Ngaba nawe uphantsi konyango lokuzala? Masifunde nge-Ovarian Hyperstimulation Syndrome (OHSS)!

Ukuba ufumana unyango lokuzala ngethemba lokuba nomntwana, usenokuba noloyiko kunye nokuxhalaba, akunjalo? Yinto eqhelekileyo leyo. Kubalulekile ukwazi ngemiphumo emibi enokubakho yale mithi. Enye imeko enjalo engaqhelekanga kubantu abaninzi, kodwa kulungile ukuyazi, ibizwa ngokuba yi -Ovarian Hyperstimulation Syndrome (OHSS) . Namhlanje, siza kuthetha ngayo ngendlela elula neqondakala lula.

Yintoni kanye kanye i-OHSS?

Ngamafutshane, i-OHSS iyenzeka xa ama-ovari akho evuvukala aze avuza into efana nolwelo esiswini sakho. Oku kudla ngokubangelwa ngamayeza ehomoni akhuthaza ama-ovari akho ukuba avelise amaqanda amaninzi ngaxeshanye ukuze akuncede ukhulelwe.

Ngokwesiqhelo, umfazi osempilweni ukhupha iqanda elinye kuphela ngexesha lomjikelo wakhe wenyanga wokuya exesheni. Nangona kunjalo, kwabo banengxaki yokukhulelwa, ingakumbi ngexesha lonyango olufana ne-`(IVF)` (In Vitro Fertilization), amayeza ehomoni anikwa ukuvuselela ama-ovari ngaphambi kokuba kuthathwe amaqanda. Ngamanye amaxesha, ama-ovari asabela kakhulu kula mayeza. Kulapho i-OHSS inokwenzeka khona. Oku kukwabonakala kakhulu ngamayeza ehomoni afakwa kwi-injection.

Ngaphambili, i-OHSS yayixhaphakile phakathi kwabo bafumana unyango lwe-IVF. Nangona kunjalo, ngeenkqubo ezintsha kunye namaqhinga, le meko iye yehla kakhulu. Nangona kunjalo, kusekho iimeko ze-OHSS encinci ngamanye amaxesha.

Abafazi abane -polycystic ovary syndrome (PCOS) , okanye abo banamaqanda amaninzi, basengozini enkulu ye-OHSS, njengoko i-PCOS sisifo sokuzala esinxulunyaniswa nokungalingani kwamahomoni.

Ziziphi iintlobo eziphambili ze-OHSS?

I-OHSS ingahlulwahlulwa njengencinci , ephakathi, kunye neqatha . Ugqirha wakho uya kuyihlulahlula ngokusekwe ekubeni iimpawu zakho zinzima kangakanani. Uninzi lwexesha, i-OHSS ayinzima kwaye ukungonwabi okubangelwa yiyo kungokwexeshana. Nangona kunjalo, i-OHSS enzima ayiqhelekanga, kodwa inokuba yingozi ebomini.

Ngokwedatha yangoku, ngaphantsi kwe-5% yabasetyhini abakhuthazwayo kwi-ovarian ukuze bafumane i-IVF bafumana i-OHSS. Ngaphambili, oku bekumalunga ne-10%. I-OHSS enzima yenzeka ngaphantsi kwe-1%.

Zithini iimpawu ze-OHSS?

Iimpawu ze-OHSS zinokwahluka kumntu nomntu, kwaye ziyahluka ngokuxhomekeke kubukhali bemeko. Kwiimeko ezininzi, iimpawu ziqala kwiveki yokusebenzisa amayeza okukhuthaza ukukhutshwa kweqanda. Nangona kunjalo, ngamanye amaxesha iimpawu zisenokungabonakali ukuya kuthi ga kwiiveki ezimbini.

Iimpawu ze-OHSS ePhantsi ukuya kwePhakathi:

• Intlungu zesisu.
• Ukudumba. Ukuziva ngathi isisu sigcwele umoya.
• Ukunyuka kancinci kobunzima, njengokufumana ngaphezulu kwekhilogram enye (iikhilogram ezimbini) ngosuku olunye.
• Isicaphucaphu. Ukuziva ngathi uza kuhlanza.

