Imiphumela emibi kanye nezinengozi zokudakwa kwezidakamizwa

Ukusuka Ekhanda Kuya Ezingweni Zamawele, Ukushisa Okushisayo Kuya Kwama-Mood Swings

Imithwalo yemiphumela emibi yezidakamizwa kanye nezingozi kuxhomeke kulokho okuthathwa yimithi. Imithi yokwelapha yomlomo (njenge- Clomid noma i- letrozole ) inemiphumela emibi kakhulu kunezidakamizwa zokuzala (njengama- gonadotropins noma i- GnRH i-agonists nabaphikisi .)

Lokho kusho ukuthi izidakamizwa ezivame ukuvuthwa kwezidakamizwa zivimba, ukukhanda ikhanda, isisu sebele, isisu esithukuthele, ukukhanya okushisayo, nokuzizwa kwemizwa .

Izingozi zomuthi wokuvuna ezivame kakhulu ziveza ukukhulelwa okuphindaphindiwe (njengamawele noma kathathu noma ngaphezulu ) nokuthuthukisa i- ovarian hyperstimulation syndrome (OHSS) .

Lezi akuzona kuphela imiphumela emibi engaba khona kanye nezingozi, nje kuphela ezivame kakhulu.

Imithi yokwelapha ingenza izimangaliso futhi ngokuvamile isebenza kahle. Noma kunjalo, kubalulekile ukwazi ukuthi yini engase ihambe kahle nokuthi kungenzeka kanjani ukwehlisa amathuba akho ezinkinga.

Ukushicilelwa okufushane : Ukufunda mayelana nemiphumela emibi kungase kwande ukhathazeka futhi kungakwandisa ingozi ozothola eminye imiphumela emibi. Lokhu kwaziwa njengomphumela wecebo . (Kufana nomphumela we-placebo, nje ongenzi kahle.)

Yiqiniso, kufanele uxoxe njalo nodokotela wakho izingozi zanoma yimiphi imithi ngaphambi kokuyithatha.

Kodwa-ke, uma uthanda ukukhathazeka, ungase ufune ukweqa ulwazi olujulile lomsindo / ubungozi, bese ugxila kwisigaba esingezansi esinesihloko esithi Unganciphisa Kanjani Ukulimala Kwemithi Yezingozi Nemikhakha .

Imiphumela emibi yezidakamizwa ezivame ukusetshenziswa

Imiphumela emibi yizimpawu ezingadingeki futhi ezingenangqondo ezibangelwa imithi.

Kungakhathaliseki ukuthi uzoba nemiphumela emibi noma cha uzoxhomeka ku- ...

• imithi oyithathayo
• umthamo wemithi (amazinga aphakeme kakhulu ngokuvamile asho ukuthi ubhekene nengozi)
• umzimba wakho

Thatha, isibonelo, umuthi we-fertility Clomid.

Abanye besifazane bathatha uComomid futhi bazizwa kahle. Abanye bahlangabezana nokukhanda ikhanda noma ukushintsha kwemizwelo. Kunzima ukubikezela ukuthi uzosabela kanjani uze uthathe imithi.

Ngezansi kukhona uhlu olufushane lwemiphumela emibi yemithi yokwelapha evamile.

Inothi elibalulekile! Akuwona wonke amathonya afanelekayo kanye nezingozi ezibalwe. Uma unemiphumela emibi kakhulu, izimpawu ezingavamile, noma ukhathazekile nganoma yisiphi isizathu, xhumana nodokotela wakho.

Imiphumela emibi engenzeka ye-Clomid ihlanganisa:

• Ukushisa okushisayo
• Ukuhlukumeza nokuvimbela kwesisu
• Inzuzo yesisindo
• Izinsizwa
• I-Mood iyashintsha
• I-nausea
• Isizungu
• Amathenda webele
• Ukuphuma kwelanga okungavamile / ukuphawula
• Ukomisa kwamagagasi

Funda kabanzi mayelana nemiphumela emibi ye-Clomid lapha.

Imiphumela emibi engenzeka ye letrozole ifaka:

• Ukukhathala
• Isizungu
• Izinwele
• Ukuhlukunyezwa kwesisu / kwesisu
• Ukushisa okushisayo
• Umbono ophundlekile
• Inkinga yokulala
• Ukuphuma kwelanga okungavamile / ukuphawula
• Ubuhlungu besisu

Funda kabanzi mayelana ne- letrozole yokuphathwa kokwelapha lapha.

