ʻO ka hopena o IVF no ka wahine. Kahua o ka hoʻonaʻauao a me ka IVF

Kōkua reproductive 'enehana ma nā makahiki i keia manawa, nui ka nui hui. Kēlā me kēia hoomanawanui i kā lākou mau nāʻikepili no kēia mau 'ole' ē aʻe kaʻina hana. Kekahi i loko o nā wāhine heʻumiʻike piʻi pilikia i kō ai, IVF pono ai. About keia manipulation, e hai aku ia oe i keia la i ka 'atikala. E aʻo aha i ka hopena o ka IVF, e like me ke kanaka e hiki ai e loaa ka poe ike i ka ke kuʻina o ka hanana.

I lūmaua fertilization

He aha ka ke kaʻina hana? Ma lūmaua fertilization - he manipulation o ka hoʻolako 'hanau he wahine ka ke kino ma waho. Ka pahiki o ka hāpai keiki nei ma kahi o 60 pakeneka. 'Aʻole nā hui o ka maikaʻi hopena ua loaa i ka ho'āʻo mua. Kekahi ohana i puʻe wale akula kēlā iā pinepine ae la oia e akoakoa ai i loko o lūmaua fertilization ina hana.

Ke Kaʻina Hana ua mālama 'ia ma kekahi aoao. Manawa a lawe i ka mooolelo o ka hoʻomanawanui ka kulana a me kona kanaka hiʻona. Man ke kaʻina hana no mea kokoke iki e hana me ka. Akā, inā i ka pono o kona sperm meaʻilihune, a me he mea kekahi manipulation pili. Ma lūmaua fertilization ua häʻawi mai ai iä Leomakana hikiʻole, e hapai i ke keiki maoli ai. I ka papa o ka papa kuhikuhiE nāʻikepili i: i ka wa e kaawale aku o ka fallopian paipu a me ovaries, ilihune ka pono sperm hoalawepu, hiki ole ke? Ee. Hola Pūnaewele mālama 'ia me IVF hiki e nā loa a me ka pōkole, me ka palena iki? Iaea o hormonal, aʻoi loa giperdlinnye. Akā, ka hapanui o ka mua elua i hoʻohana. E heluhelu hou no ia, a mea i ka hopena o IVF hiki e, aʻo ma. Mai poina i ka kino o kēlā me kēia kanaka 'Isaaka.

Hoʻomaka koke i ka a me ka lōʻihi-makahiki hopena maikaʻi ka hopena o IVF

Ua makemake i loko o lūmaua fertilization Hola Pūnaewele mea i hiki ke hanaia ino?! Akā, hiki ina i ka manawa o ka stimulation, a ma hope o ia oe e ole maka i kekahi pilikia ka mea, ke kaua i loko o ka wā e hiki mai. na hopena a pau o IVF hiki ke maheleia i loko o ka wanaʻao, a lohi.

Ka mua nā unexpected io wahi, i hiki ole complications i ai ka haohao ana iloko o koke ma hope o ka stimulation o ka halepaahao Polenekia paha. Ka loa, he pono ole 'ole ke' noʻonoʻo pono OHSS - ovarian hyperstimulation maʻi pale. I loko o kēia wā, complications e ala mai e like me allergy a intolerance o kekahi lāʻau, adverse reactions, li nui. Pinepine, i ka hoʻomaka koke i ka hopena o ka IVF - ka mea, he ehaeha i loko o ka abdomen, i ke kahua o ka loli i loko o ka makahiki pozadimatochnom, he kue o ka noho, nausea a me ka luaʻi, ake dysfunction kena ae la ma ka hoʻohana 'ana o ka nui dala o ka ai'. Iloko o puncture, i ka wahine ke kumu kahe ana ke koko, a oia hoi i ole He oluolu loa ka noho ana.

Ma ka lōʻihi-makahiki waiwai, kauka i wela hoopaapaa ana a hiki i kēia lā. Ua ua ike ia ka IVF kaʻina hana mea 'ano hou, ka mea, ua lāʻau malumalu ma na mea he nui kaʻao a. Ua Ua manaoio aku i keia manipulation kumu, pili ulu o kaʻeho. He oi loa pilikia ina ko lakou ano o ka kumu o malignant. Manipulation ke kumu headaches i loko o nā wāhine, ka kaʻina hana ho'ēmi i kā ka wā e hiki mai ovarian no?. Kekahi kēia IVF-oaio? Mālama 'i na hoike o ka wahine, këia i ke kamepiula a kaʻawaʻawa wahi, i hiki.

