Čakáme na miminko z krajiny zázrakov. Pridajte sa
Wolfi, prali, moze byt?🙂
Stručné zhrnutie
- Folikulometria sa používa na sledovanie rastu folikulov pred ovuláciou a pri folikule 21 mm sa v diskusii podáva injekcia Pregnyl a odporúča pohlavný styk v deň injekcie a deň po nej.
- Endometrium menšie než 7 mm (v diskusii konkrétne 6 mm) sa považuje za nedostatočné a v diskusii boli nasadzované tabletky na zväčšenie sliznice pred pokračovaním liečby.
- Pri poruchách spermiogramu (spg) účastníčky najskôr opakovane skúšajú IUI a v prípade pretrvávajúcich problémov podávajú žiadosť o IVF; v diskusii sa tiež spomínalo využitie darcovských spermií.
Najčastejšie otázky
Q: Ako prebieha folikulometria a čo znamená folikul 21 mm?
A: Folikulometria je ultrazvukové sledovanie rastu folikulov; folikul 21 mm v diskusii znamenal blížiacu sa ovuláciu, po ktorej bola podaná injekcia Pregnyl a odporučený pohlavný styk v deň injekcie a nasledujúci deň.
Q: Čo robiť, ak je sliznica maternice 6 mm?
A: V diskusii uviedli, že sliznica 6 mm je pod terapeutickým minimom 7 mm, preto pacientke nasadili tabletky na zväčšenie sliznice a plánovali ďalšie kroky podľa odpovede sliznice.
Q: Kedy zvážiť IVF namiesto ďalšej IUI pri zlých výsledkoch spermiogramu?
A: Účastníčky diskutovali, že pri "horšom" spermiograme (spg) sa často skúša ešte jedna IUI, ale odporúča sa podať žiadosť na IVF ako ďalší krok, ak opakované IUI zlyhajú.
Q: Ako funguje schvaľovací proces žiadosti na IVF cez poisťovňu podľa diskusie?
A: V diskusii popísali, že klinika (Helios) posiela dokumenty do pobočky v Nových Zámkoch, interná pošta medzi oddeleniami sa posiela raz týždenne a revízne lekárky údajne schvaľujú "maximálne do týždňa"; odporúčali volať na poisťovňu v stredu alebo štvrtok pre aktuálny stav.
Q: Aký význam majú v liečbe pojmy Pregnyl, Utrogestan a KET?
A: Pregnyl v diskusii slúži ako injekcia na spustenie ovulácie, Utrogestan bol spomenutý ako medikácia, ktorú pacientka užívala, a "ketko" (KET) sa v diskusii uvádzal v súvislosti s transferom embryí s odhadovanou úspešnosťou okolo 25–30 % podľa jednej účastníčky.
Q: Ako často by mal byť sex počas ovulácie podľa účastníčok diskusie?
A: V diskusii boli protichodné názory: jedna osoba cituje článok, že častý sex počas ovulácie môže znižovať šancu, iná tvrdí, že spermie „dozrievajú každých 72 dní“ a častejší sex prináša čerstvejšie spermie; tieto tvrdenia v diskusii zostali nevysporiadané.
Závery z diskusie
Zhoda
- Folikulometria, sledovanie sliznice a podanie Pregnylu sú v praxi používané na načasovanie ovulácie.
- IUI sa bežne skúša pred prechodom na IVF pri problémoch s plodnosťou.
- Schvaľovanie liečby prebieha cez poisťovňu a revízne lekárky; administratívne presuny (interna pošta medzi oddeleniami) môžu proces predĺžiť.
Sporné názory
- Častý sex počas ovulácie znižuje šancu na otehotnenie vs. častý sex zabezpečuje „čerstvé“ spermie a zvyšuje šancu.
- Ísť rovno na IVF pri zlých výsledkoch spermiogramu vs. skúsiť ešte jednu alebo viac IUI pred IVF.
Otvorené otázky
- Ako dlho presne trvá schválenie žiadosti na IVF v konkrétnej poisťovni a aké sú štandardné lehoty v praxi?
- Aký je optimálny protokol (lieky, dávkovanie, časovanie) na zvýšenie sliznice maternice pod 7 mm pred cyklom asistovanej reprodukcie?
Spomenuté značky a firmy
Helios, Sol Melia (Sol Rio de Luna y Mares), Všeobecná zdravotná poisťovňa
Spomenuté produkty a metódy
Pregnyl,Utrogestan,folikulometria,IUI,IVF,spermiogram (SPG),KET (transfer embryí),darcovské spermie,sliznica (endometrium) 6 mm/7 mm,bunjeelano
Miesta a osoby
Nové Zámky,Kremnica,Holguín,Santiago de Cuba,Varadero,Kuba,Egypt,Žilina,Pezinok,Kežmarok,Fidel,Slota,Dežo,Vasuta
katti kedze alic ich uz nepotrebuje tak len a len pre teba teraz
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a pre ostatne babenky
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Kati....všetko najlepšie k meninkámmmmmmmmmmmmmmmm 😀 😀 😀 😀 😀 😀 😀 😀 😀 😀 😀
Prichádzam dnes na den menín
s mojím skromným pozdravením,
s prianím zdravia v dalsom zití,
bez búrok a vlnobití.
