Ngaba nawe unamaqanda ambalwa kuma-ovari akho? Masithethe nge-Diminished Ovarian Reserve!

Ngaba ubusoloko uzama ukukhulelwa ixesha elide? Kuqhelekile ukuba uzive ulusizi kwaye uxhalabile xa ungafumani ziphumo ngokukhawuleza njengoko ubucinga. Ugqirha wakho usenokuba ukuxelele ukuba ama-ovari akho anesisele esincinci samaqanda, imeko ebizwa ngokuba yiDiminished Ovarian Reserve . Yiloo nto siza kuthetha ngayo namhlanje. Ungakhathazeki, ukuqonda oku ngokufanelekileyo kuya kukunceda kakhulu.

Yintoni i-Diminished Ovarian Reserve?

Ngamafutshane, i-Diminished Ovarian Reserve kuxa inani lamaqanda kuma-ovari akho lincipha xa kuthelekiswa nabanye abantu abaneminyaka yakho. Oku ngamanye amaxesha kubizwa ngokuba "linani lamaqanda aphantsi." Uyazi, ukuze ukhulelwe, udinga iqanda (kunye nesidoda). Ngokwesiqhelo, inani lamaqanda lomntu wonke liyancipha njengoko ekhula. Kuyinto yendalo. Nangona kunjalo, kwabanye abantu, oku kwenzeka ngokukhawuleza kunokuba bekulindelwe. Kulapho ke le meko isenzeka khona.

Ukuba nomntwana kunokuba nzima ngakumbi xa amaqanda akho egciniwe aphantsi. Ugqirha wakho angakuxelela ngokuqinisekileyo ukuba unale meko ngokwenza uvavanyo olubizwa ngokuba yi -Ovarian Reserve Testing .

Into ebalulekileyo kukuba oku akuthethi ukuba awunakuze ube nomntwana. Nangona kunjalo, kunokuba nzima kancinci, okanye unokufuna ukusebenzisa unyango lokuzala.

Mangaphi amaqanda esimele sibe nawo kwii-ovari zethu?

Cinga ngale nto, xa sizalwa thina mantombazana, sifumana onke amaqanda esiwadingayo ubomi bethu bonke. Emva koko, akukho maqanda matsha aveliyo. Ubudala bakho yeyona nto iphambili egqiba ukuba mangaphi amaqanda onawo. Izifundo zibonise ukuba emva kweminyaka engama-35, izinga lokulahleka kwamaqanda liyanda nangakumbi.

Nangona la manani enokwahluka kumntu nomntu, nantsi ingcinga ngenani eliqhelekileyo lamaqanda esinawo ebomini bethu bonke:

• Ekuzalweni: Phakathi kwamaqanda ayi-1 ukuya kwi-2 yezigidi.
• Ngexesha lokufikisa: Phakathi kwamaqanda angama-300,000 nama-400,000.
• Malunga neminyaka engama-40 ubudala: Malunga namaqanda angama-25,000.
• Ngexesha lokuya exesheni: Ngaphantsi kwamaqanda ali-1,000.

Nangona kunjalo, ngugqirha wakho kuphela onokukuxelela ukuba mangaphi amaqanda onawo, emva kokuphonononga iziphumo zovavanyo lwe-Ovarian Reserve olukhankanyiweyo ngaphambili.

Ngaba akunakwenzeka ukuba nomntwana kuba unamaqanda ambalwa?

Awunakuthi hayi! Usenokufumana umntwana nokuba inani lamaqanda liphantsi. Nangona kunjalo, kufuneka uqonde ukuba amathuba okukhulelwa anokuba mancinci ngenxa yenani lamaqanda liphantsi. Cinga ngako, into oyifunayo ukuze ube nomntwana liqanda elihle nelinempilo, akunjalo?

Kwakhona, asikuko nje inani lamaqanda elichaphazela amathuba okukhulelwa komntwana. Umgangatho wamaqandaZininzi izinto ezichaphazela oku, njengomgangatho wesidoda seqabane lakho, impilo yesibeleko sakho kunye neetyhubhu ze-fallopian (okanye ii-ovari).

