Mjp Œ Mnuhf;fpak;  Œ rpwg;g[f; fl;Liu

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bjhHpy;El;gk;

nrhjidf;FHha; FHe;ij vd;gJ I.tp.vg; vd;W RUf;fkhf brhy;yg;gLk; etPd fUj;jhpg;g rpfpr;ir Kiwfspy; gpugykhd xU bgah;. I.tp.vg; vd;w brhy;ypd; RUf;fkhd bghUs; ahbjdpy;/ bgz:zpd; rpid Kl;iliaa[k;/ Mzpd; capuqita[k; clk;g[f;F btspna ,izj;J fUKl;ilahf khw;wp kPz:Lk; fUg;igf;F bfhz:L tUtnj MFk;. ,e;j Kiwapd;go bgz:zpd; rpidg;igapy; ,Ue;J vLf;fg;gl;l xU Kl;iliaa[k;/ MzplkpUe;J nrfhpf;fg;gl;L gpd; gjg;gLj;jg;gl;l capuqita[k; Ma;t[f;Tlj;jpy; nrh;f;fg;gLfpd;wd. m';F ,e;j ,uz:Lk; btw;wpfukhf ,iza[k; gl;rj;jpy; fUKl;il cz:lhFk;. Kjph;r;rp milahj fUt[apuhf (Embryo) ,Uf;Fk; ,J cUthd 2 ehspy; bgz:zpd; fUg;igapy; btw;wpfukhf ,izf;fg;gLk;. fUKl;il vd;wJk;/ Vnjh if/ fhy;fs;/ fz:fs; ,Uf;Fk; vd;W epidf;f ntz:lhk;. Vbddpy; nfhof;fzf;fhd bry;fisf; bfhz:l kdpj cWg;g[fs; cUthFtjw;F bghWg;ghd xU rpy bry;fns ,jpy; fhzg;gLk;. mjdhy; jhd; ,jid Kjph;t[whj fUt[aph; vd;W Fwpg;gpl;Ls;nshk;.

1. jk;gjpfs; rpfpr;irf;F jFjp cs;sth;fs;jhdh> vd;W nrhjpj;jy;
(Testing A Couple’s Suitablity before Treatment)

I.tp.vg;. rpfpr;ir Kiw vy;yh jk;gjpfSf;Fk; bghUe;jhJ. ,jw;F ghpe;Jiuf;fg;gLk; bgz:fspy; ghjpg;ngUf;F gy;ntW tpjkhd rpfpr;ir mspf;fg;gLfpwJ. rpfpr;ir bjhl';Ftjw;F Kd;ghf/ capuqf;fspd; vz:zpf;if/ Qhh;nkhd;fspd; mst[ cs;spl;l Kf;fpakhd nrhjidfs; gy;ntW fl;l';fshf elj;jg;gLk;. ,e;j nrhjidfspd; \yk; btw;wpfukhf fUj;jhpf;f tha;g;g[ ,Uf;fpwjh> vd;gJ cWjp bra;ag;gLk;. cjhuzj;Jf;F fUg;igapd; MHk; (Uterine Cavity) vf;!;nu nrhjid \yk; fzf;fplg; gLk;. ,J ,d;W new;W vLf;fg;gLk; mst[ vd;W epidf;f ntz:lhk;. xU fUit cs;ns mDkjpj;J mJ btw;wpfukhf tsUk; mst[f;F fUg;ig ,Uf;fpwjh> vd;W fz:Lgpof;f ,j;jifa nrhjid elj;jg;gLfpwJ. rpyg; bgz:fSf;F rpidg;igapy; ,Ue;J rpid Kl;ilfis btspnaf; bfhz:L tu kUe;Jfs; njitg;gLk;. ,e;epiyapy; cz:ikahd rpfpr;iria Muk;gpf;Fk; Kd; ,Jnghd;w kUe;Jfshy; mth;fSf;F ve;jst[f;F gyd; fpilf;Fk; vd;W bjhpe;J bfhs;s ntz:Lk;. xt;bthU jdpg;gl;l bgz:qf;Fk; vd;d khjphpahd rpfpr;irfs; mspf;f ntz:Lk; vd;W kUj;Jth;fs; Kot[ bra;tjw;F ,j;jifa nrhjidfs; ngUjtpahf ,Uf;Fk;.

