Unyango lokuchuma luya luqheleka kakhulu kule mihla ukukunceda ufezekise iphupha lakho lokuba nomntwana. Olu hambo lunokuba mnandi kwaye lube nzima kancinci. Kubalulekile ukuba wena neqabane lakho niqaphele iingxaki ezinokubakho ngamanye amaxesha ngolu nyango. Namhlanje, sithetha ngemeko enokunxulunyaniswa nonyango lokuchuma, kodwa ngoku ilawuleka kakhulu. Yiyo loo nto i-Ovarian Hyperstimulation Syndrome, okanye i-OHSS ngamafutshane.
Kalula nje, yintoni i-OHSS?
Kulungile, masiyibeke ngolu hlobo. Ngokwesiqhelo, ama-ovari omfazi osempilweni akhupha iqanda elinye kuphela ngexesha lomjikelo wakhe wenyanga wokuya exesheni. Kodwa ukuba unengxaki yokukhulelwa, ingakumbi ukuba ufumana unyango olufana ne -IVF (In Vitro Fertilization) , ugqirha wakho uya kukunika amayeza e-hormone okuvuselela ama-ovari akho aze awenze avelise amaqanda amaninzi ngaxeshanye.
I-Ovarian Hyperstimulation Syndrome (OHSS) yimeko apho ama-ovari akho eba novelwano olugqithisileyo kumayeza eehomoni aze aphendule ngokugqithisileyo. Xa oku kusenzeka, ama-ovari ayadumba aze aqalise ukuvuza ulwelo esiswini. Oku kubizwa nje ngokuba yi-OHSS.
Ngaphambili, le yayiyingxaki eqhelekileyo yonyango lwe-IVF. Nangona kunjalo, ngenxa yonyango olutsha kunye neendlela ezikhoyo, ukwenzeka kwale meko kuye kwehla kakhulu. Nangona kunjalo, i-OHSS encinci isabonwa ngamanye amaxesha .
Abafazi abane -PCOS (i-Polycystic Ovary Syndrome) , imeko yenkqubo yokuzala ebangelwa kukungalingani kwamahomoni, kunye nabasetyhini abanamaqanda amaninzi kakhulu basengozini enkulu yokuphuhlisa i-OHSS.
Zithini iimpawu ze-OHSS? Sizibona njani?
Iimpawu ze-OHSS zingahluka kumntu nomntu. Ziyahluka ngokuxhomekeke kubukhali bemeko. Ngokwesiqhelo, ezi mpawu ziqala ukubonakala kwiveki emva kokusebenzisa amayeza okukhuthaza ukukhutshwa kweqanda. Ngamanye amaxesha kungathatha iiveki ezimbini.
Kubaluleke kakhulu ukuba uzazi ngokucacileyo ezi mpawu kwaye uziqonde.
| Iimpawu ze-OHSS ezibuthathaka ukuya kweziphakathi | Iimpawu ze-OHSS ezinzima |
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| Kubalulekile: Ukuba ufumana naziphi na kwezi mpawu ngelixa usenza unyango lokuzala, fowunela ugqirha wakho ngoko nangoko. Nangona iimpawu ezincinci zihlala ziphela ngokwazo, kubalulekile ukuba ugqirha wakho aziswe. | |
Kutheni le nto i-OHSS isenzeka? Yintoni unobangela?
Eyona nto ibangela i-OHSS kwiimeko ezininzi yi-hormone i-HCG (i-human chorionic gonadotropin) . Le yi-hormone ephambili enceda ukugcina ukukhulelwa.
Ngexesha lenkqubo yonyango lwe-IVF, ugqirha wakho uza kukunika "i-trigger shot" equlethe i-hormone ye-HCG ngaphambi kokuba amaqanda aqokelelwe ukunceda amaqanda akhule kakuhle.
Khawucinge nje, xa unika olu tyando lweHCG ngexesha apho unezitho ezininzi kwii-ovari zakho, ii-ovari zinokusabela kakhulu kulo. Ngenxa yolo tshintsho lugqithisileyo, ulwelo luqala ukuvuza kwimithambo yegazi ejikeleze ii-ovari. Xa olu lwelo luqokelelana kwisisu, iimpawu zokudumba kunye nentlungu ezikhankanyiweyo apha ngasentla ziyavela.
Ngubani osengozini enkulu yokuba nale meko?
Asinguye wonke umntu ofumana i-OHSS, kodwa abanye abantu basengozini enkulu kancinci.
- Abafazi abane-PCOS: Ngenxa yokuba ama-ovari abo anenani elikhulu lee-follicles, basabela ngakumbi ekuvuseleleni iihomoni.
- Abo bakha banamava e-OHSS ngaphambili: Ukuba ukhe waba nayo kanye, kukho ithuba elincinci lokuba iza kuphinda yenzeke.
- Abo baphuhlisa inani elikhulu lee-follicles okanye abanamanqanaba aphezulu kakhulu e-estrogen hormone ngexesha lonyango lwe-IVF: Le yinto ugqirha wakho aza kuyijonga ngeskeni kunye novavanyo lwegazi.
- Abo bafumene iidosi eziphezulu ze-hormone ye-HCG.
- Abo badluliselwa kwi-embryo "entsha": Oku kungenxa yokuba ukuba ukukhulelwa kwenzeka ngexesha elifanayo apho ama-ovari avuselelwe khona, ukukhulelwa kuya kwandisa imveliso yomzimba ye-HCG. Oku kunokwenza i-OHSS ibe mandundu okanye ihlale ixesha elide. Yingakho oogqirha beza kuyiqandisa i-embryo baze bayidlulisele kamva ukuba kukho umngcipheko.
