Kodi mulinso ndi mazira ochepa m'ma ovary anu? Tiyeni tikambirane za Diminished Ovarian Reserve!

Kodi mwakhala mukuyesera kutenga pakati kwa nthawi yayitali? Ndizachibadwa kumva chisoni komanso kuda nkhawa mukapanda kupeza zotsatira mwachangu monga momwe mumaganizira. Dokotala wanu mwina anakuuzani kuti mazira anu ali ndi mazira ochepa, vuto lotchedwa Diminished Ovarian Reserve . Ndicho chimene tikambirana lero. Musadandaule, kumvetsetsa bwino izi kudzakuthandizani kwambiri.

Kodi Kuchepa kwa Ovarian Reserve ndi Chiyani?

Mwachidule, Diminished Ovarian Reserve ndi pamene chiwerengero cha mazira m'mazira anu chimachepa poyerekeza ndi anthu ena azaka zanu. Izi nthawi zina zimatchedwa "chiwerengero chochepa cha mazira." Mukudziwa, kuti mutenge mimba, mumafunika dzira (pamodzi ndi umuna). Kawirikawiri, chiwerengero cha mazira cha aliyense chimachepa akamakula. Ndi zachibadwa. Komabe, kwa anthu ena, izi zimachitika msanga kuposa momwe amayembekezera. Pamenepo ndi pamene vutoli limachitika.

Kukhala ndi mwana kungakhale kovuta pang'ono ngati mazira anu ali ochepa. Dokotala wanu angakuuzeni ngati muli ndi vutoli pochita mayeso otchedwa Ovarian Reserve Testing .

Chofunika ndichakuti izi sizikutanthauza kuti simungakhale ndi mwana. Komabe, zingakhale zovuta pang'ono, kapena mungafunike kugwiritsa ntchito njira zochizira kubereka.

Kodi nthawi zambiri tiyenera kukhala ndi mazira angati m'ma ovary athu?

Taganizirani izi, atsikanafe tikabadwa, timapeza mazira onse omwe timafunikira pa moyo wathu wonse. Pambuyo pake, palibe mazira atsopano omwe amapangidwa. Zaka zanu ndiye chinthu chachikulu chomwe chimatsimikizira kuchuluka kwa mazira omwe muli nawo. Kafukufuku wasonyeza kuti mukakwanitsa zaka 35, kuchuluka kwa kutaya mazira kumawonjezeka kwambiri.

Ngakhale kuti manambalawa angasiyane malinga ndi munthu, nayi lingaliro la kuchuluka kwa mazira omwe tili nawo nthawi yonse ya moyo wathu:

• Pakubadwa: Mazira pakati pa 1 ndi 2 miliyoni.
• Pa nthawi ya kutha msinkhu: Mazira pakati pa 300,000 ndi 400,000.
• Pafupifupi zaka 40: Mazira pafupifupi 25,000.
• Pa nthawi yosiya kusamba: Mazira osakwana 1,000.

Komabe, dokotala wanu yekha ndi amene angakuuzeni kuchuluka kwa mazira omwe muli nawo, mutayang'ana zotsatira za Ovarian Reserve Testing yomwe yatchulidwa pamwambapa.

Kodi n'zosatheka kukhala ndi mwana chifukwa chakuti uli ndi mazira ochepa?

Simungakane! Mutha kukhalabe ndi mwana ngakhale mutakhala ndi mazira ochepa. Komabe, muyeneranso kumvetsetsa kuti mwayi wokhala ndi pakati ukhoza kukhala wochepa pang'ono chifukwa cha kuchuluka kwa mazira ochepa. Taganizirani izi, chomwe mukufunikira kuti mupange mwana ndi dzira labwino komanso lathanzi, eti?

Komanso, si kuchuluka kwa mazira kokha komwe kumakhudza mwayi wa mwana wobereka.Zinthu zambiri zimakhudza izi, monga ubwino wa umuna wa mnzanu, thanzi la chiberekero chanu ndi machubu a fallopian (kapena mazira).

Kodi zizindikiro za vutoli ndi ziti?

Anthu ambiri sasonyeza zizindikiro zilizonse. Chokhacho n'chakuti sangathe kutenga mimba patatha miyezi, mwina zaka, akugonana (popanda kugwiritsa ntchito njira zolerera).

Azimayi ena amayamba kusamba msanga kuposa masiku ena, zomwe zikutanthauza kuti nthawi yawo yosamba imafupikitsidwa ndipo masiku amafupikitsidwa.

