ọdịnaya
mkpali follicular
Buru ụzọ, nne na-amụ ga-enwerịrị ọgwụgwọ hormonal a na-enye ya site na injections. Ebumnuche nke a: iji nweta mmepe nke otutu follicles na-enye ohere nchịkọta nke ọtụtụ oocytes. Ka enwere ike, ka ohere ịtụrụ ime. A na-enyocha mkpali nke ọma (nleba anya) site na ultrasounds na nyocha nke hormonal. Mgbe follicles tolitere, ovulation na-akpalite site na ịgbanye homonụ na ọrụ LH: hCG.
Ọkpụkpụ nke oocytes
N'agbata awa 36 na 40 mgbe ọ kpalitere ovulation, a na-agbaji mkpụrụ akụ nke ovarian transvaginally. Kpọmkwem, ọ bụ mmiri mmiri dị na follicle ọ bụla nwere oocytes tozuru okè nke a na-achọsi ike site na iji agịga. A na-eme mgbatị ahụ n'okpuru njikwa ultrasound ma na-ewere ọnọdụ n'okpuru mgbakasị mpaghara ma ọ bụ, ọtụtụ mgbe, n'okpuru mgbatị izugbe.
Nkwadebe nke oocytes
A na-enyocha mmiri mmiri follicular n'ụlọ nyocha iji chọpụta oocytes wee kewapụ ha. Ị ga-amarakwa na follicles niile agaghị enwerịrị oocyte na nke ahụ Ọ bụghị oocytes niile nwere ike ime.
Na-akwado spam
A na-emekarị nchịkọta nke semen na nkwadebe ya (a na-asa ya) n'ụbọchị IVF na ụlọ nyocha. THEa ga-ahọpụta spam kacha akpagharị. N'ihi ihe dị iche iche, ọ nwere ike ime na spam na-anakọta nke ọma tupu; ya mere ha ga-ajụ oyi. N'ihe gbasara enweghị ọmụmụ nwa nwoke, ọ nwere ike ịdị mkpa ijikọ aka kpọpuo oocytes na spermatozoa (epididymal ma ọ bụ testicular punctures).
Ịmụ nwa
Ọ bụ na a efere omenala nwere mmiri mmiri na-edozi ahụ na kọntaktị n'etiti spermatozoa na oocytes na-ewere ọnọdụ. A na-etinye nke a n'ime incubator na 37 Celsius C. Nke ikpeazụ ga-ebelata shea nke oocyte ka otu n'ime ha nwee ike ịmị ya.
Fatịlaịza na uto embrayo
N'echi ya, anyị nwere ike ịhụ ma ọ bụla oocytes nwere fatịlaịza. Iji mara kpọmkwem ọnụ ọgụgụ embrayo nwetara, ọ dị mkpa ichere awa 24 ọzọ. Ọ bụrụ na njikọta spam nwoke na akwa nwanyị emeela, embrayo nwere mkpụrụ ndụ 2, 4, 6 ma ọ bụ 8 (ọnụọgụ mkpụrụ ndụ dabere na ụbọchị a hụrụ ha). A na-ebufe embrayo kacha oge mgbe ụbọchị 2-3 gachara ma ọ bụ oyi.
Enwere ike ịme ha ka ha malite obere oge na usoro omenala ogologo oge iji ruo ọkwa "blastocyst", ọkwa ikpeazụ nke mmepe tupu ha apụta.
Nyefe nyefe
A na-eme mmegharị ahụ na-enweghị mgbu na ngwa ngwa na ụlọ nyocha IVF. Iji obere catheter, nkee ma ọ bụ embrayo na-edebe n'ime akpanwa. Ọ na-abụkarị naanị otu embrayo ma ọ bụ abụọ ka a na-ebufe ebe ndị ọzọ na-ajụ oyi ma ọ bụrụ na ịdịmma ha kwere. Mgbe emechara omume a, a na-akwado usoro luteal site na inye progesterone kwa ụbọchị.
nlekota ime ime
A na-ahụta afọ ime site na a usoro ọgwụgwọ hormonal n'ihe dị ka ụbọchị iri na atọ ka ebufe embrayo (na IVF enwere ike inwe ọbara ọgbụgba na-enweghị isi nke ga-ekpuchi mmalite afọ ime).
Kedu maka IVF na ICSI?
N'oge IVF na ICSI (intracytoplasmic sperm injections), karịsịa ezubere maka enweghị ọmụmụ nwoke, usoro ahụ dịtụ iche. Naanị otu spam ka a na-ahọrọ. Mgbe ahụ, a na-agbanye ya n'ime oocyte na n'otu ebe. Mgbe awa 19-20 gachara, a na-enyocha ọnụnọ nke nuclei abụọ.