Izimbangela ze-Endometriosis Infertility, Izindlela Ezinhle Zokuhlinzeka Ngokukhulelwa Impumelelo
Ukukhulelwa nge- endometriosis kungenzeka, nakuba kungase kungabi lula. Kuze kube yingxenye yabesifazane abane-endometriosis bayoba nenkinga yokukhulelwa. Amathuba okuba nezinkinga zokuzala kuncike eminyakeni yakho , ukuzala komlingani wakho , nokuthi i-endometriosis ilukhuni kangakanani. Kulabo abakwenza umzabalazo wokukhulelwa, ukuhlinzwa noma ukwelapha okuzala okunjenge-IVF kungasiza.
Mhlawumbe ulokhu uzama ukukhulelwa ngempumelelo isikhathi esithile, futhi manje, ngemva kokuhlolwa kokuzala nokuhlinzwa kokuhlinzwa , udokotela wakho uthola ukuthi une-endometriosis. Noma mhlawumbe awuzange uqale ukucabanga ngokuba nezingane okwamanje. Kodwa-ke, ngemuva kokuzwa ubuhlungu be-pelvic noma izikhwama ezinzima zokuya esikhathini , udokotela wakho uphenye futhi wakuthola ukuthi une-endometriosis.
Kungakhathaliseki ukuthi isimo singaholela kanjani ukuba uzibuze ukuthi unalo yini ithuba lokukhulelwa.
Impendulo inguyebo. Ungakwazi ukukhulelwa nge-endometriosis. Akuyona isiqinisekiso. Kodwa kungenzeka ngempela.
Qaphela: kucatshangwa ukuthi imibhangqwana eminingi ene-infertility engahlongozwayo ayizinkinga ezingenakutholwa kwe-endometriosis emnene. Ngenkathi ulwazi olungezansi luqondile kulabo abathintekayo abane-endometriosis, iningi lalo lingasebenza nasemibhangqwaneni ene-infertility engacacisiwe.
Bangaki Abafazi Abane-Endometriosis Abangenasifo?
Impendulo ihlukahluka kuye ngokucwaninga kocwaningo.
Kulinganiselwa ukuthi amaphesenti angu-30 kuya kwangu-50 kwabesifazane abane-endometriosis bazobona ukungabi nabantwana. (Ukungabi nalutho kuchazwa ngokuthi ukungakwazi ukukhulelwa ngokobulili ngemuva konyaka owodwa.)
Abesifazane abanesifo sokubeletha-abangase bangaboniwe ngokusemthethweni kwe-endometriosis okwamanje-banamathuba amaningi okuba ne-endometriosis.
Olunye ucwaningo luye lwabona ukuthi abesifazane abangenalutho bangamathuba ayisithupha kuya kweziyisishiyagalombili amathuba okuba nesifo se-endometriosis kunalabo abahlukumezeka ukukhulelwa.
Futhi, kulabo abashadile abane abathola ukutholakala kokungazalwa okungaqondakali , kusolakala ukuthi iningi lawo lingase libhekane nokuphela kwe-endometriosis. Kodwa-ke, ngoba i-endometriosis ingatholwa kuphela ngokuhlinzwa okungahambi kahle kwe-laparoscopic, kubonakala sengathi ayikho "imbangela" yokungasebenzi kwayo.
Emibhangqwaneni ene-infertility engaqondakali futhi engekho ubuhlungu be-pelvic, noma ngabe ukuhlinzwa okutholakala noma ukuhlinzwa (endabeni yokuhlinzwa) kungenzeka ukuthi i-endometriosis isingqinamba.
Ngingakwazi Yini Ukutholwa Ngokwemvelo Ngokwe-Endometriosis?
Uma uthola ukuthi une-endometriosis ngaphambi kokuthi ucabange nokukhulelwa, kufanelekile ukuzama ukukhulelwa ngokwakho kuqala, ngaphambi kokuba ufune ukwelashwa kokuzala? Yebo.
Yiqiniso, kufanele njalo ukhulume nodokotela wakho ngesimo sakho. Kodwa i-endometriosis ayisho ukuthi uzothola ukungapheli.
Kodwa-ke, ukulandela iseluleko esivamile sokuzama unyaka ngaphambi kokufuna usizo lokuzala akukhuthazwa.
