ʻAʻole hiki ke hoʻēmi ʻia ka CECOS, a i ʻole Center no ka ʻimi a me ka mālama ʻana o nā hua manu a me ka Sperm kanaka i kahi panakō sperm maʻalahi. A no ke kumu kūpono: he mau mea pāʻani lākou i ka hana hou ʻana me nā mea kōkua me nā mea kōkua, ka hāʻawi gamete a me ka mālama ʻana i ka momona. E hoʻi i kēia mau kūkulu pono i ka ʻāina lapaʻau Palani.

ʻOi aku ka ʻike ʻia e ka acronym CECOS, nā Centres for the Study and Conservation of Human Egg and Sperm ʻo ia wale nō nā hale i ʻae ʻia e hōʻiliʻili a mālama i nā gametes i hāʻawi ʻia ma Palani. Inā makemake mākou e hoʻohālikelike iā lākou i nā panakō sperm maʻalahi, ʻoi aku ka nui o ka hana a ka CECOS i ka hānau kōkua kōkua (MAP a i ʻole MAP) me ka hāʻawi kālā. Inā makemake ʻoe e hāʻawi i ka sperm a i ʻole nā ​​oocytes (a i ʻole ka embryo i ka hanana o IVF ma mua), inā ʻoe i kahi kūlana o ka infertility a ke noʻonoʻo nei iā AMP me ka manawaleʻa, inā hōʻike kāu kūlana olakino i ka mālama ʻana i kāu momona, nā hui CECOS e i waena o kāu mea kūkākūkā.

Ua ʻike ʻia nā panakō sperm mua i Palani i nā makahiki mua 1970 i loko o ʻelua mau hale olakino Parisian nui. I kēlā manawa, ʻo ka lāʻau hānau a me ka mālama ʻana i ka infertility i kā lāua wā kamaliʻi, no laila ua hana nā ʻano ʻelua i nā ʻano radically.

ʻO ka hāʻawi sperm uku

ʻO ka mea mua i hana ʻia ma ka Halemai ʻo Necker, na ka gynecologist Albert Netter, a ke hana nei ma ke kumu o ka hāʻawi sperm uku. ʻO ke kumu: e hoʻolaha i ka hāʻawi manawaleʻa ma waena o nā kāne ʻōpio i mea e ʻae ai i ka maikaʻi kūpono. ʻO kēia k modelkohu, maʻa mau i nā ʻāina he nui o ka European Union ma kahi kikoʻī, ua haʻalele ʻia ma Farani.

Ka mālama ʻana i ka semen no ka noiʻi

Hoʻouna ʻia ka lua ma ka haukapila Bicêtre na Professor George David. ʻO kāna kumu: "ke aʻo ʻana i ka sperm maʻamau a pathological a me ka mālama ʻana i ka sperm i manaʻo ʻia no ka noiʻi a me nā hana therapeutic." Inā kolohe ʻole ka huaʻōlelo, no ka mea ua pilikia ka pilina ma waena o nā alakaʻi o ka papahana a me nā luna hoʻomalu (me ka Ministry of Health). I ka puʻuwai o kā lākou mau kūʻēʻē: ka IAD (insemination ʻimi hoʻopunipuni me ka mea hāʻawi), i ka manawa kontroversial loa ma muli o nā nīnau kūpono e hāpai ʻia e pili ana i ka filiation.

I mea e ʻāpono ai i ka ADI a hāpai hope loa i ka hoʻokele o ka male ʻole o ka kāne, ua hoʻoholo ʻia e hoʻokumu ʻia ka makana, i hoʻokumu ʻia e kēia hanana, ma luna o nā kumu nui ʻekolu e kū nei i kēia lā: manuahi, inoa ʻole a me ka manawaleʻa. I ka manawa like, ke holomua nei nā kūkākūkā ʻana me ka Ministry of Health ma lalo o ke alakaʻi ʻana a Simone Veil, nāna i hoʻonohonoho i nā kūlana no ka wehe ʻana i ka CECOS ma Bicêtre.

E like me ka mea e hiki mai ana:

• pono ke hoʻokumu ʻana iā ia iho i ka hui (statute of law 1901), i mea e hoʻokuʻu ai i ke kuleana o ka hoʻokele haukapila,
• pono ka luna hoʻomalu e pane i kahi papa alakaʻi a me ka ʻepekema nona nā ʻano multidisciplinary (ke ʻano o nā luna hoʻomalu, ke kauoha a nā kauka, nā loea…) a me ka ʻelele o nā manaʻo ʻepekema ʻokoʻa (i ka manawa o nā kākoʻo a me nā kūʻē o ka IAD),
• Pono e alakaʻi ʻia kēia papa hoʻokele a me ka ʻepekema e kahi ʻano olakino e hāʻawi ana i ke kākoʻo pilikino no nā hana o ka hoʻokumu ʻana (Robert Debré i ka hihia o ka CECOS o ka CHU de Bicêtre).

Pēlā i hānau ʻia ai ka CECOS mua ma ka lā Pepeluali 9, 1973 (lā o kona paʻi ʻia ʻana i ka Ka Puke Pai). I nā makahiki i hala, ma kahi o iwakālua mau kikowaena hou no ka hoʻopaʻa a mālama ʻana i nā hua manu a me ka Sperm i hana ʻia ma ke ʻano like. I kēia lā aia he 31 o kēia mau kikowaena ma Palani. I ka 2006, ua koho ʻia ua komo ʻo CECOS ma kahi o 50 mau hānau.

He hana pālua ko CECOS:

Pmālama i ka infertility

Inā wahine, kāne a i ʻole hoʻopili ʻia i nā kikoʻī o ka wahine, ke koi ʻia i ka manawaleʻa o ke kolu o ka ʻaoʻao.

