Uvavanyo lwe-Ovarian reserve yinxalenye ebalulekileyo yokuvavanya ukuzala kunye nesinyathelo esibalulekileyo ngaphambi kokunyanga kwe-IVF . Olunye uvavanyo lwe-ovarian reserve lucacile ukwenza kwaye lunokuvela ngaphambi kwexesha lokuvavanya kwakho nokunyanga. Ezinye iimvavanyo zinkimbinkimbi okanye zingabonakali, kwaye azinakwenziwa uze ufike kwikliniki yokuzala kwaye ucinge unyango lwe-IVF.
Sithetha ntoni kwii-ovarian reserves?
Yintoni eyenzekayo xa iziphumo zakho zingakhange zikhangele kakuhle, okanye ukuba iziphumo zakho zilungile kakhulu ? Yaye konke oku kudlala njani kwiwashi yakho ye-biological?
Yintoni ebonakalayo kwii-Ovarian Reserves zakho
Xa oogqirha bexoxa malunga neendawo zokugcina ii-ovarian, bakhuluma ngobuninzi bamaqanda kuma-ovari.
Xa sithetha ubungakanani, kulo mzekelo, asikhulumi ngokubala ngokuthe ngqo. Kukho akukho ndlela yokukwazi ngokuchanekileyo ukuba mangaphi amaqanda angamaqanda amaqanda.
Ngokukodwa, ukuba neendawo ezikhuselekileyo ze-ovarian reserves kuthetha ukuba impumelelo ye-IVF yonyango impumelelo iphantsi. Iindawo ezikhuselekileyo ze-ovarian zikhuphula iingxaki zokukhishwa kwe-IVF. Yilapho unyango lugqityiwe phakathi komjikelezo kuba izidakamizwa zokuzala zahluleka ukukhuthaza ii-ovari ukuvelisa amaqanda aneleyo.
Intombazana izalwa nayo yonke amaqanda awaya kuba nayo. Njengoko intombazana ikhula, inani leeqanda ezinamaqanda akhe liyancipha. Umgangatho weeqanda nawo uyancipha, obangela ingozi eyongezelelekileyo yokuphuphuma kwesisu nokukhubazeka kwabazali kuma- 35 nangaphezulu .
Kodwa njengokuba nawe uyazi ngamava, iminyaka yobudala akuyona yodwa into ebuninzi ngobungakanani kunye nomgangatho wamaqanda kwi-uterus.
Kungenzeka ukuba umfazi omncinci abe nenani elingaphantsi ngokungaqhelekanga lamaqanda kumaqanda akhe. Kwakhona kunokwenzeka ukuba ibhinqa elingama-40 angaphantsi ukuba libe nombolo ongentla ngenani lamaqanda kuma-ovari ayo xa kuthelekiswa namanye amabhinqa.
Le yilapho ukuhlolwa kwe-ovarian yokuhlola kufike khona.
Iimvavanyo zokugcina i-Ovarian zinokukunceda ugqirha wakho ukuba acinge ukuba ungasabela kakuhle okanye ungcono kunokuba ulindelwe, ngokumalunga nabanye abafazi bakho.
Ukuhlolwa kwe-Ovarian ukugcinwa kwezizathu ezibini ezibalulekileyo: ukuxilongwa kwesizathu sokungabikho kwengqondo kunye nokuqonda indlela ama-ovari akho angayiphendula ngayo kunyango lokuzala.
I-Ovarian Reserve Testing njengesixhobo sokuxilonga
Emva kokuba uthethe ugqirha wakho malunga neenkxalabo zakho zokuzala, i-gynecologist yakho iya kudala umsebenzi othile wegazi, ukujonga amazinga akho e-hormone.
Ezinye zehomoni ezivavanywayo ziya kunika ugqirha wakho ukuqonda kwiindawo zakho zokugcina ii-ovari.
Enye yama-hormone yokuqala ihlolwe ngumhla wakho we- 3 FSH . Amanqanaba aphezulu angaqhelekanga kwi-FSH ingaba ngumqondiso weendawo zokugcina ii-ovarian.
Amazinga e-FSH anokuphakama kuba ukhulile, ngoko ke inqanaba eliphezulu le-FSH linokuqwalaselwa njengento eqhelekileyo yokuguga nokunciphisa ukuzala. Ezi ziindaba ezimbi xa uzama ukukhulelwa, kodwa akusiyo impawu yokuba kukho into "engalunganga" nawe.
