วันพุธที่ 19 มกราคม พ.ศ. 2554

Reproductive technologies including in the treatment of infertility

Examination of semen. And function of sperm (Semen analysis).

Today is well known that Having little or sperm movements are not good Or a defect in the function of sperm is the cause of infertility. Were up nearly half of all causes of infertility. Kun Phat Medical. Make a detailed examination of semen and reports to follow standard Defined by the World Health Organization
Check hormone levels in blood and urine Hormonal assay.


This measure hormone levels associated with ovulation, such as F-S H, L H, Pro and then pectin, S estrogen and progestogens PC Rhone to aid in the diagnosis of the female. who have problems with ovulation. As well as trace hormones, L-H in the urine for ovulation and make H C G in urine pregnancy test.
Measuring hormone levels in the blood. Also useful in tracking the growth of eggs, especially in cases of drug stimulates egg To make children vitro measurement of HDL CG will help in the diagnosis of early pregnancy in the first 2 weeks after egg collection. And embryo transfer. In the distance. Pregnancy bags are too small to be detected by other methods.
Anorectal obstruction of the fallopian tube (Tubal patency test).


Obstruction of the fallopian tube. As a cause of infertility in the female common. Cause of obstruction is often caused. Infection, inflammation of the fallopian tube, which may be caused by sexually transmitted diseases. Or infection after childbirth or abortion in cases of obstruction of the fallopian tube. Most symptoms do not much like it hurt a little by the abdomen with or without fever associated therewith. Thus, the female in question oviduct tons. Often unconsciously before. And often do not have a clear history. That they had less need to treat the symptoms with uterine inflammation.
Anorectal obstruction of the fallopian tube. Requiring special inspection. Examination alone, alone. Can not provide the correct diagnosis. The results of examination. Will find it correctly. When a pathology, rather like a lump in the pelvic floor. Membrane in the abdomen or a lot. The anatomy in the pelvic floor disorders.
Kun Phat Medical. To the diagnosis of obstruction of the fallopian tube.
  • To puncture the stomach and endoscopic injection color (Laparoscopic dye injection).
  • The radiation opaque substance tear. And taking X-rays.
Examination with ultrasound. (Ultrasonography).


Pat has Kul medical examination with pelvic ultrasound. A high frequency. Than the human ear to hear the waves will be sent. In the desired direction. Through a probe attached to the abdominal wall. We also have a special probe. The examination through the vagina. Which new technologies. Visualize the uterus. And ovarian clear. Than examination of the abdomen.
When sound waves travel through the layers of the body with a density difference. Some sound waves are reflected back. At the boundaries of tissue layers. Sound waves reflected back to this Can be attributed in the field. Based computer. Can be used to make medical examination. Diagnosed disorders. The pelvic floor muscles, such as tumors of the uterus. And ovarian tumors. And is also used to monitor the integrity of the fetus with. Without the danger of radiation. Similar to X-ray screening. Examination with ultrasound. There are advantages that Recipient of the check. Will not feel any pain at all. In cases that have been examined in the vagina may feel uncomfortable. Or pain a little. Insertion of instruments into the vagina.
To stimulate ovulation. To make children vitro. Examination with ultrasound can be used to monitor the growth of the egg. By measuring the size of the sac that envelops the egg. And counting the number of eggs resulting from the use of performance-enhancing drug
Stimulant use and counting days, the eggs have sex (Ovulation induction and timing of intercourse).


For patients with problems not ovulating. Medical treatment may be using drugs to stimulate ovulation. Most will begin by giving oral 1-2 tablets per day for 5 days and arrange to have sex in the egg. In cases of drug resistance. May be adjusted to suit the size of the drug or switching to stimulate egg instead of injections.
Surgical cure sterility. And microscopic surgery of the fallopian tube Tubal reanastomosis (Reversal of tubal resection) and Tuboplasty.

In the era before the tube had a child. Surgery is the only way to fix a blockage of the fallopian tube. But in the present. Fallopian tube surgery have reduced roles. In the case of a child vitro. Success rate is over Surgery as well However, a microscopic surgery of the fallopian tube. Also play a role. For example, in some cases to cure sterility. And in patients with. Membrane in the pelvic floor is not too much.
The fallopian tube surgery and surgery can be done through the pancreas and stomach. Large or surgery. This case may be, and the discretion of the physician.
Injection of sperm into the uterus IUI (Intrauterine insemination).


