Iingxaki ze-Endometriosis Infertility, Izonyango ezona ziPhambili zoMzimba wokuNyameka
Ukukhulelwa kwe- endometriosis kunokwenzeka, nangona kungenakufika lula. Ukufikelela kwisiqingatha sabasetyhini abane-endometriosis baya kunzima ukukhulelwa. Ubunzima bokuba neengxaki zokuzala kuxhomekeke kwiminyaka yakho , ukuzala komlingani wakho , kunye nendlela enzima ngayo i-endometriosis. Kulabo bazama ukukhulelwa, ukuhlinzwa okanye ukunyanga okunjenge-IVF kunokunceda.
Mhlawumbi uzama ukukhulelwa kancinci ixesha elithile, kwaye ngoku, emva kokuvavanywa kokuvuthwa kunye novavanyo lwe-laparoscopic ukuxilonga , ugqirha wakho ufumene ukuba une-endometriosis. Okanye mhlawumbi awuzange uqale ucinge ngokuba nabantwana okwamanje. Nangona kunjalo, emva kokuva ubuhlungu beplavic okanye ukunyamezela kokuya esikhathini , ugqirha wakho uphando kwaye wakufumanisa nge-endometriosis.
Noba imeko ingakhokelela ukuba uzibuze ukuba unayo nayiphi na ithuba lokukhulelwa.
Impendulo nguyebo. Unokukhulelwa nge-endometriosis. Akusiqinisekiso. Kodwa kwenzeka ngokwenene.
Qaphela: krokrelwa ukuba ezininzi izibini ezinokungabonakali okungachazwanga ziziganeko ezingafumanekiyo ze-endometriosis. Nangona ulwazi olungezantsi lubhekiselele kulabo bafumene i-endometriosis, ininzi yalo ingasetyenziswa kwizibini ezinokungabonakali.
Bangaphi Abasetyhini abane-Endometriosis Abangabonakaliyo?
Impendulo ihluka ngoxhomekeke kuphando lokuphanda.
Kuqikelelwa ukuba ama-30 ukuya kuma-50 ekhulwini kwabasetyhini abane-endometriosis baya kuba nama-infertility. (Ukungabi nantoni kuchazwa njengokungakwazi ukukhulelwa ngesondo emva komnyaka omnye.)
Abasetyhini abangenasifo-abangenakho ukuxilongwa ngokusemthethweni kwe-endometriosis okwangoku-banokuthi banokuthi babe ne-endometriosis.
Olunye uphando lufumene ukuba abasetyhini abangenabantwana abanamathuba amathandathu ukuya kwisibhozo amathuba okuba ne-endometriosis kunabo abangenakukhulelwa ukukhulelwa.
Kwakhona, kwesinye sezibini ezine ezifumana ukuxilongwa kwe-infertility engachazwanga , kucingelwa ukuba abaninzi babo banokubambisana nokuphela kwe-endometriosis. Nangona kunjalo, ngenxa yokuba i-endometriosis inokuthi ifunyanwe kuphela ne-diagnostic diagnostic laparoscopic ukuhlinzwa, kubonakala ngathi akukho "isizathu" sokungabikho komntwana.
Kwiibini ezitshatileyo ezingenakuchazwa kwaye kungekho buhlungu be-pelvic, nokuba ingaba utyando (okanye mhlawumbi unyango olugqithiseleyo) uphethiriosis ingumxholo ophikisanayo.
Ngaba Ndiyakwazi Ukufumana Umzimba Okhulelwe Ngokwemvelo Ne-Endometriosis?
Ukuba uye wafumanisa ukuba une-endometriosis ngaphambi kokuba ucinge ngokukhulelwa, ngaba kukufanelekile ukuzama ukukhulelwa ngokwakho kuqala, ngaphambi kokuba ufune unyango? Ewe.
Kakade, kufuneka uhlale uthetha nogqirha wakho malunga nemeko ethile. Kodwa i-endometriosis ayithethi ngokuthe ngqo ukuba uya kuba ne-infertility.
Nangona kunjalo, ukulandela isiluleko esiqhelekileyo sokuzama unyaka ngaphambi kokufuna uncedo lokuzala akukhuthazwa.
