IVF yog dab tsi, yuav ua li cas npaj rau nws thiab dab tsi yuav xav tau tom qab

2024 Tus sau: Malcolm Clapton | [email protected]. Kawg hloov kho: 2023-12-17 03:58

Lub neej hacker, ua ke nrog obstetrician-gynecologist, nkag siab txog cov txheej txheem tshwj xeeb.

IVF yog dab tsi?

Hauv vitro fertilization, lossis IVF Kev Kawm Tus Neeg Mob: Hauv vitro fertilization (IVF) (Tshaj qhov hauv paus), yog kev kho kom muaj menyuam uas qe tau coj los ntawm tus poj niam lub zes qe menyuam thiab fertilized nrog phev hauv chav kuaj. Feem ntau, kev kho tshuaj hormone yog thawj zaug rau tus neeg mob kom cov kab mob loj hlob tuaj. Qhov tshwm sim embryos yog zus nyob rau hauv ib lub raj kuaj nyob rau hauv tib yam mob raws li nyob rau hauv lub fallopian raj. Tsuas yog tom qab ntawd, ib lossis ntau lub embryos, zoo ib yam li cov pob ntawm cov hlwb, raug xa mus rau lub tsev menyuam los ntawm tus kws kho menyuam yaus uas siv lub raj nyias nyias.

Olga Belokon Obstetrician-gynecologist, tus sau ntawm blog thiab phau ntawv ntawm poj niam noj qab haus huv.

IVF yog txoj kev zoo tshaj plaws ntawm kev kho mob ntxiv lawm tshob. Qhov tshwm sim ntawm cev xeeb tub ntawm thawj zaug sim hauv ob niam txiv hluas (yog tias tus poj niam muaj hnub nyoog qis dua 35 xyoos) yog qhov nruab nrab ntawm 25 txog 35%.

Cov txheej txheem yuav tsum muaj cov cuab yeej tshwj xeeb thiab cov khoom siv, yog li hauv vitro fertilization yog kim heev.

IVF ua tiav rau txhua tus neeg uas xeeb tsis tau menyuam?

Tsis yog, tsuas yog cov neeg uas tsis tuaj yeem pab lwm yam.

Olga Belokon: koj puas xav tau ntau tus thwjtim?

Kev tshuaj IVF rau txhua tus hauv kab yog qhov tsis ncaj ncees lawm ntawm qhov xav tau los ntawm txhua qhov kev pom. Thiab kev ncaj ncees, thiab kev kho mob, thiab nyiaj txiag. Qhov tseeb yog tias hauv qee lub tebchaws, suav nrog Russia, IVF yog ua tiav raws li kev pov hwm kho mob, uas yog, tus txheej txheem yog them los ntawm lub xeev. Thiab yog tias IVF tau ua los ntawm txhua tus ua ke, tsis yog ib qho kev saib xyuas kev noj qab haus huv, txawm tias nyob hauv ntau lub tebchaws thiab nplua nuj, yuav muaj sia nyob. Thiab nws yog qee yam dab tuag thiab ua tsis ncaj rau cov khub niam txiv uas xav tau kev pab tiag tiag. Tsis tas li ntawd, cov txheej txheem yog qhov nyuaj heev thiab muaj qee qhov kev pheej hmoo.

Yog li ntawd, IVF tau ua nruj me ntsis raws li cov lus qhia Tus neeg mob kev kawm: Hauv vitro fertilization (IVF) (Tshaj qhov hauv paus):