Kunalokho, zama izinyanga eziyisithupha ngokwakho. Uma ungakhulelwa, cela usizo.
Abanye besifazane abane-endometriosis bangase banqume ukuya ngqo kumchwepheshe wokuzala futhi bangazami ukukhulelwa ngokwemvelo kuqala. Lokhu kuyindlela yokukhetha.
Uma uneminyaka engama-35 noma ngaphezulu, ungase ungafuni ukuthatha isikhathi sokuzama ukuzakhela wena ngokwakho. Ukuzala kwakho kwemvelo kunciphisa ngeminyaka ngesivinini esisheshayo emva kweminyaka engu-35, kanti lezo zinyanga eziningana eziyisithupha-ikakhulukazi ngoba usuvele wazi ukuthi une-endometriosis-kungenzeka ukuthi ayihlakaniphe.
Njengoba njalo, xoza isimo sakho nodokotela wakho.
Indlela Yokuthola Ukwelashwa Kwe-Endometriosis-Impumuzo Ehlobene Ne-Impact Yami Yokuzala?
Abesifazane abane-endometriosis, abangazama ukukhulelwa, ngokuvamile banikezwa izidakamizwa zokulawula ukubeletha ukuze unciphise izimpawu zokuhlunguphazwa.
Ngokusobala, uma uthatha amaphilisi okulawula ukubeletha, ngeke ukwazi ukukhulelwa. Lokhu kungokwesikhashana kuphela. Uma usuyeke ukuthatha amaphilisi okulawula ukuzalwa , ukuzala kwakho kwemvelo kuzobuya.
Futhi, kubalulekile ukwazi ukuthi amaphilisi okulawula ukubeletha awaphili noma "aphathe" i-endometriosis. Bamane banciphise izimpawu ezingenakukhathazeka ngokucindezela ama-hormone abondla ama-endometrial deposit.
Ezimweni zokulinganisela ekugcineni kwe-endometriosis, kungase kudingeke ukuthi kuhlinzekwe ukuhlinzwa izilonda ze-endometrial noma ama-cysts. Ukuhlinzwa kunganciphisa ubuhlungu, kodwa imisebenzi ephindaphindiwe ingabangela izicubu ezinzima. Izicubu ezibomvu zingandisa ubungozi bokungakhulelwa futhi zikhulise ubuhlungu.
Ezimweni ezimbi kakhulu ze-endometriosis, isisu, ama-ovari, noma ingxenye yama-ovari angasuswa. Lokhu kuzothinta ukuzala kwakho kwesikhathi esizayo.
Kumele futhi wazi ukuthi ukususwa kokuhlinzwa kwezitho zakho zokuzala akuyona ikhambi ye-endometriosis. Ungase uzwe ubuhlungu.
Ngaphambi kokuhlinzwa, khuluma nodokotela wakho ohlinzayo ngokuningiliziwe ngezinhlelo zakho zokuzala esikhathini esizayo. Qinisekisa ukuthi unolwazi olugcwele ngazo zonke izingozi nezinzuzo.
Yini Eyenza Ukukhulelwa Nge-Endometriosis Kunzima?
Asiqondi ngokugcwele indlela impomethriosis impact yokuzala.
Lapho i-endometriosis ibangela ama-cysts ama-ovarian (angase aphazamise ukuvuthwa), noma izicubu ze-endometrial zivimbela ama-tubes fallopian , isizathu sokungabi nabantwana sizwakala ngokucacile.
Kodwa-ke, abesifazane abane-endometriosis abangenayo i-endometrial ovarian cysts noma ama-tublopian tubes avinjiwe bangase babe nokuzala okuncishisiwe.
Nazi ezinye izinkolelo zokuthi kungani i-endometriosis yenza kube nzima ukukhulelwa.
Ukuphazamiseka noma ukuvinjelwa kwezitho zokuzala : Izilonda ze-Endometrial zingabangela izicubu ezincane-noma ukunamathela-ukwakha. Lezi zibopho zingase zithinte izitho zokuzala, zivimbele ikhono labo lokusebenza ngendlela evamile.
Ukuzibandakanya kungabangela ukuvinjelwa kwamathambo e-fallopian, okungazenza sengathi iqanda ne-sperm zihlangene.
