{"id":6686,"date":"2021-02-12T09:46:39","date_gmt":"2021-02-12T09:46:39","guid":{"rendered":"http:\/\/fitness-andbeauty.com\/%d8%a7%d9%84%d8%a5%d8%ae%d8%b5%d8%a7%d8%a8-%d9%81%d9%8a-%d8%a7%d9%84%d9%85%d8%ae%d8%aa%d8%a8%d8%b1-ivf%d9%83%d9%8a%d9%81-%d9%8a%d8%aa%d9%85-%d8%8c-%d9%88%d9%85%d8%b9%d8%af%d9%84-%d8%a7%d9%84%d9%86\/"},"modified":"2022-02-05T21:29:10","modified_gmt":"2022-02-05T21:29:10","slug":"%d8%a7%d9%84%d8%a5%d8%ae%d8%b5%d8%a7%d8%a8-%d9%81%d9%8a-%d8%a7%d9%84%d9%85%d8%ae%d8%aa%d8%a8%d8%b1-ivf%d9%83%d9%8a%d9%81-%d9%8a%d8%aa%d9%85-%d8%8c-%d9%88%d9%85%d8%b9%d8%af%d9%84-%d8%a7%d9%84%d9%86","status":"publish","type":"post","link":"https:\/\/fitness-andbeauty.com\/fr\/%d8%a7%d9%84%d8%a5%d8%ae%d8%b5%d8%a7%d8%a8-%d9%81%d9%8a-%d8%a7%d9%84%d9%85%d8%ae%d8%aa%d8%a8%d8%b1-ivf%d9%83%d9%8a%d9%81-%d9%8a%d8%aa%d9%85-%d8%8c-%d9%88%d9%85%d8%b9%d8%af%d9%84-%d8%a7%d9%84%d9%86\/","title":{"rendered":"F\u00e9condation in vitro (FIV) Comment c’est fait, taux de r\u00e9ussite, risques"},"content":{"rendered":"\r\n

F\u00e9condation in vitro (FIV) Comment c’est fait, taux de r\u00e9ussite, risques<\/span><\/span><\/p>\r\n

La f\u00e9condation in vitro, ou FIV, est le type de technologie de procr\u00e9ation assist\u00e9e le plus courant et le plus efficace pour aider les femmes \u00e0 devenir enceintes. <\/span>Il s’agit de f\u00e9conder l’ovule \u00e0 l’ext\u00e9rieur du corps, dans une bo\u00eete de laboratoire, puis de l’implanter dans l’ut\u00e9rus de la femme. <\/span>Apprenons \u00e0 conna\u00eetre le b\u00e9b\u00e9 \u00e9prouvette et ses chances de succ\u00e8s.<\/span><\/span><\/p>\r\n\r\n\r\n\r\n

\u00a0En 2016, environ 6,5 millions de b\u00e9b\u00e9s sont n\u00e9s par f\u00e9condation in vitro (FIV). <\/span>Selon les Centers for Disease Control and Prevention (CDC), environ 1,6% des b\u00e9b\u00e9s n\u00e9s aux \u00c9tats-Unis chaque ann\u00e9e sont mis au monde gr\u00e2ce \u00e0 la technologie de procr\u00e9ation assist\u00e9e (ART).<\/span><\/span><\/p>\r\n\r\n\r\n\r\n

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Faits en bref sur la f\u00e9condation in vitro (FIV)<\/span><\/span><\/strong> :<\/span><\/span><\/h3>\r\n\r\n\r\n\r\n

1 – La f\u00e9condation in vitro (FIV) peut aider \u00e0 obtenir une grossesse lorsque les autres traitements n’ont pas fonctionn\u00e9.<\/span><\/span><\/p>\r\n\r\n\r\n\r\n

2 – Le processus comprend la f\u00e9condation d’un ovule \u00e0 l’ext\u00e9rieur du corps et son implantation pour poursuivre la grossesse.<\/span><\/span><\/p>\r\n\r\n\r\n\r\n

