{"id":9392,"date":"2024-07-28T00:04:58","date_gmt":"2024-07-27T22:04:58","guid":{"rendered":"https:\/\/apolinar.eu\/?page_id=9392"},"modified":"2024-07-28T00:04:58","modified_gmt":"2024-07-27T22:04:58","slug":"zachovani-plodnosti-muzu","status":"publish","type":"page","link":"https:\/\/apolinar.capta.cz\/vi\/centrum-asistovane-reprodukce\/poskytovana-pece\/zachovani-plodnosti-muzu\/","title":{"rendered":"Zachov\u00e1n\u00ed plodnosti mu\u017e\u016f"},"content":{"rendered":" \r\n \r\n
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Zachov\u00e1n\u00ed plodnosti mu\u017e\u016f<\/h2>
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Zachov\u00e1n\u00ed plodnosti mu\u017e\u016f pomoc\u00ed kryokonzervace<\/h3>\r\n
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Kryokonzervace spermi\u00ed je metoda, kter\u00e1 umo\u017e\u0148uje dlouhodob\u00e9 uchov\u00e1n\u00ed mu\u017esk\u00e9 plodnosti pomoc\u00ed zmrazen\u00ed spermi\u00ed. Po odb\u011bru spermatu a vyhodnocen\u00ed spermiogramu je vzorek zmrazen v tekut\u00e9m dus\u00edku p\u0159i extr\u00e9mn\u011b n\u00edzk\u00fdch teplot\u00e1ch, \u010d\u00edm\u017e se \u017eivotaschopnost spermi\u00ed zachov\u00e1 na dlouhou dobu. Tato metoda poskytuje mo\u017enost pozd\u011bj\u0161\u00edho vyu\u017eit\u00ed spermi\u00ed pro asistovanou reprodukci, co\u017e m\u016f\u017ee b\u00fdt kl\u00ed\u010dov\u00e9 pro mu\u017ee, kte\u0159\u00ed cht\u011bj\u00ed m\u00edt d\u011bti v pozd\u011bj\u0161\u00edm \u017eivot\u011b nebo pro ty, kte\u0159\u00ed \u010del\u00ed riziku neplodnosti z r\u016fzn\u00fdch zdravotn\u00edch d\u016fvod\u016f. Kryokonzervace je bezpe\u010dn\u00e1 a efektivn\u00ed metoda, kter\u00e1 p\u0159in\u00e1\u0161\u00ed nad\u011bji a mo\u017enosti zachov\u00e1n\u00ed plodnosti mnoha pacient\u016f.<\/p>\n <\/div>\r\n <\/div>\r\n <\/div>\r\n \r\n

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Kryokonzervace spermi\u00ed ze zdravotn\u00ed indikace<\/h3>\r\n
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Kryokonzervace spermi\u00ed je kl\u00ed\u010dov\u00fdm n\u00e1strojem pro zachov\u00e1n\u00ed plodnosti mu\u017e\u016f, kte\u0159\u00ed \u010del\u00ed zdravotn\u00edm v\u00fdzv\u00e1m ohro\u017euj\u00edc\u00edm jejich reproduk\u010dn\u00ed schopnosti. D\u00edky t\u00e9to metod\u011b maj\u00ed mu\u017ei mo\u017enost zamrazit spermie p\u0159ed l\u00e9\u010dbou nebo p\u0159ed dal\u0161\u00edm zhor\u0161en\u00edm spermiogramu. V na\u0161\u00ed laborato\u0159i po p\u0159edchoz\u00ed domluv\u011b mraz\u00edme spermie pacient\u016fm V\u0161eobecn\u00e9 fakultn\u00ed nemocnice (VFN) a \u00dastavu hematologie a krevn\u00ed transfuze (\u00daHKT). Pacienti se zdravotn\u00ed indikac\u00ed maj\u00ed kryokonzervaci hrazenou z ve\u0159ejn\u00e9ho zdravotn\u00edho poji\u0161t\u011bn\u00ed, a to v p\u0159\u00edpad\u011b, \u017ee k odb\u011bru p\u0159inesou platnou \u017e\u00e1danku. Skladov\u00e1n\u00ed spermi\u00ed v kryobance je zpoplatn\u011bno dle platn\u00e9ho cen\u00edku CAR.<\/a><\/p>\n <\/div>\r\n <\/div>\r\n <\/div>\r\n \r\n

