Yikuphi i-ICSI-IVF, ukuthi kungani eyenziwe, nokuthi ngabe iphephile
I-ICSI-IVF iyindlela ekhethekile yokufaka umanyolo we- in vitro esetshenziswa ikakhulukazi ezimweni zokwelashwa kwabantu abathintekayo , ngemuva kokuzama ukuvuthwa ngokuphindaphindiwe kwe-IVF, noma emva kokuqanda amaqanda (ukulondolozwa kwama-oocyte) . I- ick-ibonise i-IVF , i-ICSI imele injection ye-intracytoplasmic. Phakathi ne-IVF evamile, iningi lamanzi lihlanganiswa kanye neqanda, lithembele ukuthi enye insimu izongena futhi ifaka iqanda yedwa.
Njengoba i-ICSI-IVF, i-embryologist ithatha isidoda esisodwa futhi siyijobe ngqo eqandeni.
Imitholampilo ethile yokuzala incoma i-ICSI yonke imijikelezo ye-IVF. Abanye banakekele ukwelashwa kulabo abanesifo esibuhlungu besilisa noma esinye isizathu esibonisa ukugula. Kunezimpikiswano ezinhle ngokumelene nokusetshenziswa komsebenzi we-ICSI. (Izingozi ze-ICSI-IVF zingezansi.)
Ngalokho kusho, i-ICSI-IVF inikwe amandla amashado amaningi angenasifo ukukhulelwa lapho, ngaphandle kwalo, bebengakwazi ukukhulelwa ngokusebenzisa amaqanda abo kanye nesidoda.
Kungani i-ICSI-IVF eyenziwe?
I-ICSI-IVF isetshenziselwa ukuhlukunyezwa kwamadoda , okufaka:
- Inani eliphansi kakhulu le-sperm (elibizwa nangokuthi u-oligospermia)
- Isidalwa esingavamile (esaziwa ngokuthi i-teratozoospermia)
- Ukunyakaza kwesidoda esibi (eyaziwa nangokuthi i-asthenozoospermia)
Uma indoda ingenayo isidoda e-ejaculate yayo, kodwa ikhiqiza isidoda, ingase itholwe ngokusebenzisa i-testicular sperm extraction, noma i-TESE.
Isidakamizwa esitholwa nge-TESE sidinga ukusetshenziswa kwe-ICSI. I-ICSI nayo isetshenziselwa izimo zokubuyiselwa kwe-ejaculation uma i-sperm ibuyiselwa emcinini womuntu.
Ukungabi namuntu okuhlukumezekayo akuyona nje isizathu esenza i-ICSI-IVF isetshenziswe. Ezinye izizathu ezisekelwe ebufakazini ze-ICSI zihlanganisa:
- Umjikelezo we-IVF wangaphambili wawunamaqanda ambalwa noma angafakelwa umanyolo : Ngezinye izikhathi, inani elilodwa lamaqanda liyabuyiselwa, futhi izibalo zesilisa zibukeka ziphilile, kodwa akukho maqanda athola umquba. Kulokhu, ngesikhathi sokujikeleza kwe-IVF, i-ICSI ingase ivivinywe.
- Ukusetshenziswa kwesidoda esinefrijini : Uma isisu esithintekayo singabonakali sisebenza kakhulu, i-ICSI-IVF ingase iphakanyiswe.
- Ama-oocyte aqhathanisiwe asetshenzisiwe : Vitrification amaqanda ngezinye izikhathi angabangela ukuqina kwegobolondo leqanda. Lokhu kungabangela ukukhulelwa, futhi i-IVF ne-ICSI ingasiza ekunqobeni lesi sici.
- I-PGD yenziwa : I- PGD (ukuhlolwa kwangaphambi kokutshala izakhi zofuzo) yi-IVF technology evumela ukuhlolwa kwezifo zama-embryo. Kukhona ukukhathazeka ukuthi amasu avamile okufaka umquba angabangela amangqamuzana omzimba (angakaze afake umkhuhlane) ukuba "ahambe" embryo, nokuthi lokhu kungaphazamisa imiphumela enembile ye-PGD.
