Ele vevie be wò amesiwo le vidzidzi ƒe atike wɔm na wò be nànya nu tso esia ŋu! (Ovarian Hyperstimulation Dɔléle - OHSS) .

Vidzidzi ƒe atikewɔwɔ va le bɔbɔm ɖe edzi le ŋkeke siawo me be wòakpe ɖe ŋuwò nàɖo wò drɔ̃e si nye be yeadzi vi gbɔ. Mɔzɔzɔ sia ate ŋu anye nusi doa dzidzɔ na ame eye wòate ŋu agbɔ eme vie. Ele vevie be wò kple wò zɔhɛ mianya kuxi siwo ate ŋu ado mo ɖa ɣeaɖewoɣi le atikewɔwɔ siawo me. Egbea la, míele nu ƒom tso nɔnɔme aɖe si ate ŋu ado ƒome kple vidzidzi ƒe atikewɔwɔwo zi geɖe, gake fifia woate ŋu akpɔ edzi le akpa gãtɔ me ŋu. Emae nye Ovarian Hyperstimulation Syndrome, alo OHSS kpuie.

Kpuie ko la, nukae nye OHSS?

Enyo, mina míagblɔe alea. Zi geɖe la, azi ɖeka koe nyɔnu si le lãmesẽ me ƒe azigolowo dona le eƒe dzinukpɔkpɔ ɣleti sia ɣleti me. Gake ne fufɔfɔ le sesẽm na wò, vevietɔ ne èle atikewɔwɔ abe IVF (In Vitro Fertilization) ene wɔm la, wò ɖɔkta ana lãmetsiŋusẽtikewo wò be wòaʋã wò azigolowo eye wòana woatu azi geɖe zi ɖeka.

Ovarian Hyperstimulation Syndrome (OHSS) nye nɔnɔme si me wò azigolowo va sea veve ɖe lãmetsiŋusẽtikewo nu akpa eye wowɔa nu wògbɔa eme. Ne edzɔ alea la, azigoloawo vuvu eye wodzea tsi si le dodom ɖe ƒodoa me gɔme. Ðeko woyɔa esia be OHSS.

Tsã la, esia nye kuxi si bɔ vie le IVF zazã me. Gake esi atikewɔwɔ kple mɔnu yeye siwo li ta la, dɔléle sia ƒe dzɔdzɔ dzi ɖe kpɔtɔ ŋutɔ. Gake wogakpɔa OHSS si fa miamiamia ɣeaɖewoɣi kokoko .

Nukae nye OHSS ƒe dzesiwo? Aleke míewɔna dea dzesii?

OHSS ƒe dzesiwo ate ŋu ato vovo tso ame ɖeka gbɔ yi bubu gbɔ. Wotoa vovo le nɔnɔmea ƒe sesẽ hã nu. Zi geɖe la, dzesi siawo ate ŋu adze dzedze gɔme le kwasiɖa ɖeka me tso esime wozã atikea tsɔ do ŋusẽ azigolo. Ɣeaɖewoɣi la, ate ŋu axɔ kwasiɖa eve.

Ele vevie ŋutɔ be nàde vovototo dzesi siawo me nyuie ahade dzesi wo.

Nukatae OHSS sia dzɔna? Nuka gbɔe wòtso?

Nusi koŋ gbɔ OHSS tsona le go akpa gãtɔ mee nye lãmetsi si nye HCG (human chorionic gonadotropin) . Esiae nye lãmetsiŋusẽ vevitɔ si kpena ɖe ame ŋu be fu nanɔ anyi.

Le IVF dɔdamɔnua me la, wò ɖɔkta ana "trigger shot" si me lãmetsi si nye HCG le la wò hafi woaƒo aziawo nu ƒu be wòakpe ɖe azi siwo tsi la ŋu woatsi nyuie.

Azɔ bu eŋu kpɔ, ne èdo HCG sia le ɣeyiɣi si me lãkusi geɖe le wò azigolowo me la, azigoloawo ate ŋu awɔ nu ɖe ​​eŋu wòagbɔ eme. Le nuwɔna ma si gbɔ eme ta la, tsi dzea dodo gɔme tso ʋuka siwo ƒo xlã azigoloawo me. Ne tsi sia ƒo ƒu ɖe ƒodoa me la, ʋuʋudedi kple vevesese ƒe dzesi siwo míeyɔ va yi la dona.

Amekae le afɔku me wu le nɔnɔme sia me?

Menye amesiamee xɔa OHSS o, gake ame aɖewo le afɔku si lolo wu me vie.

• Nyɔnu siwo ŋu PCOS le: Esi wònye be woƒe azigolowo me lãkusiwo sɔ gbɔ ta la, wowɔa nu ɖe ​​lãmetsiŋusẽ ƒe dɔwɔwɔ ŋu nyuie wu.
• Amesiwo to OHSS me kpɔ: Ne èxɔe zi ɖeka la, mɔnukpɔkpɔ sue aɖe li be wòagadzɔ ake.
• Amesiwo ƒe lãkusiwo sɔ gbɔ ŋutɔ alo amesiwo ƒe estrogen lãmetsiŋusẽ sɔ gbɔ ŋutɔ le IVF zazã me: Esia nye nusi wò ɖɔkta alé ŋku ɖe eŋu to fotoɖeɖe kple ʋudodokpɔ me.
• Amesiwo xɔ lãmetsi si nye HCG ƒe agbɔsɔsɔ gbogbo aɖe.
• Amesiwo le fugboe "yeye" ƒe asitɔtrɔ me: Esia le alea elabena ne fufɔfɔ dzɔ le tsatsam ma ke si me wodo azigoloawo le la, fufɔfɔa ana ŋutilãa ƒe HCG wɔwɔ nadzi ɖe edzi le dzɔdzɔme nu. Esia ate ŋu ana OHSS nagblẽ ɖe edzi alo anɔ anyi eteƒe nadidi. Esia tae ɖɔktawo atsɔ fugboeawo ade tsikpe me eye woatsɔ wo ayi teƒe bubu emegbe ne afɔku aɖe li ɖo.
• Ame siwo mexɔ ƒe 30 haɖe o eye womelolo o: Nukpɔsusu aɖe li be esia hã ate ŋu anye afɔku.

