{"id":17017,"date":"2020-01-15T22:06:43","date_gmt":"2020-01-15T22:06:43","guid":{"rendered":"https:\/\/medimall.gr\/ti-einai-i-spermategchysi-iui\/"},"modified":"2022-06-08T18:36:16","modified_gmt":"2022-06-08T15:36:16","slug":"ce-este-inseminarea-iui","status":"publish","type":"post","link":"https:\/\/medimall.gr\/ro\/ce-este-inseminarea-iui\/","title":{"rendered":"Ce este inseminarea IUI?"},"content":{"rendered":"
\n

Printre cele mai populare metode de reproducere asistat\u0103 medical, inseminarea intrauterin\u0103 este foarte apropiat\u0103 de procesul natural de fertilizare.<\/b><\/em><\/h4>\n

O procedur\u0103 relativ simpl\u0103, \u00een care sperma procesat\u0103 \u0219i preg\u0103tit\u0103 corespunz\u0103tor este plasat\u0103 \u00een uterul unei femei, IUI este cea mai frecvent\u0103 metod\u0103 de reproducere asistat\u0103. Aceast\u0103 metod\u0103 este folosit\u0103 atunci c\u00e2nd:<\/p>\n

    \n
  • Partenerul sufer\u0103 de oligoastenospermie u\u0219oar\u0103 p\u00e2n\u0103 la moderat\u0103<\/li>\n
  • exist\u0103 o problem\u0103 de disfunc\u021bie erectil\u0103 la partener<\/li>\n
  • a fost stabilit\u0103 infertilitatea inexplicabil\u0103 a partenerilor<\/li>\n
  • exist\u0103 probleme cu ovula\u021bia<\/li>\n
  • au fost diagnosticate probleme ale mucusului cervical (deficien\u021b\u0103 de mucus cervical sau mucus cervical ostil la spermatozoizi, aderen\u021be la nivelul colului uterin care se observ\u0103 dup\u0103 interven\u021bia chirurgical\u0103 cervical\u0103 pentru \u00eendep\u0103rtarea leziunilor HPV)<\/li>\n
  • se va folosi sperm\u0103 de la donator<\/li>\n<\/ul>\n

    Condi\u021biile necesare pentru femeie sunt ca aceasta s\u0103 aib\u0103 trompele uterine permeabile (sau cel pu\u021bin o tromp\u0103 uterin\u0103), s\u0103 aib\u0103 un profil hormonal normal \u0219i s\u0103 aib\u0103 sub 35 de ani pentru a avea \u0219anse mari de reu\u0219it\u0103, deoarece \u0219ansele de reu\u0219it\u0103 la v\u00e2rste de peste 35 de ani sunt semnificativ reduse.<\/p>\n<\/div>\n

    \n

    Procedura<\/h3>\n<\/div>\n
    \n

    1. Controlul spermei<\/b><\/p>\n

    Pentru ca medicul s\u0103 fie sigur de calitatea materialului seminal, este recomandabil s\u0103 efectueze o analiz\u0103 a materialului seminal, a\u0219a-numita spermogram\u0103. Colectarea spermei se poate face fie acas\u0103, fie \u00een clinica noastr\u0103, \u00eentr-o camer\u0103 privat\u0103. \u00cen cazul \u00een care materialul seminal este transportat de la domiciliu, trebuie respectate cu stricte\u021be anumite instruc\u021biuni pentru colectarea \u0219i transportul corect al acestuia. \u00cen orice caz, totu\u0219i, se recomand\u0103 s\u0103 v\u0103 ab\u021bine\u021bi de la rela\u021bii sexuale \u0219i ejaculare timp de 2 – 5 zile \u00eenainte de recoltarea probei, altfel num\u0103rul poate fi sc\u0103zut. Pe de alt\u0103 parte, dac\u0103 ultima ejaculare a avut loc cu mai mult de 15 zile \u00een urm\u0103, este posibil ca mul\u021bi dintre spermatozoizi s\u0103 fie imobili \u0219i s\u0103 existe un procent ridicat de forme anormale. Dup\u0103 ce au fost observate toate cele precedente, urm\u0103torul test analizeaz\u0103 urm\u0103toarele:<\/p>\n

      \n
    • cantitatea de ejaculare, cantitatea normal\u0103 fiind cuprins\u0103 \u00eentre 1 \u0219i 5 ml<\/li>\n
    • v\u00e2scozitatea, unde lichidul seminal trebuie s\u0103 se lichefieze \u00een aproximativ 30 de minute pentru a permite spermatozoizilor s\u0103 se mi\u0219te liber<\/li>\n
    • pH-ul, care trebuie s\u0103 fie alcalin \u0219i s\u0103 se situeze \u00eentre 7,2 \u0219i 7,7<\/li>\n
    • parametrii biochimici ai materialului seminal, cum ar fi acrosina, carnitina \u0219i fructoza<\/li>\n
    • motilitatea, num\u0103rul, vitalitatea \u0219i morfologia spermatozoizilor<\/li>\n<\/ul>\n

      Dac\u0103 exist\u0103 probleme u\u0219oare cu sperma (cum ar fi num\u0103rul redus de spermatozoizi, motilitatea sc\u0103zut\u0103 \u0219i morfologia nefiziologic\u0103 a spermatozoizilor), acestea trebuie tratate \u00eenainte de a se efectua inseminarea.<\/p>\n

