{"id":23991,"date":"2023-10-24T12:31:27","date_gmt":"2023-10-24T10:31:27","guid":{"rendered":"https:\/\/www.phoenixcom.cz\/press\/?p=23991"},"modified":"2023-10-24T12:36:07","modified_gmt":"2023-10-24T10:36:07","slug":"planujete-ivf-terapii-neni-standard-jako-standard","status":"publish","type":"post","link":"https:\/\/www.phoenixcom.cz\/press\/planujete-ivf-terapii-neni-standard-jako-standard\/","title":{"rendered":"Pl\u00e1nujete IVF terapii? Nen\u00ed standard jako standard"},"content":{"rendered":"<p style=\"font-weight: 400;\"><strong>\u010cesk\u00e1 republika dlouhodob\u011b pat\u0159\u00ed ke&nbsp;sv\u011btov\u00e9 \u0161pi\u010dce v&nbsp;oboru asistovan\u00e9 reprodukce. Na \u00fasp\u011b\u0161nost terapi\u00ed m\u00e1 krom\u011b odbornosti zdravotnick\u00e9ho person\u00e1lu v\u00fdznamn\u00fd vliv i m\u00edra vyu\u017e\u00edv\u00e1n\u00ed nejnov\u011bj\u0161\u00edch medic\u00ednsk\u00fdch poznatk\u016f, postup\u016f a&nbsp;metod. V\u00fdhodou pro pacienty je, kdy\u017e jsou dostupn\u00e9 u\u017e ve&nbsp;standardn\u00edch bal\u00ed\u010dc\u00edch IVF terapie bez dal\u0161\u00edch doplatk\u016f. Na kter\u00e9 postupy \u010di garance je vhodn\u00e9 se p\u0159i v\u00fdb\u011bru kliniky zam\u011b\u0159it?<\/strong><\/p>\n<p style=\"font-weight: 400;\">&nbsp;<\/p>\n<p style=\"font-weight: 400;\"><strong>Zp\u016fsob v\u00fdb\u011bru spermi\u00ed m\u016f\u017ee&nbsp; v&nbsp;indikovan\u00fdch p\u0159\u00edpadech zv\u00fd\u0161it \u00fasp\u011b\u0161nost a\u017e o&nbsp;25 %<\/strong><\/p>\n<p style=\"font-weight: 400;\">V\u00fdb\u011br \u017eivotaschopn\u00fdch spermi\u00ed je pro proces oplodn\u011bn\u00ed vaj\u00ed\u010dka v&nbsp;laboratorn\u00edch podm\u00ednk\u00e1ch kl\u00ed\u010dov\u00fd. B\u011b\u017en\u011b se na odd\u011blen\u00ed spermi\u00ed z ejakul\u00e1tu pou\u017e\u00edv\u00e1 centrifugace. Jej\u00ed nev\u00fdhodou v\u0161ak je zv\u00fd\u0161en\u00ed intenzity oxida\u010dn\u00edho stresu spermi\u00ed a riziko fragmentace jejich DNA, co\u017e m\u016f\u017ee v kone\u010dn\u00e9m d\u016fsledku komplikovat proces ot\u011bhotn\u011bn\u00ed. Mezi nov\u011bj\u0161\u00ed metody pat\u0159\u00ed magneticky aktivovan\u00e1 separace spermi\u00ed (MACS), p\u0159i kter\u00e9 se zase zachyt\u00e1vaj\u00ed spermie se sn\u00ed\u017eenou schopnost\u00ed oplodnit vaj\u00ed\u010dko. Aktu\u00e1ln\u011b nejslibn\u011bj\u0161\u00ed mo\u017enost\u00ed je metoda mikrofluidn\u00ed separace spermi\u00ed. Je \u0161etrn\u011bj\u0161\u00ed a dok\u00e1\u017ee imitovat p\u0159irozen\u00fd mechanismus v\u00fdb\u011bru spermi\u00ed i v laboratorn\u00edch podm\u00ednk\u00e1ch. <em>\u201eMikrofluidn\u00ed separace dok\u00e1\u017ee bez pot\u0159eby jak\u00e9hokoli dal\u0161\u00edho zpracov\u00e1v\u00e1n\u00ed ejakul\u00e1tu vyselektovat nejvhodn\u011bj\u0161\u00ed spermie, kter\u00e9 by se k vaj\u00ed\u010dku dostaly i v p\u0159irozen\u00e9m prost\u0159ed\u00ed \u017eensk\u00e9 pohlavn\u00ed soustavy,\u201c<\/em> vysv\u011btluje <strong>RNDr. Renata H\u00fcttelov\u00e1, vedouc\u00ed embryologick\u00e9 laborato\u0159e kliniky IVF CUBE v Praze<\/strong>, kde tuto metodu dnes pacient\u016fm poskytuj\u00ed zdarma, v&nbsp;r\u00e1mci standardn\u00edho bal\u00ed\u010dku IVF terapie. Podle v\u00fdsledk\u016f dosavadn\u00edch studi\u00ed maj\u00ed takto vyt\u0159\u00edd\u011bn\u00e9 spermie lep\u0161\u00ed pohyblivost, genetickou kvalitu i morfologii. Pou\u017eit\u00edm t\u00e9to metody je mo\u017en\u00e9 zv\u00fd\u0161it \u00fasp\u011b\u0161nost l\u00e9\u010dby v&nbsp;indikovan\u00fdch p\u0159\u00edpadech a\u017e o&nbsp;20 \u2013 25%.