Helpful information

The first step of preparation for extracorporeal fertilization is to stimulate supervision. In the female body, one follicle ripens during one cycle. In order for the ECO procedure successfully, they are required not less than 5-6. With the help of hormonal drugs, the growth of follicles is stimulated. At a certain stage of readiness, which is tracked by a doctor, the procedure for picking eggs from a follicle for subsequent implantation of an egg in the uterus, more precisely, not an egg cell, but already a viable embryo.

How does the egg fence occur?

The egg fence is not the most pleasant manipulation.

So an egg fence procedure is performed 34-36 hours after using special hormonal drugs Hgch. This is exactly as much time as the egg goes to the uterus.

For this reason, come to medical institution It is necessary at exactly the appointed time, because natural ovulation can happen, and an egg in the uterus will be. In this case, the conduct of manipulation will be impossible.

It is better to come to the clinic in advance, at least half an hour before the appointed time of the egg's fence, to pass the cardiogram and talk to the anesthesiologist about the possible occurrence of allergies. You should tell the doctor about the reception of any drugs and the availability of problems in well-being.

In the procedure for the collection of eggs should not take food, drink and even chew chewing gum. Otherwise, anesthesia can cause some complications.

Under ultrasound control through the vagina, the doctor conducts puncture of the ovaries and the fence of the egg. No inclination and wounds, of course, does not remain on the body. Thin specially intended for this needle, which is attached to the ultrasound sensor, it pours each follicle. Picks all the liquid along with the egg.

The procedure for the fence of the egg is carried out with anesthesia and takes from 10 minutes to half an hour.

Embryologists are separated by eggs (oocytes) from liquid and blood and placed in a special solution. Until the fertilization and implantation of the eggs will be contained in a specially intended incubator.

If fertilization will be held with a sperm of her husband, then he needs to appear exactly at the appointed period. For three to five days before the seed, the seed fluid should stick to the full intercommission, refuse to consume alcoholic, smoked and acute food, taking hot baths, visits to the bath and sauna.

After 1-2 hours after the procedure for the fence of egg cells, the doctor already has information on the number of oocytes received. It will determine the further date of the next taking, on which the egg transfer will be carried out, fertilized spermatozoa.

After the egg fence, a woman can feel some weakness and weak dizziness. For this reason, the patient is observed in the medical institution at least 1-2 hours, because they can go home.

Normal phenomenon after the collection of eggs are considered pulling painfulness At the bottom of the abdomen and small bleeding. After the procedure, you should consult with a specialist about which drugs can be used for further anesthesia. Non-steroidal antispasmodics are usually used, as well as anti-inflammatory funds.

It is necessary to pay attention to your well-being after the procedure for the fence of an egg cell during at least a day. If there is strong weakness, dizziness or even loss of consciousness, a sharp drop arterial pressure and rapid heartbeat, bleeding or amplifying pain at the bottom of the abdomen, then it is urgent to seek medical help.

Compliance with all medical requirements and the correct behavior of both partners increases the chances of successful carrying out the subsequent transfer of the egg in the ECO procedure in general. Further, experts carry out the fertilization of the egg cell spermatozoom.

After fertilization, the next important stage occurs - the implantation of the egg (embryo). If we speak with simple words, the eggs are transferred fertilized and its attachment to the uterus wall.

When the egg is attached to the uterus?

Usually from the moment of fertilization before the implantation of the egg takes place from about 7 to 10 days, if you consider from the onset of ovulation. To attach an egg to the uterus, it has a protective shiny shell. For fixing to the wall, the shell is reset, the egg cell is attached to the inner surface, forming a trophoblast. Trofoblast VILLINS are immersed deep into the wall of the uterus for the maximum fixed consolidation.

The introduction of an egg in the uterus may occur only in the absence of defect defects in the embryo. Further recognizes the embryo, and the pregnancy continues.

If the embryo has genetic deformation, then at this stage, the egg cell is rejected. In this case, pregnancy does not occur.

What day does an egg attaching?

On average, the carriage transfer lasts 40 hours, after which the period of development occurs.

It happens that the shiny shell is too thick. In this case, the egg cell can not attach. More often such a phenomenon occurs in women after a forty-year age. For the normal transfer of the eggs, it is necessary to have a certain level in the blood of progesterone, which is carried out by stimulation of endometrial growth in the subsequent. Implantation of an egg to the wall of the uterus after an extracorporeal fertilization often happens late.

By the time of transplant eggs, implantation happens:

Late implantation is characteristic of embryos after an extracorporeal fertilization, as a larger amount of time is required for normal adaptation in the body. Such a late transfer of the egg after eco lasts about 2-3 days.

After the transplantation of Egg Endometrium is transformed with the further formation of decidual cells involved in the formation of the placenta. In the blood of a woman rises the level of hCG.

The conditions necessary for the implantation of an egg cell:

What signs of an egg implantation?

Most patients participating in the Extracorporeal Feedback Program clarify the doctors: "Is it possible to feel the implantation of the embryo? What are the signs of an egg implantation? " Since the process of carrying eggs lasts about 3 days, during this period of time the following symptoms may appear:

Isolation of brown, which, in the case of the transfer of eggs, are a variant of the norm. If other allocations appear, especially bloody and long-term, it is necessary to apply in an emergency order to the attending physician.

Signs of egg implantation in the uterus are similar to the signs of early pregnancy.

