Ukuxubha emva kokudluliswa kombungu, ukuphumula kombhede, ubulili, neminye imibuzo
Kokubili ukwelashwa kwe-IVF kanye namaviki amabili okulinda emva kwalokho kucindezela. Ungase ube ne-hyper-uqaphela konke okuqhubekayo emzimbeni wakho, ukukhathazeka ngakho konke okwenziwe nge-cramp noma okungaqondakali we-twinge ozizwayo. Ungase ube nemibuzo eminingi. Ingabe i-cramps emva kokudluliselwa kombungu isibonakaliso esihle noma isibonakaliso esibi? Kuthiwani ngokubona? Ingabe kukhona i-IVF izimpawu zokukhulelwa ngaphambi kokukwazi ?
Sinezimpendulo zale mibuzo evamile.
Ukugubha emva kokudluliswa kombungu
Ukugwedla kungabangela ukwesaba ezinhliziyweni zabanye i-IVFers futhi banethemba kwabanye. Kwesaba, ngoba bakhathazeka lokhu kuyisibonakaliso isikhathi sabo siyeza noma mhlawumbe umjikelezo uhlulekile. Ithemba, ngoba mhlawumbe izimpande ziyisibonakaliso sokutshala futhi mhlawumbe zikhulelwe. Nansi izindaba ezinhle nezimbi: ukunciphisa okuncane nokukhukhumeza kwe-pelvic kuvamile kakhulu. Ukugxila ngesikhathi se-IVF akufanele kubonakale njengesibonakaliso sesikhathi sakho sokuza noma njengesibonakaliso sokukhulelwa.
Imithi kanye nezinqubo ze-IVF yenza umthelela omkhulu ezingxenyeni zakho zokuzala. Ukwakhiwa kwe-flux ezungeze ama-ovari kungabangela ububele obukhulu futhi buqede, futhi lokhu kufisa kuzoqhubeka kuze kufike isikhathi sakho. Uma ukhulelwa, ukungahambi kahle kwe-pelvic kungase kuqhubeke ngamasonto ambalwa.
Futhi, inqubo yokubuyisela amaqanda kanye nokudluliswa kombungu kamuva kungabangela ukuchofoza kancane ezinsukwini ngokushesha ngemuva.
Ngenkathi ukunyakaza okunciphisa kancane kuya kujwayelekile, kubiza udokotela wakho uma ukuchotshozwa kungakhululwa imithi yokuhlunguphazwa ngaphezulu.
Ngesikhathi ozobiza udokotela wakho: Uma ukuchotshozwa kunzima kakhulu, kuhambisane nokuphuma kwegazi noma imizwa yokufelwa yisisulu, xhumana nodokotela wakho ngokushesha. Lokhu kungase kube izibonakaliso ze- ovarian hyperstimulation syndrome (OHSS) noma i-ovarian torsion.
Lezi zimo zidinga ukwelashwa ngokushesha.
Ukutshala noma ukukhipha ukukhanya
Ukukhanya okukhanyayo kuvamile. Ngokusho kocwaningo olutholakalayo, kwenzeka kumaphesenti angu-7 kuya ku-42 emjikelezweni ye-IVF. Ungase ubone ukukhanya okukhanyayo ngemuva kokubuyiselwa kweqanda, ngemuva kokudluliswa kombungu, noma kamuva kwisigaba sakho sokuqamba .
Ngenkathi kufanele ubike noma yikuphi ukuphapha okungavamile kudokotela wakho, ukubona indawo yodwa akuyona into emnandi noma embi. Ukuveza lokho okwenzeka phakathi kwamasonto amabili ukulinda ngezinye izikhathi kubhekwa kulokho okubizwa ngokuthi ukufaka indawo yokufaka indawo . Ukutshala indawo yokutshala kuthiwa kubangelwa umbungu ozifaka emdongeni wesibeletho.
Esinye isizathu esingahle sokwehlukanisa i-progesterone supplementation nge-suppositories yama-vaginal. I-progesterone ye-progesterone ye-vaginal ingabangela ukuba umlomo wesibeletho ube obala kakhulu. Uma ulala ocansini, ungase ubone ukukhanya okukhanyayo, kodwa lokhu akukhathazeki ngakho.
Nini ukubiza udokotela wakho: Uma uphepha ngokweqile, noma uma uzwa ubuhlungu noma ubuhlungu obukhulu, xhumana nodokotela wakho ngokushesha.
Ukuziphatha ngokocansi Emva kwe-IVF
Umkhuba ovamile ukubuza imibhangqwana ukuba ibale ubulili ngesikhathi seyingxenye noma yonke umjikelezo wezokwelapha we-IVF. Abanye odokotela bakhathazekile ngokuthi ubulili bungabangela ukutheleleka noma ukuphazamisa ukufakelwa kombungu.