Endaweni yoko, zama ezinyangeni ezintandathu ngokwakho. Ukuba awukukhulelwa, sicela uncedo.
Abanye abasetyhini abane-endometriosis banokugqiba ekubeni baqonde ngqo kwizakhono zokuzala kwaye bangazami ukukhulelwa ngokwemvelo kuqala. Oku kuyona khetho.
Ukuba uneminyaka engama-35 okanye ngaphezulu, ungafuni ukuthatha ixesha ukuzama ukukhulelwa ngokwakho. Ukuzala kwakho kwemvelo kuyancipha ngeminyaka ngokukhawuleza kwinqanaba emva kweminyaka yobudala engama-35, kwaye ezo zinyanga ezintandathu ezongezelelweyo-ngokukodwa ngenxa yokuba sele uyazi ukuba unayo i-endometriosis-isenokungabulumko.
Njengoko rhoqo, xubusha imeko yakho kunye nogqirha wakho.
Ngaba Unokuthathwa Njani Unyango Lwe-Endometriosis-Intlungu Echaphazelekayo Impembelelo Yam?
Abafazi abane-endometriosis, abangazami ukukhulelwa, kaninzi banikezwa izidakamizwa zokulawula ukuzala ukunciphisa iimpawu zentlungu.
Kucacile ukuba, ukuba uthatha iipilisi zokulawula ukuzala, awukwazi ukukhulelwa. Oku kuphela kwesikhashana. Emva kokuyeka ukuthatha iipilisi zokulawula ukuzalwa , ukuzala kwakho kwendalo kuza kubuya.
Kwakhona kubalulekile ukwazi ukuba iipilisi zokulawulwa kokuzalwa aziphilisi okanye "ziphathe" i-endometriosis. Bazama ukunciphisa iimpawu ezingenakuzikhusela ngokukhupha ama-hormone ezondla kwiimali zokugcina i-endometrial.
Kwiimeko zokumodareyitha kwi-endometriosis enzima, utyando lungafuneka ukuba lususe izilonda ze-endometrial okanye i-cysts. Uphando lunokunciphisa intlungu, kodwa imisebenzi ephindaphindiweyo inokubangela iisisindo ezinqabileyo. Iimpawu ezibomvu zinokunyusa umngcipheko wokungazinzi kwaye zandisa intlungu.
Kwiimeko ezinzima kakhulu ze-endometriosis, i-uterus, amaqanda, okanye i-ovaries inokususwa. Oku kuza kuba nefuthe lakho lokuzala.
Kufuneka uqaphele ukuba ukutshatyalaliswa kokutshatyalaliswa kwezitho zakho zokuzala akuyiphilisi ye-endometriosis. Usenokuba neentlungu.
Ngaphambi kokuba uqhutywe, xela udokotela wakho ozalisayo ngokubanzi malunga nezicwangciso zakho zokuzala. Qinisekisa ukuba unolwazi olupheleleyo malunga nazo zonke iingozi kunye nezibonelelo.
Yintoni Eyenza Ukukhulelwa Ngayo I-Endometriosis Kunzima?
Asiyiqondi ngokupheleleyo indlela i-endometriosis ifuthe ngayo.
Xa i-endometriosis ibangela i-ovarian cysts (enokuphazamisa i-ovulation), okanye i-endometrial scarcues blocks i-tublopian tubes , isizathu sokungabikho kwengqondo sicaca.
Nangona kunjalo, abafazi abane-endometriosis abangenayo i-endometrial ovarian cysts okanye ama-tublopian tubes avinjiweyo basenokuthi banokunciphisa ukuzala.
Nazi ezinye iingcamango ezinokwenzeka ukuba kungani i-endometriosis yenza kube nzima ukukhulelwa.
Ukuphazamiseka okanye izithintelo zezitho zokuzala : Izilonda ze-Endometrial zingabangela ukuba i-tissue-or adhesions-ifake. Ezi zinto zinamathele kwizitho zokuzala, zikhupha amandla abo okusebenza ngokuqhelekileyo.
Iingxaki zingaphinde zenze i-fallopian tube blocking, ekwazi ukuzenza iqanda nododa ekuhlanganisweni.
