{"id":25560,"date":"2021-07-21T20:00:41","date_gmt":"2021-07-21T18:00:41","guid":{"rendered":"https:\/\/www.drardi.com\/?p=870"},"modified":"2021-07-21T20:00:41","modified_gmt":"2021-07-21T18:00:41","slug":"fertilizimi-in-vitro-a-do-te-kem-probleme","status":"publish","type":"post","link":"https:\/\/drardi.com\/shop\/fertilizimi-in-vitro-a-do-te-kem-probleme\/","title":{"rendered":"Fertilizimi In Vitro &#8211; A do t\u00eb kemi probleme?"},"content":{"rendered":"<p><strong>Cfar\u00eb \u00ebsht\u00eb fertilizimi in Vitro ?<\/strong><\/p>\n<p>Fertilizimi in Vitro (IVF\/FIV) \u00ebsht\u00eb nj\u00eb metod\u00eb teknologjike q\u00eb mund\u00ebson riprodhimin e asistuar ose artificial n\u00eb momentin kur shtatz\u00ebnia nuk arrihet spontanisht. P\u00ebrfshine marrjen e vez\u00ebve nga vezoret e femr\u00ebs dhe bashkimin n\u00ebn mikroskop spermatozoid\u00ebt. Kjo vez\u00eb e fertilizuar quhet embrion. Embrioni pastaj mund t\u00eb ruhet n\u00eb ngrirje apo t\u00eb transferohet ne mit\u00ebr.<\/p>\n<p>Var\u00ebsisht nga situata q\u00eb ju ndodheni me IVF mund t\u00eb p\u00ebrdoren:<\/p>\n<p>vez\u00ebt e juaja dhe sperma e partnerit<\/p>\n<p>vez\u00ebt e juaja dhe sperma e dhuruar<\/p>\n<p>vez\u00ebt e dhuruara dhe sperma e partnerit<\/p>\n<p>vez\u00ebt e dhuruara dhe sperma e dhuruar<\/p>\n<p>embrione t\u00eb dhuruara<\/p>\n<p>&nbsp;<\/p>\n<p>Mjeku juaj gjithashtu mund t\u00eb implantoj\u00eb embrionet tek nj\u00eb surogat apo bart\u00ebs tjet\u00ebr, z\u00ebvend\u00ebsues t\u00eb shtat\u00ebnise, q\u00eb do t\u00eb thot\u00eb nj\u00eb grua e cila mban bebin tuaj gjat\u00eb shtatz\u00ebnise.<\/p>\n<p>P\u00ebrqindja e suksesit t\u00eb IVF varion. Bazuar n\u00eb shoqat\u00ebn amerikane p\u00ebr shtatz\u00ebni, jetesa e lindjeve tek grat\u00eb nen moshen 35 vjec te cilat I nenshtrohen procedures IVF eshte 41 deri ne 43 %. P\u00ebrqindja ulet n\u00eb 13 deri n\u00eb 18 % p\u00ebr grat\u00eb mbi mosh\u00ebn 40 vjec.<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p><strong>Pse b\u00ebhet fertilizimi in Vitro ?<\/strong><\/p>\n<p>IVF ndihmon njer\u00ebzit t\u00eb cil\u00ebt duan t\u00eb ken\u00eb femij\u00eb por q\u00eb e kan\u00eb t\u00eb pamundur t\u00eb nj\u00eb shtatz\u00ebni n\u00eb rrug\u00eb natyrale (spontane).<\/p>\n<p>IVF eshte nj\u00eb procedur\u00eb invazive dhe e shtrenjt\u00eb, k\u00ebshtu q\u00eb ciftet I n\u00ebnshtrohen trajtimeve p\u00ebr fertilitet paraprakisht. Kjo n\u00ebnkupton marrjen e ilaceve p\u00ebr fertilitet ose inseminimi intrauterin (futja e sperm\u00ebs n\u00eb kanalet e mitres), procedur\u00eb e cila kryhet nga mjeku obstet\u00ebr-gjinekolog i specializuar n\u00eb infertilitet.<\/p>\n<p>&nbsp;<\/p>\n<p><strong>Problemet e infertilitetit p\u00ebr t\u00eb cilat IVF \u00ebsht\u00eb e domosdoshme jan\u00eb :<\/strong><\/p>\n<p>Reduktim I fertilitetit tek grat\u00eb mbi mosh\u00ebn 40 vjec.