Momma yensua Ovarian Reserve Testing a ɛma wuhu w’awo ho nsɛm kɛkɛ no ho ade kɛkɛ!

Ebia worehwɛ akokoaa kwan, anaasɛ ebia woyɛ obi a wopɛ sɛ wunya w’awo ho adwene kakra. Saa bere no, ebia woate nsɛmfua 'ovarian reserve testing' anaa ``(Ovarian Reserve Testing)''. Enti, ebia wowɔ nsɛmmisa pii fa nea ɛyɛ ankasa, nea ebetumi aka akyerɛ wo, ne onii ko a ɛho hia ma no ho. Yɛbɛka saa nneɛma no nyinaa ho asɛm nnɛ, sɛnea wo ne w’adamfo bi bɛkasa no.

Dɛn ne Ovarian Reserve Testing?

Sɛ yɛbɛka no tiawa a, eyi yɛ sɔhwɛ a nnuruyɛfo de nya adwene wɔ sɛnea wubetumi awo ho , kyerɛ sɛ, sɛnea wubetumi awo akokoaa. Nanso nea efi mu ba no, sɛ wode toto nnipa afoforo a wɔne wo bɔ tipɛn ho nkutoo a. Saa nhwehwɛmu yi fa mogya mu nhwehwɛmu ne transvaginal ultrasound ho titiriw . Eyinom abien nyinaa bɔ mmɔden sɛ wobenya nkesua dodow a ɛwɔ wo mmadwoa mu no ho adwene a ɛyɛ mmerɛw.

Susuw ho hwɛ, wɔde nkesua a yɛbɛnya wɔ yɛn nkwa nna nyinaa mu nyinaa na ɛwo yɛn nyinaa. Ɛte sɛ sika a ɛwɔ sikakorabea, wobɛtumi ayi no nko ara, wɔrennya nkesua foforɔ biara. Eyi ne nea yɛfrɛ no ovarian reserve . Enti, saa nkesua a wɔde asie yi so tew fi awosu mu bere a obi nyin no. Efi nea efi sɔhwɛ yi mu ba no, nnuruyɛfo nso betumi ahyɛ nkɔm akodu baabi sɛnea wobɛyɛ w’ade wɔ awo ho ayaresa te sɛ `(IVF)` (in vitro fertilization) ho.

Nanso, ɛho hia sɛ wokae eyi : Saa ovarian reserve tests yi ntumi nkyerɛ wo 100% sɛ ebia wubetumi anyinsɛn wɔ abɔde mu anaa . Wo duruyɛfo no de nea efi mu ba yi bedi dwuma de aboa ma woasi nea edi hɔ a wobɛfa so ayɛ w’ayaresa no ho gyinae.

Hena na ɛho hia sɛ yɛyɛ sɔhwɛ yi ma no?

Seesei ebia woredwen ho sɛ, ‘Ɛyɛ, sɛ eyi te saa a, so ɛsɛ sɛ mema wɔyɛ eyi?’ Nneɛma pii nti na oduruyɛfo betumi akamfo akyerɛ sɛ wɔnyɛ ovarian reserve nhwehwɛmu. Hwɛ sɛ eyinom mu bi fa wo ho anaa:

• Sɛ wowɔ akwahosan tebea bi te sɛ kokoram , na wususuw sɛ ebia aka wo nkesua dodow a.
• Sɛ woreyɛ nhyehyɛe sɛ wubefi ase ayɛ awo ho ayaresa te sɛ IVF a .

Wobɛyɛ dɛn ahu sɛ wo nkesua a wode asie no sua?

Eyi yɛ ɔhaw a nnipa pii wɔ. Nokwarem no, ɔkwan biako pɛ a wobɛfa so ahu no yiye sɛ ebia wo nkesua sua anaasɛ wonni bi ne sɛ wobɛma oduruyɛfo ayɛ awo ho nhwehwɛmu . Eyi kyerɛ sɛ eyi nyɛ biribi a yebetumi ate nka kɛkɛ anaasɛ yebehu wɔ fie. Akyinnye biara nni ho sɛ aduruyɛ ho afotu titiriw ho hia.

Ɔkwan bɛn so na wɔyɛ saa ovarian reserve test yi?

Ovarian reserve testing boa ma wohu sɛnea awo ho ayaresa ahorow no bedi nkonim.Biribi foforo. Nanso eyi nkyerɛ wo ``nkesua su'' a ɛwɔ wo nkesua mu , kyerɛ sɛ, sɛnea ɛwɔ apɔwmuden, anaasɛ nkesua dodow pɔtee a wowɔ .

