Mukufuna kudziwa zambiri za malo anu osungira mazira? (Zonse zokhudza Kuyesa Malo Osungira Ovarian)

Kodi inu ndi mwamuna wanu mwakhala mukuyembekezera mwana kwa kanthawi tsopano? Ndi zachilendo kuti zinthu zibwere m'maganizo. "Bwanji osatero?", "Kodi pali vuto ndi ine?" Ndizachilendo kumva mantha pang'ono komanso kuda nkhawa zinthu ngati zimenezi zikabwera m'maganizo. Mukapita kukaonana ndi dokotala nthawi ngati iyi, imodzi mwa mayeso omwe amachitidwa kuti muwone ngati muli ndi chonde imatchedwa Ovarian Reserve Testing. Lero, tikambirana izi mosavuta, m'njira yomwe mungamvetse.

Mwachidule, kodi mayeso a Ovarian Reserve ndi chiyani?

Chabwino, tiyeni tinene motere. Mkazi aliyense amabadwa ndi mazira onse omwe angafunike pa moyo wake wonse. Awa amasungidwa m'mazira obereketsa. Sitipanga mazira atsopano. Mazira omwe tili nawowa amangotchedwa "malo osungira mazira athu." Chiwerengerochi cha mazira chimachepa mwachibadwa pamene tikukalamba. Kuyesa kwa Ovarian Reserve ndi mayeso omwe amapereka lingaliro la kuchuluka kwa mazira omwe atsala m'mazira anu obereketsa. Amayerekeza malo osungira mazira anu ndi akazi ena athanzi azaka zanu. Amagwiritsa ntchito makamaka mayeso a magazi ndi ultrasound ya vaginal.

Ndi nthawi ziti pamene dokotala angalimbikitse mayeso awa?

Si aliyense amene nthawi zambiri amafunsidwa kuti ayezedwe. Pali zifukwa zingapo zazikulu zomwe dokotala wanu angakulimbikitsireni kuyezetsa uku:

• Ngati mukukonzekera kuyamba chithandizo chothandiza kubereka monga IVF: Mankhwalawa akuphatikizapo kukupatsani jakisoni wa mahomoni kuti mulimbikitse mazira anu. Kudziwa dzira lanu losungidwa kungathandize dokotala wanu kusankha mlingo wa mahomoni omwe muyenera kukupatsani ndikukupatsani lingaliro la kupambana kwa chithandizocho.
• Ngati mwakhalapo ndi matenda monga khansa ndipo mwalandira chithandizo: Mankhwala a chemotherapy kapena radiation therapy a khansa angawononge mazira omwe ali m'mazira anu. Kuyesa kumeneku kumathandiza kudziwa momwe mazira anu osungidwa panthawiyi angakhudzire.
• Ngati mwachitidwa opaleshoni pa mazira anu: Opaleshoni pa mazira anu ingayambitsenso kuchepa kwa kupanga mazira.
• Ngati wina m'banja mwanu (amayi, mlongo) wayamba kusamba msanga: Nthawi zina izi zimatha kukhala zobadwa nazo. Choncho ndikofunikira kudziwa vuto lanu msanga.

Kodi mayeso a Ovarian Reserve awa amachitidwa bwanji?

Mayesowa ali ndi magawo atatu akuluakulu. Ndiko kuti, dokotala amamvetsa vuto lanu mwa kuphatikiza zotsatira za mayeso atatu ofanana. Tsopano tiyeni tiwone zomwe zimachitika mu mayeso aliwonsewa mwatsatanetsatane.

1. Homoni yotsutsana ndi mullerian (AMH)

Iyi ndi njira yodziwika kwambiri masiku ano. Homoni iyi yotchedwa ``(AMH)`` imapangidwa ndi tinthu tating'onoting'ono ta mazira m'mazira anu. Tangoganizirani, ngati muli ndi tinthu tambiri ta mazira m'mazira anu, kuchuluka kwa AMH komwe kumapangidwa nakonso kumakhala kwakukulu. Ngati chiwerengero cha tinthu ta mazira chili chochepa, kuchuluka kwa AMH nakonso kumakhala kochepa. Izi zikutanthauza kuti kuchuluka kwa AMH ndi chizindikiro chabwino cha kukula kwa dzira lanu . Chimodzi mwa zabwino za mayesowa ndikuti mutha kuchita mayeso a magazi nthawi iliyonse panthawi ya msambo wanu. Nthawi zambiri, ngati kuchuluka kwa AMH kuli kochepera 1 ng/mL, zikutanthauza kuti dzira lanu likuchepa. Koma sizikutanthauza kuti simudzatha kukhala ndi mwana.

2. Homoni yolimbikitsa follicle (FSH)

Iyi ndi homoni yomwe imagwira ntchito mosiyana pang'ono. Homoni ya FSH imapangidwa ndi pituitary gland muubongo wanu. Ntchito yake ndi kupita ku mazira obereketsa ndikuwapatsa chizindikiro, "Chabwino, yambani kupanga dzira tsopano." Tangoganizani kuti mazira anu obereketsa ali ndi mazira ambiri ndipo akugwira ntchito bwino. Kenako ubongo suyenera kugwira ntchito molimbika kuti upereke chizindikirocho. Mukatumiza FSH yochepa, mazira obereketsa amayamba kugwira ntchito. Komabe, ngati mazira obereketsa ali ndi mazira ochepa ndipo ntchito yawo ndi yofooka pang'ono, ubongo uyenera kufuula kuti, "Gwirani ntchito molimbika!" Izi zikutanthauza kupanga FSH yambiri. Chifukwa chake, kuchuluka kwa FSH m'magazi mwanu kumatanthauza kuti ubongo wanu ukugwira ntchito molimbika kuti mazira obereketsa agwire ntchito. Izi zikutanthauza kuti malo anu obereketsa akhoza kukhala ochepa. Kuyesa kumeneku kumachitika tsiku lachitatu la msambo wanu .

