If yu de du tritmɛnt fɔ bɔn pikin wit di op fɔ bɔn pikin, yu kin gɛt sɔm tin dɛn we de fred ɛn wɔri, nɔto so? Dat na nɔmal tin. E fayn fɔ no bɔt di sayd ɛfɛkt dɛm wae dɛn tritmɛnt ya kin gɛt. Wan pan dɛn kayn tin ya we nɔ kin apin to bɔku pipul dɛn, bɔt we fayn fɔ no bɔt, dɛn kɔl am Ovarian Hyperstimulation Syndrome (OHSS) . Tide, wi go tɔk bɔt am simpul wan ɛn izi fɔ ɔndastand.
Wetin na OHSS rili?
Fɔ tɔk am simpul wan, OHSS na we yu ovaria dɛn swel ɛn lik sɔntin we tan lɛk wata insay yu bɛlɛ. Bɔku tɛm dis kin apin bikɔs ɔf ɔmon mɛrɛsin dɛn we de mek yu ovaria dɛn mek bɔku eg dɛn wan tɛm fɔ ɛp yu fɔ gɛt bɛlɛ.
Nɔmal wan, uman we gɛt wɛlbɔdi kin kɔmɔt na wan eg nɔmɔ we i de gɛt mɔnt. כltu, fכ dεn wan dεm we de gεt difεlεbl fכ bεlε, spεshal wan we dεn de trit dεm lεk `(IVF)` (In Vitro Fertilization), dεn de gi כmon dεm fכ stimulate di ovaria bifo dεn tek di eg. Sɔntɛnde, di ovaria dɛn kin tek dɛn drɔgs ya pasmak. Na da tɛm de OHSS kin apin. Dɛn kin si dis bak wit ɔmon drɔgs we dɛn kin injɛkt.
Trade, OHSS bin rili kɔmɔn pan di wan dɛn we de du IVF tritmɛnt. Bɔt wit nyu protɔkɔl ɛn strateji, dis kɔndishɔn dɔn go dɔŋ bad bad wan. Bɔt, kes dɛn stil de we gɛt mild OHSS wan wan tɛm.
uman dεm we gεt polycystic ovary syndrome (PCOS) , כ dεn wan dεm we gεt כva bכku eg, kin de pan risk fכ OHSS, biכs PCOS na riprodaktiv dizכrd we kכnεkt wit hכmon imbalans.
Wetin na di men kayn OHSS?
Dɛn kin kɔl OHSS as mild, moderate, ɛn siriɔs . Yu dɔktɔ go klas am bay aw yu sik dɛn bad. Bɔrku tɛm, OHSS nɔr kin tranga ɛn de diskɔmfɔt wae i kin kɔz kin de fɔ sɔm tɛm. Bɔt, siriɔs OHSS nɔ kin bɔku, bɔt i kin mek pɔsin in layf de pan denja.
akɔdin to di data we de naw, less dan 5% pan di uman dεm we de du ovarian stimulashכn fכ IVF de εkspiriεns OHSS. Bifo dis tɛm, dis bin de arawnd 10%. siriכs OHSS de apin insay less dan 1%.
Wetin na di sayn dɛm fɔ OHSS?
Di sayn dɛm fɔ OHSS kin difrɛn frɔm wan pɔrsin to ɔda pɔrsin, ɛn dɛn kin difrɛn bak fɔ di kayn sik. Bɔrku tɛm, di sayn dɛm kin bigin insay wan wik afta yu dɔn yuz mɛrɛsin fɔ mek di ovuleshɔn kɔmɔt. Bɔt sɔmtɛm, di sayn dɛn nɔ kin sho fɔ tu wiks.
Di simptom dɛm fɔ Mild to Moderate OHSS:
- Pɔsin we de fil pen na di bɛlɛ.
- Fɔ blo. Wan filin lɛk se di bɛlɛ ful-ɔp wit briz.
- Smɔl wet, lɛk fɔ gɛt pas wan kilogram (2 pawn) insay wan de.
- Vɔmit. Fɔ fil lɛk se yu go vɔmit.
Siriɔs OHSS kin mek yu gɛt sɔm sayn dɛn lɛk:
- We yu gɛt bɔku bɔku wet.