Ovarian hyperstimulation maʻi pale - he pinepine complication

He aha paha ia i ka hopena o IVF, oe ua ike. He waiwai e kahińuli OHSS - ovarian hyperstimulation maʻi pale. Pehea pilikia loa ia mea, a ina paha,ʻaʻole ma laila mau?

Ovarian hyperstimulation maʻi pale - kekahi ano, kena ae la ia e kekahi hormonal 'uao i loko o ka hoʻomanawanui ka kino. I kekahi kahua o IVF ka wahine ua puʻe wale akula kēlā i ka lawe ai 'i hoʻoulu i ka ulu ana o follicles. Kauka Pono e lawe hou aku i kekahi a me nā hua paha - e e pōmaikaʻiʻoe pono hou. Pinepine, kauka loaa mai o ka wahine i ka ovaries no 10-20 follicles. A pau keia gland i loko o ka pōʻaiapuni kona ano maoli,ʻaʻole hiki ke hana mai like he nui. E kū'ē i ke kāʻei kua o ka hoʻomākaukau ovaries mahuahua i nui, kuai mau follicular cysts. Symptoms o keia ano o ka hahai ana: eha ma ka lalo abdomen, mahuahua ka nui o ka ke keka glands, hoʻomāhuahua o ka loli ma ka abdomen, koko clots. Inc mea e pono ai nā mea maʻi a pau i kēia pilikia.

I ka pālākiō o ka hopena maikaʻi ka hopena hiki e loaʻokoʻa. Kauka pinepine ana e akoakoa ai i outpatient lapaʻau, akā, i mai ā hiki i ka manawa kūpono o hospitalization. Ovarian hyperstimulation maʻi pale ka pilikia, no ka mea i hana i ka cyst e lilo i hilo, moku hoʻi iaʻu. Ka mea, oia fraught me ka huʻiʻeha a me na kahe ana ke koko i koi 'iaʻoki lāʻau lapaʻau' uao. Ka hopena o ka lōʻihi ino hanana, a kauka makau i e like penei: thromboembolism, naehana hanu, naau a me nā konāhua hoʻokō 'ole', ovarian apoplexy. Iapaau ana komo ai i kekahiʻai, e hoʻomaha ai, e inu i ka hailona o fluids, pono o ke koko thinners.

Pōkole paha lōʻihi Hola Pūnaewele: wae

He aha ka IVF hopena no nā wāhine, oe i aoia. I loko nō o kēia, he nui no ka maikai anal i Wehewehe i nā hāʻina i kēia manipulation. Ma ka hapanui o hoopii, koho lōʻihi a pōkole Hola Pūnaewele ina hana. He aha ka ka like, ina paha he nui ke koho ana o ke hoʻomanawanui?

Inā e kapa aku i ka maikai IVF oaio, alaila, e ko lakou mau olelo hooholo e pili ana i ke kohoʻana i ka Hola Pūnaewele, loa paha, ka mea e ole e hiki. Ma hope o anamnesis ke kauka hoʻoholo i iaoiaeii mea pono no oe. Lōʻihi Hola Pūnaewele ua hoʻohana no ka wahine me ka maikai ovarian no?. Inā ka lako hou i ka hua oe i ka meaʻuʻuku, helu ma ka pōkole Hola Pūnaewele. e He hoʻomaka mai ka lā 3rd paha 5th o kou maoli kalapona, ka stimulation mau ka awelika o 10-14 lā. Ua hāʻawi ke hoomanawanui ai 'e ole premature ovulation. Lōʻihi Hola Pūnaewele mea correspondingly hou - ka awelika o ka 3-5 pule. Prior i ka overstimulation o ka hoʻomanawanui i ke kauka prescribes ai 'e aeie i ka? Iecaianoaaiiie o ka LH. Hope a hiki i kona palena iki aiee o ka ho'ā hope hoʻomaka ovarian kūpono ka lapaʻauʻia. Ua Ua manaoio ia ma gormonoblokiruyuschey hana mua IVF hilinaʻi nui ma luna o ka maikaʻi hope o ka hana. Aia hoʻi, i ka pakeneka o ka hāpai keiki luna i loko o ka lōʻihi Hola Pūnaewele.

