Bayanan Lafiya Bayan Taimakawa Hatching da Ko Daidai ne a gare Ka
Harkokin taimakawa shine fasaha mai ba da taimako wanda ake amfani da shi a wasu lokuta tare da tsarin IVF na al'ada. An yi amfani da hatching taimakon taimako tare da shigarwa a cikin embryo kuma zai yiwu a bada shawarar idan aka sake maimaita rashin nasarar IVF ko marasa lafiya tare da matsala mara kyau.
Duk da yake wasu dakunan shan magani suna amfani da su a hankali, Cibiyar Harkokin Tsarin Harkokin Kasuwancin Amirka (ASRM) ba ta bayar da shawarar wannan ba. Wannan shi ne saboda ba a nuna ƙuƙwalwar taimaka ba don inganta yawan haihuwa. Bugu da ƙari, kamar yadda aka yi da kowane fasaha na haifa, akwai ƙarin farashi da kuma hadarin gaske don yin amfani da hatching da aka taimaka.
Shin likitanku ya ba da shawarar taimakawa da ku? Ga abin da kuke buƙatar sani.
Ta Yaya Takalma na Embryos?
Don fahimtar hatching taimaka, da farko, zai taimaka wajen fahimtar hatching na halitta na amfrayo.
Kafin ka sami amfrayo, ka fara tare da oocyte , ko kwai. The oocyte yana da sinadaran gina jiki wanda ke kewaye da ita da zona pellucida. Zona pellucida yana da matsayi mai yawa a cikin haɓaka juna biyu, kuma waɗannan ayyuka sun canza kamar yadda tayi ciki.
Kafin kwan ya zama tarin ciki, zona pellucida fuses tare da kwayoyin jini. Wannan shine farkon farawa. Da zarar kwayar kwayar halitta guda daya ta shiga cikin kwasfa da kuma takin yaron, sai zona pellucida ya daɗe. Wannan yana hana karin kwayoyin halitta daga shigar da zygote yanzu.
Ƙwararrun harsashi kuma yana taimakawa hana amfrayo daga dasawa ba tare da dadewa ba a cikin tubes na fallopian (wanda zai haifar da ciki a ciki ). Har ila yau, yana rike da yawan kwayoyin blastocyst tare.
Yayinda zygote yayi tafiya a kan motar fallopin kuma yana tasowa cikin mataki na rudani, zona pellucida yana fadadawa kuma yana farawa da farawa. Kwana guda hudu na ci gaba, zona pellucida bude bude kuma blastocyst / embryo ya fito, yana barwa bayan harsashi na gina jiki. Wannan shi ne tsarin hawan amfrayo.
A cikin 'yan kwanaki na hatching, da blastocyst ya shiga kanta a cikin endometrium . Ba tare da hatching ba, blastocyst ba zai iya shigar da kansa cikin bangon uterine ba. Wannan yana nufin ciki zai kasa faruwa.
Menene An taimakawa Hatching?
A lokacin IVF magani , hadi faruwa a cikin lab. Amma kamar yadda ma'aurata biyu da suka wuce ta hanyar IVF sun san, yin ciki da amfrayo ba ya tabbatar da ciki. Yayi jima'i a cikin embryo ya shiga kansa a cikin endometrium da "tsaya" don yin ciki don faruwa.
Kimanin kashi 85 cikin 100 na embryos canzawa ba su "tsaya" ba. Akwai dalili game da dalilin da ya sa wannan ya faru, kuma daya daga cikin waɗannan ka'idojin shine cewa amfrayo bai yi kyau ba. Wannan na iya faruwa ne saboda tayi da ƙwaƙwalwar ƙwaƙwalwar ƙwaƙwalwa a ciki, ko kuma saboda wani abu a cikin launi na Lab (al'adu da ake amfani dashi don kiyaye jariri a raye, kodayayyun kwayoyin halitta, da dai sauransu) ya hana katsewar ƙira.
An yi amfani da hatching taimakawa wajen magance duk wani nau'i na ƙalubalen da ke hana ƙuƙwalwa da kuma inganta yanayin rashin daidaito (da ciki).
Taimaka Hanyar Hanka: Ta yaya An Yi?