- Siriɔs nɔs ɛn vɔmit.
- Di bɛlɛ kin swel bad bad wan.
- I nɔ kin izi fɔ yu fɔ blo.
- Blɔd we de klɔt.
- Di we aw yu de pis nɔ de bɔku.
- Bɔku pen na yu bɛlɛ.
Di tin we impɔtant pas ɔl na dat if yu gɛt ɛni wan pan dɛn sik ya we yu de du tritmɛnt fɔ bɔn pikin, yu fɔ tɛl yu dɔktɔ wantɛm wantɛm. Yu mɛdikal tim go de wach yu ɔltɛm ɛn dɛn go ebul fɔ tɛl yu if yu de pan risk fɔ gɛt OHSS bay aw yu gɛt ɛstrojen lɛvɛl ɛn di nɔmba fɔ di fɔlikul dɛn we dɛn si pan ɔltra saund skan. Bɔrku tɛm, dɛn kayn tin ya nɔr kin fayn ɛn kin sɔlv fɔ dɛnsɛf. Bɔt i go fayn fɔ mek yu tɔk to yu dɔktɔ bɔt di sayn dɛn we yu gɛt.
Wetin mek dis kɔndishɔn we dɛn kɔl OHSS kin apin?
כl di tεm dεm, OHSS kin apin biכs wan כmon we dεn kכl `HCG (Human Chorionic Gonadotropin)` de mek yu ovaria dεm wok. Nɔmal wan, yu ovaria dɛn kin mek wan eg nɔmɔ wan tɛm. Bɔt di tritmɛnt dɛn we dɛn kin yuz ɔmon kin mek di ovaria dɛn gɛt bɔku eg dɛn wan tɛm. uman dεm we de du `(IVF)` tritmεnt dεn kin gi dεm ``trigger shot`` fכ `HCG` fכ machכ di eg dεm bifo dεn kכlekt dεm. so, we plεnti pכtεnshal eg dεm de divεlכp, di ovaria dεm kin כva riak to dis `HCG` כmon. Na da tɛm de OHSS kin apin.
insay OHSS, dεn fεtiliti dεm ya de mek wata lik frכm di bכdi vεsul dεm we de rawnd di ovaria dεm. Sɔntɛnde dis wata kin gɛda na di bɛlɛ, we kin mek yu gɛt sɔm sayn dɛn lɛk fɔ swel ɛn pen.
Udat de pan ay risk fɔ gɛt OHSS?
Pipul wae gɛt bɔrku risk fɔ gɛt dis sik na:
- uman dεm we gεt `PCOS` (polycystic ovary syndrome).
- Di wan dɛn we dɔn mek OHSS bifo tɛm.
- di wan dεm we bin gεt bכku nכmba fכ fכlikul כ hεy εstrojen lεvεl dεm we dεn bin de stimulate IVF.
- Di wan dɛn we bin gɛt ay dos fɔ di ɔmon HCG we dɛn bin de du dɛn IVF saykl.
- di wan dεm we dεn bin gεt "fresh" εmbriyo tכnfכs (if dεn gεt bεlε we dεn ovari dεm stil de stimulate, dat bεlε kin mek dεn gεt OHSS fכ lכng tεm). dis min se di risk hכy pas wit "frozen" εmbriyo tכnfכs.
Dɔn bak, pan ɔl we no klia pruf nɔ de, pipul dɛn biliv se dɛn pipul ya kin gɛt smɔl risk fɔ gɛt OHSS bak:
- Yɔŋ uman dɛn we nɔ rich 30 ia yet.
- Pipul dɛn we nɔ gɛt bɛtɛ wet.
Wetin na di pɔsibul kɔmplikeshɔn dɛm fɔ OHSS?
uman dεm we gεt OHSS kin gεt risk fכ divεl כp blכd kכlכt na dεn lכng כ leg (thrombosis) . Dɛn kin gi mɛrɛsin fɔ ridyus dis prɔblɛm. I kin gɛt bak di risk fɔ gɛt strok. If yu gɛt pen na yu leg, swel, ɔ yu chɛst de pen, yu fɔ tɛl yu dɔktɔ wantɛm wantɛm.