Ukuvuvukala Okuvamile : Indima engenzeka yokuvuvukala komzimba kanye nokungabikho komsebenzi kuyindaba yokucwaninga okuqhubekayo. Ukuvuvukala okwenyuka emzimbeni kubonakala sengathi kuhlotshaniswa nokuhluleka.
Abesifazane abane-endometriosis banezibonakaliso ze-biochemical of inflammation. Kodwa ingabe i-endometriosis ibangela ukuvuvukala? Noma ingabe ukuvuvukala kwandisa i-endometriosis? Futhi konke kuhlobene kanjani nokungazali?
Ukuthi asazi.
Ukulukhuni nokufakelwa kwesisu: Uma i-endometriosis yisimo esibangela ukuba izicubu ezinjenge-endometrial zikhule ngaphandle kwesibeletho, zingathinta i-endometrium ngokwayo. Izinga lokufakela ama-embryo liphansi kubantu besifazane abane-endometriosis.
Kodwa-ke, kungenzeka ukuthi izinga eliphansi lokufakela ama-embryo libangelwa izinkinga ze-endometrium kodwa lihlobene nekhwalithi elimnyama lamaqanda.
Olunye ucwaningo olwenziwe nge-IVF luye lwathola ukuthi abesifazane abane-endometriosis abasebenzisa amaqanda e-donor banamanani afanayo okufakela embryo abesifazane abangenawo i-endometriosis.
Ukwehlisa izinga leqanda nombungu: Abesifazane abane-endometriosis bangase babe nekhwalithi elincane leqanda. Imibungu evela kwabesifazane abane-endometriosis ikhula kancane kunezinga elilinganayo.
Futhi uma amaqanda e-endometriosis, futhi lawo maqanda asetshenziselwa owesifazane ongenawo i-endometriosis, imibungu ewumphumela iba nomthelela ophansi futhi amazinga okufakela amafutha ayathinteka kakhulu.
Ingabe izigaba ze-Endometriosis (Izinga Zesifo) Kubonisa Izilinganiso Zokungafaki?
Udokotela wakho kungenzeka ukuthi ubhekisele ekugcineni kwe-endometriosis ngokwezinyathelo. Ngesikhathi sokuhlinzwa, udokotela wakho ucabangela indawo, inani, nokujula kwamakhokhethi e-endometrial. Ngokusekelwe kulokhu, uthola izinga le-endometriosis yakho.
Kukhona Isigaba I, Isigaba II, Isigaba III, neSigaba IV.
Lezi zigaba zisetshenziselwa ukuchaza nokuhlola ubukhulu be-endometriosis, ngeSigaba I sibe yi-endometriosis emnene, neSigaba IV sinzima.
Kodwa ingabe lezi zigaba zisho noma yini ngokuqondene nokuzala kwakho noma izimo zakho zokukhulelwa?
Yebo no cha.
Abesifazane abane-Stage I no-II endometriosis cishe banokuzwa ukungabi nabantwana kunabesifazane abaneSigaba III no-IV.
Futhi, isiteji se-endometriosis singasiza udokotela wakho ukuba eze necebo lokwelapha.
Isibonelo, owesifazane ophethe i-Stage II endometriosis angase azame ukuzakhela yena okwesikhashana. Owesifazane ophethwe yi-Stage IV endometriosis angase aqhubekele ngqo ekwelapheni kwe-IVF .
Kodwa-ke, isiteji se-endometriosis yakho asikwazi ukubikezela ukuthi imithi yokwelapha iyoba yimpumelelo kangcono kuwe.
Kungenzeka ukuthi ube ne-Stage II endometriosis bese uhamba ngezinkinga eziningi ze-IVF ezihlulekile. Futhi kungenzeka ukuthi ube ne-Stage IV endometriosis futhi ukhulelwe emjikelezweni wakho wokuqala.
Esinye isizathu se-endometriosis isiteji asikwazi ukubikezela izinkinga zakho zokuphumelela ukukhulelwa ngoba zikhona ezinye izici zokuzala okufanele zicatshangelwe. Owesifazane ophethe i-Stage IV endometriosis angase abe ne-ovulation ukungasebenzi. Noma kungenzeka kube nezinkinga zesintu ezingenasifo sokucabangela ukucabangela.
