Ngaba wena nomyeni wakho beninethemba lokufumana umntwana okwethutyana ngoku? Kuqhelekile ukuba izinto zifike engqondweni. "Kutheni ungakabikho?", "Ingaba kukho into engalunganga ngam?" Kuqhelekile kakhulu ukuziva usoyika kwaye ukhathazekile xa izinto ezinjalo zifika engqondweni. Xa usiya kugqirha ngexesha elinje, olunye lovavanyo olwenziwayo ukujonga ukuzala kwakho lubizwa ngokuba yi-Ovarian Reserve Testing. Namhlanje, siza kuthetha ngale nto ngokulula, ngendlela onokuyiqonda.
Ngamafutshane, yintoni uvavanyo lwe-Ovarian Reserve?
Kulungile, masiyibeke ngolu hlobo. Wonke umfazi uzalwa enenani elipheleleyo lamaqanda aza kuwadinga ubomi bakhe bonke. La agcinwa kwii-ovari. Asenzi amaqanda amatsha. Olu qoqo lwamaqanda esinawo lubizwa nje ngokuba "yi-ovarian reserve yethu." Eli nani lamaqanda liyancipha ngokwendalo njengoko sikhula. Uvavanyo lwe-Ovarian Reserve
luvavanyo olunika umbono ocacileyo wokuba mangaphi amaqanda asele kwii-ovari zakho okwangoku. Luthelekisa i-egg reserve yakho nabanye abafazi abasempilweni abaneminyaka yakho. Ngokuyintloko lusebenzisa uvavanyo lwegazi kunye ne-ultrasound yesini.
Nangona kunjalo, kukho into enye ebaluleke kakhulu ekufuneka uyikhumbule apha. Olu vavanyo alunakukuxelela ngokuqinisekileyo ukuba uza kukwazi ukukhulelwa ngokwendalo okanye akunjalo. Kwakhona alukuxeleli umgangatho wamaqanda akho. Iziphumo ziya kunceda ugqirha wakho ukuba aqikelele indlela umzimba wakho oza kusabela ngayo kunyango lokuzala, ngakumbi i-IVF (in vitro fertilization).
Kuxa kutheni apho ugqirha angacebisa olu vavanyo?
Akuyena wonke umntu odla ngokucelwa ukuba enze olu vavanyo. Kukho izizathu ezininzi eziphambili zokuba ugqirha wakho angacebisa olu vavanyo:
- Ukuba uceba ukuqala unyango lokuzala olufana ne-IVF: Olu nyango lubandakanya ukukunika inaliti yehomoni ukuze uvuselele ama-ovari akho. Ukwazi indawo yakho yokugcina amaqanda kuya kunceda ugqirha wakho agqibe ngedosi yeehomoni ekufuneka akunike yona kwaye akunike umbono ocacileyo wempumelelo yonyango.
- Ukuba ukhe waba nesifo esifana nomhlaza kwaye unyangelwe sona: I-chemotherapy okanye unyango lwe-radiation lomhlaza lunokonakalisa amaqanda kuma-ovari akho. Olu vavanyo lunceda ekufumaneni impembelelo kwindawo yakho yokugcina amaqanda ngelo xesha.
- Ukuba ukhe watyandwa kwii-ovari zakho: Utyando kwii-ovari zakho lunokubangela ukwehla kwemveliso yamaqanda.
- Ukuba kukho umntu kusapho lwakho (umama, udadewenu) oye wafikelela kwixesha lokuyeka ukuya exesheni kwangethuba: Ngamanye amaxesha oku kunokuba yimfuza. Ngoko ke kubalulekile ukwazi imeko yakho kwangethuba.
Lwenziwa njani olu vavanyo lwe-Ovarian Reserve?
Olu vavanyo luneziqendu ezintathu eziphambili. Oko kukuthi, ugqirha uyayiqonda imeko yakho ngokudibanisa iziphumo zeemvavanyo ezintathu ezinxulumeneyo.
| Igama lovavanyo | Indlela yokwenza oko | Yintoni elinganiswayo? |
|---|
| Uvavanyo lwehomoni ye-AMH | Uvavanyo lweGazi | Ihomoni eveliswa zii-follicles zamaqanda amancinci kuma-ovari. |
| Uvavanyo lwehomoni ye-FSH | Uvavanyo lweGazi | Ihomoni eveliswa yi-pituitary gland engqondweni ekhuthaza ukuvuthwa kweqanda. |
| Inani le-Antral Follicle (AFC) | Ukuhlolwa kwe-ultrasound ngokusebenzisa i-vaginal (i-Transvaginal Ultrasound) | Inani lee-follicles zamaqanda ezibonakalayo kwii-ovari ezisenokuba ziqala ukwakheka. |
Ngoku makhe sijonge okwenzekayo kuvavanyo ngalunye ngokweenkcukacha ezithe vetshe.
