Kubereka mwana kunze kwenhengo dzemukati (IVF)

Kubereka kwembeu kunze kwenhengo dzemukati, kunonziwo IVF, inzira yakaoma yematambiro anogona kutungamira pakuzvitakura. Iri mushonga wekushaya simba rekubereka, mamiriro ausingakwanisi kuzvitakura mushure megore rimwe chete rekuedza kune vakawanda vakaroorana. IVF inogona kushandiswawo kudzivirira kupfuudza matambudziko emajini kumwana.

Kubata kwembeu kunze kwenhengo dzemukati (In vitro fertilization) chirwere chekushaya simba rekubereka kana kuti matambudziko ehukuru hwembeu. Usati waita IVF kurapa kushaya simba rekubereka, iwe nemumwe wako munogona kuedza mamwe marapirwo ane maitiro mashoma kana kuti asina kana maitiro anopinda mumuviri. Semuenzaniso, mishonga yekubereka inogona kubatsira maovari kuti aite mazai akawanda. Uye nzira inonzi intrauterine insemination inoisa sperm zvakananga mudumbu pedyo nenguva iyo ovary inoburitsa egg, inonzi ovulation. Dzimwe nguva, IVF inopiwa serapiro huru yekushaya simba rekubereka kune vanhu vane makore anopfuura makumi mana. Inogona zvakare kuitwa kana uine zvimwe zvirwere. Semuenzaniso, IVF inogona kuva sarudzo kana iwe kana mumwe wako ane: kukuvara kana kuvhara kwefallopian tubes. Mazai anofamba kubva kumaovari kuenda kudumbu kuburikidza nefallopian tubes. Kana ma tubes ese maviri akakuvara kana akavharwa, izvo zvinoita kuti zviome kuti egg iite kana kuti embryo ifambe kuenda kudumbu. Matambudziko ekubuda kwezai (ovulation disorders). Kana ovulation isingamboiti kana isingawanzoiti, mazai mashoma anowanikwa kuti aberekwe nesperm. Endometriosis. Iyi mamiriro ezvinhu anoitika kana tishu iri senge lining yedumbu ikakura kunze kwedumbu. Endometriosis kazhinji inokanganisa maovari, dumbu nefallopian tubes. Uterine fibroids. Fibroids ndetumors mudumbu. Kazhinji kazhinji, haisi cancer. Inowanzoitika kune vanhu vane makore makumi matatu nemakumi mana. Fibroids inogona kukonzera kuti egg yakaberekwa ive nematambudziko ekubatanidza kune lining yedumbu. Kuita opresheni kare kudzivirira pamuviri. Kuita kwemishonga kunonzi tubal ligation kunosanganisira kucheka kana kuvhara fallopian tubes kudzivirira pamuviri kwenguva refu. Kana uchida kubereka mushure mekubatwa kwe tubal ligation, IVF inogona kubatsira. Inogona kuva sarudzo kana usingadi kana usingakwanisi kuita opresheni yekudzosa tubal ligation. Matambudziko nesperm. Huwandu hushoma hwesperm kana shanduko dzisingawanzoitika mukuenda kwavo, saizi kana chimiro zvinogona kuita kuti zviome kuti sperm ibereke egg. Kana bvunzo dzepfungwa dzikawana matambudziko nesperm, kushanya kune nyanzvi yekushaya simba rekubereka kunogona kudiwa kuona kana paine matambudziko anorapika kana kuti zvimwe zvinetso zvehutano. Kushaya simba rekubereka kusina tsananguro. Izvi ndizvo kana bvunzo dzisingakwanisi kuwana chikonzero chekushaya simba rekubereka kwemunhu. Chirwere chehukuru hwembeu. Kana iwe kana mumwe wako uri pangozi yekupfuudza chirwere chehukuru hwembeu kumwana wako, timu yako yekuchengetedza