscarriage mea nui ma luna i loko o ka hihia o ka insemination, e hoʻohana paʻahau embryos.

A, o ka papa, i ka pilikia nui ma ka miscarriage mea o ka wahine o ka makahiki. Inā mākou e kamailio e pili ana i kaʻaoʻao waiwai, kena ae la ma ka lawe ai ', alaila, he mea "mai o Competition" hōmona makaukau "Clomid", i kumu no ka loa adverse reactions.

Hoomakaukau nānā 'ana i progesterone no hoi i ke kino o ka stress. No ia mea, ina oe e kekahi mau mea e hopohopo nei e pili ana i kekahi hapa o ka iapaau ana, oe, mai hai aku i kou kauka no ia.