<\/p>\n<p>Reduktim I funksionit te vezoreve<\/p>\n<p>Infertiliteti mashkullor, sic jan\u00eb numri I ulet I spermatozoideve apo anormaliteti I form\u00ebs s\u00eb sperm\u00ebs<\/p>\n<p>Infertilitet I pashpjegueshem<\/p>\n<p>&nbsp;<\/p>\n<p>Ciftet mund t\u00eb p\u00ebrdorin metod\u00ebn IFV edhe kur kan\u00eb risk t\u00eb lart\u00eb p\u00ebr ndonj\u00eb s\u00ebmundje t\u00eb trash\u00ebgueshme gjenetikisht tek pasardh\u00ebsi. Nj\u00eb laborator mjek\u00ebsor mund t\u00eb testoj\u00eb embrionet p\u00ebr anomalit\u00eb gjenetike t\u00eb mundshme e k\u00ebshtu duke b\u00ebr\u00eb t\u00eb mundur selektimin p\u00ebr transferim t\u00eb embrioneve me kariotip normal.<\/p>\n<p><strong>Si b\u00ebhet p\u00ebrgatitja p\u00ebr fertilizimin in Vitro ?<\/strong><\/p>\n<p>Para se t\u00eb filloj\u00eb procedura e IVF, grat\u00eb duhet nj\u00ebher\u00eb t\u2019I n\u00ebnshtrohen disa ekzaminimeve laboratorike p\u00ebr t\u00eb vler\u00ebsuar rezerv\u00ebn ovariale. Kjo p\u00ebrfshin marrjen e nj\u00eb kampioni t\u00eb gjakut dhe testimi I tij p\u00ebr nivelet e hormonit-anti-Mullerian..<\/p>\n<p>Mjeku juaj do t\u00eb egzaminoj dhe traktin genital fem\u00ebror. Kjo p\u00ebrfshin metoden me ultrasound apo echo, n\u00eb t\u00eb cil\u00ebn p\u00ebrdoren vale t\u00eb larta tingujsh p\u00ebr t\u00eb krijuar nj\u00eb imazh traktit genital, uterus, adnekse dhe strukturat p\u00ebrreth.<\/p>\n<p>Meshkujt duhet t\u00eb b\u00ebjn\u00eb analiza p\u00ebr sperm\u00ebn e tyre. Kjo p\u00ebrfshin marrjen e nj\u00eb kampioni t\u00eb sperm\u00ebs, t\u00eb cilin laboratori do ta egzaminoj\u00eb p\u00ebr numrin, madh\u00ebsin\u00eb, si dhe form\u00ebn e spermatozoidit.<\/p>\n<p>&nbsp;<\/p>\n<p>Zgjedhja p\u00ebr t\u00eb b\u00ebr\u00eb IVF, n\u00eb fund t\u00eb fundit \u00ebsht\u00eb nj\u00eb zgjedhje shum\u00eb personale.<\/p>\n<p><strong>Disa faktore qe duhen konsideruar :<\/strong><\/p>\n<p>Cfar\u00eb do t\u00eb b\u00ebni me embrionet e pashfryt\u00ebzuara?<\/p>\n<p>Sa embrione doni t\u00eb transferoni? Mjeku zakonisht rekomandon transferimin e 2 embrioneve.<\/p>\n<p>Si ndiheni p\u00ebr mundesin\u00eb e t\u00eb paturit shtatz\u00ebni binjake, trinjak\u00eb apo m\u00eb shum\u00eb ?<\/p>\n<p>Po p\u00ebr pjes\u00ebn emocionale dhe parap\u00ebrgatitore p\u00ebr t\u00eb marr\u00eb vez\u00eb t\u00eb dhuruara, sperme, embrione apo surrogat\u00eb ?<\/p>\n<p>Cilat jan\u00eb shqet\u00ebsimet financiare, emocionale dhe fizike t\u00eb cilat lidhen me IVF?<\/p>\n<p>&nbsp;<\/p>\n<p><strong>Si kryhet procedura IVF?<\/strong><\/p>\n<p>Jane 5 etapa t\u00eb cilat I p\u00ebrkasin procedur\u00ebs IVF:<\/p>\n<p>Stimulimi<\/p>\n<p>Marrja e vezeve apo Pick-up<\/p>\n<p>Inseminimi<\/p>\n<p>Embrio kultura<\/p>\n<p>Transferimi<\/p>\n<p>&nbsp;<\/p>\n<p><strong>Stimulimi<\/strong><\/p>\n<p>Nj\u00eb grua zakonisht prodhon nj\u00eb vez\u00eb gjat\u00eb cdo cikli menstrual. Megjithat\u00eb p\u00ebr IVF duhen m\u00eb shum\u00eb se nj\u00eb\u00a0 veze . P\u00ebrdorimi I dy apo m\u00eb shume vez\u00ebve rrit mund\u00ebsit\u00eb p\u00ebr t\u00eb zhvilluar nj\u00eb embrion. Duhen p\u00ebrdorur medikamente t\u00eb cilat ndihmojn\u00eb n\u00eb rritjen e fertilitetit; q\u00eb dmth rritjen e numrit te vez\u00ebve t\u00eb cilat t\u00eb cilat vezorja juaj i prodhon. Gjat\u00eb k\u00ebsaj kohe dhe procedure mjeku juaj do t\u00eb marr\u00eb analiza gjaku dhe egzaminime me ultratinguj n\u00eb m\u00ebnyr\u00eb t\u00eb rregullt. Ke\u00ebo ndihmojn\u00eb n\u00eb monitorimin e gj\u00ebndjes s\u00eb pacientit dhe ndihmojn\u00eb mjekun qe t\u00eb kryej t\u00ebrheqjen e vez\u00ebve n\u00eb koh\u00ebn e duhur.