Izimpawu, Ukwelashwa, Nokuvinjelwa kwe-OHSS
Ukujwayela izimpawu ze-ovarian hyperstimulation syndrome (OHSS) kuyisihluthulelo sokuvimbela icala elibi. I-Ovarian hyperstimulation syndrome ngokuvamile ilula, kodwa ingaba ingozi yokuphila.
Ukubamba izimpawu ekuqaleni, kanye nokuqapha ngokucophelela umjikelezo wakho wezokwelapha ngudokotela wakho, kunganciphisa ingozi yezinkinga ezinkulu.
I-OHSS ingumphumela ongase ube nomphumela wemithi yokuzala , ikakhulukazi ngezijova ( gonadotropins ) ezithathwe phakathi nomjikelezo wezokwelapha we- IVF .
Amaphesenti angaba ngu-10 abesifazane abasebenzisa ukwelashwa kwe-IVF bazothola i-ovarian hyperstimulation syndrome.
I-OHSS ingenzeka ngenkathi ithatha i- Clomid nezinye izidakamizwa zokuzala ezithathwe ngomlomo, kodwa akuvamile.
Izimbangela
Okunye ukukhuliswa kwama-ovari kuyinto evamile ngesikhathi sokwelashwa kwezidakamizwa zokuzala .
Nokho, nge-OHSS, ama-ovari ayenezidakamizwa ezikhukhulayo.
Lo mketshezi ungangena ngaphakathi kwesisu nesifuba, okuholela ezinkingeni. Kodwa iningi le-fluid ayifuni e-follicles ngokwabo. Iningi lalo livela emithonjeni yegazi "ephazamisayo" ngenxa yezinto ezikhishwe ovary.
Izimpawu
I-Ovarian hyperstimulation syndrome ingenzeka kuphela emva kokuvuthwa kwe-ovulation kwenzeka. Izimpawu zingase zenzeke ezinsukwini ezimbalwa emva kokuvuthwa kwegazi noma i-IVF iqanda lokuthola , noma lingabonakali isonto noma ngaphezulu ngemuva kokuvuthwa.
Izimpawu ezincane zihlanganisa:
- Ukuvimbela
- Ubuhlungu obukhulu noma ukungakhululeki esiswini
- Inzuzo yesisindo esincane
- I-nausea elula
- Uhudo
Izimpawu ezingathí sina zihlanganisa:
- Ukuthola isisindo esheshayo, okungaphezu kwamakhilogremu angu-10 ezinsukwini ezintathu kuya kwezingu-5.
- Ubuhlungu obukhulu besisu
- Ukuqhafaza okukhulu
- I-nasusea ekhulu (kangangokuthi awukwazi ukugcina noma yikuphi ukudla noma uketshezi)
- Isizungu
- Inkinga ngokuchama
- Ukuphelelwa umoya
- Ukushaya kwenhliziyo okusheshayo
Uma uthola izimpawu ezincane, kufanele uxhumane nodokotela wakho ngokushesha ngangokunokwenzeka, ngakho angakwazi ukuqapha isimo.
Uma uhlangabezana nanoma yiziphi izimpawu ezimbi, xhumana nodokotela wakho ngokushesha.
Izingozi Zezingozi
Abanye besifazane basengozini enkulu yokuthuthukisa i-OHSS kunezinye. Udokotela wakho kufanele acabangele lezi zici ngaphambi kokuba umjikelezo wakho wezokwelapha uqale.
Ingozi yakho ye-OHSS ingase ibe ngaphezulu uma ...
- Une- PCOS .
- Uneminyaka engama-30 noma encane.
- Amazinga akho e-AMH aphezulu.
- Usungule i-OHSS esikhathini esidlule.
- Unomzimba omncane noma ongaphansi kwesisindo.
Ukubeka ama-hormone aphansi, noma ukusebenzisa ezinye izinqubo zokwelapha, kunganciphisa ingozi yakho. Udokotela wakho angase futhi aqaphele ngokucophelela umjikelezo wakho.
Ngisho noma i-OHSS ingenzeka kuphela emva kokuvuthwa, kunezibonakaliso udokotela wakho angayilinda lokho okungase kubonise ukuthi ingozi yakho iphakeme ngesikhathi somjikelezo othize wezokwelapha.
Isibonelo, uma ama-ovari akho akhula "follicles" kakhulu ekuphenduleni imithi yokuzala, noma amazinga akho e-estradiol akhula ngokushesha, lokhu kungabonisa ingozi yakho ye-OHSS lo mjikelezo uphezulu.
Udokotela wakho angakhansela umjikelezo wakho wezokwelapha uma ecabanga ukuthi ubungozi bakho buphakeme. Uma unomjikelezo we-IUI, lokhu kungase kusho ukukhansela ukusabalalisa nokucela ukuthi ungalali ucansi. Uma unayo i-IVF, noma yikuphi imibungu ekhulelwe emjikelezweni we-IVF yokwelashwa ingabanda futhi igcinwe ukusetshenziswa ngesikhathi sokujikeleza.
Isizathu esisodwa sokukhansela umjikelezo wezokwelapha ngoba uma ukhulelwa, ukutakula kusuka ku-OHSS kungathatha isikhathi eside. Ukukhulelwa kungalimaza i-OHSS.
