Kei te piki haere te rongonui o ngā maimoatanga whakawhānau tamariki i ēnei rā hei āwhina i a koe ki te whakatutuki i tō moemoeā kia whānau he pēpi. He mea whakahihiri, he mea taumaha hoki tēnei haerenga. He mea nui kia mōhio koe me tō hoa ki ngā raruraru ka puta mai i ēnei maimoatanga. I tēnei rā, e kōrero ana tātou mō tētahi āhuatanga ka hono pinepine ki ngā maimoatanga whakawhānau tamariki, engari kua taea te whakahaere ināianei. Ko te Ovarian Hyperstimulation Syndrome tēnā, ko te OHSS rānei te whakarapopototanga.
He aha te OHSS?
Āe, me kī pēnei. I te nuinga o te wā, kotahi anake te hua manu ka tukuna e ngā ovaries o te wahine hauora i roto i tana huringa paheketanga o ia marama. Engari ki te mea he uaua ki a koe te hapu, inā koa kei te whai maimoatanga koe pēnei i te IVF (In Vitro Fertilization) , ka hoatu e tō tākuta he rongoā homoni ki a koe hei whakaoho i ō ovaries me te hanga i a rātou kia maha ngā hua manu i te wā kotahi.
Ko te Ovarian Hyperstimulation Syndrome (OHSS) he āhuatanga e tino pāngia ai ō ovaries e ngā rongoā homoni, ā, ka nui rawa te tauhohenga. Ina tupu tēnei, ka pupuhi ngā ovaries, ka tīmata te turuturu o te wai ki roto i te puku. E kiia ana tēnei ko te OHSS.
I mua, he raruraru noa tēnei o te maimoatanga IVF. Heoi, nā ngā maimoatanga me ngā tikanga hou e wātea ana, kua tino heke te auau o tēnei mate. Heoi anō, ka kitea tonutia te OHSS ngawari i ētahi wā .
Ko ngā wāhine whai PCOS (Polycystic Ovary Syndrome) , he mate pūnaha whakaputa uri i puta mai i te kore taurite o ngā homoni, me ngā wāhine he nui rawa te hua o te hua manu, he nui ake te mōrearea ki te whakawhanake i te OHSS.
He aha ngā tohu o te OHSS? Me pēhea tātou e mōhio ai?
Ka rerekē ngā tohu o te OHSS i ia tangata, i ia tangata. Ka rerekē anō hoki i runga i te kaha o te mate. I te nuinga o te wā, ka tīmata te puta o ēnei tohu i roto i te wiki kotahi o te whakamahinga o te rongoā hei whakaoho i te whakaputanga o te hua manu. I ētahi wā ka roa pea ki te rua wiki.
He mea tino nui kia mārama te wehewehe me te kite i ēnei tohu.
| Ngā Tohu OHSS Ngāwari ki te Waenga | Ngā tohu kino o te OHSS |
|---|---|
|
|
| He mea nui: Ki te puta mai tētahi o ēnei tohu i a koe e whiwhi ana i te maimoatanga whakawhānau, waea atu ki tō tākuta tonu. Ahakoa ka memeha haere ngā tohu iti, he mea nui kia whakamōhio atu koe ki tō tākuta. | |
He aha i puta ai tēnei OHSS? He aha te take?
Ko te tino take o te OHSS i te nuinga o ngā wā ko te homoni HCG (human chorionic gonadotropin) . Koinei te homoni matua e āwhina ana ki te pupuri i te hāputanga.
I te wā o te maimoatanga IVF, ka hoatu e tō tākuta he "wero werohanga" kei roto te homoni HCG i mua i te kohikohinga o ngā hua hei āwhina i ngā hua kua whanake kia pakari tika.
Whakaarohia, ina hoatu e koe tēnei weronga HCG i te wā e maha ana ngā follicle i roto i ō ovaries, ka taea e ngā ovaries te urupare nui rawa atu ki a ia. Nā taua urupare nui rawa atu, ka tīmata te turuturu o te wai mai i ngā oko toto e karapoti ana i ngā ovaries. Ina kohia tēnei wai ki roto i te kōhao puku, ka puta ngā tohu kua whakahuatia ake nei, arā, te pupuhi me te mamae.
Ko wai te mea tino mōrearea ki tēnei mate?
Ehara i te katoa ka pāngia e te OHSS, engari he nui ake te mōrearea o ētahi tāngata.
- Ngā wāhine whai PCOS: Nā te mea he nui ngā follicle o ā rātou ovaries, ka tere ake tā rātou aro ki te whakaohooho homoni.
- Te hunga kua pāngia e te OHSS i mua: Mena kua pāngia koe i mua, he iti noa te tūponotanga ka pā anō.
- Te hunga e whanake ana he maha ngā follicle, he tino tiketike rānei ngā taumata homoni estrogen i te wā o te maimoatanga IVF: Ka aroturukitia tēnei e tō tākuta mā roto i ngā matawai me ngā whakamātautau toto.
- Ko te hunga i whiwhi i ngā horopeta nui o te homoni HCG.
- Te hunga e whakawhitihia ana he kukune "hou": Nā te mea mēnā ka puta he hāputanga i te huringa kotahi i whakaohokia ai ngā ovaries, ka piki ake te hanga HCG a te tinana i te hāputanga. Ka kino ake pea te OHSS, ka roa ake rānei te wā. Koia te take ka whakatiohia e ngā tākuta ngā kukune ka whakawhitia i tētahi atu rā mēnā he mōrearea.