3. Chiwerengero cha ma follicle a m'mimba (AFC)

Uku si kuyezetsa magazi, ndi kusanthula. ``Transvaginal ultrasound`` ndi kusanthula komwe kumachitika poika chida chaching'ono kudzera mu nyini. Izi zimathandiza dokotala kuwona mwachindunji ndikuwerenga kuchuluka kwa mazira ang'onoang'ono (ma follicle a antral) m'ma ovary anu onse awiri omwe angayambe kukula mwezi umenewo. Ma follicle awa ndi komwe mazira amapezeka. Chifukwa chake kuchuluka kumatanthauza kuti dzira lanu ndi labwino. Kuchuluka kochepa kumatanthauza kuti muli ndi madzi ochepa. Kusanthula kumeneku kumachitikanso mkati mwa masiku anayi oyamba a msambo wanu.

Kodi zifukwa za kuchepa kwa mazira osungidwa ndi ziti?

Chinthu chachikulu komanso chachikulu chomwe chimakhudza malo anu osungira mazira ndi ukalamba . Sitingasinthe zimenezo. Taganizirani izi, tikabadwa, timabadwa ndi mazira mamiliyoni ambiri. Pofika nthawi yokhwima, chiwerengerocho chimachepa kufika pa mazana zikwi. Pambuyo pake, ngakhale dzira limodzi limatulutsidwa mwezi uliwonse, mazira mazana kapena zikwi amawonongeka panthawiyi. Choncho akakwanitsa zaka 35, kuchuluka kwa mazira kumeneku kumachepa mofulumira. Kuwonjezera pa ukalamba, palinso zinthu zina zingapo zomwe zingakhudze:

• Maopaleshoni ochitidwa pa mazira.
• Chemotherapy kapena mankhwala a radiation a khansa.
• Matenda aakulu m'chiuno.
• Azimayi m'banjamo akhala akusamba msanga.
• Matenda ena a majini.

Kusiyana pakati pa kuchuluka kwa dzira ndi ubwino wake

Funso ili ndi losokoneza anthu ambiri, koma ndi lofunika kwambiri. Kuyesa kwa Ovarian Reserve kumangopereka lingaliro lomveka bwino la kuchuluka kwa dzira lanu. Ndiko kuti, kuchuluka kwa mazira omwe muli nawo. Komabe, kuchuluka kwa dzira kokha sikokwanira kupanga mwana. Ubwino wa mazira amenewo nawonso ndi wofunika kwambiri. Ubwino ndi thanzi la dzira. Dzira lathanzi lokha ndi lomwe lingaphatikizidwe ndi umuna kuti apange mwana wathanzi. Pamene chiwerengero cha mazira chikuchepa ndi ukalamba, ubwino wa mazirawo umachepanso. Ubwino umenewu umachepa mofulumira makamaka munthu akakwanitsa zaka 35. Ichi ndichifukwa chake mwayi wokhala ndi ana umachepa ndi ukalamba ndipo chiopsezo cha kutaya mimba ndi kukhala ndi ana omwe ali ndi vuto la majini chimawonjezeka.

Ndiye, kodi sindingathe kuwonjezera kuchuluka kwa mazira anga?

Yankho lachindunji la funsoli ndi lakuti, “Ayi.” Chifukwa sitingathe kuwonjezera mazira omwe timabadwa nawo mwachinyengo. Zili ngati ndalama zokhazikika zomwe zimasungidwa kubanki, timangotenga kuchokera pamenepo, sitingathe kuwonjezera atsopano. Komabe, pali china chake chomwe tingachite. Ndiye kuti, kuyesetsa kusunga mazira omwe tili nawo ali pamlingo wabwino. Moyo wathu umakhudzana kwambiri ndi zimenezo.

• Idyani zakudya zopatsa thanzi komanso zoyenera. Phatikizani ndiwo zamasamba zatsopano, zipatso, mtedza, ndi nsomba muzakudya zanu.
• Gonani mokwanira. Gonani bwino kwa maola osachepera 7-8 patsiku.
• Ngati mukusuta, siyani lero. Kusuta kumapha mazira.
• Siyani kapena chepetsani kwambiri kumwa mowa.
• Muziyang'anira kulemera kwanu. Kunenepa kwambiri kungayambitse kusalingana kwa mahomoni ndikukhudza ubwino wa mazira.
• Kuchepetsa nkhawa. Ndi bwino kwambiri kuchita zinthu monga yoga ndi kusinkhasinkha.

Ngakhale kuchita izi sikudzawonjezera kuchuluka kwa mazira anu, kudzakuthandizani kwambiri kuti mazira omwe muli nawo akhale ndi thanzi labwino. Kuyesa Malo Osungira Mazira, Malo Osungira Mazira, Kuchuluka kwa Mazira, Kubereka, Kubereka, IVF ku Sri Lanka, Kuyesa kwa AMH ku Sinhala, Kuyesa kwa FSH ku Sinhala