Kuna iya ɗauka cewa kullun taimakawa ya shafi yin wani karamin "fashe" ko hawaye a zona pellucida. Amma wannan ba gaskiya bane. Akwai wasu hanyoyi da dama, kuma kowane tsarin embryo ya kusanci wannan daban. Akwai wadata da kuma fursunoni a kowane hanya, da kuma fasaha ga masu fasaha:
- Hanyar daɗa : Tare da wannan dabarar, likitan halitta ya rike amfrayo tare da taimakon pipette, yayin amfani da micro-needle zuwa fashewa ta hanyar zona pellucida, tafi kawai a ƙarƙashin harsashi don dan kadan, sa'an nan kuma fito da sauran ƙarshen. (Ka yi tunanin zana zane mai haske sosai tare da amfrayo.) Sa'an nan, yankin tsakanin ɗakoki guda biyu ana shafa shi a hankali har sai ƙananan hawaye ya auku. Yana da wuya a sarrafa girman buɗewa tare da wannan hanya.
- Girman shinge na harsashi : Tare da wannan fasaha, zona pellucida ba ta karya ba. Maimakon haka, haɓakar hydrostatic an gabatar ne kawai a ƙarƙashin harsashi, don sa shi ya fadada. Manufar wannan hanya ta fito ne daga fadadawar halitta na ƙananan harsashi a yayin aiwatarwar ƙullawa.
- Kwayoyin sinadarai : Wannan fasaha ya haɗa da amfani da sinadaran da ake kira Tyrode's acid. Ana amfani da ƙwayoyin acid mai yawa zuwa zona pellucida har sai harsashin ya rushe. Sa'an nan kuma, an amfrayo da amfrayo nan da nan don kauce wa yaduwar hadarin acid.
- Gudanarwa : Tare da hawan hawan hauka, ana amfani da ƙungiyoyi masu launi don ƙirƙirar budewa. Wannan dabara ta amfani da wani abu da aka sani da fasahar Piezo.
- Lasching assisting hatching : Yin amfani da laser na musamman don warwarewa da zona pellucida wani yiwuwar. Ƙunƙarar laser da aka ba da damar taimakawa da kariyar girman ramin da aka halitta, fiye da kayan inji mai kwalliya tare da allura (kamar yadda aka bayyana a sama).
Daga duk hanyoyi, kwarewar laser na iya zama safest kuma mafi inganci. Duk da haka, ba dukkanin hotunan embryology ba an san su don yin wannan fasaha ta musamman. An fi amfani da hatimi na katako. Tare da dukan waɗannan hanyoyi, fasaha da kwarewa na likitan ɗalibai na iya haifar da babbar banbanci.
Risks na Assisted Hatching
Duk wani magudi ko tsangwama tare da amfrayo zai shiga wasu hadarin. Ɗaya daga cikin yiwuwar hadarin da zai taimaka shi shine cewa amfrayo zai zama lalacewa. Wannan zai iya faruwa kafin a canja wuri na embryo ko bayan. A cikin kowane hali, ciki ba zai haifar ba.
Ba da daɗewa ba, wani haɗari na taimakawa ƙuƙwalwa shi ne tsarin ƙuƙwalwar ƙwaƙwalwar embryo za a kashe shi kuma amfrayo zai kasa cikawa daga zane pellucida.
Wani hadarin da aka taimakawa shi ne twinning, musamman matinning monozygotic. Ma'aurata monozygotic kamar ma'aurata ne, waɗanda suka fito daga cikin kwai daya da guda ɗaya. An riga an karu da yaduwa a yayin da ake amfani da IVF magani, kuma bincike ya gano cewa taimakawa wajen kara kara yawan wannan hadari. Yayinda dukkanin ciki na ɗaukar haɗari suna ɗauke da hadarin, ƙwayar juna biyu a cikin mahaifa sun zo tare da mawuyacin haɗari ga mahaifiyar da jariran. Duk da haka, hadarin twinning yana da ƙasa, yana faruwa kasa da kashi 1 cikin dari.
Kila ku yi mamaki idan taimakawa ƙuƙwalwar haɓaka haɗarin haifawar haihuwa. Wani babban bincike mai zurfi na kimanin kimanin kusan 35,000 ya gano cewa hadarin abubuwan da ba a taɓa haifar da bala'i ba ya karu da yawa tare da amfrayo waɗanda aka yi amfani da su tare da taimakon da aka taimaka, idan aka kwatanta da nauyin IVF wanda aka yi amfani da shi ba tare da ya faru ba.
