He huarahi hei whakatutuki i te moemoeā kia whānau he tamaiti: Kua māmā noa iho ngā mea katoa mō te IVF (In Vitro Fertilization)

Kāore he mea ataahua atu i te moemoeā kia noho hei whaea, hei pāpā rānei. Engari i ētahi wā, nā ngā take maha, ka roa pea te wā e tutuki ai taua moemoeā. I tēnei rā, ka kōrero tātou mō tētahi hangarau ka taea te kawe mai i te tumanako hou ki te hunga kua hoha ki te kore tamariki, ā, kua maha ngā maimoatanga kua mahia. Ko te IVF, te hangarau whakatōnga in vitro rānei, e kōrerohia ana e te tini tāngata. Ahakoa he ahua uaua tēnei, me kōrero tātou mō tēnei mea i ia taahiraa, i ia taahiraa, he tino māmā noa iho.

He aha te tikanga o te IVF?

Ko te tikanga whānui o te IVF ko te Whakatōnga In Vitro . I konei, ko te tikanga o te 'In Vitro' ko "i roto i te karāhe". Arā, ka kiia e mātou ko te IVF te tukanga whakatōnga i te hua manu mai i te whaea me te parāoa mai i te pāpā i waho o te tinana, i roto i te taiwhanga.

Whakaarohia, ko te tikanga ka hapu te tamaiti mā te hononga o te hua manu me te parāoa i roto i te tinana o te whaea. Engari ki te kore e tika te mahi a tēnei tukanga i roto i te tinana, ka mahia e ngā tākuta tēnei tukanga i waho o te tinana, arā, i roto i te taiwhanga, mā te whakamahi i ngā taputapu motuhake.

I muri i ētahi rā, ka whakahokia te kukune ki roto i te kōpū o te whaea. Mēnā ka whakatōkia te kukune ki roto i te pakitara kōpū, ka taea te hapu angitu. Koinei te ariā taketake o te maimoatanga IVF.

Ko wai e hiahia ana ki te maimoatanga IVF?

Ehara te IVF i te mea ka taea e te tangata kāore he tamariki. Ka whakamahia noa e ngā tākuta tēnei mahi ina kore e angitu ētahi atu maimoatanga, ina rānei he mate hauora kei roto. Me titiro tātou ki ngā āhuatanga e tika ai te maimoatanga IVF.

Hei tāpiritanga, ka whakamahia hoki te hangarau IVF ina whakamahia he kaituku hua manu, he whaea whakakapi hapūtanga rānei.

Me pēhea te mahi a te tukanga maimoatanga IVF?

Ehara tēnei i te mea ka taea te whakaoti i roto i te rā kotahi. He tukanga e 4 ki te 6 wiki te roa, ā, he maha ngā mahi kei roto. Me kōrero mārama tātou mō ia mahi.

1. Te Whakaoho i te Ovarian

I te nuinga o te wā, ka tukuna e tō tinana tētahi hua kua pakeke i ia marama. Engari i roto i te IVF, kāore e ranea te kotahi hua. Mā te whiwhi i te maha o ngā hua pai, kua pakeke i te wā kotahi ka piki ake te tere angitu. Hei whakatutuki i tēnei, me werohanga koe i ngā homoni maha i ia rā mō te 8 ki te 14 rā pea.Me whiwhi koe. Ka whakaohokia e tēnei werohanga ō ovaries, ka pakari ai ngā hua manu maha i te wā kotahi, kaua ko te kotahi anake.

I tēnei wā, ka tirotirohia koe e tō tākuta i ia wā.

• Ngā Matawai Ultrasound: Ka inehia e ēnei matawai te rahi me te maha o ngā follicle i roto i ngā ovaries. Ka āwhina tēnei ki te whakatau i te pakeketanga o ngā hua manu.
• Ngā Whakamātautau Toto: Ka tirohia ngā taumata homoni hei whakatau mēnā me whakanui ake, me whakaiti rānei te horopeta rongoā.

Kia tino pakari ngā hua, ka tukuna he werohanga whakamutunga. Ka kiia tēnei ko te "Trigger Shot." Ka mahia tēnei hei whakaoti i te pakaritanga whakamutunga o ngā hua, hei whakarite hoki i a rātou mō te tukunga mai i te ovary. E 36 hāora tonu i muri i tēnei werohanga, ko te mahi e whai ake nei ko te tango mai i te hua.

2. Te Kohi Hua Manu

He rite tēnei ki tētahi pokanga iti. Engari kāore he mea e mataku ai. Ka mahia i raro i te whakangāwari ngawari, kia kore ai koe e mamae.

Ka werohia e te tākuta he ngira tino angiangi ki roto i te ovary mā roto i te tara me te āwhina o te mīhini ultrasound. Kātahi, mā te whakamahi i te taputapu momi e piri ana ki te ngira, ka tangohia marietia ngā hua kua pakeke, takitahi. Ko ngā hua kua kohia i tēnei ara ka whakanohoia ki roto i tētahi rihi me te wai motuhake, ka whakanohoia ki roto i tētahi incubator i te pāmahana e hiahiatia ana mō te whanaketanga o te kukune.