• Tus poj niam tsis muaj txoj hlab ntshav los yog raug thaiv tag nrho. Qhov no tshwm sim nrog mob o.
• Tus txiv neej muaj infertility. Muaj ob peb kab mob hauv cov phev, lawv tsis txaus txawb. Qee zaum tej yam phem heev uas cov phev tuaj yeem tau txais kev phais ncaj qha los ntawm cov noob qes.
• Tus poj niam muaj hnub nyoog tshaj 35 xyoo, Kev txiav txim ntawm Ministry of Health ntawm Lavxias teb sab Federation lub yim hli ntuj 30, 2012 No. 107n "nyob rau hauv cov txheej txheem rau kev siv pab reproductive technologies, contraindications thiab kev txwv ntawm lawv siv." Hauv qhov no, nws yuav tsis muaj sijhawm los xeeb menyuam ib txwm muaj.
• Muaj ib yam kab mob ntawm caj ces. Yog li ntawd nws tsis dhau mus rau cov xeeb ntxwv, embryos tau ua tib zoo tshuaj xyuas thiab cov uas tsis muaj chromosomal txawv txav raug xaiv.
• Lwm cov kab mob tau kuaj pom, vim tias tus poj niam cev xeeb tub tsis tuaj yeem, thiab kev kho mob tsis pab. Cov no yog pathologies xws li endometriosis, ovulation disorders los yog infertility tsis paub vim li cas.
• Lub zes qe menyuam ua tsis tiav tau tsim. Hauv qhov no, cov qe pub dawb feem ntau yog siv.

Olga Belokon: koj puas xav tau ntau tus thwjtim?

Yog tias dheev ib tug poj niam tsis xav tau kev sib deev los yog, piv txwv li, yog nyob rau hauv tib-poj niam txiv kev sib raug zoo, nws muaj peev xwm muaj intrauterine insemination ntawm phev (uas yog, txhaj cov phev mus rau hauv lub tsev menyuam nrog ib tug tshwj xeeb koob txhaj), thiab tsis kim IVF.

IVF tuaj yeem txaus ntshai?

Raws li nrog rau txhua txoj kev kho mob, IVF muaj teeb meem. Nov yog hauv Vitro Fertilization (IVF):

• Ovarian Hyperstimulation Syndrome (OHSS) ntawm zes qe menyuam hyperstimulation. Nws txhim kho nrog kev siv tshuaj hormonal uas txhawb kev loj hlob ntawm ntau lub qe. Manifested los ntawm mob plab, xeev siab, o thiab ua tsis taus pa. Hauv cov xwm txheej hnyav, cov ntshav txhaws tsim, uas tuaj yeem ua rau tuag taus.
• Ntshav. Nws tuaj yeem tshwm sim tom qab lub zes qe menyuam raug tshem tawm ntawm zes qe menyuam yog tias tus kws kho mob ua rau cov hlab ntsha puas tsuaj, tab sis qhov no tsis tshwm sim ntau zaus. Txawm tias tsawg zaus, lub zais zis, cov hnyuv, lossis cov ntaub so ntswg ntawm zes qe menyuam raug mob.
• Mob qog noj ntshav. Yog li, qee qhov kev tshawb fawb tau qhia txog Kev Koom Tes ntawm cov tshuaj fertility thiab gynecological qog noj ntshav, mob qog noj ntshav mis, thiab mob qog noj ntshav thaum yau, uas vim yog kev kho hormonal, qhov kev pheej hmoo ntawm kev tsim cov qog zes qe menyuam nce me ntsis.
• Kev xeeb tub ntau. Feem ntau, cov poj niam tau cog nrog ntau lub embryos kom lawv muaj feem yuav xeeb tub. Feem ntau 1-2 ntawm lawv pib cag, tab sis qee zaum ntau dua. Qhov txaus ntshai ntawm kev nqa tus menyuam ntxaib thiab triplets yog tias lawv feem ntau yug los nrog lub cev hnyav lossis ntxov ntxov. Tsis tas li ntawd, qee cov menyuam yaus ua qhov tsis ncaj ncees lawm hauv tsev menyuam, vim li ntawd lawv tsis tuaj yeem yug los ntawm lawv tus kheej thiab qee zaum tuag. Yog li ntawd, tam sim no lawv tab tom sim cog cov embryos tsawg dua.

Tsis tas li ntawd, nrog IVF, kev pheej hmoo ntawm nchuav menyuam, cev xeeb tub ectopic, congenital fetal anomalies, yug ntxov ntxov thiab yug me nyuam qhov hnyav tseem nyob.

Koj yuav tsum ua li cas IVF raws li kev tuav pov hwm kho mob?

