{"id":3661,"date":"2023-05-02T18:22:53","date_gmt":"2023-05-02T18:22:53","guid":{"rendered":"https:\/\/genesys-fertility.ro\/?p=3661"},"modified":"2023-05-02T18:28:24","modified_gmt":"2023-05-02T18:28:24","slug":"exclusiv-avantaje-dr-dan-tutunaru-medic-primar-obstetrica-ginecologie-despre-rejuvenarea-ovarelor-o-sansa-pentru-femeile-care-nu-pot-avea-copii","status":"publish","type":"post","link":"https:\/\/genesys-fertility.ro\/en\/exclusiv-avantaje-dr-dan-tutunaru-medic-primar-obstetrica-ginecologie-despre-rejuvenarea-ovarelor-o-sansa-pentru-femeile-care-nu-pot-avea-copii\/","title":{"rendered":"Advantages | Dr. Dan Tutunaru, obstetrician-gynecology primary care physician, about ovarian rejuvenation, a chance for women who cannot have children"},"content":{"rendered":"

Atunci c\u00e2nd tratamentele sunt\u00a0recent ap\u0103rute, nu se cunosc\u00a0multe dintre secretele\u00a0reu\u0219itelor sau ale e\u0219ecurilor.\u00a0Rejuvenarea ovarelor este o descoperire care poate da rezultate\u00a0incredibile, dar numai \u00een anumite\u00a0situa\u021bii, astfel c\u0103 femeile care sper\u0103 s\u0103\u00a0devin\u0103 mame trebuie s\u0103 fie preg\u0103tite, pentru a urma acest tip de tratament.\u00a0<\/strong><\/p>\n

Domnule doctor, de ce trebuie s\u0103\u00a0mearg\u0103 ambii parteneri ai unui cuplu la\u00a0medic, atunci c\u00e2nd \u00ee\u0219i doresc un copil \u0219i\u00a0observ\u0103 c\u0103 au a\u0219teptat prea mult, f\u0103r\u0103\u00a0s\u0103 se fi \u00eent\u00e2mplat ce \u0219i-au dorit?<\/strong><\/p>\n

\u00cen primul r\u00e2nd, se porne\u0219te de la un\u00a0concept gre\u0219it, de multe ori, deoarece\u00a0infertilitatea nu este o problem\u0103 a femeii,\u00a0ci o problem\u0103 a cuplului. Mai degrab\u0103, \u00eemi\u00a0place s\u0103 spun c\u0103 exist\u0103 probleme de\u00a0infertilitate, care se pot rezolva, nu\u00a0infertilitatea ca diagnostic. Nu exist\u0103\u00a0infertilitatea ca boal\u0103.<\/p>\n

Exist\u0103 site-uri care\u00a0\u00eencearc\u0103 s\u0103 induc\u0103 ideea c\u0103 infertilitatea\u00a0este o boal\u0103, \u00eens\u0103 vorbim despre un\u00a0fenomen cu mai multe cauze, de multe ori\u00a0temporare, ce se pot rezolva. Dac\u0103 ne\u00a0referim la infertilitate, trebuie s\u0103 analiz\u0103m\u00a0problema de cuplu, deoarece s-a\u00a0constatat c\u0103 exist\u0103 cam 40% cauze\u00a0masculine, 40% cauze feminine, iar restul\u00a0sunt cauze comune. La femei, aceast\u0103 problem\u0103 are dou\u0103 mari cauze:\u00a0anatomice \u0219i func\u021bionale.<\/p>\n

Ce \u00eenseamn\u0103 cauze anatomice?<\/strong><\/p>\n

Putem compara organismul uman cu un\u00a0sistem, \u00een care problemele pot fi de hard\u00a0sau de soft. \u00cen primul r\u00e2nd, ca s\u0103 r\u0103m\u00e2n\u0103\u00a0gravid\u0103, pacienta trebuie s\u0103 aib\u0103\u00a0trompele nu numai permeabile, ci s\u0103 fie \u0219i\u00a0la locul lor, adic\u0103 s\u0103 nu aib\u0103 malpozi\u021bie, \u0219i\u00a0s\u0103 fie func\u021bionale.<\/p>\n

