Ingabe nawe uyalashwa nge-fertility? Ake sifunde nge-Ovarian Hyperstimulation Syndrome (OHSS)!

Uma uthola ukwelashwa kokuzala ngethemba lokuba nomntwana, ungase ube nokwesaba nokukhathazeka, akunjalo? Lokho kuvamile. Kubalulekile ukuqaphela imiphumela emibi engaba khona yalokhu kwelashwa. Esinye isimo esingavamile kubantu abaningi, kodwa okuhle ukusazi, sibizwa ngokuthi i-Ovarian Hyperstimulation Syndrome (OHSS) . Namuhla, sizokhuluma ngakho ngendlela elula neqondakala kalula.

Kuyini ngempela i-OHSS?

Kalula nje, i-OHSS yilapho ama-ovary akho evuvukala futhi evuza into efana noketshezi esiswini sakho. Lokhu kuvame ukubangelwa yimithi yama-hormone ekhuthaza ama-ovary akho ukuba akhiqize amaqanda amaningi ngesikhathi esisodwa ukuze akusize ukhulelwe.

Ngokuvamile, owesifazane ophilile ukhipha iqanda elilodwa kuphela ngesikhathi sokuya esikhathini kwakhe kwanyanga zonke. Kodwa-ke, kulabo abanenkinga yokukhulelwa, ikakhulukazi ngesikhathi sokwelashwa okufana ne-`(IVF)` (In Vitro Fertilization), imithi yama-hormone inikezwa ukuze kukhuthazwe ama-ovari ngaphambi kokuthola amaqanda. Ngezinye izikhathi, ama-ovari asabela ngokweqile kule mithi. Yilapho i-OHSS ingenzeka khona. Lokhu kuvame ukubonakala kakhulu ngemithi yama-hormone ejovwayo.

Esikhathini esidlule, i-OHSS yayivame kakhulu kulabo abathola ukwelashwa nge-IVF. Kodwa-ke, ngezinqubo ezintsha namasu, lesi simo sehle kakhulu. Kodwa-ke, kusenezimo ze-OHSS encane ngezikhathi ezithile.

Abesifazane abane -polycystic ovary syndrome (PCOS) , noma labo abanamaqanda amaningi ngokweqile, basengozini enkulu ye-OHSS, njengoba i-PCOS iyinkinga yokuzala ehlotshaniswa nokungalingani kwama-hormone.

Yiziphi izinhlobo eziyinhloko ze-OHSS?

I-OHSS ingahlukaniswa njengencane , ephakathi nendawo, kanye nenzima . Udokotela wakho uzoyihlukanisa ngokusekelwe ekutheni izimpawu zakho zinzima kangakanani. Esikhathini esiningi, i-OHSS incane futhi ukungakhululeki okubangelayo kungokwesikhashana. Kodwa-ke, i-OHSS enzima ayivamile, kodwa ingaba yingozi empilweni.

Ngokusho kwedatha yamanje, ngaphansi kuka-5% wabesifazane abakhuthazwa ama-ovari ukuze bathole i-IVF bahlangabezana ne-OHSS. Ngaphambilini, lokhu kwakucishe kube ngu-10%. I-OHSS enzima yenzeka ngaphansi kuka-1%.

Ziyini izimpawu ze-OHSS?

Izimpawu ze-OHSS zingahluka kumuntu nomuntu, futhi ziyahlukahluka kuye ngokuthi isimo sibucayi kangakanani. Ezimweni eziningi, izimpawu ziqala zingakapheli isonto lokusebenzisa imithi yokukhuthaza ukuvuthwa kwamaqanda. Kodwa-ke, ngezinye izikhathi izimpawu zingase zingabonakali kuze kube amasonto amabili.

Izimpawu ze-OHSS Ephakathi Nephakathi:

• Ubuhlungu besisu.
• Ukuqunjelwa. Umuzwa sengathi isisu sigcwele umoya.
• Ukwanda kwesisindo kancane, njengokuthola ngaphezu kwekhilogremu elilodwa (amakhilogremu amabili) ngosuku olulodwa.
• Ukucanuzela. Ukuzizwa sengathi uzohlanza.

