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Menene kara kuzarin kwai?
Yana ba da hannu mai taimako lokacin da jariri ya makara zuwa, kuma yana faruwa ne saboda rashin daidaituwar ovulation. “Matar da ba ta fitar da kwai ko yin hawan keke a kowane kwana 4, kusan ba ta da damar samun juna biyu - ba za ta wuce kashi 5-20 a kowace shekara ba. Don haka ta hanyar ƙarfafa ovaries, muna ba ta damar samun ciki iri ɗaya kamar na yanayi, watau 25 zuwa 35% a kowace mace a ƙarƙashin shekaru XNUMX, ”in ji Dokta Véronique Bied Damon, masanin ilimin likitancin mata wanda ya ƙware a maganin haihuwa. .
Ta yaya kuzarin kwai ke aiki?
"Akwai nau'ikan ƙarfafawa guda biyu," in ji ta. Na farko, wanda manufarsa ita ce ta haifar da ilimin ilimin halittar jiki: mace tana sha'awar samun ɗigon follicle ɗaya ko biyu (ko ova), amma ba. Wannan shine yanayin haɓaka mai sauƙi tare da manufar gyara rashin lafiyar ovulation, polycystic ovaries, rashin wadatar ovarian, rashin daidaituwa na sake zagayowar; ko kuma a shirya wa macen da za a yi amfani da ita wajen yin bahaya. »Ana motsa kwai a tsaka-tsaki don gujewa haɗarin samun ciki da yawa.
"Hadali na biyu: ƙarfafawa a cikin mahallin IVF. A can, makasudin shine a dawo da matsakaicin adadin oocytes, 10 zuwa 15, a lokaci ɗaya. Wannan ana kiransa hyperstimulation na ovarian sarrafawa. Ana motsa ovaries a kashi biyu idan aka kwatanta da motsa jiki guda ɗaya. ” Me yasa? “Yawan IVF da Social Security ya biya guda hudu, kuma zamu iya daskare embryos. Don haka ga kowane ƙoƙari na IVF, muna son ƙwai da yawa. Za mu sami matsakaicin 10 zuwa 12. Rabin zai ba da embryos, don haka game da 6. Muna canja wurin 1 ko 2, muna daskare sauran don canja wuri na gaba wanda ba a ƙidaya a matsayin ƙoƙarin IVF ba. "
Wadanne kwayoyi zasu fara kara kuzari? Allunan ko allurai?
Bugu da ƙari, ya dogara. "Na farko akwai allunan: clomiphene citrate (Clomid). Wannan ƙarfafawa yana da lahani na rashin daidaituwa sosai, kamar 2 CV idan aka kwatanta da motar zamani; amma allunan suna da amfani, shine abin da mutum zai bayar da niyya ta farko maimakon a cikin samari mata, da kuma idan akwai polycystic ovaries ”, in ji Dokta Bied Damon.
Shari'a ta biyu: huda a cikin ƙasa. “Mata suna yin alluran samfurin a kullum, maimakon da yamma, na tsawon lokaci daga rana ta 3 ko 4 ta sake zagayowar har zuwa lokacin da ovulation ya fara, wato ranar 11. ko 12th rana, amma wannan tsawon lokaci ya dogara da amsawar hormonal na kowane. Don haka, kwana goma a wata, kusan wata shida, mace ta yi allurar FSH recombinant (Synthetic, kamar Puregon ko Gonal-F); ko HMG (gonadotropin menopause na mutum, kamar Menopur). Don bayanan, wannan fitsari ne mai tsafta daga matan da suka shude, domin lokacin da bayan al'ada, an samar da ƙarin FSH, wani abu da ke motsa ovaries.
Shin akwai wasu illolin da ke haifar da kuzarin kwai?
Yiwuwa a, kamar kowane magani. "Haɗarin shine ciwon hawan jini na ovarian", an yi sa'a sosai da wuya kuma ana kallo sosai. "A cikin kashi 1% na lokuta masu tsanani, wannan na iya buƙatar asibiti saboda ana iya samun haɗarin thrombosis ko embolism na huhu.
A wane shekaru ya kamata a yi motsa jiki na ovarian?
Ya dogara da shekaru da takamaiman yanayin kowane majiyyaci. “Mace ‘yar kasa da shekara 35 da ke da hawan keke na yau da kullun na iya jira kadan. Ma'anar rashin haihuwa a shari'a shine shekaru biyu na jima'i ba tare da kariya ba ga ma'aurata ba tare da ciki ba! Amma ga budurwar da kawai take haila sau biyu a shekara, babu amfani a jira: dole ne ku tuntubi.
Hakanan, ga mace mai shekaru 38, ba za mu ɓata lokaci mai yawa ba. Za mu ce masa: "Ka yi 3 cycles of stimulatory, ba ya aiki: za ka iya ma je IVF". Yana kan kowane hali. "
“Cibiyar tarbiyya ta 4 ita ce daidai. "
"Na juya zuwa motsa jiki na ovarian saboda ina da polycystic ovaries, don haka babu hawan keke na yau da kullum. Mun fara motsa jiki, tare da alluran Gonal-F da na yi wa kaina, kimanin shekara guda da ta wuce.
Ya ɗauki watanni goma, amma tare da hutu, don haka jimlar zagayowar motsa jiki shida da inseminations huɗu. Na hudu shine daidai kuma ina da ciki wata hudu da rabi. Game da maganin, ban ji wani illa ba, kuma na haƙura da alluran. Iyakar abin da ya rage shine samar da kaina don bincikar estradiol kowane kwana biyu ko uku, amma ana iya sarrafa shi. "
Elodie, 31, wata hudu da rabi ciki.