Ce anume cauzeaz\u0103 malpozi\u021bia?<\/strong><\/p>\n

Poate fi dob\u00e2ndit\u0103, din cauza unor\u00a0procese patologice care au ac\u021bionat \u00een\u00a0trecut sau \u00eenc\u0103 mai ac\u021bioneaz\u0103, precum\u00a0endometrioza \u0219i infec\u021biile multiple. Poate fi\u00a0cauzat\u0103 \u0219i de o malforma\u021bie congenital\u0103.<\/p>\n

Cele care prezint\u0103 aceast\u0103 malforma\u021bie congenital\u0103 mai au vreo \u0219ans\u0103 de a fi fertile?<\/strong><\/p>\n

Ele sunt fertile, dar nu pot r\u0103m\u00e2ne\u00a0\u00eens\u0103rcinate natural. Procesul de fecundare\u00a0s-ar putea face doar printr-un mare noroc, dar \u0219ansele sunt foarte mici, \u00een caz de\u00a0malpozi\u021bie a trompelor. Pe l\u00e2ng\u0103 faptul c\u0103\u00a0trompele trebuie s\u0103 aib\u0103 cele trei calit\u0103\u021bi\u00a0de baz\u0103 \u2013 s\u0103 fie permeabile, func\u021bionale \u0219i bine pozi\u021bionate \u2013, nu trebuie s\u0103 existe nici\u00a0alte probleme, precum endometrioza.<\/p>\n

Doar prezen\u021ba acesteia scade la jum\u0103tate\u00a0\u0219ansa femeii de a r\u0103m\u00e2ne \u00eens\u0103rcinat\u0103. Aten\u021bie: nu se poate spune c\u0103 femeile cu\u00a0endometrioz\u0103 nu vor r\u0103m\u00e2ne gravide.\u00a0Statisticile arat\u0103 c\u0103 \u0219ansele sunt de 50%,\u00a0adic\u0103 jum\u0103tate r\u0103m\u00e2n \u00eens\u0103rcinate,\u00a0jum\u0103tate nu. Un alt lucru important, \u00een\u00a0momentul \u00een care sunt investigate cauzele\u00a0infertilit\u0103\u021bii, este s\u0103 nu existe fibroame, s\u0103\u00a0nu existe aderen\u021be, s\u0103 nu existe chisturi.<\/p>\n

Alternative la fertilizarea in vitro<\/h2>\n

Ce le spune\u021bi cuplurilor sau femeilor care\u00a0vin s\u0103 cear\u0103 fertilizare in vitro, f\u0103r\u0103 s\u0103 ia \u00een considerare \u0219i alte variante de tratament?<\/strong><\/p>\n

Foarte multe firme fac fertilizare in vitro,\u00a0baz\u00e2ndu-se pe o spermogram\u0103 realizat\u0103\u00a0cu ajutorul unui soft care poate da erori.\u00a0C\u00e2nd vorbim despre un copil, avem nevoie\u00a0de mai multe lucruri. Este ca atunci c\u00e2nd\u00a0vrem s\u0103 cre\u0219tem o plant\u0103, pentru care\u00a0avem nevoie de o s\u0103m\u00e2n\u021b\u0103 de bun\u0103 calitate, pe care s\u0103 o punem \u00eentr-un\u00a0p\u0103m\u00e2nt de bun\u0103 calitate. Dar avem nevoie\u00a0de mai multe lucruri dec\u00e2t \u00een agricultur\u0103.<\/p>\n

Ne trebuie un copil care s\u0103 treac\u0103 prin toate etapele dezvolt\u0103rii intrauterine, s\u0103\u00a0se nasc\u0103 \u0219i s\u0103 nu aib\u0103 probleme. Pe mine,\u00a0ca medic, nu m\u0103 intereseaz\u0103 \u00een primul\u00a0r\u00e2nd s\u0103 ob\u021bin o sarcin\u0103, indiferent de\u00a0consecin\u021be, atunci c\u00e2nd investighez o\u00a0problem\u0103 de infertilitate. Pe mine m\u0103\u00a0intereseaz\u0103 s\u0103 fac \u00een a\u0219a fel \u00eenc\u00e2t s\u0103 rezulte o sarcin\u0103 din care s\u0103 se nasc\u0103 un\u00a0copil s\u0103n\u0103tos. Cu sperm\u0103 de proast\u0103\u00a0calitate \u0219i ovocite de proast\u0103 calitate,\u00a0uneori se poate ob\u021bine o sarcin\u0103 care se\u00a0pierde, ceea ce este devastator pentru\u00a0cuplul respectiv.<\/p>\n

