ʻO ka hana maʻamau i ka vitro fertilization

Pono ka papahana hoʻomaʻamaʻa in vitro i nā koho he nui me nā loea, nā mea e hoʻomākaukau i ka ʻelua no ke ʻano. E aʻo ʻia ka wahine e pili ana i nā ʻanuʻu paʻakikī e like meka pahu kui o nā lāʻau hormonal, nā pilikia a Nā hopenaʻaoʻao, a ʻo kekahi manawa kali koi ʻia. Pipiʻi nā mālama ʻana.

I Quebec, mai ka 2010, ua hoʻonohonoho ʻo Régie de lʻAssurance Maladie (RAMQ) i ka Quebec Kōkua Hoʻohana Hāʻawi i ka manuahi i nā lawelawe āpau e pili ana i ka infertility, me nā kumukūʻai o nā pōʻaiapuni ʻekolu⁹.

I Palani, 4 i ka vitro fertilization hoʻokolohua i uhi piha ʻia e Health Insurance.

1. Hoʻonāukiuki i nā ovaries

ʻO ka hana mua e hāʻawi i ka wahine hormone therapy, maʻa mau he agnist GnRH (Ke hoʻokuʻu nei ʻo Gonadotropin iā Hormone) i mea e hoʻomaha ai nā ovaries (ʻike i ka ʻāpana i nā lāʻau), ʻo kahi laʻana Decapeptyl®, Suprefact®, Enantone® Synarel®, a i ʻole Lupron®.

A laila, manaʻo ka lāʻau e hoʻonui i ka nui o nā follicle i hana ʻia e ka ovaries a kaohi i ka manawa o ka ovulation. Pono e loaʻa i ka wahine nā injection o gonadotropins me ka hana FSH a i ʻole LH e hoʻoulu ai i nā follicle e oʻo a ʻae iā lākou e hana i kekahi mau oosit. Eia kekahi laʻana Puregon®, Gonal F®, Fostimon® Metrodin-HP®, Bravelle®, Humegon® Ménopur® Merional® Repronex® Fertinex® Fertinorm®, Humegon® Ménopur® Merional® Repronex® Fertinex® Fertinorm®, Elonva®, Luvéris®…

Ke ulu a lawa nā follicle a lawa pono nā pae hormonone, hoʻonāuki ʻia ka ovulation e kahi injection o ka hormone HCG (ʻO Gonadotropin Chorionic Kanaka), no ka laʻana HCG endo 1500®, HCG endo 5000® (Fr), Pregnyl®, Choriomon®, Profasi-HP®, Chorex®, Novarel®, Ovitrelle® Ovidrel® ®

Hana ʻia nā pelvic ultrasound a me nā hoʻāʻo ʻana i ke koko i kēlā me kēia kaʻina e nānā i ka ulu ʻana o ka follicle.

ʻAʻohe follicle, ʻaʻohe hua hou ...

Hana a hoʻokuʻu ʻia nā ovaries o kahi wahine hoʻokahi wale nō hua manu oʻo no ka pōʻaiapuni. ʻOiai lawa kēia no ka hāpai maʻamau, no ka holomua o ka vitro fertilization, pono e kiʻi i nā hua i oʻo pono aʻe. No laila pono e hoʻonāukiuki i ka hana ovarian o ka mea maʻi ma mua o ka maʻa mau. Nā lāʻau i hāʻawi ʻia i ka wā o ka hoʻomaʻemaʻe vitro vitro i ke kumu o ka ulu o nā ovarian follicles, pēlā e hoʻonui ai i ka helu o nā hua, no laila ke loaʻa i kahi embryo implantable.

2. Ka hōʻiliʻili o nā oxytes makua

Ma hope o 32 a 36 mau hola o ka hoʻonāukiuki ʻana o ka hormonal, ʻohiʻohi ʻia nā oocytes pala me ka hoʻohana ʻana i kahi paipu liʻiliʻi a me kahi nila i hoʻokomo ʻia i loko o ka lua. Hana ʻia kēia hana ma lalo o ka anesthesia kūloko a i ʻole me ka kaohi ultrasound no ka mea hiki ke ʻeha loa. Koho ʻia nā oocytes i loko o ke keʻena hoʻokolohua.

Le ʻohiʻohi ʻia ka semen i kekahi mau hola ma mua (a hoʻoheheʻe ʻia i ka lā like), a hoʻokaʻawale ʻia ka sperm mai ka wai seminal a mālama ʻia ma 37 ° C.

3. Ka hoʻohua

I kekahi mau hola ma hope o kā lākou ʻohi ʻana, kau ʻia ka spermatozoa a me nā oocytes i ka pilina i loko o kahi wai moʻomeheu no kekahi mau hola i ka mahana o ke kino. E hele wale mai ka motile spermatozoa, me ka ʻole o ke kōkua o waho, i ka pili ʻana me ka oosit. Akā hoʻokahi wale nō sperm e momona i kēia. Ma ka laulā, ma ka awelika, 50% o nā oocytes i hoʻouluulu ʻia.

Hoʻomaka ka lehulehu e hoʻonui i nā oocytes momona (a i ʻole nā ​​zygotes). I 24 mau hola, lilo nā zygotes i embryos o 2 a i 4 mau pūnaewele.

4. Hoʻolilo Embryo

ʻElua a ʻelima mau lā ma hope o ka momona, hoʻoneʻe ʻia hoʻokahi a ʻelua embryos i ka kōpū o ka wahine. ʻO ka lawe ʻana Embryo kahi hana maʻalahi a ʻehaʻeha hoʻi i lawe ʻia e kahi catheter lahilahi a maʻalahi hoʻi i hoʻokomo ʻia i loko o ka pūpū. Hoʻokomo ʻia ka embryo i loko o ka kōpū a ulu ma laila a hiki i ka implantation.

Ma hope o kēia kaʻina, hiki i ka wahine ke hoʻomau hou i kāna mau hana maʻamau.

Hoʻokahi a ʻoi paha nā embryo (i kapa ʻia he supernumeraries) hiki ke mālama pū ʻia e ka paʻahau no ka hoʻāʻo ʻana ma hope.

Ma hope, hiki i ke kauka ke hāʻawi i ka lāʻau olakino hormonal, a ʻo nā papa kuhikuhi no ka hoʻāʻo ʻana e hāpai ai e ʻike inā maikaʻi ka IVF.

Pono kekahi mau pōʻaiapuni o ka hoʻomaʻamaʻa i kekahi manawa ma mua o ka kūleʻa ʻana o ka hāpai ʻana. A pōʻino, ʻaʻole hāpai kekahi mau kāne me ka hoʻāʻo nui.

ʻLelo aʻoaʻo ma mua o IVF: 

• Kāohi i ka puhipaka (ke kāne a me ka wahine!), No ka mea, hoʻemi nui ia i ka manawa e hāpai ai.
• E hoʻoikaika a hoʻoikaika no kahi kaupaona olakino. Kōkua ia i ka loaʻa ʻana o ka momona maikaʻi.
• No nā wahine: e lawe i ka wikamina B9 ma mua o kou hāpai ʻana, no ka mea, ʻo kēia ka mea e hoʻēmi ai i ka hopena o ka malformation i loko o ke keiki hānau ʻole.
• E kiʻi i kahi kīwī flu (hiki iā ia ke alakaʻi i nā hāʻule miscarriages).