Muri iyi minsi, uburyo bwo kuvura uburumbuke burimo kwiyongera kugira ngo bugufashe kugera ku nzozi zawe zo kubyara. Uru rugendo rushobora kuba rushimishije ndetse rukagukomeretsa gato. Ni ngombwa ko wowe n'umukunzi wawe mumenya ingorane zishobora kubaho rimwe na rimwe muri ubu buryo bwo kuvura. Uyu munsi, turimo kuvuga ku ndwara ishobora guhurirana n'uburyo bwo kuvura uburumbuke, ariko ubu ikaba ishobora gukemurwa. Iyo ni Ovarian Hyperstimulation Syndrome, cyangwa OHSS mu magambo ahinnye.
Mu magambo make, OHSS ni iki?
Reka tubivuge muri ubu buryo. Ubusanzwe, intanga z'umugore muzima zirekura igi rimwe gusa mu gihe cy'imihango ye ya buri kwezi. Ariko niba ufite ikibazo cyo gutwita, cyane cyane niba uri kuvurwa nka IVF (In Vitro Fertilization) , muganga wawe azaguha imiti igabanya imisemburo kugira ngo itume intanga zawe zikuramo intanga nyinshi icyarimwe.
Indwara yo kugabanya imbaraga z'intanga ngore (OHSS) ni indwara aho intanga ngore zawe zigira ibyiyumvo bikabije ku miti y'imisemburo maze zigahita zikora cyane. Iyo ibi bibaye, intanga ngore zirabyimba zigatangira kuva amazi mu nda. Ibi byitwa gusa OHSS.
Mu bihe byashize, iki cyari ikibazo gikunze kugaragara mu kuvura hakoreshejwe IVF. Ariko, bitewe n'uburyo bushya bwo kuvura n'uburyo bwo kuvura, umubare w'abandura iyi ndwara waragabanutse cyane. Ariko, rimwe na rimwe haracyagaragara OHSS ntoya.
Abagore bafite PCOS (Polycystic Ovary Syndrome) , ikibazo cy’imikorere y’imyororokere giterwa no kudahuza kw’imisemburo, hamwe n’abagore bafite intanga nyinshi cyane bari mu kaga gakomeye ko kurwara OHSS.
Ni ibihe bimenyetso bya OHSS? Twabimenya dute?
Ibimenyetso bya OHSS bishobora gutandukana bitewe n'umuntu ku wundi. Binatandukana bitewe n'uburemere bw'indwara. Ubusanzwe, ibi bimenyetso bishobora gutangira kugaragara mu cyumweru kimwe uhereye igihe umuti ukoreshejwe kugira ngo utere imbere. Hari igihe bishobora gufata ibyumweru bibiri.
Ni ingenzi cyane ko umenya neza ibimenyetso by'indwara no kubimenya.
| Ibimenyetso bya OHSS byoroshye kugeza kuri biringaniye | Ibimenyetso bikomeye bya OHSS |
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| Icy'ingenzi: Niba ugaragaje kimwe muri ibi bimenyetso mu gihe uri kuvurwa uburumbuke, hamagara muganga wawe vuba. Nubwo ibimenyetso bito bikunze kwiyahura ubwabyo, ni ngombwa kumenyesha muganga wawe amakuru. | |
Kuki iyi OHSS iba? Ni iyihe mpamvu?
Impamvu nyamukuru ya OHSS mu bihe byinshi ni imisemburo ya HCG (human chorionic gonadotropin) . Iyi ni yo misemburo nyamukuru ifasha mu gukomeza gutwita.
Mu gihe cyo kuvurwa na IVF, muganga wawe azaguha "urushinge" rurimo imisemburo ya HCG mbere yuko amagi akusanywa kugira ngo afashe amagi akuze gukura neza.
Tekereza nawe, iyo uteye uru rushinge rwa HCG mu gihe ufite udusabo twinshi mu dusabo tw’intanga, udusabo tw’intanga dushobora kubyakira cyane. Kubera iyo mpamvu yo kubyakira cyane, amazi atangira kuva mu mitsi y’amaraso ikikije udusabo tw’intanga. Iyo aya mazi yikusanyije mu nda, ibimenyetso byavuzwe haruguru byo kubyimba no kubabara biragaragara.
Ni nde uri mu kaga gakomeye ko kugira iyi ndwara?
Si buri wese urwara OHSS, ariko hari abantu bafite ibyago byinshi byo kurwara iyi ndwara.
- Abagore bafite PCOS: Kubera ko intanga zabo zifite umubare munini w'uturemangingo, zirushaho kwakira imisemburo.
- Abamaze guhura na OHSS mbere: Niba warigeze kuyirwara rimwe, hari amahirwe make ko izongera kubaho.
- Abagira umubare munini wa follicles cyangwa bafite urugero rwinshi rwa estrogen mu gihe cyo kuvurwa na IVF: Iki ni ikintu muganga wawe azagenzura akoresheje scans no gupima amaraso.
- Abahawe imisemburo ya HCG iri hejuru.
- Abakorerwa "impinja nshya" zo kwimura intanga: Ibi biterwa nuko iyo gutwita bibayeho mu gihe kimwe n'aho intanga ngabo zatangiye gukururwa, gutwita bizongera umusaruro wa HCG mu mubiri. Ibi bishobora gutuma OHSS irushaho kuba mbi cyangwa ikamara igihe kirekire. Niyo mpamvu abaganga bazakonjesha intanga ngabo bakazimurira izindi nyuma niba hari ibyago.