Ngezansi: ungabeki isisindo esikhulu esiteji se-endometriosis yakho.
Ngabe Ubuhlungu Bengibuzwa Ngayo Ukubikezela Ukuthi Ngisiphi Isimo Sokukhulelwa Ngempumelelo?
Cha.
Lokhu kungenxa yokuthi ubuningi obubuzwayo abuhlobene neze nobukhulu be-endometriosis.
Nakuba i-endometriosis enzima iqala ukuzwa ubuhlungu obukhulu, kungenzeka nokuthi i-endometriosis enomzimba ingabangela ubuhlungu obukhulu. Kuncike lapho idiphozithi ye-endometrial ikhona khona.
Ubuhlungu obuningi akusho ukuthi kuyoba nzima ukuba ukhulelwe uma kuqhathaniswa nowesifazane onenhlungu encane.
Yikuphi Ukwelashwa Kwesizalo Okuphumelela Kakhulu Kwe-Endometriosis?
Ukwelashwa komjikelezo we-endometriosis ehambisana nokuphela kwe-IVF ukwelashwa kwe-IVF . Lokhu akusho ukuthi kufanele noma uqale lapho.
I-IVF iyabiza futhi ingenasidingo. Ngisho noma kunezinkinga zokukhulelwa okungcono kakhulu , kungase kungabi yindawo yokuqala yokuqala.
Uhlelo lwakho lwezokwelapha luzoxhomekeka esiteji se-endometriosis yakho nokuthi i-endometriosis yedwa iyimbangela yokungasebenzi kwakho . Udokotela wakho uzocabangela iminyaka yakho.
Imithi yokwelapha yodwa ayinconywa kakhulu kwabesifazane abane-endometriosis. Abazi ngcono kakhulu izinga lokukhulelwa uma kuqhathaniswa nokuphathwa okulindelekile. (Ukuphathwa okulindelekile kuqhubeka nokuzama ngaphandle kokwelashwa.)
Kwabesifazane abane-Stage I noma II endometriosis, izidakamizwa zokuzala ezine-intrauterine insemination (i-IUI) ivame ukuqala okuphakanyisiwe. Lokhu kungenziwa nge-Clomid noma nge-gonadotropin .
I-Clomid ne-IUI ivame ukuzama kuqala ngenxa yokuthi ingozi yokukhulelwa i-multiples nokuthuthukisa i- ovarian hyperstimulation syndrome (OHSS) iphansi kunezigonadotropini.
Uma izidakamizwa zenzalo ne-IUI zingaphumelelanga, i-IVF isinyathelo esilandelayo esinconywayo.
Nokho, i-IVF ngezinye izikhathi isinyathelo esihle kunazo zonke ekukhatheni i-endometriosis.
Abesifazane abaya ngqo ku-IVF bahlanganisa ...
- Labo abane-endageriosis ye-Stage III noma ye-IV
- Abesifazane abangaphezu kweminyaka engu-35
- Imibhangqwana enezinye izinto eziyinkimbinkimbi zokuzala (njengabantu abancane abangenalo ukukhubazeka noma izinqolobane eziphansi ze-ovarian )
- Abesifazane abane-Stage I noma II endometriosis abakhetha ukuhamba ngqo ku-IVF, naphezu kwezindleko ezengeziwe kanye nemvelo engavamile yenqubo
Kubalulekile ukuqaphela ukuthi i-IVF ayiyona inketho kubo bonke abashadile.
Abanye bakhetha ukuphishekela lokwelapha okukhulu , futhi imibhangqwana eminingi ayikwazi ukuyikhokhela .
Kule mibhangqwana, uma izingxube eziningi ze-IUI nemithi yokuzala ingaphumeleli, ukukhethwa okunye-okuthandwa njengokwamukelwa noma ukuphila okungenabantwana-kungacatshangwa.
Yiziphi Izimo Zokwelashwa Okuphumelelayo Ukwelashwa Impumelelo Nge-Endometriosis?
