Icyizere gishya cy'uburumbuke: Byose ku buryo bwo kuvura bwa ICSI (Intracytoplasmic Intanga)

Gushyira inzozi zo kubyara umwana mu bikorwa rimwe na rimwe bishobora kuba ikibazo gikomeye, si byo se? Iyi ni ingingo ikomeye cyane, cyane cyane ku bashakanye bahanganye n'ikibazo cyo kutagira abana. Uyu munsi rero tugiye kuvuga ku buryo bwihariye bwo kuvura mu buvuzi bwa none bushobora gufasha mu bibazo nk'ibyo. Ni ICSI, cyangwa Intracytoplasmic Injection y'Intanga . Nubwo iri zina rigoye gato, reka turisobanukirwe mu buryo bworoshye.

ICSI ni iki? Ni irihe tandukaniro riri hagati ya IVF na ICSI?

ICSI ni uburyo bwihariye bwo kuvura ubugumba. Mu by'ukuri, ni kimwe mu bigize In Vitro Fertilization (IVF) .

Tekereza, mu buryo busanzwe bwo gukora IVF, igi ry'umugore rifatwa muri laboratwari rigakikizwa n'intanga ngabo ibihumbi. Hanyuma, imwe muri izo ntanga iracukura igi ryonyine igategereza ko intanga ngabo zitangira. Ni nko gutsinda isiganwa. Ariko rimwe na rimwe, nta ntanga ngore n'imwe ishobora kwinjira mu gi. Icyo gihe intanga ngore ntizibaho.

Igi ry’uruhinja ryitwa uruhinja . Hanyuma uruhinja rushyirwa mu nda ya nyina. Iyo uruhinja rufashe ku rukuta rw’inda, havuka inda. Ubu buryo bwitwa Assistant Reproductive Technology (ART) .

Ni nde ushobora gukenera cyane ubuvuzi bwa ICSI?

ICSI ni ingirakamaro cyane ku bagabo bafite ibibazo by'ubugumba ku bagabo . Muganga wawe ashobora kukugira inama yo kuvura iyo ndwara niba umugabo afite kimwe muri ibi bikurikira:

Byongeye kandi, ICSI ishobora kuba ngombwa kubera izindi mpamvu:

• Niba uburyo bwakoreshejwe bwa IVF bwaragenze neza kandi nta ntanga ngore yavutse.
• Iyo umugore utanga amagi afite imyaka irenga 35 .
• Iyo amagi cyangwa intanga byakonjeshejwe mbere (byari byabitswe), bikoreshwa mu kuvura.

Uburyo bwa ICSI bugenda bute?

Iyi ni inzira ikorwa mu ntambwe nyinshi. Reka turebe izo ntambwe uko zikurikirana.

1. Gukusanya amagi n'intanga ngore

Gukuramo amagi:

• Gutera intanga: Ubwa mbere, umugore utanga intanga aterwa inshinge za hormone buri munsi mu gihe cy'iminsi 8 kugeza kuri 14. Ibi bitera intanga ngabo gukuramo intanga nyinshi icyarimwe.
• Gufata amagi: Hanyuma, hatangwa umuti woroshye wo kugabanya ububabare, hagashyirwa urushinge ruto cyane runyuze mu gitsina, hanyuma amagi akuze agakurwa mu ntanga y'intanga witonze hifashishijwe ikoranabuhanga rya ultrasound rya transvaginal . Ibi ntibibabaza.

Gukusanya intanga:

• Ubusanzwe intanga ngabo zifatwa umunsi umwe n'amagi afatwa.
• Umugabo utanga iyi mibonano mpuzabitsina agomba kwirinda gukora imibonano mpuzabitsina cyangwa kwikinisha mu gihe cy'iminsi ibiri cyangwa itatu.
• Hanyuma, ugomba gukusanya amasohoro wikinisha mu gikoresho cyihariye cyatanzwe kwa muganga. Iki gipimo kigomba kugezwa muri laboratwari mu gihe kitarenze isaha imwe.
• Ku bantu bamwe (urugero, abadasohoraMu gihe cy'indwara ya azoospermia , ubundi buryo bwihariye bwo kubona intanga (urugero: gukuramo intanga mu mabya hakoreshejwe mikorosikopi ) bushobora kuba ngombwa.