Ua ntej, ib tug txiv neej yuav tsum tau kuaj los ntawm ib tug urologist, thiab ib tug poj niam los ntawm ib tug gynecologist. Cov tom kawg yuav muab kev xa mus rau ib tus kws kho mob tshwj xeeb yog tias qhov kev kuaj mob ntawm kev xeeb tub raug lees paub. Nws yuav ua kev sib tham, sau ib qho kev xav thiab piav qhia yuav ua li cas thiaj ua tau daim ntawv thov rau IVF raws li txoj cai tswj hwm kev kho mob uas yuav tsum tau ua. Feem ntau, rau qhov no koj yuav tsum tau sau cov ntaub ntawv Ua hauv vitro fertilization rau cov neeg nyob hauv cheeb tsam Moscow xyoo 2020 (tus kws kho mob lub tswv yim, koj daim ntawv hla tebchaws, kev tuav pov hwm txoj cai, SNILS) thiab hu rau Ministry of Health hauv zos. Pawg kws kho mob tshwj xeeb yuav txiav txim siab seb koj puas yuav raug xa mus rau hauv vitro fertilization. Cov lus teb yuav tsum muab tsis pub dhau 10 hnub.

Yog tias koj tsis xav fiddle nrog cov ntaub ntawv, IVF tuaj yeem ua tiav rau koj tus kheej cov nyiaj. Tab sis rau qhov no, kuj yuav tsum muaj ib tug kws kho mob cov lus tim khawv.

Txij li thaum IVF tau ua tiav raws li txoj cai tswj hwm kev noj qab haus huv, ces koj yuav tsis tau them dab tsi?

Tsis yog tiag. CHI suav nrog tsuas yog cov lus txib yooj yim ntawm Ministry of Health ntawm Lavxias Federation Lub Yim Hli 30, 2012 No. 107n "Rau cov txheej txheem rau kev siv cov thev naus laus zis, contraindications thiab kev txwv ntawm lawv siv", ib qho kev pab cuam uas tsis suav nrog tag nrho cov txheej txheem.. Piv txwv li, koj yuav tsum tau them nyiaj rau qhov khaws cia ntawm cryopreserved (frozen) embryo los yog pub phev.

Tab sis cov nqi tsis xaus rau ntawd. Kev tuav pov hwm tsuas yog them rau qee tus nqi, tus nqi uas nyob ntawm thaj av. Yog li ntawd, nyob rau hauv 2021 nyob rau hauv St. Petersburg txoj cai lij choj ntawm ST. PETERSBURG NTAWM TERRITORIAL PROGRAM NTAWM STATE GUARANTEES DAWB PROVISION OF MEDICAL CARE FOR CITIZENS IN ST. cov kev pab cuam ntawm lub xeev guarantees dawb kev kho mob koom pheej rau cov pej xeem nyob rau hauv lub Komi. rau 2020 thiab rau lub sij hawm npaj ntawm 2021 thiab 2022 - 214 txhiab, nyob rau hauv lub Ulyanovsk cheeb tsam NTAWM KEV PAB CUAM NTAWM LUB CHAW UA HAUJ LWM NTAWM STATE GUARANTEES NTAWM DAWB DAIM NTAWV THOV rau cov pej xeem ntawm kev kho mob 1 txhiab 2 txhiab.. Yog tias tus nqi tiag tiag ntawm IVF siab dua, cov niam txiv yuav them qhov txawv.

Kuv hnov tias muaj ib kab rau IVF. Qhov no muaj tseeb?

Feem ntau, yuav tsum tsis muaj kab, tab sis txhua yam nyob ntawm thaj av thiab cov quotas rau IVF faib los ntawm tsoomfwv. Qhov no yog lub npe ntawm tus naj npawb ntawm cov txheej txheem uas lub xeev them rau txhua xyoo, thiab cov lej sib txawv txhua qhov chaw. Piv txwv li, hauv cheeb tsam Moscow hauv 2020, tus naj npawb ntawm quotas rau IVF xyoo 2020 tau nce los ntawm 6 txhiab quotas. Yog tias muaj ntau tus neeg xav ua IVF, lawv raug muab tso rau hauv daim ntawv tos.

Kuv puas tuaj yeem xaiv lub tsev kho mob?

