I HC AN GIANG
SEMINAR
THUT H TR SINH SN
4. Ng
5. p
6. Trn
7. Nguyn Ngc H
i
Ni dung Trang
i
ii
1
2
2
2
2
4
IVF (In-vitro Fertilization) 4
ICSI (Intracytoplasmic Sperm Injection) 5
2.2.3. T IVM (Invitro Maturation of Oocytes) 5
Oocyte donation 6
- Frozen Embryo Transfer (FET) 6
6
6
9
9
9
9
-
g7 10
n
2
2.1. V
(WHO, 2000).
- :
-
:
Prolactin
2.1.
-
-
-
-
-
4
2.1.
2.2.2. ICSI (Intracytoplasmic Sperm Injection)
Ch nh ca ICSI:
-
- .
- .
-
t k thut:
-
-
-
-
-
2.2.3. IVM (Invitro Maturation of Oocytes)
:
-
-
-
-
-
2.2.7.1.
- .
7
-
-
1:
2.2.7.2.
- cal Epididymal Sperm
Aspiration MESA): L
-
Aspiration PESA): L
- TESA):
-
TESE):
k
.
8
- n.
-
-
-
2 8 2 3
v
3.2.1.
3.2.1.1.
e e
10
(Follice Stimulating Hormone),
s
3 4.
a tr
12
3: th tinh trong ng nghim vi tri cho
3.2.1.2.
o
p
Gam
3.2.2. Chun b y
i vng s d
cy n th n cc
ng huyng th bng mt na so vi n
u qu c
ng th i ta s dt cn thit cho s hong ca
m: ion Ca
2+
, glucose, lactate, bicacbonat, t l Na
+
/K
+
gn ging vi t l ca
ch ng dn trt protein ph n Ca
2+
cn thit cho
phn ng cng th tip tc theo trong phn ng.
Protein c bi kh n chuy
a hu hh vt.
pH cng th tinh trong ng nghim khong 7,n ging vi ca
th y ra n ng
acid.
ng th d nh pH. Bi v khi ta
n sinh ra CO
2
dng s
kt hp gia h
2
ng s nh pH cng.
15
c sau khi nm vng k nng cn thit v
Mt s ng hp s th y ra do tinh tr ho c
tr kt hp v khim khuyt
dng (ICSI Intracytoplamic sperm injection).
thut h tr th tinh (assisted fe tinh gia
tri hiu qu
c chng minh, s ng dng ca ICSI trong k thut h tr sinh sn
( c m rng. IC c thc hin bng k thu
c vi s h tr ca h th
thuc s d
giao t u vi phu thut trong ngo i chc
a mt t chc, m
m nh. Nhng ng d u
th k 20 thu u trong sinh hc m t
c bic sinh s thuc ng dng
n gen, to ging, sinh thi, sinh s
t trong nh sinh hn
c k 21 th k sinh hc.
c hin ICSI
Khong 5 gi sau khi ch ng, tr ng Gamete 20 cha
yaluronidase n p t ng. Vi
c h tr b dn t
150 100 mn vi soi ni (stereomicroscope).
Trm
sau khi ly . Tt c ng
c ph mt lp du (Ovoil t n vi
i m 37
0
6: Chuy cung
c chuyt mc t cung nh k thun
ng. i ta chuyn khong 2 3 ng tng t cung. i
nng tc tr l s dng li. t mt v
t nht trong t ng s c nh ng th thu
m ngh trong 2 gi m vin na.
Sau khi chuy c s dng thuc Hormone nhm m
t l c ng cho thu h tr s n
c cung. m th ng thc hin
n s ng 2 3 tu nh thai trong t cung.
Vi c thc hing. M
nghi c ki ng t cung.
c thc hi nh vic th thai. Nng
(hCG) tn ng t n ra.
Kho hin, b c thc hi
nh vic mang thai.
B c chuyn s
T l ch l th tinh gia trng rt cao. hin
nay trn th gii t l ng sau mu tr ng
15%, t cung hoc do sy thai sm. i
n chng.
18
3.3. a ca vic th tinh trong ng nghim
Khc phn nam hay n hong bung trng
c ng dn trng hoc b tng hou ki
g, mt s ng hp c th
- T hi phc hoc bng m ni soi.
- o tc chng.
- Lc ni mc t cung nng.
i.
20
u tham kho
Nguyn Th Ngng, Nguy M Ngc Lan.
1999. Him mun - thut h tr sinh sn. H
xut b H
Phan Kim Ngc. 2007. sinh hng vt. H
t bc T H
thut h tr sinh sn ti Bnh vin T c
tuyn]. Bnh vin T c t: />nguoi/hiem-muon/cac-ky-thuat-ho-tro-sinh-san-tai-benh-vien-tu-du/
20.09.2012).
K thut h tr sinh sn [trc tuyn]. Bnh vin T
c t: />muon/icsi-cong-nghe-ho-tro-sinh-san/
Trn Th Hn cn bi ICSI [trc tuyn]. Bnh vin T
c t: