Yu ɛn yu man dɔn de op fɔ gɛt pikin fɔ sɔm tɛm naw? Na nɔmal tin fɔ mek tin kam na yu maynd. "Wetin mek nɔto yet?", "Sɔmtin de we nɔ rayt wit mi?" Na rili nɔmal tin fɔ fil smɔl fɔ fred ɛn wɔri we tin dɛn lɛk dat kam na yu maynd. we yu go si dכkta di tεm lεk dis, wan pan di tεst dεm we dεn kin du fכ chεk yu fεtiliti dεn kכl am Ovarian Reserve Testing. Tide, wi go tɔk bɔt dis simpul wan, di we we yu go ɔndastand.
Fɔ tɔk am simpul wan, wetin na Ovarian Reserve Testing?
Okay, mek wi put am dis we. כl uman dεn bכn wit di ful nכmba כf eg dεm we i go nid fכ in layf. Dɛn kin kip dɛn tin ya na di ovaria dɛn. Wi nɔ de mek nyu eg. dis kכlekshכn fכ eg dεm we wi gεt dεn jכs kכl am wi "ovarian reserve." Dis nכmba fכ eg dεm de dכn nכmal wan as wi de ol. Ovarian Reserve Testing na
test we de gi yu rough idea of aw many eg de lef naw na yu ovaries. I de kɔmpia yu eg rizɔv to ɔda wɛlbɔdi uman dɛn we yu ej. I kin yuz mɔ blɔd tɛst ɛn vagina ɔltrasɔund.
Bɔt, wan rili impɔtant tin de we yu fɔ mɛmba na ya. dis tεst n כ kin tεl yu 100% fכ sכri if yu go ebul fכ bεlε nכmal wan כ nכ. I nɔ de tɛl yu bak di kwaliti fɔ yu eg dɛn . di rizulyt go כnli εp yu dכkta fכ no aw yu bכdi go rεspכnd to fεtiliti tritmεnt, spεshal wan IVF (in vitro fεtilayzεshכn).
Us kes dɛn dɔktɔ go tɛl yu fɔ du dis tɛst?
Nɔto ɔlman dɛn kin aks fɔ mek dɛn du dis tɛst. Bɔku men rizin dɛn de we mek yu dɔktɔ go tɛl yu fɔ du dis tɛst:
- If yu de plan fɔ bigin tritmɛnt fɔ bɔn pikin lɛk IVF: Dɛn tritmɛnt ya kin min fɔ gi yu ɔmon injɛkshɔn fɔ mek yu ovaria dɛn wok . If yu no di eg we yu gɛt, dat go ɛp yu dɔktɔ fɔ disayd di doz fɔ di ɔmon dɛn we yu nid fɔ gi yu ɛn gi yu wan rough aidia bɔt di sakses fɔ di tritmɛnt.
- If yu dɔn gɛt wan sik lɛk kansa ɛn dɛn dɔn trit yu fɔ am: Kimotɛrapi ɔ redyushɔn tɛrapi fɔ kansa kin pwɛl di eg dɛn we de na yu ovaria. Dis tɛst de ɛp fɔ no di impak we yu gɛt pan yu eg rizɔv da kayn tɛm de.
- If yu dɔn du ɔpreshɔn pan yu ovaria: We yu du ɔpreshɔn pan yu ovaria, i kin mek bak di eg we de mek yu nɔ gɛt bɛtɛ eg.
- If sɔmbɔdi na yu famili (mama, sista) dɔn gɛt mɛnɔpos kwik kwik wan : Sɔntɛnde dis kin bi frɔm yu mama ɛn papa. So e fayn fɔ no yu sik kwik kwik wan.
Aw dɛn kin du dis Ovarian Reserve tɛst?
Dis tɛst gɛt tri men pat dɛn. Dat min se, di dɔktɔ ɔndastand yu sik bay we i jɔyn di rizɔlt fɔ tri tɛst dɛn we gɛt fɔ du wit dis.
| Nem fɔ di tɛst | Aw fɔ du am | Wetin dɛn kin mɛzhɔ? |
|---|
| AMH ɔmon tɛst | Blɔd Tɛst | כmon we sכm sכm eg fכlikul dεm na di ovaria dεm de mek. |
| FSH ɔmon tɛst | Blɔd Tɛst | כmon we di pituitary gland na di bren de mek we de mek di eg machכ. |
| Antral Fɔlikul Kɔnt (AFC) . | wan skan tru di vagina (Transvaginal Ultrasound) . | di nכmba fכ di eg fכlikul dεm we de sho na di ovaria dεm we kin bigin fכ divεlכp. |
Naw lɛ wi luk wetin kin apin pan ɛni wan pan dɛn tɛst ya smɔl mɔ.