\u00a0Un grand succ\u00e8s a \u00e9t\u00e9 obtenu : 1 % des b\u00e9b\u00e9s n\u00e9s aux \u00c9tats-Unis sont con\u00e7us par FIV.<\/span><\/span><\/p>\r\n\r\n\r\n\r\n

3- Il y a plus de chance de naissances multiples en utilisant la FIV.<\/span><\/span><\/p>\r\n\r\n\r\n\r\n

\u00a04- La FIV implique la f\u00e9condation de l’ovule dans une bo\u00eete de laboratoire, puis il est transf\u00e9r\u00e9 dans l’ut\u00e9rus de la femme.<\/span><\/span><\/p>\r\n\r\n\r\n\r\n

La diff\u00e9rence entre une grossesse naturelle et une grossesse artificielle :<\/span><\/span><\/strong><\/h3>\r\n\r\n\r\n\r\n

\u00a0Au cours d’une grossesse normale, le sperme p\u00e9n\u00e8tre dans l’ovule d’une femme et le f\u00e9conde \u00e0 l’int\u00e9rieur de son corps apr\u00e8s l’ovulation, lorsqu’un ovule mature est lib\u00e9r\u00e9 des ovaires. <\/span>L’\u0153uf f\u00e9cond\u00e9 s’attache alors \u00e0 la paroi ut\u00e9rine ou \u00e0 l’ut\u00e9rus et commence \u00e0 devenir un b\u00e9b\u00e9. <\/span>C’est ce qu’on appelle une grossesse normale. <\/span>Cependant, si la conception naturelle ou non assist\u00e9e n’est pas possible, le traitement de la fertilit\u00e9 est une option.<\/span><\/span><\/p>\r\n\r\n\r\n\r\n

Alors que la grossesse artificielle est la f\u00e9condation de l’ovule \u00e0 l’ext\u00e9rieur du corps, en laboratoire, puis implant\u00e9 dans l’ut\u00e9rus. <\/span>Souvent, les chances qu’un b\u00e9b\u00e9 FIV r\u00e9ussisse sont grandes.<\/span><\/span><\/p>\r\n\r\n\r\n\r\n\r\n\r\n

Date d’ins\u00e9mination artificielle\u00a0:<\/span><\/span><\/strong><\/h3>\r\n\r\n\r\n\r\n

\u00a0La FIV est utilis\u00e9e depuis la fin des ann\u00e9es 1970. <\/span>Le 25 juillet 1978, Louise Brown, le premier \u00ab\u00a0b\u00e9b\u00e9 \u00e9prouvette\u00a0\u00bb, est n\u00e9e. <\/span>Puis Robert Edwards et Patrick Steptoe, qui ont collabor\u00e9 \u00e0 la proc\u00e9dure, sont consid\u00e9r\u00e9s comme les pionniers de la FIV.<\/span><\/span><\/p>\r\n\r\n\r\n\r\n

\u00a0En 2010, Robert Edwards a re\u00e7u le prix Nobel 2010 de physiologie ou m\u00e9decine pour \u00ab le d\u00e9veloppement de la f\u00e9condation in vitro \u00bb.<\/span><\/span><\/p>\r\n\r\n\r\n\r\n

\u00a0En juillet 2013, un couple am\u00e9ricain a donn\u00e9 naissance \u00e0 son premier enfant n\u00e9 par FIV gr\u00e2ce au s\u00e9quen\u00e7age de l’ADN de nouvelle g\u00e9n\u00e9ration, une nouvelle m\u00e9thode de d\u00e9pistage des embryons qui am\u00e9liore les taux de r\u00e9ussite de la FIV et r\u00e9duit consid\u00e9rablement le co\u00fbt du traitement.<\/span><\/span><\/p>\r\n\r\n\r\n\r\n

