Kei te whiwhi koe i te maimoatanga whakawhānau? Me ako tātou mō te Ovarian Hyperstimulation Syndrome (OHSS)!

Mena kei te whai maimoatanga whakawhānau koe me te tumanako ka whānau he pēpi, tera pea he wehi me he āwangawanga āu, tika? He mea noa tēnā. He mea nui kia mōhio koe ki ngā pānga taha pea o ēnei maimoatanga. Ko tētahi o aua mate kāore i te noa ki te nuinga o te tangata, engari he mea pai kia mōhiotia, ko te Ovarian Hyperstimulation Syndrome (OHSS) . I tēnei rā, ka kōrerohia e tātou i roto i tētahi huarahi māmā, ngāwari hoki ki te mārama.

He aha rawa te OHSS?

Ki te kī ngāwari, ko te OHSS te wā e pupuhi ai ō ovaries, ka turuturu mai he wai ki roto i tō puku. He maha ngā wā ka puta mai tēnei i ngā rongoā homoni e whakaoho ana i ō ovaries kia whakaputa hua maha i te wā kotahi hei āwhina i a koe kia hapu.

I te nuinga o te wā, kotahi anake te hua manu ka tukuna e te wahine hauora i roto i tana huringa paheketanga o ia marama. Heoi, mō te hunga e uaua ana ki te hapu, inā koa i roto i ngā maimoatanga pēnei i te `(IVF)` (In Vitro Fertilization), ka hoatu he rongoā homoni hei whakaoho i ngā ovaries i mua i te whakahokinga mai o te hua manu. I ētahi wā, ka nui rawa te urupare a ngā ovaries ki ēnei rongoā. Koinei te wā ka puta ai te OHSS. Ka kitea hoki tēnei i roto i ngā rongoā homoni werohanga.

I ngā wā o mua, he mea noa te OHSS i waenga i te hunga e whiwhi ana i te maimoatanga IVF. Heoi, nā ngā tikanga me ngā rautaki hou, kua tino heke tēnei āhuatanga. Heoi anō, kei te kitea tonu ngā kēhi o te OHSS ngawari i ētahi wā.

Ko ngā wāhine e pāngia ana e te mate pūkahukahu polycystic (PCOS) , te hunga rānei he nui rawa ngā hua manu, ka tino mōrearea ki te OHSS, nā te mea he mate whānau te PCOS e pā ana ki te kore taurite o ngā homoni.

He aha ngā momo matua o te OHSS?

Ka taea te whakarōpū i te OHSS ki te ngawari, ki te whakaōrite, me te kino . Ka whakarōpūhia e tō tākuta i runga i te kaha o ō tohu. I te nuinga o te wā, he ngawari te OHSS, ā, he wā poto noa te mamae e puta mai ana. Heoi, he onge te OHSS kino, engari ka taea te whakararu i te ora.

E ai ki ngā raraunga o nāianei, iti iho i te 5% o ngā wāhine e whiwhi ana i te whakaoho ovarian mō te IVF ka pāngia e te OHSS. I mua, tata ki te 10% tēnei. Ka puta te OHSS kino i raro iho i te 1%.

He aha ngā tohu o te OHSS?

Ka rerekē ngā tohu o te OHSS i ia tangata, i ia tangata, ā, ka rerekē anō hoki i runga i te kaha o te mate. I te nuinga o te wā, ka tīmata ngā tohu i roto i te wiki kotahi i muri i te whakamahinga o ngā rongoā hei whakaoho i te whakaputa uri. Heoi, i ētahi wā, kāore pea ngā tohu e puta mō te rua wiki.

Ngā tohu o te OHSS Ngāwari ki te Waenga:

• Mamae puku.
• Pupuhi. He āhua kī tonu te puku i te hau.
• Te pikinga iti o te taumaha, pērā i te pikinga o te taumaha neke atu i te kotahi kirokaramu (2 pauna) i te rā kotahi.
• Whakapairuaki. Te āhua nei ka ruaki koe.

