Menene IVF ya ƙunsa?
Da farko dai, ya kamata a lura cewa a cikin kowane hali, wannan hanya na iya samun wasu abubuwa da suka danganci tsarin ilimin lissafi na mace, kasancewa ko kuma rashin cin zarafinta.
Duk da haka, a mafi yawan lokuta, tsarin IVF ya haɗa da matakai masu zuwa:
- induction of superovulation (na biyu suna - stimulation daga ovaries);
- Tsuntsauran tsuntsaye a cikin ovaries;
- haɗuwa da kayan da aka tattara da kuma kayan noma;
- canja wurin embryos a cikin kogin uterine;
- goyon baya na lokaci na luteal;
- ganewar asali na ciki na karamin lokaci.
A wasu lokuta, ƙwaƙwalwar artificial zai yiwu ba tare da mataki na farko ba, a ƙarƙashin yanayin saurin yanayi. Yi la'akari da yadda zaka yi IVF daki-daki.
Induction na superovulation
Makasudin wannan mataki shine don samun yawancin kwayoyin halitta kamar yadda ya kamata a guda guda. A wannan yanayin, ana iya amfani da nau'o'in iri-iri masu ladabi. Anyi amfani da classic, ko kamar yadda ake kira, yana da tsawo, fara ranar 21 na sake zagayowar. Yana da kusan wata daya. A wannan yanayin, zaɓin shirin don ƙarfafawa, da magungunan da za a gudanar kuma ana aiwatar da su a kowanne ɗayan. Game da gajeren gajere , zai fara da kwana 3-5 na sake zagayowar kuma yana da kwanaki 12-14.
Ya kamata a lura cewa wannan mataki ya shafi kulawa da tsarin ci gaba da ɓarna, da kuma endometrium, wanda aka yi amfani da na'ura ta duban dan tayi. A wannan yanayin, adadin ƙuƙwalwa, girmansu suna rubuce, an rufe lokacin kauri na endometrium.
Tsuntsar ƙwayoyi
Wannan hanya ya shafi kawar da jikin jinsi na jima'i daga jiki. Ana aiwatar da shi ne, ta hanyar amfani da duban dan tayi. A wannan yanayin, ana amfani da allurar damuwa. A sakamakon manipulation, ana samun qwai 5-10. Hanyar da kanta kanta an yi a ƙarƙashin ɓarna ko ƙwayar cuta. Kusan sa'a daya bayan shinge, mace ta bar aikin.
Oocyte hadi da kuma in vitro al'adu
Qwai, kuma tare da su spermatozoa dauke daga matar ko mai ba da gudummawa, an sanya a cikin wani na gina jiki matsakaici. A wannan mataki ne hadisin ya faru. Tare da taimakon goge masu tsayi na musamman a ƙarƙashin microscope, haɗuwa da kwai ya faru da gabatarwar spermatozoon cikin shi.
Bayan wannan yazo tsarin tsarin namo, wanda zai iya ɗaukar kwanaki 2-6, dangane da tsarin IVF wanda likitan ya zaba.
Amfani da embryo
Na farko, ya kamata a lura cewa za'a iya aiwatar da wannan gyaran a wasu matakai daban-daban na ci gaban amfrayo: daga zygote zuwa mataki na blastocyst. Domin cimma matsakaicin iyakar, bisa ga ka'idodi na kasa da kasa, likitocin mahaifa sun canza nau'in embryos 2-3 a yanzu.
Idan muna magana game da yadda aka cika embryos tare da IVF, to, saboda wannan hanya, a matsayin mai mulkin, ba a buƙatar maganin rigakafi ba. Tare da taimakon karnuka na musamman da aka shigar cikin kogin cikin hanzari ta hanyar canji na kwakwalwa, ana daukar nauyin embryos.
Taimako na lokaci na luteal
Sanin ganewar ciki
Ana aiwatar da shi ta hanyar kafa hCG a cikin jinin mace kuma ana gudanar da shi a cikin kwanaki 12-14 daga lokacin tafiyar. Tabbatar da duban dan tayi na nasarar IVF za a iya yi daga kwanaki 21 bayan canja wurin. A hanyar, tun daga wannan lokacin (ranar dasa shuki) wanda ake la'akari da wannan matsala a matsayin lokaci na ciki tare da IVF.