Haɗin in vitro na al'ada

Shirin jiyya na hadi in vitro yana buƙatar alƙawura da yawa tare da kwararru, waɗanda ke shirya ma'auratan don dabarun. Yakamata a ilmantar da ma'aurata game da matakai masu rikitarwa kamaralluran magungunan hormonal, kasada da Side effects, har da lokacin jira ake bukata. Magungunan suna da tsada.

A cikin Quebec, tun 2010, Régie de l'Assurance Maladie (RAMQ) ya kafa Shirin Taimakon Haihuwa na Quebec wanda ke ba da kyauta ga cikakken sabis na sabis da ke hulɗa da rashin haihuwa, ciki har da farashi na hawan keke guda uku.⁹.

A Faransa, 4 in vitro gwajin hadi an cika su da Inshorar Lafiya.

1. Karfafa kwai

Mataki na farko shine baiwa mace maganin hormone, yawanci GnRH agonist (Gonadotropin yana fitar da Hormone) don hutawa kwai (duba sashin magunguna), misali Decapeptyl®, Suprefact®, Enantone® Synarel®, ko Lupron®.

Sa'an nan, jiyya sa'an nan nufin ƙara yawan follicles samar da ovary da sarrafa lokacin ovulation. Ya kamata mace ta sami alluran gonadotropins tare da aikin FSH ko LH don tada follicles zuwa girma da ba su damar samar da oocytes da yawa. Waɗannan sune misali Puregon®, Gonal F®, Fostimon® Metrodin-HP®, Bravelle®, Humegon® Ménopur® Merional® Repronex® Fertinex® Fertinorm®, Humegon® Ménopur® Merional® Repronex® Fertinex® Fertinorm®, Elonva®, Luvéris®…

Lokacin da follicles suka girma sosai kuma matakan hormone sun isa, ana haifar da ovulation ta hanyar allura na hormone HCG.Gonadotropin chorionic mutum), misali HCG endo 1500®, HCG endo 5000® (Fr), Pregnyl®, Choriomon®, Profasi-HP®, Chorex®, Novarel®, Ovitrelle® Ovidrel® ®

Ana yin gwajin duban dan tayi da kuma gwajin jini a kowane mataki don tantance ci gaban follicle.

Babu sauran follicles, babu sauran kwai…

Ovaries na mace yakan fito kuma ya saki kwai daya balagagge a kowane zagaye. Ko da yake wannan ya isa ga tunanin al'ada, don samun nasarar hadi a cikin vitro, da kyau ya kamata a sami ƙarin balagagge qwai. Don haka ya zama dole don motsa aikin ovarian mai haƙuri da ƙarfi fiye da yadda aka saba. Magungunan da ake bayarwa yayin maganin hadi na in vitro na haifar da ci gaban da yawa ovarian follicles, don haka ƙara yuwuwar adadin ƙwai, don haka damar samun amfrayo da za a dasa.

2. Tarin manyan oocytes

Bayan sa'o'i 32 zuwa 36 na motsa jiki na hormonal, ana tattara cikakkun oocytes ta hanyar amfani da ƙaramin bututu da allura waɗanda aka saka a cikin farji. Ana yin wannan sa hannun a ƙarƙashin maganin sa barci na gida ko na gabaɗaya tare da sarrafa duban dan tayi saboda yana iya zama mai zafi sosai. Sannan ana zabar oocytes a cikin dakin gwaje-gwaje.

Le ana tattara maniyyi sa'o'i kadan kafin haka (ko narke a wannan rana), kuma an raba maniyyi daga ruwan sha kuma an adana shi a 37 ° C.

3. Haihuwa

Bayan 'yan sa'o'i bayan girbin su, ana sanya maniyyi da oocytes a cikin hulɗar ruwa na al'ada na sa'o'i da yawa a zafin jiki. Maniyyi mai motsi yana zuwa kai tsaye, ba tare da taimakon waje ba, a cikin hulɗa da oocyte. Amma maniyyi daya ne zai tada wannan. Gabaɗaya, a matsakaici, 50% na oocytes ana takin su.

Oocytes (ko zygotes) da aka haifa sun fara ninkawa. A cikin sa'o'i 24, zygotes sun zama embryos na sel 2 zuwa 4.

4. Canja wurin amfrayo

Bayan kwana biyu zuwa biyar da hadi, daya ko biyu embryos ana canjawa wuri zuwa mahaifar mace. Canja wurin amfrayo hanya ce mai sauƙi kuma mara zafi da ake yi ta hanyar sirara mai sassauƙa da catheter da aka saka ta farji cikin mahaifa. An ajiye amfrayo a cikin mahaifa kuma yana tasowa a can har sai an dasa shi.

Bayan wannan mataki, mace za ta iya ci gaba da ayyukanta na yau da kullum.

Hakanan ana iya adana embryo ɗaya ko fiye (wanda ake kira supernumeraries) ta daskarewa don gwaji na gaba.

Bayan haka, likita na iya ba da magani na hormonal, kuma ba shakka takardun magani don gwajin ciki don ganin ko IVF ta yi tasiri.

Yawancin zagayowar jiyya wasu lokuta ana buƙata kafin ciki ya yi nasara. Kuma abin takaici, wasu ma’aurata ba sa samun juna biyu duk da yunƙurin da aka yi.

Shawara kafin IVF: 

• A daina shan taba (namiji da mace!), Domin yana rage yiwuwar samun ciki sosai.
• Motsa jiki da ƙoƙari don samun lafiya mai nauyi. Yana taimakawa wajen samun kyakkyawar haihuwa.
• Ga mata: ku sha bitamin B9 kafin ku yi juna biyu, saboda wannan yana rage haɗarin rashin lafiya a cikin jariri.
• Yi maganin mura (zai iya haifar da zubar da ciki).