Kodi ndalama za IVF zimawononga ndalama zingati? Mu Vitro Fertilization: Makliniki

Mabanja ambiri amakumana ndi vuto la kusabereka. Ndipo izo zikhoza kukhala zonse zazimayi ndi amuna. Pambuyo pazosavuta kuyesa kuthetsa vutoli, anthu ena akufika kufunikira kwa njira yodalirika yotere ya kuthana ndi kusabereka, monga mu vitro fertilization.

Lingaliro la "in vitro fetereza"

IVF, kapena mu vitro feteleza, ndi njira yatsopano yopangidwira njira zogonjetsa mitundu yosautsa ya amayi ndi abambo, yomwe imaphatikizapo kubereka kwa dzira la vitamini (in vitro) ndi kulima ndi kubzala mwanayo m'mimba mwa chiberekero.

Kuyesera koyamba kwa ECO kunachitika mu 1978 ku England. Tsopano njirayi imagwiritsidwa ntchito kwambiri, ngakhale kuti ndi yovuta komanso yotsika mtengo, choncho funso la kuchuluka kwa ECO, limadetsa nkhawa mabanja ambiri omwe alibe ana, makamaka popeza momwe ntchitoyi ilili ndi 30-35%, kotero mungafunike njira zoposa imodzi kuti mukwaniritse zotsatira.

Zisonyezo za ECO

In vitro feteleza ndi imodzi mwa njira zothandizira mitundu yovuta komanso yopanda chitsimikizo ya kusabereka. Amagwiritsidwa ntchito pamene njira zina zogonjetsera matendawa sizothandiza.

Monga chisonyezero cha IVF , kusabereka kwa tubal kumayesedwa , pamene chizoloŵezi cha mazira amatha kusweka ndipo palibe kuthekera kubwezeretsa. Izi zikutanthauza kuti pakakhala mankhwala omatira othandizira matenda opweteka a ziwalo zouma, kapena palibe wina kapena mazira awiri, ndibwino kulingalira za momwe mungayendere IVF.

Chisonyezero china ndi kusabereka kwaumunthu komwe kumagwirizanitsa ndi chitukuko cha ma antibodies omwe amachititsa kuti umuna wa mwamuna kapena mkazi wina apitirize kugonana, choncho ngati mukufuna kukhala ndi mwana wothandizira, muyenera kuyendera njira ya IVF.

Chifukwa chodziwira kuti ndalama zambiri za IVF zingakhale zotani, zingatheke kuti munthu akhale wosabereka chifukwa cha kukula kwa umuna kapena nthenda yochepa ya spermatozoa. Mulimonsemo, mu vitro feteleza ndi gawo lomaliza la njira zonse zoganizira ndi zachipatala zomwe sizinapereke zotsatira zoyenera.

Zifukwa zosagonjera zowononga njira ya IVF ndi matenda obadwa nawo monga cystic fibrosis kapena hemophilia. Pachifukwa ichi, zopereka zowonongeka zingagwiritsidwe ntchito poteteza ana ku matendawa.

Contraindications

Ngakhale amakhulupirira kuti IVF ingagwiritsidwe ntchito nthawi iliyonse pamene pali chiberekero chabwino, pali zotsutsana zambiri zogwiritsa ntchito njirayi. Izi zikuphatikizapo kukhalapo kwa matenda oopsa a somatic ndi matenda, omwe amatsutsana ndi kukonzekera kubereka, kubadwa kwapachiyambi kapena kuwonongeka kwa chiberekero, zomwe zimateteza kuyamba ndi kubala mimba. Sikoyenera kuchitira IVF kwa zilonda za m'mimba kapena ziwalo zoopsa za chiberekero zomwe zimafuna opaleshoni, komanso zotupa zoipa za malo aliwonse, ngakhale zitachotsedwa. Udzu wochuluka udzachotsedwanso kuti ukhale ndi matenda ena opweteka kwambiri. Choncho, kumayambiriro kuti mudziwe kuchuluka kwa ECO, ngati pali vuto lililonse m'thupi, kuwonjezera pa matendawa.

Kukonzekera kupanga insemination

Njira yowonongeka mu vitro ndi yovuta komanso yowonjezera nthawi ndipo imafuna khama la akatswiri ambiri komanso wodwalayo. Njirayi imaphatikizapo magawo osiyanasiyana omwe amasiyana malinga ndi matenda ena, choncho zimatengera kwa theka ndi theka kufika miyezi iwiri kuti ayambe kuyesa odwala komanso kutha kwa nthawi yoyamba kapena yosakhalapo mimba. Choncho, kuwonjezera pa kupeza ndalama zochuluka zogwiritsira ntchito IVF, muyenera kukhala oleza mtima ndi kukhala ndi chikhulupiliro pakukwaniritsa zotsatira zabwino.

