Ingozi Yomdlavuza Wezidakamizwa Zokudla Ngokumelene Neengozi Zokungabi Naso Ngayo Yenza
Ingabe izidakamizwa zokuzala zibangelwa umdlavuza? Kuthiwani ngemithi yokwelashwa kwe-IVF ? Kuyiqiniso ukuthi izifundo ezimbalwa zibonakala zithola uxhumano phakathi kokusetshenziswa kwezidakamizwa zokuzala kanye nenengozi eyengeziwe yemdlavuza webele noma isisu, ikakhulukazi ne- Clomid yezidakamizwa.
Yonke imithi, kuhlanganise nezidakamizwa zokuzala, iza nezingozi.
Kodwa kufanele yini ukhathazeke ngengozi yomdlavuza okwandisiwe? Ake sibheke.
Izidakamizwa Zokwelapha Kungase Kwandise ... noma Nciphisa Ingozi Yakho Yomdlavuza?
Ngo-2005, ucwaningo oluningi lwabikwa ukuthi ukusetshenziswa kwe-Clomid kungase kwandise ingozi yomdlavuza wesibeletho.
Kodwa-ke, kusukela ngaleso sikhathi, kwenziwa izifundo eziningi, futhi abaningi abatholanga ukwanda okuphawulekayo engozini yomdlavuza emva kokusetshenziswa kwe-Clomid.
Eqinisweni, okuyingqayizivele, ucwaningo olulodwa lubonisa ukuthi abesifazane abaphathwa ngemithi yokwelapha babonakala bebonisa ukuthi kunciphise ingozi yokuthuthukisa umdlavuza wesibeletho uma kuqhathaniswa nabesifazane abangenasifo abangazange bafune ukwelashwa.
Olunye ucwaningo lwathola ingozi enciphise yokuthuthukisa umdlavuza webele ngemuva kweComomid.
Kungani kungavumelani?
Inkinga eminingi yalezi zifundo azicabangi ezinye izici ezingabangela ingozi yomdlavuza wesibeletho.
Ngokufanayo, uma owesifazane engakaze ahlangane nokukhulelwa, ingozi yakhe yomdlavuza iyanda.
Futhi, ukukhuluphala akuyona nje into engozini yokugula , kodwa futhi kuyingozi engumdlavuza.
Kungenzeka ukuthi kwakungeyona imithi yokuzala nhlobo.
Esikhundleni salokho, ukukhula kwengozi kungase kubangelwe isizathu sokungabikho kwesifo, noma noma iyiphi enye yezinto ezingacatshangelwa kulolu cwaningo.
Ucwaningo oluningi luye lwathola ukuxhumana okukhona phakathi kwezimbangela ezithile zokungakhulelwa kanye nengozi eyengeziwe yomdlavuza.
Enye inkinga evamile yalezi zifundo yizilinganiso zesampula zincane kakhulu.
I-Clomid kanye nezinye izidakamizwa zokugqugquzela i-Ovarian kanye ne-Ovarian Cancer Risk
Ubufakazi obuqine kakhulu bokuthi i-Clomid nezinye izidakamizwa ezivuselela ama-ovarian azikwenyusa ingozi yomdlavuza we-ovariya ivela ku-Review Cochrane, enyatheliswa ngo-2013.
Ukubuyekezwa kuhlanganisa izifundo kusukela ngo-1990 kuya kuFebruwari 2013. Izifundo ezihlanganisiwe ndawonye zazihlanganisa nabesifazane abangu-182,972.
Izifundo eziyisikhombisa azitholanga ubufakazi bokukhula komdlavuza we-ovarian kwabesifazane abasebenzisa noma imuphi umuthi wokuzala (kuhlanganise noComomid) uma kuqhathaniswa nobungozi bawo kwabanye besifazane abanezinkinga zokuzala abangasebenzisanga izidakamizwa zokuzala.
Ngokusho kokubuyekezwa, izifundo eziye zathola ingozi yomdlavuza eyengeziwe ayengathembekile ngenxa yokuthi zahluleka ukucabangela ingozi yokungabi nalutho ngokwayo noma ubungakanani besampula kwakuncane kakhulu ukuze bathole iziphetho.
I-Borderline i-Ovarian Tumors ne-IVF?
Ukubuyekezwa kweCochrane bathole ingozi eyengeziwe yokwehla kwe-ovarian abesimingceleni kwabesifazane abahamba ngemithi yokwelapha i-IVF.
Le ngozi ayengekho ngemuva kwe-Clomid noma i-Clomid yokwelashwa kwe-gonadotropins yedwa.
Ukwelashwa kwezidumbu ze-ovarian boundary akuyona into ejulile futhi kubandakanyeka njengama-tumor ejwayelekile, futhi ukuchazwa kwabesifazane abane-tumor borderline kuhle kakhulu.
Ucwaningo luka-2015 luzama ukuqhubeka luhlola uphenyo lwengozi ye-borderline ovarian kanye nokwelashwa kokuzala.
