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ЭКО: надеяться и верить


Дата: 2009-09-23 | Автор статьи: Наталья Баранова | 
Категория: Здоровье | Раздел: Беременность и бесплодие | Просмотров: 2423

зачатие ребенка

Когда пробежит быстротечная молодость, оставив горькое послевкусие ликера «Амарето», когда карьера достигнет пика и все приличные турецкие курорты будут запечатлены на домашнюю видеокамеру, когда жилплощадь обретет желанные размеры, мы вдруг оглядываемся по сторонам и замечаем, что все-таки чего-то не хватает. Ребенка.

Причин женского бесплодия 16, а мужского - 22. Иногда целая комбинация болячек обоих супругов не позволяет им зачать ребенка. Побегав по врачам и вдоволь наплакавшись на кухнях у подруг, вы осознаете необходимость прибегнуть к экстракорпоральному оплодотворению (ЭКО) или оплодотворению в пробирке.

А вы знаете, что среди нас живет почти 1,5 миллиона «не таких» людей? Собственно говоря, их никогда не отличишь от их собратьев, зачатых традиционным дедовским способом. Подсчитано, что ежегодно по всему миру около 700 000 супружеских пар прибегают к процедуре ЭКО. Кстати говоря, первый ребенок, родившийся в результате искусственного оплодотворения, англичанка Луиза Браун уже отпраздновала свой 31 день рождения.

Несмотря на некоторые предрассудки по поводу «искусственности» ребенка, рожденного при помощи ЭКО, знайте, что будущему эмбриону абсолютно все равно, как его получили - in vivo (в теле), или in vitro (в лаборатории). В этом плане у экстракорпорального оплодотворения даже есть свои преимущества. Речь идет о преимплантационной генетической диагностике эмбрионов. Эта методика позволяет уменьшить риск рождения ребенка с генетической аномалией и предрасположенностью к тяжелым заболеваниям.

В чем состоит суть ЭКО? После постановки диагноза, женщине начинают колоть специальные гормоны. Эти препараты заставляют яичники производить большое количество фолликул, внутри которых созревают яйцеклетки. Когда несколько фолликул достигают зрелости, специальной иглой отсасывают фолликулярную жидкость, содержащую яйцеклетки.

После этого эстафету принимает эмбриолог. Раствор со спермиями откручивают в центрифуге, и центробежная сила прижимает все сперматозоиды ко дну пробирки. «Хорошие» стремятся всплыть вверх, а малоподвижные и неподвижные остаются в осадке.

Затем яйцеклетки отправляются на встречу с 50 000 специально отобранными сперматозоидами. Примерно через 20 часов мужское и женское ядра сливаются, и оплодотворенная яйцеклетка становится эмбрионом, который и «подсаживают» в матку. Через две недели после переноса эмбрионов диагноз "биохимическая беременность" можно поставить по анализу крови, а еще через три недели на УЗИ можно увидеть плодное яйцо. Так выглядит «идеальное» ЭКО. На практике, увы, все не так гладко…

Надо понимать, что ЭКО – это длительная и болезненная процедура, съедающая не только ваши деньги, но и нервы. Но бессмысленные и томительные часы ожидания в коридоре, уколы и мучительные манипуляции это ничто по сравнению с разочарованием, которое переживает женщина, когда узнает, что все было напрасно, и долгожданная беременность не наступила.

ребенок из пробирки

В среднем, вероятность наступления беременности на одну попытку ЭКО составляет 30-35%. Эта вероятность зависит от многих факторов и не в последнюю очередь – от возраста женщины. Так, в возрасте 20-25 лет эффективность ЭКО достигает 50%. Начиная с 37 лет шансы на беременность резко снижаются.

Теперь о цене вопроса: средняя стоимость попытки составляет от 80 до 150 тысяч рублей. Цена, в принципе, одинакова во всех крупных клиниках страны и мотаться по российским просторам с целью сэкономить – бессмысленно. Но попытаться хоть немного снизить расходы можно. Так, в Интернете много сообществ, на которых женщины обмениваются не только личными впечатлениями и переживаниями, но и, например, лекарствами, не пригодившимися или оставшимися от проведенных ЭКО. Например, на eva.ru. вы найдете специальный «лекарственный» раздел.

Поскольку число попыток может достигать 8-10, и за каждую нужно платить, менеджеры от медицины придумали «ЭКО с гарантией», программу, дающую пациентам возможность пройти многократные мероприятия ЭКО за фиксированную сумму 300 000 рублей. Казалось бы – удобно, но есть одно «но». Клиника возместит 100% уплаченной суммы, если беременность не наступит до достижения пациенткой 37-летия, т.е. довольно непростого, с точки зрения фертильности, возраста…

беременностьПоможет ли нам заграница? С точки зрения комфорта и ухода – безусловно. Если для вас это важно, тогда отправляйтесь в Израиль, где накоплен огромный опыт экстракорпорального оплодотворения. Однако вероятность забеременеть на святой земле не намного превышает российские показатели.

Вероятность наступления беременности зависит и от опытности врачей. На сегодняшний день самыми успешными результатами может похвастаться Петербуржский Международный центр репродуктивной медицины при Клинике им. Д.О. Отта – почти 44%! В Москве ЭКО проводится в нескольких клиниках, в том числе и частных, однако наиболее авторитетными считаются отделения при Перинатальном центре на Севастопольском проспекте, Клиника Акушерства и Гинекологии в Коньково и Клиника при Сеченовской Академии.

Обращайтесь туда, ищите выходы на «проверенных» врачей, только не сдавайтесь. Румынка Адриана Илиеску родила свою дочку Элизу Марию, зачатую путем ЭКО, в 66 лет. Она тоже надеялась и верила – и у нее получилось!

 

Дата написания статьи: 2009-09-23
Автор статьи: Наталья Баранова


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