<\/p>\n<p style=\"font-weight: 400;\">&nbsp;<\/p>\n<p style=\"font-weight: 400;\"><strong>Kdy\u017e vitrifikace, pak ide\u00e1ln\u011b po jednom<\/strong><\/p>\n<p style=\"font-weight: 400;\">Pokud m\u00e1 p\u00e1r po absolvov\u00e1n\u00ed IVF terapie k dispozici v\u00edce kvalitn\u00edch embry\u00ed, mohou b\u00fdt zb\u00fdvaj\u00edc\u00ed embrya zamrazena a&nbsp;p\u0159ipravena k pou\u017eit\u00ed (transfer embrya) kdykoliv v&nbsp;budoucnu . Zat\u00edmco v&nbsp;minulosti se na zmrazen\u00ed pou\u017e\u00edvala metoda pomal\u00e9 kryokonzervace, dnes je preferovanou metodou vitrifikace. V&nbsp;praxi to znamen\u00e1 prudk\u00e9 sn\u00ed\u017een\u00ed teploty na \u2013196 \u00b0C , k n\u011bmu\u017e doch\u00e1z\u00ed v pr\u016fb\u011bhu n\u011bkolika sekund. V\u00fdhodou tohoto postupu je, \u017ee nedoch\u00e1z\u00ed k&nbsp;tvorb\u011b krystalek ledu, co\u017e je pro zmrazen\u00e9 bu\u0148ky mnohem bezpe\u010dn\u011bj\u0161\u00ed. \u00dasp\u011b\u0161nost vitrifikace je 98 %. V&nbsp;praxi se v\u0161ak m\u016f\u017ee li\u0161it po\u010det mrazen\u00fdch embry\u00ed v&nbsp;jedn\u00e9 d\u00e1vce. <em>\u201eStandardn\u00ed sou\u010d\u00e1st\u00ed v\u0161ech IVF cykl\u016f na na\u0161\u00ed klinice je tzv. mrazen\u00ed embry\u00ed po jednom kuse, bez ohro\u017een\u00ed ostatn\u00edch p\u0159i rozmrazov\u00e1n\u00ed. T\u00edm v\u00fdznamn\u011b zvy\u0161ujeme \u0161anci na \u00fasp\u011b\u0161n\u00e9 t\u011bhotenstv\u00ed v&nbsp;dal\u0161\u00edch cyklech.\u201c<\/em> dopl\u0148uje R. H\u00fcttelov\u00e1.<\/p>\n<p style=\"font-weight: 400;\"><strong>&nbsp;<\/strong><\/p>\n<p style=\"font-weight: 400;\"><strong>Informujte se, co obsahuje standard<\/strong><\/p>\n<p style=\"font-weight: 400;\">V\u011bt\u0161inou kliniky asistovan\u00e9 reprodukce nab\u00edzej\u00ed pacient\u016fm IVF terapie v&nbsp;tzv. bal\u00ed\u010dc\u00edch. V&nbsp;p\u0159\u00edpad\u011b, \u017ee pl\u00e1nujete IVF terapii, je dobr\u00e9 se nap\u0159ed informovat, zda jsou v&nbsp;bal\u00ed\u010dku zahrnuty i dal\u0161\u00ed metody a postupy, kter\u00e9 mohou b\u00fdt pro \u00fasp\u011bch terapie naprosto z\u00e1sadn\u00ed. Modern\u00ed metoda oplod\u0148ov\u00e1n\u00ed vaj\u00ed\u010dek ICSI b\u00fdv\u00e1 nap\u0159\u00edklad klasickou sou\u010d\u00e1st\u00ed bal\u00ed\u010dk\u016f IVF klinik, je v\u0161ak \u010dasto omezena po\u010dtem vaj\u00ed\u010dek. Aby se pacienti nemuseli ob\u00e1vat neo\u010dek\u00e1van\u00fdch doplatk\u016f, je dobr\u00e9 si vybrat kliniku, kde tuto metodu prov\u00e1d\u00ed u v\u0161ech odebran\u00fdch vaj\u00ed\u010dek, nehled\u011b na jejich mno\u017estv\u00ed. Standardn\u011b b\u00fdv\u00e1 sou\u010d\u00e1st\u00ed bal\u00ed\u010dku terapie t\u00e9\u017e prodlou\u017een\u00e1 kultivace embrya do p\u00e1t\u00e9ho dne. Li\u0161\u00ed se i podm\u00ednky t\u00fdkaj\u00edc\u00ed se zmrazen\u00ed a uskladn\u011bn\u00ed vaj\u00ed\u010dek a&nbsp;embry\u00ed. Je proto d\u016fle\u017eit\u00e9 se informovat, zda a jak je tato slu\u017eba omezen\u00e1 po\u010dtem a na jak dlouh\u00e9 obdob\u00ed je poskytov\u00e1na. Zeptejte se t\u00e9\u017e, jestli je cena bal\u00ed\u010dku garantovan\u00e1 i v&nbsp;p\u0159\u00edpad\u011b z\u00edsk\u00e1n\u00ed v\u011bt\u0161\u00edho po\u010dtu vaj\u00ed\u010dek nebo embry\u00ed.