Ðe nèle vidzidzi ƒe atike wɔm na wò hã? Ekema mina míasrɔ̃ nu tso Ovarian Hyperstimulation Syndrome (OHSS) ŋu!

Ne èle vidzidzi ƒe dɔdamɔnu wɔm kple mɔkpɔkpɔ be yeadzi vi la, ɖewohĩ vɔvɔ̃ kple dzimaɖitsitsi aɖewo anɔ ŋuwò, alo? Ema sɔ. Ele vevie be nànya nu tso atike siawo ƒe nugbegblẽ le ame ŋu. Nɔnɔme mawo dometɔ ɖeka si mebɔ na ame akpa gãtɔ o, gake enyo be woanya nu tso eŋu lae woyɔna be Ovarian Hyperstimulation Syndrome (OHSS) . Egbea, míaƒo nu tso eŋu le mɔ bɔbɔe aɖe si gɔme sese le bɔbɔe nu.

Nuka tututue nye OHSS?

Kpuie ko la, OHSS nye ne wò azigolowo vuvu eye nusi le abe tsi ene dona ɖe wò ƒodo me. Zi geɖe la, lãmetsiŋusẽtike siwo ʋãa wò azigolowo be woawɔ azi geɖe zi ɖeka be wòakpe ɖe ŋuwò nàfɔ fu gbɔe esia tsona.

Zi geɖe la, azi ɖeka koe nyɔnu si le lãmesẽ me ɖena le eƒe dzinukpɔkpɔ ɣleti sia ɣleti me. Ke hã, na amesiwo fufɔfɔ le sesẽm na, vevietɔ le atikewɔwɔ abe `(IVF)` (In Vitro Fertilization) ene me la, wonaa lãmetsiŋusẽtikewo be woado ŋusẽ azigoloawo hafi woaɖe azi. Ɣeaɖewoɣi la, azigolowo wɔa nu ɖe ​​atike siawo ŋu wògbɔa eme. Ɣemaɣie OHSS ate ŋu adzɔ. Esia dzena zi geɖe le lãmetsiŋusẽtike siwo wodona ɖe lãme na ame hã gome.

Tsã la, OHSS bɔ ŋutɔ le amesiwo wowɔa atike na le IVF me dome. Gake esi wowɔ ɖoɖo yeyewo kple mɔnu yeyewo ta la, nɔnɔme sia dzi ɖe kpɔtɔ ŋutɔ. Gake OHSS si mesẽ o gakpɔtɔ li tso ɣeyiɣi yi ɣeyiɣi.

Nyɔnu siwo ŋu polycystic ovary syndrome (PCOS) , alo amesiwo ƒe azi sɔ gbɔ ɖo, koŋue le afɔku me be woaxɔ OHSS, elabena PCOS nye vidzidzidɔ si do ƒome kple lãmetsiŋusẽ ƒe masɔmasɔ.

Nukawoe nye OHSS ƒomevi veviwo?

Woate ŋu ade OHSS hatsotso siwo mesẽ o, esiwo mesẽ o, kple esiwo nu sẽ . Wò ɖɔkta aɖoe ɖe hatsotsowo me le alesi wò dzesiawo nu sẽe nu. Zi geɖe la, OHSS mesẽna o eye vevesese si wòhena vɛ la nɔa anyi ɣeyiɣi kpui aɖe. Gake OHSS sesẽ mebɔ o, gake ate ŋu ade ame ƒe agbe afɔku me.

Le nyatakaka siwo li fifia nu la, nyɔnu siwo wowɔa azigolo ƒe ʋuʋu hena IVF la dometɔ siwo mede 5% o la kpɔa OHSS. Do ŋgɔ la, esia anɔ abe 10% ene. OHSS sesẽ dzɔna le amesiwo mede 1% o me.

Nukae nye OHSS ƒe dzesiwo?