Imiphumela emibi engase ibe khona ye-gonadotropin ihlanganisa:

• Izinsizwa
• Isisu / isisu esithukuthele
• Ukutheleleka okuphezulu kokuphefumula
• Ukwehlisa isisu / kwesisu
• I-Mood iyashintsha
• I-acne
• Inzuzo yesisindo
• Ukuphuma kwelanga okungavamile / ukuphawula
• Isayithi lokungenwa kwesifo nokubomvu
• Isizungu

Funda kabanzi mayelana nemiphumela emibi ye-gonadotropin nezingozi lapha.

Imiphumela emibi engaba khona ye-GnRH agonists (njengoLupron) ifaka:

• Ukushisa okushisayo
• Izinwele
• I-mood iguquka / ukucindezeleka / ukukhathazeka
• Ukomisa kwamagagasi
• I-acne
• I-body body aches / ubuhlungu obuhlangene
• I-nausea
• Ukugcinwa kwe-Fluid
• Isisu esibuhlungu
• Inzuzo yesisindo
• Ukunciphisa ukushayela ucansi
• Isizungu
• Isayithi lokungenwa kwesifo

Funda kabanzi mayelana nemiphumela emibi ye-GnRH agonist .

Imiphumela emibi engase ibe khona yabamelene ne-GnRH zihlanganisa:

• Uthando lwesisu
• Izinwele
• Isisu / isisu esithukuthele
• Ukuphuma kwelanga okungavamile / ukuphawula
• Isayithi lokungenwa kwesifo

Funda kabanzi mayelana nemiphumela emibi ye-GnRH .

Ngokuvamile Kodwa Kungaba Izingozi Ezinzima Ezidakamizwa Zokuzala

Ezimweni ezingavamile, izidakamizwa zokuzala zingabangela imiphumela emibi kakhulu.

Udokotela wakho kufanele akhulume nalawa nawe.

Njalo utshele udokotela wakho uma ubhekene nezimpawu ezibuhlungu, ngisho noma ungaqiniseki uma zihlobene nemithi.

Kungcono ukubiza udokotela wakho uma ukhathazekile futhi umtshele ukuthi konke kuhle, kunokunganaki umphumela ongathí sina ongaholela engozini engozini noma engozini.

Izinguquko Zombono : Amaphesenti amancane kakhulu abesifazane azobhekana nokuphazanyiswa kombono lapho bethatha i-Clomid noma i-letrozole. Uma lokhu kwenzeka kuwe, ubone ukukhanya kokukhanya, ukukhuphuka okungazelelwe "kwezinto ezihamba phambili", noma umbono obonakalayo.

Umbono ongeziwe ungase ufike nekhanda elibi.

Tshela udokotela wakho ngokushesha uma lokhu kwenzeka kuwe. Izinkinga zombono kufanele zihambe uma uyeka ukuthatha imithi. Ezimweni ezingavamile kakhulu, umonakalo wesikhathi eside kungenzeka.

Ukukhulelwa kwe-Ectopic : abesifazane abathatha i-gonadotropin baneengozi elincane lokukhulelwa kwe-ectopic.

Ukukhulelwa kwe-Ectopic kungaba impilo engozini uma inganakiwe! Uma uzwa ubuhlungu obukhulu be-pelvic, xhumana nodokotela wakho ngokushesha.

I-Ovarian hyperstimulation syndrome (OHSS) : izidakamizwa zokuzala ngokuzithandela zishukumise ama-ovari ukuba akhiqize amaqanda amaningi kunalokho ayevame ukukwenza.

Nge-OHSS, ama-ovari aphelelwa amandla ngokweqile. Lokhu kuvame kakhulu ngesikhathi ukwelashwa kwe-IVF, kodwa kungenzeka futhi nge-Clomid ne-gonadotropin ukwelashwa.

Amacala amaningi ka-OHSS anomoya omncane, kepha i-OHSS enamandla ingenzeka. Ezimweni ezingavamile, i-OHSS ingaholela ekwakhekeni kwegazi nokuhluleka kwezinso.

I-OHSS enamandla ingasongela ukuzala kwakho ngisho nokuphila kwakho. Ukubamba izimpawu ngokushesha futhi ukuthola ukwelashwa kwasekuseni kuyisihluthulelo.

