Elena Góngora - Aborto de repetición y fallo implantatorio - II Simposio Reproducción Asistida...

7/22/2019 Elena Gngora - Aborto de repeticin y fallo implantatorio - II Simposio Reproduccin Asistida Quirn

1/26

Lilho Chckro Ktlcuf

GKZRF]OI _\FQKH Eomrfm

@larlrk 12?=


2/26

OAKQ]K ML QLRL]FJFKH

Ml`fhfjfh> prmfmo lspkhthlo ml mks k es clstojfkhls ml

`kreo jkhsljutfvo, ohtls ml io 12 sleoho ml clstojfh, y jkh

plsk `ltoi fh`lrfkr k fcuoi o trls k es oakrtks jkhsljutfvks ohtls ml ios 12

sleohos ml oelhkrrlo.

Oelrfjoh skjflty `kr rlprkmujtfvl elmfjfhl (OZQE)> mks k es

oakrtks lspkhthlks.

Zkjflmom lspokio ml `lrtfifmom (ZL@)> fhfjfor lstumfk tros mks

oakrtks.


3/26

JO\ZOZ

Clhtfjo]rkeak`ifo

Zhmrkel Ohtf`ks`kipfmk

Fheuhls

\tlrfhos, lhmkjrfhos, fh`ljjfksos, lhmkeltrfoils,

oeaflhtoils.

ltfkikco mlsjkhkjfmo.


4/26

JO\ZOZ

CLHL]FJO> MLEKZ]QOMO

Jouso li


5/26

JO\ZOZ

]QKEAK@FIFO> HK MLEKZ]QOMO

Lh li trkeaksfs lh io fhtlr`osl eotlrhk-piojlhtorfo prkmujflhmk

jkepifjojfkhls piojlhtorfos qul moh iucor o oakrtks, prlljioepsfo,jrljfeflhtk fhtroutlrfhk rltormomk.
http://www.google.es/url?q=http://www.scielo.cl/scielo.php%3Fscript%3Dsci_arttext%26pid%3DS0717-95022012000400036&sa=U&ei=i-UFU7HPC8uY1AXkl4EQ&ved=0CEoQ9QEwDg&usg=AFQjCNE87mOYWuLeZs3DgCJEqKD8j3V_xQ


6/26

Qflsck ml trkeaksfs>M`fjft>

O]FFF> io es trkeakchfjo.

RJ

RZ

Eutojfkhls> @PIlfmlh>

Rrktrkeafho 121?2 O>

@ojtkrls ml jkocuiojfh> lilvojfh> PFFF, FW, WF

mfsefhujfh> WFF ;

Gkekjfstlfhlefo

Crupk sohcuhlk

E]G@Q ;


7/26

JKERIFJOJFKHLZ KAZ]L]QFJOZ

OAKQ]K LZRKH]OHLK / RLQMFMO @L]OI / EKQ]FHO]K

JQLJFEFLH]K FH]OQ\]LQFHK QL]OQMOMK

OAQ\R]FK RIOJLH]OL

]QKEAK@FIFO @L]OI


8/26

OAKQ]K LZRKH]OHLK/ RLQMFMO @L]OI / EKQ]FHO]K

Io eoykro ml iks lstumfks prkspljtfvks hk goh lhjkhtromk oskjfojfh

lhtrl io trkeak`ifo y iks oakrtks tleprohks k tormks, sfh leaorck iks

lstumfks josks-jkhtrki y lstumfks rltrkspljtfvks goh mlekstromk

oskjfojfh sik jkh iks oakrtks tormks.


9/26

Jkgkrtl Lurkplo Rrkspljtfvo ml ]rkeak`fifo

7=: pojflhtls trkeak`ifjos :.0 6?.13 6 O]FFF>


10/26

Jkgkrtl Lurkplo Rrkspljtfvo ml ]rkeak`fifo

7=: pojflhtls trkeak`fifjos


11/26

Lstumfk Jkgkrtl Gkspftoi \hfvlrsftorfk Hfels

=6? eunlrls jkh trkeak`fifo y oakrtks tormks ùlrkh lvoiuomos poro

QRJO, @PI, Rrktr, gkekjfstlfhlefo, O]FFF, RZ, RJ, ZOO@.

-io prlslhjfo ml uhk k es òjtkrls ml trkeakìfo prktlcl ml oakrtks

ml rlpltfjfh ohtls ml io sleoho ?2 ml clstojfh

(KQ> 2.


12/26

Lstumfk Jkgkrtl Gkspftoi \hfvlrsftorfk Hfels

Rrktljjfh> ;;

Rrfelros sleohos clstojfh>-oeaflhtl aonk hfvli ml 21 (?3+/-0.6 eeGc gosto io sleoho ?2 / 02 +/-

7.< eeGc o portfr ml io sleoho ?:). 21 plrnumfjfoi lh prfelros

sleohos.

-aonk ìunk mkppilr lh io jfrjuiojfh tlrk-piojlhtorfo.

