Masifunde nje ngovavanyo lwe-Ovarian Reserve, olunika ingcaciso malunga nokuzala kwakho!

Usenokuba ulindele umntwana, okanye usenokuba ngumntu ofuna ukuqonda kancinci ngokuzala kwakho. Ngelo xesha, usenokuba ukhe weva amagama athi 'uvavanyo lwe-ovarian reserve' okanye '(Uvavanyo lwe-Ovarian Reserve)''. Ngoko ke, mhlawumbi unemibuzo emininzi malunga nokuba yintoni kanye kanye, yintoni enokuxelela yona, kwaye ibaluleke kubani. Siza kuthetha ngayo yonke loo nto namhlanje, njengokuba ubuya kuthetha nomhlobo.

Yintoni uvavanyo lwe-Ovarian Reserve?

Ngamafutshane, olu luvavanyo olusetyenziswa ngoogqirha ukuze bafumane umbono wamandla akho okuzala , oko kukuthi, amandla akho okuba nomntwana. Kodwa iziphumo ziqondwa kuphela ngokuzithelekisa nabanye abantu abaneminyaka yakho. Olu vavanyo lubandakanya uvavanyo lwegazi kunye ne-transvaginal ultrasound . Zombini ezi zinto zizama ukufumana umbono ocacileyo wenani lamaqanda kuma-ovari akho.

Cinga ngayo, sonke sizalwa sinawo onke amaqanda esiza kuba nawo ubomi bethu bonke. Kufana nemali ebhankini, ungayikhupha kuphela, akukho maqanda matsha aza kuveliswa. Oku sikubiza ngokuba yi-ovarian reserve . Ngoko ke, le qanda ligcinwa ngokwendalo liyancipha ngokweminyaka. Ngokweziphumo zolu vavanyo, oogqirha banokuqikelela ukuya kuthi ga kwinqanaba elithile indlela oza kusabela ngayo kunyango lokuzala olufana ne-`(IVF)` (in vitro fertilization).

Nangona kunjalo, kubalulekile ukukhumbula oku : Olu vavanyo lwe-ovarian reserve alunakukuxelela ngokuqinisekileyo okuyi-100% ukuba uya kukwazi na ukukhulelwa ngokwendalo . Ugqirha wakho uza kusebenzisa ezi ziphumo kuphela ukunceda ekugqibeni ukuba zeziphi amanyathelo alandelayo kunyango lwakho.

Ngubani obalulekileyo ukubhalela olu vavanyo?

Ngoku mhlawumbi ucinga, 'Kulungile, ukuba kunjalo, ngaba ndifanele ndikwenze oku?' Kukho izizathu ezahlukeneyo zokuba ugqirha angacebisa uvavanyo lwe-ovarian reserve. Jonga ukuba nayiphi na kwezi iyasebenza kuwe:

• Ukuba unesifo esithile, esifana nomhlaza , kwaye ucinga ukuba sichaphazele inani lamaqanda akho.
• Ukuba uceba ukuqala unyango lokuzala olufana ne-IVF .

Uyazi njani ukuba amaqanda akho asezantsi?

Le yingxaki abantu abaninzi abanayo. Enyanisweni, indlela ekuphela kwayo yokwazi ngokuqinisekileyo ukuba amaqanda akho asezantsi okanye awunawo kukuba ugqirha ahlole ukuzala . Oku kuthetha ukuba le asiyonto esinokuyiva okanye siyifumane ekhaya. Ngokuqinisekileyo ingcebiso yezonyango eyimfuneko.

Lwenziwa njani olu vavanyo lwe-ovarian reserve?

Uvavanyo lwe-ovarian reserve lunceda ekuqikeleleni ukuba unyango lokuchuma luya kuba nempumelelo kangakanani na.Enye into. Kodwa oku akukuxeleli "umgangatho weqanda" lamaqanda akho , oko kukuthi, ukuba asempilweni kangakanani, okanye ukuba mangaphi kanye kanye amaqanda onawo .

