Ukwelashwa kokuzala kuya ngokuya kuvama kulezi zinsuku ukukusiza ukufeza iphupho lakho lokuba nomntwana. Lolu hambo lungaba lujabulisayo futhi lube nzima kancane. Kubalulekile ukuthi wena nomlingani wakho niqaphele izinkinga ezingase zenzeke ngezinye izikhathi ngalezi zindlela zokwelapha. Namuhla, sikhuluma ngesimo esingavame ukuhlotshaniswa nokwelashwa kokuzala, kodwa manje esilawuleka kakhulu. Leso yi-Ovarian Hyperstimulation Syndrome, noma i-OHSS ngamafuphi.
Kalula nje, iyini i-OHSS?
Kulungile, ake sikubeke ngale ndlela. Ngokuvamile, ama-ovary wesifazane ophilile akhipha iqanda elilodwa kuphela ngesikhathi sokuya esikhathini kwakhe kwanyanga zonke. Kodwa uma unenkinga yokukhulelwa, ikakhulukazi uma uthola ukwelashwa okufana ne -IVF (In Vitro Fertilization) , udokotela wakho uzokunikeza imithi yama-hormone yokuvuselela ama-ovary akho futhi awenze akhule amaqanda amaningi ngesikhathi esisodwa.
I-Ovarian Hyperstimulation Syndrome (OHSS) yisimo lapho ama-ovari akho eba nomuzwa omkhulu emithini yama-hormone futhi asabela ngokweqile. Uma lokhu kwenzeka, ama-ovari ayavuvukala bese eqala ukuvuza uketshezi esiswini. Lokhu kubizwa nje ngokuthi i-OHSS.
Esikhathini esidlule, lokhu kwakuyinkinga evamile yokwelashwa nge-IVF. Kodwa-ke, ngokwelashwa okusha kanye namasu atholakalayo, ukwanda kwalesi simo kwehle kakhulu. Kodwa-ke, i-OHSS encane isabonakala ngezikhathi ezithile .
Abesifazane abane -PCOS (i-Polycystic Ovary Syndrome) , isimo sohlelo lokuzala esibangelwa ukungalingani kwama-hormone, kanye nabesifazane abanamaqanda amaningi kakhulu basengozini enkulu yokuthuthukisa i-OHSS.
Ziyini izimpawu ze-OHSS? Sizibona kanjani?
Izimpawu ze-OHSS zingahluka kumuntu nomuntu. Ziyahlukahluka kuye ngokuthi isimo sibucayi kangakanani. Ngokuvamile, lezi zimpawu zingaqala ukubonakala zingakapheli isonto lokusebenzisa umuthi ukukhuthaza ukuvuthwa kwamaqanda. Ngezinye izikhathi kungathatha amasonto amabili.
Kubaluleke kakhulu ukuthi uhlukanise futhi uqaphele lezi zimpawu ngokucacile.
| Izimpawu ze-OHSS Ezincane Neziphakathi | Izimpawu ze-OHSS ezinzima |
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| Okubalulekile: Uma uba nanoma yiziphi zalezi zimpawu ngesikhathi uphathwa ukwelashwa kokuzala, shayela udokotela wakho ngokushesha. Nakuba izimpawu ezincane zivame ukuzixazulula zodwa, kubalulekile ukugcina udokotela wakho enolwazi. | |
Kungani lokhu kwenzeka? Iyini imbangela?
Imbangela eyinhloko ye-OHSS ezimweni eziningi yi-hormone i-HCG (i-human chorionic gonadotropin) . Lena yi-hormone eyinhloko esiza ekulondolozeni ukukhulelwa.
Ngesikhathi senqubo yokwelashwa nge-IVF, udokotela wakho uzokunikeza "umjovo we-trigger" oqukethe i-hormone ye-HCG ngaphambi kokuba amaqanda aqoqwe ukusiza amaqanda akhule kahle.
Ake ucabange nje, uma unikeza lo mjovo we-HCG ngesikhathi lapho unezimbotshana eziningi ema-ovari akho, ama-ovari angasabela ngokweqile kuwo. Ngenxa yalokho kusabela ngokweqile, uketshezi luqala ukuvuza emithanjeni yegazi ezungeze ama-ovari. Lapho lolu ketshezi luqoqana emgodini wesisu, kuvela izimpawu zokuqunjelwa kanye nobuhlungu okukhulunywe ngabo ngenhla.
Ubani osengozini enkulu yalesi simo?
Akuwona wonke umuntu othola i-OHSS, kodwa abanye abantu basengozini enkulu kancane.
- Abesifazane abane-PCOS: Ngenxa yokuthi ama-ovari abo anenani elikhulu lama-follicle, asabela kakhulu ekukhuthazweni kwama-hormone.
- Labo abake baba ne-OHSS ngaphambili: Uma wake waba nayo, kunethuba elincane lokuthi izophinde yenzeke.
- Labo abakha inani elikhulu lama-follicle noma abanamazinga aphezulu kakhulu e-estrogen hormone ngesikhathi sokwelashwa nge-IVF: Lokhu kuyinto udokotela wakho azoyiqapha ngokuskena nokuhlolwa kwegazi.
- Labo abathole imithamo ephezulu ye-hormone i-HCG.
- Labo abadluliselwa "esisha" se-embryo: Lokhu kungenxa yokuthi uma ukukhulelwa kwenzeka ngesikhathi esifanayo lapho ama-ovari avuselelwa khona, ukukhulelwa kuzokwandisa ngokwemvelo ukukhiqizwa komzimba kwe-HCG. Lokhu kungenza i-OHSS ibe yimbi noma ihlale isikhathi eside. Yingakho odokotela bezoqandisa ama-embryo bese bewadlulisela ngosuku olulandelayo uma kukhona ingozi.
