Ake sifunde nje ngokuhlolwa kwe-Ovarian Reserve, okunikeza umbono mayelana nokuzala kwakho!

Ungase ube ukhulelwe umntwana, noma ungase ube ngumuntu ofuna ukuthola umbono omncane ngokuzala kwakho. Ngaleso sikhathi, kungenzeka ukuthi uke wezwa amagama athi 'ukuhlolwa kwe-ovarian reserve' noma '(Ukuhlolwa Kwe-Ovarian Reserve)''. Ngakho-ke, cishe unemibuzo eminingi mayelana nokuthi iyini ngempela, ukuthi ingakutshela ini, nokuthi ibaluleke kubani. Sizoxoxa ngakho konke lokho namuhla, njengoba nje ubungakhuluma nomngane.

Kuyini Ukuhlolwa Kwe-Ovarian Reserve?

Kalula nje, lokhu ukuhlolwa odokotela abakusebenzisayo ukuthola umbono wamandla akho okuzala , okungukuthi, ikhono lakho lokuba nomntwana. Kodwa imiphumela iqondwa kuphela ngokuyiqhathanisa nabanye abantu abaneminyaka yakho. Lokhu kuhlolwa kuhilela kakhulu ukuhlolwa kwegazi kanye ne-ultrasound ye-transvaginal . Zombili lezi zizama ukuthola umbono oqondile wenani lamaqanda kuma-ovari akho.

Cabanga ngakho, sonke sizalwa sinawo wonke amaqanda esizoba nawo impilo yethu yonke. Kufana nemali ebhange, ungayikhipha kuphela, awekho amaqanda amasha azokhiqizwa. Yilokhu esikubiza ngokuthi i-ovarian reserve . Ngakho-ke, leli qanda liyancipha ngokwemvelo ngokuguga. Kusukela emiphumeleni yalolu vivinyo, odokotela bangabikezela ngezinga elithile ukuthi uzosabela kanjani ekwelashweni kokuzala okufana ne-`(IVF)` (ukukhulelwa kwe-in vitro).

Kodwa-ke, kubalulekile ukukhumbula lokhu : Lokhu kuhlolwa kokugcinwa kwama-ovari akukwazi ukukutshela ngokuqiniseka okungu-100% ukuthi uzokwazi yini ukukhulelwa ngokwemvelo . Udokotela wakho uzosebenzisa le miphumela kuphela ukusiza ekunqumeni ukuthi yiziphi izinyathelo ezilandelayo ekwelashweni kwakho.

Kubaluleke kangakanani ukubhalela lo kuhlolwa?

Manje cishe ucabanga ukuthi, 'Kulungile, uma kunjalo, kufanele ngikwenze lokhu?' Kunezizathu eziningana zokuthi kungani udokotela angase ancome ukuhlolwa kwe-ovarian reserve. Bheka ukuthi noma yikuphi kwalokhu kusebenza kuwe:

• Uma unesifo esithile, njengomdlavuza , futhi ucabanga ukuthi kungenzeka ukuthi sithinte inani lamaqanda akho.
• Uma uhlela ukuqala ukwelashwa kokuzala njenge-IVF .

Wazi kanjani ukuthi indawo yakho yokugcina amaqanda iphansi?

Lena inkinga abantu abaningi abanayo. Eqinisweni, okuwukuphela kwendlela yokwazi ngokuqinisekile ukuthi amaqanda akho aphansi noma cha, ukuhlolwa kokuzala kwenziwa udokotela . Lokhu kusho ukuthi lokhu akuyona into esingayizwa noma siyithole ekhaya. Iseluleko sezokwelapha esikhethekile siyadingeka nakanjani.

Kwenziwa kanjani lokhu kuhlolwa kokugcinwa kwama-ovari?

Ukuhlolwa kwe-ovarian reserve kusiza ukubikezela ukuthi ukwelashwa kokuzala kuzophumelela kangakanani.Okunye. Kodwa lokhu akukutsheli "ikhwalithi yeqanda" lamaqanda akho , okungukuthi, ukuthi aphilile kangakanani, noma ukuthi unawo amaqanda amangaki ngempela .