I-OHSS enzima ingabangela izimpawu ezifana nalezi:

• Ukukhuluphala ngokweqile.
• Ukucanuzela okukhulu nokuhlanza.
• Ukuvuvukala okukhulu kwesisu.
• Ubunzima bokuphefumula.
• Amahlule egazi.
• Ukuncipha kokuchama.
• Ubuhlungu obukhulu besisu.

Into ebaluleke kakhulu ukuthi uma uhlangabezana nanoma yiziphi zalezi zimpawu ngenkathi uphathwa ukwelashwa kokuzala, kufanele utshele udokotela wakho ngokushesha. Ithimba lakho lezokwelapha lizokuqapha njalo futhi lizokwazi ukukutshela ukuthi usengozini yokuthola i-OHSS ngokusekelwe emazingeni akho e-estrogen kanye nenani lama-follicle abonwe kuma-ultrasound scans. Esikhathini esiningi, lezi yizimo ezithambile ezizixazulula zodwa. Kodwa-ke, kungcono ukukhuluma nodokotela wakho ngezimpawu zakho.

Kungani lesi simo esibizwa ngokuthi i-OHSS senzeka?

Esikhathini esiningi, i-OHSS yenzeka ngoba i-hormone ebizwa ngokuthi i-`HCG (Human Chorionic Gonadotropin)` ivuselela ama-ovari akho. Ngokuvamile, ama-ovari akho akhiqiza iqanda elilodwa ngesikhathi. Kodwa-ke, ukwelashwa ngama-hormone kukhuthaza ama-ovari ukuthi akhiqize amaqanda amaningi ngesikhathi esisodwa. Abesifazane abathola ukwelashwa kwe-`(IVF)` banikezwa ``i-trigger shot`` ye-`HCG` ukuze bavuthise amaqanda ngaphambi kokuba aqoqwe. Ngakho-ke, lapho kuvela amaqanda amaningi angaba khona, ama-ovari angasabela ngokweqile kule hormone ye-`HCG`. Yilapho-ke i-OHSS ivele khona.

Ku-OHSS, le mithi yokuzala ibangela ukuvuza koketshezi oluvela emithanjeni yegazi ezungeze ama-ovari. Ngezinye izikhathi lolu ketshezi lungaqoqana emgodini wesisu, okubangela izimpawu ezifana nokuvuvukala nobuhlungu.

Ubani osengozini enkulu yokuthola i-OHSS?

Abantu abasengozini enkulu yokuthola lesi simo bahlanganisa:

• Abesifazane abane-'PCOS' (i-polycystic ovary syndrome).
• Labo abake bathuthukisa i-OHSS ngaphambilini.
• Labo ababenenani elikhulu lama-follicle noma amazinga aphezulu e-estrogen ngesikhathi sokukhuthazwa kwe-IVF.
• Labo abathole imithamo ephezulu ye-hormone ye-HCG ngesikhathi somjikelezo wabo we-IVF.
• Labo abaye badluliselwa "embungwini" omusha (uma bekhulelwa ngenkathi ama-ovari abo esashukunyiswa, lokho kukhulelwa kungaholela ku-OHSS ende). Lokhu kusho ukuthi ingozi iphakeme kunokudluliselwa "embungwini" "eqandisiwe".

Futhi, yize kungekho bufakazi obucacile, kukhona inkolelo yokuthi laba bantu abalandelayo bangase babe sengozini encane ye-OHSS:

• Abesifazane abasebasha abangaphansi kweminyaka engama-30 ubudala.
• Abantu abanesisindo esingaphansi kwesisindo.

Yiziphi izinkinga ezingaba khona ze-OHSS?

Abesifazane abane-OHSS basengozini yokuthola amahlule egazi emaphashini noma emilenzeni (thrombosis) . Imithi inganikezwa ukunciphisa le ngozi. Kungase kube nengozi eyengeziwe yokushaywa yisifo sohlangothi. Uma uzwa ubuhlungu emilenzeni, ukuvuvukala, noma ubuhlungu besifuba, kufanele utshele udokotela wakho ngokushesha.

