ICSI - insemination. ICSI - te tukanga. He aha te mea rerekē i IVF IVF + ICSI?

He maha nui o faaipoipo o Apimereke, taea riro te mau metua whakawhetai tamaiti roa-tatari ki te whakataki o āwhina hangarau uri. Artificial i roto i vitro kikiritanga (IVF) - te tikanga tino ahu whakamua. Ko te tohu hoki tona whakamahi e ngā momo o te pākoko i roto i rua wahine, me te tane. Tei runga i te tōtika ngā tukanga māuiuitanga e taea tae 50%, me te runga ake. ICSI-wairakau - he kē nui-mahi o IVF.

He hītori iti

Hoki te wā tuatahi i roto i te tikanga kikiritanga vitro i whakamahia i roto i Ingarangi i te tau 1976. Ko, kāore, ko tenei hapū i te pūkano (Tupara). Otiia kua i roto i te 1978 i whanau i roto i te whare hauora taua i Bourn Hall - te tuatahi tamaiti "whakamātautau-ipuipu". Tona whaea - Luizy Braun - i nekehia atu korere kākano. A i roto i te 1993, kawea te tetahi tuatahi i roto i roto i Belgium ICSI-kikiritanga. Reviews o te tikanga, mo te wahi tino, te tōtika tiketike o tenei tikanga. Ko he ahurei ia take, me te whakapono u i roto i rua i te hua pai, ka kino, o te akoranga, e kore e taea e.

Me pēhea te ki te kawe i roto i te tukanga kikiritanga vitro?

Tuatahi o te katoa, e hiahia ana koe ki te mamae i te hi'opo'a maitai hauora. Mai kawea te tikanga i roto i "i roto i te vitro", e ahu mai te tinana o te wahine, me te tangata pūtau iroriki. Ki te mahi i tenei, te whakamahi i te raau taero i roto i te whaea i mua nei whakaongaonga te höu o hua , me te faaineine i te endometrium mō hapūtanga. I muri pa i te mahi e hiahiatia ana, i te poka o te oocyte ovarian tiki. Hei tupu kikiritanga, kua whakanohoia e ratou i roto i te ipuipu ki te purapura moenga, te wahi e rite ki te taiao tikanga. I muri e toru ki te rima ra, e kawea te embryos taea ki te kōhao uterine. Ko te tikanga kawe toru ranei wha embryos, pera kia etahi kia whakakahoretia ano ia e te tinana wahine, a ka whakawhanake tetahi o ratou anake. Engari kia rite ki te hua o IVF taea haere mai me te hapū maha.

He aha te mea rerekē i IVF IVF + ICSI?

I roto i te tuku iho hua IVF ki parāoa whakanohoia i roto i te taiao motuhake i reira atu kikiritanga ko te ara tūturu (reira ko te introduction motuhake o parāoa ki te cytoplasm o te hua manu). ICSI-tukanga Ko tā te reira i injecting parāoa ki te hua manu i roto i te werohanga microneedle. O te kounga parāoa me te hapū auau o tona tupu, rite ki te tikanga, e kore e whakawhirinaki. Hoki te tikanga, me whai koe i te iti rawa kia kotahi te kounga o te parāoa.

Kia pehea te Ko te tikanga o ICSI?

I muri i te whakaoti ngā wāhanga katoa faaineineraa (rite i roto i te tikanga IVF): whakaongaonga ovarian, poka purapura moenga maimoatanga kohinga me haamata faaineineraa ki wairakau te hua manu. Ki tenei mutunga, te embryologist te whakamahi i te kaiwhakahohe motuhake tango i ona papa tiaki. I raro i te karu, tangohia te parāoa tino kaha. pūtau rua e whakanohoia i roto i te taiao horomata motuhake ki te pāmahana e hiahiatia ana. Na, te whakamahi i te micropipette ovum pūmau motuhake i te parāoa hiku i wehea, ka whakanohoia i roto i te microneedle. Embryologist te whakamahi i haavare, ki te tūpato tino, e matakitaki ana i te scene roto i te karu, me te whakahaere i to ratou kaupapa katoa whakamōhio parāoa ki te hua manu. He oti inaianei ICSI-tukanga. Na e hiahia ana koe ki te tatari noa i muri kikiritanga me te wehenga pūtau tuatahi. He aha te mea rerekē i IVF IVF + ICSI i roto i te tua ki te tukanga o te haputanga? Tino korero, tenei i puta ke, me te mutunga. I muri i te angitu kikiritanga, te wahine ka waiho i raro i te te tirotiro tamau o tākuta me te i muri i IVF.

