Okuqukethwe
Kuyini ukuvuselelwa kwe-ovarian?
Kunikeza imvelo isandla sokusiza lapho umntwana sephuzile ukufika, futhi kungenxa yokungajwayelekile kokuphuma kweqanda. “Owesifazane ongakhiqizi iqanda noma angajiki ama-ovulation njalo ezinsukwini ezi-4 cishe akanalo ithuba lokukhulelwa – alikho ngaphezu kuka-5-20% ngonyaka. Ngakho ngokuvuselela ama-ovari akhe, simnika amathuba okukhulelwa afanayo nalawo asemvelweni, okungukuthi ama-25 kuya ku-35% ngomjikelezo ngamunye kowesifazane ongaphansi kweminyaka engu-XNUMX ubudala, ”kuchaza uDkt Véronique Bied Damon, udokotela wezifo zabesifazane ochwepheshe bezokwelapha zokuzala. .
I-ovarian stimulation isebenza kanjani?
“Kunezinhlobo ezimbili zokukhuthazwa,” uyachaza. Okokuqala, lowo umgomo wakhe ukukhiqiza kabusha i-physiology: owesifazane ukhuthazwa ukuba athole i-follicle eyodwa noma amabili avuthiwe (noma i-ova), kodwa engasekho. Lokhu kuyindaba yokuvuselela okulula ngenhloso yokulungisa ukuphazamiseka kwe-ovulation, ama-ovari e-polycystic, ukungasebenzi kahle kwe-ovarian, i-anomaly yomjikelezo; noma ukulungiselela owesifazane ukuthi afakwe amadlozi. »Ama-ovari ayakhuthazwa ngokusesilinganisweni ukuze agweme ingozi yokukhulelwa izikhathi eziningi.
"Icala lesibili: ukuvuselela kumongo we-IVF. Lapho, umgomo uwukubuyisela inani eliphezulu lama-oocyte, 10 kuya ku-15, ngesikhathi esisodwa. Lokhu kubizwa nge-controlled ovarian hyperstimulation. Ama-ovari avuselelwa ngethamo eliphindwe kabili uma kuqhathaniswa nokuvuselela okukodwa. ” Kungani ? “Isibalo se-IVF esibuyiselwe yiSocial Security simane, futhi singakwazi ukuqanda imibungu. Ngakho-ke kuyo yonke imizamo ye-IVF, sifuna amaqanda amaningi. Sizoba nesilinganiso sika-10 kuye ku-12. Uhhafu uzonikeza imibungu, ngakho-ke cishe 6. Sidlulisa 1 noma 2, simise ezinye ukuze sidluliselwe okulandelayo ezingabali njengemizamo ye-IVF. “
Yiziphi izidakamizwa ukuqala ukuvuselela? Amaphilisi noma imijovo?
Futhi, kuya ngokuthi. “Okokuqala kunamaphilisi: clomiphene citrate (Clomid). Lesi sikhuthazo sinobubi bokungacacisi kahle, sicishe sifane ne-2 CV uma siqhathanisa nemoto yesimanje; kodwa amaphilisi ayasebenza, yilokho umuntu azokunikeza ngenhloso yokuqala kunalokho kwabesifazane abasha, futhi uma kwenzeka ama-ovari e-polycystic ", kuchaza uDkt Bied Damon.
Icala lesibili: ama-punctures angaphansi. “Abesifazane bajova umkhiqizo nsuku zonke, kunalokho kusihlwa, isikhathi esisukela osukwini lwesi-3 noma lwesi-4 lomjikelezo kuze kube yisikhathi lapho kuqala ukuvuthwa kweqanda, okusho ukuthi ngo-11. noma usuku lwe-12, kodwa lesi sikhathi sincike ekuphenduleni kwehomoni ngayinye. Ngakho, izinsuku eziyishumi ngenyanga, cishe izinyanga eziyisithupha, owesifazane ujova i-recombinant FSH (yokwenziwa, njengePuregon noma iGonal-F); noma i-HMG (i-gonadotropin ye-menopausal yabantu, njenge-Menopur). Ngokwerekhodi, lokhu kuwumchamo ohlanzeke kakhulu kwabesifazane be-postmenopausal, ngoba lapho i-postmenopausal, i-FSH eyengeziwe, into evuselela ama-ovari, ikhiqizwa.
Ingabe ikhona imiphumela engemihle ekugqugquzelweni kwe-ovarian?
Ngokunokwenzeka yebo, njengakunoma yimuphi umuthi. "Ingozi i-ovarian hyperstimulation syndrome", ngenhlanhla ayivelanga kakhulu futhi ibukwe kakhulu. “Ku-1% wezigameko ezimbi kakhulu, lokhu kungase kudinge ukulaliswa esibhedlela ngoba kungase kube nengozi yokungenwa yi-thrombosis noma i-pulmonary embolism.
Ukuvuselela i-ovarian kufanele kwenziwe eminyakeni emingaki?
Kuya ngeminyaka kanye nesimo esithile sesiguli ngasinye. “Owesifazane oneminyaka engaphansi kuka-35 ojikelezayo angalinda kancane. Incazelo esemthethweni yokungabi nabantwana iminyaka emibili yocansi olungavikelekile kumbhangqwana ngaphandle kokukhulelwa! Kodwa kowesifazane osemusha onesikhathi sakhe kabili ngonyaka kuphela, asikho isidingo sokulinda: kufanele ubonisane.
Kanjalo nakowesifazane oneminyaka engu-38, ngeke simoshe isikhathi esiningi. Sizothi kuye: "Wenze imijikelezo ye-3 yokuvuselela, ayisebenzi: ungase uye ku-IVF". Kungokwesisekelo secala ngalinye. “
“I-insemination yesi-4 iyona efanele. “
“Ngaphendukela ekukhuthazeni i-ovarian ngoba nganginama-ovari e-polycystic, ngakho-ke akukho mijikelezo evamile. Saqala ukuvuselela, ngemijovo ye-Gonal-F engazinika yona, cishe unyaka odlule.
Yahlala izinyanga eziyishumi, kodwa ngamakhefu, ngakho-ke ingqikithi yemijikelezo eyisithupha yokuvuselela kanye nokufaka ama-inseminations amane. Eye-4 iyona elungile futhi nginezinyanga ezine nesigamu ngikhulelwe. Ngokuphathelene nokwelashwa, angizange ngizwe noma yimiphi imiphumela, futhi ngabekezela ukujova. Okuwukuphela kwesithiyo engangikwenza kwakuwukuzenza ngitholakalele ukuhlolwa kwe-estradiol njalo ezinsukwini ezimbili noma ezintathu, kodwa kwakulawuleka. “
Elodie, 31, unezinyanga ezine nengxenye ekhulelwe.