I-OHSS enzima inokubangela iimpawu ezifana nezi:

• Ukunyuka kakhulu kwesisindo.
• Ukucaphuka okukhulu kunye nokuhlanza.
• Ukudumba okukhulu kwesisu.
• Ubunzima bokuphefumla.
• Amahlwili egazi.
• Ukuncipha kokuchama.
• Intlungu ebuhlungu esiswini.

Eyona nto ibalulekileyo kukuba ukuba ufumana naziphi na kwezi mpawu ngelixa usenza unyango lokungazali, kufuneka uxelele ugqirha wakho ngoko nangoko. Iqela lakho lezonyango liza kukujonga rhoqo kwaye liza kukwazi ukukuxelela ukuba usemngciphekweni wokufumana i-OHSS ngokusekelwe kumanqanaba akho e-estrogen kunye nenani lee-follicles ezibonwa kwi-ultrasound scans. Uninzi lwexesha, ezi ziimeko ezibuthathaka eziziphelela ngokwazo. Nangona kunjalo, kungcono ukuthetha nogqirha wakho malunga neempawu zakho.

Kutheni le meko ibizwa ngokuba yi-OHSS isenzeka?

Ixesha elininzi, i-OHSS yenzeka kuba i-hormone ebizwa ngokuba yi-`HCG (Human Chorionic Gonadotropin)` ivuselela ama-ovari akho. Ngokwesiqhelo, ama-ovari akho avelisa iqanda elinye ngexesha. Nangona kunjalo, unyango lwe-hormone luvuselela ama-ovari ukuba avelise amaqanda amaninzi ngaxeshanye. Abafazi abafumana unyango lwe-`(IVF)` banikwa i-`trigger shot`` ye-`HCG` ukuze bavuthise amaqanda ngaphambi kokuba aqokelelwe. Ngoko ke, xa amaqanda amaninzi anokubakho ekhula, ama-ovari anokusabela ngokugqithisileyo kule hormone ye-`HCG`. Kulapho i-OHSS isenzeka khona.

Kwi-OHSS, la mayeza okuzala abangela ukuba ulwelo luphume kwimithambo yegazi ejikeleze ama-ovari. Ngamanye amaxesha olu lwelo lunokuqokelelwa kwisisu, nto leyo ebangela iimpawu ezifana nokudumba kunye nentlungu.

Ngubani osengozini enkulu yokufumana i-OHSS?

Abantu abasengozini enkulu yokuhlaselwa yile meko baquka:

• Abafazi abane-`PCOS` (i-polycystic ovary syndrome).
• Abo bakha baphuhlisa i-OHSS ngaphambili.
• Abo babenenani elikhulu lee-follicles okanye amanqanaba aphezulu e-estrogen ngexesha lokukhuthaza i-IVF.
• Abo bafumana iidosi eziphezulu ze-hormone ye-HCG ngexesha lomjikelo wabo we-IVF.
• Abo baye badluliselwa kwi-embryo "entsha" (ukuba bayakhulelwa ngelixa ama-ovari abo esakhuthazwa, oko kukhulelwa kunokukhokelela kwi-OHSS ende). Oku kuthetha ukuba umngcipheko uphezulu kunaxa kudluliselwa kwi-embryo "eqandisiweyo".

Kwakhona, nangona kungekho bungqina bucacileyo, kukho inkolelo yokuba aba bantu balandelayo banokuba sengozini enkulu ye-OHSS:

• Abasetyhini abaselula abangaphantsi kweminyaka engama-30 ubudala.
• Abantu abatyebe kancinci.

Ziziphi iingxaki ezinokubakho ze-OHSS?

Abafazi abane-OHSS basengozini yokuba negazi eliqhekekileyo emiphungeni okanye emilenzeni (thrombosis) . Amayeza anokunikwa ukunciphisa lo mngcipheko. Kunokubakho nomngcipheko okhulayo westroke. Ukuba ufumana iintlungu zomlenze, ukudumba, okanye iintlungu zesifuba, kufuneka uxelele ugqirha wakho ngoko nangoko.