Zithini iimpawu zale meko?

Uninzi lwabantu alubonisi zimpawu zithile. Into ekuphela kwayo kukuba abanakukhulelwa emva kweenyanga, mhlawumbi iminyaka, besabelana ngesondo (ngaphandle kokusebenzisa naluphi na ucwangciso lokuzala).

Abanye abafazi basenokuqala ukuya exesheni kwangethuba kunesiqhelo, nto leyo ethetha ukuba imijikelo yabo iba mfutshane kwaye inani leentsuku liyancipha.

Ukuba une -Primary Ovarian Insufficiency , imeko apho ama-ovari angasebenzi kakuhle, unokufumana iimpawu ngexesha le-perimenopause . Ezi ziquka:

• Ukubila ngequbuliso nokuziva ushushu (ubushushu obugqithisileyo).
• Ukuya exesheni okungacwangciswanga (kwangethuba, kade, okanye ukungayi exesheni kangangeenyanga).
• Ukoma kwesisu, okunokubangela ukungakhululeki ngexesha lokwabelana ngesondo.

Kutheni oku kusenzeka? Zithini izizathu zoku?

Ukwaluphala yeyona nto iphambili neyindalo ebangela ukuncipha kokugcinelwa amaqanda. Kuqhelekile kuye wonke umntu. Nangona kunjalo, ngamanye amaxesha akukho sizathu sicacileyo sinokufunyanwa.

Kukho ezinye izizathu ezinokuchaphazela oku:

• Iimeko zemfuza: Iingxaki zemfuza, ingakumbi ezo zibandakanya i-chromosome X.
• Unyango lomhlaza: Unyango ngemitha okanye i-chemotherapy yomhlaza inokonakalisa ama-ovari kwaye itshabalalise amaqanda.
• Utyando olwenziwe kwii-ovari: Ezinye ii-ovari zifuna ukususwa kwenxalenye yee-ovari.
• Ukuba i-ovaries enye okanye zombini zisusiwe: Oku kunokuba yimfuneko ngenxa yemeko yempilo.
• Iimeko zokuzikhusela komzimba: Oku kwenzeka xa inkqubo yomzimba wethu yokuzikhusela ihlasela ama-ovari ethu.

Ngaba uxinzelelo luchaphazela oku?

Hayi, uxinzelelo alunciphisi ngokuthe ngqo ukubekelwa amaqanda. Abantu abaninzi banembono ephosakeleyo ngale nto. Nangona kunjalo, ngokutsho kwe-American Society of Reproductive Medicine, ukutshaya kunye nokusetyenziswa kweemveliso zecuba (iicuba, iibidis, njl.njl.) zezona zinto zibalulekileyo kwindlela yokuphila ezifunyenweyo ukuba zinciphisa ukubekelwa amaqanda.

Ziziphi iimvavanyo ezikhoyo zokufumanisa oku?

Oogqirha basebenzisa iqela leemvavanyo ezibizwa ngokuba yi -Ovarian Reserve Testing ukuze bafumane umbono ocacileyo wokuba mangaphi amaqanda aseleyo kuma-ovari akho.

Nangona kunjalo, ezi mvavanyo azinakukuxelela ngokuthe ngqo ukuba uza kuba nabantwana ixesha elingakanani, okanye nokuba uza kukwazi na ukukhulelwa ngokwendalo (ngaphandle konyango). Ezi mvavanyo zijonga ikakhuluImalunga nendlela ama-ovari akho asabela ngayo kumayeza e-hormone anikwa ngexesha lonyango lokuzala olufana ne-IVF (In Vitro Fertilization), okanye ukuba amathuba akho okukhulelwa ngaphandle konyango aphantsi na.

Kubaluleke kakhulu ukuqaphela ukuba nokuba ezi mvavanyo ziqinisekisa ukuba unamaqanda amancinci agciniweyo, akuthethi ukuba awunakuba nomntwana ngokwendalo. Ezi mvavanyo azilinganisi ukuzala kwakho ngokwendalo.