\u00a0La technologie de s\u00e9quen\u00e7age de l’ADN aide les m\u00e9decins \u00e0 s\u00e9lectionner les embryons cr\u00e9\u00e9s par FIV pour d\u00e9terminer ceux qui sont les plus susceptibles d’entra\u00eener une f\u00e9condation r\u00e9ussie et des grossesses r\u00e9ussies ult\u00e9rieures.<\/span><\/span><\/p>\r\n\r\n\r\n\r\n

\u00c9tapes de la FIV\u00a0:<\/span><\/span><\/strong><\/h3>\r\n\r\n\r\n\r\n

\u00a01- Suppression du cycle menstruel naturel :<\/span><\/span><\/strong><\/p>\r\n\r\n\r\n\r\n

\u00a0La femme re\u00e7oit des m\u00e9dicaments, g\u00e9n\u00e9ralement sous la forme d’une injection quotidienne pendant environ deux semaines, pour supprimer le cycle menstruel naturel.<\/span><\/span><\/p>\r\n\r\n\r\n\r\n

2- Stimuler la ponte avec l’hormonoth\u00e9rapie :<\/span><\/span><\/strong><\/p>\r\n\r\n\r\n\r\n

\u00a0Des m\u00e9dicaments de fertilit\u00e9 qui contiennent l’hormone folliculo-stimulante (FSH), une hormone de la fertilit\u00e9, sont administr\u00e9s \u00e0 la femme. <\/span>FSH. <\/span>Puis, \u00e0 leur tour, les ovaires produisent plus d’\u0153ufs que d’habitude. <\/span>Une \u00e9chographie transvaginale peut surveiller le processus dans les ovaires.<\/span><\/span><\/p>\r\n\r\n\r\n\r\n\r\n\r\n

\u00a03- R\u00e9cup\u00e9ration d’ovules (pr\u00e9l\u00e8vement d’ovules de l’ovaire) :<\/span><\/span><\/strong><\/h4>\r\n\r\n\r\n\r\n

\u00a0Les ovules sont collect\u00e9s par une intervention chirurgicale mineure appel\u00e9e \u00ab aspiration folliculaire \u00bb. <\/span>O\u00f9 la femme re\u00e7oit un s\u00e9datif afin qu’elle ne ressente aucune douleur ou inconfort lors de la r\u00e9cup\u00e9ration des ovules. Ensuite, une aiguille tr\u00e8s fine est ins\u00e9r\u00e9e \u00e0 travers le vagin dans l’ovaire. <\/span>L’aiguille est reli\u00e9e \u00e0 un dispositif d’aspiration. <\/span>Cela suce les \u0153ufs. <\/span>Ce processus est r\u00e9p\u00e9t\u00e9 pour chaque ovaire.<\/span><\/span><\/p>\r\n\r\n\r\n\r\n

\u00a0En 2011, les chercheurs ont sugg\u00e9r\u00e9 que la collecte de 15 ovules d’un ovaire en un cycle donne les meilleures chances de r\u00e9ussite de la grossesse.<\/span><\/span><\/p>\r\n\r\n\r\n\r\n

\u00a04- Fertilisation et f\u00e9condation :<\/span><\/span><\/strong><\/p>\r\n\r\n\r\n\r\n

\u00a0Les ovules collect\u00e9s sont plac\u00e9s avec du sperme m\u00e2le et conserv\u00e9s dans une chambre \u00e0 environnement contr\u00f4l\u00e9. <\/span>Apr\u00e8s quelques heures, le sperme devrait p\u00e9n\u00e9trer dans l’ovule.<\/span><\/span><\/p>\r\n\r\n\r\n\r\n

Parfois, le sperme est inject\u00e9 directement dans l’ovule. <\/span>C’est ce qu’on appelle l’injection intracytoplasmique de spermatozo\u00efdes (ICSI).<\/span><\/span><\/p>\r\n\r\n\r\n\r\n