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Kryokonzervace spermi\u00ed p\u0159ed zah\u00e1jen\u00edm onkologick\u00e9 l\u00e9\u010dby<\/h3>\r\n
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Onkologick\u00e1 l\u00e9\u010dba zahrnuj\u00edc\u00ed chemoterapii, radioterapii \u010di chirurgick\u00e9 z\u00e1kroky m\u016f\u017ee negativn\u011b ovlivnit spermatogenezi a zp\u016fsobit do\u010dasnou nebo trvalou neplodnost. Kryokonzervace p\u0159ed zah\u00e1jen\u00edm l\u00e9\u010dby poskytuje pacient\u016fm mo\u017enost zamrazen\u00ed spermi\u00ed v dob\u011b, kdy jsou kvalitn\u00ed a zaji\u0161\u0165uje, \u017ee budou k dispozici nejlep\u0161\u00ed mo\u017en\u00e9 vzorky pro budouc\u00ed pou\u017eit\u00ed.<\/p>\n

V p\u0159\u00edpad\u011b kryokonzervace z onkologick\u00e9 indikace je p\u0159i dolo\u017een\u00ed platn\u00e9 \u017e\u00e1danky odb\u011br, zamrazen\u00ed a prvn\u00ed rok skladov\u00e1n\u00ed spermatu hrazeno z ve\u0159ejn\u00e9ho zdravotn\u00edho poji\u0161t\u011bn\u00ed. Po uplynut\u00ed 1. roku je ze zdravotn\u00edho poji\u0161t\u011bn\u00ed d\u00e1le hrazeno a\u017e 9 let skladov\u00e1n\u00ed, a to v p\u0159\u00edpad\u011b, \u017ee pacient dolo\u017e\u00ed dokumentaci potvrzuj\u00edc\u00ed podstoupen\u00ed l\u00e9\u010dby (viz \u00a738a z\u00e1kona \u010d. 48\/1997 Sb., o ve\u0159ejn\u00e9m zdravotn\u00edm poji\u0161t\u011bn\u00ed a o zm\u011bn\u011b a dopln\u011bn\u00ed n\u011bkter\u00fdch souvisej\u00edc\u00edch z\u00e1kon\u016f, ve zn\u011bn\u00ed pozd\u011bj\u0161\u00edch p\u0159edpis\u016f). Po dovr\u0161en\u00ed 10 let skladov\u00e1n\u00ed je skladov\u00e1n\u00ed spermi\u00ed zpoplatn\u011bno dle platn\u00e9ho cen\u00edku CAR<\/a><\/p>\n <\/div>\r\n <\/div>\r\n <\/div>\r\n \r\n

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Kryokonzervace v r\u00e1mci IVF cyklu<\/h3>\r\n
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Pacienti na\u0161eho centra mohou vyu\u017e\u00edt mo\u017enosti zamrazen\u00ed spermi\u00ed i v situac\u00edch, kdy se nemohou v den punkce oocyt\u016f dostavit, maj\u00ed probl\u00e9my s odb\u011brem, p\u0159\u00edpadn\u011b \u010dasto cestuj\u00ed. Tento postup poskytuje flexibilitu a jistotu, \u017ee v den odb\u011bru oocyt\u016f budeme m\u00edt k dispozici spermie. Tato slu\u017eba je zpoplatn\u011bna dle platn\u00e9ho cen\u00edku CAR<\/a><\/p>\n <\/div>\r\n <\/div>\r\n <\/div>\r\n \r\n

