Iimpawu, unyango kunye nokukhuselwa kwe-OHSS
Ukuqhelana neempawu ze-ovarian hyperstimulation syndrome (OHSS) ibalulekileyo ekukhuseleni imeko enzima. I-ovarian hyperstimulation syndrome ibuhlungu, kodwa ingaba yingozi yokuphila.
Ukuqwalasela iimpawu ekuqaleni, kunye nokubeka iliso ngumoya wakho ngonyango, kunokunciphisa umngcipheko weengxaki ezinzulu.
I-OHSS yiphumo elichaphazelekayo leziyobisi zokuzala , ngokukodwa kwiisjectables (i- gonadotropins ) ezithathwe ngexesha lomjikelezo wonyango lwe-IVF .
Phantse iipesenti ezili-10 zabasetyhini abaphila kwi- IVF unyango baya kuba ne-ovarian hyperstimulation syndrome.
I-OHSS iyakwenzeka xa ithatha iComomid kunye nezinye iziyobisi ezithathwa ngomlomo, kodwa ayinqabile.
Izizathu
Olunye uwandiso lwama-ovari luqhelekileyo ngexesha lokunyanga iziyobisi .
Nangona i-OHSS, ke, ii-ovari ziyakhutshwa ngengozi.
Lo mkhuhlane ungangena kwiindawo zesisu nesifuba, okukhokelela kwiingxaki. Kodwa uninzi lomkhuhlane aluveli kwiifollicle ngokwabo. Uninzi lwalo luvela kwimithambo yegazi "ephazamisayo" ngenxa yezinto ezikhishwe kwi-ovary.
Iimpawu
I-Ovarian hyperstimulation syndrome iyakwenzeka kuphela emva kokuba i-ovulation yenzeke. Iimpawu ziyakwenzeka emva kweentsuku ezimbalwa emva kokuvuthwa kweqanda okanye i-IVF yokufumana iqanda , okanye ingabonakali ngeveki okanye ngaphezulu emva kokuvuthwa.
Izimpawu ezintle ziquka:
- Ukuqhawula
- Ubuhlungu obubuhlungu okanye ukuphazamiseka esiswini
- Ukufumana ubunzima obunzima
- Isihlunu esinomsoco
- Uhudo
Izimpawu ezingakumbi zibandakanya:
- Ukufumana ubunzima obukhawulezayo, ubuninzi beepounds ezili-10 kwiintsuku ezi-3 ukuya kwezi-5.
- Ubuhlungu besisu esiswini
- Ukuqhaqha okukhulu
- Isicathulo esikhulu (kakhulu kangangokuthi awukwazi ukugcina nantoni na ukutya okanye amanzi)
- Utywala
- Ingxaki ngokucoca
- Ukuqhawukelwa ngumphefumlo
- Intliziyo esheshayo
Ukuba ufumana iimpawu ezinzima, kufuneka uqhagamshelane nogqirha wakho ngokukhawuleza, ngoko ke unokukwazi ukujonga imeko.
Ukuba ufumana nayiphi na impawu ebalulekileyo, qha ga mshelana nodokotela wakho.
Izinto zobungozi
Abanye abafazi basengozini enkulu yokuphuhlisa i-OHSS kunabanye. Ugqirha wakho kufuneka athathe le ngqalelo ingqalelo ngaphambi kokuba ujikeleze unyango lwakho.
Ingozi yakho ye-OHSS ingaba phezulu xa ...
- Unayo i- PCOS .
- Uneminyaka engama-30 okanye ubuncinci.
- Amazinga akho e-AMH aphezulu.
- Uqulunqe i-OHSS kwixesha elidlulileyo.
- Uncinci okanye ungaphantsi.
Ukucacisa ama-hormone aphantsi, okanye ukusebenzisa ezinye iinkqubo zonyango, kunokunciphisa ingozi. Ugqirha wakho unokujonga ngokubanzi umjikelezo wakho.
Nangona i-OHSS iyakwenzeka kuphela emva kokuvuthwa, kukho imiqondiso ugqirha unokuyibukela loo nto inokubonisa ukuba umngcipheko uphezulu ngexesha lomjikelezo othile wonyango.
Ngokomzekelo, ukuba amaqanda akho ahlakulela "ezininzi" iifollicle ekuphenduleni izidakamizwa zokuzala, okanye amanqanaba akho e-estradiol akhula ngokukhawuleza, oku kungabonakalisa umngcipheko we-OHSS lo mjikelezo uphakamileyo.
Ugqirha wakho unokurhoxisa umjikelo wakho wonyango ukuba uyakrokrela umngcipheko wakho uphakamileyo. Ukuba unomjikelezo we-IUI, oku kunokuthetha ukukhansela ukutshatyalaliswa nokucela ukuba ungalalani ngesondo. Ukuba unayo i-IVF, nayiphi na iibrashi ezichumayo ezivela kumjikelezo wezokwelapha we-IVF zingaqanda kwaye zigcinwe zisetyenziswe ngexesha lomjikelezo.
Esinye sezizathu zokukhansela umjikelo wonyango kuba ukuba ukuba ukhulelwe, ukubuyiswa kwi-OHSS kunokuthatha ixesha elide. Ukukhulelwa kunokunyusa iHSSSS.