Lokho abathola ukuthi kwakungekho ukuxhumana okuqinile phakathi kwezicubu zomngcele we-ovarian kanye nokusetshenziswa kwezidakamizwa zokuzala.
Kodwa-ke, kungase kube khona uxhumano oluphakathi kwamathumba e-borderline ovarian kanye ne-progesterone supplementation.
Abacwaningi bathola ukuthi izingozi ze-endline ovarian tumors zaziphakeme kakhulu kwabesifazane abasebenzisa i-progesterone uma kuqhathaniswa nalabo abangazange bakwenze, futhi ngaphezulu kwabesifazane ababenezinhlelo ezine ze-progesterone ezingaphezulu noma ngaphezulu.
Lokho kusho ukuthi inani labesifazane ekutadisheni ngamathumba e-borderline lincane.
Izifundo zokulandelela namaqembu amakhulu abesifazane ayadingeka.
Ingozi ye-Endometrial Cancer?
Ingabe izidakamizwa zokuzala zingandisa ingozi yomdlavuza we-endometrial?
Ukuhlaziywa kweCoorgrane kwezingu-19 kuphelile ngokuthi ngenxa yokuklanywa kwesifundo esingalungile, akunakwenzeka ukusho ngokuqiniseka ukuthi ingozi yomdlavuza we-endometrial inganda ngemuva kokudalwa kwezidakamizwa zokuzala.
Kuvele kubonakala sengathi ingozi ekhuphuke kakhulu kwabesifazane ababenamanani aphezulu kakhulu e-Clomid (amakhulu kunama-2,000 mg-isilinganiso esiphezulu sokuqala isilinganiso se-50 mg kuphela) futhi wathatha i-Clomid imijikelezo eyisikhombisa noma ngaphezulu.
Kodwa-ke, ucwaningi lwamanje alukwazanga ukuhlukanisa ukuthi ngabe leyo nengozi eyengeziwe yenziwa ngenxa ye-Clomid noma izici ezenzelwe ukuzala. Isibonelo, i-PCOS iyaziwa yokwandisa ingozi yokuthuthukisa umdlavuza we-endometrial.
Ingozi Yesikhathi eside Yomdlavuza Webele Emva kwe-IVF
Ingabe ukwelashwa kwe-IVF kungandisa ingozi yomdlavuza webele? Ucwaningo lwamanje luthi akunakwenzeka.
Ucwaningo olunzulu kakhulu kuze kube manje luhlanganisa nabesifazane abangu-25,108, ngokulinganisa okujwayelekile kweminyaka engu-21 ngemuva kokwelashwa. Laba besifazane baseNetherlands, abathola ukwelashwa kwe-IVF phakathi kuka-1980 no-1995.
Kwakungekho ingozi ekhulayo yomdlavuza webele kulabo abathola i-IVF uma kuqhathaniswa nalabo abathola ezinye izindlela zokwelapha (kodwa hhayi IVF).
Ngokuthakazelisayo, abacwaningi bathola ukuthi ingozi yomdlavuza wesifuba yayingaphansi kwabesifazane abanemijikelezo engu-7 noma ngaphezulu ye-IVF uma kuqhathaniswa nabesifazane abanemijikelezo engu-1 noma emibili. Akucaci ukuthi kungani lokhu kukhona.
I-IVF ne-Ovarian Cancer
Ngenkomfa ye-2015 American Society for Reproductive Medicine (ASRM), uDkt. Alastair Sutcliffe we-Institute of Health Child ku-University College eLondon wanikeza ucwaningo ebheka ingozi yomdlavuza kwabesifazane abaye baphila nge- IVF yokwelapha .
Lesi sifundo sasihlanganisa abesifazane abangaphezu kuka-250 000 baseBrithani kanye nemikhakha yokwelashwa ehlukanisiwe phakathi kuka-1991 no-2010.
Izindaba ezinhle ukuthi abazange bathole ingozi enkulu yomdlavuza webele noma isisu kuma-IVF.
Izindaba ezimbi ukuthi zithole ingozi enkulu yomdlavuza we-ovarian.
Ngesikhathi abesifazane besengakaze bahambe nge-IVF banethuba elingamaphesenti angu-10 okuthuthukisa umdlavuza we-ovari, iziguli ze-IVF zinezinkinga ezingu-10 000.
Ingozi iyinto encane kodwa kubalulekile ukuqaphela.
Njengalezi zifundo ezibalwe ngenhla, ukuvumelana ukuthi ingozi ekhulayo ayibangelwa ukwelashwa kwe-IVF ngokwayo kodwa ukuthi abesifazane besidinga ukwelashwa.
Ukungabi nalutho kanye nesidingo se-IVF kubhekwa njengengozi. Akuyona imithi yokuzala esetshenziselwa ukwelashwa.
Ngalokho kusho, ucwaningo lwathola nokuthi ingozi yomdlavuza yayiphezulu eminyakeni emithathu yokuqala emva kokwelapha.
