Buyekeza mayelana nokukhuthazwa kwe-ovarian

Kuyini ukuvuselelwa kwe-ovarian?

Emjikelezweni wokuya esikhathini ojwayelekile, i-ovary ikhiqiza i-follicle. Ngesikhathi se-ovulation, lo uxosha i-oocyte, ezoba, noma cha, ivundiswe yisidoda.

Ukuvuselela i-Ovarian: kubani?

I-ovarian stimulation ingeyabo bonke abesifazane abahluleka ukukhulelwa ngenxa i-ovulation engavamile noma engekho. Le nqubo iyisinyathelo sokuqala ngaphambi kokwelashwa okunzima kakhulu, njengokufakwa kwe-in vitro fertilization (IVF) nokufaka izithombo.

Indlela ukuvuselela i-ovarian kusebenza ngayo

Okokuqala, kufanele uhlole ibhethri elide futhi elinomkhawulo, kodwa kubalulekile uma ufuna wandise amathuba akho okukhulelwa. Ngemva kokuxoxisana okuphelele nokuhlolwa ngokomzimba, udokotela uzokucela ukuthi uthathe izinga lokushisa njalo ekuseni izinyanga ezimbili noma ezintathu ukuze uthole usuku lwakho olunqunyiwe.nge-ovulation. Khona-ke uzobhala ukuhlolwa kwegazi ukukala amahomoni ahlukene (FSH, LH ne-estradiol), kanye ne-ultrasound ye-pelvic ehhovisi elikhethekile. Uma ungenayo i-ovulating, uzodinga ukuthatha duphaston ukuqala isikhathi sakho. Kungemva kwalesi sinyathelo kuphela lapho ungaqala khona ukwelashwa.

Ukuvuselela ama-ovarian: yiziphi izindlela zokwelapha?

Izinhlobo ezintathu zokwelapha zingenzeka a ukuvuselelwa kwe-ovarian :

• izinzuzo izidakamizwa (I-Clomiphene citrate, eyaziwa ngokuthi I-Clomid), ngomlomo. Banesenzo se-anti-estrogenic. Inzuzo: angamaphilisi okufanele aphuzwe nsuku zonke izinsuku eziyi-7 ngomjikelezo ngamunye. Bazokhuthaza a Ukukhiqizwa kwe-FSH, i-hormone ebhekele ukukhula kwama-follicles, ngaleyo ndlela ibangele ukugqugquzela kwe-ovary.
• izinzuzo imijovo ye-hormone. Amanye amaqembu ezokwelapha akhetha phatha i-hormone ye-FSH ngokuqondile. I-Gonadotropins (FSH), emalungiselelweni omjovo, yenza ngokuqondile ekukhiqizeni ama-follicle ku-ovary. Alawulwa ngu uyakhala (i-intramuscular, intradermal noma i-subcutaneous).
• Akwaziwa kancane, Iphampu ye-LRH iletha i-hormone abanye besifazane abangenayo (i-gonadorelin) yokuvumela ukuvuthwa. Kufanele bagqoke le futha baze bakhulelwe. Kunoma ikuphi, ungase udinge ukuzama izindlela zokwelapha ezimbalwa ngaphambi kokuba uthole okulungele wena. Ukubambelela Ngokuqinile !

Ukuvuselela i-ovarian nge-Clomid, i-gonadotropin… Imiphi imiphumela emibi?

With Iphampu ye-LRH, awukho umphumela omubi. Ngokuqondene nokwelashwa nge-Clomid, kubangela nemiphumela emibi embalwa, ngaphandle kokuphazamiseka kokubona ngezikhathi ezithile, ubuhlungu bekhanda, ukuphazamiseka kokugaya ukudla kanye nesicanucanu. Kwezinye izimo, lo muthi ungase ube nomthelela omubi ku- amafinyila omlomo wesibeletho, okudinga ukuhlobanisa ukwelashwa ne-estrogen.

Imijovo yeHormone, ngakolunye uhlangothi, kuvame ukuhambisana nemizwa yobunzima emilenzeni, isisindo esingaphansi kwesisu, ukuzuza okuncane kwesisindo noma ngisho nokuphazamiseka kokugaya ukudla.

Okubi kakhulu futhi ngenhlanhla okungavamile, i-syndromei-ovarian hyperstimulation kuhumushela ku-a ukuvuvukala kwama-ovari, ukutholakala koketshezi emgodini wesisu kanye nengozi ye-phlebitis. Lesi simo senzeka laphoama-follicle amaningi kakhulu asekhulile. Kodwa umphumela onzima kakhulu ungokwengqondo. Ingcindezi, ukukhathala… kubalulekile ukuthi uzizwe uzolile ngesikhathi salokhu kwelashwa.

Ukuqapha ukugqugquzelwa kwe-ovarian

A ukuqapha okukabili, i-biological kanye ne-ultrasound, kubalulekile ngesikhathi sokuvuselela i-ovarian. I ama-ultrasounds vumela ama-follicles alinganiswe ngakho-ke ukukhula kwawo kufanele kulandelwe, futhi ukuhlolwa kwe-hormonal (ukuhlolwa kwegazi) kusetshenziselwa ukuqapha amazinga e-estradiol. Baphinde banikeze nesilinganiso sokuphuma kwamahomoni nama-follicles.

Inhloso yalokhu ukuqapha i-ovulation futhi ukulungisa ukwelashwa, ukuvimbela izingozi ukukhulelwa okuningi (ngokwandisa noma ukunciphisa ukuthathwa kwamahomoni), ukukhombisa usuku olufanele lokuya ocansini, noma ngokunokwenzeka kusuka iqala i-ovulation, ngokuvamile ngomjovo we-HCG olingisa i- Inani eliphakeme kakhulu lama-LH i-ovulation inducer.

Ukuvuselela ama-ovarian: yimaphi amathuba okuphumelela?

Ukusabela ekwelashweni kuyehluka kuye ngowesifazane. Konke kuncike kwimbangela yokungazali kwakho, iminyaka yakho, umlando wakho… Lapho ukwelashwa okufanele sekutholakele, kuba sengathi sesiphinde sasungula isixhumanisi sokuqala ochungechungeni. Kuyaphawuleka ukuthi ukukhulelwa ngokuvamile kwenzeka ezinyangeni ezine zokuqala.