Wɔn a worehwehwɛ abofra - Dɛn ne ICSI mfiridwuma? (Nkwaboaa a Wɔde Gu Nkwammoaa Mu) .

Dae a wobɛda sɛ ɔbɛyɛ ɛna anaa agya no yɛ anidaso a ɛsen biara wɔ obiara koma mu. Nanso ɛtɔ mmere bi a, esiane nneɛma ahorow nti, saa dae no siw kwan. Abofra nyinsɛn a ɛyɛ den, anaa awo a wontumi nwo, yɛ ɔhaw a nnipa pii hyia wɔ ɔmanfo mu nnɛ. Enti, wɔ bere a ɛte sɛɛ mu no, akwan pii wɔ hɔ a ebetumi ama saa dae no abam denam nnɛyi nnuruyɛ mmoa so. Ɛnnɛ, yɛrebɛka ayaresa kwan a ɛte saa a edi mu yiye no biako ho asɛm. Ɛno ne mfiridwuma a wɔfrɛ no ICSI (Intracytoplasmic Sperm Injection).

Sɛ yɛbɛka no tiawa a, dɛn ne ICSI?

Ebia edin tenten ICSI no te sɛ nea ɛyɛ den kakra. Nanso nea ɛkyerɛ no yɛ mmerɛw koraa. ICSI (Intracytoplasmic Sperm Injection) yɛ ɔkwan titiriw a wɔfa so sa awo a wontumi nwo, a wɔyɛ wɔ aduruyɛdan mu. Ɛha yi, wɔde ahwɛyiye de mmadwoa biako a ɛwɔ apɔwmuden a wɔapaw no yiye gu ɛna no nkesua biako mu . Botae titiriw a ɛwɔ saa kwan yi so ne sɛ wɔbɛbɔ awotwaa denam nsa a wɔde bɛma no so.

Ebia woate IVF (In Vitro Fertilization) ho asɛm. ICSI yɛ anammɔn foforo a ɛkɔ anim na ɛyɛ soronko wɔ IVF ayaresa mu. Saa kwan yi boa wɔn a wɔahwere wɔn mma esiane mmarima awo a wontumi nwo nti no titiriw.

Dɛn na asɛmfua intracytoplasmic kyerɛ?

Eyi yɛ nyansahu mu asɛmfua kakra. Sɛ yɛbɛka no tiawa a, ade bi a ɛte sɛ jelly wɔ ɛmo mu. Yɛfrɛ no cytoplasm. Intracytoplasmic kyerɛ sɛ "wɔ cytoplasm no mu." Ɛno kyerɛ sɛ wɔde mmadwoa no gu nkesua no fã yi a wɔfrɛ no cytoplasm no mu.

Nsonsonoe bɛn na ɛda ICSI ne IVF a wɔde di dwuma daa ntam?

Eyi yɛ asɛmmisa a nnipa pii wɔ. Ɛwom sɛ ICSI nso ka IVF nhyehyɛe no ho de, nanso nsonsonoe ketewaa bi da abien no ntam. Susuw ho saa kwan yi so.

• Amanne kwan so IVF kwan: Wɔ eyi mu no, wɔde nkesua a wogye fi ɛna no hɔ no gu aduruyɛdan mu aduan titiriw bi mu na wɔde mmadwoa mpempem pii a efi agya no hɔ twa ho hyia. Afei, saa mmadwoa no biako nkutoo kɔ, tow nkesua no mu, hyɛn mu, na ɛtwɛn ma ɛwo. Eyi kyerɛ sɛ wɔma kwan ma eyi si wɔ awosu mu. Ɛtɔ mmere bi a, ebia mmadwoa biako mpo renkɔ nkesua no mu.

• ICSI kwan: Eyi nte saa wɔ ha. Ɛha yi, wɔpaw mmadwoa a eye sen biara na ɛwɔ apɔwmuden sen biara na wɔde gu nkesua no mu tẽẽ. Ɛte sɛ adwuma titiriw bi a wɔde nneɛma kɔma nkurɔfo. Eyi ma hokwan a ɛwɔ hɔ sɛ wɔbɛwo no yɛ kɛse.

Wɔfrɛ ICSI ne IVF nyinaa sɛ Assisted Reproductive Technology (ART).Ɛne sɛ, ɔkwan a wɔfa so boa ma onyinsɛn abofra denam nkesua ne mmadwoa a wɔde bɛka abom wɔ nipadua no akyi, wɔ aduruyɛdan mu.

Henanom na ICSI ayaresa fata yiye?

Wɔkamfo ICSI kyerɛ mmarima a wɔwɔ mmarima awo a wontumi nwo ho nsɛm titiriw. Tebea horow a ebia wo duruyɛfo bɛka saa ayaresa yi ho nyansa wɔ ase hɔ no bi wɔ ase ha.