Ka puta pea ngā tohu pēnei i te OHSS kino:

• Te pikinga nui o te taumaha.
• Te whakapairuaki nui me te ruaki.
• Te pupuhi nui o te puku.
• Te uaua ki te manawa.
• Ngā toto totoka.
• Te whakahekenga o te mimi.
• Te mamae nui o te puku.

Ko te mea nui, ki te pāngia koe e tētahi o ēnei tohu i a koe e whiwhi ana i te maimoatanga whakawhānau, me kōrero tonu atu koe ki tō tākuta. Ka aroturukihia koe e tō rōpū hauora i ia wā, ā, ka taea e rātou te kōrero atu ki a koe mēnā kei te tūpono koe ki te whakawhanake i te OHSS i runga i ō taumata estrogen me te maha o ngā follicle e kitea ana i ngā matawai ultrasound. I te nuinga o te wā, he mate ngawari ēnei ka memeha noa iho. Heoi, he pai ake te kōrero ki tō tākuta mō ō tohu.

He aha i puta ai tēnei āhuatanga e kiia nei ko te OHSS?

I te nuinga o te wā, ka puta te OHSS nā te mea ka whakaohohia ō ovaries e te homoni e kiia nei ko te `HCG (Human Chorionic Gonadotropin)` . I te nuinga o te wā, kotahi anake te hua manu ka puta i ō ovaries i te wā kotahi. Heoi, ka whakaohohia e ngā maimoatanga homoni ngā ovaries kia maha ngā hua manu ka puta i te wā kotahi. Ka tukuna he `wero whakaoho` o te `HCG` ki ngā wāhine e whiwhi ana i te maimoatanga `(IVF)` kia pakari ai ngā hua manu i mua i te kohikohinga. Nō reira, ina maha ngā hua manu ka puta, ka nui rawa te urupare a ngā ovaries ki tēnei homoni `HCG`. Koinā te wā ka puta te OHSS.

I roto i te OHSS, ka puta te wai mai i ngā oko toto e karapoti ana i ngā ovaries i ēnei rongoā whakamomona. I ētahi wā ka kohia tēnei wai ki roto i te puku, ka puta ai ngā tohu pēnei i te pupuhi me te mamae.

Ko wai kei te nui ake te mōrearea ki te whakawhanake i te OHSS?

Ko ngā tāngata he nui ake te mōrearea ki te whakawhanake i tēnei mate ko:

• Ngā wāhine e pāngia ana e te `PCOS` (polycystic ovary syndrome).
• Te hunga kua whakawhanake i te OHSS i mua.
• Ko te hunga he nui ngā follicle, he nui rānei ngā taumata estrogen i te wā o te whakaohooho IVF.
• Ko te hunga i whiwhi horopeta nui o te homoni HCG i te wā o tā rātou huringa IVF.
• Ko te hunga kua whakawhitia he kukune "hou" (mēnā ka hapu rātou i te wā e whakaohokia tonutia ana ō rātou ovaries, ka roa pea te OHSS i taua haputanga). Ko te tikanga he nui ake te mōrearea i te whakawhiti kukune "tio".

Ahakoa kāore he taunakitanga mārama, e whakaponohia ana ko ēnei tāngata e whai ake nei ka paku piki ake te mōrearea ki te OHSS:

• Ngā wāhine taitamariki kei raro iho i te 30 tau te pakeke.
• Ngā tāngata he iti te taumaha.

He aha ngā raruraru pea ka pā mai i te OHSS?

Ko ngā wāhine whai OHSS kei te mōrearea ki te whakawhanake i ngā toto totoka i roto i ngā pukahukahu, i ngā waewae rānei (thrombosis) . Ka taea te hoatu rongoā hei whakaiti i tēnei mōrearea. Tērā pea ka nui ake te mōrearea o te whiu. Mena ka pāngia koe e te mamae o te waewae, te pupuhi, te mamae rānei o te uma, me kōrero tonu atu koe ki tō tākuta.

