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ما هو التلقيح داخل الرحم؟ (IUI)

التلقيح داخل الرحم

التلقيح داخل الرحم

يُعد التلقيح داخل الرحم (IUI) أحد العلاجات الأولية المقترحة للزوجين اللذين يتعاملان مع نقص الخصوبة البسيط عند الذكور والعقم غير المبرر. ومع ذلك، يجب أن تتذكر أنه لا ينصح بهذا الاجراء إذا كان الزوجان يعانيان من عقم شديد بسبب عامل الذكور، أو عقم عامل البوق، أو تقدم عمر الأم (أكبر من 35). إنه ليس مكلفا أو جائرا لأنه لا يتم إدخال أي معدات في الجسم. على الرغم من أن هذه الجراحة تزيد من احتمالية حدوث الحمل، إلا أنها لا تعتبر علاجًا شاملاً.

يعد التلقيح داخل الرحم أحد أقل الطرق خطورة والأقل تكلفة لتصبح أحد الوالدين في إيران. جميع التطورات في هذا المجال، بما في ذلك تحضير الحيوانات المنوية، ومراقبة وقت ما قبل التبويض، وتحفيز الإباضة باستخدام موجهة الغدد التناسلية المشيمائية البشرية، متوفرة في إيران حيث يتم إجراء التلقيح داخل الرحم في بيئة رعاية صحية مهنية. يمكنك دائمًا اختيار أطفال الأنابيب في إيران كخيار احتياطي وأكثر نجاحًا، على الرغم من ذلك، إذا لم ينجح التلقيح داخل الرحم.

التلقيح داخل الرحم مقابل اطفال الأنابيب

في التلقيح داخل الرحم، يحدث الإخصاب تلقائيًا وداخليًا، يتم وضع الحيوانات المنوية ببساطة بالقرب من البويضة لتقصير وقت انتقال الحيوانات المنوية. هذا هو الفرق الرئيسي بين هذين الإجراءين. قبل التلقيح داخل الرحم، يتم تنظيف الحيوانات المنوية وجمعها، ويكون الإجراء بسيطًا.

ومن جهة أخرى، فإن أطفال الأنابيب هو شكل من أشكال المساعدة على الإنجاب حيث يتم توحيد بويضات المرأة والحيوانات المنوية للرجل خارج الجسم في المختبر. يعتبر التلقيح داخل الرحم أقل تكلفة وغزوا. بالإضافة إلى ذلك، نظرًا لأن معدل نجاح أطفال الأنابيب أكبر، يُنصح الأزواج بتجربة التلقيح داخل الرحم ثلاث إلى أربع مرات قبل اللجوء إلى أطفال الأنابيب إذا لم ينجحوا.

عملية التلقيح داخل الرحم

في هذا الإجراء، يتم حقن الحيوانات المنوية الذكرية مباشرة في رحم المرأة. يتم زيادة فرصة الحمل عن طريق وضع المزيد من الحيوانات المنوية في الرحم أكثر مما يمكن تحقيقه عن طريق النشاط الجنسي. في هذه العملية، قد تستخدم المرأة أو لا تستخدم أي دواء إضافي.

يجب أن تتحدث مع خبير التلقيح داخل الرحم الذي يمكنه تزويدك بكل المعلومات التي تحتاجها، ويمكنك الحصول على وصفة طبية للأدوية للعناية بصحتك العقلية أيضًا. سيُطلب منك وضع خطة نظام غذائي والإقلاع عن الكحول والتدخين. إذا قررت الخضوع لـ التلقيح داخل الرحم في إيران، فكن متأكدًا من أن خبراء التلقيح داخل الرحم الإيرانيين سيكونون معك لمساعدتك في الحصول على طفل يتمتع بصحة جيدة.

تحفيز نمو البويضات

يصف الأطباء الأدوية التي تؤخذ عن طريق الفم أو الحقن لتحفيز الإباضة وكذلك نمو البويضات ونضجها. يتم حقن الدواء في مناطق بها دهون، مثل أعلى الفخذ أو المعدة. غالبًا ما يتم تناول الأدوية عن طريق الفم لمدة خمسة أيام، بينما يتم أخذ الأدوية القابلة للحقن لمدة ثلاثة إلى اثني عشر يومًا، اعتمادًا على استجابة المبايض.

مراقبة الدورة

يمكن تقييم المبايض باستخدام الموجات فوق الصوتية لمعرفة كيفية تفاعلها مع الجونادوتروبين، أو عبر فحص مستويات الهرمونات في الدم. يتقلب عدد اختبارات الموجات فوق الصوتية واختبارات الدم من دورة إلى أخرى. تتكون معظم الدورات من ثلاثة إلى أربع اختبارات.

