Nau neih theihna beiseina thar: ICSI hmanga enkawl dan (Intracytoplasmic Sperm Injection) chungchang zawng zawng

Fa neih tumna tihhlawhtlin hi a chang chuan harsatna lian tak a ni thei a ni lawm ni? Hei hi thupui sensitive tak a ni a, a bik takin fa nei lo harsatna tawk mek nupa tan chuan. Chuvangin vawiinah hian tunlai damdawi lama enkawl dan bik, chutiang harsatnate tanpui thei tur chungchang kan sawi dawn a ni. Chu chu ICSI, a nih loh leh Intracytoplasmic Sperm Injection . He hming hi a buaithlak deuh viau nachungin, awlsam takin i hrethiam ang u.

ICSI chu eng nge ni? IVF leh ICSI hi eng nge an danglamna?

ICSI hi nau pai theih lohna enkawlna atana hmanraw bik a ni. Strict takin sawi ila, In Vitro Fertilization (IVF) -a tel ve a ni.

IVF tih dan pangngaiah chuan hmeichhe egg chu laboratory-ah lak a ni a, mipa sperm sang tam takin a hual vel a ni tih han ngaihtuah teh. Tichuan, chu sperm pakhat chuan a mah chauhin egg chu a chhuah a, fertilization a awm hun a nghak a ni. Intlansiakah hnehna chang ang mai a ni. Mahse a chang chuan sperm pakhat pawh egg chhungah a lut thei lo. Tichuan fertilization a awm lo.

Fertilized egg chu embryo an ti a . Chumi hnuah he embryo hi nu nausen pum chhungah dah a ni. Embryo chu uterine wall-ah a inzawm chuan naupai a awm thin. He technique hi Assisted Reproductive Technology (ART) tih a ni.

Tute nge ICSI enkawlna mamawh ber?

ICSI hi mipa nau pai theih lohna nei mipa tan a tangkai hle. I doctor chuan he mipa hian a hnuaia natna hrang hrang a neih chuan he enkawlna hi a rawt thei ang:

Chu bakah, ICSI hi chhan dang vangin a tul thei bawk:

• Tun hmaa IVF enkawl dan pangngai chu a hlawhtling a, embryo a lo piang lo a nih chuan.
• Egg pe tu hmeichhia chu kum 35 aia upa a nih chuan.
• A hmaa frozen (cryopreserved) egg emaw sperm emaw chu enkawlna atan hman a nih chuan.

Engtin nge ICSI kalphung hi a lo awm?

Hei hi step hrang hranga kal thin a ni. Chu step te chu a hnuaia mi ang hian i en ang u.

1. Egg leh sperm khawlkhawm

Egg lakchhuah dan:

• Ovulation induction: Pakhatnaah chuan egg pe mek hmeichhia chu ni 8 atanga ni 14 vel nitin hormone injection pek thin a ni. Hei hian ovaries a tichak a, vawi khatah egg engemaw zat a puitling tir thin.
• Egg lakchhuah: A dawtah chuan light anesthetic pek a ni a, vagina kaltlangin needle nalh tak tak dah a ni a, transvaginal ultrasound scan kaihhruaina hnuaiah egg puitlingte chu uluk takin ovary atangin lakchhuah a ni. Hei hi a pawi lo.

Sperm khawlkhawm: 1.1.

• Sperm hi egg lakkhawm ni vek hian an la khawm tlangpui.
• Mipa donor chuan ni hnih atanga ni thum chhung chu mipat hmeichhiatna hman emaw, masturbation emaw a pumpelh tur a ni.
• Tichuan, clinic-a special container siamah masturbation hmangin semen i khawlkhawm a ngai a ni. He sample hi darkar khat chhungin laboratory-ah thlen a ngai a ni.
• Mi thenkhat tan (e.g., ejaculate nei lo tanAzoospermia -ah chuan sperm hmuh theihna tur kawng bik dang (e.g. microscopic testicular sperm extraction ) hman a ngai thei.

2. Laboratory-a ICSI kalpui dan

Tunah hian hun pawimawh ber a ni. Laboratory-ah chuan specialist-te chuan a hnuaia mi ang hian an ti thin:

1. Egg puitling chu glass pipette tha tak hmangin zawi zawiin kan la chhuak thin .

2. Tichuan microscope hmanga enin sperm tha ber tur thlan chhuah a ni a, needle nalh tak tak hmangin an man a ni.

3. Tunah chuan needle chu uluk takin egg chhungah dahin sperm chu egg cytoplasm ah inject a ni.

4. Tichuan puithiam chuan a zung chu a la chhuak a.

3. Nausen thar lo piang chhuak leh nausen pum chhunga dah (Embryo Transfer) .

ICSI hnuah chuan fertilized egg, a nih loh leh embryo , chu laboratory-ah ni 5 atanga ni 6 vel a lo thanglian turin dah a ni. Hetih lai hian cell-ah a inthen a, blastocyst an tih stage a thleng a ni.

Tichuan, embryo emaw, embryo emaw quality tha ber chu special tube (catheter) hmangin nu nausen pum chhungah dah a ni . Hei hian anesthesia a mamawh lo. He embryo hi uterine wall (implantation)-ah a inzawm chuan naupai chu a hlawhtling ta a ni. Doctor chuan naupai leh awm loh enfiah turin a fuih a, enkawl a nih atanga kar hnih vel a ni.

ICSI enkawlna hian eng hlawkna leh hlauhawmna nge a neih?

Mahse, damdawi lam enkawlna dang ang bawkin, hlauhawmna a awm a, chu chu hriat chian a pawimawh hle.

• Egg thenkhat chu needle hmanga tihhlum a nih chuan a chhe thei bawk.
• Sperm dah luh pawh nise, a chang chuan egg hi a fertilized lo thei.
• Chuta chhuak embryo chu laboratory-ah emaw, nausen pum chhungah emaw dah a nih hnuah a lo thang lian tawh lo thei a ni.

Naupang tana hlauhawm awm thei: 1.1.

Zirna thenkhatah chuan ICSI vei naupang piangte hian pianpui natna thenkhat an vei theihna chance a sang deuh tih hmuhchhuah a ni. Mahse, damdawi lam mithiamte chuan he hlauhawmna hi enkawlna avang chauh ni lovin, nau pai theih lohna chhan bulpui ber a ni zawk niin an ngai. Heng hlauhawmnate hi Angelman syndrome, autism, leh Beckwith-Wiedemann syndrome ang chi natna te pawh a ni. Mahse, he risk hi a tlem hle. Hemi chungchang hi i doctor nen sawiho rawh.

Twins neih theihna chance:

Naupai theihna tihpun nan a chang chuan nausen pum chhungah embryo pakhat aia tam (e.g. pahnih) dah a ni. Chutiang a nih chuan twins emaw triplets emaw neih theihna chance a sang zawk.

Engtikah nge doctor i hmuh ang?

Enkawl zawhah a hnuaia symptoms te hi i neih chuan doctor ko nghal rawh :

• Infection chhinchhiahna , khawsik sang leh vaginal discharge rimchhia ang chi te.
• Ectopic pregnancy symptoms (a sir khatah pum na na tak, muhil).
• Nau pai loh chhinchhiahna (thisen chhuak nasa, pum na).
• Nau piang hmaa natna lan chhuah dan .