2. rpid Kl;ilfis J}z:Ljy;
(Stimulation of Ovulation)

xU fUg;igapy; xnu rkaj;jpy; xd;Wf;Fk; nkw;gl;l Kjph;t[whj fUKl;il fis (Embryo) itf;f Koa[k; nghJjhd; btw;wpfukhd fh;g;gk; vd;gnj ifTLk;. Vbddpy; ,aw;ifahd Kiwapy; cz:lhFk; Kjph;t[whj fUKl;ilfspnyna epiwa Kl;ilfs; tPzhfp tpLk;. mit FHe;ijfshf khwhJ. ,e;j epfH;t[ braw;if fUt{l;ly; Kiwf;Fk; bghUe;Jk;. ,jdhy; jhd; xd;Wf;Fk; nkw;gl;l vz:zpf;ifapy; itf;f ntz:o cs;sJ. ,g;go itg;gjhy; rpy rkak; xd;Wf;Fk; nkw;gl;l FHe;ijfs; cUthf tha;g;g[ ,Uf;fpwJ vd;gij kWg;gjw;fpy;iy. ,Ue;jhYk; fUKl;il ,Hg;ig fzf;fpy; itj;J ghh;f;Fk; nghJ ,J mtrpakhfpwJ (FHe;ijna ,y;iy vd;W jtpg;gth;fSf;F xnu gpurtj;jpy; xd;Wf;F nky; gpwe;jhy; frf;fthr; bra;a[k;>)

rpidg; igfis (Ovaries) J}z:o rpid Kl;ilfis cz:lhf;Ftjw;fhf Clomiphane my;yJ HMG (Human Chorionic Gonadotropin Hormone) vd;w 2 Qhh;nkhd; Crpfs; my;yJ kUe;Jfs; bfhLf;fg;gLk;. ,e;j kUe;Jfs; cs;ns brd;wJk; rpidg;igfs; tHf;fj;ij tpl TLjyhf ntiy bra;a[k;go J}z:lg;gLk;. ,jdhy; rpy neu';fspy; epiwa Kl;ilfs; fpilj;J tpLtJz:L. Mdhy; mJ kpft[k; mg{h;tkhdJjhd;. mnj rkak; ,e;j Kl;ilfs; vy;yhnk rhjhuz fUKl;ilfshf khwhJ. mnjg; nghy vy;yhtw;iwa[k; bfhz:L fUt[wr; bra;a KoahJ.

rpfpr;irapd; Muk;gj;jpy;/ ,e;j 2 kUe;Jfspy; VjhtJ xd;W (Crpahfnth my;yJ kUe;jhfnth) bgz:zpd; khj tpyf;F bjhl';fpa rpy ehs; fHpj;J jug;gLk;. vt;tst[ kUe;J ju ntz:Lk;/ vj;jid fhyj;Jf;F ju ntz:Lk;/ vd;gJ xt;bthU jdpg;gl;l bgz:qf;Fk; ntWgLk;. mth;fspd; njit vd;d> vd;gij itj;J ,J jPh;khdpf;fg;gLfpwJ. rkPg fhykhf jpl;lkplg; gl;l RHw;rpfs; (Programmed Cycles) vd;w jpl;lj;ij gy etPd fUj;jhpg;g[ ika';fs; ifahs;fpd;wd. ,e;j Kiwapd; fPH; rpid Kl;ilfspd; btspg;ghl;il kUj;Jth;fshy; fl;Lg;gLj;j Koa[k;. (jw;fhypfkhf) ,J kjpg;g[kpf;f neuj;jpy; btspg;gLk; Kl;ilfis nrfhpf;f cjt[k;. ,e;j tifahd mqFKiw \yk; epiwa I.tp.vg;. Kot[fs; btw;wpfukhf mike;J tpLfpwJ. rpy ika';fspy; HMG Qhh:nkhdpd; ntiyapy; gpl;a{l;lhp Rug;gp jiyaplhj tz:zk; ghh;j;Jf; bfhs;Sk;. ,jdhy; xnu rkaj;jpy; epiwa rpid Kl;ilfis bgw KofpwJ. rpy ika';fspy; g[nuhb$!;Ouhd; (Progesterone) vd;w kw;bwhU Qhh;nkhdpd; braw;if totj;ij gad;gLj;Jfpd;wd. ,J kw;w kUeJfisf; fhl;oYk; kypthdJ. mnj rkak; TLjy; gyd; juf;ToaJ. Buserelin kUe;ij epiwa tHpfspy; ju Koak;. rpy bgz:fSf;F HMG rpfpr;ir bjhl';Ftjw;F Kd;ghf rpy ehl;fs; tiu bfhLf;fg;gLk;. rpy ika';fs; HMG \yk; rpidg;igfs; J}z:lg;gLtjw;F Kd; 2 thu';fs; tiu jUfpwhh;fs;. ,ij ePz:l fhy g[nuhl;nlhfhy; vd;W brhy;fpwhh;fs;. ,J nghd;w ePz:l fhy rpfpr;ir Kiw bghJthf eyyJjhd;. Mdhy; ,jw;F epiwa bryt[ MFk;.

