ECO MHI yana daya daga cikin ayyukan likitan haihuwa, wanda aka bayar daga kasafin kudin kasa. Shirin wannan nau'i yana samar da halayyar hanya na cikewar in vitro a kan asali. Yi la'akari da shi dalla-dalla, bincika wanda aka ba wannan sabis, abin da ake buƙata don wannan.
Zan iya yin IVF kyauta?
An ba da ECO kyauta ta Shirin Ci Gaban Tarayya. Kowace gundumar gundumar ta ƙayyade wa] annan ayyukan likita, zanen su har shekara guda. Mace na iya koyi game da yiwuwar aiwatar da hanyar kai tsaye a ƙauyenta ta hanyar tuntuɓar shawara ta mata a wurin zama. A wa annan birane inda akwai cibiyoyin tsara iyali, zangon nema don kulawa da kayan aiki ana sarrafa shi ta hanyar bayanai na ma'aikacin lafiyar. Tun shekara ta 2016 IVF na MHI an gudanar da shi don duk dalilai na rashin haihuwa . Banda shi ne babban nauyin namiji.
Yadda ake yin IVF kyauta?
Kafin yin IVF ga CHI, dole ne mace ta dauki hanya mai tsawo don samun ƙidaya. Na farko, kana bukatar ka tuntuɓi shawara ta mata. A cikin wannan ƙungiya, ta iya samun duk bayanan game da adadi nawa nawa don wannan shekara, wanda ya zama dole don samun shi. Kafin zuwan lokacin da rana da aka tsara don yin aikin, ana sa ran mai haƙuri ya:
- Nazarin lafiya tare da mijinta;
- karɓar ra'ayi na hukumar likita;
- da zabi na wurin da ake sarrafawa;
- rubuta zuwa layi .
Abin da ke cikin shirin IVF na CHI?
Babu wani nauyin ECO kyauta akan manufofin da za a iya gudanarwa a wasu ladabi. A wannan yanayin, farashi na kowane mataki na iya bambanta, kuma ya dogara ne da birni, yankin da matar zata fuskanta. Jerin ayyukan da asibiti ke ba da kyauta. Sau da yawa, a matsayin wani ɓangare na hadewar in vitro kyauta, an bayar da wata mace tare da ayyukan kiwon lafiya na gaba:
- ƙarfafawa ta hanyar sarrafa kwayoyin halitta;
- fashewa na ƙaddara kayan ciki;
- ICSI ;
- amfrayo canja wuri.
Kwanan kamfanoni masu zaman kansu da ke kwarewa a cikin IVF suna ba da kansu kyauta kyauta a matsayin ɓangare na shirin. Daga cikinsu akwai:
- daskarewa na embryos - idan ya cancanta, zai yiwu a sake maimaita dashi ta hanyar lokaci;
- binciken bincike - ƙaddamar da matakin hCG , ɗauke da duban dan tayi.
Yadda zaka fara IVF don OMS?
Sau da yawa, matan da suke so su dauki hanyar yin amfani da shi don samun kyauta, ba su san abin da ake bukata ba don IVF don IVF. Da farko kana buƙatar tabbatar da ganewar asali, don kafa dalilin rashin haihuwa . Don yin wannan, ya kamata ka tuntubi asibitin, wanda yana da lasisi na gudanar da binciken binciken bincike a fannin gynecology. Saboda haka, za ka iya amfani da shawarwarin mata a wurin wurin yin rajista.
Binciken ya ƙunshi ba kawai hanyar bincike na mata ba, har ma da matansu. Yawancin lokacin nazarin karatu a IVF ba kyauta ne ga CHI ba, har zuwa ƙarshe wanda aka gano ganewar asali - 3-6 watanni. Bayan duk gwaji, mace ta samo wani tsantsa daga katinta ta fito. Wannan ƙaddarar an ba da mai haƙuri ga Hukumar don zaɓin marasa lafiya na IVF don IVF.
