Ese nawe uri mu buvuzi bw'uburumbuke? Noneho reka twige ku ndwara ya Ovarian Hyperstimulation Syndrome (OHSS)!

Niba uri kuvurwa uburumbuke ufite icyizere cyo kubyara, ushobora kugira ubwoba n'impungenge zimwe na zimwe, si byo se? Ibyo ni ibisanzwe. Ni ngombwa kumenya ingaruka zishobora guterwa n'ubu buryo bwo kuvura. Imwe muri izo ndwara idakunze kugaragara ku bantu benshi, ariko ikaba ari nziza kuyimenya, yitwa Ovarian Hyperstimulation Syndrome (OHSS) . Uyu munsi, tuzayivugaho mu buryo bworoshye kandi bworoshye kumva.

OHSS ni iki mu by'ukuri?

Muri make, OHSS ni igihe intanga zawe zibyimba zikanasohora ikintu kimeze nk'amazi mu nda yawe. Ibi akenshi biterwa n'imiti itera imisemburo gukangura intanga zawe gukora intanga nyinshi icyarimwe kugira ngo bigufashe gusama.

Ubusanzwe, umugore muzima asohora igi rimwe gusa mu gihe cy'imihango ye ya buri kwezi. Ariko, ku bafite ingorane zo gutwita, cyane cyane mu gihe cyo kuvurwa nka '(IVF)' (In Vitro Fertilization), imiti ikoreshwa mu misemburo itangwa kugira ngo ikangure intanga ngore mbere yo kuzikuramo. Hari igihe intanga ngore zitabira iyi miti cyane. Icyo gihe ni bwo OHSS ishobora kubaho. Ibi kandi bikunze kugaragara mu miti iterwa n'imisemburo.

Mu bihe byashize, OHSS yari isanzwe mu bavurwaga na IVF. Ariko, bitewe n'amabwiriza n'ingamba nshya, iyi ndwara yagabanutse cyane. Ariko, haracyagaragara abarwayi ba OHSS yoroheje rimwe na rimwe.

Abagore bafite indwara ya polycystic ovary syndrome (PCOS) , cyangwa abafite amagi menshi cyane, ni bo bafite ibyago byinshi byo kurwara OHSS, kuko PCOS ari indwara yo kubyara ijyana no kudahuza kw'imisemburo.

Ni ubuhe bwoko bw'ingenzi bwa OHSS?

OHSS ishobora gushyirwa mu byiciro byoroheje, biri hagati, n'ibikomeye . Muganga wawe azayishyira mu byiciro akurikije uburemere bw'ibimenyetso byawe. Akenshi, OHSS iba yoroheje kandi ububabare itera ni ubw'igihe gito. Ariko, OHSS ikomeye ni gake cyane, ariko ishobora gushyira ubuzima mu kaga.

Dukurikije imibare iriho ubu, abagore bari munsi ya 5% bakorerwa imyitozo ngororamubiri kugira ngo bahabwe IVF bahuye na OHSS. Mbere, ibi byari hafi 10%. OHSS ikomeye ibaho munsi ya 1%.

Ni ibihe bimenyetso bya OHSS?

Ibimenyetso bya OHSS bishobora gutandukana bitewe n'umuntu ku giti cye, kandi biratandukanye bitewe n'uburemere bw'indwara. Kenshi na kenshi, ibimenyetso bitangira mu cyumweru kimwe nyuma yo gukoresha imiti yo gukurura intanga. Ariko rimwe na rimwe, ibimenyetso bishobora kutagaragara kugeza ku byumweru bibiri.

Ibimenyetso bya OHSS yoroshye kugeza kuri iringaniye:

• Ububabare bwo mu nda.
• Kubyimba. Kumva nk'aho igifu cyuzuye umwuka.
• Kongera ibiro gato, nko kongera ibiro birenga kilo kimwe (ibiro 2) ku munsi umwe.
• Isesemi. Kumva ugiye kuruka.

OHSS ikomeye ishobora gutera ibimenyetso nk'ibi:

• Kongera ibiro cyane.
• Isesemi ikomeye no kuruka.
• Kubyimba inda cyane.
• Kugorwa no guhumeka.
• Amaraso apfutse.
• Kugabanuka kw'inkari.
• Kubabara cyane mu nda.

Igikuru ni uko niba ubonye kimwe muri ibi bimenyetso mu gihe uri kuvurwa uburumbuke, ugomba kubimenyesha muganga wawe vuba. Itsinda ry’abaganga rizagukurikirana buri gihe kandi rizashobora kukubwira niba ufite ibyago byo kurwara OHSS hashingiwe ku rugero rwa estrogen yawe n’umubare w’uturemangingo twa follicles twagaragaye kuri scan za ultrasound. Akenshi, izi ziba ari indwara zoroheje zihita zikira ubwazo. Ariko, ni byiza kuganira na muganga wawe ku bimenyetso byawe.

Kuki iyi ndwara yitwa OHSS ibaho?