- Abantu bari munsi y'imyaka 30 kandi bafite ibiro bike: Hari igitekerezo cy'uko ibi bishobora kuba impamvu y'ibyago.
Ese ingorane za OHSS ni mbi?
Nubwo inyinshi mu ndwara za OHSS ziba zoroheje, mu bihe bidasanzwe, hashobora kubaho ingorane zikomeye. Ni ngombwa kubimenya.
- Amaraso afunganye (Trombose): Amaraso ashobora kubumba mu bihaha cyangwa amaguru. Muganga wawe azaguha imiti yo kugabanya iyi ngaruka.
- Guturika kwa cyst y'intanga ngore: Ibi ni ibintu bidakunze kubaho. Iyo bibaye, bishobora gutera kuva amaraso menshi kandi bishobora gusaba kubagwa kugira ngo bihagarare.
- Impyiko zidakora neza.
- Guhumeka bigoranye cyane.
Niba ugize ikibazo cyo kubyimba amaguru no kubabara, kubabara mu gituza, cyangwa guhumeka bigoranye, jya kwa muganga wihuta. Ibi bishobora kuba ibimenyetso by'uko amaraso yacitse.
Ni gute umuganga asuzuma indwara ya OHSS?
Nyuma yo kubaza ibimenyetso byawe, muganga azakora ibizamini byinshi kugira ngo yemeze ko ufite ikibazo.
1. Isuzuma ry'umubiri: Hazagenzurwa ibiro byawe, hazapimwa umuzenguruko w'inda yawe, kandi hasuzumwe urugero rw'ibibyimba. Isuzuma ry'ikibuno ntirikunze gukorwa muri iki gihe kuko intanga ngabo ziba zabyimbye kandi zikagira ingaruka ku mubiri.
2. Gupima ikoranabuhanga rya Ultrasound: Ibi bifasha kureba niba hari amazi y'umusatsi mu nda n'ingano y'intanga ngore.
3. Gupima amaraso: Ibi ni ingenzi kugira ngo urebe urugero rw'imisemburo yawe, imikorere y'impyiko, n'ubucucike bw'amaraso yawe.
4. X-ray yo mu gituza: Ibi bikorwa kugira ngo harebwe niba amazi yirundanyije mu gituza kandi niba hari ikibazo cyo guhumeka.
Ni ubuhe buryo bwo kuvura ibi?
Uburyo bwo kuvura buterwa n'uburemere bw'indwara yawe. Intego nyamukuru ni ukugenzura ibimenyetso no gukumira ingorane.
| Uburyo bwo kuvura OHSS yoroshye kugeza iri hagati | Kuvura indwara ikomeye ya OHSS (isaba kujya mu bitaro) |
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Ese hari uburyo bwo kwirinda OHSS?
Nubwo hari indwara zimwe na zimwe zidashobora kwirindwa, muganga wawe azasuzuma ibyago byawe akurikije amateka y'ubuzima bwawe n'ibisubizo by'ibizamini. Azafata ingamba zitandukanye kugira ngo agabanye ibyago byawe.
- Guhindura urugero rw'imiti yawe ikoreshwa mu misemburo: Niba ingaruka ari nyinshi, ushobora gutangirana n'urugero ruto rw'imiti.
- Kwirinda "gutera" HCG: Hashobora gukoreshwa undi muti (agonist trigger).
- Insoro zikonjesha: Amagi arakusanywa, insoro zigakura, hanyuma zigakonjeshwa. Hanyuma, nyuma y'uko intanga ngore zisubiye ku buryo busanzwe, insoro zimurirwa mu mura mu gihe cy'ukwezi kumwe cyangwa abiri. Ubu ni bwo buryo bwiza bwo kwirinda OHSS.
- Gutera inkombe: Iyo intanga ngabo zisa n'izishyushye cyane, gutera imisemburo bihagarikwa iminsi mike mbere yo guterwa inshinge za HCG.
Niba ufite ikibazo icyo ari cyo cyose kuri ibi, ntutinye kubaza muganga wawe. Ibi byose ni ukugira ngo umutekano wawe ukomeze.
OHSS ni indwara ishobora kubaho mu gihe cyo kubyara, ariko ubu irashobora gukemuka. Ni iy'igihe gito. Ibimenyetso akenshi birashira mu cyumweru kimwe cyangwa bibiri. Ikintu cy'ingenzi ni uguhora uganira n'itsinda ry'abaganga bawe kandi ukabamenyesha ibimenyetso byose.
Ubutumwa bwo kujyana mu rugo
- OHSS ni indwara ibaho iyo intanga ngore zikunze kwandura cyane imisemburo itangwa mu gihe cyo kubyara.
- Kubyimba, kubabara mu gifu no kwiyongera ibiro ni ibimenyetso bito. Kugorwa no guhumeka, kubabara mu gifu cyane no kuruka bishobora kuba ibimenyetso bikomeye.
- Ingaruka ziba nyinshi niba ufite PCOS cyangwa warigeze kugira OHSS mbere.
- Niba ubonye ibimenyetso , menyesha muganga wawe ako kanya. Kubimenya hakiri kare bishobora gufasha gukumira ingorane.
- Indwara nyinshi ziba zoroheje kandi zigakira mu byumweru bike. Indwara zikomeye zisaba kuvurirwa mu bitaro.
- Kugira OHSS, niba utwite, ntacyo bizagira ku gutwita cyangwa ku mwana.
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