1. Anti - mullerian ɔmon (AMH) .
Dis na di tɛst we dɛn kin yuz mɔ tide. dis כmon we dεn kכl ``(AMH)`` na di sכm sכm eg fכlikul dεm we de na yu ovaria dεm de mek am. imajin, if yu gεt bכku pan dεn eg fכlikul dεm ya na yu ovaria, di כmכnt כf AMH we dεn prodyuz de hכy bak. if di nכmba fכ di eg fכlikul dεm sכm, di AMH lεvεl dεm tu lכw. dat min se
di AMH lεvεl na gud indikεtכr fכ di sayz fכ yu eg rεsכv . Wan pan di bɛnifit dɛn we dis tɛst gɛt na dat yu kin du dis blɔd tɛst ɛnitɛm we yu de gɛt mɔnt. jεnarali, if di AMH lεvεl less dan 1 ng/mL, i min se yu eg rεsכv de dכn. Bɔt i nɔ min se yu nɔ go ebul fɔ bɔn pikin.
2. כmon we de mek di fכlikul dεm (FSH) .
Dis na ɔmon we de wok difrɛn we smɔl. di כmon FSH na di pituitary gland we de na yu bren de mek am. di wok we i de du na fכ go na di ovaria dεm εn gi dεm signal se, “Okay, stat fכ divεlכp eg naw.” Imajin se yu ovaria gɛt bɔku eg ɛn dɛn de wok fayn. Dɔn di bren nɔ nid fɔ wok tranga wan fɔ gi di signal. we yu sεnd sכm FSH, di ovaria dεm de stat fכ wok. Bɔt if di ovaria nɔ gɛt bɛtɛ eg ɛn di we aw dɛn de wok wik smɔl, di bren fɔ ala se, “Wok tranga wan!” Dat min se
dɛn fɔ prodyuz mɔ FSH. So, if FSH de na yu blɔd, dat min se yu bren de wok tranga wan fɔ mek di ovaria dɛn wok. Dis sho se yu ovarian rizɔv kin smɔl. Dis tɛst kin bi
di tɔd de we yu de gɛt mɔnt .
3. Antral fכlikul kכnt (AFC) .
Dis nɔto blɔd tɛst, na skan. ``Transvaginal ultrasound`` na skan we dεn kin du bay we dεn put sכm sכm instrכmεnt tru di vagina. dis kin mek di dכkta si εn kכnt di nכmba fכ di sכm sכm eg fכlikul dεm (antral fכlikul dεm) na yu tu ovaria dεm we go lεk fכ bigin fכ divεlכp da mכnt de. na dεn fכlikul dεm ya na di say we di eg dεm de. So ay nɔmba min se yu eg saplai gud. Nɔmba we smɔl, dat min se yu sapɔt nɔ bɔku. Dɛn kin du dis skan bak insay di fɔs 4 dez we yu de gɛt mɔnt.
Wetin na di rizin dɛn we mek di eg we dɛn de kip dɔn go dɔŋ?
Di men ɛn big tin we de afɛkt yu ovarian rizɔv na
di ej . Wi nɔ go ebul fɔ chenj dat. Tink bɔt am, we dɛn bɔn wi, dɛn bɔn wi wit bɔku bɔku eg dɛn. We wi rich di tɛm we wi de bɔn, da nɔmba de dɔn go dɔŋ to bɔku bɔku pipul dɛn. Afta dat, pan ɔl we dɛn kin pul wan eg ɛvri mɔnt, bɔku ɔ tawzin eg dɛn kin pwɛl we dɛn de du dat. So afta we i ol 35 ia, di rεt we dεn eg nכmba dεm ya de dכn de aksεlayt. Apat frɔm di ej, bɔku ɔda tin dɛn de we kin afɛkt:
- Dɛn bin de du ɔpreshɔn pan di ovaria dɛn.
- Kimotɛrapi ɔ redyushɔn tritmɛnt fɔ kansa.
- Sivεr pεlvik εria infεkshכn.
- Uman dɛn na di famili dɔn gɛt fɔ lɛf fɔ gɛt bɛlɛ kwik kwik wan.
- Sɔm tin dɛn we kin apin to pɔsin we gɛt jɛnɛtiks.