Akuvamile kakhulu ukuthi i-ovarian cyst ehlotshaniswa ne-OHSS ingaqhuma futhi ibangele ukopha okukhulu. Kulesi simo, kungase kudingeke ukuhlinzwa ukuze kumiswe ukopha.

Odokotela bayixilonga kanjani i-OHSS?

Odokotela benza izivivinyo eziningana ukuze bathole i-OHSS. Lokhu kufaka phakathi:

• Ukuhlolwa komzimba: Isisindo sakho sizohlolwa, umjikelezo wesinqe sakho uzolinganiswa, futhi uzohlolwa ukuthi awunazo yini izimpawu zokuvuvukala. Kodwa-ke, ukuhlolwa kwesinqe ngeke kwenziwe ngalesi sikhathi. Lokhu kungenxa yokuthi ama-ovari avuvukile futhi angaqhuma uma kufakwa ingcindezi.
• I-Ultrasound: Lokhu kungahlola uketshezi olukhululekile esiswini kanye nosayizi wama-ovari.
• I-X-ray yesifuba: Ukuhlola ukwakheka koketshezi esifubeni.
• Ukuhlolwa kwegazi: Kala amazinga ama-hormone abonisa izimpawu ze-OHSS.

Yiziphi izindlela zokwelapha i-OHSS?

Ukwelashwa kwe-OHSS kuncike ebunzimeni besimo. Umgomo oyinhloko wokwelashwa ukulawula izimpawu nokuvimbela izinkinga. Amacala amancane e-OHSS avame ukuzixazulula ngokwawo phakathi nesonto noma amabili. Kodwa-ke, uma ukhulelwa phakathi nomjikelezo ofanayo, izimpawu zingase ziqhubeke isikhathi esithile.

Ukwelashwa okuvamile kwe-OHSS emnene kuya kwephakathi kuhlanganisa:

• Gwema umsebenzi onzima womzimba. Gwema izinto ezifana nokugijima, ukugxuma, noma ukuphakamisa izinsimbi.
• Ukuphuza uketshezi olune-electrolyte eningi, njengeJeevani, noma mhlawumbe isiphuzo sikadokotela esithi ``(Gatorade®)``.
• Ukusebenzisa imithi efana ne-paracetamol (i-Acetaminophen) ukunciphisa ubuhlungu.
• Ukuzikala nsuku zonke.
• Hlala uqaphile noma yiziphi izimpawu ezinkulu.

I-OHSS enzima ivame ukudinga ukulaliswa esibhedlela. Ukwelashwa kwe-OHSS enzima kungafaka:

• Uketshezi olufakwa emthanjeni (IV). Lokho kusho ukunikeza izinto ezifana nosawoti.
• Ukwenza inqubo ebizwa ngokuthi i-paracentesis. Lokhu kwenziwa ukuze kususwe uketshezi oluningi oluqongeleleke esiswini.
• Ukunikeza imithi yokunciphisa izimpawu noma ukunciphisa ukusebenza kwesibeletho.
• Ukunikeza imithi yokunciphisa igazi ukuze kuncishiswe ingozi yokuqhekeka kwegazi.

Ngezinye izikhathi kungadingeka uhlale esibhedlela ukuze uthole ukunakekelwa okusekelwe futhi uqashwe ngokucophelela kuze kube yilapho izimpawu zakho zithuthuka.

Kuthatha isikhathi esingakanani ukululama ku-OHSS?

Isikhathi esithathwayo ukuze ululame ku-OHSS siyahlukahluka kuye ngokuthi isimo sibucayi kangakanani nokuthi ukhulelwe yini phakathi naleyo mjikelezo. Udokotela wakho uzokutshela ukuthi ungabuyela nini emisebenzini evamile nokuthi yini ongayilindela.

"Ingabe ikhona indlela yokuqeda i-OHSS ngokushesha?" ungase uzibuze. Akukho ikhambi elilodwa elifanelana nakho konke. Ukwelashwa kuncike ebunzimeni bezimpawu zakho. Ngakho-ke, udokotela wakho ungumuntu ongcono kakhulu ongakhuluma naye ngezinketho zokwelapha.