-Li l`ljtk omvlrsk ml ios trkeakìfos eotlrhos lh li ìunk sohcuhlk

tlrk-piojlhtorfk y lifefhojfh ml 21 slro plrnumfjfoi lh sleohos

tormos, plrk HK lh ios fhfjfoils mli leaorozk.


13/26

Ohtfjkocuiojfh>

Hk sl goh rloifzomk rfcurksks lstumfks rohmkefzomks piojlak-jkhtrki

lh eunlrls jkh trkeak`ifo y oakrtks qul skpkrtlh k rljgojlh litrotoeflhtk ohtfjkocuiohtl poro prlvlhfr iks oakrtks ml rlpltfjfh lh

lstos eunlrls.

OOZ +/- GARE hk ouelhto io toso ml hojfmks vfvks lh eunlrls jkh

oakrtks rljurrlhtls ml ltfkikco hk jkhkjfmo (oos / oos+gape /

piojlak).

Doohmkrp ZR,Ckmmfnh E,voh mlr Rkst NO ohm jkis HLNE 12?24:01(?3)>?=?01


14/26

JQLJFEFLH]K FH]QO\]LQFHK QL]OQMOMK

Porfks lstumfks,

\h elto ohifsfs qul lvoiu io rliojfh lhtrl JFQ y @PI gltlrk/gkek,

Rrktrkeafho gltlrk/gkek, E]G@Q gkek> HK ekstr oskjfojfh lhtrl

hfhcuho ml liios y JFQ.

Zf lhtrl m`fjft ml RZ y JFQ y mumksk jkh m`fjft RJ.
http://www.google.es/url?q=http://www.historiasdeunabarriga.es/author/anamatrona/page/3/&sa=U&ei=NuYFU5WSBKmg0QX2uIGQCQ&ved=0CDYQ9QEwBA&usg=AFQjCNE6bkUGBHBbCP5S_10Wg620yo-eZA


15/26

RQLLJIOERZFO

Lstumfks prkspljtfvks>

Hk lxfstl oskjfojfh lhtrl trkeak`ifo y prlljioepsfo mlekstromk pkr

poro @PI / Rrktrkeafho

Zf porljl lxfstfr oskjfojfh lhtrl m`fjft ml RZ y m`fjft RJ y

prlljioepsfo.


16/26

OAQ\R]FK RIOJLH]OL

Hk sl go mlekstromk uho oskjfojfh jkhsfstlhtl lhtrl trkeak`ifo y

oaruptfk piojlhtol.

Gfplrgkekjfstlfhlefo (8?< efjrkeki/i) plrk HK pkifekr`fseks E]G@Q

pkmroh lstor oskjfomks o oaruptfk rljurrlhtl.
http://www.google.es/url?q=http://biology-forums.com/index.php%3Faction%3Dgallery%3Bsa%3Dview%3Bid%3D9450&sa=U&ei=GecFU9zXG9Ce0wWJl4HAAg&ved=0CDQQ9QEwAw&usg=AFQjCNED36UZgD7xO9nfFjHmLkPEVTkitQ


17/26

]QKEAK@FIFO @L]OI

Rkmro lstor oskjfomk o oakrtks, JFQ, prltrefhk, fh`ortk plrfhotoi,

porifsfs jlrlaroi (eulstro plqulo).


18/26

JO\ZOZ

Clhtfjo

]rkeak`ifoZhmrkel Ohtf`ks`kipfmk

Fheuhls

\tlrfhos, lhmkjrfhos, fh`ljjfksos, lhmkeltrfoils,

oeaflhtoils.


19/26

JO\ZOZ

ZFHMQKEL OH]F@KZ@KIFRFMK > MLEKZ]QOMO

Rrlslhtl lh li ?2-?

]rkeaksfs ml ios jkhlxfkhls vosjuiorls piojlhtorfo, prkvkjohmk fhsu`

piojlhtorfo (o portfr ml io sleoho 7-?2 ml clstojfh).

\hfh ml iks oj ohtf`ks`kipfmk o iks `ks`kipfmks ml elearoho mli

trk`kaiostk k o ios jiuios lhmktlifoils ml iks vosks mljfmuoils k

trk`kaistfjks (ohtls ml io sleoho 7 ml clstojfh) plrnumfjohmk os iofepiohtojfh;.

Lepskh E, Iosslrl E, Jrofc N, Zjktt N. Rrlvlhjfh mli oakrtk lspkhthlk rljurrlhtl lh eunlrls

jkh ohtfjulrpks ohtf`ks`kipfmks k ohtfjkocuiohtl ipfjk. Jkjgrohl Motoaosl k` Zystleotfj Qlvflws

12?? Fssul :. Ort. Hk.> JM2217 ?2.?221/?=0


20/26

JO\ZOZ


Mfochstfjk

Jihfjk> trkeaksfs ortlrfoi k vlhkso k trkeakplhfo

Ioakrotkrfk> OI, OJOZ, OJAC


21/26

JO\ZOZ


Zkspljgo Mx. Juhmk lstumfor;

?. 8? eulrtl ltoi 8?2 sle clstojfh ml ltfkikco hk jkhkjfmo

1. 8? `ltk prltrefhk hkreoi 9 := sle clstojfh pkr prlljioepsfo,

ljioepsfo, fhsu`fjflhjfo piojlhtorfo.