OHSS ƒe dzesiwo ate ŋu ato vovo tso ame ɖeka gbɔ yi bubu gbɔ, eye woato vovo le nɔnɔmea ƒe sesẽ hã nu. Zi geɖe la, dzesiawo dzea egɔme le kwasiɖa ɖeka me tso esime wozã atikewo tsɔ do ŋusẽ azigolo. Gake ɣeaɖewoɣi la, dzesiawo mate ŋu adze o vaseɖe kwasiɖa eve.

OHSS si mesẽ o va ɖo esi mesẽ o ƒe dzesiwo:

• Ƒodo ƒe vevesese.
• Ʋuʋudedi. Seselelãme abe ɖe ya yɔ dɔgboa me ene.
• Kpekpeme dzi ɖeɖe kpɔtɔ vie, abe kilogram ɖeka (pound 2) dzi ɖeɖe kpɔtɔ le ŋkeke ɖeka me ene.
• Xeɖeɖe. Sese le ɖokuiwò me be yeaɖe aɖuɖɔ.

OHSS sesẽ ate ŋu ahe dzesiwo abe:

• Kpekpeme ƒe dzidziɖedzi fũ akpa.
• Ʋuʋudedi kple ʋuʋudedi sesẽ.
• Ƒodo ƒe vuvu sesẽ.
• Yagbɔgbɔ sesẽ.
• Ʋu ƒe sisi.
• Aɖuɖɔtoe dzi ɖeɖe kpɔtɔ.
• Ƒodo ƒe vevesese sesẽ.

Nu vevitɔe nye be ne èkpɔ dzesi siawo dometɔ aɖe esime nèle vidzidzi ƒe atike wɔm la, ele be nàgblɔe na wò ɖɔkta enumake. Wò atikewɔlawo ƒe ƒuƒoƒoa anɔ ŋku lém ɖe ŋuwò edziedzi eye woate ŋu agblɔ na wò nenye be afɔku le eme be OHSS nadze dziwò le wò estrogen ƒe agbɔsɔsɔ kple lãkusi agbɔsɔsɔme si wokpɔ le ultrasound scans me nu. Zi geɖe la, nɔnɔme siawo nyea nɔnɔme fafɛ siwo nu tsona le wo ɖokui si. Ke hã, anyo wu be nàƒo nu tso wò dzesiwo ŋu na wò ɖɔkta.

Nukatae nɔnɔme sia si woyɔna be OHSS dzɔna?

Zi geɖe la, OHSS dzɔna elabena lãmetsi aɖe si woyɔna be `HCG (Human Chorionic Gonadotropin)` doa ŋusẽ wò azigolowo. Zi geɖe la, azi ɖeka koe wò azigolowo dona le ɣeyiɣi ɖeka me. Gake lãmetsiŋusẽtikewo ʋãa azigolowo be woatu azi geɖe zi ɖeka. Wotsɔa `HCG` ƒe ``trigger shot`` naa nyɔnu siwo le `(IVF)` dɔ wɔm be aziawo natsi hafi woaƒo wo nu ƒu. Eyata, ne azi geɖe siwo ateŋu anye la tsi la, azigolowo ateŋu awɔ nu wòagbɔ eme ɖe `HCG` lãmetsi sia ŋu. Ɣemaɣie OHSS dzɔna.

Le OHSS me la, vidzidzitike siawo nana tsi dona tso ʋuka siwo ƒo xlã azigoloawo me. Ɣeaɖewoɣi la, tsi sia ate ŋu aƒo ƒu ɖe ƒodoa me, si ahe dzesiwo abe abi kple vevesese ene vɛ.

Amekawoe le afɔku gã me be woaxɔ OHSS?