Olu vavanyo luneenxalenye ezintathu eziphambili:

1. Uvavanyo lwegazi lokulinganisa inqanaba leHormone ekhuthazayo yeFollicle (FSH) .

2. Olunye uvavanyo lwegazi lulinganisa inqanaba le -Anti - Mullerian Hormone (AMH) .

3. I-ultrasound edluliselwa kwisini isetyenziselwa ukwenza uvavanyo lwe- antral follicle count (AFC) .

Makhe sithethe ngesinye kwezi nkcukacha zithe vetshe .

Ihomoni evuselela i-follicle (FSH)

I-FSH yi -hormone elawula ukukhula kwamaqanda kuma-ovari akho. Ikhutshwa yi-pituitary gland engqondweni yakho. Oku kubangela ukuba i-follicle (ingxowa encinci, egcwele ulwelo equlethe iqanda) kwi-ovary iqale ukukhula. Ezi follicles zivelisa i-hormone ebizwa ngokuba yi-estrogen , ethi yona ixelele i-pituitary gland ukuba ingakanani i-FSH ekufuneka ivelise. Oogqirha badla ngokulinganisa amanqanaba akho e-FSH malunga nosuku lwesithathu lomjikelo wakho wenyanga .

I-Anti -Mullerian Hormone (AMH)

`(AMH)` yenye ihomoni eveliswa ziifollicles ezikwii-ovari zakho. Khumbula, amaqanda angaphakathi kweefollicles. Oku kuthetha ukuba xa inqanaba le-`(AMH)` liphezulu, kokukhona unamaqanda amaninzi . Ekubeni inani lamaqanda lincipha ngokuguga, inqanaba le-`(AMH)` nalo liyancipha ngokuguga. Ngokungafaniyo ne-`(FSH)`, inqanaba le-`(AMH)` linokulinganiswa nangaliphi na ixesha ngexesha lomjikelo wenyanga . Ukuba inqanaba le-`(AMH)` lingaphantsi kwe-1 nanogram nge-milliliter (ngaphantsi kwe-1 ng/mL), oko kunokubonisa ukuba ukunikezwa kwamaqanda akho kuyehla. Nangona kunjalo, ayinakukuxelela ngokuqinisekileyo malunga nokukwazi kwakho ukukhulelwa .

Inani le-Antral Follicle (AFC)

Oku kwenziwa yi-ultrasound ye-transvaginal. Ivumela ugqirha wakho ukuba ajonge inani lee-follicles kuma-ovari akho. Khumbula, amaqanda akhula kwezi follicles. Ezi follicles zihlala zibalwa kwiintsuku zokuqala ezine zomjikelo wakho wenyanga .

Into ebalulekileyo kukuba ugqirha asebenzise ezi ziphumo zovavanyo njengenye yezinto ezininzi ezenza isigqibo malunga nokuzala kwakho konke. Oku kuthetha ukuba esi ayisosigqibo sodwa.

Zeziphi izinto ezichaphazela ukubekelwa amaqanda?

Kukho izinto ezininzi ezichaphazela ukugcinelwa kwamaqanda, kwaye ubudala yeyona nto iphambili .

Njengoko sithethe ngaphambili, uzalwa unawo onke amaqanda oya kuba nawo ebomini bakho. Abanye abantu bazalwa benamaqanda amaninzi kunabanye. Xa usemncinci, oko kukuthi, xa uqala ukuya exesheni, sele ulahlekelwe zizigidi zamaqanda. Ngexesha lomjikelo wenyanga oqhelekileyo wokuya exesheni, amaqanda aliqela azama ukukhula, kwaye elinye lawo, iqanda eliphambili, elivuthiweyo, likhutshwa ngexesha lokuvuthwa. Ngoko ke, nangona umzimba wakho ukhupha iqanda elinye inyanga nenyanga, ulahlekelwa ngamawaka amaqanda ngonyaka .

Enye into ebalulekileyo eqwalaselwa ngoogqirha bumgangatho wamaqanda . Oku kubhekiselele ekubeni amaqanda akho asempilweni kangakanani.