Why is the embryo rejection going on? The reasons:

Extracorporeal fertilization and egg implantation

The day of the eggs of the egg is selected taking into account the readiness of the woman and the degree of maturity of the embryos. Usually before transplanting embryos cultivate for 2-5 days. The most justified, from the point of view of survival, is the implantation of three-day day embryos (in this case, the survival rate is about 40 percent) and the implantation of five-day embryos (approximately 50 percent). Embryratic doctors usually follow such a rule: the transfer of eggs and their implantation is performed on the third day, if by the time there are no less than 5 embryos, or five-day embryos are transferred, when there are no less than 5 embryos on the third day. The transfer of three-day embryos is the most efficient.

After fertilization and cultivation, egg transplantation were performed, and their further implantation was made after 1-3 days. The transfer procedure does not need anesthesia. With the help of a special catheter in the uterine cavity, the doctor enter embryos to increase the likelihood of the successful outcome of implantation.

The Russian donor center of Oocytes offers a wide selection of donors to women in need of treating infertility with the use of donor eggs. Contact you - and we will help you!

Many building brigades are taken for installing a fence from a professional flooring. The process is not troublesome and fast, and the earnings are essential.

To eliminate this article of expenditures from the general estimate of the improvement of cottages or a private house, you can, decide to make a fence from the corrugated hand.

The appointment of the fence on the site is the fencing of the territory. At the same time, he has another feature - representation.

Previously, the main material for the fence device was a tree - the material is available, but requiring care and protection against destruction, at present, the competition is also made up by other building materials: brick, concrete, polycarbonate, grid, forging, professional flooring.

In terms of the ratio of the "price-installation-durability, the appearance", leadership belongs to professional flooring, which led to its widespread user among users.

Advantages of fences from corrugated

• ease of material and installation;
• strength (rigidity);
• corrosion resistance;
• uniform and very slow burnout (like paint on the car);
• aesthetic appeal;
• neutility for care;
• long service life;
• relatively low price.

This list of advantages has little building materials. But, all these properties are fully revealed only with the right installation. So you need to know how to make a fence from the professional flooring correctly. Within the article, we will tell about the nuances of the selection of the material, the specifics of its calculation, the types of frame for the fence, we describe how to attach professional flooring and much more.

Fence from professional flooring with their own hands -
Phased guide from A to Z

Installation of the fence from the professional flooring includes only the screw in the frame to the framework, this is a process consisting of several stages. Each of which we describe in detail in the form of a step-by-step instruction.

Stage 1. The scheme of fence from the professional flooring - from the sketch to the drawing

Arbitrary schematic drawing (sketch) is needed to visualize constructive features fence.

Allocate two types (type) of the fence of the profile:

• solid;
• sectional.

It is the type of fence that determines the consumption of material and methods for installing structural elements.

The drawing is applied to the diagram:

• place the location of the fence on the site. Helps to take into account the peculiarities of the site: relief, plantings, buildings, access roads, place of installation of the gate, etc.;

• if the area is uneven (elevated, lowland) to apply where the height differences are. Manufacturers producing high-quality material make profiled sheets with a multiple-length 50 mm. This allows you to achieve a visually equal height of the fence, despite the height differences on the soil.

• dimensions: the height of the fence and the length of individual direct sections;

• location of columns (supports);

Note. With a sectional fence, the width of the section is determined by the width of the sheet. It must be multiple 1, 1.5 or 2 sheets.

The detailed scheme simplifies the calculation of the material.

Stage 2. Materials for the fence of professional flooring

Construction will pass quickly if timely prepare the materials necessary for the manufacture of materials.

What materials are needed for a fence from a professional flooring:

1. Professional flooring

Choosing a professional list (estuary) It is necessary to pay attention to the thickness (0.45-0.5 mm +/- 0.06 mm), the height of the wave, the absence of capillary grooves, parameters, coating, color and texture.

The profiled sheet has a high sailboat, it must be considered when planning the framework.

Note. The size of the proflift for the fence is different from different manufacturers, it must be considered by choosing the material. It is also worth knowing that the warranty service life for galvanized professional flooring is 20-30 years, and with a polyester coating - up to 50 years (depending on the thickness of the layer).

2. Support racks (pillars)

Theoretically, you can apply any material: wood, stone, metal.

Solving what pillars to use for the fence, keep in mind that the most simple and accessible option is metal pipes.

The parameters of the racks depend on the alleged load. Types of 60x40x2 mm or 40x40x2 mm are usually used. For round pipes diameter - 60-100 mm.

You can use purchased ready-made pipes for the fence (photo) (for any types of soil) or piles (normal soils and loams).

The advantage of ready-made support pillars in the presence of "heels" for installation on a pillow, holes for fastening a profile and an upper plug, which excludes water from entering a pillar.

3. Cross Lags

For lag (crossbar) it makes sense to use square pipes 40x40x2 mm. or 40x20x2 mm. General Recommendation - The width of the lags is equal to half the width of the support pillar.

Wooden lags to apply unacceptable, due to the fact that the wood is inclined to catch in place at the fastening of the sheet. This will not only reduce the service life of the fence, but will not allow the use of the sheet again. Metal corner is also not suitable for lag, with a thickness of 2 mm, it will not provide due resistance to wind load, and it is not recommended to use thicker manufacturers.

Note. A special self-tapping screw for a strawberry with a row is designed to drill metal with a thickness of no more than 2.5 mm. So the use of a thick-walled profile is fraught with additional drilling efforts.

4. Plate Holder (Bracket) for Profile

Special fasteners (brackets) use when assembling a fear of the fence by a wheel welcome method, on hardware.

5. Pillar plugs (supports)

Plastic plugs perform a protective function so that water does not fall inside the pipe.

In practice, the pillar is closed by a special lining or a plastic bottle. Not very aesthetically, but certainly cheap, and it is suitable as a temporary solution to the problem.

6. Hermatization

We need for a warehouse assembly of the fence frame. This uses a bolt or screw M6 (30 and 20 mm). As well as self-tapping screws for fastening professional flooring or rivets.

