Pa hauv vitro fertilization

Txoj kev kho mob hauv vitro fertilization xav tau kev teem sijhawm ntau nrog cov kws tshaj lij, uas npaj ob niam txiv rau cov txheej txheem. Nkawm niam txiv yuav tsum tau kawm txog cov kauj ruam nyuaj xws litxhaj tshuaj hormonal, txaus ntshai thiab Sab los, Raws li zoo raws li sijhawm tos yuav tsum tau Kev kho mob yog kim.

Hauv Quebec, txij xyoo 2010, Régie de l'Assurance Maladie (RAMQ) tau teeb tsa Quebec Assisted Procreation Program uas muaj pub dawb pub dawb rau ntau yam kev pabcuam cuam tshuam nrog kev muaj menyuam tsis taus, suav nrog tus nqi ntawm peb qhov kev txhawb zog⁹.

Nyob Fab Kis Teb, 4 hauv vitro kev sim fertilization raug them tag nrho los ntawm Health Insurance.

1. Stimulation ntawm zes qe menyuam

Thawj kauj ruam yog muab tus poj niam kho cov tshuaj hormone, feem ntau yog GnRH agonist (Gonadotropin Tso Hormone) txhawm rau so lub zes qe menyuam (saib ntu ntu tshuaj), piv txwv li Decapeptyl®, Suprefact®, Enantone® Synarel®, lossis Lupron®.

Tom qab ntawd, kev kho mob tom ntej no xav kom nce cov hauv paus hauv paus los ntawm cov ovary thiab tswj lub sijhawm ntawm ovulation. Tus poj niam yuav tsum tau txhaj tshuaj gonadotropins nrog FSH lossis LH cov haujlwm los txhawb cov hauv paus kom loj hlob thiab tso cai rau lawv tsim ntau oocytes. Cov no yog piv txwv Puregon®, Gonal F®, Fostimon® Metrodin-HP®, Bravelle®, Humegon® Ménopur® Merional® Repronex® Fertinex® Fertinorm®, Humegon® Ménopur® Merional® Repronex® Fertinex® Fertinorm®, Elonva®, Luvéris®…

Thaum cov hauv paus tau loj hlob txaus thiab qib qib txaus, ovulation tau tshwm sim los ntawm kev txhaj tshuaj HCG (Tib neeg Chorionic Gonadotropin), piv txwv li HCG endo 1500®, HCG endo 5000® (Fr), Pregnyl®, Choriomon®, Profasi-HP®, Chorex®, Novarel®, Ovitrelle® Ovidrel® ®

Pelvic ultrasound thiab kuaj ntshav tau ua tiav ntawm txhua qib los ntsuas kev loj hlob ntawm cov hauv paus hniav.

Tsis muaj cov hauv paus ntau, tsis muaj qe ntxiv ...

Tus poj niam lub zes qe menyuam feem ntau tsim thiab tso tawm tsuas yog ib lub qe paub tab rau ib lub voj voog. Txawm hais tias qhov no txaus rau kev xeeb tub ib txwm muaj, kom ua tiav hauv vitro fertilization, lub hauv paus zoo dua yuav tsum tau txais qe. Yog li ntawd nws yog qhov tsim nyog los txhawb tus neeg mob lub zes qe menyuam ua haujlwm ntau dua li ib txwm muaj. Cov tshuaj muab thaum lub sijhawm kho vitro fertilization ua rau kev loj hlob ntawm ntau cov zes qe menyuam, yog li nce tus naj npawb ntawm cov qe, yog li muaj txoj hauv kev kom tau txais kev cog qoob loo.

2. Sau ntawm oocytes paub tab

Tom qab 32 txog 36 teev ntawm kev txhawb nqa cov tshuaj hormones, cov oocytes siav tau sau siv lub raj me thiab rab koob uas tau tso rau hauv qhov chaw mos. Qhov kev cuam tshuam no tau ua nyob rau hauv kev tso tshuaj loog hauv ib cheeb tsam lossis dav dav nrog kev tswj ultrasound vim tias nws tuaj yeem mob heev. Cov oocytes raug xaiv hauv chav kuaj.

Le phev tau sau ob peb teev ua ntej (lossis thaw tib hnub), thiab cov phev raug cais los ntawm cov kua phev thiab khaws cia ntawm 37 ° C.

3. Fertilization

Ob peb teev tom qab lawv sau qoob, spermatozoa thiab oocytes tau muab tso rau hauv kev sib cuag hauv cov kab lis kev cai kua rau ob peb teev ntawm lub cev kub. Cov kab mob spermatozoa tuaj yeem tshwm tuaj, tsis muaj kev pab sab nraud, hauv kev sib cuag nrog oocyte. Tab sis tsuas yog ib tus phev yuav fertilize qhov no. Feem ntau, qhov nruab nrab, 50% ntawm oocytes yog fertilized.

Cov fertilized oocytes (lossis zygotes) pib ua ntau ntxiv. Hauv 24 teev, cov zygotes dhau los ua cov qe ntawm 2 txog 4 lub hlwb.

4. Hloov chaw hauv plab

Ob txog tsib hnub tom qab fertilization, ib lossis ob lub embryos raug xa mus rau poj niam lub tsev menyuam. Kev hloov pauv hauv plab yog ib txoj hauv kev yooj yim thiab tsis mob uas tau ua los ntawm txoj hlab nyias nyias thiab hloov pauv tau tso rau ntawm qhov ncauj mus rau hauv lub tsev menyuam. Lub embryo tau tso rau sab hauv lub tsev menyuam thiab tsim tawm mus txog thaum cog.

Tom qab cov kauj ruam no, tus poj niam tuaj yeem rov pib ua nws cov haujlwm ib txwm muaj.

Ib lossis ntau lub embryos (hu ua supernumeraries) kuj tseem tuaj yeem khaws cia los ntawm khov rau kev sim tom qab.

Tom qab ntawd, tus kws kho mob tuaj yeem muab tshuaj kho tus mob qog noj ntshav, thiab ntawm cov ntawv yuav tshuaj rau kev kuaj cev xeeb tub kom pom tias IVF tau ua tiav.

Qee qhov kev kho mob qee zaum tsim nyog ua ntej kev xeeb tub tau ua tiav. Thiab hmoov tsis zoo, qee tus khub niam txiv tsis xeeb tub txawm tias tau sim ntau zaus.

Cov lus qhia ua ntej IVF: 

• Tsis txhob haus luam yeeb (txiv neej thiab poj niam!), Vim tias nws txo qis txoj hauv kev xeeb tub.
• Tawm dag zog thiab siv zog kom lub cev hnyav. Nws pab kom muaj kev yug menyuam zoo.
• Rau cov poj niam: noj cov vitamin B9 ua ntej koj cev xeeb tub, vim qhov no txo ​​qis kev pheej hmoo ntawm kev ua tsis zoo hauv tus menyuam hauv plab.
• Tau txhaj tshuaj tiv thaiv khaub thuas (nws tuaj yeem ua rau nchuav menyuam).