Ngakho-ke, akunakwenzeka ukuqeda ngokuphelele ukuthi izidakamizwa zokuzala zenza indima engozini yomdlavuza. Vala ukuqapha eminyakeni edlule ukwelashwa kwe-IVF kungase kuhlakaniphe.
Ayikho Ingozi Ekhulayo Yomdlavuza
Ukuhlaziywa kwe-meta yinkwaningo yokucwaninga eqoqa ulwazi kusuka ezifundweni eziningana futhi ihlolisise ndawonye. IYunivesithi yase-Ottawa yenza ukuhlaziywa kwemithi ukuze kubheke ukuthi ukusetshenziswa kwezidakamizwa zenzalo kwandisa ingozi yomdlavuza uma kuqhathaniswa nabesifazane abangenasifo abangaphathwa.
Ukuhlaziywa kufaka phakathi idatha eqoqwe izifundo zocwaningo eziyishumi ezihlukene, ngolwazi lwabesifazane abasebenzisa izidakamizwa zokuzala ezifana ne-Clomid, i- gonadotropins , i- chorionic gonadotropin (hCG) yabantu , kanye ne- gonadotropin-ekhulula ama-agonists agonists (GnRH).
Abacwaningi bathola ukuthi uma kuqhathaniswa nabesifazane abangenalutho abaphathwa ngemithi yokuzala, ngokumelene nabesifazane abangenasifo abangaphathwa, labo abaphathwa ngemithi yokuzala babengekho engozini yokwandisa umdlavuza wesibeletho.
Okuthakazelisayo kakhulu, bathola ukuthi abesifazane abathintekayo babonakala benomdlavuza ovayo ophansi uma kuqhathaniswa nabesifazane abangenasifo abangaphathwa.
Kwesinye isifundo, lokhu okuqhutshwa yiDenmark Cancer Society, abacwaningi benza isifundo seqembu labesifazane abangu-54,362 abangenalutho. (Isifundo seqembu sabantu lapho sibheka iqembu elikhulu labantu abanezimo ezifanayo, ngokuvamile esikhathini esingaphezulu.)
Kulolu cwaningo, abacwaningi abatholanga ukwanda okuphawulekayo emdlalweni wesibeletho sebele ngemva kokusebenzisa izidakamizwa, ikakhulukazi i- gonadotrophins , i- Clomid , i- hCG , noma i- GnRH .
Ezinye izifundo zithole imiphumela efanayo.
Izwi elivela ku-Verywell
Ukuvumelana ukuthi imithi yokuzala ayikhulise ingozi yokuthuthukisa umdlavuza webele noma umbeletha. Futhi, ezinye izifundo zibheke ukusetshenziswa kokusetshenziswa kwezidakamizwa ze-fertility nezinye izinhlobo ze-khansa (isibonelo sekhanda nesifo sesikhumba, isibonelo), futhi abatholanga ukwanda okuphawulekayo engozini.
Kodwa-ke, ngoba ukungabi nalutho ngokweqile kungumphumela wobungozi womdlavuza, ukulandelwa emva kokuxilongwa kunconywa.
Abesifazane abanesifo sokubeletha okuyinhloko, abangakaze bakhulelwe futhi babelethe, kanye nabesifazane abatholwa ukuthi bane- endometriosis , bangase babe nomngcipheko owengeziwe wokuba nomdlavuza.
I-PCOS , imbangela evamile yokungasebenzi, iyaziwa futhi ukuthi ingozi enkulu yokwanda komdlavuza we-endometrial. Kungenzeka ukuthi ukuphakama okuphezulu kakhulu kwe-Clomid, noma ukwelashwa okudlula imijikelezo eyisikhombisa, kungandisa ingozi yomdlavuza we-endometrial. Kodwa ubufakazi bamanje abukwazi ukuhlukanisa ukuthi ngabe le nengozi ekhuphuka ivela kuComomid noma ukungabi namandla ngokwayo.
Futhi, kubalulekile ukukhumbula ukuthi ubuchwepheshe bokuphathwa kokwelapha buyashintsha. Ukusetshenziswa kwezidakamizwa ezincane manje sekusetshenziselwa ukwedlula izinsuku zokuqala zokwelapha , futhi eziningi zezifundo ngokuphathwa kokwelashwa nokuzala zibandakanya abesifazane abaphathwe ngawo-1980, ngokuhlukunyezwa kunokuba bangase babe namuhla.
Izifundo zokwelapha umdlavuza kanye nokuzala zizodinga ukulandelwa isikhathi eside. Kungenzeka amashumi eminyaka ngaphambi kokuthi sitshele ngempela ukuthi kuyothinta kanjani ukwelashwa kokuzala lapho uneminyaka engu-35 kuyoba ngowesifazane oneminyaka engu-65 noma engu-70 ubudala. Ngenkathi kwenziwa ucwaningo olungaphezulu, okwamanje, izidakamizwa zokuzala (ikakhulukazi) zisuka kwi-hook.
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