
افضل دكتور حقن مجهري في الاردن
الحقن المجهري(التلقيح الداخليIUI)
افضل دكتور حقن مجهري هو أحد أنواع عمليات التلقيح الإصطناعي خارج الجسم، تُجمَعُ البويضات من الزوجة
والحيوانات المنوية من الزوج.ثمّ يتم حقن حيوان منوي واحد مباشرة في كل بويضة
بإستخدام إبرة رفيعة ( intracytoplasmic sperm injection )
وتتم اجراءات الحقن المجهري بنفس ما تم ذكره بتقنية اطفال الانابيب ولكن يتم حقن كل بويضه بحيوان منوي
واحد تحت الميكرسكوب المجهري وهنا ننوه بالذكر احتمالية نجاح تقنية الحقن المجهري بنسب اعلى.
وتعدّ عملية الحقن المجهري إحدى تقنيات المساعدة على الإنجاب التي تُستخدم لعلاج مشاكل العقم المرتبطة بالحيوانات المنوية
إذ يُستخدم الحقن المجهري لتعزيز طور الإخصاب في عملية التلقيح الاصطناعي وذلك
من خلال حقن الحيوان المنوي في البويضة الناضجة لتوضع بعد ذلك البويضة المخصبة في رحم المرأة أو قناة فالوب.
وتُعدّ عملية الحقن المجهريّ ناجحة للغاية إذ يحدث الإخصاب في حوالي 90٪ من الحالات.
وكما هو الحال في التلقيح الاصطناعي فإنّ هناك العديد من العوامل التي تؤثر في نجاح الحمل الناتج عن الحقن المجهري
دواعي إجراء عملية الحقن المجهري
- قله وانعدام الحيوانات المنويه للزوج
- انسداد أو التهاب شديد بقناتي فالوب (الأنابيب)
- بطانة الرحم المهاجره
- مرض تكيس المبيضين الغير مستجيب للعلاج الدوائي أو الجراحي
- تأخر إنجاب غير معلوم السبب بعد مرور 3 سنوات من الزواج
- ضعف مخزون المبيض
العوامل الموثرة في نجاح الحقن المجهري
تؤثّر عدّة عوامل على نجاح عمليّة الحقن المجهري مثل:
عدد البويضات⁕
- إنّ زيادة عدد البويضات النّاتجة في أيّ دورةٍ تزيد فرص نجاح عمليّة الحقن المجهري لحد معين،ولكن أكثر من ذلك قد يعني انخفاض جودة البويضة وبالتالي انخفاض فرص الإنجاب
عمر المرأة⁕
- من الطّبيعي أن تخفّ قدرة المرأة على الحمل مع تقدّمها في السنّ؛ فكلّما كانت أصغر في العمر كلّما زادت فرص نجاح تحقيق الحمل، مهما كانت الوسيلة المعتمدة
ما هي مراحل الحقن الجهري؟
من المؤكد أن تأخر الحمل مشكلة كبيرة يعاني منها كثير من الأزواج، وهي من المشاكل التي لها العديد من الأسباب
ولكن في الفترات الأخيرة وبالأخص مع تطور العلم بشكل ملحوظ ظهر علاج قوي وواضح لتأخر الحمل
وكان لهذا العلاج العديد من الأشكال ولكن إذا فشلوا جميعا، يلجأ الزوجين إلى القيام بعملية الحقن المجهري
.وهي عملية سهلة يعتقد الجميع أنها كبيرة ولكنها تتم في خطوات بسيطة لذلك فعلي من يقوم بها أن يبتعد عن التوتر
.هذه المقالة سوف يقوم الدكتور هلال أبو غوش بعرض جميع الخطوات التي تمر بها عملية الحقن المجهري من البداية وحتى النهاية
افضل دكتور حقن مجهري
تمر عملية الحقن المجهري بالعديد من المراحل وهي على النحو التالي:
-
المرحلة الأولى، ويتم خلالها تنشيط المبيض
في هذه المرحلة يقوم الكتور هلال أبو غوش بإعطاء الزوجة مجموعة من الأدوية التي تعمل بدورها على تحفيز انتاج البويضات لدى الزوجة
حتى ينتج المبيض أكبر عدد من البويضات
وإن الأشعة التلفزيونية لها دور وفضل كبير في نجاح هذه المرحلة حيث نحتاج إليها لمراقبة تنشيط البويضات بدقة
-
المرحلة الثانية، مرحلة استخراج البويضات
بعد أخذ الادوية المنشطة، في الفترة التي يحددها الدكتور هلال، والذي يدرس حالة الزوجة جيدًا، تتعرض الزوجة للفحص من قبله لقياس
فاعلية هذه الادوية التنشيطية التي تناولتها وتأثير ذلك على البويضات التى تم انتاجها، وفي حالة ما إذا كانت البويضات نشطة
أوأنها ناضجة بشكل كافى، تبدأ عملية السحب لهذه البويضات النشطة وتستغرق عملية سحب البويضات مدة 30 دقيقة.