Ukuqhaqhazela ngokubanzi : Inxaxheba ebalulekileyo yokuvuvukala komzimba kunye nokungabikho komntwana kuyisifundo sophando oluqhubekayo. Ukwanda kokuvuvukala emzimbeni kubonakala kuhambelana nokungazinzi.
Abasetyhini abane-endometriosis baneempawu ze-biochemical of inflammation. Kodwa ingabe i-endometriosis ibangela ukuvuvukala? Okanye ngaba ukuvuvukala kwandisa i-endometriosis? Kwaye kuhambelana njani nokungabikho kwengqondo?
Esingazi.
Ubunzima bokuveliswa kombungu: Nangona i-endometriosis yimeko eyenza i-endometrial-like tissue ikhule ngaphandle kwesibeleko, inokuchaphazela i-endometrium ngokwayo. Amazinga okufakela embryo aphantsi kwabesetyhini abane-endometriosis.
Nangona kunjalo, kunokwenzeka ukuba amazinga angaphantsi kwama-embryo ama-implantation rates avela kwiingxaki ze-endometrium kodwa zihambelana nomgangatho weqanda ompofu.
Olunye uphando nge-IVF lufumene ukuba abafazi abane-endometriosis abasebenzisa amaqanda abanikizi banemilinganiselo efanayo ye-embryo yokufakela ama-embryo amazinga kwabesetyhini ngaphandle kwe-endometriosis.
Ukunciphisa iqanda nomgangatho wobumbungu: Abasetyhini abane-endometriosis banokuba nobuncinci beqanda. Iimbrus ezivela kubasetyhini abane-endometriosis zikhula zithe gqolo kunomyinge.
Kwakhona, xa umnikeli weqanda ephethe i-endometriosis, kwaye loo maqanda asetyenziswa kwintombi engenayo i-endometriosis, i-embryos ekhulayo ibonakala ibe yimigangatho ephantsi kwaye amazinga okufakela amaxabiso achaphazelekayo.
Ngaba iinjongo ze-Endometriosis (Amanqanaba weZifo) zibonisa izibizo zokungenzi lutho?
Ugqirha wakho usenokubhekisela kwi-endometriosis yakho ngokwemigangatho. Ngethuba lokuhlinzwa, ugqirha wakho uqwalasela indawo, isixa, kunye nobunzulu be-depository deposits. Ngokusekelwe kulo, ulinganisa izinga le-endometriosis yakho.
Kukho isigaba I, iSigaba II, iSigaba III, kunye neSigaba IV.
Ezi zigaba zisetyenziselwa ukuchaza nokuhlola ubunzima be-endometriosis, kunye neSigaba I sibe yi-endometriosis emnene, kwaye iSigaba IV sinzima.
Kodwa ngaba ezi zigaba zithetha nantoni na ngokubhekiselele kwenzalo yakho okanye ubunzima bakho bokukhulelwa?
Ewe kunye no.
Abafazi abaneSigaba se-I kunye ne-II endometriosis abanamathuba amaninzi okufumana ukungabikho komntwana kunabasetyhini abaneSigaba III no-IV.
Kwakhona, isigaba se-endometriosis sinokukunceda ugqirha wakho afike ngecebo lokunyanga.
Ngokomzekelo, ibhinqa ene-Stage II endometriosis ingafuna ukuzama ukukhulelwa yedwa. Iwesifazane ene-Stage IV endometriosis inokuqhubeka ngokuthe ngqo kwi-IVF .
Nangona kunjalo, isigaba sakho se-endometriosis asikwazi ukuqikelela ukuba ngaba unyango lwezityalo luya kuphumelela okanye lungaphumelelanga kuwe.
Kunokwenzeka ukuba ube ne-Stage II endometriosis kwaye uphumelele kwiyeza ezininzi ze-IVF. Kwaye kunokwenzeka ukuba ube neCote IV endometriosis kwaye ukhulelwe kumjikelezo wakho wokuqala.
Esinye isizathu se-endometriosis isiteji asikwazi ukuqikelela ukuba zakho iingxaki zokukhulelwa ngempumelelo kukuba zikho izinto ezininzi zokuzala. Ibhinqa elinemigangatho ye-Endometriosis yesigaba se-IV ingaba ne-ovulation dysfunction. Okanye kunokubakho imicimbi yongxaki yokungabikho komntwana yokuqwalasela.