Professionals advise to use self-tapping screws, because It is equipped with an additional gasket (neoprene tires), which allows you to close a straightener, without damaging its surface. Its length is 15-35 mm.

Council. When using rivets of the edge of the hole under them, it is recommended to process special paint. This will make the rapid appearance of rust at the fastening site and the formation of rusty ottheets on the professional flooring, eliminate which is very difficult.

The paint is used to tinkering scratches that may appear during the installation of the professionalist, as well as painting the place of cutting on the sheet. Consumption is small, one titer, as a rule, is enough.

8. Decorative Facing Planck for Decorating Fence

P-shaped bar (intricate, stolen), which is installed on the upper face (edge) of the proflist and protects users from possible cuts, and the sheet from the appearance of rust.

Material prepared for WWW.Site site

Note. When buying, pay attention, the edges of the bar must be bent (spilled). Otherwise, they not only scratch the metal when installing, but will lose their shape (the edges will go away from the sheet) during operation.

Additional materials and tools:

• cement, gravel, sand - to install support pillars or the foundation arrangement;

• level, plumb, welding machine (and consumable elements), screwdriver, solution containers, formwork boards (if necessary), shovel or boring, primer and anti-corrosion solution for metal, riveter (if necessary), rope, safety glasses and gloves, Bulgarian (if necessary cutting of professional knots).

3 stage. Calculation of material for the fence from the corrugated

How to determine how much the building material for the manufacture is required.

1. Calculation of the number of sheets of professional flooring:

• with a solid fence - the total length of the fence is divided into the utility width. Rounding goes to the biggest;

• during sectional. If the size of the section (span) is equal to the width of the sheet - the overall sheet width is used. If it is planned to install one and a half or two sheets - useful.

Note. The sheet can be installed both vertically and horizontally. With horizontal mount, the height of the fence will be equal to 1, 2 or 3 working widths of the sheet. With vertical - determined by the customer.

Council. When calculating, do not operate with such a thing as the total area of \u200b\u200bthe required professional flooring. Calculates in pieces at a given sheet height.

2. Calculation of the number of pillars for the fence from the professional flooring

The number of supports depends on the distance between the fence columns from the corrugated

• with a solid fence, the total length of the fence is divided into an estimated distance between the columns (racks). Taking into account the sailness of the sheet, it is taken equal to 2,000 - 3,000 mm. It is inappropriate to increase the distance, as this will lead to an increase in the thickness of the racks or the number of longitudinal lag.

• during sectional. The amount is determined by the estimated number of sections. By installing racks for mounting sections of the fence, it is necessary to calculate the distance between the columns in advance so that it matches the total (when installing one sheet into the section) or useful (1.5-2 sheets) of the area of \u200b\u200bthe professional flooring.

Note. The calculations take into account that the support racks (pillars) are necessarily installed in the corners of the fence, as well as at the place of installation of the gate and / or wicket. The number of intermediate supports is rounded in a smaller side. And the difference is compensated by the deviation from the specified distance between the racks.

The size of the rack is determined by the height of the fence, taking into account the fact that the racks are deepened into the soil by 30% of its length. Thus, with a fence height of 2,000, the height of the support rack for the fence from the professional flooring should be 2 600-2 700. For intermediate racks, the depth of the installation is 25% of the total height of the fence. Then the length of the rack will be 2 500 mm.

3. Calculation of the number of transverse lag

The amount depends on the method of installing the fence.

• The masters are advised at the height of the fence to 2,000 mm use 2 lags. Moreover, their distance from the edges of the professional flooring is 300 mm.

• With the height of the fence of more than 2,000 mm - 3 lags.

Thus, the overall handle of the lag is determined by multiplying the total fence length by the amount of cross.

4. Plate holder

The number of plates is equal to the number of support racks multiplied by the number of rows of lag.

5. Publist

The number of plugs is equal to the number of support racks. Plus 2-3 replacement (useful during the operation of the fence).

6. Hermatization

When calculating the screws, the mount is carried out in two extreme waves and after two in the middle of the professional leaf in each of the transverse lag. Thus, with two transverse lags on a sheet, 6 pieces are required, at three - 9 pcs. The number of hardware is rounded multiple packaging (standard packaging - 250 pcs). Because, in the process of twisting the self-pressing, defects may occur.

When attaching rivets, their flow increases, as they are attached along the edges and through the wave.

Standard Painting Paints 50, 100, 200, 500, 900 grams. The choice depends on the length of the fence. Usually 50 gr. Banks are enough.

8. Decorative end plank

The number is equal to the length of the fence divided by the working length of the plank. The standard length of the plank is 2,000 mm, the working (taking into account the adolescence) is 1850-1950 mm.

4 stage. Installing a fence made of professional flooring with your own hands

Mounting technology step by step:

1. Preparation of the site

Cleaning the surface of the soil from everything that will interfere with the installation of sheets and pillars.

2. Fundament device and / or installation of support columns

Note. The destruction of the sheet of professional flooring begins at the point of contacting it with the surface of the soil. Pebbles, dirt, mechanical damage lead to the appearance of defects precisely from the bottom of the sheet. In addition, the uneven terrain of the site often creates difficulties when installing supports. That is why the foundation for the fence from the professional flooring is the mandatory stage of the fence device.

What is the foundation better for a fence from a professional flooring?

To decide which foundation to put a fence from the proflist on a particular site usually helps the study of the soil. But since the fence from the corrugated floor is a relatively easy design, the usual is suitable for it. Its optimal depth is 300-400 mm, and the minimum width of the foundation under the fence from the corrugated floor is determined by the width of the support rack (columns).