- Abantu abangaphansi kweminyaka engama-30 ubudala kanye nesisindo esingaphansi kwesisindo: Kukhona umbono wokuthi lokhu kungaba yisici esiyingozi.
Ingabe izinkinga ze-OHSS ziyingozi?
Nakuba izimo eziningi ze-OHSS zincane, ezimweni ezingavamile, kungaba nezinkinga ezinkulu. Kubalulekile ukuqaphela lokhu.
- Amahlule egazi (i-Thrombosis): Amahlule egazi angakheka emaphashini noma emilenzeni. Udokotela wakho uzokunikeza imithi yokunciphisa le ngozi.
- Ukuqhuma kwe-ovary cyst: Lokhu kuyinto engavamile kakhulu. Uma kwenzeka, kungabangela ukopha okukhulu futhi kungadinga ukuhlinzwa ukuze kumiswe.
- Ukungasebenzi kahle kwezinso.
- Ubunzima obukhulu bokuphefumula.
Uma ngokuzumayo uzwa ukuvuvukala kwemilenze nobuhlungu, ubuhlungu besifuba, noma ubunzima bokuphefumula, iya emnyangweni wezimo eziphuthumayo wesibhedlela (ETU) ngokushesha. Lokhu kungaba izimpawu zokuqhekeka kwegazi.
Udokotela uyixilonga kanjani i-OHSS?
Ngemva kokubuza ngezimpawu zakho, udokotela uzokwenza izivivinyo eziningana ukuqinisekisa isimo.
1. Ukuhlolwa komzimba: Isisindo sakho sizohlolwa, umjikelezo wesisu sakho uzolinganiswa, futhi izinga lokuvuvukala lizohlolwa. Ukuhlolwa kwe-pelvic akuvamile ukwenziwa ngalesi sikhathi ngoba ama-ovari avuvukile futhi azwela kakhulu.
2. Ukuskena nge-ultrasound: Lokhu kusiza ukubona ukuthi kukhona yini uketshezi olukhululekile esiswini kanye nosayizi wama-ovari.
3. Ukuhlolwa kwegazi: Lokhu kubalulekile ukuhlola amazinga akho e-hormone, ukusebenza kwezinso, kanye nobuningi begazi.
4. I-X-ray yesifuba: Lokhu kwenzelwa ukuhlola ukunqwabelana koketshezi esifubeni nokuthi kukhona yini ubunzima bokuphefumula.
Yiziphi izindlela zokwelapha lokhu?
Ukwelashwa kuncike ebunzimeni besimo sakho. Umgomo oyinhloko ukulawula izimpawu nokuvimbela izinkinga.
| Ukwelashwa kwe-OHSS Encane Kuya Kwephakathi | Ukwelashwa kwe-OHSS enzima (edinga ukulaliswa esibhedlela) |
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Ingabe zikhona izindlela zokuvimbela i-OHSS?
Nakuba amanye amacala engenakuvinjelwa, udokotela wakho uzohlola ingozi yakho ngokusekelwe emlandweni wakho wezempilo kanye nemiphumela yokuhlolwa. Bazothatha izinyathelo eziningana zokunciphisa ingozi yakho.
- Ukulungisa umthamo wemithi yakho yama-hormone: Uma ingozi iphezulu, ungaqala ngomthamo ophansi.
- Ukugwema "umjovo we-HCG": Kungasetshenziswa umuthi ohlukile (i-agonist trigger) esikhundleni salokho.
- Amaqanda aqandisayo: Amaqanda ayaqoqwa, amaqanda akhule, bese eqandisiwe. Ngemva kokuba amaqanda esebuyele esimweni esijwayelekile, amaqanda adluliselwa esibelethweni ngenyanga eyodwa kuya kwezimbili. Lena yindlela ephumelela kakhulu yokuvimbela i-OHSS.
- Ukugoba: Uma ama-ovari ebonakala sengathi ashukunyiswe ngokweqile, imijovo yama-hormone iyamiswa izinsuku ezimbalwa ngaphambi komjovo we-HCG.
Uma unemibuzo ngalokhu, ungesabi ukubuza udokotela wakho. Konke lokhu kungenxa yokuphepha kwakho.
I-OHSS yisimo esingaba khona ngesikhathi sokwelashwa kokuzala, kodwa manje sesilawuleka kakhulu. Sesikhashana. Izimpawu zivame ukuphela zingakapheli isonto noma amabili. Into ebaluleke kakhulu ukuhlala uxhumana njalo nethimba lakho lezokwelapha futhi ubazise nganoma yiziphi izimpawu.
Umlayezo Wokuya Nawe Ekhaya
- I-OHSS yisimo esenzeka lapho ama-ovari esabela ngokweqile kuma-hormone anikezwa ngesikhathi sokwelashwa kokuzala.
- Ukuqunjelwa, ubuhlungu besisu, kanye nokukhuluphala kuyizimpawu ezincane. Ubunzima bokuphefumula, ubuhlungu obukhulu besisu, kanye nokuhlanza kungaba izimpawu ezinkulu.
- Ingozi iphezulu uma une-PCOS noma uke waba ne-OHSS ngaphambili.
- Uma uhlangabezana nanoma yiziphi izimpawu , yazisa udokotela wakho ngokushesha. Ukutholwa kusenesikhathi kungasiza ekuvimbeleni izinkinga.
- Iningi lamacala lincane futhi liphela phakathi namasonto ambalwa. Amacala amakhulu adinga ukwelashwa esibhedlela.
- Ukuba ne-OHSS, uma ukhulelwa, ngeke kuthinte ukukhulelwa noma ingane.
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