Uvavanyo lwe-Ovarian Reserve ludla ngokuquka:

• Uvavanyo lwegazi: Oku kuquka ukuthatha isampuli yegazi lakho nokujonga amanqanaba eehomoni ezibizwa ngokuba yi- (Anti-Mullerian Hormone - AMH) , (Follicle-Stimulating Hormone - FSH) , kunye ne- (Estradiol) . La manqanaba eehomoni anokunika ugqirha wakho umbono wendlela ama-ovari akho asabela ngayo kumayeza okuzala.
• I-Ultrasound yeVaginal: Oku kuquka ukufaka isixhobo esincinci sokuskena ngaphakathi kwilungu lobufazi ukuze kulinganiswe ubungakanani bamaqanda. Ikwalinganisa inani lee-follicle ezincinci ngaphakathi kwilungu lobufazi ezinokuqulatha amaqanda. Oku kukwabizwa ngokuba yi-Antral Follicle Count (AFC) .
• Kukho uvavanyo olubizwa ngokuba yiClomiphene Citrate Challenge . Oku kuquka ukuthatha iyeza lokuchumisa ngomlomo (Clomiphene Citrate) kangangeentsuku ezimbalwa, uze ulinganise amanqanaba eehomoni uze ubone indlela umzimba osabela ngayo kulo. Nangona kunjalo, olu vavanyo alusasetyenziswa rhoqo.

Abo bane-ovarian reserve ephantsi badla ngokuba namanqanaba aphezulu e-hormone (FSH) kunabanye amanqanaba abo eminyaka, aphantsi (AMH) e-hormone, kunye naphantsi (AFC). Kwakhona, olu vavanyo lulinganisa ikakhulu indlela ama-ovaries akho asabela ngayo kumayeza e-hormone, hayi amandla akho okukhulelwa ngaphandle kwamayeza.

Yintoni enokwenziwa njengonyango?

Le yeyona nto ibalulekileyo ekufuneka siyiqonde kuqala: Ngokwesayensi yezonyango yangoku, akukho ndlela yokuguqula ukwehla kwamaqanda agciniweyo okanye ukudala amaqanda amatsha kwii-ovari.

Ukuba ugqirha wakho uyayikrokrela le meko, uza kuthetha nawe ngononophelo aze akuncede wenze isicwangciso sonyango esiza kukunceda ufezekise iphupha lakho lokuba nomntwana. Xa edala esi sicwangciso sonyango, ugqirha uza kukubuza imibuzo efana nale:

• Ungathanda ukuba nomntwana ixesha elingakanani?
• Bangaphi abantwana ofuna ukuba nabo?
• Zinjani izakhono zakho zemali? (Ezinye iindlela zonyango zinokubiza kakhulu)
• Ngaba ufuna umntwana onxulumene nawe ngokwemfuza , okanye uzimisele ukuqwalasela ezinye iindlela?

Iindlela zonyango zimiselwa ngokuqwalasela zonke ezi zinto. Iindlela eziphambili zezi:

• Ukuqandisa amaqanda akho ukuze uwasebenzise kwixesha elizayo.
• Ukuzama ukukhulelwa ngokwendalo (kungathatha ixesha).
• (IVF - In Vitro Fertilization)Unyango - Ungasebenzisa amaqanda akho, okanye ungasebenzisa amaqanda anikelweyo (amaqanda afunyenwe komnye umntu).

Ukuba usebenzisa amaqanda akho...

Ukuqandisa amaqanda yindlela entle yokugcina ukuzala kwakho. Ingakumbi ukuba ugqirha wakho ucinga ukuba usemngciphekweni omkhulu wokuba nenani eliphantsi lamaqanda, banokucebisa ukuba uwaqandise amaqanda akho ngaphambi kokuba abe mancinci kakhulu.