<\/p>\n<p>&nbsp;<\/p>\n<p><strong>T\u00ebrheqja e vez\u00ebve<\/strong><\/p>\n<p>Ndryshe njihet si aspirimi folikular. \u00cbsht\u00eb nj\u00eb procedur\u00eb kiurgjikale e cila b\u00ebhet n\u00ebn anestezi endovenoze. Mjeku p\u00ebrdor\u00eb nj\u00eb age t\u00eb holl\u00eb e t\u00eb gjat\u00eb, n\u00ebn drejtimin e ekografis\u00eb.Agja kryen aspirimin\u00a0 e vez\u00ebve dhe l\u00ebngut nga secili folikul.<\/p>\n<p>&nbsp;<\/p>\n<p><strong>Inseminimi<\/strong><\/p>\n<p>Partneri mashkull duhet t\u00eb jap\u00eb nj\u00eb doz\u00eb t\u00eb sperm\u00ebs e cila do t\u00eb p\u00ebrgatitet n\u00eb laborator nga bioteknologu. N\u00eb laborator gjithashtu n\u00ebn drejtimin e mikroskopit kryhet dhe procedura e bashkimit t\u00eb spermatozoidit me vez\u00ebn.<br \/>\nEgzistojn\u00eb dy teknika p\u00ebr k\u00ebt\u00eb:<br \/>\nAjo e fekondimit t\u00eb lir\u00eb, ku nj\u00eb terren lihet veza dhe spermatozoidi I lir\u00eb gjen vez\u00ebn dhe implantohet n\u00eb t\u00eb (kjo ngjet m\u00eb fekondimin natyral n\u00eb rruget genital fem\u00ebrore) dhe rruga e injektimit intracitoplazmik (rruga me e sigurt\u00eb dhe e p\u00ebrdorur sot).<\/p>\n<p>&nbsp;<\/p>\n<p><strong>Kultura e embrionit <\/strong><\/p>\n<p>Bioteknologu do t\u00eb monitoroj\u00eb vez\u00ebt e fertilizuara p\u00ebr t\u00eb siguruar q\u00eb ato po zhvillohen. Gjate k\u00ebsaj kohe embrionet I n\u00ebnshtrohen testeve per defekte gjenetike, PGD.<\/p>\n<p>&nbsp;<\/p>\n<p><strong>Transferimi<\/strong><\/p>\n<p>Momentin q\u00eb embrionet rriten mjaftuesh\u00ebm ato mund t\u00eb vendos\u00ebn n\u00eb miter. Kjo zakonisht b\u00ebhet pas 3 ose 4 dit\u00ebsh pas fertilizimit. Vendosja e embrionit b\u00ebhet me ndihmen e nj\u00eb tubi t\u00eb holle t\u00eb quajtur kateter e cila futet deri n\u00eb mit\u00ebr dhe e l\u00ebshon embrionin.<\/p>\n<p><strong>Cilat jan\u00eb komplikacionet dhe risqet e IVF ?<\/strong><\/p>\n<p>Si cdo procedur\u00eb tjet\u00ebr mjek\u00ebsore edhe procedura FIV ka rreziqet dhe mund\u00ebsit\u00eb p\u00ebr komplikacionet e veta.<\/p>\n<p>K\u00ebto p\u00ebrfshijn\u00eb:<\/p>\n<p>Shtatz\u00ebni t\u00eb shum\u00ebfishta, t\u00eb cilat rrisin riskun p\u00ebr lindje t\u00eb bebit n\u00ebnpesh\u00eb dhe lindje t\u00eb parakohshme.<\/p>\n<p>Aborte (d\u00ebshtim t\u00eb shtatz\u00ebnis\u00eb)<\/p>\n<p>Shtatz\u00ebni ektopike (kur veza vendoset jasht\u00eb mitr\u00ebs)<\/p>\n<p>Sindroma e hiperstimulimit t\u00eb vezoreve (OHSS), nj\u00eb semundje e rrall\u00eb e cila shoq\u00ebrohet me edema t\u00eb gjeneralizuara e deri n\u00eb pulmonare e cerebrale.<\/p>\n<p>Infeksion ose d\u00ebmtim I fshik\u00ebz\u00ebs s\u00eb urin\u00ebs (shum\u00eb e rrall\u00eb)<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p><strong>Cila \u00ebsht\u00eb pik\u00ebpamja afatgjat\u00eb e k\u00ebsaj procedure ?