IVF: ntaub ntawv tseem ceeb rau cov niam txiv

Science tau tuaj ib tug ntev txoj kev nyob rau hauv nws cov noble quest los pab cov neeg uas muaj teeb meem nrog fertility. fertilization nyob rau hauv vitro txoj kev, feem ntau hu ua IVF, yog tsim nyob rau hauv nruab nrab 70-ies ntawm XX caug xyoo. Txawm li cas los, hai dag zog thiab researches nqa tawm nyob rau hauv daim teb no rau ntau xyoo lawm. Tus thawj sau ua ntaub ntawv yug tus me nyuam ntawm ib tug me nyuam xeeb nyob rau hauv vitro, tshwm sim nyob rau hauv ces nyob rau hauv 1978. Txij thaum ntawd los, nrog rau cov kev pab los ntawm nyob rau hauv vitro fertilization mus rau lub teeb txhua txhua xyoo muaj kaum txhiab tus ntawm cov me nyuam.

Txawm tias statistics yog pheej, tsis yog txhua txhua tus poj niam IVF txoj kev yuav muab piv rau ib tug cakewalk. Nyob rau hauv txoj kev mus rau lub hom phiaj khub mus tim nyob rau hauv vitro conception, yuav tsum kov yeej ntau yam obstacles. Kws txawj ceeb toom hais tias nws yog tsim nyog los ua siab ntev thiab yeej tsis txo qis ob txhais tes. Ntawm no yog ib co tseem ceeb uas koj yuav tsum paub yog hais tias koj xav nyob rau hauv vitro fertilization txheej txheem raws li ib tug tiag tiag lub sij hawm ntawm ua cev xeeb tub.

Yuav ua li cas puas IVF?

Tham nrog cov poj niam uas twb ploj mus los ntawm tus txheej txheem no thiab koj yuav tau txais ntau heev xyuas. Ib tug neeg yuav qhia rau koj hais tias nws yog ib tug txuj ci tseem ceeb, thaum lwm tus neeg ceeb toom hais tias cov tshuaj tsis muab tej yam guarantees. Thiab ua ntej koj ua lawv tus kheej cov lus xaus, koj yuav tsum paub yuav ua li cas nws ua hauj lwm. Tshwj xeeb nyob rau hauv vitro fertilization tom qab tag nrho cov tsim nyog rau kev npaj mus txheej txheem thiab tus tsom xam pib laj kab qe los ntawm ib tug poj niam lub zes qe menyuam. Qhov no kev tshuaj ntsuam genetic khoom tom qab yuav tsum tau fertilized los ntawm cov phev ntawm ib tug txiv neej nyob sab nraum tus neeg mob lub cev. Muaj ob txoj kev ntawm fertilization. Nyob rau hauv thawj ib qe pab muab tso rau cov phev, cov thib ob embodiment yog ib tug taw tes ua cim thiab ua los ntawm intracytoplasmic phev txhaj tshuaj. Yog hais tias fertilization yog kev vam meej, lub embryos tau raws li ib tug tshwm sim, yog nyob rau hauv kev kho mob saib xyuas. Cov khoom yog zus nyob rau hauv txoj kev kuaj mus rau ib tug tej yam kev txwv. Nyob rau hauv qhov kev soj ntsuam ntawm qhov zoo ntawm cov embryos yog nqa tawm thaum lub sij hawm lub sij hawm no. Thiab xwb ces lawv tseem tau pauv mus rau hauv lub tsev me nyuam ntawm cov neeg tau kev pab.

Muab ua piv txwv ntawm txoj kev?

Muaj ib tug xov tooj ntawm tej vim li cas rau cov niam txiv los yog cov poj niam yuav tsum tau txoj kev ua no. Raws li statistics, nyob rau hauv lub tebchaws United States nyob ib leeg, ib tug nyob rau hauv yim American khub yog muaj teeb meem nrog ntxiv lawm tshob. IVF pom zoo officers, nyob rau hauv uas ib tug khub suffers los ntawm ib tug hormonal tsis txaus, yog tsis muaj txiv neej cov phev suav nyob rau hauv cov poj niam qhia ib tug uas tsis muaj nqi ntawm ova nyob rau hauv lub zes qe menyuam los yog txoj hlab qe menyuam. Qhov no yog qhia rau cov txiv neej ntxiv lawm tshob los yog vim lwm yam ua me nyuam teeb meem yuav ua tau nyuaj conceiving. Nyob rau hauv tas li ntawd, muaj ib tug pab pawg neeg ntawm cov neeg uas xav tau kev pub qe. Piv txwv li, tej zaum nws yuav cov neeg uas tau undergone kev kho mob cancer, los yog ib tug neeg txom nyem los ntawm lupus. Thiab, ntawm chav kawm, xeeb nyob rau hauv ib txoj kev kuaj raj thiab cov kev pab cuam ntawm ib tug neeg lub qe fertilization yog khub niam txiv uas yog nyob rau hauv ib tug tib-poj niam txiv neej sib yuav.