Ensuite, du sperme congel\u00e9, obtenu par une biopsie testiculaire, peut \u00eatre utilis\u00e9. <\/span>On pense que cela est aussi efficace que du sperme frais pour r\u00e9ussir une grossesse.<\/span><\/span><\/p>\r\n\r\n\r\n\r\n

L’\u0153uf f\u00e9cond\u00e9 se divise et devient un embryon. <\/span>\u00c0 ce stade, certains centres proposent un diagnostic g\u00e9n\u00e9tique pr\u00e9implantatoire (DPI) qui peut d\u00e9pister le f\u0153tus pour des troubles g\u00e9n\u00e9tiques. <\/span>Ceci est quelque peu controvers\u00e9 et pas toujours utilis\u00e9.<\/span><\/span><\/p>\r\n\r\n\r\n\r\n\r\n\r\n

Un ou deux des meilleurs embryons sont s\u00e9lectionn\u00e9s pour le transfert.<\/span><\/span><\/p>\r\n\r\n\r\n\r\n

\u00a0La femme re\u00e7oit ensuite de la progest\u00e9rone ou de la gonadotrophine chorionique humaine (hCG) pour aider la muqueuse ut\u00e9rine \u00e0 recevoir le f\u0153tus.<\/span><\/span><\/p>\r\n\r\n\r\n\r\n

\u00a05- Transfert d’embryon :<\/span><\/span><\/strong><\/p>\r\n\r\n\r\n\r\n

\u00a0Parfois, plus d’un f\u0153tus est plac\u00e9 dans l’ut\u00e9rus. <\/span>Ensuite, il est important que le m\u00e9decin et le couple souhaitant avoir un b\u00e9b\u00e9 discutent du nombre d’embryons \u00e0 transf\u00e9rer. <\/span>Habituellement, le m\u00e9decin ne transf\u00e8re plus d’un embryon que si les embryons id\u00e9aux ne sont pas disponibles.<\/span><\/span><\/p>\r\n\r\n\r\n\r\n

\u00a0L’embryon est transf\u00e9r\u00e9 \u00e0 l’aide d’un tube fin ou d’un cath\u00e9ter. <\/span>Il p\u00e9n\u00e8tre ensuite dans l’ut\u00e9rus par le vagin. <\/span>Lorsque le f\u0153tus s’attache \u00e0 la muqueuse de l’ut\u00e9rus, le d\u00e9veloppement f\u0153tal sain peut commencer.<\/span><\/span><\/p>\r\n\r\n\r\n\r\n

\u00a0La f\u00e9condation in vitro est id\u00e9ale pour les femmes qui n’ont pas pu concevoir par des rapports sexuels r\u00e9guliers non prot\u00e9g\u00e9s ou apr\u00e8s 12 cycles de FIV.<\/span><\/span><\/p>\r\n\r\n\r\n\r\n

\u00a0La FIV peut \u00eatre une option si\u00a0:<\/span><\/span><\/strong><\/h3>\r\n\r\n\r\n\r\n

1 – L’un ou l’autre des partenaires a re\u00e7u un diagnostic d’infertilit\u00e9 inexpliqu\u00e9e<\/span><\/span><\/p>\r\n\r\n\r\n\r\n

2 – D’autres techniques n’ont pas fonctionn\u00e9, comme l’utilisation de m\u00e9dicaments de fertilit\u00e9 ou l’ins\u00e9mination intra-ut\u00e9rine (IIU)<\/span><\/span><\/p>\r\n\r\n\r\n\r\n

3- Blocage des trompes de Fallope.<\/span><\/span><\/p>\r\n\r\n\r\n\r\n

4- Les patients plus \u00e2g\u00e9s qui souhaitent avoir un enfant.<\/span><\/span><\/p>\r\n\r\n\r\n\r\n

