Tam sim no lub sij hawm, ntau ntawm cov khub niam txiv yog ntsib nrog xws li ib tug txaus ntshai mob raws li infertility. Thiab rau lawv, nws zoo li, qhov zoo li tus me nyuam hauv ntiaj teb no yog qhov kev npau suav tshaj plaws. Ntau cov khub niam txiv txiav txim siab ua cov txheej txheem ntawm kev siv tshuaj yaj yeeb vitro .
ECO yog dab tsi?
Txoj haujlwm IVF yog ib qho kev pabcuam tu menyuam. Qhov nyuaj ntawm txoj haujlwm no yog qhov tshwm sim los ntawm kev tsim kom muaj kev xeeb tub ntawm thawj zaug yog 40% xwb. Yog li no, tus naj npawb ntawm cov kev sim yuav ua tau 2 thiab 3, uas feem ntau cuam tshuam rau lub hlwb ntawm ib tug poj niam. Yog hais tias txhua yam muaj kev vam meej, thiab cov fertilized ntau lub qe tau noj cov hauv paus, cov lus nug tshwm sim: tau ib tug poj niam xav noj tawm tag nrho cov embryos uas tau dim?
Heev feem ntau nws yog tsim nyog yuav tau mus rau cov txheej txheem ntawm rho menyuam ntawm ib co embryos. Vim tias qhov pib ntawm ntau hom kev tuaj yeem tuaj yeem ua rau muaj teeb meem ntau, xws li kev yug ntxov, yug dua tshiab, yug me nyuam yaus, me nyuam mos liab thiab muaj ntau yam kab mob hauv plab (cerebral palsy).
Kev npaj ntawm
Qhov teeb meem tseem ceeb rau cov niam txiv hauv kev npaj rau IVF yog:
- cov ntaub ntawv twg yog cov yuav tsum tau khaws cia rau IVF;
- cov kev ntsuam xyuas twg yog ua ntej IVF.
Raws li tau hais los saum no, tsis tas tom qab qhov txheej txheem no los ntawm cev xeeb tub. Txhawm rau ua tus txheej txheem IVF dawb, tus poj niam yuav tsum muab nrog:
- luam ntawm cov txij nkawm 'passports (lub hnub nyoog ntawm ib tug poj niam yog txij 22 mus txog 38 xyoo);
- ib daim ntawv pov thawj hais tias puas muaj tus kws kho mob thiab tus kws kho mob nyob hauv narcology tsis muaj ntaub ntawv;
- daim ntawv pov thawj los ntawm tus kws kho mob;
- ib daim qauv ntawm daim ntawv pov thawj sib yuav;
- ib daim ntawv pov thawj qhia tias tsis muaj cov menyuam yaus;
- daim ntawv thov rau kev pab;
- ib daim ntawv pov thawj los ntawm qhov chaw kho mob caj ces (soj ntsuam, kev rho tawm los ntawm keeb kwm kho mob);
- daim ntawv pov thawj ntawm cov nyiaj tau los ntawm tsev neeg.
Ua ntej ib tug poj niam nyob hauv IVF, nws ua tiav hauv cov hom nram qab no:
- Ultrasound ntawm lub tsev menyuam thiab cov kab mob appendages ;
- kuaj xyuas kab mob STI;
- kuaj ntshav rau hormones;
- kuaj ntshav rau cytomegalovirus, herpes virus, chlamydia, rubella;
- colposcopy;
- ntshav ntawm cov pab pawg neeg thiab Rhaub yam, tshuaj tiv thaiv kev tiv thaiv erythrocyte;
- Ultrasound ntawm cov qog thiab cov qog cov qog.
Ua ntej tus poj niam hnyav dua IVF, nws muaj kev kawm tshwj xeeb, uas yog lub luag haujlwm tseem ceeb los ntawm kev puas siab puas ntsws los ntawm cov txheeb ze thiab cov neeg ze, vim nws muaj peev xwm hais tias kev xeeb tub yuav tsis tshwm sim thawj zaug. Nws yog ib qho tseem ceeb uas yuav tsum ua kom muaj kev noj qab nyob zoo, noj zaub mov, tsis txhob haus luam yeeb thiab haus cawv, tsis txhob hypothermia thiab overheating thaum twg ua tau.
Cov theem ntawm IVF
Muaj ntau tus poj niam, thawj zaug ntawm lub rooj sib hais cov lus "ECO", nug tib qho lus nug: "Qhov no txhais li cas thiab nws tshwm sim li cas?". IVF tus txheej txheem, zoo li txhua qhov teeb meem nyuab, yog ua tiav nyob rau hauv ntau theem sib law liag:
- Kev ua kom zoo ntawm "superovulation" nrog cov tshuaj hormonal. Lub hom phiaj yog los npaj qhov kev tsim tshuaj rau lub cim xeeb ntawm lub paj hlwb thiab kom tsis txhob tsuas yog ib qho tab sis ntau lub qe tsim rau fertilization.
- Txhawm rau ntawm lub zes qe menyuam, kom tshem cov hauv paus ntawm lub cev.
Txoj kev ua no yog kwv yees los ntawm qhov chaw mos los ntawm kev tswj ultrasound. Lub qe rho tawm tau muab tso rau hauv nruab nrab lub cev. - Cov qe thiab cov phev yog muab tso rau hauv ib lub raj tshuaj ntsuam, qhov twg qhov kev cia siab ntev-tos hnub ntawd yuav siv qhov chaw. Feem ntau nyob rau hauv vitro embryos yog mus txog 5 hnub, ces tom qab xaiv ceev lawv npaj txhij rau implantation rau hauv lub tsev menyuam.
- Hloov ntawm embryos. Txoj kev ua no yog qhov mob kawg nkaus. Nrog kev pab los ntawm ib tug catheter thin, embryos yog tso rau hauv lub uterine kab noj hniav.
- Kev kuaj ntawm cev xeeb tub. Feem ntau yog ua 2 lub lis piam tom qab hloov mus rau lwm qhov.