Nangona kunjalo, ngamanye amaxesha, abafazi abaselula banokuba namazinga aphezulu angamaFSH aphezulu.
Abasetyhini abaselula abafumanekayo abanamahlwempu angamahlwempu angabonwa ngokuba ne-Primary Ovarian Insufficiency okanye i-POI.
I-POI ngamanye amaxesha ibizwa ngokuba yi-OSTan Failure Premature (POF).
Amazinga e-FSH kuphela yindlela enye yokuvavanya ama-ovarian reserves. Unako ukufumana amanqanaba aqhelekileyo e-FSH, kodwa ezinye iimvavanyo zokugcina ii-ovari zingakufumana ukuba iindawo zakho zokugcina ii-ovari zingaphantsi kokufanelekileyo.
Khumbula ukuba ii-ovary reserves ziyingxenye enye yokuhlolwa kovalo. Unokuba neendawo zokugcina izityalo ze-ovari, kodwa unobunzima bokugqithisa i-ovulation okanye umgangatho weqanda. Kukho izibilini ze- tubal kunye ne-uterine zokuqwalasela, i- endometriosis , kunye nokungabikho komntwana .
Emva koko, kukho ukuxilongwa okuphazamisayo kokungabonakali kokungazalanga.
Uphuhliso lwezonyango Impumelelo kunye noVavanyo lweeVan
Usenokuzibuza ukuba kutheni ungakwazi ukuqhubeka unyango lwezityalo kunye nokweqa uvavanyo lwe-ovarian reserve.
Ingxaki kukuba ukhathalelo oluyisiseko lokuzala kunye ne-IVF eyisiseko ayikwazi ukunqoba iindawo ezikhuselekileyo ze-ovarian reserves.
Inkolelo engaqhelekanga yinto yokuba i-IVF ikwazi ukuyicombulula malunga naluphi na umcimbi wokuzala. Oku akunjalo.
Ukuba iindawo zokugcina ii-ovariya ziphantsi, iziyobisi ezenzelwe ukuvuselela amaqanda akho angasebenzi. Ukuba amayeza awakhuthazi amaqanda anele ukufumana, umjikelo wakho unokucinywa ngaphambi kokuba ufumane ukuchumisa kunye nokudluliswa kombindi.
Akunjalo nje kuphela oku kunokubangela intlungu enkulu, kodwa yinto engumthwalo wemali. Naliphi na imali oyichithele kwimjikelezo we-IVF ukuya kweso sizathu iya kulahleka.
Esi sizathu esona sizathu sovavanyo lwe-ovarian reserve. Ngoko oogqirha banako ukukhupha izigulane ezingenzeka ukuba zipheliswe umjikelezo we-IVF.
Oku akuthethi ukuba ibhinqa elinamahlwempu angamahlwempu ayinakufumana unyango lwezityalo, nangona kunjalo. I-IVF kunye nomnikeli weqanda okanye umnikeli wombindi unokukhetha ukuba unokubuza ugqirha wakho malunga.
Kwakhona, unokhetha ukuqhubeka ne-IVF nangona ufumaneka ukuba unamaziko omhlaba angamahlwempu. Ugqirha wakho kufuneka akuxelele ngokusemthethweni ukuba iziphumo zakho eziyimpumelelo ziphantsi kakhulu, kodwa oko akuthethi ukuba awukwazi ukuzama i-IVF kunye namaqanda akho ukuba iklinikhi ikulungele ukukuphatha.
Yazi nje ukuba uthatha ingozi yezemali kunye nomoya ngokuhamba phambili.
Kuthekani ukuba i-ovarian reserve test ibuyele ngaphezu kokugqwesileyo? Ngamanye amagama, kuthekani ukuba uhlangene nolunye uhlangothi?
Ewe, kunokwenzeka ukuba uvavanyo lwe-ovarian reserve ukufumana ukuba ii-ovari zakho zinokuphinda ziphendule kwiimveliso zonyango.
Oku akuzona iindaba ezimbi, kodwa azikho indaba ezilungileyo. Kuthetha ukuba umngcipheko weengxaki ezifana ne- ovarian hyperstimulation syndrome (OHSS) ziphezulu. Abafazi kunye ne-PCOS bahlala bejongene nale ngxaki.
