Kodi inunso mukuchita chithandizo cha kusabereka? Ndiye tiyeni tiphunzire za Ovarian Hyperstimulation Syndrome (OHSS)!

Ngati mukuchita chithandizo cha kusabereka chifukwa choyembekezera kukhala ndi mwana, mungakhale ndi mantha ndi nkhawa zina, eti? Zimenezo ndizabwinobwino. Ndikofunikira kudziwa zotsatirapo zoyipa za chithandizochi. Chimodzi mwa matenda otere omwe si ofala kwa anthu ambiri, koma ndi abwino kudziwa, chimatchedwa Ovarian Hyperstimulation Syndrome (OHSS) . Lero, tikambirana za izi m'njira yosavuta kumva.

Kodi OHSS ndi chiyani kwenikweni?

Mwachidule, OHSS ndi pamene mazira anu otupa ndi kutulutsa chinthu chonga madzi m'mimba mwanu. Izi nthawi zambiri zimachitika chifukwa cha mankhwala a mahomoni omwe amalimbikitsa mazira anu kupanga mazira ambiri nthawi imodzi kuti akuthandizeni kutenga pakati.

Kawirikawiri, mayi wathanzi amatulutsa dzira limodzi lokha pa nthawi yake ya mwezi uliwonse. Komabe, kwa iwo omwe akuvutika kutenga pakati, makamaka panthawi ya chithandizo monga `(IVF)` (In Vitro Fertilization), mankhwala a mahomoni amaperekedwa kuti alimbikitse mazira asanatenge mazira. Nthawi zina, mazira amayankha mopitirira muyeso mankhwala awa. Pamenepo ndi pomwe OHSS ingachitike. Izi zimawonekeranso kwambiri ndi mankhwala a mahomoni obayidwa.

Kale, OHSS inali yofala kwambiri pakati pa anthu omwe ankalandira chithandizo cha IVF. Komabe, chifukwa cha njira zatsopano komanso njira zatsopano, vutoli lachepa kwambiri. Komabe, nthawi zina pamakhalabe milandu ya OHSS yochepa.

Azimayi omwe ali ndi polycystic ovary syndrome (PCOS) , kapena omwe ali ndi mazira ambiri, ali pachiwopsezo chachikulu cha OHSS, chifukwa PCOS ndi vuto lobereka lomwe limagwirizanitsidwa ndi kusalinganika kwa mahomoni.

Kodi mitundu ikuluikulu ya OHSS ndi iti?

OHSS ikhoza kugawidwa m'magulu awiri: yofatsa, yapakati, komanso yoopsa . Dokotala wanu adzaigawa m'magulu awiri malinga ndi kuopsa kwa zizindikiro zanu. Nthawi zambiri, OHSS imakhala yofatsa ndipo kusasangalala komwe imayambitsa kumakhala kwakanthawi. Komabe, OHSS yoopsa ndi yosowa, koma ikhoza kukhala yoopsa.

Malinga ndi zomwe zapezeka pano, akazi ochepera 5% omwe akukakamizidwa kuti agwiritse ntchito IVF amakhala ndi OHSS. Kale, izi zinali pafupifupi 10%. OHSS yoopsa imachitika pa ochepera 1%.

Kodi zizindikiro za OHSS ndi ziti?

Zizindikiro za OHSS zimatha kusiyana malinga ndi munthu, ndipo zimasiyananso malinga ndi kuopsa kwa vutoli. Nthawi zambiri, zizindikiro zimayamba mkati mwa sabata imodzi mutagwiritsa ntchito mankhwala olimbikitsa dzira. Komabe, nthawi zina zizindikiro sizingawonekere kwa milungu iwiri.

Zizindikiro za OHSS yofatsa mpaka yapakati:

• Kupweteka m'mimba.
• Kutupa. Kumva ngati m'mimba muli mpweya wochuluka.
• Kulemera pang'ono, monga kuwonjezera makilogalamu oposa imodzi (mapaundi awiri) patsiku limodzi.
• Kusanza. Kumva ngati ukusanza.

