Ohss

Sindromin haɓakar ƙwayar ƙwai (OHSS) shine amsawa mai yawa ga yawan hormones. Yakan faru ne ga mata masu shan magungunan hormone masu allura don ƙara haɓakar ƙwai a cikin ƙwayar ƙwai. Sindromin haɓakar ƙwayar ƙwai (OHSS) yana sa ƙwayar ƙwai ta kumbura kuma ta yi zafi.

Sindromin haɓakar ƙwayar ƙwai (OHSS) na iya faruwa ga mata masu yin takardar haihuwa ta waje (IVF) ko haɓakar ƙwai tare da magungunan allura. Ba sau da yawa ba, OHSS yana faruwa yayin maganin haihuwa ta amfani da magunguna da kuke sha ta baki, kamar clomiphene.

Maganin ya dogara da tsananin yanayin. OHSS na iya inganta da kansa a cikin yanayi masu sauƙi, yayin da yanayi masu tsanani na iya buƙatar asibiti da ƙarin magani.

Alamomin cutar ovarian hyperstimulation syndrome (OHSS) sau da yawa sukan fara bayyana a mako guda bayan amfani da magungunan allura don ƙara haɓakar ƙwai, kodayake wani lokacin yana iya ɗaukar makonni biyu ko fiye kafin alamomin su bayyana. Alamomin na iya bambanta daga ƙaranci zuwa tsanani kuma na iya ƙaruwa ko raguwa a hankali.

Idan kina yin maganin haihuwa kuma kina da alamun cutar ovarian hyperstimulation syndrome, gaya wa likitan ki. Ko da kuwa kana da matsala mai sauƙi na OHSS, likitan zai so ya kula da ke don ƙaruwar nauyi ko kuma ƙaruwar alamun cutar.Tuntubi likitan ki nan da nan idan kin sami matsala a numfashi ko kuma ciwo a kafafunki yayin maganin haihuwa. Wannan na iya nuna gaggawa da ke buƙatar kulawar likita nan da nan.

Ba a fahimci dalilin kamuwa da cutar ovarian hyperstimulation syndrome ba sosai. Samun matukar yawan sinadarin human chorionic gonadotropin (HCG) - sinadari wanda yawanci jikin mace ke samarwa lokacin daukar ciki - yana taka rawa. Jijiyoyin jini na kwayar halittar mace suna daukar sinadarin human chorionic gonadotropin (HCG) ba daidai ba kuma suka fara zub da ruwa. Wannan ruwan yana kumbura kwayar halittar mace, kuma wasu lokutan yawan sa yana shiga cikin ciki.

Lokacin maganin haihuwa, ana iya bada HCG a matsayin "mai kunnawa" don kwayar halittar da ta balaga za ta saki kwai. Cutar OHSS tana faruwa a mako guda bayan an baka allurar HCG. Idan kin dauka ciki a lokacin magani, cutar OHSS na iya kara muni yayin da jikinki ya fara samar da nasa HCG a matsayin amsa ga daukar ciki.

Magungunan haihuwa da ake allura suna da yiwuwar haifar da cutar OHSS fiye da maganin clomiphene, magani da ake sha ta baki. Wasu lokutan cutar OHSS tana faruwa ba tare da wata alaka da maganin haihuwa ba.

Wasu lokutan, OHSS na faruwa ga mata marasa wata alamar haɗari. Amma abubuwan da aka sani suna ƙara haɗarin kamuwa da OHSS sun haɗa da:

• Ciwon ƙwayar ƙwai mai yawa (Polycystic ovary syndrome) — wata cuta ce ta yau da kullun da ke haifar da rashin yin al'ada, ƙaruwar gashi da kuma bayyanar ƙwayar ƙwai a gwajin allon sauti
• Yawan ƙwayoyin ƙwai
• Shekaru kasa da 35
• Ƙarancin nauyin jiki
• Matsayi mai yawa ko ƙaruwa sosai na estradiol (estrogen) kafin allurar HCG
• Abubuwan da suka gabata na OHSS

Sindarmar ƙwayar ƙwai mai tsanani ba abu ne na yau da kullum ba, amma na iya zama mai haɗari ga rai. Matsalolin da za su iya tasowa sun haɗa da:

• Tarin ruwa a cikin ciki da kuma wasu lokutan a kirji
• Matsalolin sinadarai (sodium, potassium, da sauran su)
• Jinin clots a cikin manyan jijiyoyi, yawanci a cikin ƙafafu
• Rashin aikin koda
• Juyawa na ƙwayar ƙwai (juyawa na ƙwayar ƙwai)
• Fashewar ƙwayar ƙwai, wanda zai iya haifar da zub da jini mai tsanani
• Matsalolin numfashi
• Asarar ciki daga zubewar ciki ko dakatarwa saboda matsaloli
• A wasu lokuta, mutuwa

Domin don rage damar kamuwa da cutar ovarian hyperstimulation syndrome, za ku buƙaci tsari na musamman na magungunan ku na haihuwa. Kuna iya tsammanin likitan ku zai kula da kowane zagayen magani a hankali, gami da yin amfani da na'urar duban dan tayi sau da yawa don bin diddigin ci gaban ƙwayoyin al'aura da gwajin jini don bin diddigin matakan hormone ɗinku.