Yog lawm. Raws li txoj cai lij choj, Order ntawm Ministry of Health ntawm Lavxias teb sab Federation lub yim hli ntuj 30, 2012 No. 107n "nyob rau hauv cov txheej txheem ntawm kev pab cuam reproductive technologies, contraindications thiab kev txwv ntawm lawv siv", cov niam txiv tuaj yeem xaiv ib lub tsev kho mob ntiag tug lossis pej xeem los ntawm ib daim ntawv teev npe. Yog tias cov chaw faib rau ib lub chaw kho mob tau dhau lawm, koj yuav tsum tau teem caij lossis pom zoo rau lub tsev kawm ntawv uas lawv tseem muaj.

Nws tshwm sim li cas?

Hauv vitro fertilization yog ua tiav hauv theem. Feem ntau, cov txheej txheem yuav siv li ob lub lis piam.

Ovarian stimulation

Tus poj niam yog tus kws kho mob txoj kev kawm: In vitro fertilization (IVF) (Tshaj qhov Basics) cov tshuaj hormone txhaj kom tau yam tsawg kawg yog ob follicles (lub thiaj li hu ua qe npuas) nrog ib txoj kab uas hla ntawm 15-18 hli. Tab sis qee zaum ntau tshaj 20 kab mob hlwb paub tab. Tsis tas li, cov tshuaj no tso cai rau koj tswj lub sijhawm thaum ovulation tshwm sim.

Feem ntau tus neeg mob tuaj ntsib kws kho mob hnub 3-5 ntawm nws lub sijhawm. Nws raug kuaj xyuas ultrasound ntawm lub plab mog, kuaj ntshav rau cov tshuaj hormones thiab txiav txim siab hnub uas cov tshuaj stimulants yuav tsum tau noj. Raws li txoj cai, txhaj tshuaj yog muab ib hnub ib zaug hauv qab ntawm daim tawv nqaij.

Kev txhawb zog yuav ua tau lossis tsis ua. Tom qab ntawd cov txheej txheem hu ua IVF nyob rau hauv lub ntuj voj voog, tab sis nyob rau hauv cov ntaub ntawv no, tsuas yog ib lub qe matures nyob rau hauv ib tug poj niam.

Tau cov kab mob

32-36 teev tom qab kev kawm tus neeg mob zaum kawg: Hauv vitro fertilization (IVF) (Tshaj qhov hauv paus) cov tshuaj hormone txhaj yog punctured (punctured) ntawm cov follicles. Txhawm rau kom ntseeg tau tias txhua yam mus raws li qhov ua tau, cov txheej txheem raug saib xyuas siv ultrasound. Feem ntau tus poj niam tau muab tshuaj loog kom txo qhov mob.

Qe retrieval yuav siv sij hawm 15-30 feeb. Tom qab ntawd, koj yuav tsum tau pw rau ob peb teev nyob rau hauv kev saib xyuas ntawm cov neeg ua haujlwm kho mob.

Nyob rau tib hnub, ib tug txiv neej yuav tsum pub phev, tshwj tsis yog cov kab mob cryopreserved siv rau IVF.

Fertilization thiab embryo loj hlob nyob rau hauv lub laboratory

Cov qe tshwm sim ua ke nrog cov phev hauv chav kuaj iav. Raws li kev txheeb cais Cov Kev Kawm Tus Neeg Mob: Hauv vitro fertilization (IVF) (Tshaj Tawm Qhov Tseem Ceeb), kwv yees li 65% ntawm lawv yog fertilized.

Tab sis yog tias ib tug txiv neej muaj cov phev tsis zoo raws li qhov tshwm sim ntawm kev soj ntsuam cov phev, ces fertilization tuaj yeem ua tiav siv IVF Cov txheej txheem ntawm intracytoplasmic phev txhaj (ICSI). Nyob rau hauv cov ntaub ntawv no, feem ntau mobile thiab structurally raug txiv neej cov me nyuam hlwb raug xaiv, tej zaum lawv raug tshem tawm ncaj qha los ntawm lub noob qes. Tom qab ntawd txhua tus phev ntawm tes raug txhaj rau hauv ib lub qe uas siv lub microneedle nyob rau hauv lub tshuab tsom. Qhov tshwm sim ntawm fertilization nyob rau hauv no txoj kev yog 50-70%. Kev kawm ntawm tus neeg mob: nyob rau hauv vitro fertilization (IVF) (Tshaj qhov Basics).