Ezantsi: Musa ukubeka ubunzima obukhulu kwisigaba se-endometriosis yakho.
Ngaba Ndibuhlungu Kangakanani Ubunzima Ndibufumana Ngaphambili Kwamathuba Angamathuba Okukhulelwa?
Hayi.
Oku kuyingxenye kuba ubuninzi beentlungu ozifumanayo akuhambelani nxamnye nobukhulu be-endometriosis.
Nangona i-endometriosis enzima iqala ukuza kubuhlungu, kunokwenzeka kwakhona ukuba i-endometriosis ibe yintlungu. Kuya kuxhomekeka apho idiphozithi ze-endometrial zikhona khona.
Intlungu eninzi ayithethi ukuba kuya kuba nzima ukuba ukhulelwe xa kuthelekiswa nomfazi onentlungu encinane.
Ziziphi iindlela zonyango ezona zininzi eziphumelelayo kwi-Endometriosis?
Unonophelo oluninzi ngonyango ngamnye lwe-endometriosis-infertility-infertility yonyango lwe-IVF . Oko akuthethi ukuba kufuneka okanye uqale apho.
I-IVF iyabiza kwaye ingabonakali. Nokuba ngaba unesisu esihle kakhulu sokukhulelwa, akusenokuba yinto yokuqala yokuqala.
Isicwangciso sakho sokhathalelo siya kuxhomekeka kwinqanaba le-endometriosis yakho nokuba ingaba i-endometriosis yedwa yimbangela yokungakwazi ukuzala . Ugqirha wakho uya kuqwalasela iminyaka yakho.
Ukunyanga izidakamizwa kuphela akukhuthazelwanga ngokuqhelekileyo kubafazi abane-endometriosis. Abayikuphucula ngokukodwa ukulingana kwamaxabiso xa kuthelekiswa nokulawula okulindelekileyo. (Ulawulo olulindelekileyo luqhubeka luzama ngaphandle kokonyango.)
Kwababhinqa abane-Stage I okanye ii-endometriosis, izidakamizwa zokuzala ezine-intrauterine insemination (i-IUI) ngokuqhelekileyo isicatshulwa sokuqala. Oku kuya kwenziwa ngeComomid okanye nge-gonadotropins .
I-Clomid ne-IUI ivame ukuqala okokuqala ngenxa yokuba umngcipheko wokukhulelwa okuphindaphindiweyo nokuphuhlisa i- ovarian hyperstimulation syndrome (OHSS) iyancipha kunokuba i-gonadotropin.
Ukuba iziyobisi zonyango kunye ne-IUI aziphumelelanga, ngoko i-IVF iyona nyathelo elilandelayo eliphakanyisiweyo.
Nangona kunjalo, i-IVF ngamanye amaxesha iyona nto ibhetele yokuqala kunyango lwe-endometriosis.
Abafazi abahamba ngqo kwi-IVF baquka ...
- Abo bane-Endometriosis yeSigaba III okanye IV
- Abasetyhini abangaphezu kweminyaka engama-35
- Imibhangqwana nezinye izinto ezinzima (ezinjengobunzima bendoda okanye i-ovarian low reserves )
- Abafazi abaneSigaba se-I okanye II-endometriosis abakhetha ukuhamba ngqo kwi-IVF, nangona iindleko ezongeziweyo kunye nobume obungenayo yenkqubo
Kubalulekile ukuqaphela ukuba i-IVF ayilona ukhetho kuzo zonke izibini.
Abanye bakhetha ukungaqhubeki lo unyango olunzulu , kwaye abaninzi abatshatileyo abakwazi ukuwufumana .
Kulezi zibini, ukuba iindidi ezininzi ze-IUI kunye neziyobisi zokuzala aziphumelelanga, ezinye iindlela zokukhetha-njengokwamkelwa okanye ubomi obungabantwana-kunokuqwalaselwa.
Ziziphi iingxaki zokuPhathwa kweZenzalo Impumelelo nge-Endometriosis?