Lolu vivinyo lunezingxenye ezintathu eziyinhloko:

1. Ukuhlolwa kwegazi ukuze kulinganiswe izinga le- Follicle-Stimulating Hormone (FSH) .

2. Okunye ukuhlolwa kwegazi kulinganisa izinga le - Anti - Mullerian Hormone (AMH) .

3. I-ultrasound ye-transvaginal isetshenziselwa ukwenza ukuhlolwa kwe- antral follicle count (AFC) .

Ake sixoxe ngemininingwane eminingi ngalezi zinto.

I-hormone evuselela i-follicle (i-FSH)

I-FSH iyi -hormone elawula ukukhula kwamaqanda kuma-ovari akho. Ikhishwa yi-pituitary gland ebuchosheni bakho. Lokhu kubangela ukuthi i-follicle (isikhwama esincane, esigcwele uketshezi esiqukethe iqanda) esibelethweni iqale ukukhula. La ma-follicle akhiqiza i-hormone ebizwa ngokuthi i-estrogen , etshela i-pituitary gland ukuthi ingakanani i-FSH okufanele ikhiqizwe. Odokotela bavame ukukala amazinga akho e-FSH cishe ngosuku lwesithathu lomjikelezo wakho wenyanga .

I-Anti -Mullerian Hormone (AMH)

`(AMH)` ingenye i-hormone ekhiqizwa yi-follicles kuma-ovari akho. Khumbula, amaqanda angaphakathi kwe-follicles. Lokhu kusho ukuthi uma izinga le-`(AMH)` liphezulu, kulapho uba namaqanda amaningi khona . Njengoba inani lamaqanda lincipha ngokuguga, izinga le-`(AMH)` nalo lincipha ngokuguga. Ngokungafani ne-`(FSH)`, izinga le-`(AMH)` lingalinganiswa nganoma yisiphi isikhathi ngesikhathi somjikelezo wokuya esikhathini . Uma izinga le-`(AMH)` lingaphansi kwe-1 nanogram nge-milliliter (ngaphansi kwe-1 ng/mL), kungase kubonise ukuthi ukutholakala kwamaqanda akho kuyehla. Kodwa-ke, alikwazi ukukutshela ngokuqinisekile ngekhono lakho lokukhulelwa .

Inani Lama-Follicle Angaphakathi (AFC)

Yilokhu okwenziwa yi-ultrasound ye-transvaginal. Ivumela udokotela wakho ukuthi abheke inani lama-follicle kuma-ovari akho. Khumbula, amaqanda akhula kula ma-follicle. La ma-follicle avame ukubalwa ezinsukwini ezine zokuqala zomjikelezo wakho wenyanga .

Into ebalulekile ukuthi udokotela asebenzise le miphumela yokuhlolwa njengenye yezinto eziningi ezenza isinqumo mayelana nokuzala kwakho konke. Lokhu kusho ukuthi lesi akusona isinqumo esizimele.

Yiziphi izici ezithinta ukubekelwa kwamaqanda?

Kunezinto eziningana ezithinta ukubekelwa amaqanda, futhi ubudala buyisici esiyinhloko .

Njengoba sesikhulume ngakho ngaphambili, uzalwa unawo wonke amaqanda ozoke ube nawo empilweni yakho. Abanye abantu bazalwa namaqanda amaningi kunabanye. Uma usemusha, okungukuthi, uma uqala ukuya esikhathini, usuvele ulahlekelwe yizigidi zamaqanda. Ngesikhathi somjikelezo ojwayelekile wokuya esikhathini wanyanga zonke, amaqanda amaningana azama ukukhula, kanti elinye lawo, iqanda eliyinhloko, elivuthiwe, likhishwa ngesikhathi sokuvuthwa. Ngakho-ke, noma umzimba wakho ukhipha iqanda elilodwa njalo ngenyanga, ulahlekelwa yizinkulungwane zamaqanda ngonyaka .

Esinye isici esibalulekile odokotela abasicabangelayo ikhwalithi yamaqanda . Lokhu kubhekisela ekutheni amaqanda akho aphilile kangakanani.

