The technical application of test tube baby of our country has faced the idea challenge
The technical application of test tube baby of our country has faced the idea challenge
"Tired to death! " "Because the morbidity of the domestic infertility is higher and higher, our patient is getting more and more. " The first hospital reproduction director of medical research center Zhang XueHong in Lanzhou university says. "Became the test tube baby at home, all very arduous, everybody said in a meeting: ' are tire to death! ' " British physiologist Robert and Edwards has " The test tube baby's father " It claims. He is 85 years old this year, his partner history Mount Tai is general to ask the doctor to already pass away. And have " The Chinese test tube baby's mother " Zhang LiZhu of title,this year 89 year old already. Louise and Brown, first test tube baby of world born by Edwards' hands, already 30 years old this year, and gave birth to the birth son naturally 3 years ago. Sprout the pearl by the intersection of Zhang Li and the intersection of pearl and the intersection of China and first the intersection of test tube baby and Zheng that hands born, 22 years old this year, have already been educated in the university. It's interesting, Zheng MengZhu's parents are from Gansu. In March of 1988, when Zhang LiZhu takes out badly mutilated sprouting the pearl small from pregnant woman's belly in the institute of north medicine three personally, the most people in Gansu do not know at all yet what is it about the test tube baby. In 2001, a former a institute period infertility specialized department director Zhang XueHong of Lanzhou University established the medical research institute of reproduction of first of the Northwest. By September 5 of 2009, in the here therapeutic test tube baby indication patient, has had 2901 example gestation already, 2372 test tube babies emerge. "Our work is very mysterious. Because we can see the most primitive state of the life the most directly. " Zhang XueHong says, " some test tube babies are given birth to, parents embrace for us to see, I sigh with deep feeling: How it is originally by two small cell, development produce whom such a life come on? I make ob-gyn in the past, under the pressure of need of life and health, make cup off operation more. But the test tube baby, new life, the new beginning that the ones that were contacted are that we do. " Zhang XueHong says, a courtyard of reproductive medicine center test tube babies' success rate of Lanzhou University has already had 50%- 60% at present, over 40% of the average national levels, but compared with foreign countries, and a section of disparity. This relates to cause of disease. For example the success rate of the American test tube baby has 60%- 70%. One their patient is young, second, the patient discovers the problems, look for specialists immediately, if really need to make test tube, do. "Infertility become the more well. It is the better to treat time short. " In addition, the cultivation liquid that the American doctor used is fresh. The liquid of cultivation of China is bought from foreign country. Zhang XueHong says: "A few days ago, I also trained the expert of the liquid to say with a research, if China produced and trained the liquid, our success rate can be improved by several a little more. The patient who suffers from infertility, does not need becoming a test tube baby. In the out patients of a courtyard of reproduction centres of Lanzhou University, probably 1/10 need to be a test tube baby. Zhang XueHong says: Though the test tube baby is that more scientific artificial aid bears the means at present, but the first, should make indication with it of this operation. Second, make to test tube baby and spend taller, takes two 30,000 yuan once. Third, already there are more than 4 million test tube babies in the whole world at present, but how are they afterwards? Also pay close attention to. Fourth, in helping the pregnant course, should lower complication, the indirect damage should minimize the intensity, including the reducing of hospitalization cost, finally, will grow a healthy child. " whether have three while being unfilial, for loud have, " In the past 50 years, in the whole world, the sterility morbidity rises to 12%- 16% from 8%- 10%. In our country, infertile sterile the intersection of proportion and rising to 10%- 15% less than 5% before 20 year, have one pair unable to bear in the average every 8 pairs of couple. This seems to be an enormous undercurrent hidden under social image. Chinese traditional idea " whether have three while being unfilial, for loud have, " ,No matter present the intersection of people and surface seem thought open again, deep-rooted idea this. Especially men, if their fecundity is problematic, will look like the eggplant that the frost is harvested, lose courage of life suddenly. This social role that bears with men has relations. Zhang XueHong says: "Some man patients tell me: ' director Zhang, what have something I want, just have no child, the pressure is very large! ' " Other couple teacher in couple, get married 10 odd years, all spend savings teaching in seeing the doctor, their hope is: "If there can be a child, couple would rather go to work as peasants! " Some man patients' complexion is like two generations of persons compared with peer. The characteristic in the Northwest is: Located in remotely, the traffic is inconvenient, backward in economy, information is stopped up. Patients of a institute Lanzhou University, all transmit information