Akenshi, OHSS ibaho kubera ko imisemburo yitwa `HCG (Human Chorionic Gonadotropin)` itera imbaraga intanga zawe. Ubusanzwe, intanga zawe zikora igi rimwe gusa icyarimwe. Ariko, imiti igabanya imisemburo itera imbaraga intanga kugira ngo zikure amagi menshi icyarimwe. Abagore bavurwa `(IVF)` bahabwa ``trigger shot`` ya `HCG`` kugira ngo ikure amagi mbere yuko akusanywa. Rero, iyo intanga nyinshi zishobora gukura, intanga zishobora kugira ingaruka zikabije kuri iyi misemburo ya `HCG`. Ni bwo OHSS ibaho.

Muri OHSS, iyi miti yo kubyara ituma amazi ava mu mitsi ikikije intanga ngore. Hari igihe aya mazi ashobora kwirundanya mu nda, bigatera ibimenyetso nko kubyimba no kubabara.

Ni nde uri mu kaga gakomeye ko kurwara indwara ya OHSS?

Abantu bafite ibyago byinshi byo kurwara iyi ndwara barimo:

• Abagore bafite `PCOS` (syndrome ya polycystic ovary).
• Abamaze guteza imbere OHSS.
• Abafite umubare munini wa follicles cyangwa urugero rwa estrogen ruri hejuru mu gihe cyo gushishikariza IVF.
• Abahawe imisemburo ya HCG nyinshi mu gihe cy'ingendo zabo za IVF.
• Abamaze gutwita intanga ngabo "nshya" (iyo batwite mu gihe intanga ngabo zabo zigikomeje gushyuha, gutwita bishobora gutuma bagira OHSS igihe kirekire). Ibi bivuze ko ibyago byo kwimuka intanga ngabo "zikonje".

Nanone, nubwo nta gihamya ifatika ihari, hari icyizere cy'uko abantu bakurikira bashobora kuba bafite ibyago byinshi byo kurwara OHSS:

• Abagore bakiri bato bari munsi y'imyaka 30.
• Abantu bafite ibiro bike.

Ni izihe ngorane zishobora guterwa na OHSS?

Abagore bafite OHSS bafite ibyago byo kurwara amaraso mu bihaha cyangwa amaguru (thrombosis) . Imiti ishobora gutangwa kugira ngo igabanye ibi byago. Hashobora kandi kwiyongera ibyago byo kurwara indwara yo mu bwonko. Niba ubabara amaguru, ukabyimba, cyangwa ubabara mu gituza, ugomba kubimenyesha muganga wawe vuba.

Ni gake cyane, ikibyimba cy’intanga gifitanye isano na OHSS gishobora gucika kigatera kuva amaraso menshi. Muri iki gihe, kubagwa bishobora kuba ngombwa kugira ngo kuva amaraso kuhagarare.

Ni gute abaganga basuzuma indwara ya OHSS?

Abaganga bakora ibizamini byinshi kugira ngo bapime OHSS. Ibi birimo:

• Isuzuma ry'umubiri: Ibiro byawe bizagenzurwa, umuzenguruko w'ikibuno cyawe uzapimwa, kandi uzagenzurwa ibimenyetso byo kubyimba. Ariko, isuzuma ry'ikibuno ntirizakorwa muri iki gihe. Ibi biterwa nuko intanga ngabo ziba zabyimbye kandi zishobora guturika iyo hashyizweho igitutu.
• Ultrasound: Ibi bishobora gusuzuma amazi y'ubusa mu nda n'ingano y'intanga ngore.
• X-ray yo mu gituza: Kureba niba hari amazi yirundanyije mu gituza.
• Gupima amaraso: Pima urugero rw'imisemburo igaragaza ibimenyetso bya OHSS.

Ni ubuhe buryo bwo kuvura OHSS?

Uburyo bwo kuvura OHSS buterwa n'uburemere bw'indwara. Intego nyamukuru yo kuvura ni ukugenzura ibimenyetso no gukumira ingorane. Indwara zoroheje za OHSS akenshi zikemuka ubwazo mu cyumweru kimwe cyangwa bibiri. Ariko, iyo utwite mu gihe kimwe, ibimenyetso bishobora kumara igihe runaka.

Uburyo busanzwe bwo kuvura indwara ya OHSS yoroheje kugeza ku iringaniye burimo:

• Irinde gukora imyitozo ngororamubiri iremereye. Irinde ibintu nko kwiruka, gusimbuka, cyangwa guterura ibyuma biremereye.
• Kunywa ibinyobwa birimo electrolyte nyinshi, nka Jeevani, cyangwa wenda ikinyobwa cya muganga ``(Gatorade®)``.
• Gukoresha imiti nka parasetamol (Acetaminophen) kugira ngo ugabanye ububabare.
• Kwipimisha buri munsi.
• Buri gihe ujye witondera ibimenyetso bikomeye.