He tino onge te pakaru o tētahi whēkau ovarian e pā ana ki te OHSS, ā, ka puta he toto nui. I tēnei wā, me mahi pea he pokanga hei whakamutu i te toto.

Me pēhea te tautuhi a ngā tākuta i te OHSS?

He maha ngā whakamātautau ka mahia e ngā tākuta hei tautuhi i te OHSS. Kei roto i ēnei ko:

• Whakamātautau tinana: Ka tirohia tō taumaha, ka inehia te porowhita o tō hope, ā, ka tirohia koe mō ngā tohu pupuhi. Heoi, kāore he whakamātautau hope e mahia i tēnei wā. Nā te mea kua pupuhi ngā ovaries, ā, ka pakaru pea mēnā ka pēhia.
• Ultrasound: Ka taea e tēnei te tirotiro mō te wai kore utu i roto i te kōhao puku me te rahi o ngā ovaries.
• X-ray o te uma: Hei tirotiro mēnā he wai e puta ana i roto i te uma.
• Ngā whakamātautau toto: Ine i ngā taumata homoni e tohu ana i ngā tohu o te OHSS.

He aha ngā maimoatanga mō te OHSS?

Ko te maimoatanga mō te OHSS e whakawhirinaki ana ki te kaha o te mate. Ko te whāinga matua o te maimoatanga he whakahaere i ngā tohu me te ārai i ngā raruraru. Ko ngā take ngawari o te OHSS ka memeha noa iho i roto i te wiki, i ngā wiki e rua rānei. Heoi, ki te hapu koe i taua huringa anō, ka mau tonu pea ngā tohu mō tētahi wā.

Ko ngā maimoatanga noa mō te OHSS ngawari ki te ngoikore ko:

• Āta karohia ngā mahi tinana taumaha. Āta karohia ngā mahi pēnei i te oma, te pekepeke, te hiki taumaha rānei.
• Te inu i ngā wai whai irahiko, pērā i a Jeevani, i te inu rānei a te tākuta "(Gatorade®)".
• Te whakamahi i ngā rongoā pēnei i te paracetamol (Acetaminophen) hei whakaiti i te mamae.
• Te pauna i a koe i ia rā, i ia rā.
• Kia tūpato tonu mō ngā tohu kino katoa.

He maha ngā wā ka hiahiatia he kawe ki te hōhipera mō te OHSS kino. Ko te maimoatanga mō te OHSS kino ko:

• Ngā wai ā-uaua (IV). Arā, te hoatu i ngā mea pēnei i te tote.
• Kei te whakahaerehia he tikanga e kiia nei ko te paracentesis. Ka mahia tēnei hei tango i te wai nui kua kohia i roto i te puku.
• Te hoatu rongoā hei whakamamae i ngā tohu, hei whakaiti rānei i te mahi a ngā whatukuhu.
• Te hoatu i ngā rongoā whakangawari toto hei whakaiti i te mōrearea o te totoka.

I ētahi wā, me noho pea koe ki te hōhipera mō te manaaki tautoko me te aroturuki tata kia pai ake rā anō ō tohumate.

Kia pēhea te roa o te wā e ora ai i te OHSS?

Ka rerekē te roa o te wā e ora ai koe i te OHSS i runga i te kaha o te mate me te mea i hapu koe i taua huringa. Ma tō tākuta koe e kī atu āhea koe ka taea te hoki ki ngā mahi o ia rā, me ngā mea hei tumanako atu.

"He huarahi hei whakakore wawe i te OHSS?" tērā pea koe e whakaaro ana. Kāore he otinga kotahi e tika ana mō te katoa. Ko te maimoatanga e whakawhirinaki ana ki te kaha o ō tohu. Nō reira, ko tō tākuta te tangata pai hei kōrero atu mō ngā kōwhiringa maimoatanga.