Ame siwo le afɔku gã me be woaxɔ dɔléle sia dometɔ aɖewoe nye:

• Nyɔnu siwo ŋu `PCOS` (polycystic ovary syndrome) le.
• Amesiwo to OHSS vɛ va yi.
• Amesiwo ƒe lãkusiwo sɔ gbɔ alo estrogen sɔ gbɔ ɖe wo ŋu le IVF ƒe ʋuʋu me.
• Amesiwo xɔ lãmetsi si nye HCG ƒe agbɔsɔsɔ gbogbo aɖe le woƒe IVF ƒe ɣeyiɣia me.
• Amesiwo xɔ fugboe "yeye" (ne wofɔ fu esime woƒe azigolowo gakpɔtɔ le ʋuʋum la, fu ma ateŋu ahe OHSS didi vɛ). Esia fia be afɔkua lolo wu ne wotsɔ fugboe si "wofa tsikpe" la yi teƒe bubu.

Azɔ hã, togbɔ be kpeɖodzi si me kɔ aɖeke meli o hã la, dzixɔse aɖe li be ame siwo gbɔna hã ate ŋu anɔ afɔku me be woaxɔ OHSS vie:

• Ðetugbi siwo mexɔ ƒe 30 haɖe o.
• Ame siwo ƒe kpekpeme mede o.

Nukawoe nye kuxi siwo ate ŋu ado tso OHSS me?

Nyɔnu siwo ŋu OHSS le la le afɔku me be ʋu naƒo ɖe woƒe lãkusi alo afɔwo me (ʋuka me ʋu ƒe sisi) . Woate ŋu ana atikewo be woatsɔ aɖe afɔku sia dzi akpɔtɔ. Afɔku ate ŋu adzi ɖe edzi hã be woaxɔ ʋusɔgbɔdɔ. Ne afɔ le veve sem, vuvu, alo akɔta le veve sem la, ele be nàgblɔe na wò ɖɔkta enumake.

Ƒã ŋutɔ la, azigolo ƒe ʋuʋudedi si do ƒome kple OHSS ate ŋu agbã eye wòana ʋu nado vevie. Le go sia me la, ate ŋu ahiã be woawɔ dɔ na ame be wòatɔ te ʋu si le dodom.

Aleke ɖɔktawo wɔa dea dzesi OHSS?

Ðɔktawo wɔa dodokpɔ geɖe tsɔ dea dzesi OHSS. Esiawo dometɔ aɖewoe nye:

• Lãmesẽdodokpɔ: Woalé ŋku ɖe wò kpekpeme ŋu, woadzidze wò akɔta ƒe gotagome, eye woalé ŋku ɖe ŋuwò be dzesi aɖewo le ŋuwò hã. Gake womawɔ akɔta dodokpɔ le ɣeyiɣi sia me o. Esia le alea elabena azigoloawo vuvu eye ate ŋu agbã ne wozi wo dzi.
• Ultrasound: Esia ate ŋu alé ŋku ɖe tsi si le ƒodoa me femaxee kple azigoloawo ƒe lolome ŋu.
• Akɔta ƒe X-ray: Be woatsɔ akpɔe ɖa be tsi ƒo ƒu ɖe akɔta hã.
• Ʋudodokpɔ: Dzidze lãmetsiŋusẽ ƒe agbɔsɔsɔ si ɖea OHSS ƒe dzesiwo fiana.

Nukae nye atike siwo wozãna na OHSS?

OHSS ƒe atikewɔwɔ nɔ te ɖe nɔnɔmea ƒe sesẽ dzi. Taɖodzinu vevitɔ si le atikewɔwɔ ŋue nye be woaɖu dzesiawo dzi eye woaxe mɔ ɖe kuxiwo nu. Zi geɖe la, OHSS ƒe dɔléle siwo mesẽ o nu tsona le wo ɖokui si le kwasiɖa ɖeka alo eve me. Gake ne èfɔ fu le ɣeyiɣi ma ke me la, dzesiawo ate ŋu anɔ anyi hena ɣeyiɣi aɖe.