hutano inogona kukurudzira kuita nzira inosanganisira IVF. Inonzi preimplantation genetic testing. Mushure mekunge mazai abviswa uye aberekwa, anotarwa kuti ane matambudziko ehukuru hwembeu. Zvisinei, haasi ese aya matambudziko anogona kuwanikwa. Embryos dzisingaoneki kuti dzine dambudziko rehukuru hwembeu dzinogona kuiswa mudumbu. Chido chekuchengetedza simba rekubereka nekuda kenza kana kuti zvimwe zvirwere. Kurapwa kenza senge radiation kana chemotherapy zvinogona kukuvadza simba rekubereka. Kana uri kuda kutanga kurapwa kenza, IVF inogona kuva nzira yekubereka mwana mune ramangwana. Mazai anogona kubviswa kubva kumaovari avo uye ochengetwa kuti ashandiswe gare gare. Kana mazai anogona kuberekwa uye ochengetwa seembryos kuti ashandiswe gare gare. Vanhu vasina dumbu rinoshingaira kana kuti avo pamuviri unovapangira njodzi huru yehutano vanogona kusarudza IVF vachishandisa mumwe munhu kuti aite pamuviri. Munhu wacho anonzi gestational carrier. Muchiitiko chino, mazai ako anoberekwa nesperm, asi embryos inobva yaiiswa mudumbu re gestational carrier.

IVF inowedzera mikana yematambudziko ehutano. Kubva kune pfupi kusvika kure, njodzi idzi dzinosanganisira: Kuneta. IVF inogona kunetsa muviri, pfungwa nemari. Rutsigiro kubva kuvarairidzi, mhuri neshamwari zvinogona kukubatsira iwe nemumwe wako mukati mekumusoro nekumusoro kwekutambudzika kwekushaya pamuviri. Matambudziko kubva mukuita kwekuwana mazai. Mushure mekunge watora mishonga yekukurudzira kukura kwemazai muma ovary anenge aine zai rimwe nerimwe, panogadzirwa nzira yekuunganidza mazai. Izvi zvinonzi kuwana mazai. Mifananidzo ye ultrasound inoshandiswa kutungamira tsono refu, ine matete kuburikidza nevagina uye mukati memazai, anonziwo follicles, kuti awane mazai. Sono inogona kukonzera kubuda ropa, hutachiona kana kukuvara kwegumbo, bhara kana ropa. Njodzi dzinosanganisirwawo nemishonga inogona kukubatsira kurara uye kudzivirira kurwadziwa panguva yekuita, inonzi anesthesia. Ovarian hyperstimulation syndrome. Iyi ndiyo mamiriro ayo ma ovary anovimba uye anorwadza. Inogona kukonzerwa nekugamuchira mishonga yekubereka, senge human chorionic gonadotropin (HCG), yekukurudzira ovulation. Zviratidzo kazhinji zvinogara kusvika pavhiki. Zvinosanganisira kurwadziwa kwepamuviri, kuzvimba, kuora mwoyo, kurutsa uye manyoka. Kana ukaita mimba, zviratidzo zvako zvinogona kugara kwemavhiki mashoma. Zvisingawanzoitiki, vamwe vanowana mamiriro akaipisisa e ovarian hyperstimulation syndrome anogona kukonzera kuwedzera kurema nekufemerwa. Kuenda pamimba. Huwandu hwekuenda pamimba kwevanhu vanobata pamuviri vachishandisa IVF nemaembryo matsva akafanana neevamwe vanobata pamuviri zvakasikwa - anenge 15% kune vanhu vane nhumbu vari mumakore avo makumi maviri kusvika kupfuura 50% kune avo vari mumakore avo makumi mana. Huwandu hunosimukira nemakore evamwe vane nhumbu. Pamuviri we ectopic. Iyi ndiyo mamiriro ayo zai rakacheneswa rinonamatira kune tishu kunze