5 – Ovaires polykystiques.<\/span><\/span><\/p>\r\n\r\n\r\n\r\n

6- Faible r\u00e9serve ovarienne et insuffisance ovarienne pr\u00e9matur\u00e9e.<\/span><\/span><\/p>\r\n\r\n\r\n\r\n

Quels sont les risques qui peuvent affecter le processus de r\u00e9ussite\u00a0?<\/span><\/span><\/strong><\/h3>\r\n\r\n\r\n\r\n

1 – Depuis combien de temps essayez-vous d’avoir un enfant ?<\/span><\/span><\/p>\r\n\r\n\r\n\r\n

2 – Alors quelle est la cause de l’infertilit\u00e9 ?<\/span><\/span><\/p>\r\n\r\n\r\n\r\n

3- Stress psychologique.<\/span><\/span><\/p>\r\n\r\n\r\n\r\n

\u00a0Effets secondaires des m\u00e9dicaments :<\/span><\/span><\/strong><\/h3>\r\n\r\n\r\n\r\n

\u00a0La FIV peut entra\u00eener des troubles du sommeil.<\/span><\/span><\/p>\r\n\r\n\r\n\r\n

Certaines femmes peuvent alors avoir des r\u00e9actions aux m\u00e9dicaments administr\u00e9s pendant le traitement.<\/span><\/span><\/p>\r\n\r\n\r\n\r\n

Les effets secondaires possibles des m\u00e9dicaments de FIV comprennent\u00a0:<\/span><\/span><\/strong><\/h3>\r\n\r\n\r\n\r\n

1<\/span><\/span><\/strong> – Vomissements et naus\u00e9es <\/span><\/span>.<\/span><\/span><\/strong><\/p>\r\n\r\n\r\n\r\n

2- Difficult\u00e9 \u00e0 respirer.<\/span><\/span><\/p>\r\n\r\n\r\n\r\n

\u00a03- Irritabilit\u00e9.<\/span><\/span><\/p>\r\n\r\n\r\n\r\n

4 – Les bouff\u00e9es de chaleur<\/span><\/span><\/p>\r\n\r\n\r\n\r\n

5 – hypertrophie ovarienne<\/span><\/span><\/p>\r\n\r\n\r\n\r\n

\u00a06- Difficult\u00e9 \u00e0 dormir<\/span><\/span><\/p>\r\n\r\n\r\n\r\n

\u00a07 – Douleurs abdominales<\/span><\/span><\/p>\r\n\r\n\r\n\r\n

8 – Les ecchymoses peuvent \u00e9galement r\u00e9sulter d’injections quotidiennes r\u00e9p\u00e9t\u00e9es.<\/span><\/span><\/p>\r\n\r\n\r\n\r\n

\u00a0Risques pour la sant\u00e9 maternelle :<\/span><\/span><\/h3>\r\n\r\n\r\n\r\n

\u00a0Dans de rares cas, les m\u00e9dicaments peuvent provoquer le syndrome d’hyperstimulation ovarienne (SHO). <\/span>Cela se produit lorsque les ovaires r\u00e9pondent de mani\u00e8re excessive aux anti-gonadotrophines, de sorte que de nombreux ovules se d\u00e9veloppent dans les ovaires. <\/span>Cela peut entra\u00eener une distension abdominale grave et un essoufflement. <\/span>En cas de SHO, le m\u00e9decin peut sugg\u00e9rer de r\u00e9p\u00e9ter le cycle entier avec une dose plus faible de gonadotrophine.<\/span><\/span><\/p>\r\n\r\n\r\n\r\n

\u00a0Une recherche publi\u00e9e dans le British Medical Journal (BMJ) a \u00e9tabli un lien entre la FIV et un risque accru d’embolie pulmonaire ou de blocage de l’art\u00e8re pulmonaire principale et de thromboembolie veineuse ou de caillots sanguins au cours du premier trimestre de la grossesse.<\/span><\/span><\/p>\r\n\r\n\r\n\r\n\r\n\r\n