Principle of this method is. Will result in increasing the number of eggs induced by eggs with leaves falling 2-3 to bring the sperm entering the uterus, which is near the location in the fallopian tube with the egg mixture. And sperm in nature. Typically, sex themselves. Men have to release semen in the vagina near the cervix. However, most sperm will flow back out through the vagina to rest just a little sperm to swim through the cervix into the uterus. Also resulted in a tremendous amount of waste sperm injection of spermatozoa into. Directly into the uterus. So as to increase the concentration of sperm This treatment is appropriate for a married man. Less than normal number of spermatozoa. And the female with normal fallopian tubes at least one of the ways this is usually done with the use of stimulant check eggs using ultrasound to track the growth of the egg. When cooked, then the doctor will inject the egg drop And arrange to remove sperm from her husband. Then go to the sperm by centrifugation. Process similar to a child in vitro. Then injected into the uterus. Using a small wire.
Making artificial insemination using donated sperm and frozen sperm TDI (Therapeutic Donor Semen Insemination).

Married couples with infertility problems due to no sperm in the male semen. Or contained only very few can not make the party, pregnant woman have a choice in the treatment of at least three ways: First, may apply for adoption to parenting or later may be inseminated with sperm donation, which may be semen, fresh or frozen. hard Final approach is to inject the sperm directly into the mix with an egg (ICSI) for the treatment of other methods, such as drug use or sex hormones. In activated sperm. More that Most did not work. And some who are opposed to the use of these drugs may decrease the number of sperm.
Gift and children making vitro GIFT (Gamete Intrafallopian Transfer), IVF-ET (In vitro Fertilization - Embryo transfer).


Making Gift (GIFT; Gamete Intrafallopian Transfer) refers to the process that has been collected eggs out of the body, then take the eggs with sperm to enter back into the fallopian tube. By drilling through the abdomen. This very popular one during the first year, Yannawa. 2530, but current techniques of glass tube with a child to develop more. And have equal success with a gift of a gift, so it will stop almost by default. Because endoscopy to puncture the stomach. The consumption expenses. And surgery is unnecessary.
Making children vitro (IVF-ET; In Vitro Fertilization and Embryo Transfer) is a major broad collection of eggs outside the body out. Using a needle with a diameter equally. The needles used in blood but is 30 cm long spike through the vaginal wall into the ovaries mature and come out. Then the doctor will give the sperm the male. To clear out the remaining water out. But sperm And lead, but the sperm to enter the hole in the egg culture. To achieve fertilization. Outside the body. Embryos that occurs will be split into 2, 4 or 8 cells, which will be ready to move back into the uterus in about 2-3 days after egg collection.
Soaking frozen sperm (Sperm freezing, Sperm cryopreservation).


Since that is the good fortune of our people. Human sperm. Can tolerate freezing well. When the candle with the other animals, sperm can be stored in liquid nitrogen at -196 degrees C for a period of many years. While maintaining the ability to mix with egg and melted back from the frozen state.
Soaking frozen sperm May be made in cases. Men have a problem. To remove the sperm out The alternate freezing eggs before storing or who want to keep it fluid. Pre-sterilized males. Or before treatment with anticancer drugs. Or radiation therapy. Sperm of most people. To tolerate freezing well.
Soft solid immersion (Embryo freezing, Embryo cryopreservation).


Typically, we will move the light back into the uterus up to 3-4 leaf as a single light that looks perfect to avoid becoming pregnant with twin infant too much of a case of good quality embryos remaining 2 option. or more likely that they will be frozen embryo in order to bring back the move later in the natural menstrual cycle. If the fresh embryo transfer was not successful. Even in cases of success and then giving birth. The service may return to the frozen embryo transfer in the future. To have a child next.
However, should understand that before. Single embryo quality only. That can be frozen. Even in this case, after dissolving the embryo from the state freeze is about 1 / 3 of the embryos that will die because of resistance to freezing is not so in some cases after the freezing and the larvae out. from the frozen state may find that no embryos survived at all. Before freezing embryos doctors to focus on the service to understand this point. As well as the costs and time involved in collecting soft frozen.
For frozen embryo transfer may be made in the natural menstrual cycle. In patients with regular menstrual cycle. Using a check. Ultrasound of the ovaries. And A levels estrogen hormone in the blood. Tell a day of ovulation. Menstrual cycles in cases of medical uncertainty is organized around the use of hormones in menstrual support for frozen embryo transfer. This latter method can be used in patients with round Monthly regular time. Which is advantage. Embryo transfer date can be set in advance. Which result in easy With both the service and the medical team.
A tube of children with egg Or embryo donation (Ovum / Embryo donation).


