Fεtiliti tritmεnt dεn de kam bכku bכku wan dεn tεm ya fכ εp yu fכ rich yu drim fכ bכn pikin. Dis joyn kin mek yu gladi ɛn i kin mek yu at pwɛl smɔl. I impɔtant fɔ mek yu ɛn yu patna no bɔt di prɔblɛm dɛn we kin apin sɔm tɛm wit dɛn tritmɛnt ya. Tide, wi de tɔk bɔt wan kɔndishɔn we bɔku tɛm kin gɛt fɔ du wit di tritmɛnt fɔ bɔn pikin, bɔt naw bɔku pan dɛn kin ebul fɔ kɔntrol am. Dat na Ovarian Hyperstimulation Syndrome, ɔ OHSS fɔ shɔt tɛm.
Fɔ tɔk am simpul wan, wetin na OHSS?
Okay, mek wi put am dis we. Nɔmal wan, uman we gɛt wɛlbɔdi in ovaria dɛn kin pul wan eg nɔmɔ we i de gɛt mɔnt. Bɔt if yu gɛt prɔblɛm fɔ gɛt bɛlɛ, mɔ if yu de du tritmɛnt lɛk IVF (In Vitro Fertilization) , yu dɔktɔ go gi yu ɔmon mɛrɛsin fɔ mek yu ovaria dɛn wok ɛn mek dɛn gɛt bɔku eg dɛn wan tɛm.
Ovarian Hyperstimulation Syndrome (OHSS) na wan kכndyushכn we yu ovaria dεm kin sεnsitiv pasmak to di כmon mεdikeshכn dεm εn dεn kin riak pasmak. we dis apin, di ovaria dεm de swel εn bigin fכ lik wata insay di bכdi. Dɛn jɔs kɔl dis OHSS.
Trade, dis na bin wan prɔblɛm we kin apin we dɛn de trit IVF. Bɔt wit di nyu tritmɛnt ɛn tɛknik dɛn we de, di wan dɛn we kin gɛt dis sik dɔn go dɔŋ bad bad wan. Bɔt dɛn stil de si mild OHSS wan wan tɛm .
uman dεm we gεt PCOS (Polycystic Ovary Syndrome) , we na wan riprodaktiv sistεm kכndyushכn we kכz fכ hכmon imbalans, εn uman dεm we gεt rili hכy eg saplai de pan sכm hεvi risk fכ gεt OHSS.
Wetin na di sayn dɛm fɔ OHSS? Aw wi kin no am?
Di sayn dɛm fɔ OHSS kin difrɛn frɔm wan pɔrsin to ɔda pɔrsin. Dɛn kin difrɛn bak fɔ di kayn sik wae de kam pan pɔrsin. כltu, dεn simptom ya kin bigin fכ sho insay wan wik afta dεn yuz di mεdikeshכn fכ mek di ovuleshכn. Sɔntɛnde, i kin tek tu wiks.
I rili impɔtant fɔ mek yu no klia wan ɛn no dɛn sayn ya.
| Mild to Moderate OHSS Simptom dɛm | Siviɔs OHSS simptom dɛn |
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| Impɔtant: If yu gɛt ɛni wan pan dɛn sik ya we yu de du tritmɛnt fɔ mek yu bɔn pikin, kɔl yu dɔktɔ wantɛm wantɛm. Pan ɔl we bɔku tɛm, smɔl smɔl sik dɛn kin dɔn fɔ dɛnsɛf, i impɔtant fɔ mek yu tɛl yu dɔktɔ. | |
Wetin mek dis OHSS kin apin? Wetin na di kɔz?
di men tin we kin mek OHSS bɔku na di ɔmon HCG (human chorionic gonadotropin) . Dis na di men ɔmon we de ɛp fɔ mek uman kɔntinyu fɔ gɛt bɛlɛ.