Pambuyo pa IVF, wodwalayo amayembekezera mayesero angapo komanso njira zothandizira, monga ultrasound, kuyezetsa magazi kwa mahomoni, kupezeka kwa Edzi, matenda a chiwindi ndi chiwindi, amuna amapatsidwa spermogram. Chiyeso choterocho chikudikirira maanja omwe kale adapezeka kuti ali ndi infertility, ndipo kuyesedwa kwapangidwa kuti asamalidwe kapena kupanga mwachangu. Kuphatikiza apo, pangakhale ndondomeko yoyezetsa matenda a majini. Ngati banja lakhala likugwiritsira ntchito kwa nthawi yoyamba, pangakhale koyenera kuchita njira iliyonse yachipatala kapena ntchito, mwachitsanzo, kuti musinthe mahomoni, kudula zikhomo, kulandira matenda a genitourinary sphere, ndi zina zotero, zomwe zidzakulitsa kwambiri kukonzekera IVF.

Miyeso ya in vitro fetereza

Pambuyo pa kafukufukuyo, ndondomeko ya IVF imayambira, yomwe ili ndi magawo angapo, yoyamba yomwe idzakhala njira yothandizira ovulation. Izi zimatheka chifukwa choikidwa mankhwala osokoneza bongo omwe amachititsa kusasitsa kwa mitundu ingapo, yomwe nthawi zina imapangitsa mwayi wochotsa ndi kuthira dzira yoyenera. Ndipo kukhalapo kwa mazira angapo wathanzi kumapangitsa kuti pakhale mimba, chifukwa ngakhale mazira pang'ono angakhale ndi mimba popanda mimba. Mankhwala am'thupi amayiritsidwa kwa milungu iŵiri, mosamala mosamala mkhalidwe wa wodwalayo, popeza malingana ndi mankhwala ogwiritsidwa ntchito, pangakhale mavuto ena, kuchokera ku chitukuko cha kusintha kwa matenda osokoneza bongo, omwe amawonetsedwa ndi kupweteka ndi kupweteka m'mimba.

Pambuyo pozindikira kuti thupi likonzekera, amai amasunthira ku gawo lotsatirali - kupuma kwa follicles ya dzira. Ntchitoyi, pokhala yopaleshoni yaying'ono, ikuchitika pamtunda wa tsiku limodzi. Kusokoneza uku kumachitika pogwiritsa ntchito anesthesia (kawirikawiri kawirikawiri imakhala yopweteka kwambiri m'mimba) pansi pa mphamvu ya ultrasound yolamulira.

Kusakanikirana kwa dzira ndi umuna ndi kulimbitsa mimba kumagwiritsidwa ntchito ndi madokotala omwe ali m'mimba mu labotale yapadera yomwe imafuna kupezeka kwa zipangizo zamakono. Pambuyo pa kamwana kamene kamakhala ndi masiku 2-4, amachotsedwa ku chiberekero, chomwe ndi njira yosavuta komanso yotetezeka kuntchito yonse ya IVF. Pambuyo pazimenezi, muyenera kuonetsetsa kuti mukulephera kutero, yesani kupeŵa kupsinjika maganizo komanso kukhumudwa, ngakhale kutulutsa tsamba lachilendo. Mazira osagwiritsidwa ntchito amawotcha malingana ndi teknoloji yapadera, ndipo akhoza kuwonjezeredwa mu chiberekero ngati kuyesa koyamba kusapambane. Asanatuluke m'mimba, amayesedwa pa zovuta zosiyanasiyana zachitukuko komanso matenda omwe amachititsa kuti thupi liziyenda bwino.

Pambuyo pa jekeseni la mazira, wodwalayo amalandira mankhwala omwe angathandize kuti akhale ndi mimba komanso kupewa mazira. Mankhwala oterewa amachitika mpaka pakatsimikiziridwa kuti ali ndi mimba kapena isanafike nthawi yotsatira kusamba, ngati kuyesayesa sikupambana.

Mtengo wa in vitro feteleza

Tsopano ku Russia muli zipatala zoposa zana ndi malo opatsirana omwe angathe kuchita zimenezi. Momwemo m'mudzi uliwonse wa chigawo mungapeze chikhazikitso chokhudzana ndi chithandizo cha infertility ndi IVF. Choncho, mutatha kudziwa momwe ndalama zinagwirira ntchito ECO ku Moscow, kufunafuna ndalama zambiri muderali. Mtengo wa in vitro feteleza uli ndi mfundo zambiri ndipo zimadalira njira zomwe zimagwiritsidwa ntchito komanso mtengo wa mankhwala ogwiritsidwa ntchito. Pafupipafupi, njira ya IVF idzafuna kukhalapo kwa 120-190 zikwi za ruble. Ngati cholinga chake chikugwiritsidwa ntchito pogwiritsa ntchito ma genetic, mtengowo uwonjezeka.