Tom qab ntawd, lub embryo yog muab tso rau hauv ib tug tshwj xeeb nutrient nruab nrab, uas yog hloov txhua hnub. Cov kws kho mob tshwj xeeb loj hlob lub embryo rau 3-5 hnub, saib xyuas cov txheej txheem ntawm cell faib.

Kev kuaj mob preimplantation

Yog tias muaj kev pheej hmoo ntau ntxiv ntawm kev muaj menyuam yaus nrog Down syndrome lossis nrog cov kab mob sib kis, xws li cystic fibrosis, preimplantation IVF Cov txheej txheem kev kuaj mob caj ces tuaj yeem ua ua ntej embryos hloov mus rau lub tsev menyuam. Rau qhov no, ib qho yog muab los ntawm lub embryo, uas muaj yim lub hlwb, los kawm cov chromosomes. Muaj tseeb, vim txoj kev no, lub embryo yuav tuag. Yog li ntawd, txoj kev tshawb no yog ua nruj me ntsis raws li indications.

Kev hloov pauv embryo

Qhov no feem ntau ua rau hnub 3 tom qab fertilization. Tab sis qee tus poj niam tau cog cov embryo rau hnub 5, kom muaj sijhawm los saib xyuas cov cell faib thiab xaiv qhov zoo tshaj plaws embryo.

Kev hloov pauv yog ua yam tsis muaj tshuaj loog lossis lwm yam tshuaj loog. Tus kws kho mob muab ib tug nyias catheter rau hauv lub uterine kab noj hniav kom zoo zoo kom tsis txhob mob thiab spasms. Txwv tsis pub, lub embryo yuav tsis noj paus.

Tom qab ntawd lub embryo yog txhaj los ntawm ib lub raj nrog rau qhov tsawg kawg nkaus ntawm cov kua. Tsis tas li ntawd, cov poj niam hnub nyoog qis dua 35 xyoos tau cog nrog Kev Kawm Tus Neeg Mob: Hauv vitro fertilization (IVF) (Tshaj Tawm), tsuas yog ib qho, thiab yog tias IVF tsis yog thawj zaug lossis tus niam uas muaj hnub nyoog laus dua, ob lossis ntau lub embryos raug xa mus kom muaj feem ntau. ntawm cev xeeb tub.

Cov embryos uas tseem tshuav yog muab los ua cryopreserved. Lawv tuaj yeem siv tom qab yog tias qhov kev sim xeeb tub tsis ua tiav.

Olga Belokon: koj puas xav tau ntau tus thwjtim?

Niaj hnub no, feem ntau, tsis muaj qhov sib txawv seb IVF tau ua nrog cov embryos tshiab lossis cryopreserved. Cov efficiency yog tib yam.

Tom qab hloov lub embryo, nws raug nquahu kom pw ib pliag. Txawm hais tias kev tshawb fawb qhia pom tus neeg mob kev kawm: Hauv vitro fertilization (IVF) (Tshaj qhov hauv paus), nws tsis cuam tshuam rau kev cog qoob loo.

Nws yog qhov nyuaj rau kev npaj rau IVF. Qhov no muaj tseeb?

Yog lawm. Feem ntau, kev npaj yuav siv li ob lub hlis. Txhawm rau kom muaj feem yuav xeeb tub, cov kws kho mob pom zoo kom Npaj rau ART cov khub niam txiv hloov lawv txoj kev ua neej, pib noj qab haus huv thiab noj cov tshuaj folic acid, txiav luam yeeb thiab haus cawv, thiab txo lawv cov caffeine kom tsawg. Kev tawm dag zog kuj tseem pab tau vim nws pab tswj qhov hnyav.

Tsis tas li ntawd, tus poj niam yuav tsum tau kho txhua yam kab mob ntev, txhaj tshuaj tiv thaiv kab mob rubella, tetanus, hnoos hawb pob thiab mob khaub thuas, yog tias nws tsis tau ua tiav raws sijhawm raws li lub sijhawm txhaj tshuaj.