3. Kl;il tsh;r;rpia Ma;t[ bra;jy;

Kl;il nrfhpg;g[f;F bghJthf cfe;j neuk;/ xU bgz: Kl;ilfis btspg;gLj;Jths; vd;W vjphghh;f;fg;gLk; rpy kzpj;JspfSf;F Kd;g[ jhd;. ,e;j rhpahd neuj;jpy; Kl;ilfis nrfhpf;fhtpl;lhy;/ mtw;iw gad;gLj;j fUit cz:lhf;f KoahJ. bgz:fspd; Qhh;nkhdfspd; epiy gw;wp mof;fo nrhjid elj;jp cWjp bra;tjw;F ,Jjhd; fhuzk;. gf;Ftkile;j Kl;il fis 3 tHpfspy; nrfhpf;f Koa[k;. Mdhy; ,jpy; vija[nk Jy;ypakhd Kiw vd;W brhy;y KoahJ. ey;y mDgtKk;/ Kl;ilfs; btspg;gLtij Eqf;fkhf fz:Lgpof;fj; bjhpe;J ,Ug;gJk; bghpJk; if bfhLf;Fk;.

Qhh;nkhd; nrhjid

rpid Kl;ilf; TLfs; tP';fj; bjhl';fpaJk; <!;l;nuh$d;/ g[nuhb$!;Ouhd; Qhh;nkhd;fs; mjpfkhf Ruf;Fk;. buFyuhd uj;jg; ghpnrhjidapy; ,ij fz:Lgpoj;J tplyhk;. Buserelin bfhLf;fhj gl;rj;jpy; rpid Kl;ilfis btspg;gLj;Jk;go fUg;igf;F gpl;a{l;lhp Rug;gp cj;jutpLfpwJ. ,jw;fhf LH (Luteinizing Hormone) vd;w Qhh;nkhid Ruf;fpwJ. uj;jg; ghpnrhjidapy; ,e;j Qhh;nkhida[k; fz:Lgpof;fyhk;. Mdhy; Jujph;#ltrkhf rpid Kl;ilfs; J}z:lg;gLk; neuj;jpy; Qhh;nkhd; nrhjidfis elj;j gy ika';fs; jtwp tpLfpd;wd. ,j;jifa nrhjidfs; rpwe;j Kot[fis bgWtjw;F kpft[k; ngUjtpahf ,Uf;Fk;. Vbddpy; xU rpfpr;ir Kiw njhy;tp mile;j gpwF/ I.tp.vg; Kiwfspy; cs;s ntW ve;j rpfpr;ir Kiwia ifahsyhk;/ vd;gJ Fwpj;J Kf;fpa jfty;fis bgw ,e;j Qhh;nkhd; nrhjidfs; cjt[k;.

my;l;uhrt[z:l;

rpid Kl;il TLfs; tP';Ftij my;l;uhrt[z:l; nrhjid \yk; neuoahf fz:Lgpof;f Koa[k;. ,J jpde;njhWk; tHf;fkhf bray;gLk;. rpid Kl;ilfs; btspahf bjhl';fpat[ld;/ xU rpidKl;il Tl;od; FWf;fst[ 20 kpy;ypkPl;lh; ,Uf;Fk;. ,J mDgtj;jpd; \yk; bjhpe;J bfhz:l tp#ak;. jw;nghJ bgUk;ghyhd ika';fspy; gpwg;g[Wg;g[ my;l;uh rt[z:l; (Vaginal Ultrasound) nrhjid elj;jg;gLfpwJ. ,jd;go motapw;Wf;Fg; gjpyhf gpwg;g[Wg;g[ kPJ my;l;uh rt[z:l; fUtp itf;fg;gLk;. ,e;j nrhjid kpft[k; Jy;ypakhdJ vd;gJ Fwpg;gplj;jf;fJ.

Crp„

HCG Qhh;nkhd; CrpahdJ tHf;fkhf rpid Kl;ilfs; btspahLtjw;F rw;W Kd;ghf nghlg;gLk;. ,J rpidf; TLfis Kw;wr; bra;J rpid Kl;ilfis btspg;gLj;JkhW fUg;igf;F jfty; mDg;g[k;. tHf;fkhd Kl;il btspg;ghL vd;gJ Crp nghl;l 36kzp neuj;Jf;F gpwF elf;Fk;. ,e;epiyapy; ,e;j Fwpg;gpl;l neuk; fhyhtjpahtjw;F Kd;ghfnt Kl;ilfs; nrfhpf;fg;gl ntz:Lk;. ,J jtpu bgz: rpid Kl;ilfis btspg;gLj;j bjhl';Ftjw;F Kd;ghf Kl;ilfis Kjph;r;rp milar; bra;a[k; ntjpg;bghUspd; brayghl;;il ,e;j Qhh;nkhd; Crp bjhl';fp itf;fpwJ. gpla{l;lhp Rug;gp LH Qhh;nkhd; Rug;ig Jz:Lk; cj;juit ,d;Dk; gpwg;gpf;ftpy;iy vd;gJ cWjpahf bjhpa tUk; gl;rj;jpYk; my;yJ Buserelin kUe;Jfis vLj;J ,Ue;jhy; kl;Lnk ,e;j HCG nghlg;gLk;.