Ngati muli ndi vuto la Primary Ovarian Insufficiency , lomwe limachititsa kuti mazira a m'chiberekero asagwire bwino ntchito, mukhoza kuona zizindikiro panthawi ya perimenopause . Izi zikuphatikizapo:

• Kutuluka thukuta mwadzidzidzi ndikumva kutentha (kutentha kwambiri).
• Kusamba kosakhazikika (koyambirira, mochedwa, kapena kusakhalapo kwa miyezi ingapo).
• Kuuma kwa nyini, komwe kungayambitse kusasangalala panthawi yogonana.

N’chifukwa chiyani izi zikuchitika? Kodi zifukwa zake ndi ziti?

Kukalamba ndiye chifukwa chachikulu komanso chachilengedwe cha kuchepa kwa mazira osungidwa. Ndikofala kwa aliyense. Komabe, nthawi zina palibe chifukwa chomveka chomwe chingapezeke.

Pali zifukwa zina zomwe zingakhudze izi:

• Matenda a majini: Mavuto a majini, makamaka omwe amakhudza chromosome ya X.
• Chithandizo cha khansa: Kulandira mankhwala a khansa pogwiritsa ntchito radiation kapena chemotherapy kungawononge mazira ndi mazira.
• Maopaleshoni ochitidwa pa mazira: Maopaleshoni ena amafuna kuti gawo la mazira lichotsedwe.
• Ngati dzira limodzi kapena mazira onse awiri achotsedwa: Izi zingakhale zofunikira chifukwa cha matenda.
• Matenda a Autoimmune: Apa ndi pamene chitetezo cha mthupi lathu chimaukira mazira athu.

Kodi kupsinjika maganizo kumakhudza izi?

Ayi, kupsinjika maganizo sikuchepetsa mwachindunji kusungidwa kwa mazira. Anthu ambiri ali ndi lingaliro lolakwika pankhaniyi. Komabe, malinga ndi American Society of Reproductive Medicine, kusuta fodya ndi kugwiritsa ntchito zinthu zopangidwa ndi fodya (ndudu, bidis, ndi zina zotero) ndi zinthu zokhazo zomwe zapezeka kuti zimachepetsa kusungidwa kwa mazira.

Ndi mayeso ati omwe alipo kuti azindikire izi?

Madokotala amagwiritsa ntchito gulu la mayeso otchedwa Ovarian Reserve Testing kuti apeze lingaliro la mazira angati omwe atsala m'mazira anu.

Komabe, mayesowa sangakuuzeni nthawi yeniyeni yomwe mudzakhala ndi ana, kapena ngati mudzatha kutenga pakati mwachibadwa (popanda chithandizo chilichonse). Mayesowa makamaka amayang'ana thanzi lanu.Nkhaniyi ikunena za momwe mazira anu amayankhira mankhwala a mahomoni omwe amaperekedwa panthawi ya chithandizo cha kubereka monga IVF (In Vitro Fertilization), kapena ngati mwayi wanu wokhala ndi pakati popanda chithandizo ndi wochepa.

Ndikofunikira kwambiri kudziwa kuti ngakhale mayesowa atatsimikizira kuti muli ndi mazira ochepa, sizikutanthauza kuti simungathe kukhala ndi mwana mwachibadwa. Mayesowa sayesa kubereka kwanu mwachibadwa.

Kuyesa kwa Ovarian Reserve nthawi zambiri kumaphatikizapo:

• Kuyezetsa magazi: Izi zimaphatikizapo kutenga chitsanzo cha magazi anu ndikuwona kuchuluka kwa mahomoni otchedwa (Anti-Mullerian Hormone - AMH) , (Follicle-Stimulating Hormone - FSH) , ndi (Estradiol) . Kuchuluka kwa mahomoni kumeneku kungapatse dokotala wanu lingaliro la momwe mazira anu amayankhira mankhwala osabereka.
• Kuyeza kwa Ultrasound mu Nyini: Izi zimaphatikizapo kuyika chipangizo chaching'ono chowunikira kudzera mu nyini kuti muyese kukula kwa mazira. Chimayesanso kuchuluka kwa tinthu tating'onoting'ono mkati mwa mazira omwe angakhale ndi mazira. Izi zimatchedwanso Antral Follicle Count (AFC) .
• Pali mayeso otchedwa Clomiphene Citrate Challenge . Izi zimaphatikizapo kumwa mankhwala oletsa kubereka (Clomiphene Citrate) kwa masiku angapo, kenako kuyeza kuchuluka kwa mahomoni ndikuwona momwe thupi limayankhira. Komabe, mayesowa sagwiritsidwanso ntchito kawirikawiri.

Anthu omwe ali ndi ovarian reserve yochepa nthawi zambiri amakhala ndi mahomoni ambiri (FSH) kuposa ena azaka zawo, mahomoni otsika (AMH), komanso otsika (AFC). Apanso, mayesowa amayesa momwe mazira anu amayankhira mankhwala a mahomoni, osati kuthekera kwanu kutenga pakati popanda mankhwala.