OHSS yoopsa ingayambitse zizindikiro monga:

• Kulemera kwambiri.
• Kusanza kwambiri ndi kusanza.
• Kutupa kwambiri m'mimba.
• Kuvuta kupuma.
• Magazi amaundana.
• Kuchepa kwa kukodza.
• Kupweteka kwambiri m'mimba.

Chofunika kwambiri ndichakuti ngati mukukumana ndi zizindikiro izi pamene mukulandira chithandizo cha kubereka, muyenera kuuza dokotala wanu nthawi yomweyo. Gulu lanu lachipatala lidzakuyang'anirani nthawi zonse ndipo lidzatha kukuuzani ngati muli pachiwopsezo chokhala ndi OHSS kutengera kuchuluka kwa estrogen yanu komanso kuchuluka kwa ma follicles omwe amawonedwa pa ultrasound scans. Nthawi zambiri, izi ndi matenda ofatsa omwe amatha okha. Komabe, ndi bwino kulankhula ndi dokotala wanu za zizindikiro zanu.

Nchifukwa chiyani vuto ili lotchedwa OHSS limachitika?

Nthawi zambiri, OHSS imachitika chifukwa mahomoni otchedwa `HCG (Human Chorionic Gonadotropin)` amalimbikitsa mazira anu. Nthawi zambiri, mazira anu amapanga dzira limodzi lokha nthawi imodzi. Komabe, mankhwala a mahomoni amalimbikitsa mazira kuti apange mazira ambiri nthawi imodzi. Azimayi omwe amalandira chithandizo cha `(IVF)` amapatsidwa ``trigger shot`` ya `HCG` kuti akhwime mazira asanasonkhanitsidwe. Chifukwa chake, mazira ambiri akamakula, mazira amatha kuchita mopitirira muyeso ndi hormone iyi ya `HCG`. Pamenepo ndi pomwe OHSS imachitika.

Mu OHSS, mankhwala oletsa kubereka awa amayambitsa kutuluka kwa madzi kuchokera m'mitsempha yamagazi yozungulira mazira. Nthawi zina madzi awa amatha kusonkhana m'mimba, zomwe zimayambitsa zizindikiro monga kutupa ndi kupweteka.

Ndani ali pachiwopsezo chachikulu cha matenda a OHSS?

Anthu omwe ali pachiwopsezo chachikulu chotenga matendawa ndi awa:

• Azimayi omwe ali ndi `PCOS` (polycystic ovary syndrome).
• Anthu omwe adapanga kale OHSS.
• Anthu omwe anali ndi ma follicle ambiri kapena estrogen yambiri panthawi yolimbikitsa IVF.
• Anthu omwe adalandira mlingo waukulu wa mahomoni a HCG panthawi ya IVF yawo.
• Anthu omwe adasamutsidwa "mwatsopano" kuchokera ku mluza (ngati atenga mimba pamene mazira awo akulimbikirabe, kutenga mimbako kungayambitse OHSS yayitali). Izi zikutanthauza kuti chiopsezochi ndi chachikulu kuposa kusamutsidwa kwa mluza "wozizira".

Komanso, ngakhale palibe umboni womveka bwino, pali chikhulupiriro chakuti anthu otsatirawa akhoza kukhala pachiwopsezo chowonjezeka cha OHSS:

• Atsikana osakwana zaka 30.
• Anthu omwe ali ndi thupi lochepa thupi.

Kodi mavuto omwe angakhalepo chifukwa cha OHSS ndi ati?

Azimayi omwe ali ndi OHSS ali pachiwopsezo chotenga magazi m'mapapo kapena miyendo (thrombosis) . Mankhwala angaperekedwe kuti achepetse chiopsezochi. Pakhoza kukhalanso chiopsezo chowonjezeka cha sitiroko. Ngati mukumva kupweteka kwa miyendo, kutupa, kapena kupweteka pachifuwa, muyenera kuuza dokotala wanu nthawi yomweyo.

