So wo nso wo nkesua kakraa bi na ɛwɔ wo mmadwoa mu? Momma yɛnka Diminished Ovarian Reserve ho asɛm!

So woabɔ mmɔden sɛ wubenyinsɛn bere tenten ni? Ɛyɛ ade a ɛfata sɛ wobɛte awerɛhow ne dadwen nka bere a wunnya nea efi mu ba ntɛmntɛm sɛnea wususuwii no. Ebia wo duruyɛfo aka akyerɛ wo sɛ wo mmadwoa no mu nkesua sua, tebea bi a wɔfrɛ no Diminished Ovarian Reserve . Ɛno na yɛrebɛka ho asɛm nnɛ. Mma ɛnhaw wo, sɛ wote eyi ase yiye a, ɛbɛboa wo kɛse.

Dɛn ne Diminished Ovarian Reserve?

Sɛ yɛbɛka no tiawa a, Diminished Ovarian Reserve yɛ bere a nkesua dodow a ɛwɔ wo mmadwoa mu no so tew bere a wode toto nnipa afoforo a wɔne wo bɔ tipɛn ho no. Ɛtɔ da bi a wɔfrɛ eyi sɛ "nkwaa dodow a ɛba fam." Wunim, sɛ wubetumi anyinsɛn a, wuhia nkesua (a mmadwoa ka ho). Mpɛn pii no, obiara nkesua dodow so tew bere a onyin no. Ɛyɛ adebɔ mu ade. Nanso, wɔ nnipa binom fam no, eyi si ntɛm sen sɛnea na wɔhwɛ kwan. Ɛno ne bere a tebea yi ba.

Akokoaa a wobɛwo no betumi ayɛ den kakra bere a wo nkesua a wode asie no sua no. Wo duruyɛfo betumi ahu no yiye sɛ wowɔ saa tebea yi denam nhwehwɛmu bi a wɔfrɛ no Ovarian Reserve Testing a ɔbɛyɛ so .

Nea ɛho hia ne sɛ eyi nkyerɛ sɛ wuntumi nwo akokoaa da. Nanso, ebia ɛbɛyɛ den kakra, anaasɛ ebia ebehia sɛ wode wo ho to awo ho ayaresa so.

Nkwaa dodow ahe na ɛsɛ sɛ yɛtaa nya wɔ yɛn mmadwoa mu?

Susuw ho hwɛ, sɛ wɔwo yɛn mmeawa a, yenya nkesua a yehia wɔ yɛn nkwa nna nyinaa mu nyinaa. Ɛno akyi no, wɔmfa nkesua foforo biara mma. Mfe a woadi ne ade titiriw a ɛkyerɛ nkesua dodow a wowɔ. Nhwehwɛmu ahorow ada no adi sɛ wɔ mfe 35 akyi no, nkesua a wɔhwere no kɔ soro kɛse mpo.

Ɛwom sɛ dodow yi betumi ayɛ soronko wɔ onipa biara ho de, nanso sɛ wɔkyekyem pɛpɛɛpɛ a, nkesua dodow a yɛwɔ wɔ yɛn nkwa nna nyinaa mu ho adwene bi ni:

• Wɔ awo mu: Nkesua ɔpepem 1 kosi 2 ntam.
• Wɔ mmerantebere ne mmabaabere mu: Nkesua 300,000 kosi 400,000.
• Bɛyɛ mfe 40: Nkesua bɛyɛ 25,000.
• Bere a obi agyae brayɛ no: Nkesua a ennu 1,000.

Nanso, wo duruyɛfo nkutoo na obetumi akyerɛ wo nkesua dodow pɔtee a wowɔ, bere a wahwɛ nea efii Ovarian Reserve Testing a yɛadi kan aka ho asɛm no mu aba no mu awie no.

So ɛrentumi nyɛ yiye sɛ wobɛwo ba esiane sɛ wo nkesua kakraa bi nti?

Worentumi nka sɛ dabi! Wubetumi akɔ so awo akokoaa sɛ wo nkesua dodow sua mpo a. Nanso, ɛsɛ sɛ wote ase nso sɛ ebia hokwan a ɛwɔ hɔ sɛ wubenyinsɛn no bɛba fam kakra esiane nkesua dodow a ɛba fam nti. Susuw ho hwɛ, nea wuhia na ama woanya akokoaa ara ne ɛmo pa a ahoɔden wom, ɛnte saa?

