Tsis muaj dab tsi zoo nkauj dua li npau suav txog kev ua niam lossis txiv. Tab sis qee zaum, vim muaj ntau yam laj thawj, nws yuav lig me ntsis los ua kom txoj kev npau suav ntawd muaj tseeb. Hnub no, peb yuav tham txog ib qho thev naus laus zis uas tuaj yeem coj kev cia siab tshiab rau cov neeg uas nkees ntawm tsis muaj menyuam thiab tau dhau ntau yam kev kho mob. Ntawd yog IVF, lossis thev naus laus zis in vitro fertilization uas ntau tus neeg tab tom tham txog. Txawm hais tias qhov no yuav zoo li nyuaj me ntsis, cia peb tham txog nws ib kauj ruam zuj zus, yooj yim heev.
Hauv lwm lo lus, IVF yog dab tsi?
Lub ntsiab lus tag nrho ntawm IVF yog In Vitro Fertilization . Ntawm no, 'In Vitro' txhais tau tias "hauv iav". Yog li ntawd, peb hu IVF ua tus txheej txheem ntawm kev ua kom lub qe los ntawm leej niam thiab cov phev los ntawm leej txiv sab nraum lub cev, hauv chav kuaj.
Xav txog seb, feem ntau ib tug me nyuam yuav xeeb tub los ntawm kev sib koom ua ke ntawm ib lub qe thiab ib tug phev hauv niam lub cev. Tiam sis thaum muaj qee yam ua rau qhov txheej txheem no tsis tshwm sim zoo hauv lub cev, cov kws kho mob ua qhov txheej txheem no sab nraum lub cev, uas yog, hauv chav kuaj, siv cov khoom siv tshwj xeeb.
Tom qab ob peb hnub, tus menyuam hauv plab yuav raug xa rov qab mus rau hauv niam lub tsev menyuam. Yog tias tus menyuam hauv plab cog rau hauv phab ntsa tsev menyuam, kev xeeb tub yuav ua tiav. Qhov no yog lub tswv yim tseem ceeb ntawm kev kho mob IVF.
Leej twg xav tau kev kho mob IVF?
IVF tsis yog ib yam dab tsi uas tsuas yog leej twg uas tsis muaj menyuam xwb thiaj ua tau. Cov kws kho mob tsuas yog siv qhov no thaum lwm yam kev kho mob tsis ua haujlwm lossis thaum muaj qee yam mob. Cia peb saib cov xwm txheej uas kev kho mob IVF yuav tsim nyog.
| Vim li cas | Piav qhia yooj yim |
|---|---|
| Kev thaiv lossis kev puas tsuaj rau cov raj Fallopian | Thaum cov raj uas nqa lub qe los ntawm lub zes qe mus rau lub tsev menyuam raug thaiv, cov phev yuav tsis tuaj yeem mus txog lub qe. Qhov no tsis yog teeb meem vim tias cov raj no raug hla hauv IVF. |
| Kab mob endometriosis | Qhov kev loj hlob ntawm cov nqaij uas yuav tsum nyob hauv lub tsev menyuam sab nraud lub tsev menyuam tuaj yeem ua rau puas tsuaj rau cov kabmob xws li zes qe menyuam thiab cov raj fallopian. Qhov no yog ib qho ua rau muaj menyuam tsis taus. |
| Teeb meem ntawm cov phev | Yog koj cov phev tsawg, tsis txav tau zoo, lossis muaj teeb meem nrog koj cov phev zoo li cas, nws nyuaj rau xeeb tub yam ntuj tsim. |
| Cov kab mob zes qe menyuam xws li PCOS | Cov mob xws li Polycystic Ovary Syndrome (PCOS) tuaj yeem ua rau cov qe tsis sib xws. IVF tuaj yeem pab los ntawm kev tswj cov qe kom loj hlob. |
| Kev Tsis Muaj Me Nyuam Tsis Paub Tseeb | Qee zaum, txawm tias txhua qhov kev kuaj mob zoo li qub los, tus menyuam tsis loj hlob. Hauv cov xwm txheej zoo li no, IVF yog ib qho kev xaiv zoo. |
| Cov kab mob caj ces | Yog tias muaj kev pheej hmoo ntawm kev kis tus kab mob caj ces los ntawm ib leej niam txiv mus rau tus menyuam, lub qe menyuam tuaj yeem raug kuaj ua ntej muab cog rau hauv lub tsev menyuam thiab xaiv tau lub qe menyuam noj qab haus huv. |
| Hnub nyoog nce ntxiv | Thaum ib tug poj niam laus zuj zus, qhov zoo ntawm nws cov qe txo qis, uas ua rau nws tsis muaj peev xwm xeeb tub tau raws li ntuj tsim. |
Tsis tas li ntawd xwb, cov thev naus laus zis IVF kuj tseem siv thaum tus neeg pub qe lossis tus neeg sawv cev rau cev xeeb tub siv.
