Iindlela zokuphila kunye noKhetho lweZonyango lweZonyango kwi-PCOS
I-Polycystic ovarian syndrome (i-PCOS) yenye yezona zizathu eziqhelekileyo zokusweleka kwezesetyhini, ezichaphazela ukuqikelelwa koomama abazizigidi ezi-5. Kodwa unokukhulelwa nge-PCOS. Kukho inani lezonyango ezisebenzayo zonyango, ukusuka kwiComomid ukuya kwi- gonadotropins ukuya kwi- IVF .
Uninzi lwabasetyhini luyakwazi ukukhulelwa ngokudibanisa neenguqu zokuphila kunye neziyobisi.
Nangona abanye abesifazana abane-PCOS baya kufuna i-IVF, uninzi lwabantu luza kukhulelwa ngokusebenzisa unyango oluphantsi lwezobuchwepheshe.
Nazi ezinye zeendlela ozikhethayo kunye nodokotela wakho.
Ukulahlekelwa Isisindo Ukuqalisa Ukuvuthwa
Abaninzi (kodwa kungekhona bonke) abafazi abane-PCOS balwa nokunyanya. Oku kungenxa yokuba i-PCOS iyichaphazela kakubi indlela umzimba wakho uqhuba ngayo i-insulin, enokuthi, inokubangela ukuzuza ubunzima.
Esinye sezizathu eziphambili kubafazi abane-PCOS abakwazi ukukhulelwa ukuba abayikuvuthwa. Okanye abavumi rhoqo. Abasetyhini abane-PCOS abangaphezu komzimba kakhulu banako ukufumana ukugqithisa okukhulu, ukuya kwiinyanga phakathi kwexesha.
Izifundo ziye zafumanisa ukuba ukulahlekelwa kwesinye isisindo esongezelelweyo kunokubuyisela ukuvuthwa.
Akufanele ulahlekelwe bunzima bonke. Ngokutsho kophando, ukulahlekelwa ngu-5 ukuya kwi-10% wesisindo sakho sangoku kunokwanela ukuqaqa-qalisa ukuhamba kwakho kwemizi.
Ngelishwa, akukho ubungqina obuninzi bokuthi ukulahlekelwa isisindo kuya kukunceda ukhulelwe.
Usenokufuna iziyobisi zokuzala. Uphando lufumene ukuba abafazi abalahlekelwe isisindo banethuba elihle lokufumana unyango lwempatho.
Ukulahlekelwa isisindo akulula kumntu, kwaye kunokuba nzima nakakhulu kulabo abane-PCOS.
Qinisekisa ukuba ugqirha wakho uvavanya amanqanaba akho e-insulin. Ukuba unesifo se-insulin, ukuthatha i-diabetes ye-drugform metformin kunokunyanga ukuxhatshazwa kwe-insulin kwaye kunokukunceda ulahlekelwe ngumlinganiselo obalulekileyo.
Oku kunokukunceda ukuba ukhulelwe .
Ukutya, Ukuzivocavoca, kunye ne-PCOS
Ukutya ukutya okunempilo kubaluleke kakhulu kubasetyhini abane-PCOS. Oku kuyingcipheko ngenxa yengozi ephezulu yokuba yongaphezu komzimba, kwaye ngenxa yenkxalabo yemizimba yabo ngokumisela i-insulin.
Ingaba kukho ukutya okulungileyo kwi-PCOS? Le ngongoma yempikiswano.
Ezinye iziphumo zithi i-carb efanelekileyo yokutya yinto efanelekileyo kwi-PCOS, kodwa ezinye iingcali azifumani nzuzo ephantsi.
Into ebaluleke kakhulu kukuqinisekisa ukuba ukutya kwakho kucebile ukutya okunomsoco kunye neprotheni eyaneleyo kunye nokutya okushukela ophezulu. Ukuphepha ukutya okungafunekiyo kunye nokutya okucwangcisiweyo kukubheja phambili kwakho.
Ukuzivocavoca rhoqo kuye kwafunyanwa ukunceda ngeempawu zePCOS. Kwisifundo esinye, ukudibanisa ukuhamba ngokukhawuleza nokutya ukutya okunempilo kunokuphucula ukuhamba kwexesha lokuhamba kwimizuzu ngama-50%.