,e;j Crp nghlg;gLk; neuKk;/ rpid Kl;ilfis nrfhpf;Fk; neuKk; kpf rpf;fyhdJ. Kl;ilfis nrfhpg;gjpy; jhkjk; Vw;gl;lhy; Kl;ilfis ,Hf;f nehpLk;. Kd;djhfnt Kl;ilfis nrfhpf;fj; bjhl';fp tpl;lhy;/ mit ,ay;ghf fUj;jhpf;f itf;Fk; mst[f;F Kiwahd Kjph;r;rpa[ld; ,Uf;fhJ. ,jdhy; jhd: rpfpr;irapd; nghJ jpUk;gj; jpUk;g Qhh;nkhd; bl!;l; elj;j ntz:o cs;sJ. Mfnt Itpvg; rpfpr;irapy; HCG Qhh;nkhd; Crp nghLk; neuKk; Kl;ilfis nefhpf;Fk; neuKk; kpf Kf;fpakhdJ.

,ay;ghd RHw;rp (Natural Cycles)

rpy ika';fs; Itpvg; rpfpr;irapd; nghJ rpid Kl;ilfis Jz:Ltjw;fhf HCG jtph;j;j ntW ve;j kUe;ija[k; bfhLg;gjpy;iy. ,Jt[k; rhpahd neuj;jpy; nghl ntz:Lk;. ve;jtpjkhd Qhh;nkhd; Crpfisa[k; gad; gLj;jhj gl;rj;jpy; ,aw;ifahd rpid Kl;ilfs; btspg;ghl;oy;/ xnu xU Kl;il nrfhpf;f Koa[k;.

rpid Kl;ilfis J}z:Ltjw;fhd Crp kUe;Jfspd; tpiy kpft[k; mjpfk; vd;gjhy; ,aw;ifahd ,k;Kiw nrfhpg;g[ tpiy kypthdJ jhd;. xnubahU fUKl;ilia cUthf;Ftjd; \yk; ,ul;ilf; FHe;ijfs; gpwg;gija[k; jLf;f Koa[k;. Mdhy; ,aw;ifahd ,k;Kiwapy; Kl;ilfis nrfhpj;J nkw;bfhs;sg;gLk; I.tp.vg; rpfpr;ir me;jst[f;F btw;wpfukhf ,Ug;gjpy;iy. Vbddpy; rpy Kjph;t[whj fUt[aph;fis kl;Lnk cz:lhf;f Koa[k; vd;gJk;/ mtw;wpy; bgUk;ghYk; xd;iw kl;Lnk khw;w Koa[k; vd;gJk; btw;wp tha;g;ig RUf;fp tpLfpwJ.

Kl;il nrfhpg;g[ (Egg Collection)

rpy rkak; nyg;uh!;nfhgp (Laparoscopy) \ykhf Kl;ilfs; nrfhpf;fg;gLk;. Mdhy; ,J kpf mg{h;tkhdJ. kw;wgo bgUk;ghYk; gpwg;g[Wg;g[ my;l;uh rt[z:l; bjhHpy;El;g Kiwapnyna Kl;ilfs; nrfhpf;fg;gLfpd;wd. ,k;Kiapd; \yk; xU rpwpa tprhuizf; fUtp cjtpa[ld; rpid Kl;ilfs; glk; gpof;fg;gLk;. gpwF gpwg;g[Wg;gpy; xU Crpia itj;J/ mJ fUg;igf;Fs; bry;Yk;go bra;ag;gLk;. gpwF rpid Kl;ilfis mjd; TLfspy; ,Ue;J rpwpa nrhjidf; FHha; \yk; cwp";rp vLj;J fUKl;ilapy; if njh;e;j xU epg[zhplk; xg;gilf;fg;gLk;. mth; me;j Kl;ilfis itj;J fUj;jhpf;f bra;a Koa[kh> vd;W Ma;t[ bra;thh;. gHikahd ,e;j bjhHpy;El;gj;Jf;F bgUk;ghYk; nyrhd kaf;f kUe;J (Light Anaesthetic)  bfhLf;fg;gLfpwJ. ey;y ika';fspy; ,k;Kiwapd; fPH; rpfpr;ir mspf;Fk; nghJ typ vJt[k; ,Uf;fhJ.

cs;~h; kaf;f kUe;Jfs; gad;gLj;jg;gLk; gl;rj;jpy; me;j bgz: xU rpy kzp neuk; kl;Lnk kUj;Jtkidapy; ,Uf;f ntz:oaJ ,Uf;Fk;. kpft[k; ftdkhf bra;atpy;iy vd;why; vy;yh Kl;ilfisa[k;/ mt;tst[ Vd; xU rpy Kl;ilfis Tl bgw KoahJ. ey;y jukhd ika';fspy; 97 rjtPjk; Fiwe;jgl;rk; xU Kl;iliaahtJ nrfhpj;J tpl Koa[k; fUg;igapy; fLikahd neha;fs; ,Ue;jhy; kl;Lnk ,J rhj;jpag;glhJ. Mf/ ,e;epiyapy; njhy;tp vd;gjw;fhd tha;g;g[fs; kpf kpff; Fiwt[ jhd;.
 