Bio nso, ICSI kwan no betumi ayɛ nea mfaso wɔ so wɔ nsɛm afoforo pii mu:

• Wɔ nsɛm a wɔadi kan abɔ mmɔden sɛ wɔbɛsa IVF a wɔtaa de di dwuma nanso wɔanyɛ awotwaa biara mu no .
• Sɛ ɔbea a ɔde nkesua no ma no adi boro mfe 35 a .
• Nkwaa anaa mmadwoa a wɔadi kan ahyɛ nwini mu de ayɛ ayaresa (cryopreservation) .Sɛ wɔde di dwuma a.

Ɔkwan bɛn so na ICSI ayaresa nhyehyɛe no yɛ adwuma?

Saa adeyɛ yi wɔ anammɔn atitiriw pii, na ne nyinaa kɔ so wɔ wo duruyɛfo ne nnuruyɛfo kuw bi a wɔhwɛ so koraa ase.

1. Ahosiesie ansa na wɔayɛ ayaresa: nkesua ne mmadwoa a wogye

Ansa na wobɛyɛ ICSI no, ɛsɛ sɛ wudi kan nya nkesua fi ɛna no hɔ na wunya mmadwoa fi agya no hɔ.

Sɛnea wobenya nkesua:

• Ovulation induction: Mpɛn pii no, ɛmo biako pɛ na ɛba ɔsram biara. Nanso, sɛnea ɛbɛyɛ a ayaresa yi bedi nkonim kɛse no, ɛsɛ sɛ wogye nkesua pii prɛko pɛ. Eyi nti, wɔma ɔbea no hormone ahorow pii wɔ nnafua 8 kosi 14 mu. Eyi kanyan awotwaa no na ɛma nkesua pii nyin prɛko pɛ.
• Nkwaa a wogye: Sɛ nkesua no nyin wie a, wɔde ade a ɛyɛ fɛ yiye fa ɔbea no awotwaa no mu wɔ aduru a wɔde kum nipadua mu yare a emu nyɛ den ase na wɔde kɔ awotwaa no mu. Oduruyɛfo no de transvaginal ultrasound di dwuma de kyerɛ sɛnea wɔbɛsan agye no. Wɔde ahwɛyiye yi nkesua no fi nipadua no mu denam afiri bi a wɔde abata ade no ho. Eyi nyɛ yaw.

Sɛnea wobenya mmadwoa:

Mpɛn pii no, wɔboaboa mmadwoa ano da koro no ara a wɔboaboa nkesua ano no.

• Ɛsɛ sɛ wokwati nna mu kyɛfa anaasɛ wo ho bɛhyɛ wo ho nna abien kosi abiɛsa ansa na wode mmadwoa ama.
• Ɛsɛ sɛ wode wo ho hyɛ ɔbarima ne ɔbea nna mu wɔ kokoam dan mu na woboaboa wo mmadwoa ano gu ade titiriw bi a lab no de ama mu.
• Ɛsɛ sɛ wɔde saa nhwɛsode yi kɔ aduruyɛdan mu wɔ dɔnhwerew biako ntam.

Wɔ tebea horow bi mu (sɛ nhwɛso no, sɛ wɔantumi annye mmadwoa, mmadwoa ntini a esiw), ɛho hia sɛ wɔyɛ oprehyɛn nya mmadwoa fi mmadwoa no mu tẽẽ.

2. Wɔ lab mu: ICSI nhyehyɛe no

Mprempren ne bere a ɛho hia paa. Sɛ wonya nkesua ne mmadwoa no wie a, animdefo yɛ ICSI adeyɛ no wɔ aduruyɛdan mu.

1. Wɔde ahwehwɛ pipette a ɛyɛ fɛ yiye kura ɛmo a abere yiye mu.

2. Wɔ afiri a wɔde hwɛ nneɛma nketenkete a ahoɔden wom ase no, wɔpaw mmadwoa biako a ɛwɔ apɔwmuden na ɛtumi keka ne ho yiye sen biara .

3. Wɔde ade foforo a ɛyɛ fɛ fa mmadwoa a wɔapaw no, na wɔde to nkesua no fasu mu, na wɔde gu cytoplasm no mu .

4. Afei fa ahwɛyiye yi ade no.

3. Adeyɛ no akyi: Nkwaboaa nyin ne nea wɔde hyɛ nipadua mu

Sɛ wɔde mmadwoa no gu mu wie a, wɔde ahwɛyiye hwɛ nkesua no so wɔ aduruyɛdan mu nna pii hwɛ sɛ ebia ayɛ nyinsɛn na abɛyɛ awotwaa anaa.

• Nkwaa a wɔahyɛ no yiye no mu kyekyɛ yɛ nkwammoaa na enyin bɛyɛ ɔfã bi a wɔfrɛ no blastocyst wɔ nnafua 5 kosi 6 akyi.
• Saa bere yi de, wɔpaw awotwaa a ɛwɔ apɔwmuden na anyin sen biara no na wɔde hyɛ ɛna no awotwaa mu. Wɔfrɛ eyi embryo transfer .
• Wɔ eyi nti, wɔde ultrasound mfiridwuma di dwuma de afiri a ɛyɛ fɛ yiye a wɔfrɛ no catheter fa awotwaa no mu hyɛ awotwaa no mu, na wɔde awotwaa no hyɛ awotwaa no mu.
• Sɛ nyinsɛn betumi aba a, ɛsɛ sɛ saa awotwaa yi bata awotwaa no fasu ho yiye na efi ase nyin wɔ hɔ.

