Shirye-shirye da halaye na IVF ya kamata a yi a fili a wasu matakai a wasu lokuta, wanda zai tabbatar da nasarar kammala hanya.
IVF: matakai na
Babban matakai na tsari na IVF sune:
- ƙarfafawar superovulation;
- fashewa ovaries tare da hakar na oocytes;
- haɗuwa da ɓangaren daji da kuma amfrayo;
- shigarwa a cikin mahaifa na amfrayo.
IVF matakai ta kwana
Dukkan matakai na tsarin IVF ya kamata a yi a daidai kwanakin da aka ba shi don wannan bisa ka'idar. Don sanin ko wane lokaci ne za a gudanar da wasu matakai na IVF, akwai taƙaitacciyar yarjejeniya ta yadda za'a nuna tsawon lokacin kowane mataki:
- Tsarin glandon guaye tare da agonists GnRHR - daga 3 zuwa 12-17 ranar sake zagayowar;
- motsa jiki daga cikin ovaries (lokaci daya tare da damfara);
- Tsuntsar ƙwayoyin ovarian don cire qwai (kwanaki 14-20 daga farkon hawan);
- canja wurin amfrayo da aka yi a cikin mahaifa (3-5 days bayan fashewa);
- goyon baya ga jiki mai rawaya tare da shirye-shirye na progesterone (har zuwa kula da hCG a 12-20 bayan canja wurin);
- kula da ciki (duban dan tayi) a kan kwanaki 12-14 bayan canja wuri, tsawon lokaci na dukkan matakai daga kwanaki 28 zuwa 35.
Sakamakon IVF ya bambanta kadan yayin amfani da masu adawa da GnRH don hadewar in vitro:
- zabin yana farawa daga kwanaki 2 - 5 na sake zagayowar kuma yana ɗaukar kwanaki 8-12;
- An yi fashewa a cikin kwanaki 10-14 daga farkon zanewa;
- Hanya na embryo ya yi kwanaki 3-5 bayan dabbar ta cinyewa;
- goyon baya ga jiki mai rawaya tare da progesterone an gudanar da shi na kwanaki 12;
- kula da ciki - 12-14 days bayan amfrayo canja wuri, tsawon lokaci na IVF matakai ne 25-31 days.
Tsarin shiri na IVF
Bugu da ƙari ga IVF kanta, wanda aka aiwatar daidai bisa ga yarjejeniyar a wasu kwanaki, yana da matukar muhimmanci a shirya mata wata dama kafin a fara hanya.
A ewa na IVF, ana gudanar da wasu gwaje-gwaje: ƙayyade ma'adinin ovarian, gudanar da shirye-shiryen aiki na mahaifa da tubes ga IVF (bisa ga alamomi), duba spermogram na abokin tarayya. Daga cikin gwaje-gwaje masu dacewa, mace ta ba da gwajin jini, gwajin jini don syphilis, HIV, hepatitis, kasancewa da kwayoyin cutar zuwa rubella. Mace yana nazarin likitan ilimin likitancin mutum kuma yana daukan swabs.