{"id":9389,"date":"2024-07-27T22:50:50","date_gmt":"2024-07-27T20:50:50","guid":{"rendered":"https:\/\/apolinar.eu\/?page_id=9389"},"modified":"2024-07-27T22:50:50","modified_gmt":"2024-07-27T20:50:50","slug":"zachovani-plodnosti-zen","status":"publish","type":"page","link":"https:\/\/apolinar.capta.cz\/en\/centrum-asistovane-reprodukce\/poskytovana-pece\/zachovani-plodnosti-zen\/","title":{"rendered":"Zachov\u00e1n\u00ed plodnosti \u017een"},"content":{"rendered":" \r\n \r\n
\r\n

Zachov\u00e1n\u00ed plodnosti \u017een<\/h2>
\r\n
    \n
  1. Co znamen\u00e1 zachov\u00e1n\u00ed plodnosti \u017eeny<\/li>\n
  2. \u017deny p\u0159ed l\u00e9\u010dbou pro onkologick\u00e9 onemocn\u011bn\u00ed<\/li>\n
  3. Social freezing (zamra\u017een\u00ed vaj\u00ed\u010dek na vlastn\u00ed \u017e\u00e1dost)<\/li>\n
  4. Co vz\u00edt v \u00favahu p\u0159i rozhodov\u00e1n\u00ed o podstoupen\u00ed odb\u011bru vaj\u00ed\u010dek a jejich zamra\u017een\u00ed<\/li>\n
  5. Jak postupovat, kdy\u017e se \u017eena rozhodne ot\u011bhotn\u011bt za pou\u017eit\u00ed zamra\u017een\u00fdch vaj\u00ed\u010dek<\/li>\n<\/ol>\n <\/div>\r\n <\/div>\r\n <\/section>\r\n \n\n \r\n \r\n
    \r\n
    \r\n \r\n
    \r\n \r\n

    Co znamen\u00e1 zachov\u00e1n\u00ed plodnosti \u017eeny<\/h3>\r\n
    \r\n \r\n \r\n <\/svg>\r\n <\/div>\r\n <\/a>\r\n
    \r\n
    \r\n

    Zachov\u00e1n\u00edm plodnosti u \u017een se pova\u017euje odb\u011br a zamra\u017een\u00ed vaj\u00ed\u010dek, neboli oocyt\u016f, event. embry\u00ed, pro budouc\u00ed pou\u017eit\u00ed, tedy pro pou\u017eit\u00ed za n\u011bkolik m\u011bs\u00edc\u016f nebo obvykle n\u011bkolik let.<\/p>\n

    Abychom z\u00edskali oocyty vhodn\u00e9 k zamra\u017een\u00ed, podstupuje \u017eena po vy\u0161et\u0159en\u00ed a konzultaci s l\u00e9ka\u0159em stejn\u00fd postup l\u00e9\u010dby, jako \u017eena, kter\u00e9 p\u0159ich\u00e1z\u00ed k l\u00e9\u010db\u011b neplodnosti s t\u00edm, \u017ee proces je zavr\u0161en odb\u011brem folikul\u00e1rn\u00ed tekutiny s oocyty z vaje\u010dn\u00edk\u016f v kr\u00e1tkodob\u00e9 anest\u00e9zii. V laborato\u0159i IVF jsou pot\u00e9 oocyty z folikul\u00e1rn\u00ed tekutiny vyhled\u00e1ny a p\u0159eneseny do kultiva\u010dho m\u00e9dia. Po standardn\u00edch kroc\u00edch jsou oocyty vitrifikov\u00e1ny, to znamen\u00e1, \u017ee jsou ve speci\u00e1ln\u00edm m\u00e9diu super rychle zamra\u017eeny na teplotu tekut\u00e9ho dus\u00edku -196 st. C. Zamrazuj\u00ed se v\u0161echny kvalitn\u00ed oocyty, po dvou a\u017e t\u0159ech do samostatn\u00e9 pejety (lze p\u0159irovnat k speci\u00e1ln\u00edmu br\u010dku). Zamra\u017een\u00edm oocyt\u016f (nebo embry\u00ed) se zastav\u00ed jejich biochemick\u00e9 pochody a p\u0159i teplot\u011b minus 196 st. C z\u016fstanou beze zm\u011bny po celou dobu jejich uchov\u00e1n\u00ed v kryokontejneru s tekut\u00fdm dus\u00edkem.<\/p>\n

     <\/p>\n <\/div>\r\n <\/div>\r\n <\/div>\r\n \r\n

    \r\n \r\n

    \u017deny p\u0159ed l\u00e9\u010dbou pro onkologick\u00e9 onemocn\u011bn\u00ed<\/h3>\r\n
    \r\n \r\n \r\n <\/svg>\r\n <\/div>\r\n <\/a>\r\n
    \r\n
    \r\n