1. I-Anti - mullerian hormone (AMH)
Olu lolona vavanyo lusetyenziswa kakhulu namhlanje. Le hormone ibizwa ngokuba yi-``(AMH)`` iveliswa zii-follicles zamaqanda ezincinci kwii-ovari zakho. Khawuthelekelele, ukuba unezi follicles zamaqanda ezininzi kwii-ovari zakho, ubungakanani be-AMH obuveliswayo nabo buphezulu. Ukuba inani lee-follicles zamaqanda liphantsi, nenqanaba le-AMH nalo liphantsi. Oko kukuthi,
inqanaba le-AMH libonisa kakuhle ubungakanani be-egg reserve yakho . Enye yeenzuzo zolu vavanyo kukuba ungenza olu vavanyo lwegazi nangaliphi na ixesha ngexesha lomjikelo wakho wokuya esikhathini. Ngokubanzi, ukuba inqanaba le-AMH lingaphantsi kwe-1 ng/mL, kuthetha ukuba i-egg reserve yakho iyancipha. Kodwa akuthethi ukuba awuyi kukwazi ukuba nomntwana.
2. Ihomoni evuselela i-follicle (FSH)
Le yi-hormone esebenza ngendlela eyahlukileyo kancinci. I-hormone i-FSH iveliswa yi-pituitary gland engqondweni yakho. Umsebenzi wayo kukuya kwii-ovari uze uzinike isignali ethi, “Kulungile, qala ukuvelisa iqanda ngoku.” Khawuthelekelele ukuba ii-ovari zakho zinamaqanda amaninzi kwaye zisebenza kakuhle. Emva koko ingqondo ayinyanzelekanga ukuba isebenze nzima ukuze inike isignali. Xa uthumela inani elincinci le-FSH, ii-ovari ziqala ukusebenza. Nangona kunjalo, ukuba ii-ovari zinamaqanda ambalwa kwaye ukusebenza kwazo kubuthathaka kancinci, ingqondo kufuneka ikhwaze ithi, “Sebenza nzima!” Oko kuthetha
ukuvelisa i-FSH engaphezulu. Ke, inqanaba eliphezulu le-FSH egazini lakho lithetha ukuba ingqondo yakho isebenza nzima ukuze ii-ovari zisebenze. Oku kuthetha ukuba indawo yakho yokugcina ii-ovari inokuba iphantsi. Olu vavanyo ludla ngokwenziwa
ngosuku lwesithathu lomjikelo wakho wokuya esikhathini .
3. Inani le-Antral follicle (AFC)
Olu ayilovavanyo lwegazi, luvavanyo lwe-scan. I-"Transvaginal ultrasound" yi-scan eyenziwa ngokufaka isixhobo esincinci ngaphakathi kwilungu lobufazi. Oku kuvumela ugqirha ukuba abone ngqo aze abale inani lee-follicles zamaqanda amancinci (ii-antral follicles) kuzo zombini ii-ovari zakho ezinokuqala ukukhula kuloo nyanga. Ezi follicles kulapho amaqanda akhoyo. Ngoko ke inani eliphezulu lithetha ukuba umlinganiselo weqanda lakho ulungile. Inani eliphantsi lithetha ukuba umlinganiselo wakho uphantsi. Olu vavanyo ludla ngokwenziwa kwiintsuku ezine zokuqala zomjikelo wakho wokuya esikhathini.
Zithini izizathu zokuncipha kwamaqanda agciniweyo?
Eyona nto iphambili neyona inkulu echaphazela ugcino lwakho lwe-ovarian
bubudala . Asinakukutshintsha oko. Cinga ngako, xa sizalwa, sizalwa sinezigidi zamaqanda. Xa sifika kwixesha lokufikisa, elo nani liye lehla laya kumakhulu amawaka. Emva koko, nangona iqanda elinye likhutshwa inyanga nenyanga, amakhulu okanye amawaka amaqanda ayatshatyalaliswa kule nkqubo. Ngoko ke emva kweminyaka engama-35, izinga lokuncipha kwala manani amaqanda liyakhawuleza. Ukongeza kubudala, kukho ezinye izinto ezininzi ezinokuchaphazela:
- Utyando olwenziwe kwii-ovari.
- Unyango lwe-chemotherapy okanye unyango lwe-radiation lomhlaza.