Ka taea te ārai i te OHSS?

Kāore e taea te ārai i ētahi o ngā mate o te OHSS. Heoi, ka taea e tō tākuta te kī mēnā kei roto koe i te mōrearea i runga i tō hītori hauora me ngā hua o te whakamātautau toto. I te wā e rongoatia ana te whānautanga, ka tirotirohia tonutia e tō tākuta ō ovaries hei whakaiti i tō mōrearea ki te OHSS. Ka uru atu ki tēnei ngā whakamātautau toto (hei tirotiro i ngā taumata homoni) me ngā matawai ultrasound (hei tirotiro i te pai o te whanaketanga o ō ovaries).

He maha ngā huarahi ka taea e tō tīma hauora te āwhina i a koe ki te ārai i te OHSS (ki te whakaiti rānei i ngā tohu):

• Te whakaiti, te whakarerekē rānei i te horopeta o te rongoā.
• Kaua e hoatu te "werohanga" `HCG` i te wā e maimoatangahia ana.
• Te whakarerekē i te momo rongoā whakamomona.
• Te whakatio i ō kukune me te whakaroa i te whakawhiti kukune kia hoki rā anō ō ovaries ki te āhua noa.

Ka aha mēnā ka puta te OHSS? He raruraru te haputanga?

He mate rangitahi te OHSS. E rua wiki te roa ka memeha haere. Ahakoa ngā āhuatanga kino rawa atu, ka taea e te maimoatanga wawe te arahi ki ngā hua pai. Ko te mea nui, ki te hapu koe i muri i te maimoatanga whakawhānau angitu, e kore te OHSS e kino ki tō haputanga. Ka memeha haere ō tohumate, ā, e kore e pā ki tō haputanga. Nō reira kaua e manukanuka ki tēnā.

Āhea ahau me kite i te tākuta?

Mena kei te whiwhi koe i te maimoatanga mō te whakawhānau tamariki, ā, ka pāngia koe e ētahi tohu o te OHSS, me toro atu ki tō tākuta tonu.

He aha ngā pātai me pātai atu koe ki te tākuta?

Mena kei a koe te OHSS, ka taea e koe te pātai atu ki tō tākuta i ēnei pātai:

• He pēhea te kino o tōku āhua?
• He aha ngā kōwhiringa maimoatanga kei a au?
• He aha ngā tohu o ngā raruraru me tirotiro e au?
• Ka pā kino te OHSS ki tōku āheinga ki te hapu, ki te tamaiti rānei i roto i te pēpi?

He mea noa ki ētahi tāngata te pāngia e te mamae i muri i te kohi hua manu. Ko te pupuhi, te ira iti, me te mākū o te tinana he pānga taha noa o te IVF. He raruraru onge te OHSS o te maimoatanga IVF.

Hei whakamutunga, he karere hei kawe ki te kāinga:

Ki te mea kei te hapu koe, tera pea ka mataku koe ki te ako mō te OHSS. Engari kia maumahara, ko te OHSS he mate ka taea te ārai, ā, ki te ngawari, ka taea te whakahaere pai. Ko te mea nui ko te noho whakapā atu ki tō tākuta me te whakamōhio atu ki a ia mō ngā mamae katoa e pā ana ki a koe.

I roto i ngā maimoatanga whakawhānau pēnei i te IVF, ka tino tirotirohia koe e ngā tākuta. Nō reira, ki te mea he tūponotanga kei te pāngia koe e te OHSS, ka taea e rātou te tautuhi wawe i te tūponotanga me te mahi i ngā mahi e tika ana. Kōrero ki a rātou mō ō pātai, ō āwangawanga rānei. He āwhina nui tēnei mō tētahi haerenga hauora!

` OHSS, Te Mate Whakaohooho Ovarian, Te Momonatanga, IVF, Ngā Ovaries, Ngā Hormones, Te Hapūtanga