kwechibereko, kazhinji mufallopian tube. Embryo harigone kurarama kunze kwechibereko, uye hapana nzira yekupfuurira pamuviri. Chikamu chidiki chevanhu vanoshandisa IVF chichava nepamuviri we ectopic. Pamuviri wakawanda. IVF inowedzera njodzi yekuve nevana vanopfuura mumwe. Kuita mimba nevana vakawanda kunounza njodzi yakakwira yekukwira kweropa nekushushikana kweshuga, basa rekutanga nekuberekwa, uremu hwakaderera, uye zvikanganiso zvekuzvarwa kupfuura pamuviri nemwana mumwe chete. Zvikanganiso zvekuzvarwa. Zera remadzimai ndiro chinhu chikuru chinokonzera zvikanganiso zvekuzvarwa, pasinei nokuti mwana akabata sei. Asi matekinoroji ekubereka anobatsira akadai seIVF anobatanidzwa nenjodzi yakakwira zvishoma yemwana kuzvarwa nezvinetso zvemoyo, matambudziko ekugaya kana mamwe mamiriro. Kutsvagisa kwakawanda kunodiwa kuti uwane kana IVF ndiro rinokonzera njodzi iyi kana chimwe chinhu. Kuberekwa kwenguva isati yakwana nekurema kwakaderera. Kutsvagisa kunoratidza kuti IVF inowedzera zvishoma njodzi yekuti mwana achazvarwa kare kana ane uremu hwakaderera. Kenza. Zvidzidzo zvepakutanga zvakaratidza kuti mishonga yakatarwa inoshandiswa kukurudzira kukura kwezai inogona kubatanidzwa nekutora rudzi rwakatarwa rwe ovarian tumor. Asi zvidzidzo zvizhinji hazvitsigire zviwanikwa izvi. Haisi kuita kunge kune njodzi yakakwira zvakanyanya yekenza yemazamu, endometrial, cervical kana ovarian mushure meIVF.

Kuti utange, unoda kuwana clinic inobudirira yekubereka. Kana uchigara kuUnited States, Centers for Disease Control and Prevention neSociety for Assisted Reproductive Technology zvinopa ruzivo paIndaneti nezvemazinga ekubata nepamuviri nekuzvarwa kwevana muma clinics aya. Kuita zvakanaka kwe clinic yekubereka kunoenderana nezvinhu zvakawanda. Izvi zvinosanganisira mazera nematambudziko ehutano evanhu vanoarapwa, pamwe chete nezvirevo zvekuita zve clinic. Paunotaura nemumiririri weclinic, bvunzawo ruzivo rwakadzama nezvekudhura kwega rega nhanho yekurapa. Usati watanga kutenderera kwe IVF uchishandisa mazai ako nekumira, iwe nemumwe wako muchafanirwa kuita bvunzo dzakasiyana-siyana. Izvi zvinosanganisira: Kuongororwa kwe ovarian reserve. Izvi zvinosanganisira kuita bvunzo dzeropa kuti uwane huwandu hwemazai ari mumuviri. Izvi zvinonziwo kuwanikwa kwezai. Mhedzisiro yebvunzo dzeropa, kazhinji inoshandiswa pamwe chete ne ultrasound ye ovaries, inogona kubatsira kufanotaura kuti ovaries dzako dzichaita sei kune mishonga yekubereka. Kuongororwa kwesemen. Semen ndiro mvura ine sperm. Kuongororwa kwayo kunogona kutarisa huwandu hwesperm, chimiro chayo uye nzira yekufamba kwacho. Kuongororwa uku kunogona kunge kuri chikamu chekuongororwa kwekubereka pakutanga. Kana kungaitwa nguva pfupi usati watanga kutenderera kwe IVF. Kuongororwa kwezvirwere zvinotapuriranwa. Iwe nemumwe wako muchaongororwa zvirwere senge HIV. Kuita embryo transfer. Bvunzo iyi haina kuisa embryo chaiyo mudumbu. Inogona kuitwa kuti uwane hupamhi hwemudumbu rako. Inobatsirawo