Afei nso, ɛnyɛ nkesua dodow a wobetumi de anyinsɛn abofra nkutoo na ɛho hia. Sɛnea nkesua no teNneɛma pii ka eyi, te sɛ wo hokafo mmadwoa a ɛyɛ papa, w’awotwaa ne wo awotwaa (anaasɛ awotwaa) akwahosan.

Dɛn ne tebea yi ho sɛnkyerɛnne?

Nnipa dodow no ara nkyerɛ sɛnkyerɛnne pɔtee biara. Ade biako pɛ ne sɛ wontumi nnyinsɛn wɔ asram pii, ebia mfe pii, a wɔde ada (a wɔmfa awo ano aduru biara nni dwuma) akyi.

Ebia mmea binom befi ase akɔ nna ntɛm sen sɛnea wɔtaa yɛ, a ɛkyerɛ sɛ wɔn kyinhyia no bɛyɛ tiaa na nna dodow no nso ayɛ tiaa.

Sɛ wowɔ Primary Ovarian Insufficiency , tebea a ɛma awotwaa no ntumi nyɛ adwuma yiye a, ebia wubehu sɛnkyerɛnne ahorow bere a woregyae brayɛ no . Eyinom bi ne:

• Fifiri a ɛba mpofirim na ɔte nka sɛ ne ho yɛ hyew (ɔhyew a ɛba).
• Brayɛ a ɛnkɔ so daa (ɛyɛ ntɛm, ɛkyɛ, anaasɛ ɛyera asram pii).
• Vaginal dryness, a ebetumi ama obi ho ayɛ no yaw bere a ɔne obi renya nna mu kyɛfa no.

Dɛn nti na eyi rekɔ so? Dɛn ne nea enti a ɛte saa?

Onyin ne ade titiriw ne adebɔ mu ade a ɛma nkesua a wɔkora so no so tew. Ɛtaa ba ma obiara. Nanso, ɛtɔ mmere bi a wontumi nhu nea ɛde ba pefee.

Nneɛma afoforo nso wɔ hɔ a ebetumi aka eyi:

• Awosu mu tebea horow: Awosu mu haw ahorow, titiriw nea ɛfa X chromosome ho.
• Kokoram ayaresa: Mframa anaa nnuru a wɔde sa kokoram no betumi asɛe awotwaa no na asɛe nkesua.
• Oprehyɛn a wɔyɛ wɔ awotwaa no ho: Oprehyɛn ahorow bi hwehwɛ sɛ woyi awotwaa no fã bi fi hɔ.
• Sɛ wɔayi awotwaa biako anaa abien no nyinaa: Ebia eyi ho behia esiane ayaresa tebea bi nti.
• Tebea horow a nipadua no tumi ko tia nyarewa: Eyi ne bere a yɛn nipadua no ankasa nipadua mu tumi a ɛko tia nyarewa no tow hyɛ yɛn ankasa awotwaa so.

So adwennwen ka eyi?

Dabi, adwennwen mma nkesua a wɔde sie no so ntew tẽẽ. Nnipa pii wɔ adwene a ɛnteɛ wɔ eyi ho. Nanso, sɛnea Amerika Awo Ho Nnuruyɛ Kuw kyerɛ no, sigaretnom ne tawa mu nneɛma (sigaret, bidis, ne nea ɛkeka ho) a wɔde di dwuma nkutoo ne asetra mu nneɛma a wɔahu sɛ ɛtew nkesua a wɔkora so no so.

Sɔhwɛ ahorow bɛn na ɛwɔ hɔ a wobetumi de ahu eyi?

Nnuruyɛfo de nhwehwɛmu kuw bi a wɔfrɛ no Ovarian Reserve Testing di dwuma de nya adwene a ɛyɛ mmerɛw wɔ nkesua dodow a aka wɔ wo mmadwoa mu no ho.

Nanso, saa sɔhwɛ ahorow yi ntumi nkyerɛ wo bere tenten a wubetumi awo mma, anaasɛ sɛ ebia wubetumi anyinsɛn wɔ awosu mu (a worennya ayaresa biara). Saa sɔhwɛ ahorow yi hwɛ woƐfa sɛnea wo mmadwoa yɛ wɔn ade wɔ hormone nnuru a wɔde ma bere a wɔreyɛ awo ayaresa te sɛ IVF (In Vitro Fertilization) ho, anaasɛ sɛ ebia hokwan a wowɔ sɛ wubenyinsɛn a wonnya ayaresa no sua.

Ɛho hia paa sɛ yɛhyɛ no nsow sɛ sɛ sɔhwɛ ahorow yi si so dua sɛ nkesua a ɛwɔ wo mu no sua mpo a, ɛnkyerɛ sɛ wuntumi nwo abofra wɔ awosu mu. Saa sɔhwɛ ahorow yi nsusuw w’awo a wotumi yɛ wɔ awosu mu no ho.