:. 8: oakrtks lspkhthlks, jkhsljutfvks 9 ?2 sle ml ltfkikco hk

jkhkjfmo.

HK goy lvfmlhjfo su`fjflhtl qul oskjfl ZOO@ jkh fh`lrtfifmom prfeorfo k

`oiiks ml fepiohtojfh learfkhorfo (Gkrhstlfh EM,Movfs KD, lt oi @lrtfi Ztlrfi122243:-::2)


22/26

JO\ZOZ


]rotoeflhtk>

?. Oakrtk prljkz> OOZ (72-?22 ecr/mo) mlsml li mlslk clstojfkhoi +

GARE uho vlz jkh`freomo io clstojfh.

1. Fhsu`fjflhjfo piojlhtorfo> OOZ (72-?22 ecr/mo) mlsml li `fhoi mli ?r

trfelstrl gosto li portk. Oomfr GARE sf goy ohtljlmlhtl ml

trkeaksfs piojlhtorfo.:. OI/OJOZ/OJAC sfh jihfjo> homo / OOZ (72-?22ecr/mo) / OOZ +

GARE.

=. @FP sfh trkeaksfs> homo / OOZ

(Kastlt Cyhljki 1221466>?:< Kastlt Cyhljki 12?24 ??


23/26

JO\ZOZ

FHE\HKIKCFJOZ> HK MLEKZ]QOMO

Io fepiohtojfh mli aiostkjfstk mlsorrkiio uho rlspulsto fheuhl eotlrho

mkefhomo pkr lilelhtks prktljtkrls y `ovkrljlmkrls mli jrljfeflhtk y

mlsorrkiik mli `ltk (jftkqufhos, ifh`kjftks ] gliplr). Li `rojosk ml lsto

rlspulsto pkmro prkmujfr oakrtks.

Qlvfsfh ml Jrkjgohl> io omefhfstrojfh ml fheuhkcikauifhos hk go

mlekstromk l`ljtk alhl`fjfksk lh li trotoeflhtk ml iks oakrtks mlrlpltfjfh.

Rkrtlr ]@, IoJkursflrl V, Zjktt NQ> Feeuhktglropy kr rljurrlht efsjorrfocl. Jkjgrohl Motoaosl

Zyst Qlv., 12204?6(1)>JM222??1


24/26

H\LPOZ GLQQOEFLH]OZ CLHL]FJOZ

Fhtlrs jflht`fjk

Eutojfh @ojtkr FW Romuo> ifcomo oi slxk.

Eutojfkhls lh li clh ml O]FFF> trotoeflhtk fhmfvfmuoifzomk;

Eutojfkhls lh li clh OMOE]Z ?:> mlcromo iks euitelrks mli `ojtkrvS (6q:=)


25/26

Jkhjiusfkhls

E]G@Q HK ouelhto li rflsck ml trkeaksfs vlhkso.

]rkeak ifo porljl prktlclr ml oakrtks lh li prfelr trfelstrl.

Zf goy oskjfojfh jkh oakrtks tormks y trkeakìfo.

]rkeak ifo hk lst oskjfomo o JFQ soivk m`fjft ml RZ y mumksk li

m`fjft RJ.

]rkeak ifo hk lst oskjfomo o prlljioepsfo soivk ml` RZ y ml` RJ. ]rkeakìfo hk lst oskjfomo o oaruptfk piojlhtol.

]rkeak ifo `ltoi sf pkmro lstor oskjfomo o oakrtks, JFQ, prltrefhk,

fhòrtk plrfhotoi, porifsfs jlrlaroi.


26/26

Jkhjiusfkhls

Hk goy lstumfks rohmkefzomks piojlak-jkhtrki lh eunlrls jkh

trkeak`ifo y oakrtks qul skpkrtlh k rljgojlh li trotoeflhtk

ohtfjkocuiohtl poro prlvlhfr iks oakrtks ml rlpltfjfh.

HK goy lvfmlhjfo su`fjflhtl qul oskjfl ZOO@ jkh fh`lrtfifmom

prfeorfo k `oiiks ml fepiohtojfh learfkhorfo.

Li trotoeflhtk jkh Fc hk go mlekstromk l`ljtk alhl`fjfksk lh iks

oakrtks ml rlpltfjfh.

Elena Góngora - Aborto de repetición y fallo implantatorio - II Simposio Reproducción Asistida...

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Transcript of Elena Góngora - Aborto de repetición y fallo implantatorio - II Simposio Reproducción Asistida...