Kafin ka iya samun hanyar IVF ba tare da kyauta ba, bisa ga MHI, yarinyar ya buƙaci gaba ɗaya ta hanyar magani. Idan watanni 9-12 bayan ganewar asirin "rashin haihuwa", sakamakon maganin - babu sabunta aikin aiki, akwai alamomi ga fasalin shirin IVF. Sai kawai bayan wannan akwai damar da za a samo asali.
Yadda ake samun jigilar IVF ta MHI?
Shirin shirin ECO na kyauta ne na aiwatar da hanyar da aka kashe a tsarin kudi na kasa, daidai da jerin jiragen. An tattara su ta hanyar Hukumar ta hanyar kiwon lafiya na yankuna. Dalilin da ya haɗa da masu haƙuri a cikin jerin jiran su ne tsantsa daga ƙarshen binciken likita.
Jerin takardu na IVF
Domin ya zama jerin sakon don hanya, dole ne ku samar da takardun takardu. Ana karɓar takardar aiki da takardun da aka dace da kwamitocin gundumar. Jerin takardu na IVF a kan manufofin CHI kaman wannan:
- fasfo na maza biyu (aboki) tare da kofe;
- asusun inshora na kiwon lafiya da kwafinsa;
- SNILS;
- wani samfurin game da hanyoyin kiwon lafiya da aka wuce (2 kofe);
- sakamakon binciken;
- Gida zuwa IVF daga gynecologist gundumar;
- daftarin rubuce-rubucen don aiki na bayanan sirri;
- wasika na garanti daga wata mace wadda ta zaba ta hanyar asibitin, wanda ya tabbatar da yiwuwar ECO MCH.
Nazarin IVF
Sakamakon binciken nazarin gwaje-gwaje shine tushen dalili na IVF. Ana samun cikakkiyar jerin bincike na mata a matakan shawarwari. Dalili akan ayyukan bincike shine:
- Duban dan tayi na ƙwayoyin pelvic ;
- gwajin jini don hormones (AMG, FSH );
- biochemistry na jini;
- Smears daga urethra da farji;
- gwaje-gwaje don ovulation;
- spermogram (cikin maza).
Tsawon nazarin nazarin IVF ga MHI yana iyakancewa. Mata masu shirin wannan hanya sunyi la'akari da wannan gaskiyar. Saboda haka, daga lokacin da aka samu sakamakon sakamakon binciken da aka ba da bayanai zuwa ga Hukumar, ba za a wuce fiye da watanni 6 ba. In ba haka ba, wasu nau'o'i na bincike za a yi jinkiri. Lokacin da aka duba yiwuwar IVF, likitoci sun gwada halin yanzu na tsarin haihuwa na mace. Mai haƙuri yana samar da wani samfurin daga katin sakon, wanda sakamakon binciken ba kawai ta kanta ba, har ma da abokin tarayya aka nuna.
Indiya ga IVF
Yin tafiyar da hakorar in vitro a karkashin tsarin jihar ba zai yiwu ba a duk lokuta. Ana nuna alamomi masu zuwa don wannan hanya:
- rashin sanin haihuwa na asalin tubal;
- rashin rashin haihuwa wanda ya haifar da rashin lafiya a cikin ci gaban ƙananan tsalle-tsalle (ƙyama, ƙuntatawa, stenosis);
- ƙananan rashin haihuwa a cikin mata masu haɗuwa da haɗuwa da haɗakarwa;
- gaskiyar rashin kasancewar ciki a cikin watanni 12 bayan kashewa;
- gaban namiji dalilin rashin haihuwa (rushewar tsarin jinsin namiji).
Maimaita IVF don OMS zai yiwu bayan sabon shigarwa na kunshin takardu. Bugu da ƙari ga waɗannan alamomi, akwai kuma zabin zabin, wanda gabanin ya zama dole don samun samfurin IVF:
- nauyin mace a cikin kilo 50-100;
- matakin antimulylerovoy hormone (AMG) - 0,5-7 ng / ml;
- maida hankali akan FSH a ranar 3 na sake zagayowar - 15 IU;
- normospermia a cikin abokin tarayya.
