txheem
- Ovarian stimulation: thawj kauj ruam
- Artificial insemination: cov txheej txheem qub tshaj plaws ntawm kev pabcuam kev yug me nyuam
- IVF: fertilization sab nraum tib neeg lub cev
- Intracytoplasmic phev txhaj (ICSI): lwm hom IVF
- Kev txais tos ntawm embryos: cov txheej txheem tsis tshua siv
- Hauv video: Zaj lus tim khawv - pab kev yug me nyuam rau me nyuam
Kev pab kho mob rov ua dua (PMA) yog framed los ntawm bioethics txoj cai Lub Xya Hli 1994, hloov kho thaum Lub Xya Hli 2011. Nws tau qhia thaum nkawm niam txiv tab tom ntsib ” kho mob pov thawj infertility Lossis tiv thaiv kev kis tus kabmob hnyav rau tus menyuam lossis rau ib tus ntawm ob niam txiv. Nws yog txuas ntxiv thaum Lub Xya Hli 2021 rau cov poj niam ib leeg thiab cov poj niam ob leeg, leej twg muaj kev nkag mus rau kev pab tu me nyuam raws li tib yam li cov khub niam txiv heterosexual.
Ovarian stimulation: thawj kauj ruam
La stimulation ntawm zes qe menyuam yog qhov yooj yim tshaj plaws thiab feem ntau yog thawj lub tswv yim ua rau ob peb tus neeg uas muaj teeb meem fertility, tshwj xeeb tshaj yog thaumtsis muaj ovulation (anovulation) lossis tsawg thiab / lossis tsis zoo ovulation (dysovulation). Ovarian stimulation muaj nyob rau hauv nce zus tau tej cov zes qe menyuam ntawm cov laus follicles, thiab yog li tau txais ib tug zoo ovulation.
Tus kws kho mob yuav xub muab tshuaj kho qhov ncauj (clomiphene citrate hmoov) uas yuav txhawb kev tsim thiab kev loj hlob ntawm oocyte. Cov ntsiav tshuaj no tau noj nyob nruab nrab ntawm hnub thib ob thiab thib rau ntawm lub voj voog. Yog tias tsis muaj qhov tshwm sim tom qab ob peb lub voj voog, lubtxhaj tshuaj hormone yog ces thov. Thaum lub sij hawm kho stimulation ntawm zes qe menyuam, kev saib xyuas kev kho mob tau pom zoo nrog kev kuaj xyuas xws li ultrasound scans thiab tshuaj ntsuam xyuas tshuaj hormones los saib xyuas cov txiaj ntsig thiab tej zaum yuav hloov kho cov tshuaj ntau npaum li cas (kom tsis txhob muaj kev pheej hmoo ntawm hyperstimulation, thiab yog li cov kev mob tshwm sim tsis zoo. ).
Artificial insemination: cov txheej txheem qub tshaj plaws ntawm kev pabcuam kev yug me nyuam
LUBkhoom neeg tsim kabmob yog txoj kev qub tshaj plaws ntawm kev pab kho mob yug me nyuam tab sis kuj yog siv ntau tshaj plaws, tshwj xeeb tshaj yog rau cov teeb meem ntawm txiv neej infertility thiab ovulation disorders. Artificial insemination muaj depositing phev nyob rau hauv tus poj niam lub tsev menyuam. Yooj yim thiab tsis mob, qhov kev ua haujlwm no tsis tas yuav mus pw hauv tsev kho mob thiab tuaj yeem rov ua dua ntau zaus. Artificial insemination feem ntau ua ntej los ntawm stimulation ntawm ovulation.
IVF: fertilization sab nraum tib neeg lub cev
La hauv vitro fertilization (IVF) raug pom zoo nyob rau hauv cov xwm txheej ntawm ovulation cuam tshuam, tubal obstruction los yog, nyob rau hauv cov txiv neej, yog hais tias lub motile phev tsis txaus. Qhov no suav nrog nqa oocytes (ova) thiab spermatozoa mus rau hauv kev sib cuag sab nraum tus poj niam lub cev, nyob rau hauv ib puag ncig zoo rau lawv txoj sia nyob (hauv chav kuaj), nrog rau kev saib rau fertilization. Peb hnub tom qab lub qe tau sau, lub embryo yog li tau muab tso rau hauv lub tsev menyuam ntawm leej niam-rau-ua.
Qhov kev vam meej yog nyob ib ncig ntawm 25%. Qhov kom zoo dua ntawm cov txheej txheem no: nws ua rau nws muaj peev xwm "xaiv" qhov zoo tshaj plaws spermatozoa thiab ova, ua tsaug rau kev npaj ntawm cov phev thiab tejzaum nws lub zes qe menyuam stimulation. Thiab qhov no, thiaj li yuav ua rau kom muaj feem ntawm fertilization. Qhov kev kho no qee zaum ua rau ntau cev xeeb tub, vim tus naj npawb ntawm embryos (ob lossis peb) tso rau hauv lub tsev menyuam.
Intracytoplasmic phev txhaj (ICSI): lwm hom IVF
Lwm cov txheej txheem rau hauv vitro fertilization yog intracytoplasmic phev txhaj (ICSI). Nws muaj microinjection ntawm cov phev nyob rau hauv lub cytoplasm ntawm a laus oocyte siv lub micro-pipette. Cov txheej txheem no tej zaum yuav raug qhia nyob rau hauv qhov kev tshwm sim ntawm tsis ua hauj lwm nyob rau hauv vitro fertilization (IVF) los yog thaum ib tug qauv ntawm lub testis yog tsim nyog kom tau txais cov phev. Nws qhov kev vam meej yog nyob ib ncig ntawm 30%.
Kev txais tos ntawm embryos: cov txheej txheem tsis tshua siv
Txoj kev no ntawm kev pab kev yug me nyuam yog implanting nyob rau hauv lub tsev menyuam ib tug embryo los ntawm pub niam txiv. Txhawm rau kom tau txais txiaj ntsig los ntawm qhov kev hloov pauv ntawm cov embryos khov no pub dawb tsis qhia npe los ntawm ob niam txiv uas lawv tus kheej tau txais ART, nkawm niam txiv feem ntau raug kev txom nyem los ntawm kev muaj menyuam tsis taus ob lossis kev pheej hmoo ntawm kev kis tus kabmob uas paub txog caj ces. Tsis tas li ntawd, qhov kev sim ntau dua ntawm kev pab kho mob yug me nyuam twb tau sim thiab ua tsis tiav.