{"id":17945,"date":"2022-01-18T16:35:52","date_gmt":"2022-01-18T13:35:52","guid":{"rendered":"https:\/\/medimall.gr\/exosomatiki-gonimopoiisi-pos-na-ayxisete-tis-pithanotites-epitychias-sas\/"},"modified":"2022-09-20T13:51:14","modified_gmt":"2022-09-20T10:51:14","slug":"fiv-cum-sa-va-cresteti-sansele-de-succes","status":"publish","type":"post","link":"https:\/\/medimall.gr\/ro\/fiv-cum-sa-va-cresteti-sansele-de-succes\/","title":{"rendered":"FIV: cum s\u0103 v\u0103 cre\u0219te\u021bi \u0219ansele de succes"},"content":{"rendered":"

[vc_row][vc_column][vc_column_text]Exist\u0103 mul\u021bi factori care influen\u021beaz\u0103 evolu\u021bia FIV \u0219i, prin urmare, o sarcin\u0103 reu\u0219it\u0103. Sfaturile noastre v\u0103 vor ajuta s\u0103 v\u0103 cre\u0219te\u021bi \u0219ansele de a r\u0103m\u00e2ne \u00eens\u0103rcinat\u0103.<\/p>\n

\u00ceNAINTE \u0218I DUP\u0102 IVF
\n<\/span><\/h3>\n

Adopta\u021bi un stil de via\u021b\u0103 mai bun
\n<\/span><\/h3>\n
    \n
  • O diet\u0103 echilibrat\u0103, un somn adecvat, activitatea fizic\u0103, renun\u021barea la fumat \u0219i alcool \u0219i reducerea stresului sunt obiceiuri s\u0103n\u0103toase pe care ar trebui s\u0103 le practica\u021bi \u00een fiecare zi. De asemenea, evita\u021bi zonele de fumat, deoarece fumatul pasiv este, de asemenea, d\u0103un\u0103tor pentru s\u0103n\u0103tate.<\/li>\n
  • Alege\u021bi suplimentele alimentare care v\u0103 vor ajuta organismul s\u0103 se preg\u0103teasc\u0103 pentru sarcin\u0103. Acidul folic, vitamina D, omega-3, vitaminele B6 \u0219i B12 sunt ingrediente care te vor ajuta s\u0103 r\u0103m\u00e2i \u00eens\u0103rcinat\u0103 mai u\u0219or, s\u0103 \u00ee\u021bi preg\u0103te\u0219ti organismul at\u00e2t pentru sarcin\u0103, c\u00e2t \u0219i pentru dezvoltarea ulterioar\u0103 a bebelu\u0219ului t\u0103u.<\/li>\n
  • Urma\u021bi \u00eendeaproape sfaturile medicale \u0219i farmaceutice care \u00eenso\u021besc tratamentul dumneavoastr\u0103.<\/li>\n
  • Acorda\u021bi aten\u021bie programului de tratament, \u00eencerc\u00e2nd s\u0103 v\u0103 lua\u021bi medicamentele la aceea\u0219i or\u0103 \u00een fiecare zi. \u00cen cazul supozitoarelor vaginale, se recomand\u0103 s\u0103 r\u0103m\u00e2ne\u021bi \u00eentins\u0103 timp de 15-20 de minute dup\u0103 ce le-a\u021bi introdus, pentru a permite o absorb\u021bie c\u00e2t mai bun\u0103.<\/li>\n<\/ul>\n

     <\/p>\n

    Respecta\u021bi instruc\u021biunile de \u00eengrijire \u0219i transport pentru medicamentele dumneavoastr\u0103
    \n<\/span><\/h3>\n

    P\u0103strarea anumitor medicamente \u00een frigider, dac\u0103 este recomandat\u0103 de produc\u0103tor (\u0219i indicat\u0103 pe ambalaj), este fundamental\u0103 pentru men\u021binerea calit\u0103\u021bii, eficacit\u0103\u021bii \u0219i siguran\u021bei acestora. Un sfat bun este s\u0103 folosi\u021bi o pung\u0103 izoterm\u0103 pentru a evita fluctua\u021biile de temperatur\u0103 dup\u0103 ce le cump\u0103ra\u021bi de la farmacie sau le transporta\u021bi la clinica noastr\u0103.<\/p>\n