5. Kl;il tsh;;g;g[ - tpe;jqit jahh; bra;jy; kw;Wk; fUt{l;ly;

xUKiw Kl;ilfis nrfhpj;J tpl;lhy;/ mit vspjhf nrjkila tha;g;g[ cs;sJ. mWit rpfpr;ir miwapy; Ez:nzhf;fp \yk; kl;Lnk ,tw;iw milahsk; fz:Lgpof;f Koa[k;. gpd; cldoahf !;bg#yhf jahhpf;fg;gl;l jputj;jpy; Kl;ilfs; itf;fg;gLk;. ,e;j jputk; Kl;ilfis tsh;f;Fk; xU kPoakhft[k; (;Culture Medium) bra;gLk;. nkYk; Kl;ilfis capUld; itj;jpUf;f njitahd kjpgg[kpf;f ntjpg; bghUl;fSk; ,jpy; fyf;fg;gl;L ,Uf;Fk;. ,jw;fhf bgz:fspd; uj;jj;jpy; ,Ue;J Vw;fdnt nrfhpf;fg;gl;l btz:ik kw;Wk; k";rs; epwk; fye;j rPuKk; (Serum) nrh;f;fg;gLk;.

tsh;g;g[ kPoaj;jpy; tplg;gl;l rpid Kl;ilfs; gpwF ,d;Fngl;lh; (Incubator) fUtpf;Fs; itf;fg;gLk;. xU jhapd; fUg;igf;Fs; rpid Kl;ilfs; ve;j btg;gepiyapy; ,Ue;jhy; ghJfhg;ghf ,Uf;Fnkh mnj btg;gepiyia ,e;jf; fUtp jUk;.

tHf;fkhf Kl;ilfs; nrfhpf;fg;gLtjw;F Kd;ghf/ Ra ,d;gk; \ykhf tpe;J nrfhpj;J jUkhW Mz:fsplk; Twg;gLk;. ,jw;fhfnt gy I.tp.vg;. ika';fspy; gLf;ifaiw itj;J ,Uf;fpwhh;fs;. Mdhy; ,Jnghd;w ,Wf;fkhd r{H;epiyapy; epiwa Mz:fshy; tpe;jqf;fis nrfhpf;f Koahky; nghfpwJ. ,J xU gpur;rpidahf ,Ue;jhy;/ I.tp.vg; ika';fs; rpfpr;irf;F Kd;ghf capuqf;fis vLj;J ciw epiyapy; gjg;gLj;jp rpfpr;irf;F jahuhf itj;J ,Uf;fyhk;. Mdhy; Jujph;#;ltrkhf capuqf;fis ciwa itg;gJk;/ gpwF mij ,ay;g[ epiyf;F bfhz:L te;J fUj;jhpf;f itg;gJk; rpukkhd tp#ak;. ,J khjphp jUz';fspy; g[jpjhf capuqf;fis cw;gj;jp bra;a ntz:oaJ ,Uf;Fk;.

xU Kiw tpe;J jputk; vLf;fg;gl;lJk;/ tpe;jqf;fis kl;Lk; jdpahfg; gphpj;J Ez:nzhf;fp \yk; vj;jid capuqf;fs; ,Uf;fpd;wd vd;W vz:zg;gLk;. gpd;dh; mit gy kzp neuk; fHpj;J tsh;g;g[ kPoaj;jpy; gjpak; bra;ag;gl;L ,Uf;Fk; rpid Kl;ilfSld; nrh;f;fg;gLk;. gpwF kWgoa[k; ,d;Fngl;lh; fUtpapy; itf;fg;gLk;. rpy rkak; filrp neuj;jpy; capuqf;fspd; vz:zpf;if Fiwthf ,Uf;Fk; my;yJ kpft[k; gytPdkhf ,Uf;Fk;. ,ij fUj;jpy; bfhz:L jw;nghbjy;yhk; fUj;jhpg;ig cWjp bra;tjw;F gy Mapuf;fzf;fhd ehh;kyhd tpe;jqf;fs; nrfhpf;fg;gLd;wd. jdpbahU rpid Kl;ilia fUt[wr; bra;a ntz:LkhdhYk; ,nj fijjhd;.