Kuhlolisiso lwabasetyhini abangabonakalwanga ukungabonakaliyo (okusoloko kukhankanywa ukuphela kwe-endometriosis) okanye ukulungiswa kwe-endometriosis, isantya sokukhulelwa nganye ngumjikelezo we-9,5 weepesenti kulabo basebenzisa i-Clomid ne-IUI, xa kuthelekiswa nama-3.3 ekhulwini kulabo basebenzise kuphela ukulala kwesondo .
Umlingo ongenamagama angama-49 abafazi abane-Stage I okanye i-II endometriosis bafanisa amazinga okukhulelwa kwabasetyhini abafumana imijikelezo emithathu ye-gonadotropins kunye ne-IUI kunye nabasetyhini abaqhubeka bezama ngaphandle kokunyanga ukunyanga ukunceda ezinyangeni ezintandathu.
Izinga lokukhulelwa ngomjikelezo kulabo bafumana i-gonadotropins kunye ne-IUI babengama-15 ekhulwini. Iqela elingathatyathwa lilinomyinge wokukhulelwa ngamnye umjikelezo we-4.5 ekhulwini.
Kuthiwani ngeempembelelo ze-IVF impumelelo ?
Ngokomnye uphando, izinga lokukhulelwa eliqhelekileyo ngomjikelezo ngamnye kwabasetyhini abane-endometriosis bekuyi-22.2 yeepesenti.
Oku kuncinci ngaphantsi kwezinga lokuphumelela kwe-IVF kwabasetyhini abanezinye izizathu zokungabikho.
Ngokuqhelekileyo, i-endometriosis inxulumene neenombolo ezincinci zokubuyisela amaqanda, amazinga okunyusa okuphantsi, kunye namazinga aphantsi kokukhulelwa, xa kuthelekiswa nezinye izizathu zokungabikho.
Ukugqiba amazinga okuphumelela kwe-IVF kwabasetyhini abane-endometriosis kunzima. Uninzi lwezibini ezijongene ne-IVF zonyango zijongene neminye imiba yokuzala, ngaphaya kwe-endometriosis.
Olunye uphando luzama ukuphanda iingxaki, zombini kwizibini ezine-endometriosis kuphela njengengxaki yabo yokungabikho komntwana kunye nalabo abane-endometriosis ngaphezu kweminye imiba yokuzala.
Bafumanise ukuba kwiimeko ezinqabileyo xa i-endometriosis yinto ebonakalayo yokuzala, inqanaba lokuzalwa elifanayo lifana nelinye okanye liphezulu kunaloo one-diagnostic infertility.
Nangona kunjalo, xa i-endometriosis inikezela ngeengxaki ezongezelelweyo zokuzala, ixabiso lokuphumelela liphantsi kakhulu xa lithelekiswa nezinye iibini ezinengxaki.
Impumelelo yakho ye-IVF yimpumelelo iya kuxhomekeka kwiminyaka yakho kunye nantoni na izinto ezinokuzala ezijongene nazo. Thetha ugqirha wakho malunga nemeko ethile.
Ingaba i-IVF Treatment iWorth Endometriosis Pain?
Kukho ukukhathazeka ukuba unyango lwe-fertility lunokubangela ukonakalisa intlawulo ye-endometrial, kwaye kukhokelela intlungu enyukayo. Iingcamango zilandelayo kukuba izidakamizwa zokuzala zingabangela ukuba idiotriyamu ixhomekeke kwi-estrogen ekukhuleni okanye kwanda kwinani.
Kukho iimeko ezizimeleyo zabesetyhini abafumana intlungu eninzi xa bethatha unyango lwe-IVF unyango. Nangona kunjalo, uphononongo alufumananga ngoku ukuba olu sebenza kwibhodi.
Ucwaningo olunye, umzekelo, ukhangela izigulane ezingama-200 ze-IVF, malunga nesiqingatha kunye ne-endometriosis kunye nesiqingatha esingenayo i-endometriosis. Iqela le-endometriosis alizange lenze intlungu okanye ubunzima obugqithiseleyo bobomi xa kuthelekiswa nabasetyhini ngaphandle kwesi sifo.