• I-OHSS Izimpawu Nezokwelapha

I-Ovarian torsion : i-ovarian torsion iyinkinga enokwenzeka ye-OHSS. Abesifazane abangaphansi kuka-2% abathatha i-gonadotropin bayothola ukuqhuma kwama-ovarian.

Imithi yokwelapha yenza ukuba ama-ovari akwandise. Ngezinye izikhathi, i-ovary ingaziphendulela ngokwawo, ukusika igazi. Ukuhlinzwa ukungafihli i-ovary noma ngisho nokususa i-ovary kungadingeka.

Ukuvuthwa kwe-ovarian kungafaka impilo yakho kanye nokuzala kwakho engozini.

Uma uzwa ubuhlungu obukhulu be-pelvic, iya ekamelweni eliphuthumayo eliseduzane ngokushesha.

Ukusabela okweqile: ukuphendula okwenziwe okwelapha emithini yezidakamizwa akuvamile. Kodwa-ke, njenganoma yimiphi imithi (noma ukudla), ukusabela kungenzeka.

• Kuyini Ukuphazamiseka Kwe-Anaphylactic?

Amawele, ama-triplets, kanye nokukhulelwa okuphezulu kwe-oda

Uma uxhunyiwe kumaphephandaba nganoma iyiphi indlela, usuvele wazi ngengozi yokuphindaphinda uma usebenzisa imithi yokuzala.

Ingozi yakho yokukhulelwa izimpande izoxhomeka kulokho ukwelashwa kokuzala okunayo nokuthi yimiphi imithi oyithathayo.

Isibonelo, ingozi yokuba namawele lapho uthatha i-gonadotropin iphinda kathathu njengoba iphezulu neClomid.

Abanye abantu bacabanga ngephutha ukuthi ukuphindaphinda kuyingozi kuphela nge- IVF yokwelashwa. Lokhu akulona iqiniso. Ingozi yakho yokuphindaphinda iningi kakhulu nge-IUI (insemination) ukwelashwa kunokuba ne-IVF.

Ngokujwayelekile, nge- Clomid , ithuba lakho lokuba namawele ngu-10%. Ithuba lakho lokuba ne-triplets noma ngaphezulu lingaphansi kwe-1%.

Amaphesenti angama-30% okukhulelwa kwezidakamizwa ze-gonadotropin yokuzala iningi. Okubili kwezintathu kulabo abakhulelwe banamawele amabili, kanti okwesithathu yizintathu noma ukukhulelwa okuphezulu.

Ngezinye izikhathi, umbhangqwana uzoba nethemba lokuthi zikhulelwe ngamawele noma kathathu, noma zize zicele odokotela bazo ukuba basize. Lokhu akuyona into engcono kunazo zonke, wena noma ingane yakho.

• Izingozi Zokukhulelwa Zesibili
• Imibuzo: Ingabe Izinkinga Zakho Zokuthola Amawele Amakhulu Kunokuningi?
• Yini Engandisa Izimo Zakho Zamawele?

Indlela Yokunciphisa Ukulimala Imiphumela Yomphumela Wezidakamizwa Nezingozi

Akunakwenzeka ukugwema ngokuphelele yonke imiphumela emibi. Kodwa-ke, zikhona ezinye izinto wena noma udokotela wakho ongayenza ukuze unciphise izingozi zakho.

Ezinye imiphumela emibi ingagwenywa noma iyancishiswe ngokuthatha imithi ebusuku noma ngokudla. Njalo khuluma nodokotela wakho mayelana nesikhathi esihle nendlela yokuthatha imithi yakho.

Udokotela wakho kumele futhi asebenzise umthamo ophansi kakhulu. Yingakho cishe kungcono kakhulu ukuqala kumthamo olahlekile, bese ukwandisa umthamo uma ungasebenzi, kunokuba uqale phezulu.

Vumela udokotela wakho ukuthi ngabe imiphumela yakho yecala iyingozi. Ngisho noma kunezimo ezihlobene nomoya (okuyizinto eziningi abantu abazenza kuzo odokotela babo.) Kungase kube nomuthi owodwa.

Ukuze unciphise ingozi yokukhulelwa amawele noma ama-multiples, ukuqapha okusheshayo komjikelezo wakho kubalulekile.