- Abantu abangaphantsi kweminyaka engama-30 ubudala nabatyebe kancinci: Kukho uluvo lokuba oku kusenokuba yingxaki.
Ngaba iingxaki ze-OHSS ziyingozi?
Nangona uninzi lweemeko ze-OHSS zincinci, kwiimeko ezingaqhelekanga, iingxaki ezinkulu zinokwenzeka. Kubalulekile ukuqaphela oku.
- Amahlwili egazi (Thrombosis): Amahlwili egazi anokwenziwa emiphungeni okanye emilenzeni. Ugqirha wakho uza kukunika amayeza okunciphisa le ngozi.
- Ukuqhekeka kwe-ovary cyst: Oku kuyinto engaqhelekanga kakhulu. Ukuba kuyenzeka, kunokubangela ukopha kakhulu kwaye kunokufuna utyando ukuze kupheliswe.
- Ukungasebenzi kakuhle kwezintso.
- Ubunzima obukhulu bokuphefumla.
Ukuba ngequbuliso ufumana ukudumba kwemilenze kunye nentlungu, iintlungu zesifuba, okanye ubunzima bokuphefumla, yiya kwicandelo likaxakeka lesibhedlele (ETU) ngokukhawuleza. Ezi zinokuba ziimpawu zokuqhekeka kwegazi.
Ugqirha uyixilonga njani i-OHSS?
Emva kokubuza ngeempawu zakho, ugqirha uza kwenza uvavanyo oluninzi ukuqinisekisa imeko.
1. Uvavanyo lomzimba: Ubunzima bakho buza kuhlolwa, umjikelezo wesisu sakho uza kulinganiswa, kwaye umlinganiselo wokudumba uza kuvavanywa. Uvavanyo lwe-pelvic aluqhelekanga ukwenziwa ngeli xesha kuba ama-ovari adumbile kwaye anobuthathaka.
2. I-ultrasound scan: Oku kunceda ukubona ukuba kukho ulwelo olukhululekileyo esiswini kunye nobungakanani bamaqanda.
3. Uvavanyo lwegazi: Oku kubalulekile ukujonga amanqanaba ehomoni yakho, ukusebenza kwezintso, kunye nobuninzi begazi.
4. I-X-ray yesifuba: Oku kwenzelwa ukujonga ukuba ulwelo luqokelelana na esifubeni kwaye ukuba kukho ubunzima bokuphefumla.
Zithini iindlela zonyango zoku?
Unyango luxhomekeke kubukhali bemeko yakho. Injongo ephambili kukulawula iimpawu nokuthintela iingxaki.
| Unyango lwe-OHSS ePhantsi ukuya kwePhakathi | Unyango lwe-OHSS enzima (efuna ukulaliswa esibhedlele) |
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Ngaba zikho iindlela zokuthintela i-OHSS?
Nangona ezinye iimeko zingenakuthintelwa, ugqirha wakho uza kuvavanya umngcipheko wakho ngokusekelwe kwimbali yakho yempilo kunye neziphumo zovavanyo. Baza kuthatha amanyathelo aliqela ukunciphisa umngcipheko wakho.
- Ukulungisa umthamo weyeza lakho lehomoni: Ukuba umngcipheko uphezulu, ungaqala ngedosi ephantsi.
- Ukuphepha i-"trigger shot" ye-HCG: Kungasetyenziswa iyeza elahlukileyo (i-agonist trigger) endaweni yoko.
- Iimbumba eziqandisayo: Amaqanda ayaqokelelwa, iimbumba ziyakhula, zize ziqandiswe. Emva koko, emva kokuba iimbumba zibuyele esiqhelweni, iimbumba zidluliselwa kwisibeleko kwinyanga enye ukuya kwezimbini. Le yeyona ndlela isebenzayo yokuthintela i-OHSS.
- Ukugquma: Ukuba ama-ovari abonakala evuseleleke kakhulu, ukujova iihomoni kuyayekiswa kangangeentsuku ezimbalwa ngaphambi kokujova i-HCG.
Ukuba unemibuzo malunga noku, ungoyiki ukubuza ugqirha wakho. Konke oku kungenxa yokhuseleko lwakho.
I-OHSS yimeko enokwenzeka ngexesha lonyango lokuzala, kodwa ngoku ilawuleka kakhulu. Yeyexeshana. Iimpawu zihlala ziphela kwiveki okanye ezimbini. Eyona nto ibalulekileyo kukuhlala unxibelelana rhoqo neqela lakho lezonyango kwaye ubazise ngazo naziphi na iimpawu.
Umyalezo Wokuya Ekhaya
- I-OHSS yimeko eyenzeka xa ama-ovari esabela ngokugqithisileyo kwiihomoni ezinikwayo ngexesha lonyango lokuzala.
- Ukudumba, iintlungu zesisu, kunye nokutyeba ziimpawu ezincinci. Ubunzima bokuphefumla, iintlungu zesisu eziqatha, kunye nokuhlanza kunokuba ziimpawu ezinzulu.
- Umngcipheko uphezulu ukuba une-PCOS okanye ukhe waba ne-OHSS ngaphambili.
- Ukuba ufumana naziphi na iimpawu , yazisa ugqirha wakho ngoko nangoko. Ukufunyaniswa kwangoko kunokuthintela iingxaki.
- Uninzi lweemeko azinzima kwaye ziyaphela kwiiveki ezimbalwa. Iimeko ezinzima zifuna unyango lwasesibhedlele.
- Ukuba ne-OHSS, ukuba ukhulelwe, akuyi kuyichaphazela i-pregnancy okanye umntwana.
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