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Pr\u016fb\u011bh odb\u011bru a mrazen\u00ed<\/h3>\r\n
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V\u00fdkon zahrnuje odb\u011br spermatu, jeho vyhodnocen\u00ed a n\u00e1sledn\u00e9 zamrazen\u00ed. Nelze-li z\u00edskat sperma masturbac\u00ed nebo pokud nejsou p\u0159\u00edtomny \u017e\u00e1dn\u00e9 spermie v ejakul\u00e1tu, je mo\u017en\u00e9 t\u00e9\u017e spermie odebrat chirurgicky na Urologick\u00e9 klinice s p\u0159edpokl\u00e1danou dobou hospitalizace 1-3 dny. Odb\u011br se prov\u00e1d\u00ed mikrochirurgicky ods\u00e1t\u00edm spermi\u00ed z nadvarlete a biopticky, kdy se pomoc\u00ed mal\u00fdch \u0159ez\u016f z\u00edsk\u00e1 tk\u00e1\u0148 z kan\u00e1lk\u016f varlete. Po odb\u011bru vyhodnocujeme spermiogram, ke vzorku p\u0159id\u00e1me m\u00e9dium s kryoprotektanty a ve speci\u00e1ln\u00edch pejet\u00e1ch ho mraz\u00edme. Pejety jsou ulo\u017eeny v tekut\u00e9m dus\u00edku p\u0159i teplot\u011b -196\u00b0C.<\/p>\n

P\u0159ed kryokonzervac\u00ed spermi\u00ed je nezbytn\u00e9 prov\u00e9st odb\u011br krve na testov\u00e1n\u00ed sexu\u00e1ln\u011b p\u0159enosn\u00fdch chorob. Odb\u011br krve lze uskute\u010dnit nejd\u0159\u00edve 3 m\u011bs\u00edce p\u0159ed a nejpozd\u011bji v den mrazen\u00ed vzorku a prob\u00edh\u00e1 u n\u00e1s na klinice. Krom\u011b toho je nutn\u00e9, aby pacient podepsal informovan\u00fd souhlas, kter\u00fd potvrzuje, \u017ee byl pln\u011b obezn\u00e1men s postupem, riziky a mo\u017enostmi kryokonzervace.<\/p>\n <\/div>\r\n <\/div>\r\n <\/div>\r\n \r\n

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Pou\u017eit\u00ed kryokonzervovan\u00fdch spermi\u00ed<\/h3>\r\n
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Kryokonzervovan\u00e9 spermie je po rozmrazen\u00ed mo\u017en\u00e9 vyu\u017e\u00edt pro metody asistovan\u00e9 reprodukce. P\u0159i dosta\u010duj\u00edc\u00edch hodnot\u00e1ch spermiogramu mohou b\u00fdt rozmrazen\u00e9 spermie pou\u017eity pro intrauterinn\u00ed inseminaci (IUI), kdy jsou p\u0159\u00edmo vlo\u017eeny do d\u011blohy partnerky. D\u00e1le se vyu\u017e\u00edvaj\u00ed p\u0159i in vitro fertilizaci (IVF), kdy jsou spermie pou\u017eity k oplodn\u011bn\u00ed vaj\u00ed\u010dek v laboratorn\u00edch podm\u00ednk\u00e1ch a n\u00e1sledn\u011b jsou vznikl\u00e1 embrya p\u0159enesena do d\u011blohy. V p\u0159\u00edpadech, kdy jsou kvalita nebo mno\u017estv\u00ed spermi\u00ed n\u00edzk\u00e9, se vyu\u017e\u00edv\u00e1 metoda intracytoplazmatick\u00e9 injekce spermi\u00ed (ICSI), p\u0159i kter\u00e9 je jedna spermie p\u0159\u00edmo injikov\u00e1na do vaj\u00ed\u010dka. O pou\u017eit\u00ed zamrazen\u00e9ho spermatu rozhoduje mu\u017e, jeho\u017e sperma se mrazilo a kter\u00fd dal k zamrazen\u00ed souhlas.<\/p>\n <\/div>\r\n <\/div>\r\n <\/div>\r\n <\/div>\r\n <\/div>\r\n <\/section>\r\n\n\n \r\n \r\n

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Ceny \u00fahrad v r\u00e1mci asistovan\u00e9 reprodukce<\/h3>\r\n <\/div>\r\n
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