Wopɛ sɛ wuhu wo nkesua a wode asie no ho asɛm? (Ne nyinaa fa Ovarian Reserve Testing ho)

So wo ne wo kunu anya akokoaa ho anidaso bere tiaa bi ni? Ɛyɛ ade a ɛfata sɛ nneɛma bɛba w’adwenem. "Dɛn nti na wonnya nyɛɛ saa?", "So biribi asɛe wɔ me ho?" Ɛyɛ ade a ɛfata sɛ wobɛte ehu nka kakra na woahaw bere a nneɛma a ɛtete saa ba w’adwenem no. Sɛ wokɔ oduruyɛfo nkyɛn wɔ bere a ɛte sɛɛ mu a, nhwehwɛmu a wɔyɛ de hwɛ w’awo no mu biako na wɔfrɛ no Ovarian Reserve Testing. Ɛnnɛ, yɛbɛka eyi ho asɛm tiawa, wɔ ɔkwan a wubetumi ate ase so.

Sɛ yɛbɛka no tiawa a, dɛn ne Ovarian Reserve Testing?

Okay, momma yɛmfa no saa kwan yi so. Wɔwo ɔbea biara a ɔwɔ nkesua dodow a obehia wɔ ne nkwa nna nyinaa mu no nyinaa. Wɔde eyinom sie wɔ awotwaa no mu. Yɛnnyɛ nkesua foforo. Wɔfrɛ saa nkesua a yɛaboaboa ano yi ara kwa sɛ yɛn "ovarian reserve." Saa nkesua dodow yi so tew fi awosu mu bere a yɛrenyin no. Ovarian Reserve Testing yɛ sɔhwɛ a ɛma wunya adwene a ɛyɛ mmerɛw wɔ nkesua dodow a aka wɔ wo ovaries mu mprempren no ho. Ɛde wo nkesua a wode asie no toto mmea afoforo a wɔwɔ apɔwmuden a wɔne wo bɔ tipɛn ho. Ɛde mogya mu nhwehwɛmu ne ɔbea awotwaa mu ultrasound na edi dwuma titiriw.

Wɔ tebea horow bɛn mu na oduruyɛfo bɛkamfo nhwehwɛmu yi akyerɛ?

Ɛnyɛ obiara na wɔtaa ka kyerɛ sɛ ɔnyɛ sɔhwɛ yi. Nneɛma atitiriw pii nti na ebia wo duruyɛfo bɛkamfo nhwehwɛmu yi akyerɛ:

• Sɛ woreyɛ nhyehyɛe sɛ wubefi ase ayɛ awo ho ayaresa te sɛ IVF a: Nea ɛka ayaresa ahorow yi ho ne sɛ wɔde hormone bɛhyɛ wo mu de akanyan wo mmadwoa . Sɛ wunim wo nkesua a wode asie a, ɛbɛboa wo duruyɛfo ma wasi hormone dodow a ɛsɛ sɛ wode ma wo no ho gyinae na ama woanya ayaresa no nkonimdi ho adwene a emu yɛ den.
• Sɛ woanya ayaresa tebea bi te sɛ kokoram na wɔasa wo yare a: Nnuru anaa mframa a wɔde sa kokoram no betumi asɛe nkesua a ɛwɔ wo mmadwoa mu no. Saa sɔhwɛ yi boa ma wuhu nkɛntɛnso a ɛwɔ wo nkesua a wode asie no so wɔ bere a ɛte saa mu.
• Sɛ wɔayɛ wo oprehyɛn wɔ wo mmadwoa mu a: Oprehyɛn a wɔyɛ wɔ wo mmadwoa mu nso betumi ama nkesua a wɔyɛ no so atew.
• Sɛ obi a ɔwɔ w’abusua mu (ɛna, onuawa) agyae brayɛ ntɛm a : Ɛtɔ mmere bi a eyi betumi afi awosu mu. Enti ɛho hia sɛ wuhu wo tebea no ntɛm.

Ɔkwan bɛn so na wɔyɛ saa Ovarian Reserve sɔhwɛ yi?