Atikewɔwɔ siwo bɔ na OHSS si mesẽ o va ɖo esi sɔ gbɔ dometɔ aɖewoe nye:

• Ƒo asa na kamedede sesẽ. Ƒo asa na nuwo abe duƒuƒu, titri, alo kpekpemewo kɔklɔ ene.
• Tsi siwo me elektrikŋusẽ le nono, abe Jeevani ene, alo ɖewohĩ ɖɔkta ƒe aha ``(Gatorade®)``.
• Atikewo abe paracetamol (Acetaminophen) zazã atsɔ aɖe vevesese dzi akpɔtɔ.
• Ðokuiwò dada gbesiagbe.
• Nɔ ŋudzɔ ɣesiaɣi be yeakpɔ dzesi sesẽ ɖesiaɖe.

Zi geɖe la, OHSS sesẽ bia be woaxɔ ame ɖe kɔdzi. OHSS sesẽ ƒe atikewɔwɔ ate ŋu anye:

• Tsi siwo wodona ɖe ʋuka me (IV). Ema fia be woana nuwo abe saline ene.
• Dɔdamɔnu aɖe si woyɔna be paracentesis wɔwɔ. Wowɔa esia tsɔ ɖea tsi si sɔ gbɔ ɖe ƒodoa me ɖa.
• Atikewo nana be woaɖe dzesiawo dzi akpɔtɔ alo aɖe azigolo ƒe dɔwɔwɔ dzi akpɔtɔ.
• Ʋumenugbagbeviɣitikewo nana be woaɖe ʋu ƒe sisi ƒe afɔkua dzi akpɔtɔ.

Ɣeaɖewoɣi la, ahiã be nànɔ kɔdzi hena beléle si akpe ɖe ŋuwò ahalé ŋku ɖe ŋuwò nyuie vaseɖe esime wò dzesiwo nanyo ɖe edzi.

Ɣeyiɣi didi kae wòxɔna hafi wòhaya tso OHSS me?

Ɣeyiɣi si wòxɔna hafi nèhaya tso OHSS me la toa vovo le nɔnɔmea ƒe sesẽme kple ne èfɔ fu le ɣeyiɣi ma me nu. Wò ɖɔkta agblɔ ɣeyiɣi si nàte ŋu atrɔ ayi dɔwɔna siwo nèwɔna ɖaa dzi kple nusi nàkpɔ mɔ na na wò.

"Mɔ aɖe li si dzi woato aɖe OHSS ɖa kabaa?" ɖewohĩ ànɔ eŋu bum. Le nyateƒe me la, egbɔkpɔnu ɖeka aɖeke meli si sɔ na amesiame o. Atikewɔwɔ nɔ te ɖe alesi wò dzesiawo nu sẽe dzi. Eyata, wò ɖɔktae nye ame nyuitɔ kekeake si nàƒo nu tso atikewɔmɔnu siwo nàte ŋu azã ŋu na.

Ðe woate ŋu axe mɔ ɖe OHSS nua?

Womate ŋu axe mɔ ɖe OHSS ƒe dɔléle aɖewo nu o. Gake wò ɖɔkta ate ŋu anɔ te ɖe wò lãmesẽ ŋutinya kple ʋudodokpɔ me tsonu dzi anya ne afɔku le eme. Le vidzidzi ƒe atikewɔwɔ me la, wò ɖɔkta alé ŋku ɖe wò azigolowo ŋu edziedzi be wòaɖe OHSS ƒe afɔkua dzi akpɔtɔ. Esia alɔ ʋudodokpɔ (be woatsɔ akpɔ lãmetsiŋusẽ ƒe agbɔsɔsɔ) kple ultrasound scan (be woatsɔ akpɔ alesi wò azigolowo le tsitsim nyuie) ɖe eme.