Har zuwa wane shekara ne IVF akan OMS?
Ya kamata a lura da cewa lokacin da aka ba da kwaskwarima, likitoci sun kula da lafiyar lafiyar jiki, da kuma shekarun mai haƙuri. Akwai wasu sharuddan. Saboda haka shekarun wata mace ta IVF bisa ga CHI bai wuce shekaru 39 ba. Raunin ciki a cikin 'yan matan tsofaffi yana haɗari da haɗari masu yawa - ƙuruƙuru mai wuya, ƙwayoyin cuta na ciwon tayi. Saboda haka, cibiyoyin ba su dauki hanya ga matan da suka fara aiki a shekaru 39 da haihuwa.
Contraindications for IVF
Fim na IVF don OMS zai yiwu idan lafiyar mai lafiya ta dace da ka'idoji. Ko da tare da babban marmarin, in vitro hadi ba koyaushe zai yiwu. Contraindications ga hanya sune:
- nau'o'in aiki na tarin fuka, ko da kuwa kwayar cutar ta shafa;
- maganin cutar hepatitis;
- HIV;
- syphilis cikin mace ko abokin tarayya;
- neoplasms na m yanayi;
- da ciwon sukari a cikin tsarin haihuwa wanda ake buƙatar magani;
- cututtuka na tsarin sigina;
- cututtuka na endocrin, tare da cuta mai cututtuka;
- kwatsam da nakasawa na yau da kullum;
- cututtuka na tsarin mai juyayi;
- rashin isasshen asibiti;
- cututtuka na tsarin dabbobi;
- na kullum renal rashin cin nasara;
- Abubuwa na ciki na cikin mahaifa, wanda ba a iya yin amfani da kwai cikin fetal ba;
- illa marar kyau na tsarin tsarin jijiyoyin jini;
- ciwo, guba.
Tsarin hanyar IVF don MHI a cikin matakai
An haɗu da haɗakar ta jiki ta tsawon lokaci na shiri. Dole ne mai haƙuri ya bi duk takardun likitan don cimma burin. Sai kawai bayan kammala horo, a ranar da aka zaɓa, ana aiwatar da tsarin IVF, matakan sa kamar haka:
- Stimulation na ovaries. Wannan mataki ya haɗa da shan maganin hormonal wanda ya karu yawan adadin ƙura. Lokaci guda, saka idanu na endometrial
- Tsuntsar ƙwayoyi. A wannan mataki, ana tattara tarin ƙwayar tsofaffin kwayoyin germ don kara haɗuwa a ƙarƙashin yanayin dakin gwaje-gwaje. A wannan yanayin, ana amfani da cutar shan magani a cikin intravenous. Gwanon kanta yana sarrafawa ta hanyar duban dan tayi.
- Amfani da kwayoyin kwayar halitta da kuma noma na embryos. Masanin tayi yana yin haɗuwa da kwai mafi kyau tare da maniyyi, wanda ke da tsarin daidai, ya dace da duk sigogi.
- Canja wurin embryos a cikin kogin cikin mahaifa.
- Taimako don lokaci na luteal don cin nasara na amfrayo.
- Matakan bincike don gano lokacin da aka fara ciki.
Yaya yawancin embryos an dasa su tare da IVF ga OMS?
Amfani da embryo a lokacin IVF ana gudanar da shi a matakai daban-daban na ci gaba da tayi na gaba - daga zygote zuwa mataki na blastocyst (mafi yawancin masu haifuwa da haihuwa sun haɗa da amfrayo kai tsaye a wannan mataki). An kafa shi a ranar 5th-6th bayan hadi. Don cimma sakamakon mafi kyau, da biyan tsarin aikin cibiyoyin iyali, likitoci sun shiga cikin jima'i 2-3 a lokaci guda. A lokacin canja wurin, an saka kullun na musamman a cikin kogin cikin mahaifa ta hanyar kogin mahaifa.