Cov txheej txheem kho IVF ua haujlwm li cas?
Qhov no tsis yog ib yam dab tsi uas ua tiav tau hauv ib hnub. Nws yog ib qho txheej txheem uas siv sijhawm li 4 txog 6 lub lis piam thiab muaj ntau kauj ruam. Cia peb tham txog txhua yam kom meej meej.
1. Kev Txhawb Nqa Zes
Feem ntau, koj lub cev tso ib lub qe uas loj hlob hauv ib hlis. Tab sis hauv IVF, ib lub qe tsis txaus. Tau txais ntau lub qe zoo thiab loj hlob sai li sai tau ib zaug ua rau muaj kev vam meej ntau dua. Yuav ua li no, koj yuav tau txhaj tshuaj hormone ntau zaus txhua hnub rau li 8 txog 14 hnub.Koj yuav tsum tau txais nws. Cov tshuaj txhaj no ua rau koj lub zes qe menyuam ua haujlwm, ua rau ntau lub qe loj hlob ib zaug es tsis yog ib lub xwb.
Thaum lub sijhawm no, koj tus kws kho mob yuav kuaj xyuas koj tsis tu ncua.
- Kev Ntsuas Ultrasound: Cov kev ntsuas no ntsuas qhov loj thiab tus naj npawb ntawm cov follicles hauv lub zes qe menyuam. Qhov no tuaj yeem pab txiav txim siab seb lub qe puas loj hlob lawm.
- Kev Kuaj Ntshav: Cov tshuaj hormones raug kuaj xyuas seb puas yuav tsum tau nce lossis txo cov tshuaj.
Thaum cov qe loj tag lawm, yuav txhaj tshuaj zaum kawg. Qhov no hu ua "Trigger Shot." Qhov no yog ua kom tiav qhov loj kawg ntawm cov qe thiab npaj lawv kom tso tawm ntawm lub zes qe. 36 teev tom qab txhaj tshuaj no, kauj ruam tom ntej yog kev rho cov qe.
2. Kev Nrhiav Qe
Qhov no zoo li phais me me xwb. Tiam sis tsis muaj dab tsi yuav tsum ntshai dhau. Ua tiav nrog kev siv tshuaj loog me me, yog li koj tsis hnov mob dab tsi.
Tus kws kho mob muab ib rab koob me me ntxig rau hauv lub zes qe menyuam los ntawm lub qhov chaw mos nrog kev pab los ntawm lub tshuab ultrasound. Tom qab ntawd, siv lub cuab yeej nqus uas txuas rau rab koob, cov qe uas loj hlob lawm yuav raug tshem tawm ib qho zuj zus. Cov qe uas tau sau los ntawm txoj kev no yuav raug muab tso rau hauv lub tais uas muaj cov kua tshwj xeeb thiab muab tso rau hauv lub tshuab ua kom lub qe loj hlob ntawm qhov kub uas xav tau rau tus menyuam hauv plab.
3. Kev ua chiv
Tib hnub uas koj mus rho qe, koj tus khub yuav muab ib daim qauv phev los ntawm koj. Tom qab ntawd, tus kws tshawb fawb txog kev xeeb tub hauv chav kuaj yuav muab cov qe uas loj hlob lawm nrog cov phev sib xyaw ua ke thiab cia lawv sib xyaw ua ke.
Feem ntau, siv txoj kev hu ua ICSI (Intracytoplasmic Sperm Injection) . Qhov ua ntawm no yog xaiv cov phev zoo tshaj plaws thiab txhaj ncaj qha rau hauv lub qe nrog ib rab koob me me. Qhov no ua rau muaj feem ntau ntawm kev xeeb tub.