Ce trebuie s\u0103 \u0219tie un cuplu care a aflat\u00a0c\u0103 are disfunc\u021bionalit\u0103\u021bi, dar cei doi\u00a0parteneri \u00ee\u0219i doresc s\u0103 devin\u0103 p\u0103rin\u021bi?\u00a0<\/strong><\/p>\n

Dup\u0103 ce descoperim cauza, avem \u0219ansa\u00a0s\u0103 o \u00eenl\u0103tur\u0103m \u0219i s\u0103 \u00eembun\u0103t\u0103\u021bim calitatea\u00a0spermei sau a ovocitelor. Mereu, c\u00e2nd investig\u0103m pacienta, dac\u0103 descoperim\u00a0endometrioz\u0103, chisturi sau alte probleme,\u00a0toate acestea trebuie s\u0103 fie rezolvate, apoi\u00a0avem calitatea ovocitului, care, cel pu\u021bin din punct de vedere teoretic, devine din ce\u00a0\u00een ce mai slab\u0103 dup\u0103 v\u00e2rsta de 35 de ani.<\/p>\n

Ce este \u0219i \u00een ce const\u0103 rejuvenarea ovarelor<\/h2>\n

Ce face ginecologul pentru a ob\u021bine\u00a0ovocite de bun\u0103 calitate? Mai au \u0219anse\u00a0femeile care au dep\u0103\u0219it v\u00e2rsta de 40 de\u00a0ani?<\/strong><\/p>\n

Sunt foarte mari \u0219ansele, dar numai dac\u0103\u00a0urmeaz\u0103 un tratament special. Aici\u00a0ajungem \u00een domeniul rejuven\u0103rii\u00a0ovariene, care vine din medicina\u00a0antiaging, trec\u00e2nd de la partea de\u00a0chirurgie estetic\u0103 spre ortopedie, p\u00e2n\u0103 la\u00a0regenerarea ovarelor.<\/p>\n

Una dintre variantele de rejuvenare a ovarelor este\u00a0PRP \u2013 plasm\u0103 \u00eembog\u0103\u021bit\u0103 \u00een trombocite.\u00a0Practic, se ia o anumit\u0103 cantitate de s\u00e2nge de la pacient\u0103, s\u00e2ngele se centrifugheaz\u0103,\u00a0p\u00e2n\u0103 c\u00e2nd se ob\u021bin trei zone: una care\u00a0con\u021bine hematiile, o alt\u0103 zon\u0103 care con\u021bine\u00a0plasm\u0103 s\u0103rac\u0103 \u00een trombocite (PPP) \u0219i o a
\ntreia, foarte restr\u00e2ns\u0103, PRP \u2013 plasm\u0103\u00a0\u00eembog\u0103\u021bit\u0103 \u00een trombocite.<\/p>\n

De fapt, este\u00a0limfa, factor proteic ce produce refacerea\u00a0\u021besuturilor. S-a constatat c\u0103 dac\u0103 se\u00a0injecteaz\u0103 \u00een ridurile unei femei, acestea\u00a0dispar. Apoi s-a observat c\u0103 d\u0103 rezultate\u00a0excep\u021bionale \u00een recuperarea dup\u0103\u00a0accidente, \u0219i aici a fost un mare ajutor din\u00a0sfera sportului, dup\u0103 ce c\u00e2\u021biva sportivi\u00a0celebri s-au recuperat mult mai repede cu\u00a0acest tratament cu PRP.<\/p>\n

Tiger Woods,\u00a0Rafael Nadal, Maria Sharapova au f\u0103cut\u00a0tratament cu PRP \u0219i nu au mai a\u0219teptat\u00a0luni \u00eentregi pentru a se reface. Dup\u0103\u00a0aceste rezultate, a fost doar un pas pentru\u00a0a ajunge s\u0103 facem \u0219i noi acela\u0219i tip de\u00a0tratament pentru rejuvenarea ovarelor.<\/p>\n

Rezultatele sunt \u00eentotdeauna pozitive, \u00een\u00a0tratamentul cu PRP, sau exist\u0103 \u0219i erori?\u00a0<\/strong><\/p>\n