6. Kjph;t[whj fUt[aph; tsh;g;g(Embryo Culture)

xU ey;y Itpvg; ikaj;jpy; capuqf;fs; nrh;f;fg;gl;l 18 kzp neuk; fHpj;J gjpak; bra;J itj;Js;s Kl;ilfs; Ez:nzhf;fp \yk; Muhag;gLk;. gpwF 24 Kjy; 30 kzp neuj;Jf;Fg; gpwF kWgoa[k; ,njg; nghy fz:fhzpf;fg; gLk;. ,e;j 18 kzp neu bfL vjw;F bjhpa[kh>

fUKl;il xd;W btw;wpfukhf cUthFk; gl;rj;jpy;/ mjw;fhd khw;w';fs; ,e;jf; Fwpg;gpl;l neuj;Jf;Fs; Vw;gLk;. xU ntis fUKl;il cz:lhfhj gl;rj;jpy; rpid Kl;ilfs; gphpe;J tpLk;.  jpwikahf/ Jy;ypakhf bray;glhj ika';fspy; ,jw;fhd tha;g;g[fs; mjpfk;. ,e;j Kl;ilfisa[k; fUg;igf;F khw;w Koa[k;. Mdhy; ,ay;ghd fh;g;gk; vd;gjw;F tha;g;g[ ,y;iy.

xU Kjph;r;rp milahj fU (Embryo) vd;djhd; mjPj tsh;r;rp ntfj;Jld; ,Ue;jhYk;/ tHf;fkhf 48 kzp neuj;Jf;Fg; gpwnf 2 Kjy; 4 bry;fshf gphpa[k;. ,j;jifa fUit fUg;if;F khw;Wtjw;F Kd;/ mJ rhjhuzkhf ,Uf;fpwjh> ,y;iyah> vd;W tp";"hdpfs; nrhjid bra;thh;fs;. xUntis ,jpy; VjhtJ re;njfk; vGe;jhy; mLj;j 24 kzp neuk; tiu bghWj;jpUe;j gpwF fUit khw;WtJ gw;wp Kot[ bra;ag;gLk;. rpy ika';fspy; 48 kzp neuj;Jf;Fg; gjpyhf 64 kzp neuk; fHpj;J khw;Wfpwhh;fs;. ,jdhy; btw;wp tha;g;g[ ghjpf;fhJ. xUntis fU tHf;fj;Jf;F khwhf ,Ue;jhy; mJ iftplg;gLk;. fUj;jhpg;gjpy; bfh";rk; Tl tha;g;g[ if eGtp tplf;TlhJ vd;gjw;fhf ,g;go bra;ag; gLfpwJ. rpid Kl;il nrfhpf;fg;gl;L tPl;Lf;F mDg;gg;gl;l bgz:fis kPz:Lk; Vd; miHf;fpwhh;fs; vd;gjw;F ,g;nghJ tpil fpilj;J ,Uf;Fnk..

7. fUKl;il khw;wk; (Embryo Transfer)

xU fUKl;il fUg;igf;Fs; bfhz:L ngha; nrh;g;gjw;F jahuhdt[ld;/ rpy Jspfs; tsh;g;g[ kPoa jputj;Jld; nrh;j;J gpsh!;of; bjhl;oapy; nrfhpf;fg; gLk;. gpd;dh; gpwg;g[Wg;g[ ed;whf nrhjpf;fg;gl;l bgz:zpd; fUg;ig thapy; ,e;j gpsh!;of; bjhl;o jpzpf;fg;gLk;. ,jd;\yk; bgUk;ghLgl;L cUthf;fg;gl;l fUKl;il rpe;jhky; rpjwhky; fUg;igapy; gj;jpukhf brd;W nrh;e;J tpLk;. ,k;Kiwapy; bghJthf typ Vw;glhJ. ,Ug;gpDk; mJnghy gpur;rpid Vw;gl;lhy; kaf;f kUe;J bfhLf;f ntz:oaJ ,Uf;Fk;. bgUk; ghYk; bgz:fs; Fg;g[wg;gLj;j epiyapnyna fUKl;ilfs; fUg;igf;Fs; brYj;jg;gLk;. ,jd; gpd;dh; mLj;j 30 epkplk; my;yJ mjw;Fk; TLjyhd neuj;Jf;F mnj epiyapy; gLj;J ,Uf;FkhW bgz:fs; nfl;Lf; bfhs;sg; gLfpwhh;fs;. fUKl;ilahdJ fUg;igf;Fs; ed;whf gw;wpf; bfhs;Sk; tifapy; ,t;thW Twg;gLfpwJ. Mdhy; ,jw;F tYthd Mjhuk; vJt[kpy;iy. fUKl;il khw;wg;gl;l bgz:qf;F g[nuhb$!;Ouhd; my;yJ yp;' Qhh;nkhd; Crp mof;fo nghlg;gLk;. ,jdhy; fh;g;gk; ed;F tYg;gLk; vd;W fUjg;gLfpwJ. Mdhy; ,J cz:ikapnyna cjt[kh> vd;gjpy; epiwa re;njfk; ,Uf;fpwJ.