Pmālama i ka momona o ka hoʻomanawanui

Ma kēia wahi, komo ka Cecos i mua e ʻae i ka cryopreservation (ke anuanu) o nā gametes o nā mea maʻi e ʻeha ana i nā maʻi maʻi nona ka lāʻau e hiki ai ke hoʻopili i kā lākou momona (e like me ka poʻe me ka maʻi ʻaʻai e pono ai e hana i ka chemotherapy). Akā ʻo kā lākou kuleana e hoʻonui i ka manawa kūpono o ka hāpai ʻana ma hope no nā mea maʻi i loaʻa mua i ka hānau kōkua kōkua olakino. No laila, hāʻawi ʻia nā kāne e pōmaikaʻi ana i nā embryos supernumerary ma hope o IVF e mālama iā lākou ma CECOS e kali nei i ka hana ma hope a i ʻole ka hāʻawi embryo.

ʻO nā mikiona ʻokoʻa o CECOS

E hana i kēia kuhikuhi, he nui nā mikiona a ka CECOS.

• hāʻawi i nā kōkua olakino a me nā ʻenehana i nā kāne hānau ʻole e pono ai kahi donation,
• mālama a hoʻonohonoho i ka hāʻawi manawaleʻa o nā gametes (donation sperm, oositte donation) a me embryo donation,
• kākoʻo i nā mea maʻi, ma mua o ka hāʻawi gamete, i ke kaʻina hana, akā ma hope pū kekahi. ʻAʻoleʻike iki ʻia ia i kekahi manawa, akā hiki i nā limahana o CECOS ke hoʻopili aku inā pili nā mākua a i ʻole ke kanaka i hānau ʻia mai kahi makemake hāʻawi, i ka wā kamaliʻi a makua paha.
• ʻae i ka mālama pilikino ʻana o nā gametes inā loaʻa ka maʻi a hoʻomaopopo i nā mea maʻi a me nā mea kuleana (nā kauka, nā hui ahonui, a me nā mea ʻē aʻe) i kēia hopena,
• ʻae i ka cryopreservation o nā embryos supernumerary e loaʻa ana mai IVF,
• komo i ka noiʻi ʻana i ke kahua o ka hānau ʻana, lawe mai i ko lākou mākaukau i ka noʻonoʻo ʻana i nā hoʻomohala ʻenehana a me nā kaiāulu e hiki ke hoʻohuli iā ia.
• e komo i nā hana e hoʻolaha i ka donate gamete i hoʻonohonoho ʻia e ka ʻOihana Biomedicine.

I mea e hōʻoia ai i ka mālama ʻana o ka momona a me ka hoʻokele o ka hānau ʻole, aia kēlā me kēia CECOS i loko o kahi kikowaena haukapila a ʻo ia nā:

• kahi hui lapaʻau multidisciplinary (kauka, biologists, psychologists a me psychiatrists, genistsists, technicians, etc.)
• kahi papa cryobiology e ʻae ana i ka mālama ʻana i nā gametes. Mai ka makahiki 1981, ua hui pū ʻia ka CECOS i loko o kahi hui nui, i mea e kūlike ai i nā hana e pili ana i ka hānau ʻana me ka manawaleʻa, e hoʻolauna i ka mālama hoʻomanawanui a me nā kūkaʻi ma waena o nā kikowaena. I kēia hopena, hoʻonohonoho ʻia ka federation i nā komisina (genetics, psychological and psychiatric, ethics, ʻepekema a me nā ʻenehana) e hui ana ma kahi o ʻelua mau manawa o ka makahiki.

ʻO nā Cecos, kahi ʻāpana o ka lawelawe haukapila lehulehu, he mau hanana kū hoʻokahi i hiki ai i nā holomua nui i ka wahi o ka hānau hou no 50 mau makahiki. Loaʻa iā mākou ma waena o kā lākou kūleʻa:

• ʻO ka hoʻomohala maikaʻi o ka hāʻawi gamete ma Palani. No laila, ma lalo o ke alakaʻi ʻana o CECOS a me ka Biomedicine Agency, nui ka nui o nā mea hāʻawi gamete (404 sperm donors i ka makahiki 2017 ma mua o 268 i ka 2013, 756 oositte donations in 2017 against 454 in 2013). I ka 2017, hiki i nā hānau hānau he 1282 ke hoʻomaikaʻi i kahi manawaleʻa.
• Kākoʻo no nā mea maʻi i ka mālama ʻana i kā lākou momona, i hoʻopili ʻia me 7474 poʻe ma Palani ma 2017
• ʻO ka hoʻomaikaʻi ʻana o ka hoʻolālā kānāwai o ka MPA ma Palani. ʻOiaʻiʻo, mahalo ʻia kekahi o nā lula etical a me nā kaʻina loiloi i hoʻokumu ʻia e ka CECOS i hiki i ka mea kau kānāwai ke hana a hōʻano hou i nā kānāwai bioethics.

Hoʻolahalaha ʻia nā Cecos a puni ʻo Palani i mea e kōkua ai i ke komo i nā maʻi. Mai kānalua e nīnau i ka papa kuhikuhi o nā kikowaena.

E nānā naʻe:

• Inā ua ukali ʻoe ma kahi ART a i ʻole keʻena oncology (makua a keiki paha), ʻo ka ʻoihana olakino e ukali iā ʻoe e hoʻopili iā ʻoe me nā limahana CECOS.
• Inā makemake ʻoe e hāʻawi i nā gametes, mai hoʻokaʻulua e hoʻokaʻaʻike aku i ka lawelawe hoʻolaʻa i ka CECOS kokoke loa iā ʻoe.