Kawirikawiri, chilonda cha ovarian chokhudzana ndi OHSS chingasweke ndikuyambitsa kutuluka magazi kwambiri. Pankhaniyi, opaleshoni ingafunike kuti magazi asiye kutuluka.

Kodi madokotala amazindikira bwanji OHSS?

Madokotala amachita mayeso angapo kuti adziwe matenda a OHSS. Izi zikuphatikizapo:

• Kuyezetsa thupi: Kulemera kwanu kudzayesedwa, kuzungulira kwa chiuno chanu kudzayesedwa, ndipo mudzayesedwa ngati muli ndi zizindikiro zotupa. Komabe, mayeso a m'chiuno sadzachitika panthawiyi. Izi zili choncho chifukwa mazira otupa amatha kuphulika ngati agwiritsidwa ntchito.
• Ultrasound: Izi zitha kuwona ngati pali madzi m'mimba komanso kukula kwa mazira.
• X-ray ya pachifuwa: Kuyang'ana ngati madzi asungunuka m'chifuwa.
• Kuyezetsa magazi: Yesani kuchuluka kwa mahomoni komwe kumasonyeza zizindikiro za OHSS.

Kodi mankhwala a OHSS ndi ati?

Chithandizo cha OHSS chimadalira kuopsa kwa vutoli. Cholinga chachikulu cha chithandizo ndikuwongolera zizindikiro ndikupewa mavuto. Milandu yochepa ya OHSS nthawi zambiri imatha yokha mkati mwa sabata imodzi kapena ziwiri. Komabe, ngati mutatenga mimba panthawi yomweyi, zizindikiro zimatha kupitirira kwa kanthawi.

Mankhwala odziwika bwino a OHSS yofatsa mpaka yocheperako ndi awa:

• Pewani kuchita masewera olimbitsa thupi otopetsa. Pewani zinthu monga kuthamanga, kulumpha, kapena kunyamula zolemera.
• Kumwa madzi okhala ndi ma electrolyte ambiri, monga Jeevani, kapena mwina chakumwa cha dokotala ``(Gatorade®)``.
• Kugwiritsa ntchito mankhwala monga paracetamol (Acetaminophen) kuti muchepetse ululu.
• Kudzilemera tsiku lililonse.
• Nthawi zonse khalani maso ngati pali zizindikiro zilizonse zoopsa.

OHSS yoopsa nthawi zambiri imafuna kugonekedwa kuchipatala. Chithandizo cha OHSS yoopsa chingaphatikizepo:

• Madzi olowetsedwa m'mitsempha (IV). Izi zikutanthauza kupereka zinthu monga saline.
• Kuchita opaleshoni yotchedwa paracentesis. Izi zimachitika kuti achotse madzi ochulukirapo omwe asonkhana m'mimba.
• Kupereka mankhwala ochepetsa zizindikiro kapena kuchepetsa kugwira ntchito kwa mazira.
• Kupereka mankhwala ochepetsa magazi kuti achepetse chiopsezo cha magazi kuundana.

Nthawi zina mungafunike kukhala m'chipatala kuti mupeze chithandizo chothandizira komanso kuyang'aniridwa mosamala mpaka zizindikiro zanu zitachepa.

Kodi zimatenga nthawi yayitali bwanji kuti munthu achire ku OHSS?

Nthawi yomwe imatenga kuti munthu achire ku OHSS imasiyana malinga ndi kuopsa kwa vutoli komanso ngati munatenga mimba panthawiyo. Dokotala wanu adzakuuzani nthawi yomwe mungabwerere ku zochita zanu zachizolowezi komanso zomwe mungayembekezere.

"Kodi pali njira yothetsera OHSS mwachangu?" mwina mukudabwa. Palibe njira imodzi yokha yothetsera vutoli. Chithandizo chimadalira kuopsa kwa zizindikiro zanu. Chifukwa chake, dokotala wanu ndiye munthu wabwino kwambiri woti mukambirane naye za njira zina zochiritsira.