Ðe OHSS ƒe kuxiwo nye afɔkua?

Togbɔ be OHSS ƒe dɔléle akpa gãtɔ mesẽna o hã la, le go siwo mebɔ o me la, kuxi sesẽwo ate ŋu ado mo ɖa. Ele vevie be nànya esia.

• Ʋu ƒe sisi (Thrombosis): Ʋu ƒe sisi ate ŋu adzɔ le lãkusi alo afɔwo me. Wò ɖɔkta ana atike wò be wòaɖe afɔku sia dzi akpɔtɔ.
• Ovarian cyst rupture: Esia nye nusi mebɔ kura o. Ne edzɔ la, ate ŋu ana ʋu nado le ame ŋu vevie eye ate ŋu ahiã be woawɔ dɔ nɛ be wòatɔ te.
• Ayikuwo ƒe dɔwɔwɔ ƒe gbegblẽ.
• Yagbɔgbɔ sesẽna vevie.

Aleke ɖɔkta wɔa anya OHSS?

Ne ɖɔktaa bia nya tso wò dzesiwo ŋu vɔ la, awɔ dodokpɔ geɖe atsɔ aɖo kpe dɔlélea dzi.

1. Lãmedodokpɔ: Woalé ŋku ɖe wò kpekpeme ŋu, woadzidze wò ƒodo ƒe gotagome, eye woada alesi gbegbe wòvuvui la akpɔ. Zi geɖe la, womewɔa akɔta dodokpɔ le ɣeyiɣi sia me o elabena azigoloawo vuvu eye woate ŋu ase veve.

2. Ultrasound scan: Esia kpena ɖe ame ŋu be woakpɔe ɖa be tsi le ƒodoa me faa kple azigoloawo ƒe lolome hã.

3. Ʋudodokpɔ: Esia le vevie be nàlé ŋku ɖe wò lãmetsiŋusẽ ƒe agbɔsɔsɔ, ayiku ƒe dɔwɔwɔ, kple ʋu ƒe sisi ŋu.

4. Akɔta ƒe X-ray: Wowɔa esia be woatsɔ akpɔe ɖa be tsi ƒo ƒu ɖe akɔta hã eye ne gbɔgbɔ sesẽ hã.

Nukawoe nye atike siwo wozãna na esia?

Atikewɔwɔ nɔ te ɖe alesi wò nɔnɔmea nu sẽe dzi. Taɖodzinu vevitɔe nye be woaɖu dzesiawo dzi eye woaxe mɔ ɖe kuxiwo nu.

Ðe mɔ aɖewo li siwo dzi woato axe mɔ ɖe OHSS nua?

Togbɔ be womate ŋu axe mɔ ɖe dɔléle aɖewo nu o hã la, wò ɖɔkta anɔ te ɖe wò lãmesẽ ŋutinya kple dodokpɔ me tsonu dzi ada wò afɔkua kpɔ. Woaɖe afɔ geɖe atsɔ aɖe wò afɔkua dzi akpɔtɔ.

• Asitɔtrɔ le wò lãmetsiŋusẽtike ƒe agbɔsɔsɔme ŋu: Ne afɔkua lolo la, àte ŋu adze egɔme kple agbɔsɔsɔ si bɔbɔ wu.
• Ƒo asa na HCG "trigger shot": Woateŋu azã atike bubu (agonist trigger) ɖe eteƒe.
• Fugboe siwo le tsikpe me: Woƒoa aziwo nu ƒu, fugboewo tsina, eye wotsɔa wo dea tsikpe me. Emegbe ne azigoloawo gaɖo nɔnɔme si sɔ me vɔ la, wotsɔa fugboeawo yia vidzidɔa me le ɣleti ɖeka va ɖo eve me. Esiae nye mɔ nyuitɔ kekeake si dzi woato axe mɔ ɖe OHSS nu.
• Coasting: Ne edze abe azigoloawo do ŋusẽ akpa ene la, wodzudzɔa lãmetsiŋusẽ dodo ŋkeke ʋɛ aɖewo hafi woado HCG.

Ne nya aɖe le asiwò ku ɖe esia ŋu la, mègavɔ̃ be yeabia wò ɖɔkta o. Esiawo katã nye wò dedienɔnɔ ta.

OHSS nye nɔnɔme si ate ŋu adzɔ le vidzidzi ƒe atikewɔwɔwo me, gake fifia woate ŋu akpɔ egbɔ le akpa gãtɔ me. Ɣeyiɣi kpui aɖe koe wònye. Zi geɖe la, dzesiawo nu yina le kwasiɖa ɖeka alo eve me. Nu vevitɔe nye be nànɔ kadodo me kple wò atikewɔlawo ƒe ƒuƒoƒoa edziedzi eye nàna woanya nu tso dɔlélea ƒe dzesi ɖesiaɖe ŋu.