IVF a cikin yanayin sake zagaye bisa ga CHI
Shirye-shiryen tsari na IVF yana aiki ne mai tsawo. Bugu da kari, bazai yiwu a yi amfani da duk hanyoyin da ake aiwatar da shi ba a cikin bit vitro kanta. Sabili da haka motsawa daga ovaries ba zai yiwu ba a cikin matan da ke da matsala tare da ovaries ko kuma sunyi aiki a kan gland a cikin baya. A irin waɗannan lokuta, IVF yana gudana a cikin yanayin sake zagaye. Doctors dauki guda oving kwai. A wannan yanayin, kwayoyi da ake amfani dasu don kula da endometrium.
Babban ma'anar irin wannan IVF ba wani abu bane na sake zagaye na halitta. Wannan yana kawar da halayen da ake haɗuwa da yin amfani da kwayoyin hormonal. Duk da haka, akwai rashin amfani na IVF a cikin yanayin sakewa:
- low chances na sakamako mai kyau;
- Idan hanyar haɗuwa ba ta yi nasara ba, ba zai yiwu a maimaita shi a cikin ɗan gajeren lokaci ba.
ECO OMS tare da dabbobi masu bada
Ana amfani da tsarin IVF na wannan nau'in idan mace ba ta da kwayar cutar lafiyarsa. A wannan yanayin, ana amfani da kwai mai bayarwa. A saboda wannan dalili, likitoci suna aiki tare da nau'i na mawuyacin hali da mai bayarwa tare da kwayoyin hormonal. Bayan yawanci, likitoci suna daukar jinsin jima'i daga mace mai lafiya, sunyi wa marasa lafiya da IVF.
Shin izinin rashin lafiyar da IVF ya bayar don OMS?
Yawancin iyaye masu zuwa a gaba suna da sha'awar wannan tambaya game da ko an rubuta takardun izinin marasa lafiya don IVF ga CHI. A ƙarshen hanya, cirewa daga ma'aikatan kiwon lafiya, mai haƙuri yana karɓar takardar shaidar a cikin 2 kofe a kan hanyar IVF. Ɗaya ya kasance tare da mahaifiyar gaba, na biyu - an canja shi zuwa polyclinic a wurin zama. Dangane da wannan takardar shaidar kuma ya bayar da izinin lafiya, wanda aka ba shi a wurin aiki.
Game da lokaci, tsawon lokacin aikin wannan takardun, za'a iya bayar da shi daga ranar farko ta jiyya har sai an bayar da jini zuwa HCG (kimantawa sakamakon sakamakon). Ginin asibitin da aka rufe tare da gwajin gwaji don hormone ko bayan tabbatar da farawar gestation. Ya kamata ku tuna cewa za ku iya samun takardar shaida na rashin aiki don aiki a kowane mataki na shirin IVF, an bayar da shi bisa ga aikace-aikacen mai haƙuri.
Yawancin ƙoƙari na iya yin IVF akan inshora na likita?
Gaskiyar ita, sau nawa zaka iya yin IVF don OMS, ya dogara da kai tsaye akan ƙasar zama. Alal misali, a ƙasashen Yamma (Faransa, Ostiraliya) yana halatta yin irin wannan hanya har zuwa sau 4. A ƙasashe irin su Girka da Holland, mata zasu iya amfani da ƙoƙarin 3 don su haifi jariri tare da IVF don kyauta. Amma ga kasashe na CIS, a yawancin jihohi babu iyakacin iyaka akan aiwatar da wannan hanya - ma'aurata suna ba da takardu ga IVF a kan MHI sau da yawa. A aikace, har shekara guda, ma'aurata biyu ba za su iya amfani da hanya ba fiye da sau 2.