OHSS ikomeye ikunze gusaba kujya mu bitaro. Kuvura OHSS ikomeye bishobora kuba birimo:

• Ibinyobwa biva mu mitsi (IV). Ibyo bivuze gutanga ibintu nk'umunyu.
• Gukora igikorwa cyitwa paracentesis. Ibi bikorwa kugira ngo haveho amazi menshi yakusanyije mu nda.
• Gutanga imiti yo kugabanya ibimenyetso cyangwa kugabanya imikorere y'intanga ngore.
• Gutanga imiti igabanya amaraso kugira ngo igabanye ibyago byo kubyimba kw'amaraso.

Hari igihe ushobora gukenera kuguma mu bitaro kugira ngo uhabwe ubufasha no gukurikiranirwa hafi kugeza igihe ibimenyetso byawe bizakira.

Bifata igihe kingana iki kugira ngo umuntu akire indwara ya OHSS?

Igihe bifata kugira ngo ukire indwara ya OHSS gitandukana bitewe n'uburemere bw'indwara ndetse niba waratwite muri icyo gihe. Muganga wawe azakubwira igihe ushobora gusubira mu mirimo isanzwe n'icyo wakwitega.

Ushobora kuba wibaza uti "Ese hari uburyo bwo gukuraho OHSS vuba?". Mu by'ukuri nta gisubizo kimwe gikwiriye byose. Ubuvuzi buterwa n'uburemere bw'ibimenyetso byawe. Bityo rero, muganga wawe ni we muntu mwiza wo kuganira nawe ku bijyanye n'uburyo bwo kuvura.

Ese OHSS ishobora kwirindwa?

Hari abantu bashobora kwirinda indwara ya OHSS. Ariko, muganga wawe ashobora kumenya niba uri mu kaga hashingiwe ku mateka y'ubuzima bwawe n'ibyavuye mu bipimo by'amaraso. Mu gihe cyo kuvura uburumbuke, muganga wawe azakurikirana buri gihe intanga zawe kugira ngo agabanye ibyago byo kwandura OHSS. Ibi bizaba birimo gupima amaraso (kugira ngo barebe urugero rw'imisemburo) no gupima ikoranabuhanga (ultrasound scan) (kugira ngo barebe uko intanga zawe zikura).

Hari uburyo butandukanye itsinda ry'abaganga rishobora kugufasha kwirinda OHSS (cyangwa kugabanya ibimenyetso):

• Kugabanya cyangwa guhindura ingano y'imiti.
• Irinde gutera umuti wa `HCG` "trigger shot" mu gihe cyo kuvurwa.
• Guhindura ubwoko bw'imiti igabanya ubukana bw'imyororokere.
• Gukonjesha intanga zawe no gutinda kwimura intanga kugeza igihe intanga zawe zisubiye ku buryo busanzwe.

Bigenda bite iyo OHSS ibaye? Ese ni ikibazo cyo gutwita?

OHSS ni indwara y'igihe gito. Akenshi ishira mu byumweru bibiri. Ndetse no mu bihe bikomeye, kuvurwa hakiri kare bishobora gutanga umusaruro mwiza. Icy'ingenzi ni uko niba utwite nyuma yo kuvurwa neza ku bijyanye no kubyara, OHSS nta kibazo izagutera ku nda. Ibimenyetso byawe bizagenda buhoro buhoro kandi ntibigire ingaruka ku nda yawe. Rero ntugahangayike.

Ni ryari ngomba kubonana na muganga?

Niba uri kuvurwa uburumbuke kandi ukagira ibimenyetso bya OHSS, hita ubonana na muganga wawe.

Ni ibihe bibazo ugomba kubaza muganga?

Niba ufite OHSS, ushobora kubaza muganga wawe ibi bibazo:

• Indwara yanjye imeze ite?
• Ni ubuhe buryo bwo kuvura mfite?
• Ni ibihe bimenyetso by'ingorane ngomba kwitondera?
• Ese OHSS izangiza ubushobozi bwanjye bwo gutwita cyangwa umwana uri mu nda?

Ni ibisanzwe ko hari abantu bumva batameze neza nyuma yo gufata amagi. Kubyimba, kubona amabara make no kumva babyibushye ni ingaruka zikunze kugaragara za IVF. OHSS ni ikibazo kidasanzwe mu buvuzi bwa IVF.

Hanyuma, ubutumwa bwo kujyana mu rugo:

Niba utwite umwana, ushobora kugira ubwoba bwo kumenya OHSS. Ariko ibuka ko OHSS ubu ari indwara ishobora kwirindwa kandi, iyo yoroheje, igafatwa neza. Ikintu cy'ingenzi ni ugukomeza kuvugana na muganga wawe no kumumenyesha ububabare ubwo aribwo bwose ufite.

Mu gihe cyo kuvura uburumbuke nka IVF, abaganga bagukurikirana cyane. Rero, niba hari ibyago byo kurwara OHSS, bashobora kuyimenya hakiri kare bagafata ingamba zikenewe. Baganire ku bibazo cyangwa impungenge ushobora kuba ufite. Bizaba ingirakamaro cyane ku rugendo rwiza!

OHSS , Indwara yo kugabanya imbaraga mu mikurire y'intanga, Uburumbuke, IVF, Intanga ngabo, Imisemburo, Gutwita