Saa sɔhwɛ yi wɔ afã atitiriw abiɛsa:

1. Mogya mu nhwehwɛmu a wɔyɛ de kyerɛ sɛnea Follicle-Stimulating Hormone (FSH) dodow te .

2. Mogya mu nhwehwɛmu foforo kyerɛ sɛnea Anti - Mullerian Hormone (AMH) dodow te .

3. Wɔde transvaginal ultrasound di dwuma de yɛ antral follicle count (AFC) nhwehwɛmu.

Momma yɛnka eyinom mu biara ho asɛm nkɔ akyiri kakra .

Hormone a ɛkanyan ntini mu ntini (FSH) .

FSH yɛ hormone a ɛhwɛ ma nkesua nyin wɔ wo mmadwoa mu. Ɛyɛ pituitary gland a ɛwɔ w’amemene mu no na ɛma ɛba. Eyi ma follicle (kotoku ketewaa bi a nsu ahyɛ mu ma a ɛmo wom) a ɛwɔ awotwaa no mu fi ase nyin. Saa ntini ahorow yi yɛ hormone bi a wɔfrɛ no estrogen , na ɛno nso kyerɛ pituitary gland no FSH dodow a ɛsɛ sɛ ɛyɛ. Nnuruyɛfo taa susuw wo FSH dodow bɛyɛ wo ɔsram biara kyinhyia no da a ɛto so abiɛsa .

Ntini a Ɛko Tia Mullerian (AMH) .

`(AMH)` yɛ hormone foforo a ntini a ɛwɔ wo mmadwoa mu no yɛ. Kae sɛ nkesua no wɔ ntini no mu. Eyi kyerɛ sɛ dodow a `(AMH)` dodow no kɔ soro no, dodow no ara na wowɔ nkesua pii . Esiane sɛ nkesua dodow so tew bere a obi nyin nti, `(AMH)` dodow nso so tew bere a obi nyin no. Nea ɛnte sɛ `(FSH)` no, wobetumi asusuw `(AMH)` dodow no bere biara wɔ brayɛ mu . Sɛ `(AMH)` dodow no nnu nanogram 1 wɔ mililita biara mu (ennu 1 ng/mL) a, ebetumi akyerɛ sɛ wo nkesua a wode ma no so retew. Nanso, entumi nkyerɛ wo sɛnea wubetumi anyinsɛn no yiye .

Antral Follicle Dodow (AFC) .

Eyi ne nea transvaginal ultrasound yɛ. Ɛma wo duruyɛfo tumi hwɛ ntini dodow a ɛwɔ wo mmadwoa mu. Kae sɛ nkesua nyin wɔ saa ntini ahorow yi mu. Mpɛn pii no wɔkan saa ntini ahorow yi wɔ nnanan a edi kan wɔ wo ɔsram biara kyinhyia no mu .

Ade a ɛho hia ne sɛ oduruyɛfo no de nhwehwɛmu mu aba yi di dwuma sɛ nneɛma pii a ɔde besi gyinae wɔ w’awo nyinaa ho no mu biako pɛ . Eyi kyerɛ sɛ eyi nyɛ gyinaesi a egyina hɔ ma ne ho.

Nneɛma bɛn na ɛka nkesua a wɔkora so?

Nneɛma pii wɔ hɔ a ɛka nkesua a wɔkora so, na mfe a obi adi ne ade titiriw a ɛde ba .

Sɛnea yɛadi kan aka ho asɛm no, wɔde nkesua a wubenya wɔ w’asetra mu nyinaa awo wo. Wɔwo nnipa binom a wɔwɔ nkesua pii sen afoforo. Sɛ woyɛ abofra, kyerɛ sɛ, sɛ wufi ase kɔ brayɛ mu a, woahwere nkesua ɔpepem pii dedaw. Wɔ ɔsram biara brayɛ a ɛfata mu no, nkesua pii rebɔ mmɔden sɛ ebenyin, na emu biako, nkesua titiriw a ɛho akokwaw no, fi adi bere a ovulation retu no. Enti, ɛwom mpo sɛ wo nipadua no gyae nkesua biako ɔsram biara de, nanso wohwere nkesua mpempem pii afe biara .

Ade foforo a ɛho hia a nnuruyɛfo susuw ho ne nkesua a ɛyɛ papa . Eyi kyerɛ sɛnea wo nkesua no wɔ apɔwmuden.

