Tunlai hian nau neih theihna tura i duhthusam tihhlawhtlinna tur atan naupai enkawlna (fertility treatment) hi a lo awm chho zel a ni. He zinkawng hi a nuam thei a, a buaithlak deuh bawk. Heng enkawlna hmang hian a chang chuan harsatna awm thei te hi nang leh i kawppui tan chuan hriat a pawimawh hle. Vawiin hian fertility treatment nena inzawm theih, mahse tunah chuan a tam zawkah chuan enkawl theih tawh dinhmun kan sawi dawn a ni. Chu chu Ovarian Hyperstimulation Syndrome, a tawi zawngin OHSS a ni.
A awlsam zawngin OHSS chu eng nge ni?
Awle, hetiang hian han sawi ila. A tlangpuiin hmeichhe hrisel tak chuan thla tin a thlasik chhungin egg pakhat chauh a chhuah thin. Mahse nau pai harsatna i neih chuan, a bik takin IVF (In Vitro Fertilization) ang chi enkawlna i neih chuan, i doctor chuan i ovary tichaktu tur leh vawi khatah egg tam tak siam turin hormonal damdawi a pe ang che.
Ovarian Hyperstimulation Syndrome (OHSS) hi i ovary te chu hormone damdawi lakah a sensitive lutuk a, a overreact a ni. Chutiang a nih chuan ovary te chu a lo hring chhuak a, pum chhungah tui a luang lut tan thin. Hei hi OHSS tih mai a ni.
Tun hma chuan hei hi IVF enkawlna avanga harsatna awm fo thin a ni. Mahse, enkawlna leh hmanraw thar awm tawhte nen chuan he natna vei hi nasa takin a tlahniam ta a ni. Mahse, mild OHSS hi a chang chuan hmuh tur a la awm tho.
Hmeichhia PCOS (Polycystic Ovary Syndrome) , hormone imbalance avanga reproductive system condition nei, leh hmeichhia egg supply sang tak nei te chu OHSS vei theihna chance a sang deuh hlek a ni.
OHSS natna lan chhuah dan chu engte nge ni? Engtin nge kan hriat chian?
OHSS natna lan chhuah dan hi mi hrang hrangah a inang lo thei. Tin, an natna nasat dan azirin an danglam bawk. A tlangpuiin, ovulation tichak tura damdawi hman atanga kar khat chhungin heng symptoms te hi a lo lang tan thei a ni. A chang chuan kar hnih vel a daih thei bawk.
Heng symptoms te hi chiang taka thliar hran leh hriat chian a pawimawh hle.
| OHSS Symptoms na lo leh na lo tak tak | OHSS symptom na tak tak a awm |
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| Pawimawh: Naupai enkawlna i neih laiin heng symptoms zinga pakhat tal i neih chuan doctor ko nghal rawh. Symptom tenau te chu a mah chauhin a reh fo nachungin, i doctor hriattir reng a pawimawh. | |
Engvangin nge he OHSS hi a lo awm? Eng nge a chhan?
OHSS awm chhan ber chu a tam zawkah chuan hormone HCG (human chorionic gonadotropin) a ni. Hei hi naupai enkawltu hormone ber a ni.
IVF enkawlna kalpui chhung hian i doctor chuan egg lakkhawm hmain hormone HCG awmna "trigger shot" a pe ang che, chu chuan egg lo piang tawhte chu a puitlin tha thei ang.
Tunah chuan han ngaihtuah teh, i ovary-a follicle tam tak i neih laiin he HCG injection hi i pek hian ovary-te hian an over-react thei a ni. Chu over-response avang chuan ovaries chhehvela thisen kalna kawng atang chuan tui a chhuak tan thin. He tui hi pum chhunga a awm khawm chuan a chunga kan sawi tawh ang khan pum huap leh natna lan chhuah dan hi a lo lang thin.
Hetiang dinhmun hi tute nge hlauhawm ber?
Mi zawng zawng hian OHSS hi an nei vek lo a, mahse mi thenkhat chu an hlauhawmna a sang deuh hlek a ni.
- PCOS vei hmeichhia: An ovary-ah hian follicle tam tak a awm avangin hormone stimulation an dawng nasa zawk a ni.
- OHSS tawng tawhte: Vawi khat i lo neih tawh chuan a lo thleng leh theihna chance tlemte a awm.
- IVF enkawlnaah follicle tam tak nei emaw, estrogen hormone level sang tak nei emaw: Hei hi i doctor-in scan leh thisen test hmanga a enfiah tur a ni.
- Hormone HCG dose sang tak dawng te.
- Embryo transfer "fresh" nei mekte: Hei hi a chhan chu ovaries tihchakna cycle khata naupai a nih chuan naupai hian taksain HCG a siam chhuah chu a pianphungah a tipung dawn a ni. Hei hian OHSS a ti na zual thei a, a rei thei bawk. Hei vang hian doctor-te chuan embryo te chu freeze-in an transfer ang a, risk a awm chuan hun dangah an transfer ang.