<\/strong><\/p>\n<p>Marrja e vendimit p\u00ebr t\u00eb kryer nj\u00eb procedur\u00eb IVF ose tentimi p\u00ebr nj\u00eb shtatz\u00ebni tjet\u00ebr me ndihm\u00eb t\u00eb IVF, pas nj\u00eb procedure t\u00eb par\u00eb t\u00eb d\u00ebshtuar \u00ebsht\u00eb nj\u00eb vendim shum\u00eb i komplikuar por s\u00ebrish e vetmja mund\u00ebsi p\u00ebr t\u00eb pasur nj\u00eb pasardh\u00ebs.<br \/>\nProblemet si ato financiare, emocionale mund t\u2019a v\u00ebshtir\u00ebsojn\u00eb situat\u00ebn. Konsultohuni me mjekun tuaj p\u00ebr t\u00eb marr\u00eb vendimet m\u00eb t\u00eb duhura dhe p\u00ebr t\u2019i paraprir\u00eb problemeve t\u00eb cilat mund t\u00eb hasen gjat\u00eb k\u00ebsaj procedure, si dhe a \u00ebsht\u00eb kjo zgjedhja e duhur p\u00ebr ju dhe partnerin tuaj. K\u00ebrkoni mb\u00ebshtetje familjare apo shoqerore q\u00eb do ju ndihmonin juve dhe partnerin tuaj gjat\u00eb k\u00ebsaj procedure.<\/p>\n<p>&nbsp;<\/p>\n<p>Punoi: Erda Limoni<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Cfar\u00eb \u00ebsht\u00eb fertilizimi in Vitro ? Fertilizimi in Vitro (IVF\/FIV) \u00ebsht\u00eb nj\u00eb metod\u00eb teknologjike q\u00eb mund\u00ebson riprodhimin e asistuar ose artificial n\u00eb momentin kur shtatz\u00ebnia nuk arrihet spontanisht. P\u00ebrfshine marrjen e vez\u00ebve nga vezoret e femr\u00ebs dhe bashkimin n\u00ebn mikroskop spermatozoid\u00ebt. Kjo vez\u00eb e fertilizuar quhet embrion. Embrioni pastaj mund t\u00eb ruhet n\u00eb ngrirje apo [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":23729,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[254],"tags":[277,236],"class_list":["post-25560","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-infertilitet","tag-fiv-ivf-invitro-fertilizim-artificial-farezim-amh-inseminim-amh-mullerian-sperme-spermatozoid-veze-vezore-oocyte-ovocit","tag-obstetrike-gjinekologji-obgyn-obsgjin-drardi-drprushi-drardiprushi-obstetergjinekolog-shtatzenia"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v26.3 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Fertilizimi In Vitro - A do t\u00eb kemi probleme? - Intimacy<\/title>\n<meta name=\"robots\" content=\"noindex, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Fertilizimi In Vitro - A do t\u00eb kemi probleme? - Intimacy\" \/>\n<meta property=\"og:description\" content=\"Cfar\u00eb \u00ebsht\u00eb fertilizimi in Vitro ? Fertilizimi in Vitro (IVF\/FIV) \u00ebsht\u00eb nj\u00eb metod\u00eb teknologjike q\u00eb mund\u00ebson riprodhimin e asistuar ose artificial n\u00eb momentin kur shtatz\u00ebnia nuk arrihet spontanisht. P\u00ebrfshine marrjen e vez\u00ebve nga vezoret e femr\u00ebs dhe bashkimin n\u00ebn mikroskop spermatozoid\u00ebt. Kjo vez\u00eb e fertilizuar quhet embrion. 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Fertilizimi in Vitro (IVF\/FIV) \u00ebsht\u00eb nj\u00eb metod\u00eb teknologjike q\u00eb mund\u00ebson riprodhimin e asistuar ose artificial n\u00eb momentin kur shtatz\u00ebnia nuk arrihet spontanisht. P\u00ebrfshine marrjen e vez\u00ebve nga vezoret e femr\u00ebs dhe bashkimin n\u00ebn mikroskop spermatozoid\u00ebt. Kjo vez\u00eb e fertilizuar quhet embrion. 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