Kodi OHSS ingapewedwe?

Milandu ina ya OHSS singathe kupewedwa. Komabe, dokotala wanu angadziwe ngati muli pachiwopsezo kutengera mbiri yanu yaumoyo komanso zotsatira za mayeso a magazi. Pa chithandizo cha chonde, dokotala wanu nthawi zonse amawunika mazira anu kuti achepetse chiopsezo chanu cha OHSS. Izi zikuphatikizapo kuyezetsa magazi (kuti awone kuchuluka kwa mahomoni) ndi ultrasound scans (kuti awone momwe mazira anu akukulira).

Pali njira zingapo zomwe gulu lanu lachipatala lingakuthandizeni kupewa OHSS (kapena kuchepetsa zizindikiro):

• Kuchepetsa kapena kusintha mlingo wa mankhwala.
• Pewani kupereka jakisoni wa `HCG` "trigger" panthawi ya chithandizo.
• Kusintha mtundu wa mankhwala oletsa kubereka.
• Kuziziritsa mazira anu ndikuchedwetsa kusamutsa mazira anu mpaka mazira anu atabwerera mwakale.

Kodi chimachitika ndi chiyani ngati OHSS yachitika? Kodi ndi vuto kutenga mimba?

OHSS ndi vuto la kanthawi kochepa. Nthawi zambiri limatha mkati mwa milungu iwiri. Ngakhale pakakhala zovuta kwambiri, chithandizo choyambirira chingapangitse zotsatira zabwino. Chofunika kwambiri ndichakuti ngati mutatenga mimba mutalandira chithandizo chabwino cha kubereka, OHSS sidzavulaza mimba yanu. Zizindikiro zanu zidzatha pang'onopang'ono ndipo sizidzakhudza mimba yanu. Choncho musadandaule nazo.

Ndiyenera kupita kwa dokotala liti?

Ngati mukuchita chithandizo cha chonde ndipo mukukumana ndi zizindikiro zilizonse za OHSS, pitani kwa dokotala nthawi yomweyo.

Ndi mafunso ati omwe muyenera kufunsa dokotala?

Ngati muli ndi OHSS, mutha kufunsa dokotala wanu mafunso awa:

• Kodi vuto langa ndi loipa bwanji?
• Kodi ndi njira ziti zochiritsira zomwe ndili nazo?
• Ndi zizindikiro ziti za mavuto zomwe ndiyenera kuyang'anitsitsa?
• Kodi OHSS ingawononge kuthekera kwanga kutenga pakati kapena mwana wosabadwayo?

Ndi zachilendo kuti anthu ena azimva kusasangalala akatenga mazira. Kutupa, kuoneka ngati mawanga pang'ono, komanso kukhuta ndi zotsatirapo zoyipa za IVF. OHSS ndi vuto losowa kwambiri la chithandizo cha IVF.

Pomaliza, uthenga wopita nawo kunyumba:

Ngati mukuyembekezera mwana, mungakhale ndi mantha pang'ono kudziwa za OHSS. Koma kumbukirani kuti OHSS tsopano ndi vuto lomwe nthawi zambiri lingapewedwe ndipo, ngati ndi lofatsa, lingathetsedwe bwino. Chofunika kwambiri ndikulankhulana ndi dokotala wanu ndikuwadziwitsa za vuto lililonse lomwe mukukumana nalo.

Pa nthawi ya chithandizo cha kubereka monga IVF, madokotala amakuyang'anirani kwambiri. Chifukwa chake, ngati pali chiopsezo cha OHSS, amatha kuzindikira msanga ndikuchitapo kanthu kofunikira. Kambiranani nawo za mafunso kapena nkhawa zilizonse zomwe mungakhale nazo. Zidzakhala zothandiza kwambiri paulendo wathanzi!

OHSS , Matenda a Ovarian Hyperstimulation, Kubereka, IVF, Mazira Ovunda, Ma Hormone, Mimba