- Kum 30 hnuai lam leh thau lo: Hei pawh hi risk factor a ni thei tih ngaihdan a awm.
OHSS avanga harsatna awm hi a hlauhawm em?
OHSS vei tam zawk hi chu a na lo hle nachungin, a tlem berah chuan harsatna lian tak tak a awm thei a ni. Hei hi hriat chian a pawimawh hle.
- Thisen zam (Thrombosis): Thisen zam hi lung emaw keah emaw a lo awm thei a. I doctor chuan he hlauhawmna tihziaawmna tur damdawi a pe ang che.
- Ovarian cyst rupture: Hei hi a thleng tlem hle. A lo awm a nih chuan thisen chhuak nasa tak a thlen thei a, tihtawp nan operation a ngai thei bawk.
- Kidney hnathawh that lohna.
- Thâwk harsa na tak.
I ke a na a, a na a, i rilru a na emaw, thawk harsatna emaw i neih chuan damdawi in emergency department (ETU)-ah kal nghal rawh. Chungte chu thisen zam chhinchhiahna a ni thei.
Engtin nge doctor hian OHSS hi a hriat theih ang?
I natna lan chhuah dan a zawh hnuah doctor chuan test eng emaw zat a kalpui ang a, i natna chu a finfiah ang.
1. Taksa endikna: I rih zawng endik a ni ang a, i pum vel chu teh a ni ang a, a nasat dan tehna a ni ang. Hetih lai hian pelvic exam hi tih a ni lo tlangpui a, a chhan chu ovary a hring a, a sensitive bawk.
2. Ultrasound scan: Hei hian pum chhungah free fluid a awm leh awm loh leh ovary lian leh te a hriat theih nan a pui a ni.
3. Thisen test: Hei hi i hormone level, kidney function, leh thisen density enfiah nan a pawimawh hle.
4. Chest X-ray: Hei hi chest-a tui a awm leh awm loh enfiah nan leh thawk harsatna a awm leh awm loh enfiah nan tih a ni.
Hei hi eng enkawlna nge ni?
Enkawlna chu i dinhmun nasat danah a innghat a ni. A tum ber chu symptoms control leh complication ven a ni.
| Mild to Moderate OHSS enkawl dan tur | OHSS na tak (damdawi ina dah ngai) enkawl dan . |
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OHSS ven dan tur a awm em?
Case thenkhat chu ven theih a nih loh laiin, i doctor chuan i health history leh test result a zirin i risk chu a zirchiang ang. I risk tihziaawmna turin step engemaw zat an la ang.
- I hormone damdawi dose siamrem: A hlauhawmna a sang chuan dose hniam zawk hmangin i tan thei ang.
- HCG "trigger shot" pumpelh: Chu ai chuan damdawi dang (agonist trigger) hman theih a ni.
- Freezing embryos: Egg te chu an khawlkhawm a, embryo te chu an lo thang lian a, an vawt (frozen) a ni. Tichuan, ovary te chu a pangngaia a lo kir leh hnuah thla khat atanga thla hnih chhungin embryo te chu nausen pum chhungah an transfer leh thin. Hei hi OHSS laka invenna kawng tha ber a ni.
- Coasting: Ovaries te chu overstimulated anga lang a nih chuan HCG injection hmain hormone injection hi ni engemaw zat tihtawp a ni.
Hemi chungchanga zawhna i neih chuan i doctor zawh hreh suh. Hei hi i himna tur a ni vek.
OHSS hi fertility treatment neih laiin a awm thei a, mahse tunah chuan a tam zawkah chuan enkawl theih a ni tawh. Hun eng emaw chen atan a ni. Kar khat emaw kar hnih emaw chhungin symptoms hi a reh tlangpui. A pawimawh ber chu i medical team te nen inbiak reng a, symptoms awm apiang hriattir hi a ni.
Take-Home Thuchah a ni
- OHSS hi fertility treatment-a hormone pekte ovary-te’n an overreact avanga lo awm a ni.
- Bloating, pum na, leh taksa rihna sang hi symptom tenau tak a ni. Thâwk harsa, pum na na tak, leh luak chhuak te hi natna lanchhuahna pawi tak a ni thei.
- PCOS i neih emaw, OHSS i neih tawh emaw chuan a hlauhawmna a sang zawk.
- If you experience any symptoms , i doctor hnenah hriattir nghal rawh. Hriat hmasak chuan harsatna a veng thei a ni.
- A tam zawk hi chu a na lo hle a, kar tlemte chhungin a reh thei. Damdawi na tak tak tan chuan damdawi in enkawl a ngai a ni.
- OHSS neih hian naupai i nih chuan naupai emaw, naute emaw a nghawng dawn lo.
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