theem npaj

Raws li Sueldo Carolina, ib tug kws nyob rau hauv lub tsev me nyuam endocrinology thiab ntxiv lawm tshob nyob rau hauv Miami, ib tug tag nrho cov chav kawm ntawm IVF kev kho mob yuav siv sij hawm txog li ob lub hlis. Qhov no timescale tej zaum yuav txawv nyob ntawm seb lub siab tev taus ntawm ntau yam tshuaj. Ua ntej lub embryos yog podsazheny rau koj nyob rau hauv lub plab, koj yuav tsum mus los ntawm ntau theem ntawm kev npaj rau txoj kev sai. Thawj kauj ruam yuav tsum tau cov hluav ntawm lub ntuj cev ntas. Qhov no txhais tau tias koj cia siab tias txhua txhua hnub lawm tshuaj. Hormonal tswj, feem ntau yog kav ib ob peb lub lis piam. Cov kauj ruam tom ntej yog ntawm zes qe menyuam stimulation. Rau ib tug natural voj voog nyob rau hauv cov poj niam ua tsis muaj ntau tshaj li ob lub qe (feem ntau yog ib qho). Rau zoo tau ntawm IVF ntawm no cov ntaub ntawv uas yuav tsis txaus.

Stimulation ntawm txoj kev loj hlob ntawm lub qe

Stimulation kuj muab rau cov kev taw qhia ntawm hormonal npaj, e.g. follikostimuliruyuschego pituitary hormone. Qhov no tus txheej txheem no ua tib zoo tshuaj los ntawm cov kws kho mob kom zoo kev loj hlob ntawm oocytes. Thiab ib zaug cov khoom yog tag nrho siav, nws yuav tsum tau muab tshem tawm los ntawm lub zes qe menyuam. Qhov no yog ua los ntawm lub 34-36 xuab moos tom qab txhaj tshuaj ntawm tib neeg chorionic gonadotropin. Tshwj xeeb tom qab lub qe nqi tam sim ntawd fertilize lawv, thiab ces tsim ib txwm zoo tswj. Thaum qhov zoo tshaj plaws ntawm zaum embryos raug xaiv, lawv zaum nyob rau hauv ib tug poj niam lub tsev menyuam. Raws li cov kws kho mob, qhov no yog ib tug yooj yim txoj kev uas tsis yuav tsum tau tshuaj loog. Lub embryos yog muab tso rau hauv lub mos catheter thiab pauv mus rau hauv lub tsev me nyuam los ntawm lub ncauj tsev menyuam.

Cov hauj lwm zoo IVF

Tej zaum tag nrho cov manipulations perpetrated los ntawm cov kws kho mob nrog ib tug poj niam lub cev, ua rau koj xav txog cov high efficiency ntawm no txoj kev. Txawm li cas los, IVF tsis muab guarantees. Yog vim li cas yog no mas? Tu siab, muaj me ntsis kev paub ntawm lub cev thiab tej hlab ntshav. Tej zaum cov poj niam lub cev thiaj li capricious (tshwj xeeb tshaj yog thaum nws tawm los rau hauv lub xub ntiag nyob rau ntawd ntawm ib tug txawv teb chaws lub cev) yog yuav tsum tau filigree precision nyob rau hauv xam cov txheej txheem ntawm cov kauj ruam. Lub teb chaws vam meej npaum li cas yog hais txog 30 feem pua. Txawm li cas los, feem ntau fwm tsev kho mob nyob rau hauv lub xub ntiag ntawm mas txawj cov tub txawg yuav qhov muaj tseeb ntawm ib tug zoo tshwm sim, raws li ib tug txoj cai, yog ob npaug.