We yu de du di IVF tritmɛnt, yu dɔktɔ go gi yu "trigger shot" we gɛt di ɔmon HCG bifo dɛn gɛda di eg dɛn fɔ ɛp di eg dɛn we dɔn divɛlɔp fɔ machɔ fayn fayn wan.
naw imajin, we yu gi dis HCG injεkshכn di tεm we yu gεt bכku fכlikul dεm na yu ovaria, di ovaria dεm kin ova riak to am. Bikɔs ɔf da ɔva-rɛspɔns de, wata kin bigin fɔ lik frɔm di blɔd vesel dɛn we de rawnd di ovaries. we dis wata de kכmכt na di bכdi, di sayn dεm we wi bin dכn tכk bכt fכ blo εn pen de apin.
Udat de pan denja pas ɔl fɔ gɛt dis sik?
Nɔto ɔlman kin gɛt OHSS, bɔt sɔm pipul dɛn kin gɛt smɔl risk.
- uman dεm we gεt PCOS: Bikɔs dεn ovaria gεt bכku fכlikul dεm, dεn kin rεspכnd mכr to כmon stimulashכn.
- Dɛn wan wae dɔn gɛt OHSS bifo: If yu dɔn gɛt am wan tɛm, smɔl chans de fɔ mek i apin bak.
- Di wan dɛn we gɛt bɔku bɔku fɔlikul ɔ we gɛt bɔku bɔku ɛstrojen ɔmon lɛvɛl we dɛn de trit IVF: Dis na sɔntin we yu dɔktɔ go wach wit skan ɛn blɔd tɛst.
- Di wan dɛn we bin gɛt bɔku bɔku ɔmon we dɛn kɔl HCG.
- di wan dεm we de du "fresh" εmbriyo tכnfכs: dis na biכs if bεlε apin di sem saykl we di ovaria dεm bin stimulate, di bεlε go nכmal fכ inkrεs di bכdi in prodakshכn fכ HCG. Dis kin mek OHSS wɔs ɔr kin las fɔ lɔng tɛm. dis na di rizin we mek dכkta dεm go friz di εmbriyo dεm εn transfa dεm leta if risk de.
- Pipul dɛn we nɔ rich 30 ia yet ɛn we nɔ gɛt bɛtɛ wet: Dɛn kin tink se dis kin bi bak wan tin we kin mek dɛn gɛt prɔblɛm.
Yu tink se di prɔblɛm dɛn we kin kam wit OHSS kin denja?
Pan ɔl we bɔku pan di kes dɛm fɔ OHSS nɔr kin pasmak, insay sɔm kayn kes dɛm, siriɔs kɔmplikeshɔn kin apin. I impɔtant fɔ no bɔt dis.
- Blɔd klɔt (Thrombosis): Blɔd kin klɔt na di lɔng ɔ leg. Yu dɔktɔ go gi yu mɛrɛsin fɔ ridyus dis risk.
- Ovarian cyst rupture: Dis na tin we nɔ kin apin so ɔltɛm. If i apin, i kin mek yu blɔd bɔku ɛn i kin nid fɔ du ɔpreshɔn fɔ stɔp am.
- Di kidni nɔ de wok fayn.
- I nɔ kin izi fɔ yu fɔ blo bad bad wan.
If yu leg swel ɛn pen wantɛm wantɛm, yu chɛst de pen, ɔ yu nɔ ebul fɔ blo, go na ɔspitul in imejensi dipatmɛnt (ETU) wantɛm wantɛm. Dɛn tin ya kin bi sayn dɛn we de sho se blɔd dɔn rɔtin.
Aw dɔktɔ kin no se i gɛt OHSS?
Afta yu aks bɔt yu sik, di dɔktɔ go du sɔm tɛst fɔ no if yu gɛt di sik.
1. Fɔ chɛk yu bɔdi: Dɛn go chɛk yu wet, dɛn go mɛzhɔ di say we yu bɛlɛ de rawnd, ɛn dɛn go chɛk di digri we yu swel. dεn nכ kin du pεlvik εgzam dis tεm biכs di ovaria dεm swεla εn sεnsitiv.