- Usulelo oluqatha lwendawo ye-pelvic.
- Abafazi kusapho baye bafikelela kwixesha lokuyeka ukuya exesheni kwangethuba.
- Ezinye iimeko zemfuza.
Umahluko phakathi kobungakanani beqanda kunye nomgangatho walo
Lo ngumbuzo odidayo kubantu abaninzi, kodwa ubaluleke kakhulu. Uvavanyo lwe-Ovarian Reserve lunika umbono ocacileyo
wobukho beqanda lakho. Oko kukuthi, mangaphi amaqanda onawo. Nangona kunjalo, ubungakanani beqanda lodwa alwanelanga ukwenza umntwana.
Umgangatho waloo maqanda nawo ubaluleke kakhulu. Umgangatho yimpilo yemfuza yeqanda. Liqanda eliphilileyo kuphela elinokudibana nesidoda ukwenza umbungu ophilileyo.
Okubuhlungu kukuba, okwangoku akukho vavanyo emhlabeni olunokulinganisa umgangatho wamaqanda.Ukuba uthatha unyango lwe-IVF, unokwazi kuphela umgangatho wamaqanda emva kokuba esusiwe emzimbeni aze ahlolwe phantsi kwe-microscope.
Njengoko inani lamaqanda lincipha ngokukhula, nomgangatho wamaqanda uyancipha. Olu mgangatho uncipha ngokukhawuleza ngakumbi emva kweminyaka engama-35. Yiyo loo nto amathuba okuba nabantwana ehla ngokukhula kwaye umngcipheko wokuphuphuma kwesisu kunye nokuba nabantwana abaneziphene zemfuza uyanda.
Ngoko ke, andinakwandisa na ukugcinwa kwamaqanda am?
Impendulo ethe ngqo kulo mbuzo ithi,
“Hayi.” Kuba asinakwandisa ngokungekho mthethweni inani lamaqanda esizalwa nawo. Kufana nediphozithi esisigxina ebhankini, sinokukhupha kuyo kuphela, asinakongeza amatsha. Nangona kunjalo, kukho into esinokuyenza. Oko kukuthi,
sizame ukugcina umgangatho wamaqanda esinawo usemgangathweni olungileyo. Indlela yethu yokuphila inento yokwenza kakhulu noko.
- Yitya ukutya okunesondlo nokulinganiselayo. Faka imifuno emitsha, iziqhamo, amandongomane kunye nentlanzi ekutyeni kwakho.
- Lala ngokwaneleyo. Lala kakuhle ubuncinane iiyure ezisi-7-8 ngosuku.
- Ukuba uyatshaya, yeka namhlanje. Ukutshaya kuyabulala amaqanda.
- Yeka okanye unciphise kakhulu ukusetyenziswa kotywala.
- Lawula ubunzima bakho. Ukutyeba kakhulu kunokubangela ukungalingani kwamahomoni kwaye kuchaphazele umgangatho wamaqanda.
- Nciphisa uxinzelelo. Kulungile kakhulu ukuzibandakanya kwizinto ezifana neyoga kunye nokucamngca.
Nangona ukwenza ezi zinto kungayi kwandisa inani lamaqanda akho, kuya kunceda kakhulu ekugcineni impilo yamaqanda onawo.
Umyalezo Wokuya Ekhaya
- Uvavanyo lwe-Ovarian Reserve luvavanyo olunika umbono ocacileyo wenani lamaqanda kuma-ovari akho.
- Olu vavanyo alunakukuxelela ngokuqinisekileyo ukuba uza kukwazi na ukukhulelwa ngokwendalo okanye akunjalo.
- Oku ikakhulu kulinganisa ubungakanani bamaqanda, hayi umgangatho wawo .
- Ugqirha uza kuthatha isigqibo ngemeko yakho ngokuthatha iziphumo zovavanyo ezintathu, i-AMH, i-FSH, kunye ne-AFC, kunye.
- Awunakwandisa umthamo wamaqanda akho, kodwa unokunceda ukugcina umgangatho wamaqanda akho usemgangathweni ngokuphila ubomi obusempilweni.
- Musa ukukhathazeka ngeziphumo zolu vavanyo kuphela. Thetha nogqirha wakho ngayo yonke into ngokukhululekileyo uze wenze isigqibo ngesicwangciso sonyango esifanelekileyo kuwe.
Uvavanyo lwe-Ovarian Reserve, i-Ovarian Reserve, inani lamaqanda, ukuchuma, ukuzala, i-IVF eSri Lanka, uvavanyo lwe-AMH isiSinhala, uvavanyo lwe-FSH isiSinhala
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