each other the patients, some hold " not giving up for lost " Idea,come here. Behind every patient, all have a sad and sentimental story. These patients' age is many among 30- 40, most patients have already tossed about for 35 years outside. A courtyard of reproduction Zhao JinZhu, head nurse of centre of Lanzhou University says: "This disease is not like cold, can tell others in good taste. You should ask how long what is it about not to give birth to the person of the child, her answers are all that ' I do not want ' after marriage, want to make Dinke family. They do not dare to express one's own aspiration, only ask about turning into the way, others speak a folk prescription, she rushes forward, or go to the gynaecology and obstetrics of the hospital to question the question. " In March of 2009, a courtyard of reproduction of Lanzhou University will hold touringly and volunteer medical consultation from centre to districts and cities of river the west five, Zhangye, Wuwei, Jiuquan, the Jiayu Pass, Jinchang, these hospitals at city level do not have a specialized department of infertility, the infertility patients are out of care, full of ob-gyns and look. Toss about some doctor by piece the wife all over,check, it's proved finally whether there are the husbands. After volunteering medical consultation this time, the department of public health of the province requires that helps the hospital of the market of river the west five to set up the specialized department clinic of infertility in a institute of Lanzhou University. The patient coming to Zhang XueHong to seek medical advice herein, all hold the thick case history. The medical history of most patient's main suits is: Get married infertile a few years, traditional Chinese medicine is constant, and Western medicine treatment. Some patients say, the crime which we receive these years, the traditional Chinese medicine of food, can all take the railway wagon to go to Laszo. Some patients take 30 packs of traditional Chinese medicine in succession, it is bad to all eat the stomach. A lot of patients in the Northwest go bankrupt for curing infertility. 2001- In 2002, when Zhang XueHong just became a test tube baby, really had patients of poor area, sold all houses of the family to cure the disease. Zhao JinZhu says: " in China traditional culture, woman no normal family (have husband, child) in native's eyes of China ,Every aspect of the life, work will be limited, despised. In the unit, as mother's women do the same work with you, she is easier to be led approving. The leader will send her Go abroad to study, because she has husband children, has gone abroad to come back, very low if the leader trains your probability, even if give you a position, you do not also have children, want while giving birth to the child? Ni of Xian � entangle low Fu, Sun of face, pull out, melt, discuss �˭� to be beautiful? So come patient of here, though besides unable to give birth to child, body of them can be regarded as not healthy also, but but their soul is wrecked many times but nearly twisted. They wish eagerly to be sympathized with, cared about, helped, while is full of guarding and suspecting. Unless at patient exist generally feel self-humiliation, depressed,some or even psychologies manic, they will family contradiction, grievance that be sought medical advice countless vent on to doctor many times. "Unless come he, should by the states psychologicals of he first show loving care for we,it come from by science of doctor by one kind of hes, psychologically, support in human nature, make him feel we are helping them genuinely, then discuss the treatment technology with him. Otherwise do the intersection of we and the a specialized one, can only feel more and more tired, too can produce understanding in patient. " Zhang XueHong says. The male fecundity of the doctor's difficult decision drops, it is insufficient to mainly display in density and vigor of the sperm, namely lack the weak sperm's disease and not have precise disease. If the man really has no sperm, with the national sperm bank. But Zhang XueHong says: "For the consideration steady in family to the patient, our operation not very willing to do ' borrow and give birth to the son smartly '. I examine to the doorstep sometimes, tell patient: ' the intersection of you and two mouth should be fully considered. Our technology can not still reach at present: Fetch the next cells from the male health, can train sperms, and then inject it into the ovum, development becomes an embryo - -That is a future thing. If being old and strong, you will you please wait a moment? Alternatively will certainly want pieces of child now, make as both sides humanitarianism give in, adopt one. ' I feel that do it in this way even more. If is really not all right, he says my home needs labour, must give birth to a child! Then we must help him too. " " borrow and give birth to the son smartly " Ago, the doctor should talked with couple, declare to the child born, and the obligation that couple bear absolute responsibility. Both holes should be considered carefully well, totally accept, sign the letter of consent, the doctor can do the operation. To husband, agree to let the wife " borrow and give birth to the son smartly " ? He wants to make a very difficult decision. Zhang XueHong says: "Though we choose from the national sperm bank with husband's body alike sperm of looks characteristic. But often, the patient has borrowed sperms, has given birth to the child, the problem was solved at that time, after the child is