Na smɔl tɛm nɔmɔ, ovarian sist we gɛt fɔ du wit OHSS kin brok ɛn mek siriɔs blɔd kɔmɔt. If na so i bi, i kin nid fɔ du ɔpreshɔn fɔ stɔp di blɔd.
Aw dɔktɔ dɛn kin no se yu gɛt OHSS?
Dɔktɔ dɛn kin du bɔku tɛst fɔ no if pɔsin gɛt OHSS. Dɛn tin ya na:
- Fɔ ɛgzam fɔ yu bɔdi: Dɛn go chɛk yu wet, dɛn go mɛzhɔ di say we yu wes de, ɛn dɛn go chɛk yu fɔ si if yu gɛt sayn dɛn we de sho se yu swel. Bɔt dɛn nɔ go du ɛgzam na di bɔdi dis tɛm. dis na biכs di ovaria dεm swεla εn i kin bכs if dεn prεshכn.
- כltra saund: dis kin chεk fכ fri wata na di bכdi εn di sayz fכ di ovaria dεm.
- Chɛst X-ray: Fɔ chɛk fɔ si if wata dɔn gɛda na di chɛst.
- Blɔd tɛst: Mekɔp di ɔmon lɛvɛl we de sho sayn dɛn fɔ OHSS.
Wetin na di tritmɛnt dɛm fɔ OHSS?
Tritmɛnt fɔ OHSS de dipen pan aw di kɔndishɔn siriɔs. Di men gol fɔ tritmɛnt na fɔ kɔntrol di sayn dɛm ɛn fɔ mek dɛn nɔ gɛt prɔblɛm. Mild kes dɛm fɔ OHSS kin sɔlv fɔ dɛnsɛf insay wan ɔ tu wik. Bɔt if yu gɛt bɛlɛ insay di sem saykl, di sayn dɛn kin kɔntinyu fɔ de fɔ sɔm tɛm.
Kɔmɔn tritmɛnt fɔ mild to mɔdaret OHSS inklud:
- Nɔ mek yu bɔdi wok tranga wan. Nɔ du tin dɛn lɛk fɔ rɔn, jomp, ɔ fɔ es wet.
- Fɔ drink wata we gɛt ilɛktrɔlayt, lɛk Jeevani, ɔ sɔntɛm di dɔktɔ in drink ``(Gatorade®)``.
- Yuz mɛrɛsin lɛk paracetamol (Acetaminophen) fɔ ridyus pen.
- We yu de wej yusɛf ɛvride.
- Ɔltɛm, de wach fɔ ɛni siriɔs sik.
Bɔku tɛm, siriɔs OHSS kin nid fɔ go na ɔspitul. Di tritmɛnt fɔ siriɔs OHSS kin inklud:
- Fluid dɛn we dɛn kin put insay di bɛlɛ (IV). Dat min se yu fɔ gi tin dɛn lɛk salin.
- Fɔ du wan tin we dɛn kɔl paracentesis. dεn kin du dis fכ pul di wata we pasmak we dεn kכlכm na di bεlε.
- Gi mɛrɛsin fɔ mek yu nɔ gɛt di sik ɔ fɔ ridyus di ovarian wok.
- Gi blɔd tin fɔ mek di blɔd nɔ klɔt.
Sɔmtɛm yu kin nid fɔ de na ɔspitul fɔ sɔpɔt kia ɛn fɔ wach yu gud gud wan te yu sik dɛn bɛtɛ.
Aw lɔŋ e kin tek fɔ wɛl frɔm OHSS?
di tεm we i tek fכ rεkכva frכm OHSS kin difrεn dipכnt pan aw di kכndyushכn bin tranga εn if yu bin gεt bεlε insay da saykl de. Yu dɔktɔ go tɛl yu ustɛm yu kin go bak to nɔmal tin dɛn ɛn wetin fɔ ɛkspɛkt.
"Wetin de fɔ pul OHSS kwik kwik wan?" yu kin de wɔnda. Rili no wan saiz-fit-ɔl sɔlv nɔ de. Di tritmɛnt de dipen pan aw yu sik bad bad wan. So, yu dɔktɔ na di bɛst pɔsin fɔ tɔk to bɔt di tritmɛnt opshɔn dɛn.