Okwenzekayo kukuba, unikwa inaliti yehomoni ukuze ukhuthaze ama-ovari akho ukuba avelise amaqanda amaninzi ngaxeshanye. Emva koko, la maqanda avuthiweyo ayafunyanwa ngenkqubo encinci yotyando aze aqandiswe ngendlela ekhethekileyo ukuze kusetyenziswe unyango lwe-IVF kwixesha elizayo.

Ngamanye amaxesha, ugqirha wakho unokucebisa ukuba kwenziwe ii-embryos (iiseli zokuqala ezithi xa iqanda kunye ne-sperm zidibana). Oku kuthetha ukuba amaqanda avuthiweyo athathwa, aqhanyiswe kwilebhu ngesidoda seqabane lakho okanye ngesidoda esinikelweyo (isidoda esivela komnye umntu), kwaye ii-embryos eziphumayo ziyaqandiswa ukuze zisetyenziswe kwixesha elizayo. Okanye, zinokudluliselwa kwisibeleko sakho kwaye zifakwe ngoko nangoko.

Ukuba usebenzisa amaqanda e-donor...

Ukuba umgangatho kunye/okanye ubungakanani bamaqanda akho buphantsi kakhulu, oko kuthetha ukuba amathuba okukhulelwa ngempumelelo usebenzisa amaqanda akho aphantsi kakhulu, ugqirha wakho unokucebisa ukusebenzisa amaqanda anikelweyo (amaqanda anikelwe ngomnye umfazi ophilileyo).

Kwimeko enjalo, iqanda elivela kumntu onikelayo lixutywa kwilebhu ngesidoda seqabane lakho (okanye isidoda esinikelayo). Emva koko i-embryo ephumayo ifakwa kwisibeleko sakho. Umntwana odalwe ngale ndlela akayi kuzuza ilifa lee-genes zakho, kodwa unokuzuza ilifa lee-genes zeqabane lakho (ngaphandle kokuba kusetyenziswe isidoda esinikelayo).

Enye indlela kukuyiqandisa i-embryo. Oku kuquka ukuchumisa amaqanda akho (okanye amaqanda anikelayo) ngesidoda, ukudala i-embryo, kunye nokuyiqandisa ukuze isetyenziswe kwixesha elizayo.

Ngaba i-folic acid iyawuphucula umgangatho wamaqanda?

Kukho iivithamini ezikhethekileyo onokuzithatha ngexesha lokukhulelwa (iivithamini zangaphambi kokuzalwa), eziqulethe ivithamini ebizwa ngokuba yiFolic Acid . Le (iFolic Acid) ibaluleke kakhulu ekugcineni umgangatho wamaqanda.

Ukuba unethemba lokuba nomntwana, ugqirha wakho mhlawumbi uya kukuxelela ukuba uqale ukuthatha i-vitamin yokukhulelwa. Kungcono uqale ukuyithatha ubuncinane iinyanga ezintathu ngaphambi kokuba ucebe ukukhulelwa . Oku kungenxa yokuba kuthatha malunga neenyanga ezintathu ukuba iqanda likhule ngokupheleleyo.

Ukutya kwakho, ukuzilolonga, kunye nezinye izinto zendlela yokuphila (ezifana nokungatshayi) zinokuchaphazela impilo, okanye umgangatho, wamaqanda akho. Nangona kunjalo, azichaphazeli inani lamaqanda onawo okanye indawo yakho yokugcina amaqanda (imeko ebizwa ngokuba yiDiminished Ovarian Reserve).

Singenza ntoni ukunciphisa lo mngcipheko?

Inene, akukho nto unokuyenza ukuthintela ukuncipha kwamaqanda akho. Njengoko besitshilo ngaphambili, zininzi izinto ezichaphazela oku, kuquka izinto ezingaphaya kwamandla ethu (njengokwaluphala kunye nemfuza).

Nangona kunjalo, kukho izinto onokuzenza ukunceda ukugcina umgangatho weqanda lakho ulungile kangangoko. Umzekelo:

• Ukugcina ubunzima bomzimba busempilweni.
• Ukuzikhwebula ngokupheleleyo kwiimveliso zecuba ezifana neecuba.