Nge-gonadotropins noma i-Clomid, i-ultrasound ingasetshenziselwa ukunquma ukuthi zingaki izintambo ezikhona ezingathuthuka. Yonke inhlanhla yintsana engaba khona, uma ukhulelwe.

Udokotela wakho angakwazi ukukhansela umjikelezo wakho uma ecabanga ukuthi ingozi yokuphindaphinda iphezulu. Ungacelwa ukuba ugweme ubulili.

Lalela udokotela wakho. Khumbula ukuthi ukukhulelwa okuphindaphindiwe kukubeka impilo yakho enganeni yakho kanye nabantwana bakho esikhathini esizayo.

Njengoba ukwelapha i-IVF, ingozi yakho yokuphindaphinda ingancishiswa ngokudluliselwa komzimba okungasodwa (SET). Lokhu akufanele wonke umbhangqwana, noma kunjalo. Khuluma nodokotela wakho mayelana nezinketho zakho.

Qaphela imitholampilo yokuzala evame ukwedlulela ekunakekeleni ukwelashwa .

Ngakolunye uhlangothi, kungase kujabulise ukuba nodokotela athembisa ukuthi uphumelele futhi uqale nge-"best" noma ukwelashwa okunamandla kuqala. Ngakolunye uhlangothi, ukuphoqa phezulu esikhwameni ngokushesha kungase kuholele ekupheleni kwesikhathi ngaphambi kwesikhathi.

Yiqiniso, ngisho nokuqapha ngokucophelela nodokotela onomthwalo wemfanelo, usengase uhlakulele i-OHSS noma ukhulelwe ngamawele noma ngaphezulu.

Kulokho, into engcono kakhulu ukuyenza ukulandela iseluleko sokwelapha udokotela wakho futhi uziqaphele.

Ukunakekelwa okuhle kokubeletha kunganciphisa izingozi eziza nokukhulelwa okuningi . Ngokutholakala kokuqala kanye nokwelapha, i-OHSS ayifuni kakhulu futhi ngokuvamile ingabhekwa nayo ekhaya.

Okuningi mayelana nokwelashwa kokuzala:

• 17 Izinketho zokwelashwa kwesibeletho
• Ingabe Izidakamizwa Zokuzala Zenza I-Cancer?
• Izinto Eziningi Abantu Abazi Ngayo Nge-Clomid
• I-IVF neSonto Elibili Lilinde
• Izidakamizwa Ezivamile Zokuzala
• IVF Ukwelapha: Isinyathelo Ngesinyathelo
• Ukubhekana Nokucindezeleka Ukwelapha Ukwelashwa
• Ukunquma Ukungahambisani Nokunakekelwa Kokuzala
• Ukukhokhela Izinyathelo Zokuzala

_Imithombo:

_{Izinkinga nezinkinga ezihlobene nokuzalwa okuningi: I-Fact Sheets. I-American Society of Medicine Yokuzala. Kufinyelelwe ku-Agasti 20, 2008. http://asrm.org/uploadedFiles/ASRM_Content/Resources/Patient_Resources/Fact_Sheets_and_Info_Booklets/complications_multiplebirths.pdf}

_{I-Ovarian hyperstimulation syndrome. I-Medical Encyclopedia, i-MedlinePlus. Kufinyelelwe ku-Agasti 20, 2008. http://www.nlm.nih.gov/medlineplus/article/007294.htm}

_{Imithi yokwehlisa i-Ovulation: Umhlahlandlela weziguli. I-American Society of Medicine Yokuzala. Kufinyelelwe ku-Agasti 20, 2008. http://asrm.org/uploadedFiles/ASRM_Content/Resources/Patient_Resources/Fact_Sheets_and_Info_Booklets/ovulation_drugs.pdf}

_{Izingozi ze-In vitro Fertilization: I-Fact Sheets. I-American Society of Medicine Yokuzala. Kufinyelelwe ku-Agasti 20, 2008. http://asrm.org/uploadedFiles/ASRM_Content/Resources/Patient_Resources/Fact_Sheets_and_Info_Booklets/risksofivf.pdf}

_{Imiphumela emibi yezidakamizwa zokuzala ezingenayo (i-gonadotropins.) I-Fact Sheet Sheet. I-American Society of Medicine Yokuzala. Kufinyelelwe ngo-Ephreli 10, 2016. https://www.asrm.org/FACTSHEET_Side_effects_of_injectable_fertility_drugs_gonadotropins/}