Kodi chingachitike n’chiyani ngati chithandizo?

Ichi ndi chinthu chofunikira kwambiri chomwe tiyenera kumvetsetsa kaye: Malinga ndi sayansi ya zamankhwala yomwe ilipo pano, palibe njira yobwezeretsera kuchepa kwa mazira osungidwa kapena kupanga mazira atsopano m'mazira obereketsa.

Ngati dokotala wanu akukayikira vutoli, adzakulankhulani mosamala ndikukuthandizani kupanga dongosolo la chithandizo lomwe lingakuthandizeni kukwaniritsa maloto anu okhala ndi mwana. Popanga dongosolo la chithandizoli, dokotalayo adzakufunsani mafunso monga:

• Kodi mungafune kukhala ndi mwana nthawi yayitali bwanji?
• Mukufuna ana angati?
• Kodi luso lanu la zachuma lili bwanji? (Machiritso ena akhoza kukhala okwera mtengo)
• Kodi mukufuna mwana amene ali ndi chibale chofanana ndi chanu , kapena mukufuna kuganizira njira zina?

Njira zochiritsira zimatsimikiziridwa poganizira zinthu zonsezi. Njira zazikulu ndi izi:

• Kuziziritsa mazira anu kuti mudzagwiritse ntchito mtsogolo.
• Kuyesa kutenga mimba mwachibadwa (kungatenge nthawi).
• (IVF - Kubereketsa mu Vitro)Chithandizo - Mutha kugwiritsa ntchito mazira anu, kapena mutha kugwiritsa ntchito mazira operekedwa ndi munthu wina.

Ngati mugwiritsa ntchito mazira anu...

Kuzizira mazira ndi njira yabwino yosungira chonde chanu. Makamaka ngati dokotala wanu akuganiza kuti muli pachiwopsezo chachikulu cha kuchuluka kwa mazira ochepa, angakulangizeni kuti muzizizira mazira anu asanafike pochepa kwambiri.

Chomwe chimachitika ndichakuti, mumapatsidwa jakisoni wa mahomoni kuti mulimbikitse mazira anu kupanga mazira ambiri momwe mungathere nthawi imodzi. Kenako, mazira okhwimawa amatengedwa kudzera mu opaleshoni yaying'ono ndikusungidwa mufiriji mwanjira yapadera kuti athandizidwe ndi IVF mtsogolo.

Nthawi zina, dokotala wanu angakulangizeni kupanga mazira (maselo oyamba omwe amapangidwa dzira ndi umuna zikakumana). Izi zikutanthauza kuti mazira okhwima amatengedwa, kulowetsedwa mu labu ndi umuna wa mnzanu kapena ndi umuna woperekedwa (umuna wochokera kwa wina), ndipo mazira omwe amatuluka amasungidwa mufiriji kuti agwiritsidwe ntchito mtsogolo. Kapena, amatha kusamutsidwira ku chiberekero chanu ndikuyikidwa nthawi yomweyo.

Ngati mugwiritsa ntchito mazira a donor...

Ngati ubwino ndi/kapena kuchuluka kwa mazira anu kuli kochepa kwambiri, zomwe zikutanthauza kuti mwayi woti mutenge mimba bwino pogwiritsa ntchito mazira anu ndi wochepa kwambiri, dokotala wanu angakulangizeni kugwiritsa ntchito mazira operekedwa ndi mayi wina wathanzi.

Pankhaniyi, dzira lochokera kwa wopereka limalowetsedwa mu labotale ndi umuna wa mnzanu (kapena umuna wopereka). Kenako mwana wosabadwayo amaikidwa m'chiberekero chanu. Mwana wopangidwa mwanjira imeneyi sadzalandira majini anu, koma akhoza kulandira majini a mnzanu (pokhapokha ngati umuna wopereka unagwiritsidwa ntchito).

Njira ina ndi kuzizira kwa mluza. Izi zimaphatikizapo kuyika mazira anu (kapena mazira opereka) ndi umuna, kupanga mluza, ndikuuzizira kuti adzagwiritsidwe ntchito mtsogolo.

Kodi folic acid imapangitsa kuti mazira azikhala abwino?

Pali mavitamini apadera omwe muyenera kumwa panthawi ya mimba (mavitamini asanafike nthawi yobereka), omwe ali ndi vitamini yotchedwa Folic Acid . Ichi (Folic Acid) ndi chofunikira kwambiri pakusunga mazira abwino .

Ngati mukuyembekeza kukhala ndi mwana, dokotala wanu mwina angakuuzeni kuti muyambe kumwa vitamini yothandiza pobereka. Ndi bwino kuyamba kumwa vitamini imeneyi miyezi itatu musanakonzekere kutenga pakati . Izi zili choncho chifukwa zimatenga pafupifupi miyezi itatu kuti dzira likhwime mokwanira.