Kungakhathaliseki ukuba ukutya kunye nokuzivocavoca wedwa kunokukunceda ukuba ukhulelwe akucaci. Nangona kunjalo, indlela yokuphila enempilo inokukunceda unyango lwakho lube ngcono, kwaye ngokuqinisekileyo luyakunceda uzive ungcono.
Njengokulahleka kwesisindo, kuyafaneleka ukuba umzamo ukuba ufuna ukukhulelwa.
Ukwelashwa kweMetformin
I-Metformin isifo se-diabetes esetyenziselwa ukunyanga ukuxhatshazwa kwe-insulin. Ngamanye amaxesha kuchazwe kubasetyhini abane-PCOS, nokuba ngaba abayixhomeki kwi-insulin.
Ukusebenzisa i-metformin ye-PCOS ithathwa njenge-off-label usetyenziso. Nangona kunjalo, isilwanyana sinokukhuseleka kwaye sinokukunceda abafazi nge-PCOS ukuba bakhulelwe.
Ngokomphando, i-metformin inakho ...
- Kukunceda ulahlekelwe isisindo
- Qalisa kwakhona imijikelezo yesihlandlo rhoqo
- Ukuphucula ukusetyenziswa kweziyobisi ezithile
- Ukunciphisa izinga lokukhulelwa kwesisu
Ukwelashwa kweComid
I-Clomid iyona mfuyo esele isetyenziswa ngokuqhelekileyo, kunye neyonyango eqhelekileyo esetyenziswayo kwabasetyhini abane-PCOS. Abaninzi abafazi abane-PCOS baya kuba nemizimba kunye neClomid.
Nangona kunjalo, akuphumelelanga kuwo wonke umntu. Abanye abesifazana abane-PCOS baya kuba noxinzelelo lwe-Clomid . Yilapho i-Clomid ingabangeli i-ovulation njengoko kulindelwe.
Uphando lufumene ukuba inhlanganisela ye-metformin ne-Clomid inokunceda ukubetha i-Clomid ukumelana.
Ukuba le nto ayiphumeli, ugqirha wakho unokuqwalasela i-letrozole yeyeza.
Unyango lweZonyango kunye neLetrozole
I-Letrozole, eyaziwa ngegama layo elibizwa ngokuthi yi-Femara, ayiyilisi yesityalo kodwa isetyenziswa rhoqo njengowesetyhini nge-PCOS.
I-Letrozole ngokwenene imithi yomhlaza. Nangona kunjalo, uphando lufumene ukuba lunokuba lusebenza ngakumbi kuneComomid ekukhuthazeni i-ovulation kubasetyhini abane-PCOS.
Musa ukwesaba ngenxa yokuba isilwanyana senzelwe okokuqala njengomhlaza wesiza. Imiphumo emibi ilula, kwaye iphandwe kakhulu kubafazi abazama ukukhulelwa.
I-Gonadotropins ye-PCOS
Ukuba i-Clomid okanye i-letrozole ayiphumelelanga, isinyathelo esilandelayo siyizidakamizwa zokuzala okanye i-gonadotropins.
I-Gonadotropins zenziwe ngamaHhommoni e-FSH, i-LH, okanye ukudibanisa ezimbini. Amagama ebrama ongaqaphelayo yiGonal-F, Follistim, Ovidrel, Bravelle, kunye neMenopur.
Ugqirha wakho unokubonisa ukudibanisa umlomo kunye neziyobisi ezinobungozi. Ngokomzekelo, iComomid ene "trigger" edutshulwa ye-LH emjikelezweni.
Enye inokwenzeka umjikelezo kunye ne-gonadotropins nje.
Okanye, ugqirha wakho unokubonisa ukuba i-gonadotropins inenkqubo ye-IUI (intrauterine insemination). IUI ibandakanya ukubeka isambulo esithile ngokuthe ngqo kwi-uterus nge-catheter. Isiza sinokuvela kumniki wesini okanye iqabane lakho.
Enye yemingcipheko ye-gonadotropins yintsholongwane ye-ovarian hyperstimulation syndrome (OHSS). Yilapho ama-ovari athatyathwa kakhulu kumyeza wokuzala. Ukuba ungakhange uxoxwe okanye unzima, kungaba yingozi.