In female patients older than 42 years the chance of pregnancy by using their own eggs in a glass tube children will be greatly reduced. Because the remaining eggs in the ovary. Women of this age. Inferior quality. Eggs of young people. The egg quality has been exhausted or nearly exhausted the remaining eggs are not susceptible to activation by drugs. The need to use more drugs and because the quality of eggs dwindle as well as the quality of embryos that occurs is not as good as in younger people. The consequences are. Pregnancy rate. Embedded and also greatly reduced the abortion rate would be higher with The child is born, they have a chance to find disorders like retarded children (Down's syndrome) increase.
To avoid these problems rumor. Your doctor will recommend the use of eggs. Or embryo donation is made instead of stimulating the eggs in women who are younger than 35 years who wish to donate eggs when the eggs mature and then. I collected eggs And the eggs are mixed with the sperm of Husband recipient egg. Occurs when the embryo is transferred back into the uterus of the recipient in this way will be the recipient eggs during pregnancy and childbirth itself, half of the genes come from her husband. And the other half of egg donors. In such a case. Pregnancy rate is higher. Children like to do. Tube in young people. And the abortion rate is equal to the average person is about 10-15% Alternately. Using embryos donated by infertile married couples also have a pair of light There were enough donations to recipients that no eggs of their own. In this case, children who happen to have. Genetically different from the recipient embryo and her husband.

Injection of sperm into the egg mixture directly (soy Taxi) ICSI (Intracytoplasmic Sperm Injection).


Men today have less sperm. Or the run of poor sperm. Than to provide therapy with a child vitro. Plain that Can have a child. , A descendant of itself. By applying only one sperm to inject into the egg directly using a glass needle size smaller than the diameter of hair. This is the way to success. In the treatment of infertility caused by the parties. In the past, the treatment of male hormone (Jane Ann hydrochloride) or other drugs. Which results in very little.
Based on information available at this time. Infants born from a bird teeth (ICSI) to develop the brain and body. As with the baby. Born naturally. Because the cause of the less sperm. Most of them have not known exactly. But there is clinical evidence that many cases are a result of the abnormal gene on the chromosome, so it may be possible that making soy the agency may lead to genetic of infertility to the child. resulting in subsequent generations who have infertility problems as well as his father.
The sperm from the testes using a needle suction or cutting the meat from the testes.
PESA (Percutaneous Sperm Aspiration).
TESA (Testicular Sperm Aspiration).
TESE (Testicular Sperm Extraction).

Medical progress today. Can help the man with no sperm in the semen. Originally regarded as a barren no way to keep their children by
1.) Doctor will use a small needle. Sucking out sperm from the epididymis (PESA), which is connected between the testis and sperm duct path. If the sperm can only slightly. Ing to a taxi (ICSI) in patients have not the sperm at all. Your doctor will perform. Continue in Section 2.
2.) Needles suck sperm from the testicles directly (TESA) and two of these methods. Usually enough sperm for ICSI and the agency made soy in cases of the sperm came out very Sperm can be frozen the rest to keep them in the future.
3.) Patients in the first two methods do not work. Physicians need to be cut from testicular tissue (TESE) for sperm to find.
With this method, the three doctors are often able to store sperm Sperm or embryos (Secondary spermatocyte, round or elongated spermatid) to be used in a Ing Taxi (ICS) I have.
The suction needle sperm from testis For cases of tube sperm tons, such as in cases that are innate or after surgery, sterilization of men as well as in cases of pipe is not tons, but had trouble creating sperm in the testicles, such as the interruption of a sperm (maturation. arrest) or the destruction of germ cells within the testes.

Embryo transfer or hold merit (Surrogacy).


Women with normal ovaries but no uterus, congenital Or hysterectomy, but then left ovary. They can have children by their own blood (genetic offspring) by means of a tube child. Eggs were collected from mixing with the sperm of her husband. And embryo transfer into the cavity. Relatives of the uterus. Or another woman. To allow the pregnancy. And childbirth are the same genes, but instead of a spouse.


Culture and embryo transfer term growth Blast Sys.

Larva stage Belarus Blast Cisco means of embryo development until the incubation period. The embryos cultured in vitro process of children through external fertilization. When cultured embryo until the 5-6 will have a light with a number of cells over 120 cells, the embryo at this stage will begin to see the cavity fluid inside and the development of cells split into 2 parts clear is where the growth to be placenta and that develop into a child. Embryo at this stage, called Blast, which has grown Cisco is ready to hatch out of shell to the uterus wall. The embryos develop to the embryo at this stage is very strong among all embryos. Generally, embryos that develop at this stage has arrived, only about half of all embryos. Culture of embryonic growth Blast selected Cisco as one sure enough. Because the fetus is not healthy to stop growing or die before the term Blast Belarus Sys.

Blast stage embryo grown from Cisco is incubation.
Covering the 7 o'clock position.

Source. Www.kullapat.com.

ไม่มีความคิดเห็น:

แสดงความคิดเห็น

.