Kodwa-ke, abanye odokotela bacabanga ukuthi kuhle futhi baze batusa ucansi ngemuva kwe-IVF.
Ucwaningo olwenziwa ngo-2000 e-Australia lwenquma ukubheka ukuthi ubulili buyingozi yini kwinqubo ye-IVF. Akuthola nje kuphela ukuthi ukulala ngokobulili akulimazi, bathola ukuthi imibhangqwana ebenesifo socansi ngesikhathi sokudluliswa kombungu yayinamazinga aphezulu okusebenza kahle emavikini ayisithupha kuya kwangu-8 ukudluliswa kokuthunyelwe. Ucwaningo lubonise ukuthi imbongolo ibonakala ibamba iqhaza elihle ekufakweni kombungu nokuthuthukiswa.
Njengoba njalo, buza nodokotela wakho uma ungaqiniseki uma kufanele uhlanganyele ocansini.
Ukuphumula Ukulala Ngemva kwe-IVF Phakathi Namaviki Amibili
Ukuchaza ukuphumula kombhede kubantu besifazane emva kokudluliswa kombungu kwaba yinto evamile.
Ukulala ukuphumula okuphakanyisiwe kuhluke kokulala phansi kwemizuzu engu-10 kokuthunyelwe kokuthunyelwe ezinsukwini eziyisihlanu zokuqala.
Naphezu kokuthi umkhuba wawuvamile kangakanani, ucwaningo alutholanga nzuzo ekuphumuleni kombhede ngesikhathi seviki ezimbili elinde. Eqinisweni, izifundo eziningana zathola imiphumela engalungile yokuphumula kombhede. Abesifazane abavuka ngokushesha ngemuva kokudluliswa kwe-embryo babe namazinga aphezulu okukhulelwa kanye namazinga aphansi okukhulelwa kwesisu.
Uma udokotela wakho elele ukuphumula kombhede, xoxani ukuthi uyakholwa yini ukuthi lokhu kuyadingeka. Ingabe uyayichaza nje ukukusiza uzizwe ungcono ngomjikelezo? Uma udokotela wakho engayibhali, ungazitholi ekuphumuleni kombhede uma kwenzeka. Ucwaningo luthi izinkinga zakho zokuphumelela zizoba ngcono ngemisebenzi evamile.
Ukucindezeleka nokuphumelela kwe-IVF
Nazi ezinye izindaba ezinhle kuwe: Asikho isidingo sokucindezeleka ngokucindezeleka . Izifundo ezimbili ezinkulu zathola ukuthi amazinga okucindezeleka awazange abe nemiphumela emibi emiphumeleni ye-IVF. Awunakuzicindezela ngokwakho ekuvivinyeni kokukhulelwa okubi .
Kodwa-ke, abacwaningi bathola ukuthi i-IVF iholela ekucindezelekeni, okuyinto engamangali. Futhi ukuhluleka kwe-IVF kungabangela ukucindezeleka nokukhathazeka . Ukuthola ukwesekwa ukukusiza ukubhekana nokucindezeleka okuhlobene nokwelashwa kubalulekile empilweni yakho siqu. Awudingi ukuzizwa wedwa.
Izinto ongayenza ukuze unciphise ukucindezeleka ukwelashwa kokuzala kuhlanganisa:
- Joyina iqembu lokusekela
- Finyelela ekuqondeni kwakho ngaphezulu abangani nomndeni
- Fundisa abangani bakho nomndeni ukuthi bangakusiza kanjani
- Cabanga ngokubona umeluleki
- Cabanga ngezindlela zomzimba zengqondo ezifana ne-yoga noma i- acupuncture
Ukukhulelwa-Njengezibonakaliso
Amabele azwelayo, isicasuli, ukukhathala, ukuchoboza, ukukhanya okukhanyayo-ingabe lezi zibonakaliso umjikelezo uphumelele?
Nasi iqiniso: zonke lezi zimpawu zingenza futhi zenzeke ngisho noma ungakhulelwe. Empeleni, ngisho noma ungenayo izimpawu zokukhulelwa , ungakhulelwa. Akukwazi ngempela ukutshela.
Izimpawu zokukhulelwa zingaba nemiphumela emibi ye-progesterone supplementation, izidakamizwa zokuzala ezithathayo, ngisho nokucindezeleka. Ubani ongazizwa ehlushwe kabi futhi ecindezelekile ngesikhathi se-IVF? Zama okusemandleni akho ukuthi ungaboni kakhulu ukuthi uzizwa kanjani.
