{"id":5391,"date":"2019-07-15T07:59:09","date_gmt":"2019-07-15T06:59:09","guid":{"rendered":"https:\/\/www.repromeda.rs\/?p=5391"},"modified":"2019-07-15T07:59:09","modified_gmt":"2019-07-15T06:59:09","slug":"endometrio-alice-emma-era-sta-ta-imena-znace-kako-mogu-pomoci-da-se-rodi-zdrava-beba","status":"publish","type":"post","link":"https:\/\/www.repromeda.rs\/?p=5391","title":{"rendered":"EndomeTRIO \u2013 Alice, Emma, Era. \u0160ta ta imena zna\u010de? Kako mogu pomo\u0107i da se rodi zdrava beba?"},"content":{"rendered":"<p><em>Brojni su faktori koji mogu da uzrokuju neplodnost. Ali da li ste znali da je jedan od uzroka za\u0161to ne mo\u017eete da dobijete bebu mo\u017ee biti nepogoni uslovi u Va\u0161oj materici? Da li postoje testovi koji mogu da odrede stanje materice i istovremeno ustanove optimalni trenutak kada je najbolje da se embrion ubaci?<\/em><\/p>\n<h2><strong>\u0160ta je endometrijum?<\/strong><\/h2>\n<p><strong>Endometrijum<\/strong> je sluzni sloj materice u koje se ugnjezduje oplo\u0111ena jajna \u0107elija. <strong>Endometrijum<\/strong> ili <strong>sluzoko\u017ea materice<\/strong> se nalazi u unutra\u0161njem delu materi\u010dnog zida i time je klju\u010dni faktor za uspe\u0161nu oplodnju. <strong>Sluzoko\u017ea materice <\/strong>se obi\u010dno proverava uz pomo\u0107 ultrazvuka, uz pomo\u0107 kojeg se odre\u0111uje samo debljina i struktura. Ali je tako\u0111e bitna njena <strong>bakterijalna flora (mikrobiom) <\/strong>i tzv. <strong>vremenski okvir implatacije<\/strong>, odnosno pogodno vreme za transfer embriona u matericu.<\/p>\n<p>Uticajem hormonske neravnote\u017ee u telu \u017eene (dominancija estrogena nad progesteronom) mo\u017ee do\u0107i i do situacije da se sluzoko\u017ea materice razvija i van materice. U tom slu\u010daju se govori u oboljenju nazanom <strong>endometrioza<\/strong>.<\/p>\n<p>&nbsp;<\/p>\n<h2><strong>Bakterije u\u00a0materici onemogu\u0107avaju uspe\u0161no ugnje\u017edenje embriona. <\/strong><\/h2>\n<p>Ravnote\u017ea bakterija u endometrijumu je va\u017ena za uspe\u0161nu implataciju embriona. Ako se u materici pojavljuju patogene baterije, ta ravnote\u017ea mo\u017ee biti naru\u0161ena. Test pod nazivom\u00a0 <strong>ALICE<\/strong> (Analysis of Infectious Chronic Endometritis) mo\u017ee da odredi prisutnost takvih bakterija koje uzrokuju hroni\u010dne upale. Takve upale se otkrivaju \u010dak kod 30% neplodnih pacijentkinja, a mogu da budu i uzrok za ponavljaju\u0107e poba\u010daje. Dobro odre\u0111ena terapija mo\u017ee ovakvu situaciju da re\u0161i.<\/p>\n<p>Uzimanjem uzorka sluzoko\u017ee materice i njegovom daljom analizom pomo\u0107u nove generacije sekvenciranja (NGS), mogu\u0107e je odrediti i druge bakterije koje uti\u010du na neplodnost \u017eene. Kompletan pregled sastava sluzoko\u017ee materice omogu\u0107ava test <strong>EMMA <\/strong>(Endometrial Microbiome Metagenomic Analysis). U slu\u010daju da su bakterije prisutne, pogodna terapija antibioticima ili probioticima je predlo\u017eena. Unutar testa EMMA se nalazi i test ALICE.<\/p>\n<p>&nbsp;<\/p>\n<h2><strong>Kada je pravi trenutak da se transfer obavi?<\/strong><\/h2>\n<p>Ponavljaju\u0107i neuspe\u0161ni transferi embriona mogu biti optere\u0107uju\u0107i za \u017eenu, kako fizi\u010dki tako i psihi\u010dki. Iako je le\u010deni par pro\u0161ao kroz ceo niz ispitivanja i njihovi embrioni su na osnovu rezultata <a href=\"https:\/\/www.repromeda.rs\/ponudjene-usluge\/genetika\/preimplantacijska-genetska-dijagnostika\/\"><u>preimplatacijskog genetskog testiranja<\/u><\/a> pripremljeni da se prenesu u matericu, sluzoko\u017ea materice za taj transfer ne mora da bude spremna.<\/p>\n<p><strong>Vremenski okvir za implataciju<\/strong>, odnosno pravi trenutak kada je sluzoko\u017ea materice pripremljena da prihvati embrion, odre\u0111uje test <strong>ERA <\/strong>(Endometrial Receptivity Analysis). Njegovi rezultati poma\u017eu da se utvrdi pogodnu hormonsku pripremu i njihovo doziranje. Kori\u0161\u0107enjem ovog testa se kod pacijentkinja sa ponavljaju\u0107im neuspelim implatacijama (ugnje\u017edavanjem) dosti\u017ee uspe\u0161nost od 73% (Implantation Rate).<\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Brojni su faktori koji mogu da uzrokuju neplodnost. Ali da li ste znali da <a class=\"link\" href=\"https:\/\/www.repromeda.rs\/?p=5391\">Pro\u010ditajte&nbsp;vi\u0161e<\/a><\/p>\n","protected":false},"author":5,"featured_media":5392,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[19,1],"tags":[],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v22.2 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>EndomeTRIO \u2013 Alice, Emma, Era. \u0160ta ta imena zna\u010de? 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