getting long two or three years old, because everybody, to the cognitive difference of the life, the man sees to the child the less pleasing to the eye, see and the less look like one's own child " In fact, even if the husband agrees to " borrow and give birth to the son smartly " ,Can achieve one's goal to get easily either, some should line up to wait for two or three years. At present, there are 10 human sperm banks that our country sanctions through Ministry of Public Health, they all face " the sperm neglects " Awkward situation. First, the quality of the male sperm of whole world drops very terribly, second, what our country implemented is that the strictest sperm of whole world screens the standard, it is higher than U.S.A.. Offered the smart ones to check in front of needing to carry on more than 70 items of method, some found about 100 items, checked completely that it costs a large sum of money to come down, the qualification rate was very low finally, those money meant spending in vain, led to the fact the operation of sperm bank was difficult. In addition, according to the stipulations of Ministry of Public Health, once raise the qualified sperm, a male sperm can only supply 5 women's use. In France, sperm of everyone can let 25 the intersection of women and use; In U.S.A., every 800,000 people's area allows 25 persons to use with a person's sperm. What every domestic great sperm bank is stored is mainly university students' sperm, rely mainly on the fact that it is donated that voluntary. University students are not very willing to donate sperms, only 1% of qualification rate liked to donate, lead to the fact the precise source is very difficult, and profit-seeking underground sperm bank, presenting on the net precisely to prevail very much, do not refuse to present privately precisely either in the reproduction centres of some places. These precise sources not only quality is unable to guarantee, apter to cause all sorts of disputes. Some wives are fertilized the young man child, but " stop " Husband; Some husband borrow smart to give birth to wife of son, fight all scratched up, he does not want the child either " test tube baby " Transferring to clearly demarcated test tube baby's technology and was born, progress for more than 30 years, the public had worry on this, had objection. 2001, Lanzhou University one institute begin make test tube baby, just, patient want, hide parents from come on, do not let them know, it is mother, mother-in-law that are accompanied now. They know this is one's own children, but with the aid of pregnant that technology goes. In 2004, a institute of Lanzhou University was engaged in " hundred test tubes of babies had a get-together " ,Some parents have worry, are afraid the person that the unit has knows. Now they see the person that have at one's side is always not pregnant, will try to persuade others: "Go to make test tube quickly, so more blindly as to manage! " Zhang XueHong says: "Statistics from our country, the old sample is come to read, test tube baby and nature give birth to the baby without there is not dominant difference in inborn diseasing. In order to prevent the child that carried the bad gene was born, and lowered the miscarrying rate from, we have the third generation of test tube baby's technology. " Zhang XueHong and her group, is the only reproduction research center that masters the third generation of technology of the Northwest, employed this technology, this centre had already been born in some test tube babies. Medical science of reproduction is developed quickly in recent years. Domestic each province has done the planning which is built the reproductive medicine center, there is 11 reproduction centre in the Northwest alone at present. The patient receiving in a courtyard of reproduction centres of Lanzhou University, 40% come from the other provinces. Here or 12 of mankind in the country assist one of the technological training base of reproduction, bank up with earth and repair growing and come from all parts of the country. Zhang XueHong says: "In U.S.A., after the ob-gyn gets the license, should train through the medical training of reproduction of two years, could be on duty. Our country has not required regularly. Though Ministry of Public Health stipulates the personnel engaged in reproduction with specialized medical science should be through training strictly, but Ministry of Public Health does not go to the reproduction centre that check, on duty without licences and many. We are medical quality control centres of reproduction of Gansu Province, are shouldering the responsibility for setting up the training at the basic level of the whole province, but too busy now, do little by little " Some patients, it is said the twins of the test tube babies of the some centres rate is very high, think its success rate high, yearn for it. Zhang XueHong says: "Some patients came to say: I want to be twins! I tell them, many fetus questions are the biggest complication helped in the pregnant course, it is not a good thing, it will bring a heavy burden to the mother and son, that belongs to and endangers gestation high. " "Northwest people do thing of Hi-Tech, the intersection of condition and a bit relative difference. " Zhang XueHong says: "Now, we can with The domestic development in step of advanced stage, it is numerous but should do. Our understanding of the life is still very superficial There are many unknown things in the life. We are full of the life to revere. "
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