Zakudya zanu, masewera olimbitsa thupi, ndi zinthu zina zomwe mumakonda kuchita (monga kusasuta fodya) zingakhudze thanzi lanu, kapena ubwino wa mazira anu. Komabe, sizikhudza kuchuluka kwa mazira omwe muli nawo kapena malo anu osungira mazira (vuto lotchedwa Diminished Ovarian Reserve).

Kodi tingatani kuti tichepetse chiopsezochi?

Kunena zoona, palibe chomwe mungachite kuti mazira anu asachepe. Monga tafotokozera kale, pali zinthu zambiri zomwe zimakhudza izi, kuphatikizapo zinthu zomwe sitingathe kuzilamulira (monga ukalamba ndi majini).

Komabe, pali zinthu zina zomwe mungachite kuti dzira lanu likhale labwino momwe mungathere. Mwachitsanzo:

• Kusunga thupi labwino.
• Kupewa kwathunthu zinthu monga ndudu.

Ngakhale kuti zinthuzi sizingawonjezere kuchuluka kwa mazira, zithandiza kuti mazira omwe alipo akhale abwino.

Kodi chithandizo cha IVF chimagwira ntchito bwanji kwa anthu omwe ali ndi mazira ochepa?

Kupambana kwa chithandizo cha IVF (In Vitro Fertilization) kumasiyana kwambiri kuchokera kwa munthu ndi munthu. Zimatengera zinthu zambiri, kuphatikizapo chifukwa cha kuchepa kwa mazira anu, kuchuluka kwa mazira omwe muli nawo, mtundu wa mazira amenewo, komanso momwe thupi lanu limayankhira mankhwala osabereka.

N'zovuta kupereka ziwerengero zenizeni za kuchuluka kwa IVF kwa anthu omwe ali ndi mazira ochepa, chifukwa zimatengera zinthu zambiri.

Koma ofufuza akudziwa kuti, monga mimba yachibadwa, kuchuluka kwa kupambana kwa IVF kumachepa ndi ukalamba. Izi ndi zoona makamaka kwa iwo omwe ali ndi mazira ochepa. Mukakula, IVF yanu siigwira bwino ntchito.

Ngati mayeso akuwonetsa kuti dzira lanu ndi lochepa, simungayankhe bwino mankhwala a mahomoni (omwe amalimbikitsa mazira). Izi zikutanthauza kuti simungathe kusonkhanitsa mazira ambiri momwe mungafunire panthawi ya IVF. Komabe, IVF ikhoza kukhala njira yabwino kwambiri kwa inu. Muyenera kulankhula ndi katswiri wa kubereka (dokotala yemwe amachiritsa anthu osabereka) za izi ndikusankha zomwe zili zabwino kwa inu.

Kodi kuchepa kwa kuchuluka kwa mazira m'thupi kumatanthauza kuti kusamba kwayandikira?

N'zovuta kudziwa nthawi yeniyeni imene kusamba (nthawi imene msambo wanu umatha kwathunthu) kudzayamba. Kuchepa kwa mazira m'thupi kumatanthauza kuti dzira lanu likuchepa. Ngakhale kuti ichi chingakhale chizindikiro cha kusamba, sizingatheke kuneneratu nthawi yeniyeni yomwe zidzachitike.

Pomaliza, pali china chake choti muganizire...

Dokotala wanu akakuuzani kuti muli ndi ovary reserve yochepa, mungakhumudwe kwambiri, mumve chisoni, komanso mukuda nkhawa ndi zomwe zidzachitike mtsogolo. Izi ndi zachilendo, ndipo simuyenera kudzimva chisoni nazo.

Koma chofunika kwambiri ndi kukumbukira kuti n'zotheka kutenga mimba ngakhale muli ndi vutoli. Choncho musataye mtima kapena kutaya chiyembekezo.

Dokotala wanu angaganizire kuchuluka kwa mazira omwe mwatsala nawo, zaka zanu, ndi thanzi lanu, ndikupanga dongosolo labwino kwambiri la chithandizo kuti likuthandizeni kukwaniritsa maloto anu okhala ndi mwana. Palinso njira zina, monga chithandizo cha kubereka komanso, ngati kuli kofunikira, kugwiritsa ntchito mazira a donor.

Musataye mtima pa maloto anu okhala ndi mwana chifukwa chakuti mazira anu ndi ochepa - pali njira zochiritsira komanso njira zoti zikuthandizeni. Lankhulani momasuka ndi dokotala wanu ndipo sankhani chomwe chili chabwino kwa inu.

Mazira obadwa , kuchepa kwa mazira, kusabereka, mimba, thanzi la amayi, IVF, kubereka