Ingabe i-OHSS ingavinjelwa?

Amanye amacala e-OHSS awanakuvinjelwa. Kodwa-ke, udokotela wakho angakutshela ukuthi usengozini yini ngokusekelwe emlandweni wakho wezempilo kanye nemiphumela yokuhlolwa kwegazi. Ngesikhathi sokwelashwa kokuzala, udokotela wakho uzoqapha njalo ama-ovari akho ukuze anciphise ingozi yakho ye-OHSS. Lokhu kuzofaka ukuhlolwa kwegazi (ukuhlola amazinga ama-hormone) kanye nokuskena kwe-ultrasound (ukuhlola ukuthi ama-ovari akho akhula kahle kangakanani).

Kunezindlela eziningana ithimba lakho lezokwelapha elingakusiza ngazo ukuvimbela i-OHSS (noma ukunciphisa izimpawu):

• Ukunciphisa noma ukulungisa umthamo wemithi.
• Gwema ukunikeza "umjovo we-HCG" ngesikhathi sokwelashwa.
• Ukushintsha uhlobo lomuthi wokuzala.
• Ukuqandisa ama-embryo akho nokulibazisa ukudluliselwa kwama-embryo kuze kube yilapho ama-ovari akho ebuyela esimweni esijwayelekile.

Kwenzekani uma kwenzeka i-OHSS? Ingabe kuyinkinga ukukhulelwa?

I-OHSS yisimo sesikhashana. Ngokuvamile iyaphela zingakapheli amasonto amabili. Ngisho nasezimweni ezimbi kakhulu, ukwelashwa kusenesikhathi kungaholela emiphumeleni emihle. Into ebalulekile ukuthi uma ukhulelwa ngemuva kokwelashwa okuphumelelayo kokuzala, i-OHSS ngeke ilimaze ukukhulelwa kwakho. Izimpawu zakho zizophela kancane kancane futhi ngeke zithinte ukukhulelwa kwakho. Ngakho ungakhathazeki ngakho.

Kufanele ngimbone nini udokotela?

Uma uphathwa ukwelashwa kokuzala futhi uhlangabezana nanoma yiziphi izimpawu ze-OHSS, bona udokotela wakho ngokushesha.

Yimiphi imibuzo okufanele uyibuze udokotela?

Uma une-OHSS, ungabuza udokotela wakho le mibuzo:

• Isimo sami sibi kangakanani?
• Yiziphi izindlela zokwelapha enginazo?
• Yiziphi izimpawu zezinkinga okufanele ngiziqaphele?
• Ingabe i-OHSS izolimaza ikhono lami lokukhulelwa noma ingane engakazalwa?

Kuvamile ukuthi abanye abantu bazizwe bengakhululekile ngemva kokuqoqa amaqanda. Ukuqunjelwa, ukubonakala okuncane, kanye nokuzizwa begcwele yimiphumela emibi evamile ye-IVF. I-OHSS iyinkinga engavamile yokwelashwa nge-IVF.

Ekugcineni, umyalezo okufanele uwuthathe uye ekhaya:

Uma ulindele umntwana, ungase wesabe kancane ukufunda nge-OHSS. Kodwa khumbula, i-OHSS manje isiyisimo esingavinjelwa futhi, uma sincane, siphathwe kahle. Into ebaluleke kakhulu ukuhlala uthintana nodokotela wakho futhi ubazise nganoma yikuphi ukungakhululeki obhekene nakho.

Ngesikhathi sokwelashwa kokuzala njenge-IVF, odokotela bakuqapha kakhulu. Ngakho-ke, uma kukhona ingozi ye-OHSS, bangayibona kusenesikhathi futhi bathathe izinyathelo ezidingekayo. Khuluma nabo nganoma yimiphi imibuzo noma ukukhathazeka ongase ube nakho. Kuzoba usizo olukhulu ohambweni olunempilo!

I- OHSS, i-Ovarian Hyperstimulation Syndrome, Ukuzala, i-IVF, Ama-Ovaries, Ama-Hormones, Ukukhulelwa