Mpɛn pii no, nea ɛka Ovarian Reserve Testing ho ne:

• Mogya mu nhwehwɛmu: Nea ɛka eyi ho ne sɛ wobɛfa wo mogya bi na woahwɛ sɛnea nkwaadɔm a wɔfrɛ no (Anti-Mullerian Hormone - AMH) , (Follicle-Stimulating Hormone - FSH) , ne (Estradiol) . Saa hormone dodow yi betumi ama wo duruyɛfo anya sɛnea wo mmadwoa reyɛ wɔn ade wɔ nnuru a wɔde ma awo ho.
• Vaginal Ultrasound: Eyi hwehwɛ sɛ wɔde afiri ketewaa bi a wɔde hwehwɛ nneɛma mu fa awotwaa no mu de susuw sɛnea awotwaa no kɛse te. Ɛsan nso susuw ntini nketenkete dodow a ɛwɔ awotwaa no mu a ebetumi akura nkesua mu. Wɔsan frɛ eyi sɛ Antral Follicle Count (AFC) .
• Sɔhwɛ bi wɔ hɔ a wɔfrɛ no Clomiphene Citrate Challenge . Nea ɛka eyi ho ne sɛ wɔbɛnom aduru bi a wɔnom de awo (Clomiphene Citrate) nna kakraa bi, afei wɔasusuw hormone dodow na wɔahwɛ sɛnea nipadua no yɛ n’ade wɔ ho. Nanso, wɔmfa sɔhwɛ yi nni dwuma mpɛn pii bio.

Wɔn a wɔn awotwaa mu akorae sua no taa nya hormone dodow a ɛkɔ soro (FSH) sen afoforo a wɔadi mfe, wɔn hormone dodow a ɛba fam (AMH), na ɛba fam (AFC). Bio nso, nhwehwɛmu ahorow yi susuw sɛnea wo mmadwoa no yɛ wɔn ade wɔ nnuru a ɛma nipadua no nya ahoɔden ho titiriw, na ɛnyɛ sɛnea wubetumi anyinsɛn a wunhia nnuru.

Dɛn na wobetumi ayɛ sɛ ayaresa?

Eyi ne ade a ɛho hia sen biara a ɛsɛ sɛ yedi kan te ase: Sɛnea mprempren aduruyɛ ho nyansahu kyerɛ no, ɔkwan biara nni hɔ a wobetumi afa so asan nkesua a wɔkora so no so atew anaasɛ wɔbɛyɛ nkesua foforo wɔ awotwaa mu.

Sɛ wo duruyɛfo susuw sɛ wowɔ saa tebea yi a, ɔne wo bɛkasa yiye na waboa wo ma woayɛ ayaresa nhyehyɛe a ɛbɛboa wo ma woadu w’adaeso a ɛne sɛ wobɛwo ba no ho. Sɛ oduruyɛfo no reyɛ saa ayaresa nhyehyɛe yi a, obebisa wo nsɛm te sɛ:

• Ɛkyɛ dɛn na wobɛpɛ sɛ wowo akokoaa?
• Mmofra baahe na wopɛ?
• Wo sikasɛm mu ahoɔden te dɛn? (Ayaresa ahorow bi betumi ayɛ nea ne bo yɛ den) .
• So wopɛ abofra a ɔne wo wɔ abusuabɔ wɔ awosu mu , anaasɛ wowɔ ɔpɛ sɛ wubesusuw akwan foforo a wubetumi afa so ho?

Wosusuw saa nneɛma yi nyinaa ho bere a wɔresi ayaresa a wobetumi apaw ho gyinae no. Nneɛma atitiriw a wubetumi apaw ne:

• Wo nkesua a wode bɛhyɛ nwini mu de adi dwuma daakye.
• Mmɔden a wobɛbɔ sɛ wubenyinsɛn wɔ awosu mu (ebetumi agye bere kakra).
• (IVF - Nnuru a Wɔde Yɛ Nnua a Wɔde Yɛ Adwuma) .Ayaresa no - Wobɛtumi de w’ankasa wo nkesua adi dwuma, anaasɛ wobɛtumi de donor eggs (nkwaa a wonya firi obi foforɔ hɔ) adi dwuma.

Sɛ wode w’ankasa wo nkesua di dwuma a...