Nangona ezi zinto zingayi kwandisa inani lamaqanda, ziya kunceda ukugcina umgangatho wamaqanda afumanekayo.

Iphumelela kangakanani unyango lwe-IVF kwabo banamaqanda asezantsi?

Impumelelo yonyango lwe -IVF (In Vitro Fertilization) iyahluka kakhulu kumntu nomntu. Kuxhomekeke kwizinto ezininzi, kuquka unobangela wokuba amaqanda akho aphantsi, inani lamaqanda onawo, umgangatho waloo maqanda, kunye nendlela umzimba wakho osabela ngayo kumayeza okuzala.

Kunzima ukubonelela ngeenkcukacha-manani ezichanekileyo ngesantya sempumelelo ye-IVF kwabo banamaqanda asezantsi, njengoko kuxhomekeke kwizinto ezininzi.

Kodwa abaphandi bayazi ukuba, njengokukhulelwa okungokwemvelo, izinga lempumelelo ye-IVF liyancipha xa ukhula. Oku kuyinyani ngakumbi kwabo banamaqanda amancinci agciniweyo. Okukhona ukhula, kokukhona i-IVF yakho isenokungaphumeleli kangako.

Ukuba uvavanyo lubonisa ukuba amaqanda akho aphantsi, akunakwenzeka ukuba uphendule kakuhle kumayeza e-hormone (avuselela ama-ovari). Oku kuthetha ukuba usenokungakwazi ukuqokelela amaqanda amaninzi njengoko ubungathanda ngexesha le-IVF. Nangona kunjalo, i-IVF isenokuba lolona khetho lufanelekileyo kuwe. Ngokuqinisekileyo kuya kufuneka uthethe nengcali yokuzala (ugqirha onyanga ukungazali) ngale nto uze wenze isigqibo sokuba yeyiphi ekulungeleyo.

Ngaba ukuncipha kwe-ovarian reserve kuthetha ukuba i-menopause isondele?

Kunzima ukucacisa ngqo ukuba kuza kuqala nini ukuthomba (ixesha apho ixesha lakho lokuya exesheni liphela). Ukugcinwa okuncinci kwamaqanda kuthetha ukuba inani lamaqanda akho liyehla. Nangona kunokuba luphawu lokuthomba, akunakwenzeka ukuqikelela ukuba kuza kwenzeka nini kanye kanye.

Okokugqibela, kukho into ekufuneka uyiqwalasele...

Xa usiva kugqirha wakho ukuba une-ovarian reserve enciphileyo, ungaziva udanile kakhulu, ulusizi, kwaye ukhathazekile ngento eza kwenzeka kwixesha elizayo. Oku kuqhelekile kakhulu, kwaye akufuneki uzive kakubi ngako.

Kodwa, eyona nto ibalulekileyo kukukhumbula ukuba kusenokwenzeka ukuba umntu akhulelwe nangona kukho le meko. Ngoko ke musa ukudimazeka okanye ulahle ithemba.

Ugqirha wakho unokuqwalasela inani lamaqanda owashiyekileyo, ubudala bakho, kunye nempilo yakho, aze enze isicwangciso sonyango esingcono kakhulu sokukunceda ufezekise iphupha lakho lokuba nomntwana. Kukwakho nezinye iindlela, ezinje ngonyango lokuzala, kwaye ukuba kuyimfuneko, ukusebenzisa amaqanda anikelayo.

Musa ukuyeka iphupha lakho lokuba nomntwana kuba nje amaqanda akho esezantsi - ngokuqinisekileyo kukho unyango kunye neendlela zokukunceda. Thetha ngokukhululekileyo nogqirha wakho kwaye ukhethe okona kukulungeleyo.

Amaqanda , ukuphelelwa liqanda, ukungazali, ukukhulelwa, impilo yabasetyhini, i-IVF, ukuzala