      2. Monitorizarea partenerului<\/b><\/p>\n

      Inseminarea poate fi efectuat\u0103 fie \u00een cadrul unui ciclu natural, fie dup\u0103 stimularea prin medicamente a partenerei pentru a induce ovula\u021bia multipl\u0103. Aceasta din urm\u0103 este \u00eenso\u021bit\u0103 de teste ecografice \u0219i hormonale succesive, iar ovula\u021bia este ob\u021binut\u0103 fie singur\u0103, fie programat\u0103 la 36 de ore dup\u0103 administrarea de gonadotropin\u0103 corionic\u0103, atunci c\u00e2nd foliculul sau foliculii au atins criteriile ecografice necesare.<\/p>\n

      3.\u00a0Primirea \u0219i prelucrarea spermei<\/strong><\/p>\n

      C\u00e2nd se stabile\u0219te ziua \u0219i ora insemin\u0103rii, e\u0219antionul este colectat de c\u0103tre partener \u0219i apoi prelucrat de embriologi pentru a selecta to\u021bi spermatozoizii maturi, mobili \u0219i s\u0103n\u0103to\u0219i din punct de vedere morfologic. Centrifugarea pe medii de cultur\u0103 cu densitate gradat\u0103 se efectueaz\u0103 de obicei pentru a izola spermatozoizii care au motilitate propulsiv\u0103 de restul celulelor \u0219i de lichidul seminal. Acestea sunt apoi concentrate \u00eentr-un volum mic de material nutritiv pentru a le \u00eembun\u0103t\u0103\u021bi capacitatea de fertilizare, iar e\u0219antionul este injectat \u00een uter.<\/p>\n

      Inseminarea poate fi efectuat\u0103 \u0219i cu sperm\u0103 de la donator, fie pentru c\u0103 femeia nu are partener, fie pentru c\u0103 partenerul ei are azoospermie. Cu toate acestea, merit\u0103 subliniat faptul c\u0103, chiar \u0219i \u00een cazurile de azoospermie, se poate efectua o biopsie testicular\u0103 \u0219i se pot ob\u021bine spermatozoizi care s\u0103 fie utiliza\u021bi \u00een FIV.<\/b><\/p>\n<\/div>\n

      \n

      Ratele de succes<\/h3>\n<\/div>\n
      \n

      Ratele de succes ale insemin\u0103rii variaz\u0103 \u00eentre 10-25%, ceea ce este destul de ridicat, av\u00e2nd \u00een vedere c\u0103, \u00een cazul procesului natural de rela\u021bii sexuale, \u0219ansele de sarcin\u0103 sunt de aproximativ 18% pe ciclu. \u0218i, bine\u00een\u021beles, pentru ca ratele de mai sus s\u0103 fiu valabile, ciclul trebuie s\u0103 fie atent monitorizat \u0219i inseminarea trebuie s\u0103 fie efectuat\u0103 numai dac\u0103, dup\u0103 prelucrarea probei, spermatozoizii sunt mai mult de 2 milioane \u0219i au mobilitate foarte bun\u0103.<\/p>\n

      De asemenea, este de \u00een\u021beles c\u0103 \u0219ansele de sarcin\u0103 prin inseminare sunt cele mai bune atunci c\u00e2nd inseminarea este combinat\u0103 cu stimularea ovarian\u0103 \u0219i inducerea ovula\u021biei (de obicei cu medicamente hormonale injectabile). \u00cen aceste cazuri, \u0219ansele cresc datorit\u0103 producerii \u0219i eliber\u0103rii unui num\u0103r mai mare de ovule, dec\u00e2t a unui singur ovul care este eliberat \u00een mod normal \u00eentr-un ciclu natural. Dac\u0103 dup\u0103 2-4 cicluri de inseminare nu exist\u0103 nicio sarcin\u0103, urm\u0103torul pas este FIV<\/p>\n<\/div>\n","protected":false},"excerpt":{"rendered":"

      Printre cele mai populare metode de reproducere asistat\u0103 medical, inseminarea intrauterin\u0103 este foarte apropiat\u0103 de procesul natural de fertilizare. O procedur\u0103 relativ simpl\u0103, \u00een care sperma procesat\u0103 \u0219i preg\u0103tit\u0103 corespunz\u0103tor este plasat\u0103 \u00een uterul unei femei, IUI este cea mai frecvent\u0103 metod\u0103 de reproducere asistat\u0103. Aceast\u0103 metod\u0103 este folosit\u0103 atunci c\u00e2nd: Partenerul sufer\u0103 de oligoastenospermie […]<\/p>\n","protected":false},"author":2,"featured_media":877,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[6],"tags":[],"featured_image_src":{"landsacpe":["https:\/\/medimall.gr\/wp-content\/uploads\/2020\/01\/spermategxisi-iui-800x534-1-800x445.jpg",800,445,true],"list":["https:\/\/medimall.gr\/wp-content\/uploads\/2020\/01\/spermategxisi-iui-800x534-1-463x348.jpg",463,348,true],"medium":["https:\/\/medimall.gr\/wp-content\/uploads\/2020\/01\/spermategxisi-iui-800x534-1-300x200.jpg",300,200,true],"full":["https:\/\/medimall.gr\/wp-content\/uploads\/2020\/01\/spermategxisi-iui-800x534-1.jpg",800,534,false]},"yoast_head":"\nCe este inseminarea IUI? - Medimall IVF Clinic<\/title>\n<meta name=\"description\" content=\"Ce este inseminarea IUI? - Medimall IVF Clinic\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/medimall.gr\/ro\/ce-este-inseminarea-iui\/\" \/>\n<meta property=\"og:locale\" content=\"ro_RO\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Ce este inseminarea IUI? 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