Wɔ nneɛma yi akyi no, nneɛma afoforo pii wɔ hɔ a ebetumi aka wo nkesua dodow:

• Oprehyɛn a wɔyɛ wɔ awotwaa mu anaasɛ ɔhaw bi a ɛwɔ awotwaa biako anaa abien no nyinaa ho.
• Nnuru anaa mframa a wɔde sa kokoram.
• Sɛ obi wɔ akyi berɛmo mu yare a emu yɛ den .
• Sɛ obi a ɔwɔ w’abusua mu agyae brayɛ ntɛm (abusua abakɔsɛm).

So asiane ahorow bi wɔ sɔhwɛ yi mu?

Dabi, ɛnte saa koraa. Saa awotwaa mu nhwehwɛmu a wɔde sie yi yɛ nhwehwɛmu a ahobammɔ wom a asiane biara nni ho . Ɛhwehwɛ sɛ woyi mogya kakraa bi fi ntini bi a ɛwɔ wo basa mu nkutoo mu, ne transvaginal ultrasound a yɛadi kan aka ho asɛm no. Enti biribiara nni hɔ a enti ɛsɛ sɛ yɛhaw yɛn ho wɔ ho.

Dɛn ne sɔhwɛ yi anohyeto ahorow?

Bere a sɔhwɛ yi betumi ama woanya sɛnea wobɛyɛ w’ade wɔ awo ho ayaresa ho no, ɛnka asɛm no nyinaa . Eyi ne nea ɛsɛ sɛ yɛte ase.

Bere a ovarian reserve test betumi ama woahu nkesua dodow no, entumi nkyerɛ wo sɛnea saa nkesua no wɔ apɔwmuden, kyerɛ sɛ, sɛnea nkesua no te . Sɛ nhwɛso no, ebia obi wɔ nkesua a wɔkora so sɛnea ɛsɛ, nanso ebia wɔn nkesua su sua. Sɛ ɛba saa a, ebia wɔrenwo saa nkesua no mu bere a wɔreyɛ ayaresa te sɛ IVF no. Nhwehwɛmu ahorow ada no adi sɛ nkesua su nso fi ase so tew wɔ mfe 35 akyi .

Nneɛma afoforo nso wɔ hɔ a ɛka awo a ɛne nkesua dodow anaa ne su nni abusuabɔ. Nnuruyɛfo yɛ saa ovarian reserve test yi sɛ awo ho nhwehwɛmu fã de boa ma wunya w’awo nyinaa ho adwene.

Bere tenten ahe na ɛtaa gye ansa na wɔanya nea efi mu ba?

Mpɛn pii no, wubenya wo aba no wɔ dapɛn biako mu wɔ sɔhwɛ no akyi. Afei wo duruyɛfo no de nea efii ovarian reserve test no mu bae no bɛka awo ho nhwehwɛmu foforo biara a woayɛ mu aba ho na wɔasusuw ayaresa nhyehyɛe a ɛfata wo ho.

Dɛn na nea efi sɔhwɛ yi mu ba no ka ankasa?

Efi nea efii wo ovarian reserve test mu bae no muEbetumi aboa ma woahu sɛnea wubetumi awo ne sɛnea wobɛyɛ w’ade wɔ awo ho ayaresa ahorow ho. Nanso, entumi nkyerɛ wo bere a wubenyinsɛn anaasɛ nkesua dodow pɔtee a aka . Nanso, ebetumi ama woahu biribi a ɛkyerɛ sɛ ebia wo nkesua a wode ma no sua sen afoforo a wɔne wo bɔ tipɛn de.

Awo ho nhwehwɛmu biako biara nni hɔ a ebetumi akyerɛ hokwan a wowɔ sɛ wubenyinsɛn anaasɛ sɛnea wobɛyɛ w'ade wɔ awo ho ayaresa ahorow ho no pɛpɛɛpɛ . Wɔbom hwehwɛ nea efi wo awo ho nhwehwɛmu nyinaa mu ba, a wo ovarian reserve test ka ho. Wo duruyɛfo no bɛka nea afi mu aba yi nyinaa abom na waboa wo ma woayɛ ayaresa nhyehyɛe a ɛbɛyɛ adwuma yiye ama wo.

Saa awotwaa mu nhwehwɛmu ahorow yi yɛ pɛpɛɛpɛ dɛn?

Awo ho nhwehwɛmu yɛ nhwehwɛmu a wɔde hu yare . Ɛne sɛ, entumi nkyerɛ wo nkesua dodow pɔtee a wowɔ, bere tenten a aka ansa na woanyinsɛn afi wo nkesua mu, anaa bere a wobɛfa brayɛ mu. Nanso, ɛyɛ adwinnade a ɛyɛ pɛpɛɛpɛ sen biara a nnuruyɛfo wɔ mprempren .