Let's not stop on how to fill the foundation. But we note such a nuance, the depth of the pit at the installation site of the basic support racks (along the edges of the fence, the corners, at the place of installation of the gate) should be 1/3 of their height + 100-150 mm for the cushion device under the sole side of the rack. For intermediate posts - 1/4 of the height of support + pillow height. This will eliminate the influence groundwater And the soil freezing on the rack.

Preparation and installation of formwork is no different from the arrangement of the belt foundation under the house or gazebo.

First of all, the basic support racks (at the edges of smooth fence segments) are installed, the rope is stretched between them and the intermediate columns are installed. In the place of installation of the support racks, the brown is removed, the gravel-sand pillow is swept away, on which racks are installed. At the same time, metal pipes should be treated with anti-corrosion solution.

Users noted that the racks are better to conceen 100-150 mm. So they retain stability when reinforcing formwork and filling it with concrete. If the pillars are planned, the pillow needs to be made of 200-250 mm high and score a rack into it. This method is more time-consuming, but less expensive and reliable.

Council. Using a level and a plumb when installing racks.

A simpler version will be the installation of support racks without the establishment of the foundation. Installation requirements are similar. Depth is 1/3 or 1/4 from the length of the rack, depending on the place of its installation, the thickness of the gravel and sand pillow is 100-150 mm, the mandatory treatment of anti-corrosion solution, level check and reliable concreting.

Note. In practice, poles for the fence from the professional flooring are established with deviations from the above technology. This is justified with stable soils.

Alternative ways to install the racks are shown in the diagram.

3. Mestrazh Lag.

The fastening of the professional flooring is carried out on transverse lags. They are mounted on the support racks after those are reliably concreted. It is impossible to rush the work in this case. This can lead to a rejection of the stand from the vertical.

Transverse lags can be welded or fasten to support racks. Masters recommend using the holder plate for these purposes (bracket). Thus, the plate is screwed to the support rack, and the lag to the plate, it makes the project slightly longer and more expensive, but the mount is considered more reliable.

Three ways of fastening the lag to the support racks (photo)

- in front of an invoice. The method is ideal for solid fences;

- behind the pillar With the use of the holder (KRONTSH). Suitable for sectional fences;

- from the side of the pillar. The advantage of the method is that it is possible to attach a professional flooring not only to the lag, but also a support patch, which makes the design more stable. But, the duration of operation and the consumption of self-tapping grows increases. Suitable for device sectional fences.

Note. With a significant slope, the transverse lags are mounted with a displacement, as shown in the photo.

The fully finished frame is covered with anti-corrosion primer and paint.

4. Decorative design of columns

This stage is possible only if the sectional type of fence from the professional flooring is selected. Here, the installed metal support racks can be chopped by a brick or a stone. According to many users, a fence from a professional flooring with brick columns, it looks more beautiful and presentable, rather than with metal racks or generally solid.

Note. A similar decor of the fence support is thought out at the planning stage. Because The presence of brick masonry makes adjustments to the distance between the columns, which means the number of sheets mounted in the section.

Of course, it is possible to decide on the finishing of the racks brick at any stage, but should be prepared for the fact that the professionalist will have to cut in length, and this will lead to waste not only sheet, but also paints, and cutting tools, time and money.

Users converge that this work should be entrusted to master mosteking masters, because It is the laying of bricks in this case will determine the aesthetic properties of the fence. If it is decided to do the work yourself, then you should know:

• it is advisable to use the decorative high-quality brick (chip and zip are unacceptable);

• adhere to the same thickness of the masonry seam;

• every third row to bind the metal grid (reinforce);

• the emptiness between the masonry and the supporting pipe is completely filled with concrete solution;

• make a decorative element on the top of the pillar.

5. Installation of corrugated fence

To avoid the appearance of rust, you need to know how to fix the corrugation correctly.

To fasten a professional owl to each other and the lag use rivets or special self-tapping screws. Installation begins based on the sheet configuration. One of the extreme leaf waves is the stubble (left or right depends on the manufacturer's equipment). The first sheet is mounted in such a way that the subsequent wave of the subsequent closed the wave of the previous one, and not vice versa. In order not to encounter the situation when the leaf trim is abandoned near the gate, the installation should be started with these elements.

Council. To ensure ventilation, you need to make a distance of a sheet on the surface of the soil at 50-100 mm.

Professional property must be fixed at the edges for each of the transverse lag. One mount is in the middle of the sheet. If the fence is built in the windy region, it is advisable to fix methols through two waves.

How to fix a professional committee?

To spin the self-tapping screw in the professional flooring also need to possess certain skills. Namely, know that self-sufficiency:

• "Skipping" of self-pressing threatens damage to the facial surface of the professional flooring.

6. Installation of additional elements

In essence, the stages described above and the installation of the fence from the professional flooring ends. However, manufacturers, masters and experienced users recommend covering the top end of the profiled sheet with a special decorative P-shaped bar (end intake plank).

The pad will give the fence aesthetic look and will exclude damage to users about sharp sheet edges.

The plank simply dresses onto the sheet, so when ordering, pay attention to its width.

For the professional set with a wave height of 8 mm, a plank is needed with a width of 10 mm (taking into account the rolling) or 8 mm (without rolling).

We draw attention to the fact that the professional flooring of most producers is painted in color only on the one hand. In the direction of the house looks unpainted gray face. If there is trees, shrubs, or grapes along the fence, it will hide a non-primary type of fence.

5 stage. Cleaning the territory after the construction of the fence

Cleaning is the logical completion of the construction process. Cleaning is necessary in order to avoid injury by trimming of a professional flooring, scattered by self-drawing and to give the site well-kept species.