تستخدم الموجات فوق الصوتية المهبلية لإجراء الفحص بالموجات فوق الصوتية. عندما يتم وضع مسبار مهبلي في فتحة المهبل، يمكن رؤية المبايض. الحويصلات عبارة عن أكياس في المبايض مملوءة بالسوائل وتقع في مكان نمو البويضة. تكون البويضة جاهزة للثقب عندما تكون البصيلة كبيرة بدرجة كافية. باستخدام الموجات فوق الصوتية، يتم تسجيل عدد وحجم البصيلات. الهدف هو الحصول على عدد من البصيلات كبيرة بما يكفي لإنتاج بيضة ناضجة.

بالإضافة إلى الموجات فوق الصوتية، تُجرى اختبارات الدم أحيانًا للتحقق من مستويات الهرمونات في الدم، مثل الإستراديول (الإستروجين). سيتم إعطاؤك موعدا لفحص الدم والموجات فوق الصوتية. يتم إجراء الموجات فوق الصوتية واختبارات الدم في وقت مبكر من الصباح، بحيث تكون النتائج جاهزة في وقت مبكر من بعد الظهر.

تقنية التلقيح داخل الرحم

لتحفيز الإباضة، يتم إعطاء جرعة تحفيز في العيادة أو في بعض الأحيان يحقنها المريض بنفسه.

بغض النظر عن المكان – العيادة أو المنزل – يجب على الشريك الذكر إعطاء الحيوانات المنوية في غضون ساعة من الاستمناء. في غضون 45 دقيقة، يتم فحص السائل المنوي وتحضيره. بالإضافة إلى ذلك، يمكن جمعها في واقي ذكري فريد أثناء الجماع.

يتم فحص عنق الرحم بمنظار، ويتم وضع قسطرة بلاستيكية صغيرة (أنبوب) في الرحم. تمتلئ حجرة الرحم لاحقًا بالحيوانات المنوية. في بعض الأحيان، يلزم وجود مشبك مطبق بدقة لدعم عنق الرحم وتمكين إدخال العينة بدقة. تستغرق هذه العملية بضع دقائق فقط ويمكنك المغادرة فورًا بعد العملية.

يمكن إجراء اختبار الحمل بعد 14 يومًا لمعرفة ما إذا نجحت العملية أم لا.

كم عدد الحيوانات المنوية المطلوبة؟

يجب عليك إجراء تحليل السائل المنوي لتحديد ما إذا كان التلقيح داخل الرحم سيكون ناجحًا أم لا قبل استثمار وقتك وأموالك في هذه العملية. يقيس هذا الاختبار كمية الحيوانات المنوية وحركتها. ما عليك سوى جمع الحيوانات المنوية عن طريق الاستمناء أو الانخراط في نشاط جنسي باستخدام واقي ذكري فريد. القذف ممنوع من 3 إلى 5 أيام قبل جمع الحيوانات المنوية.

يعتمد التلقيح داخل الرحم على قدرة الحيوانات المنوية على السباحة والعثور على البويضة، لذا فإن ارتفاع عدد الحيوانات المنوية وحركتها مهمان لإجراء العملية. بشكل عام، بعد معالجة عينة الحيوانات المنوية، يجب أن يكون هناك ما لا يقل عن 5 ملايين حيوان منوي متحرك أو أكثر حتى يكون التلقيح داخل الرحم فعالا. مع وجود عينة تحتوي على ما بين مليون و5 ملايين خلية متحركة، تكون فرصة النجاح أقل بكثير، ومن غير المرجح أن تؤدي الى الإخصاب. يعتبر أطفال الأنابيب (IVF) أو حقن الحيوانات المنوية داخل الهيولى (ICSI) خيارات أفضل من التلقيح داخل الرحم (IUI) للرجال الذين يعانون من انخفاض عدد الحيوانات المنوية.

ما هي فرصة نجاح التلقيح داخل الرحم؟

إن نجاح العلاج يتحدد من خلال سبب العقم في المقام الأول. التلقيح داخل الرحم ممتاز للأشخاص الذين لا يستطيعون الحمل لأسباب غير معروفة، والنساء اللواتي يعوق عنق الرحم مرور الحيوانات المنوية، والرجال الذين يعانون من ضعف القذف. على سبيل المثال، فإن احتمال الحمل مع التلقيح داخل الرحم أكبر بمرتين مما هو عليه مع عدم الخضوع لعلاج للعقم.

الرجال الذين ينتجون القليل من الحيوانات المنوية أو الذين تكون حيواناتهم المنوية ضعيفة بشكل كبير يكون لديهم فرصة نجاح أقل في التلقيح داخل الرحم.و من جهة أخرى، لن تستفيد النساء المصابات بمرض قناة فالوب الحاد، أو الانتباذ البطاني الرحمي، أو التهابات الحوض من علاج التلقيح داخل الرحم، وقد تعمل علاجات الخصوبة الأخرى بشكل أفضل لهؤلاء الأشخاص.

بشكل عام، قد تكون معدلات النجاح أعلى إذا تم إجراء التلقيح باستخدام حيوانات منوية طازجة أو مجمدة. يتأثر احتمال النجاح بعدد من العوامل، بما في ذلك استخدام أدوية الخصوبة، وعمر المرأة، والسبب الكامن وراء عقمها.

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