,e;epiyapy; fUKl;il khw;wk; bra;ag;gl;;l bgz:qf;F xnu bld;rdhf ,Uf;Fk;. vij bra;a nz:Lk;/ vij bra;af; TlhJ vd;W g[hpahky; mth;fs; FHk;gpj; jtpg;ghh;fs;. j';fsJ fUg;igf;Fs; khw;wg;gl;l fUKl;il ed;whf gw;wp ,Uf;Fkh> ,Uf;fhjh> vd;w re;njfk; mth;fis mhpj;b jLf;Fk;. ,jpy; ftiyg;gLtjw;F vJt[nk ,y;iy. Vbddpy; fUKl;il khw;wg;gl;l clnd mJ fUg;igf;Fs; Cd;wpg; gpof;f ntz:Lk; vd;w mtrpak; ,y;iy. rpy rkak;; nkYk; rpy ehl;fs; Mfyhk;. ,e;epiyapy; tHf;fkhd cly; ,af;f';fs; ,ij ghjpf;Fk; vd;W brhy;tjw;F xU MjhuKk; ,y;iy. mirt[fs; fhuzkhf fU tsUtJ ghjpf;Fk; vd;why; ve;jg; bgz:qk; xUf;fhYk; fh;g;gk; jhpf;f KoahJ. Fwpg;ghf mjpfkhd Mw;wiy brtHpj;J eilbgWk; clYwt[fis ehk; ,e;j ,lj;jpy; epidj;Jg; ghh;f;f ntz:Lk;.

,Ue;jhYk; rk;ge;jg;gl;l bgz:fSf;F Xust[f;nfDk; jpUg;jp fpilf;Fk; tpjj;jpy; rpy fz:o#d;fs; nghlg;gLfpd;wd. xd;wpuz:L ehl;fs; ntiy bra;a ntz:lhk;. XhpU thu';fs; clYwt[ itj;Jf; bfhs;s ntz:lhk; vd;gbjy;yhk; ,jpy; ml';Fk; rpy epge;jidfs;. mjw;fhf bgl;onyna ,Uf;f ntz:Lk; vd;w mtrpak; ,y;iy. Mshy; fUKl;il tplg;gl;l rpy thu';fs; tiu/ TLkhdtiu tpkhdg; gazj;ij jtph;g;gJ ey;y tp#ak;. mnjg; nghy I.tp.vg; ikaj;Jld; Koe;j tiu beUf;fkhd bjhlh;g[ itj;Jf; bfhs;tJk; ey;yJ jhd;. ,jd;\yk; jpObud VjhtJ xU beUf;fo Vw;gl;lhy; clnd rkhspf;f Koa[k;.

8. fh;g;g nrhjid

,e;j epiy tiu vy;yhnk R\fkhf ele;J/ fUKl;ila[k; ve;jtpjkhd rpukKk; ,y;yhky; itf;fg;gl;L ,Ue;jhy;/ fh;g;gk; jhpg;gjw;fhd tha;g;g[fs; mjpfkhfpwJ. ,jdhy; rk;ge;jg;gl;l bgz:fs; fh;g;gk; jhpj;jpUf;Fkh> vd;W m";r ntz:oajpy;iy. ,Ue;jhYk; bgUk;ghyhd fUKl;ilfs; khj tpyf;F fhyj;jpw;Fs;shf mHpe;J tpLk;. ,J kpft[k; ntjid jUk; tp#ak; jhd;. ,jw;F vd;df; fhuzk; vd;W bjhpa tpy;iy. Ma;t[f;Tlj;jpy; Ez:nzhf;fp nrhjidapy; ehh;kyhf bjhpa[k; fUKl;il vg;go nkhrk; nghfpwJ vd;W bjspthf mwpag;gl tpy;iy. ,d;bdhU gf;fk; ,aw;ifahd fUj;jhpg;g[ Kiwapnyna epiwa fUKl;ilfs; rpije;J tpLk; nghJ/ braw;if fUt{l;lypy; ,g;go elg;gjpy; Mr;rhpak; vJt[kpy;iy. Mf ,Jgw;wp epiwa Muha;r;rp elj;j ntz:Lk;.

rpy ika';fs; fh;g;gj;ij fz:Lgpof;f nrhjidfs; elj;Jtjpy;iy. mjw;Fg; gjpyhf rk;ge;jg;gl;l bgz:fsplk; rpWePh; khjphpfis mDg;g[khW nfl;Lf; bfhs;fpd;wd. nQkh;!;kpy; Kiwg;go tHf;fkhf fUKl;il ghpkhw;wk; bra;ag;gl;l 12 Kjy; 14 ehspy; uj;jg; ghpnrhjid elj;jg;gLk;. ,jd;\yk; fh;g;gk; cz:lhfp ,Uf;fpwjh> ,y;iyah> vd;gij btF rPf;fpuj;jpnyna bjhpe;J bfhs;syhk;.

