دوره 15، شماره 6 - ( 4-1396 )                   جلد 15 شماره 6 صفحات 330-323 | برگشت به فهرست نسخه ها


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Ali Mohamed M S. A new strategy and system for the ex vivo ovary perfusion and cryopreservation: An innovation. IJRM 2017; 15 (6) :323-330
URL: http://ijrm.ir/article-1-835-fa.html
یک استراتژی و سیستم جدید برای پرفیوژن و انجماد بافت تخمدان: یک نوآوری نظری. International Journal of Reproductive BioMedicine. 1396; 15 (6) :323-330

URL: http://ijrm.ir/article-1-835-fa.html


چکیده:   (3223 مشاهده)
مقدمه: کودکان و بزرگسالانی که از سرطان رنج می­برند، درمان گنادوتوکسیک را دریافت می­کنند که بعد از درمان سرطان توانایی باروری آن­ها را از بین می­برد. انجماد و پیوند تخمدان راه­حل امیدوار­کننده­ای برای این مشکل را فراهم می­سازد، جایی که تخمدان می­تواند قبل از درمان گنادوکوتیک برداشته شود و پس از بقای بیمار بعد از درمان سرطان، به او پیوند می­شود. با این حال، حفظ کل تخمدان همچنان با موانع بزرگ مواجه است، مانند آسیب ایسکمیک ناشی از پرفیوژن مجدد و آسیب­های انسدادی مربوط به عدم رسیدن محلول­های فریز / ذوب به تخمدان از طریق سیستم عروقی تخمدان. در حالی که، تکنیکی که اکنون برای فریز تخمدان استفاده می­شود با ریکاوری فولیکولی محدودی همراه است. زیرا بسیاری از فولیکول­ها تا پس از پیوند مجدد و عروق زایی مجدد از بین می­روند. برای حل این مشکلات، یک سیستم نوآورانه برای تضمین ارائه فوری و سراسری تحویل محلول­های فریزر/ ذوب به بافت، معرفی شده است. این سیستم علاوه بر نگهداری پیوند در پرفیوژن پیوسته قبل و بعد از فریز، منجر به حداقل رساندن تشکیل میکرو ترومبوس یا آسیب ایسکمیک ناشی از پرفیوژن  مجدد  می­شود. این سیستم ابتکاری را می­توان در مداخلات جراحی و بالینی زیر استفاده کرد: 1) پیوند آلوژنیک تخمدان؛ 2) حفظ باروری پس از شیمی درمانی سیستمیک یا پیوند مغز استخوان در زنان جوان، وقتی که تخمدان­ها می­توانند قبل از درمان برداشته شوند و فریز شوند تا دوباره پس از بقای بیمار برای او استفاده شوند؛ 3) برای فریز بافت بیضه.
 
واژه‌های کلیدی: تخمدان، انجماد، حفظ باروری، پرفیوژن
نوع مطالعه: Original Article |

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