kuona nzira inonyanya kushanda kana embryo imwe kana dzakawanda dzikapinzwa. Kuongororwa kwemudumbu. Mukati memukati wemudumbu kunotarwa usati watanga IVF. Izvi zvinogona kusanganisira kuita bvunzo inonzi sonohysterography. Mvura inotumirwa kuburikidza ne cervix kuenda kumudumbu uchishandisa chubhu duku yepurasitiki. Mvura iyi inobatsira kuita mifananidzo ye ultrasound yakadzama yemukati wemudumbu. Kana kuongororwa kwemudumbu kunogona kusanganisira bvunzo inonzi hysteroscopy. Telesikopu duku, inofamba, ine chiedza inopinzwa kuburikidza ne vagina ne cervix kuenda kumudumbu kuti ione mukati maro. Usati watanga kutenderera kwe IVF, funga nezve mibvunzo mikuru, kusanganisira: Mangani ma embryo achaendeswa? Huwandu hwema embryo anowanikwa mudumbu kazhinji hunoenderana nemakore uye huwandu hwemazai akaunganidzwa. Sezvo huwandu hwemazai akabereka anobatira kumukati wemudumbu huri pasi kune vanhu vakwegura, kazhinji ma embryo akawanda anowanikwa - kunze kwevanhu vanoshandisa mazai emunyori kubva kumunhu mudiki, ma embryo akaongororwa kana mune mamwe mamiriro ezvinhu. Vashandi vazhinji vehutano vanotevera mirairo chaiyo kudzivirira pamuviri yakawanda ine triplets kana kupfuura. Munyika dzimwe, mutemo unoganhurira huwandu hwema embryo anogona kuendeswa. Ita shuwa kuti iwe nechikwata chako chekurapa munobvumirana nehuwandu hwema embryo achaiswa mudumbu usati watanga nzira yekuendesa. Uchaitei nema embryo akawandisa? Ma embryo akawandisa anogona kuomeswa uye kuchengetwa kwemakore mazhinji. Haasi ma embryo ese achapona maitiro ekugwamba nekutunhidza, asi mazhinji achapona. Kuve nema embryo akaomeswa kunogona kuita kuti kutenderera kwe IVF kwenguva yemberi kuve kwakachipa uye kusina kuoma. Kana ungakwanisa kupa ma embryo akaomeswa asina kushandiswa kune imwe mhuri kana chitoro chekutsvagisa. Unogona zvakare kusarudza kurasa ma embryo asina kushandiswa. Ita shuwa kuti unonzwa wakasununguka kuita sarudzo nezvema embryo akawandisa usati awedzerwa. Uchaita sei nepamuviri yakawanda? Kana embryo inopfuura imwe ikaiswa mudumbu rako, IVF inogona kukonzera kuti uve nepamuviri yakawanda. Izvi zvinokonzera njodzi kune hutano hwako nevana vako. Muzviitiko zvimwe, kuvhiya kunonzi fetal reduction kunogona kushandiswa kubatsira munhu kubereka vana vashoma vane njodzi shoma dzehutano. Kuwana fetal reduction ndiko kusarudza kukuru kwine njodzi dzemagariro, manzwiro uye pfungwa. Wakafunga here nezvenjodzi dzine chekuita nekushandisa mazai emunyori, sperm kana ma embryo, kana gestational carrier? Munyori akarovedzwa ane ruzivo mune zvinhu zvemupi anogona kukubatsira kunzwisisa zvinotyisa, senge kodzero dzepamutemo dzemupi. Unogona zvakare kuda murayiridzi kuti anyore mapepa edare kuti akubatsire kuva vabereki vepamutemo ve embryo iri kukura mudumbu.

Mushure mekugadzirira, kutenderera kwese kweIVF kunogona kutora mavhiki maviri kusvika matatu. Zvimwe kupfuura kutenderera kumwe kungadiwa. Matanho ari mukati mekutsvaga ndeaya anotevera: