Don samun qwai shirya don haɗuwa, ana amfani da shirye-shirye na musamman don tayar da ovaries. Haɗin waɗannan kwayoyi zai iya zama daban. Irin wannan haɗuwa ana kiransu ladabi. Yawancin lokaci a cikin hadewar in vitro, ana amfani da nau'i biyu na ladabi. Wannan tsari ne mai tsawo da gajere na IVF. Suna amfani da magunguna daya. Kira na gajeren lokaci ya bambanta da tsawo kawai a cikin allurai da kuma lokacin aikace-aikacen. Don sanin ko wane tsari zai yi amfani da shi, likita ya yi nazarin tarihin likita mai hankali. Har ila yau yana la'akari da shekaru, nauyin, yanayin tsarin haihuwa. Ka yi la'akari da yin amfani da ladabi game da misali na gajere IVF.
Aikace-aikacen da tsawon lokaci na gajere na IVF
Yawancin matan da suka magance matsalolin haɗin kai da wannan hanya, suna da sha'awar tsawon lokacin da gajeren lokaci yake. Hakanan, ƙaddamarccen yarjejeniya ta kusan kama da yanayin sake zagaye na halitta. Yana da makonni 4, yayin da tsawon lokaci shine makonni 6. An yi amfani da irin wannan yarjejeniya idan mace tana da matsala marar yarinya a cikin gajeren lokaci mai tsawo. Bayani don amfani yana da shekaru. Idan mace ta tsufa da aka ba da shawarar don hadewar in vitro, an yi amfani da yarjejeniyar gajere.
Yanayin rarrabe na taƙaitacciyar yarjejeniya
Babban bambanci tsakanin gajeren lokaci da kuma dogon lokaci shine, tare da takaitacciyar yarjejeniya, mai haƙuri ya tafi lokaci na mai da hankali, yayin da a tsawon lokaci kuma akwai tsari na gyaran. Yawancin lokaci lokaci na mai da hankali ya fara a rana ta uku na sake zagayowar. A wannan lokaci, mai haƙuri ya zo dubawa, ya wuce gwajin jini. Bugu da kari, likita ya gudanar da bincike don tabbatar da cewa kyallen jikin cikin mahaifa ya zama mai zurfi bayan haila.
Rahotanni na gajere na IVF da tsawon lokaci na ladabi
Dangane da abin da ake amfani da kwayoyi, akwai ɗan gajeren lokaci tare da agonists, wani ɗan gajeren lokaci tare da masu tayar da hankali da kuma matsanancin gajere tare da yarjejeniyar antagonists.
A takaice tare da agonists, GnRH ya ƙunshi manyan matakai 6. Mataki na farko shi ne haɗuwa da glandan gurasar. Wannan mataki ya kasance daga rana ta uku na sake zagayowar zuwa fashewa. Yana amfani da irin wannan shirye-shirye na wani gajere yarjejeniya a matsayin agonists GnRH, dexamethasone, folic acid. Tashi yana farawa da kwanaki 3-5 na sake zagayowar kuma yana da kwanaki 15-17. Sa'an nan kuma ya bi fashewa. Anyi shi ne don kwanaki 14-20 bayan farawar motsa jiki. 3-4 days bayan fashewa yi canja wuri. Mataki na gaba shine goyon baya. Bayan canja wuri a rana ta goma sha huɗu, ana gudanar da kulawar ciki. A cikin duka, wannan yarjejeniya ta kasance tsawon kwanaki 28-35. Rashin rashin daidaituwa a cikin yarjejeniyar shi ne kwayar cutar maras dacewa, rashin inganci na oocytes. Bugu da kari shi ne cewa wannan yarjejeniya sauƙin sauyawa ne.
Ƙananan (gajeren gajere) tare da yarjejeniyar da aka saba da shi yana da matakai guda ɗaya kamar yadda ya rage tare da agonists, sai dai ba tare da matsala na gwaninta ba.
Har yanzu akwai irin wannan ra'ayi a matsayin yarjejeniya ba tare da analogues na gonadoliberin (tsarki) ba. A wasu lokuta, an yi amfani da makircinsu wanda ba ya haɗa da hanawa glandan kwakwalwa. A wannan yanayin, za a iya amfani da shirye-shirye na FSH kawai. Alal misali,
Feature na gajere yarjejeniya
Lokacin amfani da wannan yarjejeniya, jarabawar bazuwa ba zai yiwu bane, tun da magungunan ƙwayoyi sun kashe ƙananan LH. Bugu da ƙari, mata suna dacewa da duk matakai na yarjejeniya. Kuma akwai hanzarta sake dawowa da aikin glandon. Ƙungiyar jikin mutum ba ta da wataƙila ga abubuwa masu banƙyama da kuma haɗarin bunkasa cyst tare da wannan yarjejeniya an rage. Tsarin ɗan gajeren lokaci yana da ɗan lokaci kaɗan kuma mata suna karɓar matsanancin matsananciyar damuwa.