    Pro \u017eeny podstupuj\u00edc\u00ed l\u00e9\u010dbu pro onkologick\u00e9 onemocn\u011bn\u00ed (chemoterapie, radioterapie), u kter\u00e9 se p\u0159edpokl\u00e1d\u00e1, \u017ee by mohla m\u00edt negativn\u00ed vliv na budouc\u00ed plodnost \u017eeny, je cel\u00fd proces<\/p>\n

    co nejrychleji zah\u00e1jen. Gynekolog, specializuj\u00edc\u00ed se na asistovanou reprodukci, ve spolupr\u00e1ci s onkologem, optimalizuje l\u00e9\u010dbu pro danou \u017eenu. Pokud to zdravotn\u00ed stav \u017eeny dovol\u00ed, je mo\u017en\u00e1 i opakovan\u00e1 stimulace vaje\u010dn\u00edk\u016f a odb\u011br oocyt\u016f, aby v budoucnu byla co nejvy\u0161\u0161\u00ed \u0161ance na t\u011bhotenstv\u00ed a porod d\u00edt\u011bte. Pokud m\u00e1 \u017eena partnera, se kter\u00fdm pl\u00e1nuj\u00ed m\u00edt spole\u010dn\u00e9 d\u00edt\u011b, je optim\u00e1ln\u00ed oplodnit oocyty spermiemi dan\u00e9ho mu\u017ee, vznikl\u00e1 embrya nechat v kultivaci a po n\u011bkolikadenn\u00ed, obvykle p\u011btidenn\u00ed, kultivaci zamrazit embrya s potenci\u00e1lem dal\u0161\u00edho v\u00fdvoje. V p\u0159\u00edpad\u011b, \u017ee \u017eena nem\u00e1 partnera, mraz\u00edme oocyty. Nebo, po dohod\u011b, je mo\u017en\u00e9 zkombinovat oba p\u0159\u00edstupy.<\/p>\n

    V n\u011bkter\u00fdch ojedin\u011bl\u00fdch p\u0159\u00edpadech, nap\u0159. p\u0159i pl\u00e1novan\u00e9m odstran\u011bn\u00ed vaje\u010dn\u00edk\u016f, je indikov\u00e1n odb\u011br a zamra\u017een\u00ed ovari\u00e1ln\u00ed tk\u00e1n\u011b. Toto je tak ojedin\u011bl\u00e1 a speci\u00e1ln\u00ed situace, kter\u00e1 p\u0159esahuje dan\u00fd r\u00e1mec informac\u00ed, \u017ee, pokud by se k tomu m\u011blo p\u0159istoupit, bude konkr\u00e9tn\u00ed situaci l\u00e9ka\u0159 konzultovat p\u0159\u00edmo s danou pacientkou.<\/p>\n

    U pacientek s onkologickou diagn\u00f3zou poji\u0161\u0165ovna hrad\u00ed l\u00e9\u010dbu IVF, zamra\u017een\u00ed a skladov\u00e1n\u00ed z\u00e1rode\u010dn\u00fdch bun\u011bk.<\/p>\n <\/div>\r\n <\/div>\r\n <\/div>\r\n \r\n

    \r\n \r\n

    Social freezing (zamra\u017een\u00ed vaj\u00ed\u010dek na vlastn\u00ed \u017e\u00e1dost)<\/h3>\r\n
    \r\n \r\n \r\n <\/svg>\r\n <\/div>\r\n <\/a>\r\n
    \r\n
    \r\n

    Pro \u017eeny, kter\u00e9 jsou zdrav\u00e9, ale z jak\u00e9hokoliv d\u016fvodu pl\u00e1nuj\u00ed rodi\u010dovstv\u00ed pozd\u011bji (socioekonomick\u00e9 d\u016fvody, nemaj\u00ed partnera apod.), je mo\u017en\u00e9 vaj\u00ed\u010dka – oocyty zamrazit a uchovat v kryokontejneru s tekut\u00fdm dus\u00edkem p\u0159i teplot\u011b -196 st. C pro pozd\u011bj\u0161\u00ed pou\u017eit\u00ed. Pro toto uchov\u00e1n\u00ed plodnosti se pou\u017e\u00edv\u00e1 term\u00edn social freezing. Poji\u0161\u0165ovna l\u00e9\u010dbu nehrad\u00ed.<\/p>\n <\/div>\r\n <\/div>\r\n <\/div>\r\n \r\n

    \r\n \r\n

    Co vz\u00edt v \u00favahu p\u0159i rozhodov\u00e1n\u00ed o podstoupen\u00ed odb\u011bru vaj\u00ed\u010dek – oocyt\u016f a jejich zamra\u017een\u00ed:<\/h3>\r\n
    \r\n \r\n \r\n <\/svg>\r\n <\/div>\r\n <\/a>\r\n
    \r\n
    \r\n