Enye indlela udokotela wakho angayithatha ukulibazisa i-ovulation ngezinsuku ezimbalwa. Angase anikeze umphikisi we- GnRH , ozovimbela ukuqhuma kwe-LH yemvelo, ukuvimbela noma ukubambezela ukuvuthwa. Noma, udokotela wakho angase aphuze ukubambezela ukudubula kwe-hCG, umuthi wokuzala odala ukuvuthwa.
Ukwehla ukuvuthwa kwe-ovulation ukunciphisa ingozi ye-ovarian hyperstimulation syndrome ngezinye izikhathi kubizwa ngokuthi "ukuguga."
Lokhu ukubambezeleka kwezinsuku ezimbalwa kunganciphisa ubungozi nobuqili, ngaphandle kokunciphisa kakhulu amathuba okukhulelwa okuphumelelayo.
Izinkinga ezinzima ze-OHSS
Ukuba nomjikelezo wakho wezokwelapha ukhanseliwe kungadumaza kakhulu. Ungase ulingeke ukuba ulale ucansi ngokuya imiyalelo kadokotela wakho, ungafuni "ukuchitha" umjikelezo. Ungenzi lokhu!
I-OHSS ingaba yingozi futhi ingasongela ukuphila. Uma uhlakulela isimo esibi se-OHSS futhi ukhulelwe, ingozi yakho yokukhulelwa kwesisu ingase ibe ngaphezulu.
Ezinye zezinkinga ezingenzeka ze-OHSS zihlanganisa ...
- Ukwakhiwa kwamanzi emaphashini noma esiswini
- Amaqabunga egazi abungozi (ngokuvamile emlenzeni)
- Ukuhluleka kwezinso
- I-ovary ephihliwe (i-ovary ithola kakhulu ngokweqile ngoketshezizi, iguqula isisindo sayo)
- I-cyst ye-ovarian ekhuphukile
- Ukuphefumula okunzima
- Ukulahlekelwa kokukhulelwa
- Ukufa (okungajwayelekile kakhulu)
Ukuvimbela nokwelashwa kwe-Ovarian Hyperstimulation Syndrome
Udokotela wakho kufanele aqaphele impendulo yomzimba wakho kwimithi yokuzala ngokuhlolwa kwegazi kanye nama-ultrasounds.
Amazinga e-estrogen akhula ngokusheshayo noma ama-ultrasound abonisa inani elikhulu lezintambo eziphakathi nendawo zonke izinkomba ezikhona zengozi ye-ovarian hyperstimulation syndrome.
Uma uhlakulela i-mild case ye-ovarian hyperstimulation syndrome, cishe ngeke udinga ukwelashwa okukhethekile.
Nakhu okunye ongakwenza ekhaya ukuze uzizwe kangcono:
- Thatha ukubuyisela ubuhlungu obukhulu kakhulu, njengoTylenol.
- Ungakhathazeki ngokweqile; thatha lula ngenkathi ululameka.
- Ngenkathi ungafanele uzivelele ngokwakho, kufanele ugcine umsebenzi othile wokukhanya. Ukuphumula kombhede wonke kungandisa ingozi yezinye izinkinga.
- Beka izinyawo zakho phezulu. Lokhu kungasiza umzimba wakho ukuqede uketshezi oluthe xaxa.
- Ubulili kufanele kugwenywe uze uzizwe ungcono. Umsebenzi wezocansi ungakwandisa ukuhlukumeza kwakho, futhi ezimweni ezimbi kunazo zonke, kungabangela ama-cysts ovariya ukuvuza noma ukuphuka.
- Ungaphuzi utshwala noma iziphuzo ze-caffeinated , njengekhofi, i-colas noma i-caffeinated energy iziphuzo.
- Uphuza amanzi amaningi, cishe amilazi ayi-10 kuya kwangu-12 ngosuku. Iziphuzo nama-electrolyte, njengeGatorade, zikhethe kahle.
Udokotela wakho uzokunikeza imiyalelo yalokho okumele ubukele nokuthi uzoxhumana naye nini. Uma izimpawu zakho ziba zimbi, kufanele nakanjani uzivumele. Angase akucele ukuthi uzilinganise nsuku zonke, ukuqapha ukuzuza kwesisindo. Uma uzithola uthola amakhilogremu amabili noma ngaphezulu ngosuku, kufanele ubize udokotela wakho.
Ezimweni ezingavamile, kungase kudingeke ube esibhedlela. Ukwakhiwa kwezibhedlela kungabandakanya ukwamukela uketshezi ngamanzi (ngokusebenzisa i-IV), futhi bangase basuse ezinye izikhukhula ezingaphezu kwesisu esiswini sakho ngokusebenzisa inaliti. Ungagcinwa futhi esibhedlela ukuze uqapha ngokucophelela kuze kube yilapho izimpawu zakho zinganciphisi.
Ngokuvamile, izimpawu zizokwehla futhi zihambe uma uthola isikhathi sakho.
Uma ukhulelwa, noma kunjalo, izimpawu zakho zingase zinde. Kungathatha amasonto ambalwa ukuzwa ngcono kangcono. Ukukhulelwa kungenza izimpawu zibe zibi nakakhulu, ngakho udokotela wakho uzofuna ukuqapha isimo sakho ngokucophelela.
> Imithombo:
I-Ovarian hyperstimulation syndrome. I-Medical Encyclopedia, i-MedlinePlus.
I-Ovarian hyperstimulation syndrome. I-National Guideline Clearinghouse.
I-Ovarian hyperstimulation syndrome: Izimpawu Nezizathu. MayoClinic.org.