Mfaso ne asiane bɛn na ɛwɔ ICSI ayaresa so?

Te sɛ aduruyɛ biara no, ICSI wɔ mfaso ne asiane ahorow bi.

Mfasoɔ

Mfaso kɛse a ɛwɔ saa kwan yi so ne sɛ edi yiye sen IVF a wɔde di dwuma wɔ amanne kwan so no wɔ mmarima awo a wontumi nwo ho nsɛm a wodi so na ɛma awofo nya hokwan wo mma no mu. Wɔ mmeae bi a wɔsa yare no, wɔde ICSI di dwuma ma obiara, ɛmfa ho nea ɛde awo a wontumi nwo no ba, esiane sɛ edi yiye kɛse nti.

Asiane ahorow a ɛwɔ mu

Asiane ahorow a ebetumi aba abofra no so

Eyi haw awofo pii. Mmofra a wonyinsɛn wɔn wɔ awosu mu no mu bɛyɛ 2% betumi anya akwahosan ho haw bi (awo mu tebea horow) wɔ awo mu. Nhwehwɛmu ahorow bi kyerɛ sɛ asiane yi betumi akɔ soro kakra 1% pɛ, anaasɛ akodu 3%, ama mmofra a wɔnam ICSI so nyinsɛn wɔn.

Nanso aduruyɛ ho abenfo gye di sɛ ebia nea ɛde nkɔanim yi ba ne nea ɛde awo a wontumi nwo , na ɛnyɛ ayaresa no ankasa. Nanso, ɛho hia sɛ yɛte ase sɛ asiane yi sua koraa.

Asiane ahorow pii wɔ hɔ a ebetumi ama ICSI kwan no akɔ soro kakra:

• Angelman yare a ɛma obi nya ɔyare no
• Autism a ɛwɔ nipadua no mu
• Beckwith-Wiedemann yare a ɛma obi nya ɔyare no
• Ɔhaw ahorow a ɛwɔ ɔbarima ne ɔbea ntam nsonsonoe mu
• Hypospadias a ɛwɔ nipadua no mu
• Adwene mu dɛmdi ahorow

Sɛ w’adwene mu yɛ wo naa anaa wusuro bi wɔ eyi ho a, wo ne wo duruyɛfo nkasa pefee . Ɔbɛkyerɛkyerɛ eyi mu akyerɛ wo akɔ akyiri.

Bere bɛn na ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn?

Sɛ wuhu sɛnkyerɛnne a edidi so yi mu biara wɔ ICSI ayaresa akyi a, frɛ wo duruyɛfo ntɛm ara.

• Nsɛnkyerɛnne a ɛkyerɛ sɛ nyinsɛn a ɛwɔ awotwaa no akyi: Nsɛnkyerɛnne a ɛkyerɛ sɛ awotwaa bi bɛhyɛ awotwaa no akyi (sɛ nhwɛso no, wɔ awotwaa mu) (te sɛ ɛyaw a emu yɛ den wɔ yafunu no fã biako, mogya a ɛretu wɔ ɔbea no awotwaa mu).
• Nsɛnkyerɛnne a ɛkyerɛ sɛ obi anya ɔyare bi: atiridiinini, atiridiinini, ne nsu a ɛtɔ dodo wɔ ɔbea no awotwaa mu.
• Nsɛnkyerɛnne a ɛkyerɛ sɛ nyinsɛn gu: Mogya a ɛtɔ kɛse, yafunu mu yaw a emu yɛ den.
• Nsɛnkyerɛnne a ɛkyerɛ sɛ wɔwo awo ntɛm: Awotwaa mu a ɛtwetwe a ɛba ansa na da a ɛsɛ sɛ wɔwo no adu.

So asiane a ɛwɔ mmanoma a wobenya mu no dɔɔso?

Nea ɛbɛyɛ na wo nyinsɛn no ayɛ yiye no, nnuruyɛfo betumi asi gyinae sɛ wɔde nkwaboaa bɛboro biako (sɛ nhwɛso no, abien) bɛkɔ w’awotwaa mu. Sɛ eyi ba a, ebia wobɛwo mmanoma anaa mma mmiɛnsa. Mmarima pii a wɔsoa no ma asiane a ɛwɔ hɔ sɛ ɛna no ne akokoaa no nyinaa benya nsɛnnennen te sɛ awo a ɛba ntɛm no yɛ kɛse. Enti, ɛho hia sɛ wo ne wo duruyɛfo susuw nkwaboaa dodow a ɛsɛ sɛ wode kɔ baabi foforo ho.