    \u00ceNAINTE DE IVF
    \n<\/span><\/h3>\n

    Fi\u021bi aten\u021bi la rela\u021biile sexuale
    \n<\/span><\/h3>\n

    Atunci c\u00e2nd FIV este efectuat\u0103 cu propriile ovule, trebuie s\u0103 respecta\u021bi 2-3 zile de abstinen\u021b\u0103 sexual\u0103 \u00eenainte de ovula\u021bie, deoarece orice penetrare rezultat\u0103 \u00een urma contactelor poate deplasa ovarul, ceea ce este dureros pentru femeie. Acest sfat se aplic\u0103 \u00eenainte \u0219i dup\u0103 recoltarea ovulelor \u0219i \u00eenainte de transferul de embrioni \u00een zilele urm\u0103toare. \u00cenainte de a transfera embrioni congela\u021bi (fie cu ovule proprii, fie cu ovule de la donatoare sau cu ovule de la donatoare duble), v\u0103 sf\u0103tuim s\u0103 face\u021bi sex cu prezervativ. Ejacularea poate avea factori care vor perturba flora microbian\u0103\/bacterian\u0103 a vaginului \u0219i care pot reduce \u0219ansele de ata\u0219are a embrionului.<\/p>\n

    Ce trebuie s\u0103 \u0219ti\u021bi despre ziua transferului de embrioni
    \n<\/span><\/h3>\n

    \u00cen ziua transferului de embrioni pute\u021bi lua micul dejun ca de obicei, dar \u00een acela\u0219i timp trebuie s\u0103 \u00eencerca\u021bi s\u0103 be\u021bi suficiente lichide \u0219i ap\u0103: c\u00e2nd ajunge\u021bi la clinic\u0103 este necesar s\u0103 ave\u021bi o nevoie puternic\u0103 de a urina. Lichidul din vezica urinar\u0103 permite o mai bun\u0103 vizualizare a locului cel mai potrivit pentru depunerea embrionului sau a embrionilor.<\/p>\n

      \n
    • Reduce\u021bi anxietatea. Transferul de embrioni este o procedur\u0103 foarte simpl\u0103, efectuat\u0103 pe cale transvaginal\u0103 \u0219i monitorizat\u0103 cu ultrasunete. Cu toate acestea, pentru multe femei, acest lucru este \u00een sine un factor de stres. \u00cencerca\u021bi s\u0103 evita\u021bi stresul suplimentar de ultim moment, a\u0219a c\u0103 v\u0103 recomand\u0103m s\u0103 ajunge\u021bi la clinic\u0103 cu 20-30 de minute mai devreme.<\/li>\n
    • Scopul tuturor tratamentelor FIV este de a cre\u0219te grosimea \u0219i receptivitatea endometrului. Acupunctura este unul dintre serviciile indicate, cu \u0219edin\u021be care se efectueaz\u0103 la \u00eenceputul tratamentului de stimulare ovarian\u0103, cu o zi \u00eenainte, precum \u0219i \u00een ziua transferului de embrioni. Organiza\u021bia Mondial\u0103 a S\u0103n\u0103t\u0103\u021bii a recunoscut, \u00eenc\u0103 din 1996, c\u0103 acupunctura este un tratament pentru infertilitate. Se recomand\u0103 dou\u0103 \u0219edin\u021be de acupunctur\u0103 \u00een ziua transferului: prima chiar \u00eenainte de transfer \u0219i a doua imediat dup\u0103.<\/li>\n<\/ul>\n

       <\/p>\n

      DUP\u0102 TRANSFER
      \n<\/span><\/h3>\n

      Stilul de via\u021b\u0103 dup\u0103 FIV
      \n<\/span><\/h3>\n

      Recomandarea general\u0103 dup\u0103 un transfer de embrioni este s\u0103 v\u0103 relua\u021bi activit\u0103\u021bile zilnice, dar cu pruden\u021b\u0103.<\/p>\n