Enye inketho ugqirha wakho unokuthatha ukulibazisa i-ovulation ngeentsuku ezimbalwa. Unokumisela umchasana we- GnRH , oya kuthintela ukunyuka kwe-LH yomzimba, ukukhusela okanye ukulibaziseka. Okanye, ugqirha wakho unokukhawuleza ukulibala ukulawula i-hCG yokuqalisa ukudubula, isilwanyana esinobunzima esibangela ukuvuthwa.
Ukulahla i-ovulation ukunciphisa umngcipheko we-ovarian hyperstimulation syndrome ngamanye amaxesha kuthiwa "ukuguba."
Ukulibaziseka kweentsuku ezimbalwa kunokunciphisa umngcipheko kunye nobunzima, ngaphandle kokunciphisa kakhulu amathuba okukhulelwa okuphumelelayo.
Iingxaki eziqhelekileyo ze-OHSS
Ukuba ujikeleze unyango lwakho lukhansekile lunokuba ludimaze kakhulu. Unokulingwa ukuba ulale ngesondo ngokuchasene nomyalelo wakho ugqirha, ungafuni "ukuchitha" umjikelezo. Musa ukwenza oku!
I-OHSS ingaba yingozi kwaye isongela ubomi. Ukuba uhlakulela imeko enzima ye-OHSS kwaye ukhulelwe, umngcipheko wokukhulelwa kwesisu ungaba phezulu.
Ezinye zeengxaki ezinokwenzeka zeHSS ziquka ...
- Ukwakha i-Fluid kwimiphunga okanye esiswini
- Iimpawu zegazi ezinobungozi (ngokuqhelekileyo emlenzeni)
- Ukuhluleka kweengso
- I-ovary ephihliweyo (i-ovary iyanzima kakhulu nge-fluid, iguqula ubunzima bayo)
- I-cyst ovarian cyst
- Ukuphefumula okunzima
- Ukutshatyalaliswa kokukhulelwa
- Ukufa (okunqabile kakhulu)
Ukuthintela nokuPhathwa kwe-Ovarian Hyperstimulation Syndrome
Ugqirha wakho kufuneka alandele impendulo yomzimba wakho kwimichiza yokuzala kunye nokuhlolwa kwegazi kunye ne-ultrasounds.
Ukunyuka kwamazinga e-estrogen ngokukhawuleza okanye ama-ultrasound abonisa inani elikhulu lobupolisi obuphakathi nendawo zonke zibonakaliso zengozi ye-ovarian hyperstimulation risk syndrome.
Ukuba uhlakulela ityala elincinci le-ovarian hyperstimulation syndrome, mhlawumbi awudingi unyango olukhethekileyo.
Nazi ezinye izinto onokuyenza ekhaya ukuze uzive ungcono:
- Thatha i-pain-re-counter relievers, njengeTylenol.
- Ungazixhasi; kuthatha lula xa usubuyela.
- Nangona akufanele uzinikezele ngokwakho, ufanele ugcine umsebenzi othile wokukhanya. Ukuphumla kwebhedlele ngokubanzi kunokunyusa umngcipheko wezinye iingxaki.
- Beka iinyawo zakho phezulu. Oku kunokukunceda umzimba wakho ulahle umbane ogqityiweyo.
- Ukwabelana ngesondo kufuneka kugwenywe de uzive ungcono. Umsebenzi wesondo unokunyusa ukonakala kwakho, kwaye kwiimeko ezinzima kakhulu, kunokubangela ukuba i-ovarian cysts ivuza okanye iphule.
- Musa ukusela utywala okanye i- cafeinated drinks , ezifana nekhofi, i-colas okanye i-caffeinated energy drinks.
- Ukusela amanzi amaninzi, malunga neeklasi ezili-10 ukuya kwezi-12 ngosuku. Ukusela kunye ne-electrolytes, njengeGatorade, yinto enhle.
Ugqirha wakho uya kukunika imiyalelo malunga noko ukuyijonga kwaye nini ukudibana naye. Ukuba iimpawu zakho ziba nzima kakhulu, kufuneka uziqiniseke ngokuqinisekileyo. Unokukucela ukuba uzilinganise imihla ngemihla, ukujonga ukufumana ubunzima. Ukuba ufumana ufumana i-2 okanye ngaphezulu kwamakhilogremu ngosuku, kufuneka ubize ugqirha wakho.
Kwiimeko ezinqabileyo, unokufuna ukuba ube esibhedlele. Isibhedlele singabandakanya ukufumana izixhobo zamanzi ngamanzi (nge-IV), kwaye ziyakususa ezinye zezifo ezininzi kwisisu sakho ngokusebenzisa inaliti. Unako ukugcinwa esibhedlele ukuze uqaphelisise ukude iimpawu zakho zinciphise.
Ngokuqhelekileyo, iimpawu ziya kuncipha kwaye zihambe xa ufumana ixesha lakho.
Ukuba ukhulelwe, kunjalo, iimpawu zakho zingaphala ixesha. Kungathatha iiveki eziliqela ukuba uzive ungcono. Ukukhulelwa kunokukwenza ukuba iimpawu zibe zibi nakakhulu, ngoko ugqirha wakho uya kufuna ukujonga imeko yakho ngokucophelela.
> Imithombo:
I-ovarian hyperstimulation syndrome. I-Medical Encyclopedia, i-MedlinePlus.
I-ovarian hyperstimulation syndrome. I-Guideline Clearinghouse kaZwelonke.
I-Ovarian hyperstimulation syndrome: Izimpawu kunye neengxaki. MayoClinic.org.