Iyo CECOS, kana Center for Studies uye Conservation of Eggs and Human Sperm, haigone kudzikiswa kuita iri nyore sperm bank. Uye nechikonzero chakanaka: ivo vatambi vakakosha mukurapa vanobatsirwa kubereka nevapi, mupiro wegamete uye kuchengetedza kubereka. Kudzokera kune izvi zvakakosha zvimiro muFrance yekurapa mamiriro.

Kunyanya kuzivikanwa neacronym CECOS, iyo Centers yeChidzidzo uye Chengetedzo yeMazai Evanhu uye Mbeu ndiyo chete masangano ane mvumo yekuunganidza uye kuchengeta gametes dzakapihwa muFrance. Kana isu dzimwe nguva tichida kuvabatanidza kune akareruka mabhangi embeu, iyo CECOS ine basa rakakura kwazvo rekuita mukuzvara kunobatsirwa nemishonga (MAP kana MAP) nemupiro. Kana iwe uchida kupa urume kana maoocyte (kana kunyangwe embryo pakaitika IVF isati yasvika), kana iwe uri mumamiriro ekushaya mbereko uye uchifunga nezve AMP nemupiro, kana hutano hwako huchipembedza kuchengetedza kubereka kwako, zvikwata zveCECOS zvinozoita. ivai pakati pevakutaurirei.

Mabhangi ekutanga embeu akaonekwa muFrance mukutanga kwema1970 munzvimbo mbiri huru dzeParisian hutano. Panguva iyoyo, mushonga wekubereka uye manejimendi ekushaya mbereko zvaive muhucheche, saka zvimiro zviviri izvi zvakashanda nenzira dzakasiyana siyana:

Kubhadhara mari yesperm

Yekutanga yakagadzirwa paNecker Hospital, naGynecologist Albert Netter, uye inoshanda pahwaro hwekubhadharwa kwembeu yekupihwa. Chinangwa: kukurudzira zvipo pakati pevarume vechidiki kuitira kuti vabvumire mhando yakakwana. Iyi modhi, ichiri yakajairika munyika dzakawanda dzeEuropean Union kunyanya, yakasiiwa muFrance.

Kuchengetedzwa kwembeu yetsvakurudzo

Yechipiri inoendeswa kuchipatara cheBicêtre naProfessor George David. Chinangwa chayo: “kuongororwa kwembeu yakajairika uye inotapukira pamwe chete nekuchengetedzwa kwembeu inoitirwa kutsvakurudza nekurapa. Kana mashoko acho asina kujeka nemaune, imhaka yekuti hukama pakati pevatungamiriri vepurojekiti nevakuru vakuru (kusanganisira Ministry of Health) hauna kumira zvakanaka. Pamwoyo wekupokana kwavo: IAD (artificial insemination with donor), panguva iyoyo yakapokana zvikuru nekuda kwemibvunzo yetsika yainomutsa kunyanya maererano nefiliation.

Kuita kuti ADI ive pamutemo uye pakupedzisira kukurudzira hutungamiri hwekushaya mbereko kwevarume, zvakasarudzwa kuti mupiro, wakagadzirwa nechimiro ichi, waizobva pamitemo mitatu mikuru ichiri kushanda nhasi: kusununguka, kusazivikanwa uye kuzvipira. Panguva imwecheteyo, nhaurirano neBazi rezvehutano dziri kufambira mberi pasi pehutungamiriri hwaSimone Veil, anoisa mamiriro ekuvhura CECOS muBicêtre.

Sezvo zvinoitika:

• iyo yakagadzwa inofanira kuzviumba pachayo mukubatana (statute yemutemo 1901), kuitira kuti isunungure mutoro wehutungamiri hwechipatara,
• vatungamiri vayo vanofanira kupindura kubhodhi revatungamiri uye vesayenzi vane maitiro akasiyana-siyana (kumiririrwa kwezviremera zvinotungamirira, kurongeka kwevanachiremba, nyanzvi ...) uye mumiriri wemaonero akasiyana esainzi (panguva iyo vatsigiri nevapikisi veIAD),
• Iri bhodhi rekutonga uye resainzi rinofanira kutungamirwa nemunhu wezvekurapa anopa rutsigiro rwemunhu kune maitiro ekugadzwa (Robert Debré munyaya yeCECOS yeCHU de Bicêtre).

Iyi ndiyo nzira iyo yekutanga CECOS yakazvarwa zviri pamutemo muna Kukadzi 9, 1973 (zuva rekuburitswa kwayo muOfficial Journal). Mumakore akatevera, maCenter makumi maviri matsva eChidzidzo uye Chengetedzo yeMazai Evanhu neSperm akagadzirwa pamhando imwechete. Nhasi kune makumi matatu neimwe yenzvimbo idzi muFrance. Muna 31, zvakafungidzirwa kuti CECOS yakanga yatora chikamu mukuzvarwa kwe2006.