      Sfatul nostru:<\/p>\n

        \n
      • Urma\u021bi cu aten\u021bie protocolul de tratament pe care v-a scris medicul dumneavoastr\u0103 FIV. Evita\u021bi orice medicament pe care medicul care se ocup\u0103 de tratamentul dumneavoastr\u0103 nu \u00eel cunoa\u0219te, inclusiv orice medicament pe care l-a\u021bi luat f\u0103r\u0103 prescrip\u021bie medical\u0103. Nu lua\u021bi niciun medicament f\u0103r\u0103 s\u0103 anun\u021ba\u021bi medicul care v\u0103 trateaz\u0103. Cu toate acestea, dac\u0103 acest lucru este necesar, da\u021bi prioritate paracetamolului (maximum 4 x 1g\/zi).<\/li>\n
      • Evita\u021bi b\u0103ile, piscinele, spa-urile \u0219i saunele timp de 2 s\u0103pt\u0103m\u00e2ni dup\u0103 transferul de embrioni, ci doar du\u0219urile.<\/li>\n
      • V\u0103 pute\u021bi \u00eentoarce la serviciu cu o scurt\u0103 pauz\u0103 de 2-3 zile imediat dup\u0103 transferul de embrioni. Nu exist\u0103 indica\u021bii pentru repaus special sau repaus la pat, cu excep\u021bia cazului \u00een care munca dumneavoastr\u0103 este deosebit de obositoare pentru organism (sarcini grele, munc\u0103 de noapte) sau poate pune \u00een pericol f\u0103tul (substan\u021be chimice, raze X etc.).<\/li>\n
      • Reorganiza\u021bi-v\u0103 \u0219i limita\u021bi-v\u0103 mi\u0219c\u0103rile.<\/li>\n
      • Trebuie evitate exerci\u021biile fizice viguroase, dar se recomand\u0103 o mobilizare u\u0219oar\u0103 (de exemplu, mersul pe jos).<\/li>\n
      • Este important s\u0103 nu se deshidrateze (aproximativ 2 litri de ap\u0103 pe zi).<\/li>\n
      • \u00cen ceea ce prive\u0219te alimenta\u021bia, se aplic\u0103 acelea\u0219i reguli ca \u0219i \u00een sarcin\u0103: \u00eencerca\u021bi s\u0103 ave\u021bi o diet\u0103 s\u0103n\u0103toas\u0103 \u0219i echilibrat\u0103, evit\u00e2nd alcoolul \u0219i reduc\u00e2nd consumul de ceai \u0219i cafea, chiar \u0219i de b\u0103uturi r\u0103coritoare. Pe l\u00e2ng\u0103 stimulen\u021bii pe care \u00eei con\u021bin, acestea sunt bogate \u00een acizi. De asemenea, sp\u0103la\u021bi bine fructele \u0219i legumele, g\u0103ti\u021bi bine carnea (evita\u021bi carnea \u0219i pe\u0219tele crud) \u0219i nu intra\u021bi \u00een contact direct cu pisicile sau cu a\u0219ternutul pisicilor, cu excep\u021bia cazului \u00een care sunte\u021bi imun la toxoplasmoz\u0103 (IgG pozitiv).<\/li>\n
      • Nu exist\u0103 nicio contraindica\u021bie pentru a c\u0103l\u0103tori dup\u0103 inseminare. Cu toate acestea, dac\u0103 c\u0103l\u0103tori\u021bi pentru o perioad\u0103 lung\u0103 de timp cu ma\u0219ina sau cu avionul, v\u0103 recomand\u0103m s\u0103 v\u0103 plimba\u021bi regulat, cam la fiecare or\u0103, \u0219i s\u0103 be\u021bi mult\u0103 ap\u0103.<\/li>\n
      • \u00cen caz de sarcin\u0103, sunt posibile diverse complica\u021bii, cum ar fi avortul spontan sau sarcina ectopic\u0103. Prin urmare, v\u0103 sf\u0103tuim s\u0103 c\u0103l\u0103tori\u021bi \u00een \u021b\u0103rile \u00een care infrastructura spitaliceasc\u0103 permite tratarea acestor complica\u021bii \u00een primul trimestru de sarcin\u0103.<\/li>\n
      • Se recomand\u0103 evitarea rela\u021biilor sexuale la 10 zile dup\u0103 transferul embrionar \u0219i evitarea rela\u021biilor sexuale cu penetrare vaginal\u0103 \u00een primele 3 luni de sarcin\u0103.<\/li>\n
      • Evita\u021bi zonele \u00een care se fumeaz\u0103, deoarece fumatul pasiv este, de asemenea, d\u0103un\u0103tor pentru s\u0103n\u0103tate.<\/li>\n<\/ul>\n

         <\/p>\n

        C\u00e2nd s\u0103 face\u021bi un test de sarcin\u0103
        \n<\/span><\/h3>\n

        Dup\u0103 inseminare (IUI) sau fertilizare in vitro (FIV) cu transfer de embrioni, trebuie s\u0103 a\u0219tepta\u021bi \u00eentre 9 \u0219i 14 zile \u00eenainte de a face un test de sarcin\u0103. Pentru o fiabilitate optim\u0103, acest test va fi efectuat prin m\u0103surarea beta corionic\u0103 (beta-HCG) \u00een s\u00e2nge, hormon care \u00eencepe s\u0103 fie produs imediat dup\u0103 implantare. Dac\u0103 rezultatul testului de sarcin\u0103 este pozitiv (nivel de beta-HCG mai mare de 50 mIU\/ml dup\u0103 10 zile, atunci exist\u0103 o sarcin\u0103 timpurie), ve\u021bi fi programat\u0103 pentru o examinare cu ultrasunete de c\u0103tre ginecologul dumneavoastr\u0103 dup\u0103 10-15 zile.<\/p>\n