He aha ngā āhuatanga whakaatu te tikanga ICSI?

Kikiritanga e ICSI kawea atu i raro i te momo tino nui o te pākoko tane, untreatable. Hei tauira:

• Azoospermia - he ngaro tino o parāoa i roto i te tokomauri.

• Teratozoospermia - aroaro o spermatozoa he whirihoranga noa, i roto i te nui iti iho i te 14%.

• Oligozoospermia - iti te maha o te parāoa.

• ngaro congenital o te tātea vas.

• Herenga muri raho.

I tua atu, i te tikanga ICSI whakamahia hoki te mahi rawakore o te hanganga kounga, me te ine o te parāoa, te kounga iti "tio" parāoa o ngā nganatanga kāore mua o IVF, pākoko takenga i Mōhiotia.

Nahea ia faaineine no te te tukanga?

I mua i te tukanga, wahine ICSI me te tangata me haere i te raupapa o ngā whakamātautau:

• momo toto, rH take;

• pakewakewa;

• AIDS;

• kakā C me B.

He tika nga marama e toru i muri hoki Hua o tätari.

kia kawe te wahine i roto i taua akoranga rite:

• tātari i runga i te toto hormones (FSH, LH, prolactin, estradiol, testosterone, te taiaki, TTG, DHA-S);

• ūkuia i te wahi taihemahema mō mate huna me te mate paipai;

• tātari toto me te matūora haumanu;

• urinalysis whānui;

• Pani i runga i te otaota;

• tātari coagulation.

Ka rite ki he teuteu ki he ICSI tā kōrero whakahauanga ki te rata mātai mō contraindications taea.

No te tangata, te rangahau tino nui i roto i te faaineineraa no te kikiritanga tukanga ko purapura moenga. Ko reira i roto i takoto tenei tātaritanga e te kaha o te tangata ki te hapu. tātari purapura moenga heheu te āhuatanga ine, me te kounga o te parāoa, me te he mema o te akoranga e whai ake nei:

• spermotest - tātaritanga o parāoa kaha ki te mau tonu nekeneke i roto i te ipuipu;

• te whakatau i te maha o leucocytes purapura moenga i roto i ;

• tāututanga o mate;

• Mart-test;

• tātari pani ōpure.

I araia te ra o te wahine oocyte poka te ki te kai, te inu anake i muri i te whakaaetanga o te tākuta. Ko te tangata e toru ranei wha ra i mua i te tukanga ko te ki te mawehe i te takoto mo te maha o nga ra kihai i inu waipiro.

whai huatanga o te tikanga

arata'i ICSI-kikiritanga ki haputanga i 30-60% o te wā. Tei te reira i runga i te āhua o ngā pūtau uri, (e taea te pakaru i roto i te tukanga o te hua manu) e rua wahine me te tangata (pea te maua e tetahi o ratou te Pākatokato ira), me te te embryologist tohu e whakamana i te tukanga. Ki te mea kua puta te kikiritanga, te tūponotanga e o te pūtau hou i hanga e whakawhanake te kukune hauora ko te 90-95%. Me kï reira e te hua pai i roto i hapūtanga maha he i raro i tikanga. Ki te kawea ai te hua o te tukanga e rave rahi embryos whiwhi atu ratou atawhai te whakamahi i hauota wai. e kore e taua embryos ngaro ona āhuatanga ara i muri te maha o nga tau.

