Culturing roa o embryos i vitro. Māra o tohuhema me embryos - he aha te mea te reira?

Hoki neke atu i te rua tekau tau i roto i te faaipoipo e whai raruraru ki te haputanga me te whanau o te tamaiti, i te tupono noa i roto i te puka o roto i vitro hōtaka kikiritanga. O te akoranga, i te kau, ko te reira tino he tukanga utu, te hua o nei e kore e whakatau tonu te tūmanako o tūroro, engari te reira tonu te whai wāhi mō te hunga e hiahia ana ratou tamaiti ira. ahurea kukune āhei ki te tīpako anake te taea tino, me te whakakore i etahi mate ira.

kupu

I roto i te kikiritanga vitro - ko te aronga o te hangarau uri, e whai wāhi kikiritanga o te hua manu i waho kōpū o te whaea, me te rite hoki nga ra e rima-whitu te podsazhivaniya kukune.

Ko te māra o embryos - ko ki tautoko i te whanaketanga me te ora o embryos tangata i mua i Rātā ratou i roto i te kōpū.

ngā wāhanga o te IVF

Kei IVF tukanga o te maha kaupae wāhanga ranei:
1. whakaongaonga o superovulation, i roto i te whakarara ki te aroturuki o te ruahuru Genesis me te tupu o te endometrium.
2. poka ruahuru.
3. oocyte kikiritanga i roto i te vitro me culturing embryos.
4. mau tonu Artificial te wāhanga luteal o te huringa te paheketanga.
täpiritanga 5. kukune me te tātaritanga o te hapūtanga.

Hoki taitamariki wahine te whai wāhi ki te IVF kahore superovulation.

Tuhinga me Contraindications mō te IVF

Tūtohutanga hoki tenei whawhe hauora ko te aroaro o te pākoko wahine e he ātete ki te therapy tikanga, whakaratohia e whakarato IVF te tūponotanga teitei o haputanga.

Ko te taua Contraindications:
- extragenital māuiuitanga, te whakawehi materoto;
- malformations me deformations o te kōpū;
- te pukupuku o te kōpū, me ovaries;
- whakapeka mate inflammatory (te pūnaha whakaputa uri kore anake);
- te aroaro o te mate pukupuku i te hītori.

Takanga hoki IVF

Ko te wāhanga tuatahi - te kohinga o tātari me te kite o pathologies. Ki te mahi i tenei, te manawanui me haere i te whakamātautau toto mo hormones, me te tätari ngā o mataora whānui, me te tollerantnost kūhuka. Whakamana uaua tika i runga i te mate urogenital me te ultrasound o whekau whakaputa uri ā-.

ka hanga Partner he tātaritanga heke atu ki te manatoko i te ngaro o te pākoko tane. tango tika pani cytology me colposcopy ki tutakina huru i mua i-matepukupuku. Kei te whakahaere whaea expectant he ako i runga i mate rama (kōpukupuku, toxoplasmosis, herpes, cytomegalovirus me te chlamydia), rite kia pā tenei te whanaketanga o te kukune heke mai. I te mutunga o te scan ultrasound o nga repe mammary me thyroid.

kawea te taahiraa tuarua i roto i tonu i mua i te maimoatanga. Kei a ia ko ngā toru:
- Me hoa faaipoipo haere whakamātautau mō te HIV, kakā viral, pakewakewa, te tiki i nga hua o to ratou rōpū toto me te tauwehe rH;
- Me ki kia whakamatauria hoki huka toto, tatau toto oti, mimi, mataora, me te ki te mohio ki te wa o te coagulation Women;
- Me kua mutu te whaea expectant te kaihaumanu e reira e kore contraindications ki te hapūtanga.

Ko te tukanga o te IVF

Tuatahi te tākuta, i muri i nga whakamātautau e tika ana katoa, whakahaere whakaongaonga ovarian he wahine i roto i te tikanga ki te tiki hua atu hauora. Ko te kupu whakataki o te taero tīmata i ra 21 o te huringa paheketanga, a ka pumau mo te marama. I roto i tenei wa, tonu aroturuki te rata, rite te ruahuru tupulaki me hanga te endometrium i roto i te kōpū te whakamahi i ultrasound. A, kia rite ki te wahine i tangohia kua tātari i runga i hormones, i roto i te tikanga ki te kite i te pikitia katoa. Ka rite ki te hua manu wa, kawea tūroro hātepe i to ratou withdrawal. Heoi, kia ārai i tenei tukanga etahi o nga āhuatanga:
- te kore o te whakautu ovarian ki whakaongaonga;
- te aroaro o adhesions i roto i te kōhao papatoiake;
- kano taimi halá,;
- huringa anovulatory (ina roto i nga follicles pakeke te hua manu). kia whakaaro enei āhuatanga katoa i mua i tūtohu i te rua ki te tīmata IVF.