Mɔ geɖe li siwo dzi wò atikewɔlawo ƒe ƒuƒoƒoa ate ŋu ato akpe ɖe ŋuwò nàxe mɔ ɖe OHSS nu (alo nàɖe dzesiawo dzi akpɔtɔ):

• Atikewo ƒe agbɔsɔsɔme dzi ɖeɖe kpɔtɔ alo asitɔtrɔ le eŋu.
• Ƒo asa na `HCG` "trigger shot" nana le atikewɔwɔ me.
• Vidzidzi ƒe atike ƒomevi si le tɔtrɔm.
• Wò fugboewo ƒe tsikpe me nɔnɔ kple fugboewo ƒe tɔtrɔ ɖe megbe vaseɖe esime wò azigolowo natrɔ ava nɔ abe tsã ene.

Nukae adzɔ ne OHSS dzɔ? Ðe wònye kuxi le fufɔfɔ mea?

OHSS nye ɣeyiɣi kpui aɖe ƒe nɔnɔme. Zi geɖe la, edzona le kwasiɖa eve megbe. Le dɔléle sesẽwo gɔ̃ hã me la, atikewɔwɔ kaba ate ŋu ana nu nyuiwo nado tso eme. Nu vevitɔe nye be ne èfɔ fu le vidzidzi ƒe atikewɔwɔ dzidzedzetɔe megbe la, OHSS magblẽ nu le wò fufɔfɔ ŋu o. Wò dzesiawo nu ayi vivivi eye makpɔ ŋusẽ ɖe wò fufɔfɔ dzi o. Eyata mègatsi dzi ɖe eŋu o.

Ɣekaɣie wòle be makpɔ ɖɔkta?

Ne èle vidzidzi ƒe atike wɔm eye nèkpɔ OHSS ƒe dzesi aɖewo la, yi wò ɖɔkta gbɔ enumake.

Nya kawoe wòle be nàbia ɖɔktaa?

Ne OHSS le ŋuwò la, àte ŋu abia nya siawo wò ɖɔkta:

• Aleke gbegbe nye nɔnɔmea gblẽe?
• Atikewɔwɔmɔnu kawoe le asinye?
• Kuxiwo ƒe dzesi kawo ŋue wòle be malé ŋku ɖo?
• Ðe OHSS agblẽ nu le nye ŋutete be mafɔ fu alo fugboea ŋua?

Enye nusi sɔ be ame aɖewo nase le wo ɖokui me be yewovo vie le aziwo ƒoƒo vɔ megbe. Ʋuʋudedi, teƒetete siwo me kɔ, kple seselelãme be yeɖi ƒo nye IVF ƒe nugbegblẽ le ame ŋu si bɔ. OHSS nye kuxi si mebɔ o si dona tso IVF zazã me.

Mlɔeba la, gbedasi si nàtsɔ ayi aƒemee:

Ne èle mɔ kpɔm na vidzĩ la, àte ŋu avɔ̃ vie be yeanya nu tso OHSS ŋu. Gake ɖo ŋku edzi be fifia OHSS nye dɔléle si woate ŋu axe mɔ na zi geɖe eye ne eƒe nu mesẽ o la, woate ŋu akpɔ egbɔ nyuie. Nu vevitɔe nye be nànɔ kadodo me kple wò ɖɔkta eye nàna woanya nu tso vevesese ɖesiaɖe si me tom nèle ŋu.

Le vidzidzi ƒe atikewɔwɔwo abe IVF ene me la, ɖɔktawo léa ŋku ɖe ŋuwò nyuie ŋutɔ. Eyata ne afɔku aɖe le OHSS ŋu la, woate ŋu ade dzesii kaba eye woaɖe afɔ siwo hiã. Ƒo nu tso nyabiase alo nu siwo ŋu nètsi dzi ɖo la ŋu na wo. Anye kpekpeɖeŋu gã aɖe na mɔzɔzɔ si me lãmesẽ le!

` OHSS, Ovarian Hyperstimulation Syndrome, Vidzidzi, IVF, Azigolowo, Lãmetsiŋusẽwo, Fufɔfɔ