Installation of the fence made of professional flooring with your own hands - Video

Installation of fences from corrugated floor - price for work and material

The total costs of building a fence from the corrugated floor are determined on the basis of the need for or another material.

The cost of installing the fence from the projectal "turnkey" (the price per meter of work, materials with the installation) is shown in the table.

Conclusion

The fence from the corrugated floor looks great, resistant tolerates any temperature differences and all types of atmospheric phenomena. But there are two weaknesses - sailboats and low-quality installation. We hope that the information provided here will allow you to take into account and directly eliminate both of these shortcomings.

Extracorporeal fertilization (ECO) gives women who can not become pregnant, the chance to become moms. This procedure is carried out in many large clinics. It has already been studied quite well and consists of several stages. One of these stages is the follicle puncture.

Puncture of follicles with - a minimally invasive gynecological operation. Its principle is as follows: after hormonal stimulation of the development of egg cells in the ovaries in the outpatient conditions, a short-term operational intervention is carried out - the fence of the follicle from the ovary by sucking it through a special needle. The time of such an operation is about 10-15 minutes. This is one of the most important stages of Eco, on the success of which further pregnancy depends.

Preparation for follicle puncture

In order for such a responsible stage, like getting an egg, a successful, a woman should prepare to him. For a month before the procedure, the following rules must be followed:

1. Do not take any drugs without appointing a doctor.
2. Exclude nutritional supplementsCanned products and other sources of alien chemicals in food.
3. Be carefully protected from infection infectious diseases, Avoid places of accumulation of people, contacts with patients, if necessary, wear a medical mask.
4. By appointing a doctor to take folic acid and multivitamins.
5. Four to eat, abandon too salted, oily food, refined carbohydrates. It is recommended to eat more nuts, vegetable oils, equal milk products. It is advisable to abandon the products causing the intestine - flour, fruit, vegetables. It is advisable to increase the use of liquid - water, unsweetened compotes, hills.
6. Refuse smoking, taking alcohol, reduce tea and coffee consumption.
7. Do not visit the baths and saunas, refuse hot baths, waist massage, cosmetic procedures, visits to a solarium.
8. Eliminate heavy physical labor, intensive sports.
9. 3-4 days before the intervention, it is necessary to temporarily abandon sex contacts in any form.
10. In the evening before the operation (at 18:00), it is necessary to easily dine, in the morning empty the intestine and bladder. There are no drink in the morning.
11. Do I need to do the enema before puncture? Most often, the cleansing of the intestine woman spends independently using the Fordrans drug. If this was not done, it is possible to clean the intestines in the morning with the help of a house or in a medical facility.
12. The procedure should come without contact lenses, with unwrapped nails, without makeup. It is usually recommended to have shirt, slippers, a bathrobe.
13. It is very important to come to the clinic on time. When puncture follicles, the account goes to hours. Therefore, you should go out of the house in advance with the traffic situation.

When intervention is carried out

The puncture of follicles is one of the stages of extracorporeal fertilization. After the suppression of its own gonadotropins, it is stimulated to be stimulated by supervision hormones introduced into the body from the outside. The purpose of such an impact is to create a large number of functionally mature follicles containing the ovaries ready for the fertilization of the egg. At the same time carefully followed by ultrasound for the state of follicles growing in the ovaries. Stimulates the final ripening of the oocyte trigger ovulation - the drug of chorionic gonadotropin or agonist gonadotropin-relocation of the hormone.

Intervention is performed exactly after 34 or 36 hours after the introduction of the ovulation trigger that stimulates the full ripening of oocytes. If the puncture is performed before this period, the eggs will be immature. The delay over 38 hours will lead to spontaneous ovulation and the exit of eggs in abdominal cavity.

The size of follicles for puncture must be more than 15-18 mm. At the same time, it should "mature" at least three eggs, which increases the chance for successful fertilization.

Anesthesia under the puncture of follicles

Common or local anesthesia For the puncture of follicles is used with a joint decision of the doctor and the patient, that is, it can insist on one or another method of anesthesia or refuse it. When determining the anesthesia method, it is preferable to choose one of two options:

• general anesthesia using facial or laryngeal mask;
• intravenous anesthesia using propofol and rapifen.

If the puncture is produced laparoscopically, intubation and the necessary monitoring of vital functions are required.

Local anesthesia does not apply. In case of refusing a woman from general anesthesia, an hour before interference, it makes an injecting an anesthetic drug or give it inside in the form of a tablet. Conducting puncture without anesthesia is justified if the ripe follicles are a bit, and the ovaries are well available. Most often, this is solved immediately before interfering during ultrasound control. It is believed that the introduction of funds for anesthesia may adversely affect the quality of the resulting eggs and reduce the likelihood of a safe development of pregnancy in the future. Therefore, in many foreign clinics, anesthesia is not used in the puncture of follicles.

Before conducting anesthesia, the doctor necessarily collects the so-called allergic history - information about the tolerability of drugs, food and other products. Should think in advance and remember what medications The patient was poorly tolerated earlier (for example, in the treatment of teeth). If such medications are somewhat, it is desirable to prepare their list. This will facilitate the work of the doctor and reduce the likelihood of complications.

How is the follicle puncture

Typically, a transvaginal puncture of follicles is carried out, that is, through the vagina arch, with the help of a special needle. If it is impossible for such an access (incorrect ovarian location and so on), the egg cells can be obtained using laparoscopy.

A woman is located on a gynecological chair. After the introduction of anesthetics, it falls asleep. At this time, the doctor via the vagina enters a special device containing a puncture needle. Through the vaginal arch under the control of ultrasound, the doctor promotes the needle to the ovary, and then aspiries the contents of the ripe follicles. The resulting liquid containing eggs is immediately sent to the laboratory. There, esbriology specialist immediately chooses the highest quality oocytes, placing them in the nutrient medium.