Nrog lub hnub nyoog, lub tsawg caij nyoog ntawm kev kawm tau zoo

Nws yog ib nqi sau cia hais tias tshaj yav dhau los ob peb xyoos, kev ntsuas ntawm kev vam meej kawm tiav ntawm nyob rau hauv vitro fertilization kev kho mob ho ntau zog. Txawm li cas los, cov kws kho mob tseem tau mus fim ib tug xov tooj ntawm obstacles, uas plays ib qho tseem ceeb luag hauj lwm tus poj niam lub hnub nyoog. Raws li yam ua ntej kev kwv yees, rau qhov no thiab lwm yam yog vim li cas, cov kws txawj kav ib cov kev txiav txim raws li seb kev kho mob yuav tsum tau los yog tsis.

Yuav ua li cas ntev yuav cov txheej txheem?

Cov kev vam meej ntawm IVF nyob ntawm ntau yam tseem ceeb, ces koj yuav tsis nrhiav tau txheeb cais yuav ua li cas muaj ntau yam txheej txheem yuav tsum tau ib tug neeg. Ib txhia neeg siv ib ob peb hai tau npaj siab, tab sis rau ib txhia tej zaum nws yuav ua hauj lwm tus thawj lub sij hawm. Muaj yog ib tug tawv ncauj statistics rau lub twb tiav cov txheej txheem, uas suab muab rau ua kom tau cev xeeb tub rau cov poj niam uas muaj hnub nyoog ntawm 40 xyoo. Raws li cov ntaub ntawv tau nyob rau hauv 2014, qhov nruab nrab ntawm ib ncig uas ua nyob rau hauv cev xeeb tub, varied nyob rau hauv lub hnub nyoog ntawm cov leej niam.

Cov poj niam nyob rau hauv 35 xyoo muaj ib tug muaj kev vam meej IVF nyob rau hauv 42,6 feem pua ntawm cov neeg mob. 44-xyoo-laus poj niam muaj heev me ntsis sij hawm ntawm txoj kev vam meej - tsuas yog 2.7 feem pua ntawm tag nrho cov luj ntawm lub pobtsuas. Yog vim li cas cov kws kho mob tam sim ntawd ceeb toom lawv cov neeg hais tias lawv yuav tsum tsis txhob xav tias yuav 100 feem pua efficiency. Yog hais tias koj tuaj mus rau hauv lub txais tos, koj yuav tau txais kev ceeb toom uas IVF - ib txoj kev mus sib hais thiab yuam kev. Kws txawj yuav tsis paub nyob rau hauv ua ntej yuav ua li cas rau koj lub cev yuav hnov mob rau cov kev taw qhia ntawm ib tug yeeb tshuaj. Tsuas yog thaum koj pib kho mob, koj yuav tau siv sij hawm thawj projections.

txaus ntshai

Zoo li lwm yam kev kho mob sai, IVF yog fraught nrog ntau txaus ntshai, tshwm sim thiab lwm yam mob. Ua ntej ntawm tag nrho cov, cov teeb meem ua tau thaum tshem lub qe los ntawm lub zes qe menyuam. Tom qab podsazhivaniya embryos tau ectopic cev xeeb tub, ntawm zes qe menyuam hyperstimulation syndrome thiab ntxov ntxov zog. Lwm feem ntau teeb meem nyob rau hauv cev xeeb tub cov poj niam yog abortions. Yog li ntawd, nws yog ib qho tseem ceeb rau siv tshiab embryos, yog li ntawd lub cev twb ntxias hais tias lawv muaj npaum li cas paus nyob rau hauv lub plab los. Raws li statistics, cov zaus ntawm nchuav menyuam yog ntau dua nyob rau hauv cov ntaub ntawv ntawm insemination, khov embryos yog siv.

Thiab, ntawm chav kawm, ib tug zoo kawg nyab xeeb nyob rau hauv tus menyuam nchuav yog ib tug poj niam lub hnub nyoog. Yog hais tias peb tham txog tej kev phiv los ntawm kev noj tshuaj, ces muaj yog "tawm ntawm kev sib tw" hormone npaj "Clomid", uas ua rau lub feem ntau phiv tshua.

Npaj raws li progesterone kuj ua rau lub cev txoj kev nyuaj siab. Yog li ntawd, yog tias koj muaj tej yam kev txhawj xeeb txog ib qho twg ntawm cov kev kho mob, koj yuav tsum qhia rau koj tus kws kho mob hais txog nws.