S ním sa spája prosba vrúcna,
aby Ti aj do budúcna
Boh dal hojnost milosti,
vela stastia, radosti.
ja tak o pol štvrtej
a angličtina mi ide super, po dvoch hodinách, alebo ak to budem rátať na vyučovacie tak po 4 som dobráááá 😀 , už viem povedať toľko slovíčok, že zachvíľu predbehnem alicku 😀 😀 😀 , ale nie bolo dobre včera, aj sme sa nasmiali aj sme sa naučili, to tam sedíš do polkruhu a len opakuješ, počúvaš a odpovedáš, nič nepíšeš, nič nečítaš, ale sranda je pritom
ty vieš po anglicky?
neviem ☹ ale chcela by som. Planovala som ze by som pocas materskej zacala chodit. Len neviem ako to budem stihat
no toto je kurz na 32 vyučovacích hodín takže to je na 8 týždňov to nie je veľa a je to celkom dobré, no len či sa aj niečo naučím, to ti potom poviem 😀
a už máš plány čo budeš robiť doma celé dni?
no budem konikovat 😀
mam kopec casopisov "mama a ja" od kolegyne a tak. Na obed sa pojdem prejst von sa s drahym napapat
a ty kedy ides na tu PN?
Dobre rano🙂
Dnes je katariny??? jeeeezisi, ja meniny nesledujem takze sorry! Vsetko najlepsie katky!!!
Wolfi, to nebolo pekne..aj ja podrebujem virusiky, este to nemam potvdene od doktorky a za tyzden sa moze vselico zmenit a vobec odkedy si tehotna tak si mi este ziadne neposlala...fnuk, fnuk...
Pralinka, cvicis nejake tehu cviky, ci ani nie? ja sa len pytam, nebojte sa nejdem cvicit este
katti, well , we'll see 😀 !
no teraz mi je zase dobre, nič ma nebolí, v nedeľu to bol asi poplach, lebo som v sobotu behala pol dňa za malým synovcom, spal u mňa, tak som sa nič nevyspala, stále som kontrolovala či dýcha a často bol hore, a v nedeľu zase rely dakar po celom byte s ním...tak asi preto ma to brucho bolelo, tak uvidím ako sa budem cítiť, ale po OPU budem doma 2 dni a po ET minimálne týždeň, uvidíme či sa tam vôbec dostanem, ale ja tomu verím
mama a ja je dobrý časák, ja si ho kupujem a páči sa mi a teraz je tam každý mesiac rozoberané od prvého mesiaca tehotenstva, čo jesť čo robiť a tak
alicka čoooo? čo to melieš a speakuješ?
tú cilli kde kúpim a stačí to len prehltnúť?
ako si sa vyspinkala?
ja to nekupujem ale mam ich dost. Su starsie ale sak tam velke zmeny nebudu.
Alic no necvicim. Aj som rozmyslala. No do 3 mesiaca sa vobec nesmie. A potom by som ked tak necvicila len tak doma sama ale pod dohladom nejakej cvicitelky
katti ked uz kupujes mama casopis, co teraz nemozem papat? ja netusim, viem ze je toho urcite kopec na nete, ale v skratke napis ak mozes
ozi tie chilli som kupila v kauflande maju to medzi klasickymi koreniami, su to male susene chilly papricky
ja som to robila tak, ze som si dala vzdy po ranajkach a po obede jednu , vobec com ich nezula, len som ten ostri koniec odrezala aby mi to neposkriabalo hrdlo a prehltla ako tabletku a nic mi nebolo.
katti ved sa len pytam o tom chilli som ti prave nepisala..
ja len ze teraz fucim ako valec, a nechcem byt ako huspenina, uz mam celulitidu aj na kolenach...
ale ked sa nemoze tak sa nemoze, nebudem riskovat, budeme chodit aspon na prechadzky
alic tak pre teba
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Wolfi, no konecne!! Dik. Ja som si myslela ze v tejto rozpravke je zaspata princezna pralinka, ale nie, nie, ty si 😀
alic jedz vsetko co ti chuti ale vsetko s mierou.
V casopisoch a na nete sa toho pise kvanta a nakoniec zistis ze neozes papat nic.
Ale nemala by si pecienku.
Dalej som citala o tavenych syroch ze by sa nemali, huby by sa nemali, citrusy a kopec dalsich ale tak neda sa celkom podla toho riadit.
Ja jem vsetko okrem tej pecienky. Je tu aj tema co by sa v tehotenstve nemalo a porazi ta ked si to vsetko nastudujes.
ja uz som zobudena princezna 🙂
alic no do treieho mesiaca v ziadnom pripade neriskuj. Maximalne tak prechadzky
alic myslela som to well we'll see , čo vidíš či čo? veď ja viem, že cvičiť nebudeš
a neviem to spamati čo môžeš a čo nie tak si to prečítam a hodím ti to sem, mám to doma ale musím to asi pohľadať, lebo teraz to ešte nepotrebujem, vieš 😝
prali, jasne , dam si pohov, vlastne mam uz pohov od 2. oktobra...
katti hej prosim napis vecer co nemozem, dakujem a to anglicke bolo, ze UVIDIME! V zmysle, ze uvideme ci ma predbehnes🙂
alic no zaspata zakliata princezna to bolo dost dobre ... napis mi nejaku basnicku pre gulka bombulka
no to sa teda bali, obidvaja boli pri sone aj janka valachova sa strachovala
pa pa alicka
a ešte teda k tej cilli to len prehltneš, nežuješ ani nič podobné, a kde to kupuješ? nemám s tým vôbec skúsenosť, lebo drahý štiplavé nemá rád tak to vôbec nekupujem...stačí odpoveď aj zajtra, veď to nehorí