It should be noted that modern systems for the aspiration of follicles have a special processing of internal surfaces that protect the egg from damage. At the end of the needle, the smallest air bubble is preserved, which improves its visualization on the monitor screen. The system is completely sealed and allows smoothly and gradually aspiring the contents of follicles without extra injury.

After that, the doctor can conduct events for the prevention of hyperstimulation syndrome: promoting the puncture needle along the ovarian surface, it removes all unnecessary follicles in both ovaries. At the same time, experienced professionals often cost only the initial puncture to avoid the risk of infection or injuries internal organs.

After extracting the puncture needle, the action of anesthetics gradually stops, and after a few minutes the woman comes into consciousness. It is transferred to the ward, where it remains under the supervision of doctors for at least two hours. It is assigned to a single reception of an antibiotic a wide range of action for the prevention of infectious complications. If everything went well, the patient, accompanied by a husband, is released home, giving detailed written recommendations and coordinate subsequent actions. It is not recommended to sit on the fellow patient on our own feud.

If the woman decided to conduct puncture without anesthesia, then in any case it will feel the unpleasant sensation or abdominal pain. The intensity depends on the individual sensitivity, psychological readiness of the patient, the skill of the doctor, as well as the numbers of follicles and their location. With severe pain, the doctor always has the ability to introduce an anesthetic at the request of the patient.

Simultaneously with the operation of the fear of follicular liquid and eggs, the husband rents cum. If it may have difficulty in this, you should inform the doctor such information in advance. In this case, cum collected in advance, freezing it in a special container.

A few days before the collection of sperm, a man is recommended to wear spacious underwear from natural materials, do not overheat, do not drink alcohol and drugs. On the day of taking ejaculate morning, you need to thoroughly wash the penis with soap without fragrances.

What happens after puncture

Pain after puncture of follicles most often thanks, they can be removed by the reception of but-shts or paracetamol. Weakness and light dizziness may be observed, the body temperature slightly increases, pinkish mucous membranes from sex tract appear. All these phenomena usually pass in 1-2 days.

How to behave after puncture of follicles?

During this time you need to rest more and restore forces. Thermal procedures should be avoided, intensive loads, including sexual.

How much stomach hurts after the procedure?

It depends on the number of punctured follicles, as well as on the method of their preparation and the likelihood of the development of hyperstimulation syndrome. With a transvaginal method, pain pass quickly. If the eggs were obtained using laparoscopy, pain can be saved for 3-5 days. There may be constipation and bloating.

The heavy form of hyperstimulation syndrome is accompanied by nausea and vomiting, cutting pain in the stomach and lower back, a liquid chair, fever, soreness when urinating, abundant sealing of sex tract. In the threat of the development of hyperstimulation syndrome, treatment after puncture is carried out in the hospital. Prescribed preparations such as reaches, magnet B6, ascorbic acid, solutions for infusion therapy.

Immediately after the selection of high-quality eggs and the preparation of sperm, doctors proceed to the fertilization process to then move the resulting embryos in the uterus. All information about this stage can be obtained by a doctor. Usually, the "subfold" of the embryo is carried out on 2 - 5 day of the cultivation of the embryo. Two more weeks it goes to understand, a pregnancy is developing or not. If the embryo did not fit, the woman stops the reception of hormonal funds, and only then menstruation begins. Monthly after an unsuccessful attempt to eco can be longer and abundant than usual.

Complications

Puncture is rarely complicated by any pathological conditions. However, in some cases it is possible blood vessel And bleeding from it in the abdominal cavity, as well as injury of the organs of a small pelvis. There are rare cases of the formation of an ovarian abscess, dweurous space, a small pelvis. It is believed that the frequency of such complications does not exceed 1%.

Very rare complications of intervention - twisted the cysts of the ovary or its gap, damage to the ureter, inflammation of a worm-like process (appendicitis), as well as intolerance to anesthesia.

When urgently need to go to the doctor:

• options after puncture become abundant, bloody or mucous-purulent, acquire nasty smell (signs of infectious complications);
• the body temperature increases above 38 ° C;
• severe abdominal pain appear;
• there is a strong dizziness, loss of consciousness, pallor of the skin, cold sweat (signs of internal bleeding);
• after the puncture of the follicles, the ovaries are sick, bother with nausea and vomiting, the blood pressure decreases, an inexplicable shortness of breath appears, the abdominal circle increases (signs of hyperstimulation syndrome).

In most patients, the procedure passes well, without causing any complications. You should not feel the fear of this intervention. It is necessary to consider it as another inevitable step towards motherhood.

There is nothing more permanent than temporary ... In the justice of this statement, many of us were convinced. Shot for a time housing often becomes constant. "Random" work is stretched for years. The fleeting hobby develops into a serious occupation.

A man has a thorough job of any work and its result is preserved for a long time. To the temporary fence in the site, it is necessary to treat as a serious construction that protects the territory from unreasonable guests.

How to build it inexpensively and reliably, what materials for this can be used, we will talk in this article.

The prefabricated intake structures created a great set. We are primarily interested in those of them that meet the sign of temporary:

• Low cost in combination with reliability;
• Minimum of earthworks;
• Lack of capital foundation;
• Quick installation and disassembly;
• The ability to reuse the enclosing material.

"Exotic" in the form of fences from plastic bottles, frequencies of logs and shoulders from branches for temporary fence at the construction site. The main qualities of such a design - functionality and strength.

They have fences from such materials:

• board (gorny);
• slate;
• rabita grid (welded grid);
• professional flooring.