Titiriw bere a ɛfa IVF ayaresa ho no, awotwaa mu nneɛma a wɔde asie ho nhwehwɛmu ho hia efisɛ wo nkesua dodow ne sɛnea woyɛ w’ade wɔ hormone nnuru ho no ne sɛnea awotwaa a wɔkanyan no di yiye no wɔ abusuabɔ tẽẽ.

Dɛn ne nkesua a wɔde sie ‘pa’? / So 'papa' level bi wɔ hɔ a ɛwɔ egg reserve?

Ɛyɛ den sɛ yɛbɛka nea ɛyɛ nkesua a wɔde asie ‘pa’ dodow. Esiane sɛ egg reserve levels a ɛfata betumi ayɛ soronko wɔ lab biara mu ne oduruyɛfo biara mu , mmɔ mmɔden sɛ w’ankasa wobɛkyerɛ nea efi mu ba no ase anaasɛ mfa ntoto nea efi afoforo mu ho a wo duruyɛfo mmoa nka ho.

Ɛyɛ den sɛ wobɛma ovarian reserve test no nkontabuo ‘pa’, ɛfiri sɛ sɔhwɛ biara susuw nneɛma ahodoɔ. Mmom no, wo duruyɛfo no bɛfa nea ebefi wo mogya mu nhwehwɛmu ne ultrasound nyinaa mu aba nyinaa na wahwɛ sɛ ebia wo awotwaa mu dodow a ɛwɔ wo mu no wɔ nea ɛfata mu anaa .

So ɔkwan bi wɔ hɔ a yɛbɛfa so ama yɛn nkesua a yɛde sie no ayɛ kɛse?

Eyi yɛ asɛm a nnipa pii bisa. Sɛ yɛbɛka no pen a, dabi. Worentumi mma nkesua dodow a wowɔ no nkɔ soro . Kae sɛ wɔde nkesua a yebenya wɔ yɛn nkwa nna mu nyinaa na ɛwo yɛn. Wontumi nsan nwo wɔn bio.

Nanso, ebia wubetumi anya wo nkesua su so nkɛntɛnso . Nsakrae kakraa bi wɔ asetra mu a ebetumi aboa:

• Aduan a ahoɔden wom a wobedi ne vitamin ahorow a ɛho hia a wobɛnom.
• Dae a ɛfata a wobenya.
• Kwati sigaretnom na gyae nsanom anaasɛ to ano hye.

So wobetumi ahwɛ sɛnea ɛmo no te?

Mprempren sɔhwɛ pɔtee biara nni hɔ a wɔde bɛhwɛ sɛnea nkesua no te.. Bere a ovarian reserve nhwehwɛmu betumi ama woanya nkesua dodow a aka ho adwene a ɛyɛ den no, entumi nkyerɛ wo sɛnea saa nkesua no ye, kyerɛ sɛ, sɛnea ɛte. Bere a woafi ase ayɛ IVF ayaresa no akyi nkutoo na wubehu sɛnea wo nkesua no te ankasa .

Nea etwa to no, nneɛma a ɛho hia sen biara a ɛsɛ sɛ wokae (Take-Home Message) .

Okay, enti yɛaka saa ovarian reserve testing yi ho asɛm pii. Misusuw sɛ wowɔ ho adwene pa mprempren. Kae sɛ eyi yɛ adwinnade biako pɛ a nnuruyɛfo de hwehwɛ w’awo ho nsɛm. Nneɛma afoforo pii wɔ hɔ a ɛka awo ho ayaresa ne nyinsɛn.

‘Nkonyaayi kwan’ biara nni hɔ a ɛbɛkyerɛ wo daakye, anaasɛ ɛbɛkyerɛ sɛnea awo ho ayaresa ahorow bɛyɛ yiye pɛpɛɛpɛ. Na ɔkwan biara nni hɔ a wobɛfa so akyerɛ bere pɔtee a wo nkesua dodow so bɛtew.

Nea ɛho hia sen biara ne sɛ wo ne wo duruyɛfo bɛka eyinom nyinaa ho asɛm pefee . Wo ne no nsusuw w’anidaso ahorow, wo haw ahorow, wo nsɛmmisa, biribiara ho. Nsuro sɛ wubebisa awo ho nhwehwɛmu ne nea nea efi mu ba no ka ho asɛm. Afei wo duruyɛfo no betumi asi gyinae ahorow a eye ma wo. Ɛnyɛ wo nko ara, na nnuruyɛfo bi wɔ hɔ a wobetumi aboa wo wɔ akwantu yi mu.

` Ovarian Reserve Testing, Awo, Oocyte Kɛse, AMH, FSH, AFC, IVF, Mmea Akwahosan, Awo