Keia hookolokolo ana a me ka makaukau - ano nui i kahua

E IVF hopena no ka wahine, he 'oluʻolu wale nō, ia mea pono, e noonoo i ke kauka o ka hoike a pau. Ka mea mua a me ka mea nui anamanaʻo mea e hooholo i ka lako hou i ka hua. E hoʻopaʻa ia mea,ʻaʻole like paʻakikī e like me ka mea āu e. Lawa e lūlū mai ke koko no ka hormones AMH, FSH a me LH. Ma muli o ka waiwai loaa, i ke kauka e hoʻoholo i ka lōʻihi like 'ole o ka Hola Pūnaewele. He mau hoa Pono e e ikea no ka maʻiʻaʻai, a i ka wahine e e ikea no nā mea'aʻaʻa e rubella. Pono hookolokolo aku la ia i ke kipi lua o ka uterus. Inā ka mea, he polyps, adhesions, a cysts, ka mea, e wehe 'ia ma mua o ka hoʻomaka' ana o ka Hola Pūnaewele. Man hoʻopakele semen Ka Ikepili e hooholo i ko lakou fertility.

Ma mua o stimulation paʻa ua? Aeiiaiaoaony e malama i ke ola i ke Aloha Hawaii, e hookaaokoa lakou mai ka waiʻona a me ka uwahi, hoʻopau kaumaha haʻuki. Food hoopau prospective makua pono e waiwai ma ka kumuʻiʻo. Inā 'oe i ka maʻi maʻi, eʻoiaʻiʻo, e hōʻike i kou kauka no ia.

Ka hoʻohana a hormonal ai ': Stimulation

Kahua o ka hoʻonaʻauao o ka IVF e puunaueia i ekolu papa kuhikuhiE: e hoomakaukau ai, a lawe na laau, a me ka puncture fertilization, embryo hoolilo a me kākoʻo. Lapaau koi 'ia no ka stimulation, hoonoho kauka. I mea e hoomahuahua i ka helu ana o follicles hoʻohana FSH hoomakaukau ka nānā 'ana ma luna o, no kekahi laʻana, "Puregon". Pakaua o keia hōmona hiki aku ai i ka maturation o 5-30 hua i ka manawa. E noke i ole a pau o kēia hiki e piha a me ka pono no ka hou aaioee.

E pale ai ka hanauna iho hormones hoʻohana mele ka paleʻana hana pituitary. "Orgalutran" pili i ka ua. Koke ma mua puncture o ka wahine lawelawe i ka lāʻau i loaʻa ka kanaka chorionic gonadotropin (ka hōmona o ka hāpai keiki).

Follicle puncture a fertilized pio

Collection a me aaioee o follicles - na kēia mau kapuwai. Eco pa lako e komo ai ka hoʻohana 'ana i kekahi mau anesthesia. Manipulation loa eha, no laila ka mea, ua i lawe mai "ka pono". Iloko o ka puncture kui kele ma directional e hooponopono ua lawe mai ka hoʻohana 'ana i ka ultrasonic nä mīkiniʻimi. Ke Kauka e wae mai ai i ka loa aikane oe a me ka haʻahaʻa-hopena alanui. Ke Kaʻina Hana mau ka awelika o ka hapalua o ka hora. Akā, ma muli o ia i ka hoʻohana 'ana o anesthesia, ke ahonui e pono ai ua hoʻonānā kahuna lapaau no ka i hou 2-3 hola.

Ma hope o puncture o na follicles i lapaau ana sperm hoalawepu, laila, waiho i loko o ka maikaʻi 'ia Loaʻaʻia keiki. IVF komo ai spiking embryos i ke kolu paha lima o ka lā (ke kaumaha ma muli o ka kanaka).