Yu tink se dɛn kin ebul fɔ stɔp OHSS?
Sɔm kes dɛm fɔ OHSS nɔ kin ebul fɔ stɔp. Bɔt yu dɔktɔ kin no if yu de pan denja bay yu wɛlbɔdi istri ɛn blɔd tɛst rizɔlt. We yu de trit yu fεtiliti, yu dכkta go de wach yu ovary כltεm fכ ridyus yu risk fכ OHSS. Dis go inklud blɔd tɛst (fɔ chɛk di ɔmon lɛvɛl) ɛn ɔltra saund skan (fɔ chɛk aw yu ovaria dɛn de divɛlɔp fayn fayn wan).
Bɔku we dɛn de we yu mɛdikal tim kin ɛp yu fɔ mek yu nɔ gɛt OHSS (ɔ fɔ mek yu nɔ gɛt bɔku sik dɛn):
- Ridyus ɔ ajɔst di mɛrɛsin doz.
- Nɔ gi di `HCG` "trigger shot" we yu de trit yu.
- Chenj di kayn mεdikeshכn fכ fεtiliti.
- fכ friz yu εmbrayo dεm εn delay di εmbriyo tכnshכn te yu ovaria dεm kam bak to nכmal.
Wetin kin apin if OHSS apin? Na prɔblɛm fɔ gɛt bɛlɛ?
OHSS na wan tɛmporari kɔndishɔn. Bɔku tɛm, i kin go insay tu wiks. Ivin if i tranga, tritmεnt kwik kin mek yu gɛt gud rizulyt. di imכtant tin na dat if yu gεt bεlε afta yu gεt saksesful fεtiliti tritmεnt, OHSS nכ go ambɔg yu bεlε. Yu sik go dɔn smɔl smɔl ɛn i nɔ go afɛkt yu bɛlɛ. So nɔ wɔri bɔt am.
Ustɛm a fɔ go to di dɔktɔ?
If yu de du fεtiliti tritmεnt εn yu si εni simptom fכ OHSS, go to yu dכkta kwik kwik wan.
Us kwɛstyɔn dɛn yu fɔ aks di dɔktɔ?
If yu gɛt OHSS, yu kin aks yu dɔktɔ dɛn kwɛstyɔn ya:
- Aw bad mi kɔndishɔn de?
- Us tritmɛnt opshɔn dɛn a gɛt?
- Us sayn dɛm fɔ kɔmplikeshɔn a fɔ luk fɔ?
- OHSS go ambɔg mi ebul fɔ gɛt bɛlɛ ɔ di pikin we de na di pikin?
Na nɔmal tin fɔ mek sɔm pipul dɛn fil sɔm kayn prɔblɛm afta dɛn dɔn gɛda eg. Fɔ blo, fɔ gɛt layt spat, ɛn fɔ fil ful na kɔmɔn sayd ɛfɛkt dɛn we IVF kin gɛt. OHSS na wan kɔmplikeshɔn we nɔ kin apin so ɔltɛm we dɛn kin gi IVF tritmɛnt.
Fɔ dɔn, mɛsej we yu kin kɛr go na os:
If yu de op fɔ bɔn pikin, yu kin fred smɔl fɔ lan bɔt OHSS. Bɔt mɛmba se, OHSS naw na wan sik we dɛn kin ebul fɔ avɔyd bɔku tɛm ɛn if i nɔ at, dɛn kin manej am fayn fayn wan. De tin wae impɔtant pas ɔl na fɔ de tɔk to yu dɔktɔ ɛn mek dɛn no bɔt ɛni prɔblɛm wae yu de gɛt.
We dɛn de trit yu fɔ bɔn pikin lɛk IVF, di dɔktɔ dɛn kin wach yu gud gud wan. So, if risk de fɔ OHSS, dɛn kin no am kwik ɛn tek step dɛn we nid fɔ bi. Tɔk to dɛn bɔt ɛni kwɛstyɔn ɔ tin we de mɔna yu. I go bi big ɛp fɔ wan wɛlbɔdi waka!
` OHSS, Ovarian Hyperstimulation Syndrome, Fεtiliti, IVF, Ovarian, Hכmon, Bεlε
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