Tab sis cov kev npaj tseem ceeb pib sai sai ua ntej IVF txheej txheem. Rau qhov no, In vitro fertilization (IVF) yog nqa tawm:

• Ovarian reserve test. Thaum pib ntawm kev coj khaub ncaws, tus poj niam raug kuaj rau estradiol, follicle-stimulating thiab anti-Müllerian cov tshuaj hormones. Nws kuj tau sau ib qho ultrasound pelvic. Qhov no yuav pab kom nkag siab seb cov tshuaj puas tuaj yeem siv los txhawb ovulation lossis seb tsuas yog IVF hauv lub voj voog ntuj tsim nyog rau tus neeg mob.
• Kev tsom xam cov phev. Nws yog ua tau yog tias nws tsis tau ua thaum lub sij hawm kuaj rau infertility.
• Kev tshuaj ntsuam kab mob. Ob tus neeg koom tes raug kuaj mob syphilis, gonorrhea, HIV, kab mob siab.
• Kev hloov pauv embryo cuav. Nws feem ntau ua tiav ib hlis ua ntej qhov tseeb implantation ntawm embryo. Cov txheej txheem no tso cai rau koj kom kawm tau zoo dua ntawm tus kheej cov kab noj hniav ntawm lub tsev menyuam, xaiv lub raj catheter zoo dua thiab nrhiav qhov chaw zoo rau lub embryo. Nyob rau hauv rooj plaub ntawm kev hloov pauv tsis raug, tej zaum yuav muaj xim xiav hauv lub raj los pab tswj cov txheej txheem xa dej.
• Kev ntsuam xyuas ntawm uterine kab noj hniav. Nws yog ua los ntawm hysteroscopy, thaum lub raj nrog lub koob yees duab video tso rau hauv qhov chaw mos. Qee zaum sonohysterography ua tiav (ultrasound ntawm lub tsev menyuam kab noj hniav nrog sau cov kua).

Tsis tas li ntawd, ib tug poj niam tuaj yeem raug sau npe rau Kev Kawm Tus Neeg Mob: Hauv vitro fertilization (IVF) (Tshaj Tawm Qhov Tseem Ceeb) ua ke cov tshuaj tiv thaiv qhov ncauj ib mus rau ob lub lis piam ua ntej IVF. Qhov no yog qhov tsim nyog kom tus neeg mob tsis ovulate ntawm lub sijhawm tsis tau npaj tseg.

Qee lub tsev kho mob qhia tias cov poj niam muaj lawv cov hlab ntsha hauv plab ua ntej IVF kom txo tau qhov kev pheej hmoo ntawm cev xeeb tub ectopic. Thaum lub sijhawm ua haujlwm zoo li no, cov appendages tsuas yog clamped nyob rau hauv nruab nrab nrog ib tug phais xov los yog staple. Raws li Olga Belokon sau tseg, qhov tseeb, qhov no tsis tsim nyog rau kev ua tiav IVF. Kev hnav khaub ncaws qee zaum cuam tshuam cov ntshav ntws mus rau zes qe menyuam, yog li cov tshuaj hormone stimulation yuav tsis ua haujlwm zoo. Thiab tom qab kev hloov pauv, lub embryo tseem tuaj yeem tau txais ib qho foothold nyob rau hauv qhov seem "stump" ntawm cov hlab ntsha fallopian.

Nws tshwm sim tias ua ntej IVF, cov hlab ntsha hauv plab yuav tsum tau txiav tawm tag nrho.

Olga Belokon: koj puas xav tau ntau tus thwjtim?

Yog tias tus poj niam khaws cov kua dej hauv cov hlab ntsha (qhov no hu ua hydrosalpinx), lawv raug muab tshem tawm ua ntej IVF. Qhov no yog ua kom koj txoj kev vam meej. Yog tias qhov no tsis ua tiav, cov kua dej nkag mus rau hauv lub tsev menyuam thiab ntxuav lub embryo.

Yuav ua li cas tom qab qhov txheej txheem?