Ukongeza kwezi zinto, kukho ezinye izizathu ezininzi ezinokuchaphazela inani lamaqanda akho:

• Utyando kwii-ovari okanye ingxaki nge-ovari enye okanye zombini.
• I-chemotherapy okanye unyango lwe-radiation lomhlaza.
• Ukuba nosulelo olukhulu lwe-pelvic .
• Ukuba kukho umntu kusapho lwakho oye wafikelela kwixesha lokuyeka ukuya exesheni kwangethuba (imbali yosapho).

Ngaba kukho naziphi na iingozi ngolu vavanyo?

Hayi, akunjalo. Olu vavanyo lwe-ovarian reserve luvavanyo olukhuselekileyo nolungenamngcipheko . Lufuna kuphela igazi elincinci elithathwe kumthambo osengalweni yakho, kunye ne-transvaginal ultrasound ekhankanyiweyo ngaphambili. Ngoko ke akukho sizathu sokukhathazeka ngayo.

Zithini iintsilelo zolu vavanyo?

Nangona olu vavanyo lunokukunika umbono wendlela oza kusabela ngayo kunyango lokuzala, aluchazi yonke into . Yile nto kufuneka siyiqonde.

Nangona uvavanyo lwe-ovarian reserve lunokubonisa inani lamaqanda, alunakukuxelela ukuba aphilile kangakanani loo maqanda, oko kukuthi, umgangatho wamaqanda . Umzekelo, umntu unokuba ne-egg reserve eqhelekileyo, kodwa umgangatho wamaqanda akhe unokuba uphantsi. Ukuba oko kuyenzeka, loo maqanda asenokungavundiswa ngexesha lonyango olufana ne-IVF. Izifundo zibonise ukuba umgangatho wamaqanda uqala ukwehla emva kweminyaka engama-35 .

Kukwakho nezinye izinto ezichaphazela ukuzala ezingahambelani nobungakanani okanye umgangatho weqanda. Oogqirha benza olu vavanyo lokugcinwa kweqanda njengenxalenye yovavanyo lokuzala ukunceda bafumane umbono wokuzala kwakho konke.

Kudla ngokuthatha ixesha elingakanani ukufumana iziphumo?

Ngokwesiqhelo, uza kufumana iziphumo zakho kwiveki emva kovavanyo. Ugqirha wakho uza kudibanisa iziphumo zovavanyo lwe-ovarian reserve kunye neziphumo zalo naluphi na olunye uvavanyo lokuzala oye walwenza kwaye axoxe ngesicwangciso sonyango esifanelekileyo kuwe.

Zithini ngokwenene iziphumo zolu vavanyo?

Ukusuka kwiziphumo zovavanyo lwakho lwe-ovarian reserveInokukunceda ukuqikelela amandla akho okuzala kunye nendlela oza kusabela ngayo kunyango lokuzala. Nangona kunjalo, ayinakukuxelela ukuba uza kukhulelwa nini okanye ukuba ushiye amaqanda amangaphi . Nangona kunjalo, inokukunika uphawu lokuba amaqanda akho aphantsi na kunalawo abanye abaneminyaka yakho.

Akukho vavanyo lulodwa lokuchuma olunokuqikelela ngokuchanekileyo amathuba akho okukhulelwa okanye impendulo yakho kunyango lokuchuma . Iziphumo zazo zonke iimvavanyo zakho zokuchuma, kuquka uvavanyo lwakho lwe-ovarian reserve, ziyahlalutywa kunye. Ugqirha wakho uza kuzihlanganisa zonke ezi ziphumo aze akuncede uphuhlise isicwangciso sonyango esisebenza kakuhle kuwe.

Zichaneke kangakanani ezi mvavanyo zokugcina ii-ovarian?

Uvavanyo lokuchuma luvavanyo lokuxilonga . Oko kukuthi, alunakukuxelela ngokuthe ngqo ukuba mangaphi amaqanda onawo, ixesha osele nalo lokukhulelwa ngenxa yamaqanda akho, okanye ukuba uza kudlula nini kwixesha lokuya exesheni. Nangona kunjalo, sesona sixhobo sichanekileyo oogqirha abanaso okwangoku .

Ingakumbi xa kuziwa kunyango lwe-IVF, uvavanyo lokugcina amaqanda lubalulekile kuba inani lamaqanda akho kunye nempendulo yakho kumayeza ehomoni zinxulumene ngokuthe ngqo nempumelelo yokuvuselelwa kwamaqanda.