Egg freezing yɛ ɔkwan pa a wobɛfa so akora w’awo so. Titiriw sɛ wo duruyɛfo susuw sɛ asiane kɛse wom sɛ nkesua dodow bɛkɔ fam a, ebia ɔbɛhyɛ nyansa sɛ fa wo nkesua no nwini ansa na akɔ fam dodo.

Nea ɛba ne sɛ, wɔma wo hormone injections de kanyan wo ovaries ma ɛyɛ nkesua pii sɛnea wubetumi prɛko pɛ. Afei, wɔfa oprehyɛn ketewaa bi so gye saa nkesua a ɛho akokwaw yi na wɔde gu nwini mu wɔ ɔkwan titiriw bi so de sa IVF sa daakye.

Ɛtɔ mmere bi a, ebia wo duruyɛfo bɛka sɛ ɔmmɔ nkwaboaa (nkwaboaa a edi kan a ɛba bere a ɛwo ne mmadwoa abom). Eyi kyerɛ sɛ wɔfa nkesua a ɛho akokwaw, de wo hokafo mmadwoa anaasɛ wɔde mmadwoa a wɔde ma (nkwaboaa a efi obi foforo hɔ) hyɛ mu wɔ lab, na wɔde nkwaboaa a efi mu ba no gu nwini mu de di dwuma daakye. Anaasɛ, wobetumi de akɔ wo awotwaa mu na wɔde ahyɛ mu ntɛm ara.

Sɛ wode donor eggs redi dwuma a...

Sɛ wo nkesua no su ne/anaasɛ ne dodow sua koraa, a ɛkyerɛ sɛ hokwan a ɛwɔ hɔ sɛ wubenyinsɛn a wode w’ankasa nkesua bedi dwuma no sua koraa a, ebia wo duruyɛfo bɛkyerɛ sɛ fa nkesua a wɔde ma (nkesua a ɔbea foforo a ɔwɔ apɔwmuden de mae) di dwuma.

Wɔ eyi mu no, wɔde wo hokafo no mmadwoa (anaasɛ nea ɔde mae no mmadwoa) nyinsɛn nkesua bi wɔ aduruyɛdan mu. Afei wɔde awotwaa a efi mu ba no hyɛ w’awotwaa mu. Akokoaa a wɔbɔɔ no saa kwan yi so no rennya w’awosu mu nkwaadɔm, nanso ebia obenya wo hokafo no awosu mu nkwaadɔm (gye sɛ wɔde mmadwoa a wɔde mae no dii dwuma).

Ɔkwan foforo a wobetumi afa so ne nkwaboaa a wɔde bɛhyɛ nwini mu. Nea ɛka eyi ho ne sɛ wode mmadwoa bɛhyɛ wo nkesua (anaasɛ wo nkesua a wɔde ma) mu, ayɛ awotwaa bi, na wode ahyɛ nwini mu de adi dwuma daakye.

So folic acid ma nkesua no yɛ papa?

Vitamin soronko bi wɔ hɔ a ɛsɛ sɛ wonom bere a woanyinsɛn (Prenatal vitamins), a vitamin bi a wɔfrɛ no Folic Acid wom. Eyi (Folic Acid) ho hia yiye na ama nkesua no ayɛ papa .

Sɛ wowɔ anidaso sɛ wobɛwo a, ebia wo duruyɛfo bɛka akyerɛ wo sɛ fi ase nom vitamin bi ansa na woawo. Ɛyɛ papa sɛ anyɛ yiye koraa no wubefi ase anom asram abiɛsa ansa na woayɛ nhyehyɛe sɛ wubenyinsɛn . Nea enti a ɛte saa ne sɛ egye bɛyɛ asram abiɛsa ansa na ɛmo anyin koraa.

W’aduan, apɔw-mu-teɛteɛ, ne asetra mu nneɛma afoforo (te sɛ sigaretnom a worennom) betumi aka wo nkesua akwahosan, anaa ne su. Nanso, ɛnka nkesua dodow a wowɔ anaa wo ovarian reserve (tebea bi a wɔfrɛ no Diminished Ovarian Reserve).

Dɛn na yebetumi ayɛ de atew asiane yi so?

Nokwarem no, biribiara nni hɔ a wubetumi ayɛ na amma wo nkesua a wode ma no so atew. Sɛnea yɛadi kan aka ho asɛm no, nneɛma pii wɔ hɔ a ɛka eyi, a nneɛma a yentumi nyɛ ho hwee (te sɛ onyin ne awosu) ka ho.