<\/p>\n<p style=\"font-weight: 400;\">IVF CUBE v&nbsp;r\u00e1mci ceny za standardn\u00ed bal\u00ed\u010dek terapie garantuje:<\/p>\n<ul>\n<li>metodu mikrofluidn\u00ed separace spermi\u00ed MFSS<\/li>\n<li>single vitrifikaci embry\u00ed<\/li>\n<li>zamrazen\u00ed v\u0161ech zbyl\u00fdch embry\u00ed bez omezen\u00ed po\u010dtu<\/li>\n<li>ro\u010dn\u00ed uchov\u00e1n\u00ed embry\u00ed<\/li>\n<li>ICSI metodu u v\u0161ech odebran\u00fdch oocyt\u016f bez omezen\u00ed po\u010dtu<\/li>\n<\/ul>\n<p><span style=\"color: #000000;\"><a href=\"https:\/\/www.phoenixcom.cz\/press\/wp-content\/uploads\/TZ_Nadstandardni-postupy-v-IVF-lecbe.docx\" class=\"sc_button sc_button_style_regular theme_button sc_button_size_medium\">St\u00e1hnout tiskovou zpr\u00e1vu<\/a><\/span><em>&nbsp; &nbsp;<\/em><\/p>\nngg_shortcode_0_placeholder\n","protected":false},"excerpt":{"rendered":"<p>\u010cesk\u00e1 republika dlouhodob\u011b pat\u0159\u00ed ke&nbsp;sv\u011btov\u00e9 \u0161pi\u010dce v&nbsp;oboru asistovan\u00e9 reprodukce. Na \u00fasp\u011b\u0161nost terapi\u00ed m\u00e1 krom\u011b odbornosti zdravotnick\u00e9ho person\u00e1lu v\u00fdznamn\u00fd vliv i m\u00edra vyu\u017e\u00edv\u00e1n\u00ed nejnov\u011bj\u0161\u00edch medic\u00ednsk\u00fdch poznatk\u016f, postup\u016f a&nbsp;metod. V\u00fdhodou pro pacienty je, kdy\u017e jsou dostupn\u00e9 u\u017e ve&nbsp;standardn\u00edch bal\u00ed\u010dc\u00edch IVF terapie bez dal\u0161\u00edch doplatk\u016f. Na kter\u00e9 postupy \u010di garance je vhodn\u00e9 se p\u0159i v\u00fdb\u011bru kliniky zam\u011b\u0159it? &nbsp; [&hellip;]<\/p>\n","protected":false},"author":3,"featured_media":23996,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"ngg_post_thumbnail":0},"categories":[131],"tags":[],"_links":{"self":[{"href":"https:\/\/www.phoenixcom.cz\/press\/wp-json\/wp\/v2\/posts\/23991"}],"collection":[{"href":"https:\/\/www.phoenixcom.cz\/press\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.phoenixcom.cz\/press\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.phoenixcom.cz\/press\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/www.phoenixcom.cz\/press\/wp-json\/wp\/v2\/comments?post=23991"}],"version-history":[{"count":3,"href":"https:\/\/www.phoenixcom.cz\/press\/wp-json\/wp\/v2\/posts\/23991\/revisions"}],"predecessor-version":[{"id":23999,"href":"https:\/\/www.phoenixcom.cz\/press\/wp-json\/wp\/v2\/posts\/23991\/revisions\/23999"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.phoenixcom.cz\/press\/wp-json\/wp\/v2\/media\/23996"}],"wp:attachment":[{"href":"https:\/\/www.phoenixcom.cz\/press\/wp-json\/wp\/v2\/media?parent=23991"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.phoenixcom.cz\/press\/wp-json\/wp\/v2\/categories?post=23991"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.phoenixcom.cz\/press\/wp-json\/wp\/v2\/tags?post=23991"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}