Ka rite ki te papa i mua nei i te kaituku ingoamuna ka haere ratou rauemi ira ranei e taea te kawea i roto i te kikiritanga tukanga. wā roa i roto i te ahurea vitro o embryos he tika ki te tīpako i te embryos tino taea. I muri ra e rima e ono ranei i muri i te kikiritanga, kua whakawhiti e rave rahi embryos ki te kopu ki te kopu o te whaea. E rua wiki i muri mai, takoha toto te whaea expectant i te taumata o te gonadotropin chorionic tangata (HCG) ki te whakatau te hapūtanga.

māra roa o embryos

Nuinga o ngā wā, tūroro e tukinotia hoki taua tokoni motuhake hauora, i reira e maha ngā pātai. Ko tētahi o ratou haere rite tenei: "Ko te ahurea o tohuhema me embryos, he aha te mea te reira?", He tino ngāwari, me te matatini i te wa ano te whakahoki. Ko te tikanga i te mea ora ki ona whare i roto i te tinana o te whaea te kukune tenei. māra roa o embryos i vitro utu, nui-tech tukanga e titau mōhiotanga me ngā pūkenga motuhake. E tonu te pai ake taiwhanga Modern i roto i te tikanga o te kikiritanga me te taputapu. Ko te auaha hou - te maara o embryos i taiao EmbrioGen. whakarato atu āhuatanga tipu te tūponotanga nui o kukune implantation i roto i te taiepa uterine.

I mua, ko te maara o embryos hoatu whakatika anake ki te atamira kuru me whakanohoia i roto i te kōpū e toru nga ra i muri i te "haputanga", engari tangohia e ratou pakiaka anake te hauwhā o te wā katoa o IVF. Otiia i muri i te whakawhanake i te tikanga o roto i vitro ahurea o embryos ki te atamira blastocyst, kua nui haere te whai huatanga o te tikanga. Tenei e hiahiatia ana i te hou pāpāho ahurea me purerehua.

Pai me ngā raruraru o te tikanga

he tukanga taua ki te whakaatu i te tikanga o embryos ki te taumata muri.

1. E tauturu te reira ki te tīpako i te whaihua te nuinga i roto i ngā o embryos implantation.
2. whakaiti te reira i te maha o abnormalities pūira, rite te atamira blastocyst ko reira taea ki te whakapapa me te ārai.
3. He huarahi atu whaiaroaro.
4. whakaiti te reira i te mōrea o hapūtanga maha, no te mea nui o te rua noa embryos hei utu o e rima, pera i mua, ki te riro hapu.
5. puta i roto i nga wa iti iho i te i mua hapū i te pūkano.

Heoi, i reira he āhuatanga o tenei tukanga. Ko te tuatahi Ko e taea kore karihi katoa tupu ki te atamira e hiahiatia ana. Tonu incubator Me tonu pūnaha me te ahurea pāpāho ki te whakapai ake, kia rite ki tata rite taea ki ngā āhuatanga tūturu. Ki te ora iti iho i wha embryos, na te tūponotanga e ka waiho ratou rite mō te Rātā, he tino iti. Ko tētahi atu, haunga te, pera i roto i ngā putanga tōmua o te IVF - kahore taurangi tino o te angitu. e kore No pūnaha tākuta-uri i roto i te ao nei e kawe ki te mea e tenei tikanga ko te pono hopea. tonu i Scientists ki feinga mo.

pānga te taha o te IVF

pānga kino i muri IVF, i roto i te wa, kua whakamahia nei hoki o embryos he wā roa e:
- hapū maha embryos rite maha whakawhitia ki te kopu;
- hapū i te pūkano (e kore e taea te waho kaupapa kukune i roto i te kōpū);
- whakaongaonga nui o nga ovaries (syndrome hyperstimulation ovarian arata'i ki te pākoko);
- mate me te toto.