Pofuna mazira okonzekera umuna, makonzedwe apadera amagwiritsidwa ntchito polimbikitsa mazira. Kuphatikiza kwa mankhwalawa kungakhale kosiyana. Kuphatikiza kotereku kumatchedwa ma protocol. Kawirikawiri mu vitro feteleza, mitundu iwiri ya machitidwe amagwiritsidwa ntchito. Ili ndi protocol yayitali ndi yayifupi ya IVF. Amagwiritsa ntchito mankhwala omwewo. Pulotto yayifupi imasiyana ndi nthawi yokha yomwe imakhala yowerengeka komanso nthawi yogwiritsira ntchito. Pofuna kudziŵa kuti malamulowa angagwiritsidwe ntchito, dokotala mosamala amaphunzira mbiri yachipatala. Zimaganiziranso za msinkhu, kulemera, chikhalidwe cha kubereka. Ganizirani kugwiritsa ntchito maulosi pa chitsanzo chafupikitsa IVF.
Kugwiritsa ntchito komanso nthawi yayitali ya protocol ya IVF
Amayi ambiri omwe amathetsa mavuto a pathupi pogwiritsa ntchito njirayi, amafunikanso kuti protocol yayitali yayitali bwanji. Kwenikweni, pulogalamu yayifupi ikufanana ndi kayendedwe ka chirengedwe. Zimatenga masabata 4, pamene yayitali ndi masabata asanu ndi limodzi. Mtundu uwu wa protocol umagwiritsidwa ntchito ngati mkazi ali ndi vuto losauka la ovari m'mayendedwe akale a protocol yaitali. Chizindikiro cha ntchito ndi zaka. Ngati mkazi ali wamkulu kusiyana ndi zaka zoyenera kutero mu vitro feteleza, pulogalamu yayifupi imagwiritsidwa ntchito.
Zosiyana za pulogalamu yayifupi
Kusiyanitsa kwakukulu pakati pa pulogalamu yayitali ndi yaitali ndikuti, ndi pulogalamu yayifupi, wodwala nthawi yomweyo amapita ku gawo lolimbikitsa, pomwe pa nthawi yayitali pali malo otsogolera. Kawirikawiri gawo lolimbikitsa limayambira pa tsiku lachitatu la ulendo. Panthawiyi, wodwalayo amabwera kudzafufuza, akudutsa magazi. Pa nthawi yomweyi, adokotala amachititsa kafukufuku kuti atsimikizire kuti ziberekero za chiberekero zimakhala zochepa pambuyo pa kusamba.
Mazidule afupikitsa IVF protocol ndi nthawi ya protocol magawo
Malinga ndi mankhwala omwe amagwiritsidwa ntchito, pali ochepa ndi agonists, ochepa ndi otsutsana ndi ochepa omwe ali ndifupipafupi ndi otsutsa.
Ochepa ndi agonists, GnRH akuphatikizapo magawo 6 akuluakulu. Gawo loyamba ndilokutsekemera kwa chikoka cha pituitary. Siteji iyi imachokera pa tsiku lachitatu la kayendetsedwe kokafika pamapeto. Amagwiritsa ntchito njira zoterezi monga agonists GnRH, dexamethasone, folic acid. Kulimbikitsidwa kumayamba ndi masiku 3-5 a ulendo ndikusintha masiku 15-17. Kenaka akutsatira mphindi. Icho chachitika kwa masiku 14-20 pambuyo pa kuyamba kwa kukondoweza. 3-4 patangotha masiku 3-4 mutengedwe. Gawo lotsatira ndi chithandizo. Pambuyo pa kusintha kwa tsiku lakhumi ndi chinayi, kuyendetsa mimba kumachitika. Zonsezi, ndondomeko iyi idapitilira masiku 28-35. Chosavuta cha pulogalamuyi ndikuthamangirira, ma oocyte ochepa. Zowonjezera ndi kuti pulogalamuyi imasamutsidwa mosavuta.
Zofupikitsa (zochepa zamfupi) ndi otsutsana ndi protocol ali ndi magawo ofanana ndi achidule ndi agonists, pokhapokha pokhapokha ngati palibenso chipolowe chotsekemera.
Pano pali lingaliro lofanana ndi protocol popanda mafanowo a gonadoliberin (oyera). Nthawi zina, ndondomeko zomwe sizikuphatikizapo kutseka chigoba cha pituitary zimagwiritsidwa ntchito. Pachifukwa ichi, zokonzekera zokha zomwe zili ndi FSH zingagwiritsidwe ntchito. Mwachitsanzo,
Chidule cha pulogalamu yayifupi
Pogwiritsira ntchito njirayi, zovuta zowonongeka sizingatheke, chifukwa mankhwala osokoneza bongo amaletsa chiwerengero cha LH. Kuwonjezera apo, akazi amalekerera mokwanira magawo onse a protocol. Ndipo pali kubwezeretsedwa kwachangu kwa ntchito yamatsenga. Thupi laumunthu silikhala lochepetsedwa ndi zinthu zolakwika ndipo chiopsezo chokhala ndi chimbudzi ndi dongosololi chachepetsedwa. Pulogalamu yayifupi imatenga nthawi yochepa ndipo amai amalandira kupanikizika kwambiri.