Feem ntau, kwv yees li 70% ntawm cov qe uas loj hlob lawm uas tau txais los ntawm kev sib xyaw ua ke tau zoo. Piv txwv li, yog tias tau txais 10 lub qe, kwv yees li 7 lub yuav loj hlob mus ua cov menyuam hauv plab.
4. Kev Loj Hlob ntawm Cov Me Nyuam Mos
Tom qab muaj menyuam hauv plab lawm, cov menyuam no raug saib xyuas zoo hauv chav kuaj mob li 5 txog 6 hnub. Thaum lub sijhawm no, cov qe menyuam yuav faib thiab loj hlob. Tsis yog txhua tus menyuam yuav loj hlob mus txog theem no. Feem ntau, tsuas yog li 50% ntawm cov menyuam uas tau xeeb tub lawm thiaj li mus txog theem blastocyst , uas yog theem uas tsim nyog rau kev cog rau hauv lub tsev menyuam. Qhov no txhais tau tias yog tias muaj 7 tus menyuam, tsuas yog 3 lossis 4 tus menyuam thiaj li yuav loj hlob zoo.
5. Kev Hloov Chaw Me Nyuam Mos
Qhov no yog kauj ruam kawg thiab tseem ceeb tshaj plaws hauv cov txheej txheem IVF. Nws tsis mob. Nws yog ib qho txheej txheem yooj yim, zoo li muaj kev kuaj Pap.
Tus kws kho mob muab ib lub raj nyias nyias (catheter) ntxig rau hauv lub tsev menyuam los ntawm lub qhov ncauj tsev menyuam thiab xa cov qe menyuam zoo tshaj plaws lossis cov qe menyuam uas tau xaiv ua ntej mus rau hauv lub tsev menyuam. Qhov no siv sijhawm tsawg dua 10 feeb.
Tseem Ceeb: Feem ntau tsuas yog ib lub qe menyuam xwb los yog ob lub qe menyuam xwb thiaj raug hloov mus. Yog tias muaj ntau lub qe menyuam ntxiv, qhov kev pheej hmoo ntawm kev muaj menyuam ntxaib lossis peb tug menyuam yuav nce ntxiv. Cov qe menyuam uas tseem tshuav uas nyob hauv qhov zoo tuaj yeem khov rau kev siv yav tom ntej.
Ces txhua yam uas tshuav yog tos ua siab ntev. Yog tias lub qe menyuam uas tau cog rau hauv lub tsev menyuam tau txuas nrog phab ntsa ntawm lub tsev menyuam (implantation), ces yuav muaj cev xeeb tub. Yuav kom paub meej qhov no, yuav kuaj ntshav ntawm 9 thiab 14 hnub.
Cov kev pheej hmoo thiab cov kev mob tshwm sim ntawm kev kho mob IVF yog dab tsi?
Feem ntau IVF yog ib txoj kev kho mob uas muaj kev nyab xeeb. Txawm li cas los xij, ib yam li lwm yam kev kho mob, muaj qee qhov kev pheej hmoo thiab cov kev mob tshwm sim uas tuaj yeem tshwm sim. Nws yog ib qho tseem ceeb uas yuav tsum paub txog lawv.
| Kev Pheej Hmoo/Cov Teeb Meem Sab Nraud | Kev piav qhia |
|---|---|
| Yug Ntau Tus Me Nyuam | Yog tias muaj ntau tshaj ib lub qe menyuam raug xa mus, qhov muaj feem yuav muaj menyuam ntxaib yuav nce ntxiv. Qhov no tuaj yeem ua rau muaj teeb meem xws li yug ntxov. |
| Kab mob zes qe menyuam ntau dhau (OHSS) | Ib yam mob tsis tshua muaj uas tshwm sim los ntawm cov tshuaj hormones uas tau muab los txhawb lub zes qe menyuam. Cov tsos mob suav nrog o, xeev siab, thiab mob plab. Yog tias mob hnyav, tej zaum yuav tau mus pw hauv tsev kho mob. |
| Kev rho menyuam | Muaj kev pheej hmoo ntawm kev poob menyuam thaum cev xeeb tub ntuj thiab IVF. Qhov no tuaj yeem nce ntxiv thaum muaj hnub nyoog. |
| Cev Xeeb Tub Ectopic | Kev cog lub qe menyuam rau sab nraum lub tsev menyuam, feem ntau nyob rau hauv lub raj fallopian. Qhov no yog ib qho mob txaus ntshai. |
| Cov kev mob tshwm sim feem ntau | Cov tshuaj txhaj no yuav ua rau xeev siab, mob taub hau, tsis muaj zog, mob plab me ntsis, mob mis, thiab mob qhov chaw txhaj tshuaj. Feem ntau cov no tsis yog qhov mob hnyav. |
Cov txheej txheem kho mob no tuaj yeem ua rau nkees heev, ob qho tib si lub cev thiab lub hlwb . Kev xav zoo li kev cia siab, kev tu siab, thiab kev ntxhov siab feem ntau tuaj yeem tshwm sim. Yog li ntawd, nws yog ib qho tseem ceeb heev uas yuav tsum tham ntau nrog koj tus khub thaum lub sijhawm no, nrhiav kev txhawb nqa los ntawm cov neeg koj hlub, thiab nrhiav kev sab laj yog tias tsim nyog.
