E le ho fumana mahe a itokiselitse ho fula, ho etsoa litokisetso tse khethehileng ho susumetsa mae a bomme. Ho kopanya lithethefatsi tsena ho ka fapana. Likopano tse joalo li bitsoa liprotocols. Hangata ka in vitro fertilization, mefuta e 'meli ea li-protocol e sebelisoa. Ena ke protocol e telele le e khutšoanyane ea IVF. Ba sebelisa lithethefatsi tse tšoanang. Short protocol e fapana le nako e telele feela ka tekanyo le nako ea kopo. E le hore o tsebe hore na ke tsamaiso efe e lokelang ho sebelisoa, ngaka e hlahloba histori ea bongaka ea mokuli. E boetse e nahanela lilemo, boima, boemo ba mokhoa oa ho ikatisa. Nahana ka tšebeliso ea litsamaiso ho latela mohlala oa poleloana e khutšoanyane ea IVF.
Kopo le nako ea protocol e khutšoanyane ea IVF
Basali ba bangata ba rarollang mathata a ho emoloa ka mokhoa ona, ba thahasella hore na protocol e khutšoanyane e nka nako e kae. Ha e le hantle, protocol e khutšoane e batla e lekana le potoloho ea tlhaho. E nka libeke tse 4, ha nako e telele e le libeke tse 6. Mofuta ona oa protocol o sebelisoa haeba mosali a e-na le likarabo tse futsanehileng tsa mahlaseli nakong ea nako e telele ea protocol. Tlhaloso ea tšebeliso e boetse ke lilemo. Haeba mosali a le moholo ho feta lilemo tse khothalletsoang ho in vitro fertilization, ho sebelisoa protocol e khutšoanyane.
Lintlha tse ikhethang tsa protocol e khutšoanyane
Phapang e ka sehloohong pakeng tsa e khutšoanyane le protocol e telele ke hore, ka protocol e khutšoane, hang-hang mokuli o ea sehlopheng se tsosang, ha nako e telele ho boetse ho na le mohato o laolang. Ka tloaelo karolo e susumetsang e qala ka letsatsi la boraro la potoloho. Nakong ena, mokuli o tla ho tla hlahloba, ho fetisa tlhahlobo ea mali. Ka nako e tšoanang, ngaka e etsa tlhahlobo e le hore e ka etsa bonnete ba hore lisele tsa sebete li fetohile tse fokolang ka mor'a ho ea khoeling.
Litlhahiso tsa palo e khutšoanyane ea IVF le nako ea mehato ea protocol
Ho itšetlehile ka hore na ke lithethefatsi life tse sebelisitsoeng, ho na le khutšoanyane le li-agonists, e khuts'oanyane le bahanyetsi ebile e le e khutšoanyane haholo le bahanyetsi ba protocol.
E khutšoanyane le li-agonists, GnRH e kenyelletsa mehato e 6 e meholo. Mokhahlelo oa pele ke thibelo ea sekheo sa pituitary. Sethaleng sena se qala ho tloha letsatsing la boraro la potoloho ho ea ho nako. E sebelisa litokisetso tse joalo tsa protocol e khutšoanyane e kang agonists GnRH, dexamethasone, folic acid. Tšusumetso e qala ka matsatsi a 3-5 a potoloho 'me e nka matsatsi a 15-17. Ebe e latela ho pata. E etsoa ka matsatsi a 14-20 kamora ho qala ha ts'ebetso. Matsatsi a 3-4 ka mor'a hore ho fetisoe nako ea ho fetisoa. Sehlopha se latelang ke tšehetso. Ka mor'a hore ho fetisoe letsatsi la leshome le metso e mene, taolo ea bokhachane e etsoa. Ka kakaretso, tsamaiso ena e ile ea nka matsatsi a 28-35. Bothata ba protocol ke ho phalla ka boithatelo, boleng ba oocytes bo tlaase. Ntho e kholo ke hore tsamaiso ena e fetisetsoa habonolo.
Metsotsoana (e khutšoanyane) e nang le protocol e nang le bahanyetsi e na le mekhahlelo e tšoanang le e khutšoane le li-agonists, feela ntle le mohato oa ho thibela sekhobo sa pituitary.
Ho ntse ho e-na le khopolo e joalo e le protocol ntle le litšoantšo tsa gonadoliberin (e hloekileng). Maemong a mang, merero e sa kenyeletsang ho thibela lesela la pituitary e sebelisoa. Tabeng ena, feela litokisetso tse nang le FSH li ka sebelisoa. Ka mohlala,
Tšobotsi ea protocol e khutšoanyane
Ha u sebelisa tsamaiso ena, ho tlohela ho hong ho sa khonehe ho ke ke ha khoneha, kaha lithethefatsi tse khethehileng li hatella tlhōrō ea LH. Ho phaella moo, basali ba mamella ka ho phethahetseng mekhahlelo eohle ea protocol. 'Me ho na le ts'ebetso e potlakileng ea ts'ebetso ea boipelaetso ba pituitary. 'Mele oa motho ha o itšetlehe ka lintho tse fosahetseng' me kotsi ea ho hlahisa cyst le tsamaiso ena e fokotsehile. Protocol e khutšoanyane e nka nako e fokolang mme basali ba fumana khatello ea kelello e tebileng haholo.