Yintoni indawo yokugcina amaqanda 'elungileyo'? / Ngaba kukho inqanaba 'elilungileyo' lokugcina amaqanda?

Kunzima ukutsho ukuba yintoni eyenza inqanaba 'elilungileyo' lokugcinelwa amaqanda. Ngenxa yokuba amanqanaba aqhelekileyo okugcinelwa amaqanda anokwahluka ukusuka kwilabhoratri ukuya kwilabhoratri nakugqirha , musa ukuzama ukutolika iziphumo zakho wedwa okanye ukuzithelekisa neziphumo zabanye abantu ngaphandle koncedo lukagqirha wakho.

Kunzima ukunika uvavanyo lwe-ovarian reserve amanqaku 'alungileyo', kuba uvavanyo ngalunye lulinganisa izinto ezahlukeneyo. Endaweni yoko, ugqirha wakho uza kuthatha zonke iziphumo ezivela kuvavanyo lwakho lwegazi kunye ne-ultrasound aze abone ukuba amanqanaba akho e-ovarian reserve angaphakathi koluhlu oluqhelekileyo .

Ngaba ikho indlela yokwandisa ukugcinwa kwamaqanda ethu?

Lo ngumbuzo abantu abaninzi abawubuzayo. Ukubeka ngokucacileyo, hayi. Awunakwandisa inani lamaqanda onawo . Khumbula, sizalwa sinawo onke amaqanda esiza kuba nawo ebomini bethu. Awanakuvuselelwa.

Nangona kunjalo, unokukwazi ukuphembelela umgangatho weqanda lakho . Kukho utshintsho oluthile kwindlela ophila ngayo olunokunceda:

• Ukutya ukutya okunesondlo kunye nokuthatha iivithamini ezifunekayo.
• Ukulala ngokwaneleyo.
• Kuphephe ukutshaya kwaye uyeke okanye unciphise ukusetyenziswa kotywala.

Ngaba umgangatho weqanda ungajongwa?

Okwangoku akukho vavanyo luthile lokujonga umgangatho wamaqanda.Nangona uvavanyo lwe-ovarian reserve lunokukunika umbono ocacileyo wokuba mangaphi amaqanda oshiyekileyo, alunakukuxelela ukuba alungile kangakanani loo maqanda, oko kukuthi, umgangatho wawo. Uya kwazi kuphela umgangatho ochanekileyo wamaqanda akho emva kokuba uqalise unyango lwe-IVF .

Okokugqibela, ezona zinto zibalulekileyo ekufuneka uzikhumbule (Umyalezo Wokuya Ekhaya)

Kulungile, ngoko ke sithethe kakhulu ngolu vavanyo lwe-ovarian reserve. Ndicinga ukuba unembono entle ngalo ngoku. Khumbula, esi sisixhobo esinye esisetyenziswa ngoogqirha ukufumanisa ngokuzala kwakho. Kukho ezinye izinto ezininzi ezichaphazela unyango lokuzala kunye nokukhulelwa.

Akukho 'fomula yomlingo' yokuxela kwangaphambili ikamva lakho, okanye ukuxela kwangaphambili ukuba unyango lokuchuma luya kuba nempumelelo kangakanani na. Kwaye akukho ndlela yokuxela kwangaphambili ukuba inani lamaqanda akho liya kuncipha nini.

Eyona nto ibalulekileyo kukuthetha ngokukhululekileyo ngayo yonke le nto nogqirha wakho . Xoxa ngamathemba akho, izinto ezikuxhalabisayo, imibuzo yakho, nayo yonke into naye. Ungoyiki ukubuza malunga novavanyo lokuzala kunye nokuba iziphumo zithini. Emva koko ugqirha wakho uya kukwazi ukwenza izigqibo ezikulungeleyo. Awuwedwa, kwaye kukho oogqirha abanokukunceda kolu hambo.

Uvavanyo lwe- Ovarian Reserve, Ukuchuma, Ubungakanani be-Oocyte, i-AMH, i-FSH, i-AFC, i-IVF, Impilo yabasetyhini, Ukuchuma