Kev kho mob IVF ua tau zoo npaum li cas?
Qhov no yog lo lus nug loj tshaj plaws uas txhua tus neeg xav txog. Qhov feem pua ntawm kev vam meej ntawm IVF txawv ntawm ib tus neeg mus rau ib tus neeg. Lub ntsiab lus tseem ceeb uas cuam tshuam rau nws yog tus poj niam lub hnub nyoog .
- Tus nqi ua tiav yog siab dua rau cov poj niam hnub nyoog qis dua 35 xyoo (feem ntau yog li ntawm 40% - 50%).
- Feem pua no maj mam txo qis ntawm hnub nyoog 35 thiab 40 xyoo .
- Tom qab muaj hnub nyoog 40 xyoo, qhov kev vam meej poob qis heev.
Ntxiv rau hnub nyoog, cov yam xws li qhov ua rau muaj menyuam tsis taus, txoj kev ua neej (haus luam yeeb, qhov hnyav), tus naj npawb ntawm kev cev xeeb tub yav dhau los, thiab qhov zoo ntawm lub tsev kho mob kuj cuam tshuam rau kev vam meej.
Tsis txhob txhawj yog tias ib lub voj voog IVF ua tsis tiav. Muaj ntau tus neeg yuav tsum sim ntau lub voj voog kom ua tiav qhov txiaj ntsig zoo.
Tej yam yuav tsum xav txog ua ntej thiab tom qab kev kho mob
Ua ntej pib kho IVF, koj thiab koj tus khub yuav tsum tau kuaj ntau yam. Cov no suav nrog kev kuaj ntshav, kev kuaj plab mog, thiab kev kuaj noob qes. Koj tus kws kho mob kuj tseem yuav qhia koj kom pib noj cov vitamins, xws li folic acid.
Tom qab kev kho mob, tshwj xeeb tshaj yog tom qab hloov cov menyuam hauv plab, nws yog qhov zoo tshaj plaws kom tsis txhob ua ub ua no hnyav thiab nqa khoom hnyav. Tab sis koj tsis tas yuav pw hauv txaj tag nrho. Qhov tseem ceeb tshaj plaws yog ua raws li koj tus kws kho mob cov lus qhia kom meej.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- IVF yog ib txoj kev kho mob uas ib tug menyuam hauv plab uas tsim los ntawm kev sib xyaw ua ke ntawm qe thiab phev sab nraum lub cev raug cog rov qab rau hauv tsev menyuam.
- Qhov no tsis yog ib yam uas ua rau txhua tus. Nws yog qhov zoo tshaj plaws rau cov neeg uas muaj tej yam tshwj xeeb, xws li cov hlab ntaws raug thaiv lossis muaj teeb meem txog phev.
- Tus poj niam hnub nyoog yau dua, qhov muaj feem yuav ua tiav ntau dua.
- Cov txheej txheem no tuaj yeem ua rau koj lub cev thiab lub hlwb qaug zog, yog li ua tib zoo saib xyuas koj txoj kev noj qab haus huv ntawm lub hlwb.
- Tsis txhob tso tseg kev cia siab yog tias koj ua tsis tau zoo rau thawj zaug. Muaj ntau tus neeg yuav tsum sim ntau zaus.
- Yog koj muaj lus nug txog qhov no, thov koj tham nrog koj tus kws kho mob .
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Tsis muaj lus teb tau muab tso tawm. Ntxiv koj cov lus tawm ntawm no thawj zaug.
Ntxiv koj cov lus