Ugqirha wakho angamisela amancinci amancinci amachiza kulo mzekelo, okanye ukhethe umgaqo-nkqubo olwahlukileyo we-IVF unyango, oya kunciphisa umngcipheko weengxaki.
Ziziphi iimvavanyo ezingenakukuxelela
Uvavanyo lwe-Ovarian lokugcina indawo alinakukuxelela kakhulu ngekhwalithi yeqanda.
Ibhinqa efunyenwe iindawo ezikhuselekileyo ze-ovarian zikwazi ukuba namaqanda asemgangathweni aphantsi. Kodwa ibhinqa eneendawo ezifanelekileyo zokugcina ii-ovarian mayingenayo iqanda eliphezulu elifunyenwe.
Ngamanye amazwi, kunokwenzeka ukufumana inani elincinane lamaqanda ngexesha le-IVF, kodwa ke unako ukuphela kweeqanda ezimbalwa kunezinye. Okanye umfazi unokuba nomngcipheko omkhulu wokukhulelwa kwesisu, ngenxa yeqanda elihluphekayo okanye ubunobumba, okanye ngenxa yezinto ezingenasifo somntu.
Ixesha elizayo linokusifumana iimvavanyo eziya kunceda ukucacisa umgangatho weqanda okanye ubumbano, kodwa akukho nto ibonakalisiweyo kwaye inokuthenjelwa iyafumaneka ngoku.
Kwakhona kunokwenzeka ukuba kube neziphumo ezilungileyo kwi-ovarian test test, kodwa kusekho impendulo engafanelekanga yokuphendula izidakamizwa kunye nokuphelisa umjikelezo we-IVF.
Impumelelo ye-IVF ingaphezu kokufumana amaqanda anele ukufumana. Impumelelo yangempela ye-IVF ithetha ukukhulelwa kwaye njengoko sithethe ngasentla, ubungakanani beqanda kuphela enye inxalenye yesithombe esikhulu, esinzima. Ikhwalithi ye-egg, i-tubal kunye ne-uterine, kunye nokudlala kwindoda ebonakalayo kwimpumelelo yakho yokwenza unyango.
Imikhwa emibi yempilo inokudlala indima kwiqanda elibi kunye nomgangatho wesilisa, onokuchaphazela ingxaki yakho ye-IVF yokuphumelela.
IiMithombo zeOvane kunye nobudala bakho
Ubudala budlala umdlalo kwi-IVF unyango nokuphumelela kokukhulelwa. Awukwazi ukujonga kuphela ubudala okanye kuphela iziphumo zovavanyo lwe-ovarian reserves. Ulwazi kufuneka luqwalaselwe kunye.
Ngokomzekelo, nangona umfazi oneminyaka engama-40 anemiphumo emihle kwi-ovarian test test, ubunzima bakhe bokuphumelela kwe-IVF buncinci kuneminyaka engama-25 ubudala kunye neziphumo ezifanayo.
Musa ukuyihoxisa iminyaka yobudala bomlingane wakho, nokuba. Ukuzala kwakhe kwancipha kunye nobudala, nangona kungenjalo ngendlela ephawulekayo njengoko kwenzayo kumfazi.
Imithombo:
Badawy A1, Wageah A, El Gharib M, Osman EE. "Ukubikezela nokuxilongwa kwempendulo ye-ovarian ehluphekileyo: ingxaki." J Reprod Infertil. 2011 I-Oct; 12 (4): 241-8.
Broekmans FJ1, Kwee J, Hendriks DJ, Mol BW, Lambalk CB. "Ukuphononongwa ngokuchanekileyo kweemvavanyo ukuqikelela ukugcina i-ovarian reserve kunye ne-IVF". 2006 NgoNovemba-Dec; 12 (6): 685-718. Epub 2006 uAgasti 4.
I-Ramalho de Carvalho B1, iGomes Sobrinho DB, i-Vieira AD, i-MP ePhalamende, iBarbosa AC, iSilva AA, i-Nakagava HM. "Uvavanyo lwama-ovarian lokuhlola uphando." I-ISRN Obstet Gynecol. 2012; 2012: 576385. i-doi: 10.5402 / 2012/576385. Epub 2012 Jan 26.