3. Whakatō

I taua rā anō ka tangohia mai te hua manu, ka kohia he tauira parāoa mai i tō hoa. Kātahi ka whakakotahihia e te tohunga kukune i roto i te taiwhanga ngā hua kua pakeke kua tangohia me te parāoa, ā, ka tukuna kia whakamomonatia.

I te nuinga o te wā, ka whakamahia he tikanga e kiia nei ko te ICSI (Intracytoplasmic Sperm Werohanga) mō tēnei. Ko te mahi i konei ko te whiriwhiri i te parāoa pai rawa atu ka werohia tika ki roto i te hua manu mā te whakamahi i tētahi ngira tino angiangi. Ka nui ake te tūponotanga o te whakatōnga.

I te nuinga o te wā, tata ki te 70% o ngā hua kua pakeke kua kohia ka whai hua. Hei tauira, ki te kohia ngā hua 10, tera pea e 7 ka whanake hei kukune.

4. Te Whanaketanga o te Kutukutu

I muri i te whakatōnga, ka tirotirohia marietia ēnei kukune i roto i te taiwhanga mō te 5 ki te 6 rā pea. I tēnei wā, ka wehea, ka tipu hoki ngā pūtau kukune. Kāore ngā kukune katoa e whanake ki tēnei wāhanga. I te nuinga o te wā, tata ki te 50% noa iho o ngā kukune kua whakatōngia ka eke ki te wāhanga blastocyst , he wāhanga e tika ana mō te whakatō ki roto i te kōpū. Ko te tikanga, ki te 7 ngā kukune ka hangaia, 3, 4 rānei ka whanake pai.

5. Te Whakawhiti i te Umu

Koinei te taahiraa whakamutunga, te taahiraa nui rawa atu hoki o te tukanga IVF. Kāore e mamae. He tikanga māmā noa iho, pērā i te whakamātautau Pap.

Ka whakaurua e te tākuta he ngongo tino angiangi (catheter) mā roto i te cervix ki roto i te kōpū, ā, ka whakawhitia te kukune pai rawa atu, ngā kukune rānei kua tīpakohia i mua, ki roto i te kōpū. E kore e neke atu i te 10 meneti te roa o tēnei.

Ko te mea anake e toe ana ko te tatari marie. Mēnā ka piri pai te kukune kua whakatōkia ki te pakitara kōpū (whakatōnga), ka hapu. Hei whakaū i tēnei, ka mahia he whakamātautau toto i waenga i te 9 me te 14 rā.

He aha ngā mōrearea me ngā pānga taha o te maimoatanga IVF?

He maimoatanga haumaru te IVF i te nuinga o te wā. Heoi, pērā i ngā maimoatanga hauora katoa, tera pea ētahi mōrearea me ngā pānga taha. He mea nui kia mōhio ki ēnei.

Ka tino hoha tēnei tukanga maimoatanga, ā-tinana, ā-hinengaro hoki . He maha ngā wā ka puta ake ngā kare ā-roto pēnei i te tumanako, te pouri, me te ahotea. Nō reira, he mea nui kia kōrero nui koe ki tō hoa i tēnei wā, kia whiwhi tautoko mai i te hunga e arohaina ana, ā, kia rapu tohutohu mēnā e tika ana.

He pēhea te angitu o te maimoatanga IVF?

Koinei te pātai nui rawa atu kei roto i te hinengaro o te katoa. He rerekē te angitu o te IVF i ia tangata, i ia tangata. Ko te mea nui e pā ana ki tēnei ko te tau o te wahine .

• He teitei ake te ōrau angitu mō ngā wāhine kei raro iho i te 35 tau te pakeke (tata ki te 40% - 50%).
• Ka heke haere tēnei ōrau i waenga i te 35 me te 40 tau .
• I muri i te 40 tau, ka tino heke te auau angitu.

Haunga te tau, ka pāngia hoki te angitu e ngā āhuatanga pēnei i te take o te kore tamariki, te momo noho (te momi hikareti, te taumaha), te maha o ngā hāputanga o mua, me te kounga o te wāhi maimoatanga.

Ngā mea hei whakaaroaro i mua me muri i te maimoatanga

I mua i te tīmatanga o te maimoatanga IVF, me whai whakamātautau koe me tō hoa. Kei roto i ēnei ko ngā whakamātautau toto, he whakamātautau hope, me te whakamātautau parāoa. Ka kī atu hoki tō tākuta kia tīmata koe ki te tango i ngā huaora, pērā i te waikawa folic.

I muri i te maimoatanga, inā koa i muri i te whakawhiti kukune, he mea pai kia karohia ngā mahi uaua me te hiki taumaha. Engari kāore koe e hiahia kia takoto noa i te moenga. Ko te mea nui ko te whai i ngā tohutohu a tō tākuta.