2. Uburyo bwa ICSI muri laboratwari

Ubu ni cyo gihe cy'ingenzi cyane. Muri laboratwari, inzobere zikora ibi bikurikira:

1. Igi rikuze rifatwa buhoro buhoro hakoreshejwe agakoresho k'ikirahure keza cyane.

2. Hanyuma, urebye muri mikorosikopi, intanga nziza cyane iratoranywa hanyuma igafatwa n'urushinge rwiza cyane.

3. Noneho urushinge rwinjizwa neza mu igi maze intanga ngabo zigashyirwa mu gice cy’urushinge rw’igi.

4. Hanyuma umutambyi akuramo urushinge.

3. Gukura no gutera intanga mu mura (Embryo Transfer)

Nyuma ya ICSI, igi ry’uruhinja, cyangwa urusoro , risigara rikurira muri laboratwari mu gihe cy’iminsi 5 kugeza kuri 6. Muri icyo gihe, rigabanyukamo uturemangingo maze rikagera ku rwego rwitwa blastocyst .

Hanyuma, urusoro cyangwa intanga nziza cyane zishyirwa mu mura wa nyina binyuze mu muyoboro wihariye (catheter) . Ibi ntibisaba ikinya. Iyo uru rusoro rufashe ku rukuta rw'umura (implantation), gutwita biragenda neza. Muganga agira inama yo gupima ko utwite nyuma y'ibyumweru bibiri.

Ni izihe nyungu n'ingaruka zo kuvurwa na ICSI?

Ariko, nk'uko bigenda ku buvuzi ubwo aribwo bwose, hari ingaruka zishobora guterwa n'ubwo buvuzi, kandi ni ngombwa kubimenya.

• Amagi amwe ashobora kwangirika iyo atewe urushinge.
• Nubwo intanga ngabo zashyirwamo, hari igihe igi rishobora kudaterwa intanga ngabo.
• Uruhinja rushobora kureka gukura nyuma yo gushyirwa muri laboratwari cyangwa mu mura.

Ingaruka zishobora guterwa n'umwana:

Ubushakashatsi bumwe na bumwe bwagaragaje ko abana bavukanye indwara ya ICSI bafite ibyago byinshi byo kurwara indwara zimwe na zimwe bavukanye . Ariko, abahanga mu by'ubuvuzi bemeza ko izi ngaruka zitaterwa n'ubuvuzi ubwabwo, ahubwo ko ziterwa n'impamvu nyamukuru y'ubugumba. Izi ngaruka zirimo indwara nka Angelman syndrome, autism, na Beckwith-Wiedemann syndrome . Ariko, izi ngaruka ni nto cyane. Vugana na muganga wawe kuri ibi.

Amahirwe yo kubyara impanga:

Kugira ngo bongere amahirwe yo gusama, rimwe na rimwe hashyirwa intanga zirenze imwe (urugero: ebyiri) mu mura. Muri iki gihe, amahirwe yo kubyara impanga cyangwa eshatu aba menshi.

Ni ryari ukwiye kujya kwa muganga?

Nyuma yo kuvurwa, niba ubonye ibimenyetso bikurikira, hamagara muganga wawe ako kanya :

• Ibimenyetso by'ubwandu , nko kugira umuriro mwinshi n'amase anuka mu gitsina.
• Ibimenyetso by'inda itwite hanze y'inyuma (kubabara mu nda cyane ku ruhande rumwe, gucika intege).
• Ibimenyetso byo gukuramo inda (kuva amaraso menshi, kubabara mu nda).
• Ibimenyetso byo kubyara umwana utarageza igihe .