ECO yaulere

Kuyambira mu 2006, pulojekiti yaulere ya mavitamini inayamba kugwira ntchito, chifukwa inalembedwa mndandanda wa chithandizo chamankhwala chapamwamba kuchokera ku federal budget. Nzika iliyonse ya Russian Federation yomwe ili ndi zizindikiro zoyenera zachipatala ingapemphe thandizo. Komabe, ku dera la chigawo, akuluakulu a boma amatha kuletsa anthu kuti azikhala ndi zaka zosiyana siyana, zomwe zingatheke kuti azigwiritsa ntchito njira ya IVF yaulere. Mwachitsanzo, zaka 38 zaikidwa m'dera la Moscow ndi dera lomwe mungathe kutchula pulogalamu ya bajeti ya IVF, ndipo simungagwiritsidwe ntchito mobwerezabwereza. Palibenso IVF yaulere yogwiritsira ntchito zipangizo zothandizira, pomwe ndalama zimathekera: boma lidzalipiritsa ntchitoyo, ndipo wogulayo adzagulidwa ndi wodwalayo.

Kuti mulandire gawo laulere la IVF, wopemphayo adzayenera kudutsa njira yovuta. Izi ndizofukufuku osiyanasiyana pofuna kukhazikitsa zomwe zimayambitsa kusabereka komanso kukonzekera mapepala akuluakulu, omwe amaperekedwa pa ntchito yapadera yokonzera bajeti muzipatala kulowa m'dongosolo la ufulu wa IVF.

Cholinga pa IVF

Masiku ano, okwatirana omwe akulakalaka kukhala ndi mwana, koma osakhoza kuchita izi, chifukwa cha zachipatala, ali ndi mwayi wochita ndondomeko ya kuwonongetsa ndalama zamakono mtengo wochepa wa ndalama ku federal bajeti ya CHI. Chaka chilichonse, chiwerengero china cha ndondomeko zimagawidwa, zomwe zimagawidwa m'madera onse. Chiwerengero cha malembawa sichikuphimba kufunika kwa odwala kuti apange chithandizo chamakono kuti athetse kusabereka, kotero chiwerengero cha eco chikhalabe maloto okondedwa a okwatirana ambiri.

Zigawo zina za Russian Federation Kuonjezeranso kuyika malo omasuka a in vitro fertilization, operekedwa kuchokera ku bajeti. Choncho, zizindikiro zomwe zimapangitsa kuti odwala athe kupeza pulogalamuyi zimasiyana mosiyana pakati pa zigawo ndipo zingakhale zosiyana ndi zofuna za boma.

ECO ku Moscow

Ku Moscow masiku ano zipatala zopitirira 50 zimapereka ECO. Choncho, n'zovuta kusankha choyenera. Pa nthawi imodzimodziyo, munthu akhoza kuganizira za mtengo wa ndondomekoyo kapena kutsatira malangizo a dokotala kapena abwenzi ndi anzake, popeza kuti sukulu yapamwamba ya ogwira ntchito kapena kupezeka kwa zipangizo zamtengo wapatali zimapangitsa kuti pakhale mimba yayitali yaitali kuyembekezera, ngakhale kuwonjezera mwayi wawo.

Zimakhala zovuta kuyankha funsolo, kodi ndalama za IVF zimawononga ndalama zingati ku Moscow, popeza mtengo uli ndi nthawi zambiri zogwirizana ndi mawonekedwe a kusabereka. Mwachitsanzo, feteleza pogwiritsa ntchito spermatozoa kapena mazira adzafuna ndalama zazikulu. Zidzakhalanso kuonjezera mtengo wogwiritsira ntchito njira zamakono zotere monga INSI, yomwe imakhala ndi insemination yokhayokha ndi spermatozoon imodzi, yomwe ingakhale yofunikira ndi khalidwe losauka kwambiri la umuna.

Mtengo wa mankhwala suli m'ndandanda wamtengo wapatali wa mapulogalamu, iwo amayenera kupatula mosiyana ma ruble 40-60,000. Kawirikawiri, IVF idzafuna ruble 150-190,000 pa njira imodzi. Njira zobwereza nthawi zambiri zimaperekedwa kuchotsera.

IVF ku St. Petersburg

Mabungwe ambiri azachipatala amapereka ntchito zawo pochita malonda mu vitro feteleza. Mtengo wa IVF ku St. Petersburg ukhoza kukhala wosiyana kwambiri. Kliniki iliyonse imapereka mapulogalamu ake omwe amakulolani kuti muzisankha kafukufuku ndi njira zogwirizira.

Mwachitsanzo, chipatala cha Euromed In Vitro chimapereka IVF kwa rubulu 52,000 (iyi ndi mtengo wopanda mtengo wa mayeso, kukambirana kwa akatswiri ndi kugula mankhwala oyenera). Chotsatira chake, kuchuluka kwa ruble 110-120,000 kudzagwiritsidwa ntchito mu-vitro feteleza. Makliniki angaperekenso dongosolo la kuchotsera kapena magawo ena, koma njirayi sichipezeka kwa amayi ambiri omwe alibe mwayi wokhala ndi pakati pa nthawi zonse.

Choncho, tinganene kuti njira ya IVF ndi njira yabwino kwambiri yogonjetsera mitundu yosautsa yaumphawi, yomwe, ngakhale mtengo wapatali, umapereka chiyembekezo chokhala ndi ana m'mabanja ambiri.