Ukuvivinya Ukukhulelwa Phakathi ne-IVF
Kungenzeka ukuthi ukhathazekile ukubheka induku ngokushesha ngangokunokwenzeka, kodwa izizathu ezintathu ezinhle zokungavivinyi kakhulu kusenesikhathi :
- I "Trigger Shot" ethathwe ngenkathi ukwelashwa kwe-IVF iqukethe i- hCG , i-hormone efanayo ehlola ukukhulelwa ekhaya. Uma uvivinya kakhulu kusenesikhathi, uzobe uqoqa ama-hormone ajojelwe.
- Izimpikiswano zokuthola ukuhlolwa okukhulelwe ngaphambi kwezinsuku eziyisithupha ukudluliselwa kombungu, uma unemibungu emihla emithathu idluliselwe (noma izinsuku ezine kudlule ukudluliselwa, uma unemibungu emihlanu idluliselwe) incane kakhulu.
- Ukuhlolwa okungaqondile kokukhulelwa kuzobangela ukukhathazeka okungenasidingo .
Ngokuqinisekile ungathathi ukuhlolwa kokukhulelwa ngaphambi kwezinsuku ezingu-10 kudlule ukudubula kwakho kokugcina. Ngemuva kwalokho, ungaqala ukuhlola, kodwa ungcono ukulinda kuze kube usuku ngaphambi kokuhlolwa kwegazi okuhleliwe, ukuhlola kwegazi kwe-hCG (noma i-beta).
Amazinga we-hCG namawele
Ngenkathi amazinga e-hCG akho angase abe aphakeme kunokwejwayelekile uma ukhulelwa amawele, uhla olujwayelekile lwe-singleton lugqoke ngezigaba ezivamile zamawele. Ukuhlolwa kokuqala kokukhulelwa kungaba isibonakaliso sokuqala uzoba namawele, kodwa kungase kube yinto engapheli kahle kakhulu.
Futhi awukwazi ukucabanga ukuthi awuzange ucabange ukuphindaphinda uma izivivinyo zakho zakuqala zingalungile. Amazinga avamile we-hCG ahluka kancane. Indlela kuphela yokuqinisekisa ukuthi unamawele noma cha i-ultrasound.
Izwi elivela ku-Verywell
Kuyinto evamile ukuba ingqondo yakho ikhule nemibuzo phakathi ne-post-IVF isonto elilodwa elinde. Njengokwakho njalo, udokotela wakho ungumthombo owodwa wemibuzo yezokwelapha kanye nokukhathazeka onakho, ngoba anganikeza impendulo eqondene nesimo sakho nomlando wezokwelapha.
> Imithombo:
> Boivin J, Griffiths E, Venetis CA. "Ukucindezeleka ngokomzwelo kwabesifazane abangenalutho nokuhluleka ukusiza ubuchwepheshe bokuzala: ukuhlaziywa kwe-meta-analysis of prospective psychosocial studies (BMJ 2011, Feb 23; 342: d223.): 10.1136 / bmj.d223.
> Gaikwad S, Garrido N, Cobo A, i-Pellicer A, i-Remohi J. Bed iphumula ngemuva kokuthi ukudluliswa kombungu kuthinte kabi ekukhulisweni komzimba: ukuhlolwa komtholampilo okulawulwe ngokungahleliwe. I-Fertil Steril. 2013 Jun 8. pii: S0015-0282 (13) 00609-2. i-doi: 10.1016 / j.fertnstert.2013.05.011. [I-Epub ngaphambi kokuphrinta]
> I-Jabara S, i-Barnhart K, i-Schertz JC, i-Patrizio P. Luteal isigaba sokuphuma kwegazi ngemva kwemigqa ye-IVF: ukuqhathanisa phakathi kwe-gel progesterone yesiginja kanye ne-progesterone ye-intramuscular kanye nokuhlanganiswa nemiphumela yokukhulelwa. I-Exp Exp Assist Assist Reprod. 2009 Okthoba 20; 6: 6.
> Pasch LA, Gregorich SE, Katz PK, Millstein SG, Nachtigall RD, uBleil ME, Adler NE. Ukucindezeleka kwengqondo kanye nomphumela we-in vitro fertilization. I-Fertil Steril. 2012 Aug; 98 (2): 459-64. doi: 10.1016 / j.fertnstert.2012.05.023. Epub 2012 Jun 13.
> Tremellen KP, Valbuena D, Landeras J, Ballesteros A, Martinez J, Mendoza S, Norman RJ, Robertson SA, Simón C. Umphumela wokulala ngocansi ngesikhathi sokukhulelwa komuntu. Uhlehlisiwe. 2000 Dec; 15 (12): 2653-8.