Ngaphezu kwalezi zinto, kunezinye izizathu eziningana ezingathinta inani lamaqanda akho:

• Ukuhlinzwa kuma-ovari noma inkinga nge-ovari eyodwa noma zombili.
• Ukwelashwa ngamakhemikhali noma ukwelashwa ngemisebe yomdlavuza.
• Ukuba nokutheleleka okukhulu kwe-pelvic .
• Uma othile emndenini wakho eke waba nokunqamuka kokuya esikhathini (umlando womndeni).

Ingabe zikhona izingozi ngalolu vivinyo?

Cha, akunjalo neze. Lokhu kuhlolwa kokugcinwa kwama-ovari kuyindlela ephephile, engenazo izingozi . Kudinga kuphela inani elincane legazi ukuze kuthathwe emthanjeni osengalweni yakho, kanye ne-ultrasound ye-transvaginal eshiwo ngenhla. Ngakho-ke asikho isizathu sokukhathazeka ngakho.

Yiziphi imikhawulo yalolu vivinyo?

Nakuba lokhu kuhlolwa kungakunikeza umbono wokuthi uzosabela kanjani ekwelashweni kokuzala, akutsheli yonke indaba . Yilokhu okudingeka sikuqonde.

Nakuba ukuhlolwa kokugcinwa kwamaqanda kunganikeza inkomba yenani lamaqanda, akukwazi ukukutshela ukuthi lawo maqanda aphilile kangakanani, okungukuthi, ikhwalithi yamaqanda . Isibonelo, umuntu angase abe nokugcinwa kwamaqanda okuvamile, kodwa ikhwalithi yamaqanda akhe ingase ibe phansi. Uma lokho kwenzeka, lawo maqanda angase angavundiswa ngesikhathi sokwelashwa njenge-IVF. Izifundo zikhombisile ukuthi ikhwalithi yamaqanda nayo iqala ukwehla ngemva kweminyaka engu-35 .

Kukhona nezinye izici ezithinta ukuzala ezingahlobene nobuningi noma ikhwalithi yamaqanda. Odokotela benza lokhu kuhlolwa kokugcina amaqanda njengengxenye yokuhlolwa kokuzala ukuze bathole umbono wokuzala kwakho konke.

Ngokuvamile kuthatha isikhathi esingakanani ukuthola imiphumela?

Ngokuvamile, uzothola imiphumela yakho zingakapheli isonto lokuhlolwa. Udokotela wakho uzobe esehlanganisa imiphumela yokuhlolwa kwe-ovarian reserve nemiphumela yanoma yikuphi ukuhlolwa kokuzala oye wakwenza bese exoxa ngohlelo lokwelashwa olufanele wena.

Ithini ngempela imiphumela yalolu vivinyo?

Kusukela emiphumeleni yokuhlolwa kwakho kwe-ovarian reserveKungasiza ukubikezela amandla akho okuzala nokuthi uzosabela kanjani ekwelashweni kokuzala. Kodwa-ke, akukwazi ukukutshela ukuthi uzokhulelwa nini noma ukuthi mangaki amaqanda osele nawo . Kodwa-ke, kungakunikeza inkomba yokuthi ingabe inani lamaqanda akho liphansi kunalawo abanye abaneminyaka yakho.

Akukho kuhlolwa okukodwa kokuzala okungabikezela ngokunembile amathuba akho okukhulelwa noma impendulo yakho ekwelashweni kokuzala . Imiphumela yazo zonke izivivinyo zakho zokuzala, okuhlanganisa nokuhlolwa kwakho kokugcina kwama-ovari, ihlaziywa ndawonye. Udokotela wakho uzohlanganisa yonke le miphumela futhi akusize wakhe uhlelo lokwelashwa olusebenza kahle kuwe.

Zinembe kangakanani lezi zivivinyo zokugcina ama-ovari?

Ukuhlolwa kokuzala kuyindlela yokuhlola . Okusho ukuthi, akukwazi ukukutshela ukuthi mangaki amaqanda onawo, ukuthi usele isikhathi esingakanani sokukhulelwa kusuka emaqandeni akho, noma ukuthi uzodlula nini esikhathini sokunqamuka kokuya esikhathini. Kodwa-ke, iyithuluzi elinembile kakhulu odokotela abanalo njengamanje .