وتتعرض الزوجة قبل إجرائها لتخدير كلى أو جزئى وفق الحالة، ولكن في الغالب يكون التخدير كل, وللعلم ليس كل البويضات التي سيتم سحبها من مبيض الأنثى ستكون صالحة للتخصيب
لأن هناك بعضها سيكون غير مكتمل النمو، والبعض الآخر يكون بدون نواه، وفاسد في ظاهرة تعرف باسم البويضات الفاسدة وهذه البويضات تظهر في السونار على أنها ناضجةوسليمة الحجم
.ولكن عندما يتم إخراجها تكون غير مكتملة، وغير صالحة للتخصيب وعندها في النهاية نختار فقط البويضات الصالحة للتخصيب
-
المرحلة الثالثة، تحضير الحيوان المنوي للرجل
في هذه المرحلة نقوم بسحب الحيوانات المنوية الصالحة من الزوج، وإذا لم تتوافر، يتم أخذ عينة من الخصية على أمل أن يكون هناك حيوانات منوية يمكن
استخدامها في عملية الحقن المجهري للزوجة. وعملية الخصية هي عملية صعبة في الواقع على الرجل
نظرًا لأنه يتم إجرائها في منطقة حساسة جدًا، لذا قد نلجأ إلى تجميد عينة من الحيوانات المنوية مسبقًا حتى لا نحتاج إلى اللجوء لفتح الخصية عند القيام بسحب البويضات
-
المرحلة الرابعة، مرحلة تجهيز البويضات، والحيوانات المنوية لعملية الإخصاب
في هذه المرحلة من مراحل الحقن المجهري يتم حقن كل بويضة نشطة بحيوان منوى،
وتتم هذه العملية بدقة بالغة، وتحت المجهر ثم تترك البويضات لمدة محددة فى بيئة مهيئة لها للاندماج مع الحيوانات المنوية،
حتى يظهر انقسامات خلال 3 إلى 5 أيام وإذا انقسمت البويضات بنجاح فهذا بالتالي يدل على نجاح عملية الإخصاب.
وفي الغالب نختار فترة الإخصاب الخارجي للبويضة 3 أيام فقط، وهذا خوفًا من تعرض البويضة إلى توقف فجائي دون معرفة السبب
فيفضل تكملة عملية الإخصاب داخل رحم الأنثى بعد انتظار 3 أيام فقط،
ولكن هذا لا يمنع أن هناك مراكز لعمليات الحقن المجهري تترك البويضة في حالة الانقسامات لمدة 5 أيام
وهنا تزيد الخطورة في التعرض للتوقف المفاجئ عن الانقسام، وفي الغالب البويضة السليمة ستستمر في انقساماتها دون أي مشكلة.
-
المرحلة الخامسة، مرحلة زرع الأجنة في الرحم
في الحقيقة تحتاج هذه المرحلة الى مجهود كبيرمن الفريق الطبي المجهز في مركز الدكتور هلال أبوغوش
حيث يقوم هذا الفريق بنقل البويضة الملقحة الى داخل رحم الأم وذلك بعد ترك البويضة فى الحضانات مدة تتراوح بين 3-5 أيام وفي عملية إرجاع الأجنة
بالرغم من أننا لا يمكننا أن نجزم أنها عملية في الواقع نظرًا لأن الأنثى ستكون فيها واعية بشكل كامل
حيث تقوم الأنثى بتناول كمية كبيرة من الماء وهذا حتى تمتلئ المثانة، ويكون من السهل على الطبيب المختص رؤية الرحم بوضوح
ومن ثم يقوم بوضع البويضات في أنبوب يتم إدخاله في رحم الأنثى من الأسفل، والحرص على إلصاق البويضات في الجدار داخل الرحم
أحبتنا ايضا بامكانكم قراءة عن تقنيات الاخصاب والوراثة عير موقعنا مثل :
تقنية الحقن المجهري | اطفال الانابيب في الاردن | تقنية إختيار جنس الجنين | تقنية البلازما لعلاج العقم | تقنية تشخيص الخلل الكرموسومي | تقنية التلقيح الصناعي | تقنية الخلايا الجذعية | طبيب اطفال انابيب في الاردن | دكتور اطفال انابيب في الاردن |
طبيب حقن منجهري في الاردن | مركز اطفال انابيب في الاردن | تقنية اطفال الانابيب |
للتواصل معنا
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