E taea e pā te hua o te tukanga?

angitu ICSI-kikiritanga Tei te reira i runga i ngā āhuatanga:

• Partner tau;

• ai o pākoko;

• haumanu;

• mahi rata;

• āhua hua manu.

Hoki te hua pai titau tukanga spermatozoa kaha i toa heke atu, me te wahine oocytes-kounga tiketike. Ki te he tangata kahore parāoa hohe, te tūponotanga o te haputanga heke.

Ko te kōwhiringa o te parāoa physiologically pakeke

tauwehe toa he pānga nui i runga i te whanaketanga o te ira. E mea pinepine te take o te pākoko tane tavini he maha nui o parāoa teeki i roto i te tokomauri. Ko te parāoa pakeke ki te herea ki te waikawa hyaluronic. Kei te hāngai te reira i runga i tenei tikanga, me te tīpako i te pūtau e hiahiatia ana. kōwhiria e biochemically embriologist E rata parāoa mātau e pā ana ki gialorunanom. Ko enei pūtau physiologically pakeke ki te kia whakamahia mō te ICSI.

ICSI-te kikiritanga: te utu o te tikanga

Katoa ra, e hiahia i roto i te tōtika, te utu o te tukanga pinepine o te wahine, titiro hoki te whare hauora pai mo te tukanga. I roto i Russia, whakamātau ki te fakafuofua'i 'i te utu o tetahi-ICSI kikiritanga he 150-200 mano moni. Abroad, te utu o te tukanga taua i runga. I roto i a Iharaira - āhua 2-taiepa. I roto i te United States, Germany, Switzerland - i roto i te 3-4 wā.

tūponotanga taea

Ahakoa maha painga, ICSI, kikiritanga He kotahi drawback nui - e kore e tauwehe kōwhiringa tūturu mahi i konei. he nui rawa hoki nga tane ki te aroaro o mate ira (hei tauira, syndrome o Klinefelter, me ētahi atu) e kore e taea e ki te hapu i waho te whakamahi o ngā rautaki turuki tenei. Ka taea te riro taua mate me puta i runga i nga tau maha. aukatinga ira i roto i te tamariki ake nei e kore e whakawhanake tika ki te tukanga IVF iho. Heoi, ka taea e ngā mātua te pākoko pā te hauora o te uri. I roto i te tikanga ki te kitea pūira taea me abnormalities ira i roto i te kukune takitahi, e tūtohu ana ki te kawe i roto i mua implantation-tātaritanga. Ka taea te mahi te reira i runga i te atamira mo ono blastomeres.

He aha ngā tikanga o roto i vitro kikiritanga atu?

E whakawhiti oocytes me parāoa (tohuhema) ki te pūkano, ki te i te iti rawa tetahi o ratou whai - GIFT.

Zefta - oocytes wairakau (zygotes) e kawea ki te pūkano.

FFkm - ECO oocyte kaituku , aru e kawe te ira ki te retsipientki kōpū. whakamahia tēnei tikanga i roto i te ngaro o te ovaries i roto i nga wahine, me te takahi o ratou mahi, ngā ira mate i roto i te whaea, te menopause tūturu.

Ko te "metua vahine a Maata" - embryos mau metua ira mō te whanau tamaiti e whakawhiti ki te kōpū o tetahi wahine. Ko te take mō tenei pea te ngaro ta'efe'ungá ranei o te kōpū o te manawanui, engari ki te tiaki o te mahi ovarian.

IVF tukanga ko, o te akoranga, te utu nui, me te wa-kai, te taputapu e tika ana ki te kawe i roto i insemination kahore i roto i haumanu katoa ki te kitea he hoki he tākuta tohu tino uaua,. Heoi, ka taea tenei hōtaka mo ki maha faaipoipo urikore mohio te hari nui o metua vahine e metua.