Temporary fence from boards

Once such fences were put on all construction sites. The cheapness of lumber and ease of construction guaranteed a militant fence for a long historical existence. Today, the steel mesh and reinforced concrete plates were changed on large construction stalls. They are more durable boards and can be repeatedly used to protect the territory.

Boards, bars and pillars - three parts of a wooden fence design

In private construction, the board is still used to erect collapsible fences. Her appearance much has no. The main requirement is strength. Therefore, the economical hosts prefer to make temporary fences from a cheap hill, and the edged board is used for more responsible structures.

Nekaznaya in appearance fence from the porch with its task is perfect

Installing the fence from the board takes more time compared to the designs from the grid and professional flooring. Most of all slows down the process of feeding the staketin, to speed up which no one has yet managed. Each bar has to pay attention, aligning the cord and navigating nails.

Despite the difference in the materials, the main stages of construction of temporary fences are similar to among themselves:

• Track markup;
• Installing columns;
• Installation of runs;
• Fastening the enclosing material.

When planning the construction of a wooden fence, you need to decide in advance with the method of installing the poles by selecting:

• Copp holes or drilling wells;
• Using support legs with bodies.

The first option is more reliable, but more time-consuming. To protect the large area there will have to make hundreds of wells for racks. Supporting "legs" connected to the pillars with the help of streaming is easier in the installation and, if necessary, allow the length and configuration of the fence. The only threat to such a design is a hurricane wind that can sow part of the sections.

The boards and the porridge are nailed in two ways: on beams from a bar (vertically) or directly on the poles (horizontally). In the second case, the calculated length of the span of each section should not exceed the length of the planners used.

At the end of construction, this material can be used only for extracts.

Fencing from slate

The new material for such a design does not have a sense. Holes pierced in wavy sheets make them unsuitable for use on the roof. Possible variant repeated application Slate - formwork for the pool or foundation.

Most often put those who, after disassembling the old roof, there are a lot of "bashing" material. In addition, in the ads you can find a lot of offers for the sale of slate at a symbolic price.

Mount the wavy sheets can be on wooden or on steel runs and columns. They are strong enough and tough to withstand strong wind loads. That's just the height of such a fence is not always satisfied with the owners. No matter how cool, and higher than two meters it does not raise it.

Fencing from the grid Rabits and welded grid

Leaders of building sympathy. Such structures are quickly collected and disassembled, protecting the territory from trying to penetrate well. The only drawback is the viewing of the site. Despite the seeming harness, overcome the fence from the steel grid is not easy. Without having a solid support under the legs, overcome the two-meter mesh wall unrealistic.

The chain grid can be put on wooden and steel poles using sections from angle or passing through its upper and lower edge of the wire (fittings) fixed to the racks.

In addition to time-consuming injection into the soil of columns, the racks of such a fence (and any other temporary fence) can be made from screw piles, thereby ensuring the most sustainable foundation.

Screw piles - the best solution for fence from steel mesh

The relative high cost of the version under consideration is justified by high installation speed and the ability to disassemble the design without loss of material.

The main drawback of the chain grid is the flexibility that requires additional support in the upper and lower edge, has been eliminated with the advent of 3D fence. This construction consists of inventory metal racks with fasteners for sections. The welded grid is made of durable bent wire, light and rigid.

If the territory of the construction site has a solid coating, then the columns of the fence are not bought into the ground and do not concrete. In this case, use ready-made sections. They are fixed on the support plates that, in turn, are attached to asphalt or concrete, or installed in special support blocks from concrete.

Preparation procedure simple. To the bottom of the steel profile-rack weld the cross-shaped support from the reinforcement and put it in the tire. After that, the tire is filled with concrete. After hardening the mixture to homemade supports with the help of wire and clamps fasten the chain grid.

It should be noted that the "know-how" is suitable only for mesh fences. When using boards, slate or proflist, a large "sailboat" is formed. With strong wind, the weight and the supporting area of \u200b\u200bthe concrete tire may be insufficient, which will lead to the tipping of the structure.

Temporary fence from corrugated

Often used on construction sites, because it has important advantages:

• opaque;
• easy to install and disassembly;
• racks to atmospheric influences;
• allows multiple use;
• you can choose any height.

Wooden and steel runs are suitable for fastening the professional sheet. The castle principle of connecting sheets facilitates installation. Installation of racks, as in other types of temporary fences, is performed in the pits or fastening to ground supports.

Option of using ground support racks

In conclusion, let's say that regardless of the type of the selected fence, it is necessary to respond to its installation. Before the start of work, it is necessary to draw a scheme for the placement of racks so that the distance between them is not more than 2.5 meters.

For the removal of the fence track to the site uses cord and roulette. Pegs are clogged into the ground in the corners of the future fence, strictly withstanding the design dimensions of the spans. After that, they are fixed with a cord that marks the direction and drive into the ground intermediate stakes.

The manual coppe of the pits have to do when there are many large stones or root roots in the ground. If the soil is soft and clean, it is better to use the boring. The shurn depth of 50-60 cm will be quite sufficient to set the racks in heavy grinning ground. In her sand it will have to increase to 80 cm.

Exactly exhibited and well fixed in the rack - warranty of fast installation and reliability of the fence. Therefore, pay this work maximum attention.

All of the above belongs to the fence, the pillars of which are not injected into the ground, and put on surface supports.

Brief description of the ECO procedure

Eco as a method of treating infertility is widely used in our country. And for some time the procedure can be passed and free in oMSWhat confirms the high performance of ECO in the fight against infertility, and also indicates the demand for this procedure among Russian citizens.

Why is Eco today so in demand in patients?