- I-IVM (ukuvuthwa kwe-in vitro) isetshenziswa: I- IVM iyinhlangano yobuchwepheshe be-IVF lapho amaqanda athola khona ama-ovari ngaphambi kokuba aqoke ngokuphelele. Bahamba ngezigaba zokugcina zokuvuthwa kulabhu. Olunye ucwaningo luye lwathola ukuthi amaqanda e-IVM angeke ahlwanyelwe ngamasamu omuthi emazingeni afana ne-IVF yendabuko. Ucwaningo olwengeziwe luyadingeka, kodwa kungenzeka ukuthi i-IVM ne-ICSI iyindlela enhle.
Izizathu eziphikisanayo zokusebenzisa i- IVF-ICSI
I-IVF ne-ICSI ingaba ubuchwepheshe obukhulu uma kudingeka. Noma kunjalo, kukhona ukungavumelani lapho kungakwazi futhi kungakwazi ukuthuthukisa amazinga okuphumelela. Ukucwaninga kuqhubeka, kepha nasi ezinye izimo iNamerican Society of Reproductive Medicine ebika i-IVF ne-ICSI angeke iqinisekiswe:
- Amaqanda ambalwa kakhulu asusiwe : Ukukhathazeka ukuthi ngamaqanda ambalwa kangaka, kungani engena engozini yokuthi ngeke athole umanyolo? Kodwa-ke, ucwaningo alutholanga ukuthi ukukhulelwa noma ukuphila kwamazinga okuzalwa kuthuthukiswa uma i-ICSI isetshenziswa.
- Ukungabonakali okungaqondakali : I-logic ngemuva kokusebenzisa i-ICSI ukuphatha ukungasebenzi okungaqondakali yilapho esingazi ukuthi yini engalungile, ukuphatha konke kungenzeka ukuthi kuhle uhlelo lokusebenza. Lokho kusho ukuthi ukucwaninga okwamanje akutholakalanga ukuthi i-ICSI ye-infertility engahlongozwanga ikhulisa kakhulu izinga lokuphumelela lokuzalwa lokuzalwa.
- Ubudala bomama obukhulile : Abukho ubufakazi obukhona bokuthi iminyaka yobudala ehamba phambili ithinta amazinga omanyolo. Ngakho-ke, i-ICSI kungenzeka ingadingekile.
- I-IVF-ICSI evamile (okungukuthi, i-ICSI kuwo wonke umuntu): Ezinye ze-endocrinologists zokuzala zikholelwa ukuthi zonke iziguli kufanele zithole i-ICSI ekuqedeni ukuhluleka kokukhulelwa. Kodwa-ke, ucwaningo luye lwathola ukuthi kuzo zonke iziguli ezingama-33, kuphela okuzozuza ngokusetshenziswa okuvamile kwe-IVF-ICSI. Bonke abanye bazobe bethola ukwelashwa (nezingozi) ngaphandle kokuthola inzuzo.
Iyini Inqubo ye-ICSI-IVF?
I-ICSI yenziwa njengengxenye ye-IVF . Njengoba i-ICSI yenziwa ebhodini, ukwelashwa kwakho kwe-IVF ngeke kubonakale kuhluke kakhulu kunokwelapha kwe-IVF ngaphandle kwe-ICSI.
Njenge-IVF ejwayelekile, uzothatha izidakamizwa ezivuselela ama-ovarian , futhi udokotela wakho uzoqapha intuthuko yakho ngegazi nokuhlolwa kwegazi. Uma usukhulile ngokwanele follicles enhle ngokwanele, uzothola ukubuyisa amaqanda , lapho amaqanda asuswa khona kumaqanda akho nge-alamu ekhethekile, eqondiswa yi-ultrasound.
Umlingani wakho uzohlinzeka ngesampula sakhe sowesilisa ngosuku olufanayo (ngaphandle uma usebenzisa umsizi wesilisa noma isidoda esasifriziwe ngaphambili).
Lapho amaqanda ehlulwa, i-embryologist izobeka amaqanda esimweni esikhethekile, futhi isebenzisa i-microscope nenaliti encane, isidoda esisodwa siyojova emaqanda. Lokhu kuzokwenziwa ngeqanda ngalinye elibuyisiwe.