Lucrurile sunt pu\u021bin controversate, pentru\u00a0c\u0103 nu exist\u0103 \u00eenc\u0103 o metodologie. Ca s\u0103\u00a0fac\u0103 PRP, ginecologul trebuie s\u0103 aib\u0103 o\u00a0centrifug\u0103 special\u0103 \u0219i un kit special care s\u0103\u00a0 garanteze faptul c\u0103 acel tratament cu PRP con\u021bine concentra\u021bia de trombocite de care este nevoie. Dac\u0103 se folose\u0219te un kit neadecvat, se injecteaz\u0103 plasma, dar f\u0103r\u0103\u00a0niciun rezultat.<\/p>\n

Aceast\u0103 plasm\u0103\u00a0\u00eembog\u0103\u021bit\u0103 \u00een trombocite trebuie s\u0103\u00a0ajung\u0103 neap\u0103rat \u00een corticalul ovarului, care este o zon\u0103 extrem de sub\u021bire. Dac\u0103 e\u00a0injectat\u0103 \u00een alt\u0103 parte, nu are niciun efect.\u00a0Deci, este nevoie \u0219i de medicul care are\u00a0experien\u021b\u0103 \u00een a\u0219a ceva \u0219i care poate s\u0103\u00a0demonstreze experien\u021ba prin rezultatele\u00a0ob\u021binute. Injectarea se face transvaginal,\u00a0exact ca o punc\u021bie pentru fertilizare, doar\u00a0c\u0103 procesul este invers: \u00een loc s\u0103 scoat\u0103\u00a0ceva, pune ceva \u00een ovar.<\/p>\n

Mai exist\u0103 o\u00a0problem\u0103, cu cele mai multe femei care vin\u00a0pentru acest tratament, pentru c\u0103 ovarele lor sunt mici \u0219i greu de localizat, deci\u00a0medicul trebuie s\u0103 \u0219tie cum s\u0103 g\u0103seasc\u0103\u00a0ovarul. Sunt etape \u0219i tehnici care trebuie\u00a0s\u0103 fie foarte bine duse la bun sf\u00e2r\u0219it.<\/p>\n

Cineva care nu \u0219tie s\u0103 le fac\u0103, doar se\u00a0preface c\u0103 a aplicat un tratament cu PRP. Din p\u0103cate, acesta este un domeniu \u00een\u00a0care, nefiind rezultate cuantificabile, foarte\u00a0mul\u021bi se ascund \u00een spatele procentajului\u00a0mare de e\u0219ecuri. Bine\u00een\u021beles, o alt\u0103 cauz\u0103\u00a0a e\u0219ecului, pe l\u00e2ng\u0103 lipsa de expertiz\u0103 a medicului, pe l\u00e2ng\u0103 lipsa capacit\u0103\u021bii de a\u00a0ob\u021bine PRP-ul la concentra\u021bia optim\u0103, mai\u00a0este \u0219i selec\u021bionarea defectuoas\u0103 a\u00a0cazurilor: femeia vine, spune c\u0103 dore\u0219te\u00a0tratament cu PRP, dar consta\u021bi c\u0103 ea are\u00a048 de ani, a intrat la menopauz\u0103 de un an\u00a0sau de doi ani, iar tratamentul cu PRP nu ajut\u0103 cu nimic.<\/p>\n

Acel ovar nu-\u0219i va mai\u00a0reveni niciodat\u0103. Eu am refuzat foarte\u00a0multe cazuri de acest fel. Trebuie s\u0103-i spun\u00a0femeii de la \u00eenceput care sunt \u0219ansele, iar dac\u0103 \u0219ansele sunt zero, nu-i recomand s\u0103\u00a0fac\u0103 PRP.<\/p>","protected":false},"excerpt":{"rendered":"

When treatments are new, not much is known about them<\/p>","protected":false},"author":1,"featured_media":3665,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[44],"tags":[],"table_tags":[],"yoast_head":"\nAvantaje | Dr. Dan Tutunaru, medic primar obstetric\u0103-ginecologie, despre rejuvenarea ovarelor, o \u0219ans\u0103 pentru femeile care nu pot avea copii - Genesys Fertility Center<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/genesys-fertility.ro\/en\/exclusiv-avantaje-dr-dan-tutunaru-medic-primar-obstetrica-ginecologie-despre-rejuvenarea-ovarelor-o-sansa-pentru-femeile-care-nu-pot-avea-copii\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Avantaje | Dr. Dan Tutunaru, medic primar obstetric\u0103-ginecologie, despre rejuvenarea ovarelor, o \u0219ans\u0103 pentru femeile care nu pot avea copii - 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