- Te hunga kei raro iho i te 30 tau te pakeke, ā, he iti iho hoki te taumaha: E whakaarohia ana he take mōrearea anō hoki tēnei.
He mōrearea ngā raruraru o te OHSS?
Ahakoa he ngawari te nuinga o ngā take o te OHSS, i ētahi wā onge ka puta pea ngā raruraru nui. He mea nui kia mōhio ki tēnei.
- Ngā toto totoka (Thrombosis): Ka puta pea ngā toto totoka i roto i ngā pukahukahu, i ngā waewae rānei. Ka hoatu e tō tākuta he rongoā ki a koe hei whakaiti i tēnei mōrearea.
- Te pakaru o te whēkau ovarian: He tino onge tēnei āhuatanga. Mēnā ka puta, ka nui te toto ka puta, ā, me mahi pea he pokanga hei whakamutu.
- Te ngoikore o te mahi a te whatukuhu.
- Te uaua nui ki te manawa.
Ki te pāngia koe e te pupuhi me te mamae o te waewae, te mamae o te uma, te uaua rānei ki te manawa, haere tonu ki te tari ohorere o te hōhipera (ETU). He tohu pea ēnei o te toto totoka.
Me pēhea te tātaritanga a te tākuta i te OHSS?
I muri i te pātai mō ō tohumate, ka whakahaerehia e te tākuta ētahi whakamātautau hei whakaū i te āhua.
1. Whakamātautau tinana: Ka tirohia tō taumaha, ka inehia te porowhita o tō puku, ā, ka aromatawaihia te nui o te pupuhi. Kāore e mahia he whakamātautau hope i tēnei wā nā te mea he pupuhi, he tairongo hoki ngā ovaries.
2. Matawai ira-oro: Mā tēnei ka kitea mēnā he wai kore utu kei roto i te puku me te rahi o ngā ovaries.
3. Ngā whakamātautau toto: He mea nui tēnei hei tirotiro i ō taumata homoni, te mahi a ō whatukuhu, me te kiato o te toto.
4. X-ray o te uma: Ka mahia tēnei hei tirotiro mēnā he wai e kohia ana i roto i te uma, me te mea he uaua ki te manawa.
He aha ngā maimoatanga mō tēnei?
Ko te maimoatanga e whakawhirinaki ana ki te kaha o tō mate. Ko te whāinga matua he whakahaere i ngā tohu me te ārai i ngā raruraru.
| Te Maimoatanga mō te OHSS Ngāwari ki te Waenga | Te maimoatanga mō te OHSS kino (e hiahiatia ana te kawe ki te hōhipera) |
|---|---|
|
|
He huarahi hei ārai i te OHSS?
Ahakoa kāore e taea te ārai i ētahi mate, ka aromatawaihia e tō tākuta tō mōrearea i runga i tō hītori hauora me ngā hua o ngā whakamātautau. Ka mahi rātou i ētahi mahi hei whakaiti i tō mōrearea.
- Te whakarerekē i te horopeta o tō rongoā homoni: Mena he nui te mōrearea, ka taea e koe te tīmata me te horopeta iti iho.
- Te karo i te "werohanga whakaoho" o te HCG: Ka taea te whakamahi i tētahi atu rongoā (te rongoā whakaoho agonist).
- Te whakatio i ngā kukune: Ka kohia ngā hua manu, ka whanakehia ngā kukune, ā, ka whakatiohia. Kātahi, i muri i te hokinga mai o ngā ovaries ki te āhua noa, ka whakawhitia ngā kukune ki roto i te kōpū i roto i te kotahi ki te rua marama. Koinei te huarahi tino whai hua hei ārai i te OHSS.
- Te whakatārewatanga: Ki te mea he nui rawa te whakaohooho o ngā ovaries, me whakamutu ngā werohanga homoni mō ētahi rā i mua i te werohanga HCG.
Mena he pātai āu mō tēnei, kaua e wehi ki te pātai ki tō tākuta. Hei tiaki i a koe tēnei katoa.
He āhuatanga te OHSS ka puta i te wā e rongoatia ana te whānautanga, engari kua taea te whakahaere ināianei. He wā poto noa iho. Ko te tikanga ka ngaro ngā tohu i roto i te wiki, e rua rānei. Ko te mea nui ko te noho tonu ki te whakapā atu ki tō tīma hauora me te whakamōhio atu ki a rātou mō ngā tohu katoa.
Karere Tangohia ki te Kāinga
- Ko te OHSS he āhuatanga e puta ana ina nui rawa te urupare a ngā ovaries ki ngā homoni e hoatu ana i te wā o ngā maimoatanga momona.
- He tohu iti noa te pupuhi, te mamae o te puku, me te piki o te taumaha. He tohu kino pea te uaua ki te manawa, te mamae nui o te puku, me te ruaki.
- Ka nui ake te mōrearea mēnā he PCOS tōu, kua pāngia rānei koe e te OHSS i mua.
- Ki te pāngia koe e ētahi tohu , me whakamōhio tonu atu ki tō tākuta. Mā te kitenga wawe ka ārai i ngā raruraru.
- He ngawari te nuinga o ngā kēhi, ā, ka ea i roto i ētahi wiki. Ko ngā kēhi kino me rongoatia ki te hōhipera.
- Ki te hapu koe, kāore te OHSS e pā ki te haputanga, ki te pēpi rānei.
💬 Comments (0)
Kaore ano kia tukuna he korero. Tāpirihia to korero ki konei mo te wa tuatahi.
Tāpirihia to korero