Fertilization (εξωσωματικη)
Fertilization is a procedure that starts with the contact of sperm with the covering around the oocyte
what's more, closes with the disintegration of the pronuclei in a procedure called singamia.
In IVF for fertilization to happen, every oocyte is hatched in a similar culture medium with around 50,000 to
100,000 sperm recently prepared in the research center.
Right when a sperm figures out how to infiltrate the pellucid zone, the oocyte responds by actuating this cell layer to
hinder the section of more sperm.
The proof that there was fertilization is given by tiny visualization of the pronuclei, 16
to 20 hours after co-brooding of the two gametes.
One of the dangers of IVF is the absence of fertilization everything being equal. This happens in 1% of cases. In the event that none of the ovules
are fertilized, or the incipient organisms stop their advancement, the specialist won't do the fetus move, the
treatment stays unfinished, and the potential causes should be broke down, proposing different choices for the
future (ICSI).
On the off chance that the gametes are ordinary, the fertilization rate is roughly 70% . This rate changes as per the
morphological qualities of the gametes, the lady's age and the reason for barrenness. They additionally impact
fertilization rates, natural factors, for example, quality and remuneration of culture media, air virtue and
physical condition inside the hatcheries and in the research center, temperature changes, pH, and so forth.
On the off chance that sperm don't be able to treat, current technology enables a sperm to be brought into the oocyte.
This technology called "intracytoplasmic sperm infusion" (ICSI) enables you to intertwine an oocyte with a sperm got
from semen, or precisely expelled from the epididymis or the testis all things considered.
Fetus move
Incipient organism move to the uterus is an outpatient method performed in a ward, without the requirement for absense of pain or anesthesia.
(exosomatiki)
This technique takes around 15 minutes and includes storing the developing lives inside the uterine depression.
For this, a dainty, exceptionally delicate, flimsy plastic cylinder called a catheter is utilized. This is presented through the cervix and
the developing lives are saved in the uterine cavity.
For developing life move, the patient must accompany a full bladder as it is performed with an extraordinary catheter, which has a
noticeable tip to ultrasound , so it is performed in a guided manner with a stomach ultrasound, performed by an
assistant.Seeing precisely the spot of the cavity where the developing lives are saved.
The developing life implantation procedure starts on the fifth day of fertilization . Developing lives can be moved between the
second and the fifth day of advancement, contingent upon every specific case. In the event that they are moved on the second or third
day, they should proceed with their improvement in the uterine liquid before reaching the endometrium and start implantation. Sometimes the exchange can be made to the cylinders. Assuming this is the case, it will be finished by minilaparoscopy and after that
fasting is required since the patient will get general anesthesia.
After the exchange the patient will stay very still in the Clinic for 1/2 hour. When all is said in done , in any event relative rest is
prescribed for a couple of days . This, nonetheless, doesn't appear to be an essential measure. There are focuses that report great pregnancy results and don't suggest rest.
A few ladies have a slight ridiculous stream after the exchange, which is viewed as typical and ought not stress .
Eleven days after the exchange a hormone can be estimated in a lady's blood, which
enables the nearness of pregnancy to be recorded. This hormone copies its worth each 1.5 to 2 days. Thusly, sequential estimations can give valuable data in regards to pregnancy quality before being unmistakable with ultrasound.
Transvaginal ultrasound enables a gestational sac to be envisioned inside the uterus, 21 days after fetus move.
(υστεροσκοπηση)
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