http___www.kinderwunschklinik.at_hr_lijecenje_mogucnosti_lijecenja_icsi__1.xml
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Intracytoplasmic Sperm Injection (ICSI) - when the number of sperm is limited (less than 10 million sperm per millilitre) - an earlier attempt at fertilisation has been unsuccessful ("null fertilisation") - when there are morphological disorders: if the sperm's head doesn't have the correct shape to allow it to penetrate and thus fertilise the egg. The intracytoplasmic sperm injection (ICSI) is another possible IVF treatment that is used when the man's sperm quality is so low that independent fertilization of the egg cell by the sperm is not possible. For the ICSI fertilization the biologists at the KinderWunschKlinik of Dr Loimer select the “fittest” of the partner’s sperm. The seminal filaments are drawn up individually in a thin pipette and directly injected into the egg cell that has been extracted from the woman. Over 90% of the female eggs can be fertilized in this way. The ISCO fertilization is carried out under a special microscope, and the biologists and embryologist require a lot of experience and in particular routine during this procedure. The pretreatment of the patient is similar to that of IVF treatment. The ICSI treatment is applied in the following cases:
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Intracitoplazmatska spermalna injekcija (ICSI) Intracitoplazmatska spermalna injekcija se primjenjuje kada je kvaliteta muškarčeve sperme ograničena do te mjere da oplodnja jajne stanice prirodnim putem nije moguća. Biolozi na klinikama KinderWunschKliniken Dr. Loimer odabiru spermatozoide „u najboljoj formi“ za ICSI oplodnju. Spermatozoid se pojedinačno stavljaja u kanilu i ubrizgava direktno u jajnu stanicu žene dobivenu punkcijom. Preko 90 % oplodnji jajnih stanica žena se postiže na ovaj način. ICSI oplodnja se odvija pod mikroskopom i zahtijeva mnogo iskustva i pogotovo prakse vještih biologa i embriologa. Priprema, odnosno hormonska stimulacija pacijentice, je ista kod ICSI oplodnje kao i kod in vitro oplodnje. ICSI tretman se primjenjuje, odnosno preporuča, kod sljedećih indikacija: - pri broju manjem od 10 milijuna spermatozoida po mililitru sperme (ejakulata) - kada u prethodnom pokušaju, usprkos normalnoj kvaliteti sperme, nije došlo do oplodnje - kada spermatozoidi pokazuju morfološke abnormalnosti glave spermija