Uma ukukhulelwa kwenzeka, futhi imibungu iphilile, umbungu noma ezimbili kuzodluliselwa esibelethweni sakho, nge-catheter evezwe umlomo wesibeletho, izinsuku ezimbili kuya kwezinhlanu emva kokubuyiswa.
Ungathola ulwazi oluthe xaxa lapha ku- IVF Treatment Step by Step .
Ngakanani I-ICSI-IVF Ibiza?
Inqubo ye-ICSI ngokwayo ibiza phakathi kuka-$ 1,400 kuya ku-$ 2,000. Lokhu kuphezu kwezindleko ezijwayelekile ze- IVF , okuyizindleko ezilinganiselwa ku-$ 12,000 kuya ku-$ 15,000. Kungabiza ngaphezu kwalokhu uma ezinye izindlela ze-IVF zisetshenziswa.
Yiziphi Izingozi ze-ICSI-IVF? Ingabe Kuphephile Ngomntwana?
I-ICSI-IVF ihambisana nazo zonke izingozi zomjikelezo we-IVF ovamile, kodwa inqubo ye-ICSI iveza ezinye ezengeziwe.
Ukukhulelwa okujwayelekile kuza ne-1.5 kuya kwezingu-3 engozini yokukhubazeka okukhulu kokuzalwa. Ukwelashwa kwe-ICSI kuthwala ingozi encane yokukhubazeka kokuzalwa, kodwa kusengavamile.
Ezinye iziphambeko zokuzalwa zingase zenzeke nge-ICSI-IVF, ikakhulukazi i-Beckwith-Wiedemann syndrome, i-Angelman syndrome, i-hypospadias, ne-chromosome engavamile. Zenzeka ezingaphansi kwezingu-1 amaphesenti ezinsana ezithathwe nge-ICSI nge-IVF.
Kukhona ingozi eyandayo kancane yenkinga yesilisa enenkinga yokuzala esikhathini esizayo. Lokhu kungenxa yokuthi ukungabi namuntu okungadalwa yindoda kungadluliselwa kwizakhi zofuzo.
Lezi zingozi ezengeziwe ukuthi kungani odokotela abaningi bethi i-ICSI ayifanele isetshenziswe yonke imijikelezo ye-IVF. Kuyinto eyodwa uma udinga ICSI ukuba ukhulelwe. Khona-ke, ungabonisana nodokotela bakho ubuhle nobuqili bokusebenzisa lobu buchwepheshe bokukhiqiza. Kodwa-ke, uma ungaba nomjikelezo we-IVF ophumelelayo ngaphandle kwe-ICSI, kungani ubungozi ngisho nokunyuka okuncane kokukhubazeka kokuzalwa?
Iyini Isilinganiso Esiphumelelayo se-ICSI-IVF?
Inqubo ye-ICSI ifaka amaqanda ama-50 kuya kwangu-80. Ungase ucabange ukuthi wonke amaqanda ahlonywe nge-ICSI-IVF, kodwa akwenzi. Ukufaka umquba akuqinisekisiwe ngisho nalapho isidakamizwa sijova emaqanda.
Khumbula ukuthi izinga lokukhulelwa akutshelanga ukukhulelwa komtholampilo noma izinga lokuzalwa lokuzalwa.
Uma kwenzeka ukwenziwa umquba, izinga lokuphumelela kwabashadile abasebenzisa i- ICSI ne-IVF lifana nombhangqwana osebenzisa ukwelashwa okuvamile kwe-IVF.
> Umthombo:
> Iphepha Lokungapheli Elinesineke: Intracytoplasmic Injection Injection (ICSI) . I-American Society of Medicine Yokuzala.
> Amakomidi Wokuzivocavoca we-American Society for Medicine Reproductive and Society for Technology Ezalelwe Ukukhiqiza. "Injectcytoplasmic sperm injection (ICSI) ye-non-male factor infertility: umbono wekomiti. " Fertil Steril . 2012 Dec; 98 (6): 1395-9. doi: 10.1016 / j.fertnstert.2012.08.026. I-Epub 2012 Septhemba 12.