Ikakhulukazi uma kukhulunywa ngokwelashwa nge-IVF, ukuhlolwa kokugcinwa kwama-ovari kubalulekile ngoba inani lamaqanda akho kanye nempendulo yakho emithini yama-hormone kuhlobene ngqo nempumelelo yokuvuselelwa kwama-ovari.

Kuyini indawo yokugcina amaqanda 'emihle'? / Ingabe kukhona izinga 'elihle' lokugcina amaqanda?

Kunzima ukusho ukuthi yini eyakha izinga 'elihle' lokugodla amaqanda. Ngenxa yokuthi amazinga ajwayelekile okugodla amaqanda angahluka kusukela elabhorethri kuya kwelebhu kanye nakudokotela kuya kudokotela , ungazami ukuhumusha imiphumela yakho wedwa noma uyiqhathanise nemiphumela yabanye abantu ngaphandle kosizo lukadokotela wakho.

Kunzima ukunikeza isivivinyo se-ovarian reserve amaphuzu 'amahle', ngoba isivivinyo ngasinye silinganisa izinto ezahlukene. Esikhundleni salokho, udokotela wakho uzothatha yonke imiphumela yokuhlolwa kwegazi lakho kanye ne-ultrasound bese ebona ukuthi amazinga akho e-ovarian reserve angaphakathi kwesilinganiso esijwayelekile .

Ingabe ikhona indlela yokwandisa ukubekelwa kwethu amaqanda?

Lona umbuzo abantu abaningi abawubuzayo. Ukubeka ngokusobala, cha. Awukwazi ukwandisa inani lamaqanda onawo . Khumbula, sizalwa nawo wonke amaqanda esizoba nawo empilweni yethu. Awakwazi ukuvuselelwa.

Noma kunjalo, ungase ukwazi ukuthonya ikhwalithi yeqanda lakho . Kunezinguquko ezimbalwa zendlela yokuphila ezingasiza:

• Ukudla ukudla okunomsoco nokudla amavithamini adingekayo.
• Ukulala ngokwanele.
• Gwema ukubhema futhi uyeke noma unciphise ukusetshenziswa kotshwala.

Ingabe ikhwalithi yeqanda ingahlolwa?

Okwamanje akukho ukuhlolwa okuqondile kokuhlola ikhwalithi yamaqanda.Nakuba ukuhlolwa kokugcinwa kwamaqanda kungakunikeza umbono oqondile wokuthi mangaki amaqanda owasele, abakwazi ukukutshela ukuthi lawo maqanda amahle kangakanani, okungukuthi, ikhwalithi yawo. Uzokwazi kuphela ikhwalithi eqondile yamaqanda akho ngemva kokuqala ukwelashwa nge-IVF .

Okokugcina, izinto ezibaluleke kakhulu okudingeka uzikhumbule (Umyalezo Wokuya Ekhaya)

Kulungile, ngakho-ke sesikhulume kakhulu ngalokhu kuhlolwa kokugcinwa kwama-ovari. Ngicabanga ukuthi unomqondo omuhle ngakho manje. Khumbula, leli yithuluzi elilodwa nje elisetshenziswa odokotela ukuthola ngokuzala kwakho. Kunezinye izici eziningi ezithinta ukwelashwa kokuzala nokukhulelwa.

Akukho 'ifomula yomlingo' yokubikezela ikusasa lakho, noma ukubikezela ngqo ukuthi ukwelashwa kokuzala kuzophumelela kangakanani. Futhi ayikho indlela yokubikezela ngqo ukuthi inani lamaqanda akho lizokwehla nini.

Into ebaluleke kakhulu ukukhuluma ngokukhululekile ngakho konke lokhu nodokotela wakho . Xoxa ngamathemba akho, ukukhathazeka kwakho, imibuzo yakho, nakho konke naye. Ungesabi ukubuza ngokuhlolwa kokuzala nokuthi imiphumela ithini. Khona-ke udokotela wakho uzokwazi ukwenza izinqumo ezikulungele kangcono. Awuwedwa, futhi kukhona odokotela abangakusiza kulolu hambo.

Ukuhlolwa Kwesivikelo Seqanda, Ukuzala, Usayizi We-Oocyte, i-AMH, i-FSH, i-AFC, i-IVF, Impilo Yabesifazane, Ukusebenza Kahle