Ka mokhoa oa in vitro fertilization, ho sebelisoa likhopolo tsa poleloana e khutšoanyane le e telele ea IVF . Ba bolela motsoako o itseng oa meriana ho susumelletsa mahe a sebetsang. Ho khethoa ho mokuli oa protocol ke motho ka bomong (ho itšetlehile ka lilemo, li-concomit mafu, li-hormone le katleho ea boiteko ba nakong e fetileng ea ho etsoa ka maiketsetso ka maiketsetso). Morero oa sehlooho sa rona ke ho nahana ka likarolo tsa nako e telele ea IVF protocol, 'me e nka matsatsi a makae, hammoho le merero ea eona.
Litefiso tsa nako e telele tsa IVF li ea joang?
- Mokhahlelo oa pele oa protocol e telele ha u leka ho thibela bolotsana ka maiketsetso ke ho thibela ho qeta nako pele ho nako. E le ho etsa sena, matsatsi a 7-10 pele ho nako ea ho ea khoeling, mokuli o laetsoe lithethefatsi tse thibelang mesebetsi ea mae a bomme (e leng, ho fokotsa tlhahiso ea li-hormone tse hlasimollang luteinizing le tsa follicle). Lithethefatsi tsena mosali o lokela ho li nka matsatsing a 10-15, ka mor'a moo li-ultrasound tsa sefuba le mae a bomme, hammoho le teko ea mali ho ea ho boemo ba estradiol. Haeba sephetho ha se lumellane le phekolo ea bona, joale lithethefatsi li lokela ho nkoa matsatsi a mang a supileng.
- Kamora ho felisoa ha lithethefatsi tse matlafatsang li-hormone ho ea karolong ea bobeli ea protocol - ho susumetsa mae a bomme. Bakeng sa sena, mokuli o behiloe hormone - gonadotropin, e etsang hore ovulation e tsoele pele. Ka lebaka leo, follicles tse peli kapa tse fetang tse feletseng li ka hōla ka nakoana. Ho laola ultrasound ho etsoa ka letsatsi la bosupa kamora ho qaleha ha tlhahiso ea gonadotropin. Maemong a mangata, hormone ena e tlameha ho nkoa ka matsatsi a 8-12.
- Karolo ea boraro ea protocol e telele ke seo ho thoeng ke ho qalisoa ha follicles. Nakong ena, ho hōla ha li-follicles ho netefatsoa, moo ho nang le li-ovules tse hōlileng ka ho feletseng. Tabeng ena, fana ka tlhahiso ea lihlahisoa tsa hormone tsa li-hormone -gonadotropin tsa chorionic . Ntho e ka sehloohong ea ho nka HCG ke ho ba le bonyane li-follicle tse peli tse ntseng li hōlile le boemo ba estradiol bonyane 200 pg / ml ka follicle. Tsamaiso ea hCG e etsoa lihora tse 36 pele pokello ea oocyte.
Kahoo, re ile ra tloaelana le bolelele ba protocol e telele ea IVF ka matsatsi. Ntho ea bohlokoa nakong ea ts'ebetso ea ho susumetsa ke ho latela litaelo tsohle (ho nka lithethefatsi tse hlokahalang ka matsatsi) le lithuto tse hlokahalang. Ho hlekefetsoa ha e mong oa bona ho ka hlahisa phello e lebelletsoeng.