Saa sɔhwɛ yi wɔ afã atitiriw abiɛsa. Ɛne sɛ, oduruyɛfo no te wo tebea no ase denam nea efi nhwehwɛmu abiɛsa a ɛfa ho mu ba a ɔka bom no so. Afei ma yɛnhwɛ nea ɛkɔ so wɔ sɔhwɛ ahorow yi mu biara mu nkɔ akyiri kakra.

1. Nnuru a ɛko tia - mullerian (AMH) .

Eyi ne sɔhwɛ a wɔtaa de di dwuma nnɛ. Saa hormone a wɔfrɛ no ``(AMH)`` yi nam nkesua nketenkete a ɛwɔ wo mmadwoa mu no so na ɛba. Fa no sɛ, sɛ wowɔ saa nkesua ntini yi pii wɔ wo mmadwoa mu a, AMH dodow a ɛba no nso dɔɔso. Sɛ nkesua no mu ntini dodow sua a, AMH dodow nso sua. Ɛne sɛ, AMH dodow no yɛ ade pa a ɛkyerɛ sɛnea wo nkesua a wode asie no kɛse te . Mfaso biako a ɛwɔ nhwehwɛmu yi so ne sɛ wubetumi ayɛ mogya mu nhwehwɛmu yi bere biara wɔ wo brayɛ mu. Mpɛn pii no, sɛ AMH dodow nnu 1 ng/mL a, ɛkyerɛ sɛ wo nkesua a wode asie no so retew. Nanso ɛnkyerɛ sɛ worentumi nwo ba.

2. Hormone a ɛkanyan ntini mu ntini (FSH) .

Eyi yɛ hormone a ɛsono sɛnea ɛyɛ adwuma kakra. Hormone FSH no, pituitary gland a ɛwɔ w’amemene mu no na ɛyɛ. N’adwuma ne sɛ ɛbɛkɔ awotwaa no mu na ama wɔn sɛnkyerɛnne sɛ, “Ɛyɛ, fi ase nya ɛmo mprempren.” Fa no sɛ wo mmadwoa no wɔ nkesua pii na ɛreyɛ adwuma yiye. Afei ɛnsɛ sɛ amemene no yɛ adwumaden na ama sɛnkyerɛnne no ama. Sɛ wode FSH kakraa bi mena a, awotwaa no fi ase yɛ adwuma. Nanso, sɛ awotwaa no mu nkesua sua na wɔn dwumadi yɛ mmerɛw kakra a, ɛsɛ sɛ amemene no teɛm sɛ, “Monyɛ adwumaden!” Ɛno kyerɛ sɛ wɔbɛyɛ FSH pii. Enti, FSH a ɛdɔɔso wɔ wo mogya mu no kyerɛ sɛ w’amemene reyɛ adwumaden na ama awotwaa no ayɛ adwuma. Eyi kyerɛ sɛ ebia wo ovarian reserve no sua. Wɔtaa yɛ sɔhwɛ yi wɔ wo brayɛ mu da a ɛto so abiɛsa .

3. Antral follicle dodow (AFC) .

Eyi nyɛ mogya mu nhwehwɛmu, ɛyɛ scan. ``Transvaginal ultrasound`` yɛ scan a wɔyɛ denam adwinnade ketewaa bi a wɔde fa awotwaa no mu so. Eyi ma oduruyɛfo no hu nkesua nketenkete (antral follicles) a ɛwɔ wo mmadwoa abien no nyinaa mu a ɛda adi sɛ ebefi ase ayɛ saa ɔsram no tẽẽ na wakan. Saa ntini ahorow yi ne baabi a nkesua no wɔ. Enti dodow a ɛkɔ soro kyerɛ sɛ wo nkesua a wode ma no ye. Dodow a ɛba fam kyerɛ sɛ nea wode ma no sua. Wɔtaa yɛ saa scan yi nso wɔ nnanan a edi kan wɔ wo brayɛ mu.

Dɛn ne nea enti a nkesua a wɔkora so no so tew?