I.tp.vg;. Kiwfs;

1. nrhjidf; FHha; (IVF)„ ,jd; cz:ikahd bghUs;/ Ma;t[f;Tlj;jpy; capuqita[k; rpid Kl;iliaa[k; tsh;j;J fUKl;il cz:lhf;fp gpd; nrhjidf; FHhapy; tsh;j;J bgz;zpd; fUg;igapy; tsu tpLjy; MFk;.

2. fUkhw;W Kiw (Embryo Transfer)„ bgz:zpd; fUf;FHha;fs; kl;Lk; epue;jukhf ghjpf;fg;gl;oUe;J/ kw;wit tskhf ,Ue;jhy; fztdpd; capuqf;fis nrfhpj;J/ gpd; kidtpapd; fUg;igia Qhh;nkhd;fshy; J}z:lr; bra;J rpid Kl;ilfis vLj;J gpd; Ma;t[f;Tlj;jpy; fz:zhoj; jl;oy; xU rpid Kl;ila[ld; capuqf;fis fye;J fUt[wr; bra;th;. gpwF ,e;jf; fUtpid kidtpapd; fUg;igf;Fs; brYj;jp ,aw;ifahf tsu tplg;gLk;. ,jid tphthf brhy;tjhdhy;/ Ma;t[f;Tlj;jpy; fUt[wr; bra;J fUit clYf;F khw;Wjy; (Ivitro Fertilisation and Embryo Transfer) vd;W brhy;yyhk;.

3. braw;if fUt{l;ly; (Artifial insemnation - husband Semen)„
Mzpd; tpe;jqf;fs; tskhf ,Uf;Fk;. Mdhy; ,aw;ifahf cwt[ bfhs;s ,ayhj mst[f;F gpur;rpidfs; fhzg;gLk;. ,e;epiyapy; mtuJ tpe;J braw;if Kiwapy; nrfhpf;fg;gl;L Crp \yk; kidtpapd; gpwg;g[Wg;g[ tHpahfnth my;yJ fUg;igapDs; neuoahfnth rpid Kl;il btspg;gLk; neuj;jpy; nrh;j;J fUj;jhpf;fr; bra;a[k; Kiw.

4. bfhilahspaplk; ,Ue;J capuqf;fs; bgw;W tpj;jpLk; Kiw
(Artificial insemination-DONN)„

Aid vd;W RUf;fkhf brhy;yg;gLk; ,k;Kiwapy; kidtpapd; ,dg; bgUf;f cWg;g[fs; jFjpa[iladthf ,Uf;Fk;. Mdhy; fztdpd; tpe;jpy; KGik ahf capuqf;fs; ,Uf;fhJ. ,e;epiyapy; kw;wth;fsplk; ,Ue;njh my;yJ tpe;J t';fpfs; \ykhfnth capuqf;fis bgw;W braw;if Kiwapy; fUg;igapy; tpLk; Kiw.

5. Ez: fUt{l;ly; (Micro Manipulation)„ fztdpd; tpijfs; ,uz:Lk; tskhd capuqf;fis bfhz:L ,Uf;Fk;. Mdhy; mtw;iw bfhz:L bry;Yk; tpe;Jf; FHha;fs; epue;jukhf milgl;oUf;Fk;. ,jpy; kidtpapd; ,dg;bgUf;f cWg;g[fSk; jFjpa[iladthf ,Uf;f ntz:Lk;. ,th;fSf;fhd g[jpa Kiw jhd; ,J.

thlifj;jha; Kiw„ FHe;ij ,y;yhj jk;gjpfSf;F vspjhf gad; jUk; Kiw ,J. kidtp kw;Wk; fztdpd; ,dg;bgUf;f cWg;g[fs; midj;Jk; rpwg;ghf bray;gLk;. Mdhy; kidtpahy; xU FHe;ijia fUg;igapy; Rke;J FHe;ij bgw;Wj; jUk; mst[f;F fUg;ig tskhdjhf ,Uf;fhJ. ,J khjphp neuj;jpy; fztDf;F ntW ve;j tifapYk; bjhlh;g[ ,y;yhj xU bgz:zpd; fUg;igf;Fs; fU tsur; bra;ag;gLk;. me;jg; bgz: 10 khjk; fUitr; Rke;J FHe;ijiag; bgw;Wj; jUths;. RUf;fkhf brhd;dhy; xU bgz:zpd; fUg;igia thliff;F vLg;gJ vd;gJ jhd; ,jd; bghUs;.
 

Ke;ija fl;Liufs;