Ngaba i-Endometriosis Yandisa Ingozi Yakho Yokutshatyalaliswa?
Ekubeni i-endometriosis inokunyusa umngcipheko wokungapheli, ingaba kwandisa ingozi yokukhulelwa? Impendulo nguwe ewe, kodwa ngakumbi kubasetyhini abanokuphelelwa kwesifo se-endometriosis (ngokuchasene nabasetyhini abane-endometriosis kodwa abazange banciphise ukuzala.)
Olunye uphando lubhekise malunga nabesifazane abangama-270, kwaye ba the lekisa nalabo abangenalo i-endometriosis. Kwakhona bathatha ingqwalasela yobunzima be-endometriosis.
Bafumene ukuba, ngokubanzi, abafazi abane-endometriosis babenokukwazi ukufumana ukulahleka kokukhulelwa. Isantya sokusweleka komzimba kwabasetyhini abane-endo sasingama-35 ekhulwini, xa kuthelekiswa nama-22 ekhulwini kulabo abangenasifo.
Kuyathakazelisa ukuba bafumene ukuba abafazi abafumene ukuba ne-endometriosis ephantsi (isigaba soku-1 okanye se-2) bekunokwenzeka ukuba bafumane ukuphuphuma kwesisu kunabo abanesigaba se-3 okanye 4 se-endometriosis, iipesenti ezingama-42 ziqhathaniswa nama-31 ekhulwini.
Iingcamango emva kwalokhu i-endometriosis enobubele inokudibaniswa nokunyuka okubanzi.
Ngaba unyango lwe-Endometriosis luphucula ukwanda?
Isisombululo esinye sezizathu zokutshatyalaliswa ngokukhawuleza kweziphophelo ze-endometrial kukunciphisa iimpawu zentlungu. Oku kuya kwenziwa ngexesha elifanayo lokuxilongwa.
Kodwa ngaba ukuhlinzwa kuphucula ukwanda kubasetyhini abane-endometriosis?
Kwabo abane-endometriosis enamandla, utyando lubonakala luphucula ukwanda kwaye mhlawumbi luphucula impembelelo yokuphumelela unyango lokuzala.
Nangona kunjalo, unyango oluphindaphindiweyo aluyikuphucula ukwanda.
Kuthiwani ngabasetyhini abane-endometriosis enokumodareyitha? Ezinye iifundo zifumene amancinci kodwa ziphucule kakhulu amazinga okuzalwa ngokuphila emva kokungenelela kwabasetyhini abane-Stage I okanye ii-endometriosis.
Kucingelwa ukuba abaninzi abantu abasetyhini abangenalwazi abangenalucalulo banokuphela kwe-endometriosis. Ngaba utyando luyalungelelaniswa kwezi ziko, ukuxilonga kwaye mhlawumbi ukususa idiphozithi ze-endometrial (xa zifunyenwe)?
Oku kungathandabuzekiyo.
Ukuba loo ntokazi ayinayo intlungu, ingozi yokuhlinzwa ingaphezu kweenzuzo zokuzala.
(Hlalani nikhumbule inzuzo iya kusebenza kuphela ukuba loo mfazi unesifo se-endometriosis, kwaye angenakho.Ngokwenziwe ngophando olunye, kuzo zonke ii-40 zokuhlinzwa / iziganeko, ukukhulelwa okunye kuya kubakho.
Ugqirha ukuze uhlolisise kwaye ususe idiphozithi ze-endometrial inobungozi. Kwakhona, kwezinye iimeko, kwandiswe iimpawu ze-endometriosis okanye kwanokubangela umonakalo ophezulu wokuzala. Ukuhlinzwa kungakhokelela ekumanyeleni, okungonakalisa ukuzala kwaye kubangele ubuhlungu. Ukususwa kwee-cysts ze-endometrial ovarian kunokunciphisa ama-ovarian reserves.
Thetha ugqirha wakho malunga nokuba unyango oluchanekileyo lukulungele. Ukuba awuqinisekanga, ungesabi ukufumana umbono wesibini.
> Imithombo:
> Gibbons, uWilliam E .; Hornstein, uMark D. "Unyango lokungabikho komntwana kwabasetyhini abane-endometriosis. " Isemgangathweno.
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