Ade titiriw ne kɛse a ɛka wo ovarian reserve ne mfe a woadi . Yɛrentumi nsakra saa asɛm no. Susuw ho hwɛ, sɛ wɔwo yɛn a, wɔde nkesua ɔpepem pii na ɛwo yɛn. Edu bere a yedu mmerantebere ne mmabaabere mu no, saa dodow no so atew akodu ɔpehaha pii. Ɛno akyi no, ɛwom mpo sɛ woyi nkesua biako fi adi ɔsram biara de, nanso wɔsɛe nkesua ɔhaha anaa mpempem pii wɔ saa adeyɛ no mu. Enti bere a obi adi mfe 35 akyi no, sɛnea nkesua dodow yi so tew no yɛ ntɛmntɛm. Mfe a obi adi akyi no, nneɛma afoforo pii wɔ hɔ a ebetumi aka:

• Oprehyɛn ahorow a wɔyɛe wɔ awotwaa no so.
• Nnuru anaa mframa a wɔde sa kokoram.
• Nyarewa a emu yɛ den a ɛba akyi berɛmo mu.
• Mmea a wɔwɔ abusua no mu anya bratwa ntɛm.
• Awosu mu tebea horow bi.

Nsonsonoe a ɛda nkesua dodow ne ne su ntam

Eyi yɛ asɛmmisa a ɛma nnipa pii adwene tu fra, nanso ɛho hia paa. Ovarian Reserve Testing ma wunya wo nkesua a wode bɛma no ho adwene a ɛyɛ mmerɛw nkutoo . Ɛne sɛ, nkesua dodow ahe na wowɔ. Nanso, ɛmo dodow nkutoo nnɔɔso sɛ ɛbɛma akokoaa ayɛ. Saa nkesua no su nso ho hia yiye. Quality yɛ awosu mu akwahosan a ɛwɔ ɛmo no mu. Nkwaa a ɛwɔ apɔwmuden nkutoo na ebetumi ne mmadwoa abom ayɛ awotwaa a ɛte apɔw. Bere a nkesua dodow so tew bere a obi nyin no, saa ara na nkesua no su nso so tew. Saa su yi so tew ntɛmntɛm titiriw bere a wɔadi mfe 35. Ɛno nti na hokwan a ɛwɔ hɔ sɛ wɔbɛwo mma no so tew bere a obi nyin no na asiane a ɛwɔ hɔ sɛ nyinsɛn betu na wawo mma a wɔwɔ awosu mu dɛmdi no kɔ soro no.

Enti, so mintumi mma me nkesua a mede asie no nkɔ soro?

Asɛmmisa yi ho mmuae tẽẽ ne sɛ, “Dabi.” Efisɛ yɛrentumi mfa afiri a wɔde yɛ nkesua dodow a wɔde wo yɛn no nkɔ soro. Ɛte sɛ sika a wɔde asie wɔ sikakorabea, nea yebetumi ayi afi mu nkutoo, yentumi mfa foforo nka ho. Nanso, biribi wɔ hɔ a yebetumi ayɛ. Ɛne sɛ, bɔ mmɔden sɛ wobɛma nkesua a yɛwɔ no su ayɛ nea ɛfata. Yɛn asetra kwan ne ɛno wɔ abusuabɔ kɛse.

• Di aduan a ɛkari pɛ na ahoɔden wom. Fa nhabannuru, nnuaba, nnuaba, ne mpataa a wɔayɛ no foforo ka w’aduan ho.
• Da sɛnea ɛsɛ. Anyɛ yiye koraa no, da yiye nnɔnhwerew 7-8 da biara.
• Sɛ wonom sigaret a, gyae nnɛ. Sigaretnom kunkum nkesua .
• Gyae nsanom anaasɛ to ano hye kɛse.
• Di wo mu duru so. Kɛse mmoroso betumi ama nipadua mu nkwaadɔm a ɛnkari pɛ na aka nkesua no yiyedi.
• Tew adwennwen so. Eye paa sɛ wode wo ho bɛhyɛ nneɛma te sɛ yoga ne nsusuwii mu.

Ɛwom sɛ saa nneɛma yi a wobɛyɛ no remma wo nkesua dodow nkɔ soro de, nanso ɛbɛboa kɛse wɔ nkesua a wowɔ no akwahosan a wobɛkɔ so akura mu no mu. Ovarian Reserve Testing, Ovarian Reserve, Egg Count, Awo, Awo, IVF Sri Lanka, AMH sɔhwɛ Sinhala, FSH sɔhwɛ Sinhala