Kuhlolisiso lwabesifazane abane-infertility engaqondakali (okuvame ukusolakala ukuthi i-endometriosis emincane) noma ukulungiswa kwe-endometriosis, izinga lokukhulelwa ngomjikelezo ngamunye kwaba amaphesenti angu-9,5 kulabo abasebenzisa i-Clomid ne-IUI, uma kuqhathaniswa namaphesenti angu-3.3 kulabo abasebenzisa ubulili obuphelile kuphela .
Ukuhlolwa okungahleliwe kwabesifazane abangama-49 abane-Stage I noma II endometriosis kuqhathanisa amazinga okukhulelwa kwabesifazane abathola imijikelezo emithathu ye-gonadotropin ne-IUI nabesifazane abaqhubeka bezama ngaphandle kosizo lwezokwelapha zokwelapha izinyanga eziyisithupha.
Izinga lokukhulelwa ngomjikelezo ngamunye kulabo abathola i-gonadotropin ne-IUI babengamaphesenti angu-15. Leli qembu elingelalwanga lingenani lokukhulelwa umjikelezo ngamunye wamaphesenti angu-4.5.
Kuthiwani ngezinkinga zokuphumelela kwe-IVF ?
Ngokwesinye isifundo, izinga lokukhulelwa isilinganiso ngabesifazane abaphethwe yi-endometriosis laliyi-22.2%.
Lokhu kuncane kakhulu kunezinga eliphansi lokuphumelela kwe-IVF yabesifazane abanezinye izimbangela zokungabikho.
Ngokuvamile, i-endometriosis ihlotshaniswa nezinombolo ezincane zokubuyisela amaqanda, amanani okufakela phansi okuphansi, kanye namazinga aphansi okukhulelwa, uma kuqhathaniswa nezinye izimbangela zokungakhulelwa.
Ukunquma izinga lokuphumelela kwe-IVF kwabesifazane abane-endometriosis kunzima. Imibhangqwana eminingi ebhekene nokwelashwa kwe-IVF ibhekene nezici ezengeziwe zokuzala, ngaphesheya kwe-endometriosis.
Ucwaningo olulodwa luzama ukuphenya izinkinga, zombili imibhangqwana ene-endometriosis kuphela njengenselelo yabo yokungenasifo kanye nalabo abane-endometriosis ngaphezu kwezinye izici zokuzala.
Bathola ukuthi ezimweni ezingavamile uma i-endometriosis ingukuphela kwendlela yokuzala, ukuzalwa okuphilayo bufana nokufana nokunye okuphakeme kunelabo abanezinye izinkinga zokuthola ukugula.
Kodwa-ke, uma i-endometriosis inikeza ngezinkinga ezengeziwe zokuzala, amazinga okuphumelela aphansi kakhulu uma kuqhathaniswa namanye amashado angenasifo.
Izinga lakho lomuntu siqu le-IVF yimpumelelo lizoxhomeka kuneminyaka yakho nokuthi yiziphi ezinye izici ezithinta ukubhekana nazo. Khuluma nodokotela wakho mayelana nesimo sakho.
Ingabe i-IVF Treatment Yenza Ukuhlupheka Kwe-Endometriosis?
Kuye kwaba khona ukukhathazeka ukuthi ukwelashwa kokuzala kungalimaza idiphozi ye-endometrial, futhi kuholele ebuhlungu obukhulu. Imfundiso ngemuva kwalokhu ukuthi izidakamizwa zokuzala zingabangela idijithali encike ekuthenjisweni kwe-estrogen ukukhula noma ukwanda ngenombolo.
Kube khona amacala angabodwa abesifazane abathola ubuhlungu obukhulu lapho bethatha imithi yokondla imithi ye-IVF. Kodwa-ke, ukucwaninga kocwaningo akutholakalanga kuze kube manje ukuthi lokhu kusebenza kuwo wonke amabhodi.
Ucwaningo olulodwa, ngokwesibonelo, lubheka iziguli ezingaba ngu-200 ze-IVF, cishe isigamu se-endometriosis nesigamu ngaphandle kwe-endometriosis. Iqembu le-endometriosis alizange lizwe ubuhlungu obuningi noma izinga elibi lokuphila uma liqhathaniswa nabesifazane ngaphandle kwalesi sifo.
Ingabe i-Endometriosis Yandisa Ingozi Yakho Yokushada Ngaphandle?