Di difrɛns bitwin di eg kwantiti ɛn di kwaliti
Dis na kwɛstyɔn we bɔku pipul dɛn kin kɔnfyus, bɔt i rili impɔtant. Ovarian Rizav Tεst de כnli gi wan rכf aidia fכ yu eg
saplai . Dat min se, ɔmɔs eg yu gɛt. Bɔt di eg kwantiti nɔmɔ nɔ go du fɔ mek pikin.
Di kwaliti fɔ dɛn eg dɛn de bak rili impɔtant. Kwaliti na di jenɛtik wɛlbɔdi we di eg gɛt. nכmכ eg we gεt hεlth kin kam togεda wit sεl fכ mek di εmbrayo we gεt hεlth.
I sɔri fɔ no se naw, no tɛst nɔ de na di wɔl we go ebul fɔ no di kwaliti fɔ eg.If yu de du IVF tritmɛnt, yu kin jɔs no di kwaliti fɔ di eg dɛn afta dɛn dɔn pul dɛn na di bɔdi ɛn chɛk dɛn ɔnda maykroskɔp.
as di nכmba fכ di eg dεm de dכn wit di ej, na so di kwaliti fכ di eg dεm de dכn. Dis kwaliti de dכn spεshal wan afta di ej 35. Na dat mek di prכbabiliti fכ bכn pikin de dכn wit di ej εn di risk fכ bכn pikin εn fכ bכn pikin dεm we gεt jεnεtik dεfεkt de inkrεs.
So, a nɔ go ebul fɔ mek mi eg rizɔv bɔku?
Di rayt ansa to dis kwɛstyɔn na,
“Nɔ.” Bikɔs wi nɔ go ebul fɔ mek di eg dɛn we dɛn bɔn wi wit, bɔku. I tan lɛk fiks dipɔsit na bank, wi kin jɔs pul mɔni pan am, wi nɔ go ebul fɔ ad nyu wan dɛn. Bɔt, sɔntin de we wi go ebul fɔ du. Dat min se,
tray fɔ kip di kwaliti fɔ di eg dɛn we wi gɛt na gud lɛvul. Di we aw wi de liv wi layf gɛt bɔku tin fɔ du wit dat.
- It tin we balans ɛn we gɛt fayn fayn tin dɛn fɔ it. Put fresh vɛjitebul, frut, nɛt, ɛn fish insay yu it.
- Gɛt inof slip. Gɛt at le 7-8 awa gud slip insay wan de.
- If yu de smok, stɔp tide. Smok kin kil eg.
- Stɔp ɔ stɔp fɔ drink rɔm bad bad wan.
- Kɔntrol yu wet. If pɔsin fat, i kin mek di ɔmon nɔ balans ɛn i kin afɛkt di kwaliti fɔ di eg.
- Ridyus strɛs. I rili fayn fɔ du tin dɛn lɛk yoga ɛn fɔ tink gud wan.
Pan ɔl we if yu du dɛn tin ya, i nɔ go mek yu eg bɔku, i go ɛp yu bad bad wan fɔ mek di eg dɛn we yu gɛt gɛt wɛlbɔdi.
Mɛsej we dɛn kin kɛr go na os
- Ovarian Reserve Testing na test we de gi rough idea of di nomba of eg dem na yu ovaries.
- Dis tɛst nɔ go ebul fɔ tɛl yu fɔ tru if yu go ebul fɔ gɛt bɛlɛ lɛk aw yu kin gɛt bɛlɛ ɔ nɔ go ebul fɔ gɛt bɛlɛ.
- Dis kin mek dɛn no di eg dɛn mɔ , nɔto di kwaliti we dɛn gɛt .
- Di dɔktɔ go kam fɔ disayd bɔt yu kɔndishɔn bay we i tek di rizɔlt fɔ ɔl di tri tɛst dɛn, AMH, FSH, ɛn AFC, togɛda.
- Yu nɔ go ebul fɔ mek yu eg dɛn bɔku, bɔt yu kin ɛp fɔ mek yu eg dɛn gɛt di kwaliti bay we yu de liv fayn layf.
- Nɔ wɔri bɔt di rizɔlt fɔ dɛn tɛst ya nɔmɔ. Tɔk to yu dɔktɔ bɔt ɔltin opin wan ɛn disayd bɔt di tritmɛnt plan we go fayn fɔ yu.
Ovarian Rizav Tεst, Ovarian Rizav, Eg Kaunt, Fεtiliti, Pikin, IVF Sri Lanka, AMH tεst Sinhala, FSH tεst Sinhala
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