2. כltra saund skan: dis de εp fכ si if fri wata de na di bכdi εn di sayz fכ di ovaria.
3. Blɔd tɛst: Dis impɔtant fɔ chɛk yu ɔmon lɛvɛl, yu kidni wok, ɛn blɔd density.
4. Chɛst X-ray: Dɛn kin du dis fɔ chɛk fɔ si if wata dɔn gɛda na di chɛst ɛn if i nɔ izi fɔ blo.
Wetin na di tritmɛnt dɛm fɔ dis?
Di tritmɛnt dipen pan aw yu sik tranga. Di men gol na fɔ kɔntrol di sayn dɛm ɛn fɔ mek dɛn nɔ gɛt prɔblɛm.
| Tritmɛnt fɔ Mild to Mɔdaret OHSS | Tritmɛnt fɔ siriɔs OHSS (we nid fɔ go na ɔspitul) . |
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We dɛn de fɔ mek yu nɔ gɛt OHSS?
Pan ɔl we dɛn nɔ kin ebul fɔ avɔyd sɔm kes dɛm, yu dɔktɔ go asɛs yu risk bay yu wɛlbɔdi histri ɛn di tɛst rizɔlt. Dɛn go tek sɔm step fɔ ridyus yu risk.
- Fɔ ajɔst di doz fɔ yu ɔmon mɛrɛsin: If di risk bɔku, yu kin bigin wit di doz we smɔl.
- Fɔ avɔyd di HCG "trigger shot": Dɛn kin yuz difrɛn drɔg (agonist trigger) insted.
- di εmbriyo dεm we de friz: dεn de kכlekt di eg dεm, di εmbriyo dεm de divεlכp, εn fכs dεm. afta dat, afta di ovaria dεm dכn kam bak to nכmal, dεn kin tכn di εmbrayo dεm insay di uterus insay wan to tu mכnt. Dis na di bɛst we fɔ mek yu nɔ gɛt OHSS.
- Kost: If i tan lεk se di ovaria dεm dεn ova stimulate, dεn kin stכp di כmon injεkshכn fכ fכ fכ de bifo di HCG injεkshכn.
If yu gɛt ɛni kwɛstyɔn bɔt dis, nɔ fred fɔ aks yu dɔktɔ. Dis na ɔl fɔ yu sef.
OHSS na wan kכndyushכn we kin apin we dεn de trit fεtiliti, bכt naw dεn kin mεnεj am bכku bכku wan. Na fɔ shɔt tɛm nɔmɔ i de du am. Bɔrku tɛm, de sik kin dɔn insay wan ɔr tu wik. De tin wae impɔtant pas ɔl na fɔ de kɔntakt yu mɛdikal tim ɔltɛm ɛn mek dɛn no bɔt ɛni sayn wae yu gɛt.
Mɛsej we dɛn kin kɛr go na os
- OHSS na wan kכndyushכn we de apin we di ovaria dεm de riak pasmak to di כmon dεm we dεn gi we dεn de trit fεtiliti.
- Blɔt, bɛlɛ pen, ɛn wet na smɔl smɔl sayn dɛn. I nɔ izi fɔ blo, yu bɛlɛ de at bad bad wan, ɛn yu de vɔmit kin bi siriɔs sayn dɛn.
- Di risk kin pasmak if yu gɛt PCOS ɔ yu dɔn gɛt OHSS bifo.
- If yu gɛt ɛni sayn , tɛl yu dɔktɔ wantɛm wantɛm. If yu no am kwik, dat kin ɛp fɔ mek yu nɔ gɛt prɔblɛm dɛn.
- Bɔrku pan di kes dɛm nɔr kin pasmak ɛn kin dɔn insay sɔm wiks. Di wan dɛn we gɛt siriɔs kes dɛn kin nid fɔ gɛt tritmɛnt na ɔspitul.
- We yu gɛt OHSS, if yu gɛt bɛlɛ, i nɔ go afɛkt di bɛlɛ ɔ di pikin.
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