Njengoba i-endometriosis ingakwandisa ingozi yokungazalwa, ingabe ingakwandisa ingozi yokukhulelwa? Impendulo inguyebo, kodwa ikakhulukazi kwabesifazane abanenkinga yokuphefumula okuhlobene ne-endometriosis (ngokungafani nabesifazane abanomphetho we-endometriosis kodwa abatholakali ukuzala.)
Ucwaningo olulodwa lwabheka abesifazane abangaba ngu-270, futhi waqhathanisa nalabo abangenawo ngaphandle kwe-endometriosis. Baye bacabangela ubukhulu be-endometriosis.
Bathola ukuthi, jikelele, abesifazane abane-endometriosis babenempilo enkulu yokuzwa ukulahleka kokukhulelwa. Isilinganiso sokukhulelwa kwesisu sabesifazane abane-endo sasizungeze amaphesenti angu-35, uma kuqhathaniswa namaphesenti angu-22 kulabo abangenalo isifo.
Ngokuthakazelisayo, bathola ukuthi abesifazane abahlolwe ukuthi bane-endometriosis emincane (isigaba 1 noma 2) babe nethuba lokuphumula ngokweqile kunelabo abane-endometriosis yesigaba 3 noma 4, amaphesenti angu-42 uma kuqhathaniswa namaphesenti angu-31.
Ithiyori ngemuva kwalokhu ukuthi i-endometriosis emnene ingahlotshaniswa nokuvuvukala okwenyuka jikelele.
Ingabe Ukwelashwa Kwe-Endometriosis Kuphuthukisa Ukuzala?
Isizathu esisodwa sokususwa kokuhlinzwa kwe-deposometer deposit is ukunciphisa izimpawu zobuhlungu. Lokhu kungenziwa ngesikhathi esifanayo sokuxilongwa.
Kodwa ingabe ukwenziwa kokuhlinzwa kuthuthukisa ukuzala kubantu besifazane abane-endometriosis?
Kulabo abane-endometriosis enzima, ukuhlinzwa kubonakala sengathi kuthuthukisa ukuzala futhi mhlawumbe kuthuthukise izinkinga zokuphumelela ekwelapheni ukwelashwa.
Noma kunjalo, ukwelapha okuphindaphindiwe okuphindaphindiwe akuqhubeki ukukhulisa ukuzala.
Kuthiwani ngabesifazane abane-endometriosis emincane kuya ekulinganiseni? Ezinye izifundo zitholile amancane kodwa zithuthukisa kakhulu izinga lokuzalwa lokuphila emva kokungenelela kokuhlinzekwa kwabesifazane abane-Stage I noma II endometriosis.
Kucatshangwa ukuthi abesifazane abaningi abane-infertility engachazwanga bane-endometriosis emnene. Ingabe ukuhlinzwa kuvunyelwe kulezi zimo, ukuxilonga futhi mhlawumbe ukususa idiphozi ye-endometrial (uma itholakala)?
Lokhu kungabaza.
Uma lona wesifazane engabhekene nosizi, izingozi zokuhlinzwa zingaphezu kwenzuzo yokuzala inzalo.
(Khumbula ukuthi inzuzo iyosebenza kuphela uma owesifazane ene-endometriosis, futhi angeke. Ngokwesinye isifundo, kuzo zonke izinhlinzeko ezingu-40, ukukhulelwa okukodwa kungaholela.
Ukuhlinzwa ukuze kutholakale futhi kususe i-deposometer deposits kunezingozi. Kanti futhi, kwezinye izimo, kwande izimpawu ze-endometriosis noma kwaholela ekulimaleni okunye kokuzala. Ukuhlinzwa kungabangela ukunamathela, okungalimaza ukuzala futhi kubangele ubuhlungu. Ukususwa kwama-cysts e-endometrial ovarian kunganciphisa ama-ovarian reserves.
Xoxa nodokotela wakho ukuthi ngabe ukwelashwa okuhlinzekwa kuhle yini kuwe. Uma ungenaso isiqiniseko, ungesabi ukufuna umbono wesibili.
> Imithombo:
> Gibbons, u-William E .; Hornstein, Mark D. "Ukwelashwa kokungabi nabantwana kwabesifazane abane-endometriosis. " Kusesikhathini.
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