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      试管婴儿的过程步骤

      【导读】我们知道,正常的自然受孕属于体内受精,而试管婴儿是将夫妻双方的精子和卵子双双取出,放在培养皿中结合成受精卵,待受精卵发育成胚胎时,再将胚胎移植入女性宫腔内,和自然受孕的宝宝一样怀胎十月直至分娩,属于体外受精。因为胚胎在移植前,精子、卵子以及胚胎有3—5天的时间在体外生活,也就是在试管住了几天,之后便在母体子宫内安宅扎营,因而被赋予了“试管婴儿”的美名。那么,试管婴儿主要有哪些过程?

      试管婴儿是利用科学技术实现精卵子融合的优化,排除遗传等潜在风险。做试管婴儿手术,主要包括以下几个过程步骤:

      1. 促排卵:女人的卵子犹如稀世珍宝,一个月卵巢只能排出一个。由于不是每一个卵子都能和精子结合,也不是每一个受精卵都能形成胚胎,要想提高怀孕率,需要提前对女性进行促排卵治疗,促使多个卵泡同步生长,一次性取出多个优质卵子。

      促排卵有多种方案,常见的有长方案、短方案、微刺激方案等,最常用的是长方案。长方案在黄体期的前一周期才开始打促排卵针,主要针对年轻的、卵巢储备功能较好的女性,取出多个卵子的几率最高;短方案适用于年龄大、卵泡个数少且质量不佳的女性,在来例假的第二天就可以打促排卵针进行治疗,耗时短,但是卵子数目较少。不知道自己适合哪种促排卵方案的话,具体可以咨询电话/微信13929558881。

      2. 取卵取精:将一根细长的特殊取卵针固定在B超探头上,在B超的检测下,医生借助取卵针从阴道进入卵巢,穿刺成熟的卵泡,取出卵泡液,卵泡液顺着取卵针的细管依次流入各个试管内,取卵完成。

      取卵的同时对男性进行取精,同样都是在静脉麻醉下进行,患者不会感到丝毫疼痛,一般十分钟就能结束。

      3. 体外受精:精子和卵子取出之后,先要对精子进行特殊的清洗,因为精液中可能会携带梅毒、乙肝、HIV等病毒,需要将精子和精液分开。之后再将精子和卵子放在人工控制的培养基内,可以选择自然结合,也可以人工将精子注入卵细胞内。

      4. 胚胎移植:等到受精卵在培养基形成胚胎后,再过几日,医生会用一根胚胎移植导管,将胚胎通过子宫颈移植入母体子宫内。一般来说,一次只能移植2个左右胚胎,胚胎数越多,多胎妊娠率的风险越高,越容易对母婴的健康造成威胁。

      目前,试管婴儿有一代、二代、三代之分,三代试管技术发展趋向成熟,是不是第三代比第二代强,第二代又比第一代强?答案又是否定的。

      第一代试管婴儿,又称“体外受精—胚胎移植”(IVF),属于常规试管婴儿技术。

      第二代试管婴儿,又称“卵母细胞浆内单精子显微注射”(ICSI)。

      第三代试管婴儿,又称“胚胎植入前遗传学诊断”(PGD)或“胚胎植入前遗传学筛查”(PGS)。

      三者的共同之处:

      三代试管婴儿都包括了促排卵、取卵取精、体外受精、胚胎移植、黄体支持、确认妊娠等步骤。

      三者的不同之处:

      1.过程

      第一代和第二代的差别在于受精方式。第一代试管婴儿体外受精属于自然结合,不采取任何手段,而第二代试管婴儿则是运用显微镜将精子注入卵细胞内,属于人工注入。

      第三代和其他两代的差别在于胚胎移植,第三代在胚胎移植前增加了检测胚胎的遗传物质这一步骤,目的是为了淘汰有染色体疾病的胚胎,挑选出健康的胚胎再植入子宫内。

      2.适用人群

      第一代主要针对不孕的女性,比如:输卵管堵塞、卵巢排卵异常、子宫内膜异位等造成的不孕,以及少精、死精、弱精的不孕男性。

      第二代主要针对不孕的男性,比如:重度少、弱、死、无精症患者。

      第三代主要针对有遗传性疾病的患者,比如:单基因遗传疾病患者、连锁性遗传疾病患者、染色体数目、结构异?;颊?,以及高龄产妇、多次流产不孕者、多次试管失败者等。

      试管婴儿的成功率没有一个明确的数值,总体而言,成功率在50%左右,高的有70%,低的有30%,受多种因素影响,成功率会有变化。

      年龄是影响试管婴儿成功率的主要因素,年龄越大,卵子和精子的数目越好、质量越低,自然成功率越低。临床上,25—35岁之间是做试管婴儿的黄金时间,在此期间做试管婴儿的话,成功率可能高达65%;高于35岁的话,可能只有50%;45岁以上低至30%也有可能。

      除了年龄,精子、卵子、受精卵、胚胎的质量;子宫内膜环境;医生技术和经验;心情好坏;环境污染等内外因素都会对试管婴儿的成功率造成影响。

      试管婴儿可以说是一项高科技辅助生殖技术,既然是高科技,想必费用不菲??吹秸饫?,大家都知道试管婴儿分好几个过程,由于过程繁琐,且操作系数高,万一中途哪个阶段难度较大,需要另外增加费用。

      在国内,从整体情况上来看,试管婴儿的费用大概在3W—7W左右,主要根据患者选择的医院、试管技术、身体素质等因素而定,实际费用因人而异,无法以偏概全。

      当然,最重要的不是费用问题,而是患者的心态,一次成功是不是比多次失败要省钱的多?所以,患者一定要尽量放松心情,以一颗顺其自然的心迎接新生命的到来。

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      • 水果
      • 水产品/海鲜
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