Ka hali 'embryos a kanu houʻia aku

Russian kanawai i nei hoʻoholo e Ban i ka hoolilo ana o ka helu nui o embryos. Ano, e kaupalena 'ka? Aaieou i elua (i loko o ka lōʻihi hihia, ekolu) fertilized keena. E hoomakaukau no ka mea i ole a pau o ia ilalo na aa ona. embryo pakui 'Aʻole e koi anesthesia. Ka wā he lahilahi catheter pono lako fertilized hua manu i loko o ka uterine lua ua eliminated ma ke kaʻina hana o ka hele i ka fallopian paipu. Manipulation mau i oi aku 10-15 minuke. Iloko o ke kaʻina hana, he wahine e ka mahina mehana discomfort a me nagging eha.

ma hope o ka kaʻina hana

He aha nō i ka hopena o IVF? Reviews o na wahine, ka poe hele ma keia hana, i ka i ana ia no kekahi manawa ma hope o ka hoololi, ka mea, he e noho i loko o nā paia o ka 'inikua kula. I kēia wā,, kauka me ka paipai 'ana i ke koena. No laila, e hoʻi i ka mau hihia oe e nō pau. Ma hope iho o ka hoolilo ana o kauka e kiai ana i ka wahine, Ma waho aʻeo ka hiki complications. Inā he mea kahe ana ke koko, huʻi eha ma hope o IVF maʻamau ana wela, a laila, i ka hoʻomanawanui ke hele aku i ka hale. Ka wahine? Aaeno? Hou kākoʻo, ua hoakaka no ka pono o ka ai 'ka nānā' ana ma luna o progesterone. Ka mea, pono e pili like no ka piʻiʻana i ka yellow kino mea e hiki ke kū kaʻawale malama i ka hāpai keiki, a hiki e mau.

Maikaʻi hopena: hāpai keiki

Loiloi i ka hopena o ka manipulation hiki e lawe mai ma hope o 10-14 lā. A hāpai keiki ho'āʻo mea pinepine uninformative. Ua hōʻike he maikaʻi result ku i ke alo o hCG hōmona injected. No ia mea, ia mea maikaʻi, e hele no ka ultrasound me kou kauka. Mau pule ma hope o ka hoolilo ana o ka mīkini maikai, e hōʻike i ke alo a kaawale o ka ovum i loko o ka uterine lua. No hoi ka ike loea pane ana i ka ninau, e haawi aku i kekahi mau koko hoao no hCG. O ka hapanui o nā haumāna 'ano o IVF - hāpai keiki.

Hanau ma hope o IVF

Pehea keiki i hanau ai? IVF aʻole e koi i ka caesarean pauku. Akā, e like me ka hana pono E hoike mai, a me ka hōʻike manaʻo, ka mea, hoi häʻawi mai ai iä loa pinepine ana. I ka papa kuhikuhiE kumu o ka maʻi hiki lilo maʻi wahine, gynecological maʻi i loko o ka moʻolelo Hawaiʻi, he mau hāpai keiki. Natural hanau ma hope o IVF mea i okoa mai mau. Akā, hookahi mea mea pono i ka olelo i me keia hāpai keiki hou paha i ka i complications e like me placenta previa, premature retinal poe, nawaliwali ka hana.

manaʻoʻikeʻaoʻao

Pinepine na wahine me IVF hopena, mai kaʻaoʻao manaʻoʻike. He pinepine ka wā hoʻohana mau pou mea: sperm a Kepakailiula. Oia no ka wahine i ua mau ho'āʻo ana e loaʻa i loko o ka hanau ana o ke keiki hiʻona i mai ole coincide me kā lākou mau hiʻona. No laila, na makua, e aʻo aku ai iā kauka i ka manawa a nīnau aku i ka psychologist, e like me ke kahua keʻoni iho mai o ka ana.

Ole ma IVF i ua hoano e ia e na wahine ka nui paakiki. He nui nā mea maʻi i nele ia, e hoʻomaka koke iho i loko o ke kēia 'Hola Pūnaewele. Akā, i ke kino manawa e hoola i nele. Loaaʻi ka ikaika, ka mea ia manawa ke hiki wale mai no ka maikaʻi hoʻokūkū, e e kiʻekiʻe.

e hōʻuluʻulu

Mai ka 'atikala' oe e loaʻa mai ka mea i ka hopena o IVF. Kēia kaʻina hana mea he nui loa no ka wahine kino. Nolaila, e hoomakaukau mākou no ka mea, i loko o mua. Ka oi hoʻokolokolo pono o ka la hoomalolo, a e e hou kuleana hoʻokokoke mai, ke kiekie o ka pahiki o ka maikaʻi hopena. Pōmaikaʻi a me ke ahonui!