Kunqabile kakhulu ukuba i-ovarian cyst enxulumene ne-OHSS iqhambuke kwaye ibangele ukopha okukhulu. Kwimeko enjalo, utyando lunokufuneka ukuze kumiswe ukopha.

Oogqirha bayixilonga njani i-OHSS?

Oogqirha benza iimvavanyo ezininzi ukuze baxilonge i-OHSS. Ezi ziquka:

• Uvavanyo lomzimba: Ubunzima bakho buza kuhlolwa, umjikelo wesinqe sakho uza kulinganiswa, kwaye uza kuhlolwa iimpawu zokudumba. Nangona kunjalo, uvavanyo lwe-pelvic aluyi kwenziwa ngeli xesha. Oku kungenxa yokuba ama-ovari adumbile kwaye anokugqabhuka ukuba uxinzelelo lufakwa.
• I-Ultrasound: Oku kunokujonga ulwelo olukhululekileyo esiswini kunye nobungakanani bamaqanda.
• I-X-ray yesifuba: Ukujonga ukuba akukho manzi aqokelelene esifubeni.
• Uvavanyo lwegazi: Linganisa amanqanaba eehomoni abonisa iimpawu ze-OHSS.

Ziziphi iindlela zonyango ze-OHSS?

Unyango lwe-OHSS luxhomekeke kubukhali bemeko. Injongo ephambili yonyango kukulawula iimpawu nokuthintela iingxaki. Amatyala amancinci e-OHSS adla ngokuziphelela kwiveki okanye ezimbini. Nangona kunjalo, ukuba ukhulelwe ngexesha elifanayo, iimpawu zinokuhlala ixesha elide.

Unyango oluqhelekileyo lwe-OHSS ethambileyo ukuya kwephakathi lubandakanya:

• Kuphephe ukwenza umthambo onzima. Ziphephe izinto ezifana nokubaleka, ukutsiba, okanye ukuphakamisa iintsimbi.
• Ukusela ulwelo olune-electrolyte eninzi, olufana neJeevani, okanye mhlawumbi isiselo sikagqirha ``(Gatorade®)``.
• Ukusebenzisa amayeza afana neparacetamol (Acetaminophen) ukunciphisa iintlungu.
• Ukuzilinganisa yonke imihla.
• Soloko ujonge naziphi na iimpawu ezinzulu.

I-OHSS enzima idla ngokufuna ukulaliswa esibhedlele. Unyango lwe-OHSS enzima lungabandakanya:

• Ulwelo olufakwa emthanjeni (IV). Oko kuthetha ukunika izinto ezifana ne-saline.
• Ukwenza inkqubo ebizwa ngokuba yi-paracentesis. Oku kwenziwa ukuze kususwe ulwelo olugqithisileyo oluqokelelene esiswini.
• Ukunika amayeza okunciphisa iimpawu okanye ukunciphisa ukusebenza kakuhle kwesibeleko.
• Ukunika amayeza okunciphisa igazi ukuze kuncitshiswe umngcipheko wokuqhekeka kwegazi.

Ngamanye amaxesha kunokufuneka uhlale esibhedlele ukuze ufumane uncedo oluvela kwingcali yakho kwaye ujongelwe phantsi de iimpawu zakho zibe ngcono.

Kuthatha ixesha elingakanani ukuchacha kwi-OHSS?

Ixesha elithathwayo ukuze uphile kwi-OHSS liyahluka ngokuxhomekeke kubukhali bemeko kunye nokuba ukhulelwe na ngelo xesha. Ugqirha wakho uza kukuxelela ukuba ungabuyela nini kwimisebenzi yakho yesiqhelo kunye noko ukulindeleyo.

"Ngaba ikho indlela yokuphelisa i-OHSS ngokukhawuleza?" usenokuba uzibuza. Akukho sisombululo sinye esifanela zonke. Unyango luxhomekeke kubukhali beempawu zakho. Ngoko ke, ugqirha wakho ngumntu ongcono onokuthetha naye malunga neendlela zonyango.