Shin Hatching Taimaka Inganta Juyin Juyawa IVF?
Babban tambaya ita ce, ba shakka, yana da daraja? Shin taimakon taimako na taimakawa wajen daukar gida? Amsar ita ce mai rikitarwa.
A duba Cochrane a kan taimakon da aka taimaka - wanda ya dauki nazarin karatun 31, kimanin 1,992 ciki har da 5,728 mata da aka samu wanda ya taimaka wajen kara inganta yawan ƙwayar asibiti. Duk da haka, rayuwar haihuwa ba ta inganta ba.
Rayuwar haihuwa ta zama mafi mahimmanci a yi la'akari fiye da yadda ake daukar ciki a cikin asibiti tun lokacin burin kowane magani na haihuwa yana ɗauke da jariri-ba kawai samun jarrabawar ciki ba.
Abin takaici, yawancin binciken da aka samu game da takaddamar da aka taimakawa ya bayar da rahoto ne kawai game da ƙwallon yara, kuma ba haihuwa ba. Wadanda suka kalli rayukan haihuwa ba su sami wani amfani ba. Dole ne a yi karin bincike.
Wani binciken kuma ya gano cewa lokacin da aka taimakawa hatching a kan '' '' inganci mai kyau '' '' ', hawan ciki ya karu. Sakamakon ya bambanta dangane da shekarun haihuwa lokacin da aka yi amfani da hatching a kan gaskiya ga embryos mara kyau. Wannan yana nufin cewa taimakawa ƙulla ba wai kawai ba zai taimaka wa waɗanda ke da matsala mai kyau ba, amma zai iya cutar da sauƙin nasara.
Wanene zai Amfana daga Taimako Taimaka?
Akwai shaida cewa taimakawa hatching zai iya inganta karuwar ciki na asibiti tare da marasa lafiya waɗanda:
- Shin sun sami nasara biyu ko fiye da raunin IVF
- Shin darajar embryo mara kyau
- Shin sun tsufa shekaru 38
Anyi zaton cewa kullun taimakawa zai iya yin ƙoƙarin ƙoƙarin ƙoƙari tare da hawan gwargwadon jima'i na embryo, amma wannan ba zai yiwu ba. A gaskiya ma, binciken daya ya gano cewa taimakawa wajen rufewa a cikin juyayi na amfrayo mai sauƙi zai iya rage rashin daidaituwa na haihuwa.
Kudin Taimako na Taimakawa
Duk da shawarwari na ASRM, wanda ya bada shawara game da yin amfani da shi na yau da kullum, wasu ƙananan hukumomi suna ba da ita ga kowane mai haƙuri. A cikin wadannan dakunan shan magani, farashi don ƙaddamar da goyan baya iya riga an "hada" a cikin jimlar IVF .
Domin kamfanonin da suka taimakawa ƙwanƙwasa, farashin zai iya kaiwa daga $ 200 zuwa $ 700, a matsakaita. Har ila yau, akwai wasu dakunan shan magani wanda ke ba da fasaha don "kyauta," idan sunyi tunanin zai iya zama da amfani.
Kalma Daga Verywell
Lokacin da ake magana game da maganin IVF, zai iya zama mai jaraba don karɓa ko so ya yi amfani da duk wani "ƙara-on-da-wane" fasahar da aka bayar. Yana iya zama kamar taimako mafi yawa ya kamata ya jagoranci koyaushe ga samun nasara. Amma fiye ba koyaushe ya fi kyau ba.
Saboda babu cikakke shaidar da za ta nuna taimakawa wajen inganta rayuwar haihuwa, ASRM ta bada shawarar akan amfani da fasahar yau da kullum. Idan asibitin ya yi amfani da takaddama tare da duk masu haƙuri, magana da likitan ku game da dalilin da yasa suke ganin wannan ya fi kyau a gareku. Zaka iya juya fasaha ta ƙasa.
Duk da haka, ga wasu ƙungiyoyin masu haƙuri, taimakawa hatching zai iya zama da amfani. A koyaushe, magana da likitanka game da halin da kake ciki.
> Sources:
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