        Evita\u021bi testul de urin\u0103, care se face adesea prea devreme \u0219i nu detecteaz\u0103 nivelul exact al hormonului beta-HCG, care indic\u0103 faptul c\u0103 sunte\u021bi \u00eens\u0103rcinat\u0103. \u00cen loc de un test de sarcin\u0103 pozitiv, risca\u021bi s\u0103 primi\u021bi un fals negativ sau invers. Prin urmare, sarcina va fi confirmat\u0103 printr-un test de s\u00e2nge urmat de un test ecografic la o lun\u0103 dup\u0103 transferul embrionar.<\/p>\n

        S\u00e2ngerare vaginal\u0103 dup\u0103 un test pozitiv
        \n<\/span><\/h3>\n

        S\u00e2ngerarea vaginal\u0103 este un simptom care nu \u00eenseamn\u0103 neap\u0103rat c\u0103 tratamentul a e\u0219uat. Dimpotriv\u0103, poate chiar s\u0103 indice c\u0103 a avut loc implantarea, iar termenul medical corespunz\u0103tor este “s\u00e2ngerare de implantare fetal\u0103”. Prin urmare, chiar dac\u0103 apar s\u00e2nger\u0103ri vaginale \u00een zilele urm\u0103toare testului beta-HCG, trebuie s\u0103 face\u021bi un nou test de s\u00e2nge \u0219i \u00een niciun caz nu trebuie s\u0103 \u00eentrerupe\u021bi medica\u021bia FIV p\u00e2n\u0103 c\u00e2nd nu cunoa\u0219te\u021bi rezultatul testului beta-HCG. \u0218i, bine\u00een\u021beles, trebuie s\u0103 v\u0103 informa\u021bi \u00eentotdeauna medicul dumneavoastr\u0103 FIV despre aceast\u0103 afec\u021biune. Este posibil s\u0103 ad\u0103uga\u021bi injec\u021bii cu progesteron la tratamentul dumneavoastr\u0103 \u0219i, \u00een acela\u0219i timp, s\u0103 face\u021bi o ecografie pentru a verifica dac\u0103 exist\u0103 o deta\u0219are a trofoblastului. Aceasta este o alt\u0103 problem\u0103, care este de obicei benign\u0103, at\u00e2ta timp c\u00e2t semnele vitale ale embrionului sunt bune. \u00cen marea majoritate a cazurilor, hematomul care cauzeaz\u0103 dezlipirea se va rezolva de la sine \u0219i fluxul normal al sarcinii poate fi reluat; cu toate acestea, recomand\u0103rile medicale standard includ, de obicei, o perioad\u0103 de repaus strict, interzic\u00e2ndu-v\u0103 s\u0103 ridica\u021bi greut\u0103\u021bi \u0219i, \u00een unele cazuri, abstinen\u021ba sexual\u0103.<\/p>\n

        Ce trebuie s\u0103 face\u021bi dup\u0103 un test negativ
        \n<\/span><\/h3>\n

        Momentul \u00een care apare perioada menstrual\u0103 depinde \u00een principal de tratamentul pe care \u00eel lua\u021bi. Adic\u0103, dac\u0103 a\u021bi f\u0103cut un transfer de embrioni sau o inseminare (IUI) \u00een ciclu natural, menstrua\u021bia va veni de obicei \u00een zilele obi\u0219nuite. Cu toate acestea, dac\u0103 urma\u021bi un protocol de fertilizare in vitro (FIV), acesta nu va veni dec\u00e2t la dou\u0103 sau trei zile dup\u0103 ce a\u021bi \u00eencetat s\u0103 lua\u021bi medicamentul. Dac\u0103 nu vine \u00een acest timp, se recomand\u0103 s\u0103 v\u0103 consulta\u021bi medicul. Re\u021bine\u021bi c\u0103 prima perioad\u0103 poate avea o durat\u0103 \u0219i o intensitate diferite de cele obi\u0219nuite.[\/vc_column_text][\/vc_column][\/vc_row]<\/p>\n","protected":false},"excerpt":{"rendered":"

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