Ngaba i-OHSS ingathintelwa?

Ezinye iimeko ze-OHSS azinakuthintelwa. Nangona kunjalo, ugqirha wakho unokwazi ukubona ukuba usemngciphekweni ngokusekelwe kwimbali yakho yempilo kunye neziphumo zovavanyo lwegazi. Ngexesha lonyango lokuzala, ugqirha wakho uya kujonga rhoqo ama-ovari akho ukunciphisa umngcipheko wakho we-OHSS. Oku kuya kubandakanya uvavanyo lwegazi (ukujonga amanqanaba ehomoni) kunye neeskeni ze-ultrasound (ukujonga ukuba ama-ovari akho akhula kakuhle kangakanani).

Kukho iindlela ezininzi iqela lakho lezonyango elinokukunceda ngazo ukuthintela i-OHSS (okanye ukunciphisa iimpawu):

• Ukunciphisa okanye ukulungisa umthamo wamayeza.
• Kuphephe ukunika i-"HCG" "trigger shot" ngexesha lonyango.
• Ukutshintsha uhlobo lwamayeza okuzala.
• Ukuqandisa iimbumba zakho kunye nokulibazisa ukudluliselwa kwembumba de ii-ovari zakho zibuyele esiqhelweni.

Kuza kwenzeka ntoni xa kukho i-OHSS? Ingaba yingxaki ukukhulelwa?

I-OHSS yimeko yexeshana. Ihlala iphela kwiiveki ezimbini. Nokuba kwiimeko ezinzima kakhulu, unyango lwasekuqaleni lunokukhokelela kwiziphumo ezilungileyo. Into ebalulekileyo kukuba ukuba ukhulelwe emva konyango oluphumeleleyo lokuzala, i-OHSS ayizukulimaza ukukhulelwa kwakho. Iimpawu zakho ziya kuhamba kancinci kancinci kwaye aziyi kuchaphazela ukukhulelwa kwakho. Ngoko ke ungakhathazeki ngayo.

Ndifanele ndimbone nini ugqirha?

Ukuba ufumana unyango lokuzala kwaye ufumana naziphi na iimpawu ze-OHSS, bona ugqirha wakho ngoko nangoko.

Yeyiphi imibuzo omele uyibuze ugqirha?

Ukuba une-OHSS, ungabuza ugqirha wakho le mibuzo:

• Imeko yam imbi kangakanani?
• Ziziphi iindlela zonyango endinazo?
• Zeziphi iimpawu zeengxaki ekufuneka ndiziqaphele?
• Ngaba i-OHSS iya konakalisa amandla am okukhulelwa okanye umntwana ongekazalwa?

Kuqhelekile ukuba abanye abantu bazive bengakhululekanga emva kokuqokelela amaqanda. Ukudumba, ukubonakala kancinci, kunye nokuziva behluthi ziziphumo eziqhelekileyo ze-IVF. I-OHSS yingxaki engaqhelekanga yonyango lwe-IVF.

Okokugqibela, umyalezo oya ekhaya:

Ukuba ulindele umntwana, usenokuba noloyiko lokufunda nge-OHSS. Kodwa khumbula, i-OHSS ngoku yimeko enokuthintelwa kwaye, ukuba incinci, ilawulwe kakuhle. Eyona nto ibalulekileyo kukuhlala unxibelelana nogqirha wakho kwaye ubazise ngayo nayiphi na ingxaki onayo.

Ngexesha lonyango lokuzala olufana ne-IVF, oogqirha bakubeka esweni ngokusondeleyo. Ngoko ke, ukuba kukho umngcipheko we-OHSS, banokuwubona kwangethuba baze bathathe amanyathelo afunekayo. Thetha nabo ngayo nayiphi na imibuzo okanye iinkxalabo onokuba nazo. Kuya kuba luncedo olukhulu kuhambo olusempilweni!

I- OHSS, i-Ovarian Hyperstimulation Syndrome, ukuchuma, i-IVF, ii-Ovaries, iiHormones, ukukhulelwa