\u00a0perte de grossesse<\/span><\/span><\/h3>\r\n\r\n\r\n\r\n

\u00a0La principale cause de perte de grossesse, que ce soit dans le cadre d’une FIV ou d’une grossesse naturelle, est un nombre anormal de chromosomes, appel\u00e9 aneuplo\u00efdie. <\/span>La d\u00e9tection de l’aneuplo\u00efdie dans l’ovule ou le sperme avant la FIV ou chez le f\u0153tus avant l’implantation peut aider \u00e0 augmenter les chances de r\u00e9ussite de la grossesse.<\/span><\/span><\/p>\r\n\r\n\r\n\r\n

\u00a0En 2013, des scientifiques ont annonc\u00e9 qu’ils avaient d\u00e9velopp\u00e9 une nouvelle technologie appel\u00e9e imagerie acc\u00e9l\u00e9r\u00e9e. <\/span>Cette technique peut augmenter les chances de s\u00e9lectionner le bon embryon pour une FIV r\u00e9ussie, bien que des recherches suppl\u00e9mentaires soient n\u00e9cessaires.<\/span><\/span><\/p>\r\n\r\n\r\n\r\n

\u00a0Naissances multiples :<\/span><\/span><\/h3>\r\n\r\n\r\n\r\n

\u00a0Les grossesses avec plus d’un f\u0153tus peuvent entra\u00eener :<\/span><\/span><\/p>\r\n\r\n\r\n\r\n

\u00a0Naissance pr\u00e9matur\u00e9e ou faible poids \u00e0 la naissance<\/span><\/span><\/p>\r\n\r\n\r\n\r\n

\u00a0 Ainsi, le risque de diab\u00e8te de la m\u00e8re double<\/span><\/span><\/p>\r\n\r\n\r\n\r\n

\u00a0Augmentation significative de la tension art\u00e9rielle maternelle<\/span><\/span><\/p>\r\n\r\n\r\n\r\n

\u00a0Le m\u00e9decin peut recommander qu’un seul transfert d’embryon soit effectu\u00e9 chez les femmes qui sont plus susceptibles d’avoir des jumeaux. <\/span>Ensuite, nous avons constat\u00e9 que le b\u00e9b\u00e9 \u00e9prouvette et les chances de son succ\u00e8s sont grandes.<\/span><\/span><\/p>\r\n\r\n\r\n\r\n

 <\/p>\r\n","protected":false},"excerpt":{"rendered":"

F\u00e9condation in vitro (FIV) Comment c’est fait, taux de r\u00e9ussite, risques La f\u00e9condation in vitro, ou FIV, est le type de technologie de procr\u00e9ation assist\u00e9e le plus courant et le plus efficace pour aider les femmes \u00e0 devenir enceintes. Il s’agit de f\u00e9conder l’ovule \u00e0 l’ext\u00e9rieur du corps, dans une bo\u00eete de laboratoire, puis de …<\/p>\n","protected":false},"author":1,"featured_media":3468,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1574],"tags":[],"class_list":["post-6686","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-non-classifiee"],"yoast_head":"\nF\u00e9condation in vitro (FIV) Comment c'est fait, taux de r\u00e9ussite, risques - fitness and beauty<\/title>\n<meta name=\"description\" content=\"\u062d\u0644 \u0645\u0634\u0627\u0643\u0644 \u0627\u0644\u0639\u0642\u0645 \u0639\u0646\u062f \u0627\u0644\u0631\u062c\u0627\u0644 \u0648 \u0627\u0644\u0646\u0633\u0627\u0621 \u0639\u0646 \u0637\u0631\u064a\u0642\u0629 \u0632\u0631\u0639 \u0637\u0641\u0644 \u0627\u0644\u0627\u0646\u0628\u0648\u0628 . \u0645\u0627\u0647\u064a \u0641\u0631\u0635 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