Abafazi abane-PCOS basengozini enkulu yokuphuhlisa i-OHSS. Ugqirha wakho angasebenzisa izilwanyana ezisezantsi zezilwanyana zokukhusela ezikhuselweyo ukuze ziphephe oku. Ngokufanelekileyo, ugqirha wakho kufuneka asebenzise i-dose esebenzayo kakhulu.
Ngethuba lokunyanga, ukuba unayo nayiphi na impawu ye-OHSS, qiniseka ukuxelela ugqirha wakho.
I-IVF (kwi-Vitro Fertilization) okanye i-IVM (kwi-Vitro Maturation)
Ukuba i-gonadotropins ayiphumeli, isinyathelo esilandelayo yi-IVF okanye i-IVM.
Kusenokwenzeka ukuba usele uvile nge-IVF, okanye kwi-vitro fertilization. I-IVF ibandakanya ukusetyenziswa kweziyobisi ezinobungozi zokuvuselela ii-ovari ukuze zinike inani elincinane lamaqanda aqolileyo.
Amaqanda afunyanwa kwii-ovari ngexesha lenkqubo eyaziwa ngokuba yi-egg recovery.
Lezo maqanda zibekwe ndawonye kunye nesidoda kwisitya sePetri. Ukuba konke kuhamba kakuhle, isidoda siya kuzalisa amanye amaqanda.
Emva kokuba iiqanda ezichumisiweyo ziye zaphakathi kweentsuku ezi-3 ukuya kwezi-5 ukuze zihlukane kwaye zikhule, enye okanye ezimbini zithunyelwa kwisibeleko. Le nkqubo iyaziwa njengotshintsho lombungu.
Kwiiveki ezimbini kamva, ugqirha wakho uya kuyala uvavanyo lokukhulelwa ukuze ubone ukuba umjikelezo uphumelele okanye awuyi.
- Yonke Nge-IVF
- IVF: Isinyathelo ngeNyathelo
- IVF kunye neveki ezimbini zilinde
- Ixabiso le-IVF lingakanani?
Njenga-gonadotropin unyango wodwa, enye yeengozi ze-IVF, ngakumbi kubasetyhini abane-PCOS, iyanqumla ama-ovari.
Yilapho i-IVM ingena khona.
I-IVM imele ukuvuthwa kwe-vitro . Esikhundleni sokukunika amayeza aphezulu okusebenzisa izidakamizwa ukunyanzelisa amaqanda akho ukuvuthisa amaqanda amaninzi, kunye ne-IVM ufumana ngaphandle kweziyobisi zokuzala okanye amanqanaba aphantsi kakhulu.
Ugqirha uyayifumana kumaqanda amaqanda omzimba, abuye aqokelele ebhodini. Ngenxa yoko igama elithi in vitro (kwibhaby) lokuvuthwa (ukukhula).
I-IVM ayinikezelwa kuzo zonke iiklinikhi zokuzala. Oku kuyinto ekufuneka uyiqwalasele xa ukhetha iklinikhi yokuzala.
Imithombo:
Moran LJ1, Hutchison SK, Norman RJ, Teede HJ. "Indlela yokuphila iguquka kubafazi abane-polycystic ovary syndrome." I- Cochrane Database Syst Rev. 2011 Feb 16; (2): CD007506. i-doi: 10.1002 / 14651858.CD007506.pub2. http://www.ncbi.nlm.nih.gov/pubmed/21328294
Mahoney D1. "Indlela yokuphila yokuguquka kwindlela yokuphila kwintsizana engapheliyo kunye nabancinci abafazi abane-polycystic ovary syndrome." UJ Am Assoc Umhlengikazi . 2014 Juni; 26 (6): 301-8. I-doi: 10.1002 / 2327-6924.12073. Epub 2013 Sep 3. http://www.ncbi.nlm.nih.gov/pubmed/24170708
Iphepha lephepha le-ovary syndrome (PCOS). Womenshealth.gov. Ifike ngomhla ka-Agasti 31, 2015. https://www.womenshealth.gov/az-topics/polycystic-ovary-syndrome
Kuyintoni ukukhula kwe-Vitro? Ishiti yeenyani. Umbutho weMithi yoBubele. Ufikelele kuSeptemba 2, 2015. http://www.sart.org/FACTSHEET_What_is_in_vitro_maturation_IVM/