Today, Eco is the most productive treatment method from those that offers reproductive medicine to patients who cannot conceive a child independently. What the statistics indicate and the effectiveness of Eco reaches 35-40%. It is worth considering that this is averaged indicator and, depending on the health and age of patients, the chances of conception can be both higher and below.

Another unconditional plus is wide spectrum Its applications. Creating exclusively to help women with a tube factor in infertility, when it is impossible to conceive and endure the child, Eco has become almost a versatile treatment method. And today it gives a chance to the birth of a child with family couples, regardless of those reasons why they had problems with natural fertilization - it may be a male factor, female or combined infertility.

The main stages of the "classic" program of ECO:

• Preparatory Period - Consultations of specialists, surveys and passing the necessary analyzes
• Supervision Stimulation - Mandatory Stage, the purpose of which in maturation for one menstrual cycle of a woman more than one egg
• Fence of ripened eggs (puncture of follicles)
• Embossing egg and embryo cultivation
• Embryo subfolder
• Check hormone hgch, which is already in the early deadline indicates a pregnancy

Hormonal stimulation of ovulation

Let us dwell on the stage of ovulation stimulation. His goal in maturation as much as possible egg cells. For comparison, within a single cycle, a woman matures only one.

After supervision, puncture and insemination of eggs, an embryo cultivation is carried out by a embryo cultivation, and the next step becomes his subfolding of a future mother.

The growth of the required number of eggs is achieved by the reception of hormonal drugs, which appoints a reproductist at the basis of the results of those surveys, which a patient was held in preparation for extracorporeal fertilization. And depending on their choice and time limits, the duration of the entire program may vary.

During the time that hormonal therapy is carried out, the patient is under the supervision of the attending physician. Reproductologist assesses the answer female organism On ovulation and, if necessary, adjusts the dosage of drugs assigned to them. Also throughout the stage of hormone therapy, ultrasonic screening is carried out. And before proceeding to the next item of the program - the fear of eggs for Eco doctor conducts control ultrasound monitoring. The size of the follicles to transition to the next step of the program should be at least 18-20 mm. And only after the doctor concludes that ovulation stimulation was successfully carried out, puncture is appointed.

The patient learns that there is a fence of eggs for Eco, as a rule, two or three days before the procedure on a planned reception at his attending physician. This is done so that the woman has time to prepare for this procedure.

Preparation of the patient to the egg fence

In order to prepare yourself for the upcoming procedure, the patient will have to fulfill some requirements. So, in two or three days, you should refrain from sex contacts. It should also be refused to receive those products that cause fermentation. Usually, the reproductist doctor gives a woman a memo that you can and what you can not eat these days. 34-36 hours before the puncture of the follicles, the patient will be made of hormone hump, which will become a kind of point in the protocol and accelerate the ripening of follicles

How do I take an egg for eco?

On the day, when the reproductist doctor assigns puncture, come to the clinic follows in a strictly agreed time. Otherwise, it can lead to ovulation - emission of eggs from the ovary, which means that the fence of eggs for Eco will not work. The procedure is conducted on an empty stomach, which means that in the morning the patient is prohibited, under the ban, drinking water and chewing gum.

How do I take an egg for eco?

The procedure lasts no more than 20 minutes. At the same time, it is one of the most important stages of the entire vitocumer fertilization program. Puncture is not painless, so it is carried out exclusively under anesthesia - common or local, if there are contraindications in the patient.

The puncture procedure is carried out under the control of the vaginal ultrasonic sensor and is carried out specially created for it with a thin needle. She skeins every ripened follicle during hormone therapy. And the follicular liquid in it is closed with an egg.

Then the assembled fluid is transmitted to embryorators. They study the resulting eggs and put them in special incubators in which they will be until the spermatozoa of her husband or donor fertilization.

What happens after the fence?

After a couple of hours, the doctor may tell about how the fence passed how many eggs were obtained and when it should be coming to transfer the embryo. Also attending the doctor gives advice on how to behave after the fence.

Among the possible permissible complications after the puncture are a general ailment, which can be expressed in dizziness and weakness, which will be a consequence of anesthesia. Also, a minor pulling pain at the bottom of the abdomen and scarce bleeding will be considered normal.

The reproductist generally reports about all this, according to the patient in advance and gives recommendations for receiving anti-inflammatory or painkillers that can be taken during this period. It is important to know that all side symptoms must pass during the first day after the intake of eggs for Eco.

However, if after 24 hours that have passed after the fence, such symptoms will be observed as:

• weakness, dizziness or loss of consciousness,
• flowing blood pressure or rapid heartbeat,
• increased pain at the bottom of the abdomen or bleeding,

This is a reason for urgent treatment for medical care.

Cryosorozka of unnecessary eggs for re-program

Today in serious clinics that help their patients cope with infertility by the methods of reproductive medicine, there is a practice of cryometrics of unnecessary egg cells. This technology was created with the thought of female health. It minimizes those risks that hormonal therapy bears, which is a mandatory stage for ripening eggs, as well as the next stage - the fence of eggs for Eco.

What is the essence of cryosis?

If a program to which a married couple or a woman was sent, not ended with pregnancy, then repeated Eco does not have to start with a clean sheet. You can completely exclude from the program a whole cycle - stimulation of superstulation, which is very important. After all, it is hormone therapy that can aggressively influence the female organism.

In the NGC clinic, which today is one of the most advanced in St. Petersburg and in the country has already created its own cryobank. The clinic is equipped with the most advanced equipment, which is used in the field of reproductive medicine in all leading global centers, which have assigned to combat infertility. Medical staff of the clinic and the treatment programs developed here guarantee an individual approach to each married couple and a woman who appeal here. A unique program of pregnancy, suggests that NGC doctors are important to be with patients at all stages - from the diagnosis before the newly awaited baby appears.

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Reproductologists