CECOS ine mbiri mbiri:

Pkutora mutoro wekushaya mbereko

Zvingave zvechikadzi, zvechirume kana zvakabatanidzwa kune zvakatemwa zvevaviri, pazvinenge zvichida kupihwa kwemunhu wechitatu.

Pchengetedza kubereka kwemurwere

Munzvimbo iyi, veCecos vanotanga vapindira kuti vabvumire cryopreservation (kutonhora) kwemagametes evarwere vane pathologies avo kurapwa kwavo kunogona kukanganisa kubereka kwavo (sevanhu vane gomarara vanoda kurapwa chemotherapy). Asi basa ravo nderekuwedzera zvakare mikana yekuve nepamuviri panotevera kune varwere vakatowana nzira yekubatsirwa nekurapa kubereka. Nokudaro, vakaroorana vari kubatsirwa nema "embryos" anotevera IVF vanogona kupiwa kuti varambe vari paCECOS vakamirira kubereka kana kupiwa "embryo".

Iwo akasiyana mamishini eCECOS

Kushanda munzira iyi, iyo CECOS ine akati wandei mamishini:

• kupa rubatsiro rwekurapa uye rwehunyanzvi kune vakaroora vasina mbereko vanoda rubatsiro,
• tarisa uye kuronga kupihwa kwemagametes (chipo chesperm, oocyte donation) uye embryo donation,
• tsigira varwere, pamberi pekupa gamete, panguva yekuita, asiwo pashure. Dzimwe nguva hazvizivikanwi zvishoma, asi vashandi veCECOS vanogona kufonerwa kana vabereki kana munhu akazvarwa kubva pachishuwo chekupa, panguva yehudiki kana munhu mukuru.
• bvumira kuzvidzivirira kwemagametes kana paine chirwere uye kurudzira varwere nevanobata (vanachiremba, masangano evarwere, nezvimwewo) kusvika pakuguma uku,
• bvumira cryopreservation ye-supernumerary embryos inokonzerwa neIVF,
• kutora chikamu mukutsvagisa mundima yekubereka, vauye nehunyanzvi hwavo kuti vatarise tekinoroji uye magariro ebudiriro anogona kuikanganisa.
• kutora chikamu mumishandirapamwe yekusimudzira mupiro we gamete wakarongwa neBiomedicine Agency.

Kuitira kuvimbisa kuchengetedzwa kwembereko uye manejimendi ekushaya mbereko, CECOS yega yega iri munzvimbo yechipatara cheyunivhesiti uye ine:

• boka rekurapa rakasiyana-siyana (vanachiremba, biologist, psychologists uye psychiatrists, geneticists, technicians, etc.)
• a cryobiology platform inobvumira kuchengetedza gametes. Kubva 1981, CECOS yakabatanidzwawo mumubatanidzwa, kuitira kuwiriranisa maitiro munyaya dzekuberekana nemupiro, kusimudzira kutarisirwa kwevarwere nekutsinhana pakati penzvimbo. Kuti izvi zviitike, mubatanidzwa wakarongwa kuita makomisheni (genetics, psychological and psychiatric, ethics, sainzi uye tekinoroji) inosangana kaviri pagore.

MaCecos, ayo ave chikamu chebasa rechipatara chehurumende, zvimiro zvakasarudzika zvakagonesa kufambira mberi kwakakosha munzvimbo yekubereka kwemakore makumi mashanu. Tinowana pakati pekubudirira kwavo:

• Kubudirira kwakanaka kwekupa gamete muFrance. Saka, pasi pehutungamiriri hweCECOS neBiomedicine Agency, vanopa gamete vari kuwedzera kuwanda (404 sperm donors muna 2017 vachipesana ne268 muna 2013, 756 oocyte zvipo muna 2017 vachipesana ne454 muna 2013). Muna 2017, 1282 kuberekwa kwakagonekawo nekuda kwechipo.
• Tsigiro yevarwere mukuchengetedza kubereka kwavo, iyo yaisanganisira 7474 vanhu muFrance muna 2017.
• Kuvandudzwa kwebumbiro remutemo reMPA muFrance. Chokwadi, chikamu chekutenda kumitemo yehutsika uye maitiro ekuongorora akaiswa neCECOS kuti mumiriri wemitemo akakwanisa kuita nekuvandudza mitemo yebioethics.

MaCecos akagoverwa muFrance yese kuitira kuti afambise kuwanikwa kwevarwere. Usazeze kubvunza dhairekitori renzvimbo.

Cherechedza zvisinei:

• Kana iwe uchitotevedzwa mudhipatimendi reART kana oncology (mukuru kana mwana), nyanzvi yezvehutano inokutevera inokuita kuti ubatane nevarapi veCECOS.
• Kana iwe uchida kupa gametes, usazeze kubata iyo yakazvitsaurira sevhisi muCECOS iri padyo newe zvakananga.