Feem ntau, tus poj niam tuaj yeem rov qab mus rau nws lub neej txhua hnub hauv vitro fertilization (IVF). Tab sis nws yuav tsum tau nco ntsoov tias vim yog stimulation, lub zes qe menyuam yuav loj me ntsis thiab tej zaum yuav mob. Txhawm rau kom tsis txhob muaj qhov tsis xis nyob, cov kws kho mob pom zoo kom tso tseg kev tawm dag zog lub cev.

Txhawm rau txo qhov kev pheej hmoo ntawm kev xeeb tub, progesterone, ib qho tshuaj hormones uas txo cov qog nqaij hlav hauv tsev menyuam thiab npaj lub cev rau kev yug menyuam, pib txij thawj hnub tom qab IVF. Vim li no, lub xeev kev noj qab haus huv tuaj yeem hloov pauv. Qee zaum, hauv ob peb hnub, cov kua ntshiab ntws tawm ntawm qhov chaw mos los yog pom pom pom, thiab qhov no yog qhov qub. Tsis tas li ntawd, plab hnyuv, cem quav thiab mob lub mis yuav tshwm sim.

12 hnub tom qab tau txais cov qe, koj yuav tsum xeem dhau In Vitro Fertilization (IVF) cov tshuaj hCG. Qhov no yuav qhia tau tias tus poj niam cev xeeb tub. Yog tias kev xeeb tub tau tshwm sim, tus kws kho mob tshwj xeeb yuav xa koj mus rau ib tus kws kho mob hauv obstetrician-gynecologist, thiab tom qab 3-4 lub lis piam yuav pom zoo kom kuaj ultrasound.

Yog tias hCG tseem qis, ces tsis muaj dab tsi ua tiav. Hauv qhov no, nws yog ib qho tsim nyog yuav tsum tsis txhob noj cov tshuaj progesterone thiab tos rau kev coj khaub ncaws. Tus kws kho mob tshwj xeeb yuav qhia txog thaum twg yuav sim lwm qhov kev sim IVF.

Dab tsi txiav txim siab qhov ua tiav ntawm IVF?

Olga Belokon: koj puas xav tau ntau tus thwjtim?

Rau qee qhov laj thawj, muaj qhov tsis txaus ntseeg loj uas muaj cov txheej txheem uas tuaj yeem lav qhov kev xeeb tub thawj zaug. Tab sis IVF tsis yog ib qho kev lees paub ntawm cev xeeb tub. Qee zaum koj yuav tsum ua ntau tshaj ib qho kev sim, thiab tsis yog ob, thiab tsis yog peb, kom tau txais qhov xav tau.

Cov hauv qab no hauv Vitro Fertilization Factors (IVF) txo cov kev pheej hmoo ntawm kev xeeb tub:

• Niam lub hnub nyoog. Thaum koj laus lawm, koj yuav tsis xeeb menyuam. Yog li ntawd, cov poj niam tom qab 41 xyoo raug qhia kom siv cov qe pub dawb.
• Cov yam ntxwv ntawm lub embryo. Nws raug suav hais tias Blastocyst Transfer Ameliorates Live Birth Rate Piv nrog Cleavage-Stage Embryos Transfer hauv Fresh In Vitro Fertilization lossis Intracytoplasmic Sperm Injection Cycles: Kev tshuaj xyuas thiab Meta-Tshaj tawm tias 5-hnub-laus embryos coj hauv paus zoo dua. Tab sis feem ntau embryos raug xa mus rau hnub thib peb, vim tias nyob rau hauv kev kuaj mob, tsis yog txhua tus muaj sia nyob mus txog hnub thib tsib.
• Tsis muaj kev xeeb tub yav dhau los. Yog hais tias ib tug poj niam tsis tau tswj kom xeeb tub thiab yug me nyuam ua ntej, ces txoj kev vam meej ntawm IVF yog qis dua.
• Ua rau infertility. Cov kab mob loj hauv gynecological, xws li endometriosis lossis ovulation teeb meem, txo qhov kev pheej hmoo ntawm cev xeeb tub ntau dua li qhov tsis tau piav qhia.
• Niam txoj kev ua neej. Kev rog rog, haus luam yeeb, haus cawv los yog kev tsim txom caffeine, thiab kev siv yeeb tshuaj txo qis txoj kev xav.