Nanso, nneɛma bi wɔ hɔ a wubetumi ayɛ de aboa ma wo nkesua no ayɛ papa sɛnea wubetumi. Nhwɛsoɔ:

• Nipadua mu duru a ɛfata a wobɛkɔ so akura mu.
• Twe a wobɛtwe wo ho afi tawa nneɛma te sɛ sigaret ho koraa.

Ɛwom sɛ saa nneɛma yi remma nkesua dodow nkɔ soro de, nanso ɛbɛboa ma nkesua a ɛwɔ hɔ no akɔ so ayɛ papa.

IVF ayaresa di yiye dɛn ma wɔn a wɔn nkesua kakraa bi na ɛwɔ hɔ no?

Sɛnea IVF (In Vitro Fertilization) ayaresa no di yiye no gu ahorow kɛse wɔ onipa biara mu. Egyina nneɛma pii so, a nea ɛka ho ne nea ɛde wo nkesua dodow a ɛba fam, nkesua dodow a wowɔ, sɛnea saa nkesua no te, ne sɛnea wo nipadua yɛ n’ade wɔ nnuru a wɔde ma awo ho.

Ɛyɛ den sɛ wɔde akontaabu pɔtee bɛma wɔ sɛnea IVF di nkonim ho ma wɔn a wɔn nkesua sua, efisɛ egyina nneɛma pii so.

Nanso nhwehwɛmufo nim sɛ, te sɛ nyinsɛn a efi awosu mu no, sɛnea IVF di yiye no so tew bere a obi nyin no. Eyi te saa titiriw ma wɔn a wɔn nkesua sua no. Dodow a worenyin no, dodow no ara na ebia wo IVF no renkɔ yiye.

Sɛ nhwehwɛmu kyerɛ sɛ wo nkesua no sua a, ɛnyɛ den koraa sɛ wobɛyɛ w’ade yiye wɔ nnuru a ɛma hormone (a ɛkanyan awotwaa no) ho. Eyi kyerɛ sɛ ebia worentumi nboaboa nkesua pii ano sɛnea wopɛ bere a woreyɛ IVF no. Nanso, ebia IVF ne ɔkwan a eye sen biara ma wo. Akyinnye biara nni ho sɛ ɛsɛ sɛ wo ne awo ho ɔbenfo (oduruyɛfo a ɔsa awo a wontumi nwo) kasa fa eyi ho na wusi nea eye ma wo ho gyinae.

So ovarian reserve a ɛso tew no kyerɛ sɛ bratwa rebɛn?

Ɛyɛ den sɛ wobɛkyerɛ bere pɔtee a bratwa (bere a wo bra gyae koraa) befi ase. Ovarian reserve a ɛba fam no kyerɛ sɛ wo nkesua a wode ma no so tew nkutoo. Bere a ebetumi ayɛ brayɛ ho sɛnkyerɛnne no, ɛrentumi nyɛ yiye sɛ wobɛka bere pɔtee a ɛbɛba.

Awiei koraa no, biribi a ɛsɛ sɛ wususuw ho...

Sɛ wote fi wo duruyɛfo hɔ sɛ wo mmadwoa a ɛwɔ wo mu no so atew a, ebia wobɛte abasamtu kɛse, woadi awerɛhow, na woahaw wo ho wɔ nea ɛbɛba daakye ho. Eyi yɛ ade a ɛfata koraa, na enhia sɛ wote nka bɔne wɔ ho.

Nanso, adeɛ a ɛho hia paa ne sɛ wobɛkae sɛ ɛda so ara yɛ yie sɛ wobɛnyinsɛn ɛmfa ho saa tebea yi. Enti mma w’abam mmu anaa nnyae anidaso.

Wo duruyɛfo betumi asusuw nkesua dodow a aka, mfe a woadi, ne w’akwahosan ho, na wayɛ ayaresa nhyehyɛe a eye sen biara a ɛbɛboa wo ma woadu w’adaeso a ɛne sɛ wobɛwo ba no ho. Akwan foforo nso wɔ hɔ a wobetumi afa so, te sɛ awo ayaresa ne sɛ ɛho hia a, wɔde nkesua a wɔde ma a wɔde bedi dwuma.

Mma wo daeɛ a ɛne sɛ wobɛwo ba no nnyae esiane sɛ wo nkesua a wode ma no sua nti - akyinnyeɛ biara nni ho sɛ ayaresa ne akwan bi wɔ hɔ a ɛbɛboa wo. Wo ne wo duruyɛfo nkasa pefee na paw nea eye ma wo.

` Ovaries, egg depletion, awo a wontumi nwo, nyinsɛn, mmea akwahosan, IVF, awo