Hanyoyin da za su taimaka wajen hana OHSS sun haɗa da:

• Gyara magani. Likitanka yana amfani da mafi ƙarancin adadin gonadotropins don ƙarfafa ƙwayoyin al'aurarku da haifar da ovulation.
• Ƙara magani. Wasu magunguna suna taimakawa rage haɗarin OHSS ba tare da shafar damar daukar ciki ba. Waɗannan sun haɗa da ƙarancin adadin aspirin; masu haɓaka dopamine kamar carbergoline ko quinogloide; da kuma allurar calcium. Ba wa mata masu cutar polycystic ovary syndrome maganin metformin (Glumetza) yayin ƙarfafa ƙwayoyin al'aura na iya taimakawa wajen hana hyperstimulation.
• Coasting. Idan matakin estrogen ɗinku ya yi yawa ko kuma kuna da yawan ƙwayoyin al'aura da suka girma, likitan ku na iya dakatar da ku daga shan magungunan allura kuma ku jira kwanaki kaɗan kafin a ba ku HCG, wanda ke haifar da ovulation. Wannan ana kiransa coasting.
• Guje wa amfani da allurar HCG trigger. Domin OHSS sau da yawa yana bayyana bayan an ba da allurar HCG trigger, an ƙirƙiri madadin HCG don haifar da amfani da gonadotropin-releasing hormone (Gn-RH) agonists, kamar leuprolide (Lupron), azaman hanya don hana ko rage OHSS.
• Daskare ƙwayoyin halitta. Idan kuna yin in vitro fertilization (IVF), duk ƙwayoyin al'aura (masu girma da marasa girma) za a iya cire su daga ƙwayoyin al'aurarku don rage damar kamuwa da OHSS. An haɗa ƙwayoyin al'aura masu girma kuma an daskare su, kuma an bar ƙwayoyin al'aurarku su huta. Za ku iya ci gaba da aikin IVF a wani lokaci, lokacin da jikinku ya shirya.

Ganewar cutar Ovarian hyperstimulation syndrome (OHSS) na iya zama bisa ga:

• Jarrabawar jiki. Likitanka zai duba duk wani karuwar nauyi, karuwar girman kugu da kuma ciwon ciki da kake da shi.
• Hoton Ultrasound. Idan kana da cutar Ovarian hyperstimulation syndrome (OHSS), hoton Ultrasound na iya nuna cewa ƙwayar kwai naka sun fi girma, tare da manyan cysts masu cike da ruwa inda follicles suka bunƙasa. A lokacin magani tare da magungunan haihuwa, likitanka yana tantance ƙwayar kwai naka akai-akai tare da hoton Ultrasound na farji.
• Gwajin jini. Wasu gwaje-gwajen jini suna ba likitanka damar bincika rashin daidaito a cikin jininka da ko aikin koda naka yana lalacewa saboda OHSS.

Ciwon ƙwayar ƙwai mai yawan haɓaka yawanci kan warke da kansa a cikin mako ɗaya ko biyu ko kuma ya ɗauki ɗan lokaci kaɗan idan kuna da ciki. Maganin yana nufin kiyaye ku cikin kwanciyar hankali, rage aikin ƙwayar ƙwai da guje wa matsaloli.

Ciwon OHSS mai sauƙi yawanci kan warke da kansa. Maganin matsakaicin OHSS na iya haɗawa da:

Idan kuna da OHSS mai tsanani, kuna iya buƙatar shiga asibiti don kulawa da magani mai ƙarfi, gami da ruwan IV. Mai ba ku shawara na iya ba ku magani mai suna cabergoline don rage alamun ku. A wasu lokuta, mai ba ku shawara na iya ba ku wasu magunguna, kamar antagonist na gonadotropin-releasing hormone (Gn-RH) ko letrozole (Femara) - don taimakawa wajen rage aikin ƙwayar ƙwai.

Matsalolin da suka fi tsanani na iya buƙatar ƙarin magani, kamar tiyata don ƙwayar ƙwai mai fashewa ko kulawa mai ƙarfi don matsaloli na hanta ko huhu. Kuna iya buƙatar magungunan anticoagulant don rage haɗarin clots na jini a cikin ƙafafunku.

• Karuwar shan ruwa
• Binciken jiki akai-akai da kuma gwajin ultrasound
• Auna nauyi a kullum da kuma auna kugu don bincika canje-canje masu tsanani
• Auna yawan fitsarin da kuke yi kowace rana
• Gwaje-gwajen jini don bincika rashin ruwa, rashin daidaito na electrolyte da sauran matsaloli
• Cire ruwan da ya wuce kima a cikin ciki ta amfani da allura da aka saka a cikin yankin ciki
• Magunguna don hana clots na jini (anticoagulants)

Idan ka kamu da ciwon ƙwayar ƙwai mai sauƙi, za ka iya ci gaba da ayyukanka na yau da kullum. Bi shawarar likitankana, wanda zai iya haɗawa da waɗannan shawarwari:

• Gwada maganin ciwo mai sauƙi kamar acetaminophen (Tylenol, da sauransu) don rashin jin daɗin ciki, amma ka guji ibuprofen (Advil, Motrin IB, da sauransu) ko naproxen sodium (Aleve, da sauransu) idan ka kwanan nan ka yi canja wurin tayi, saboda waɗannan magunguna na iya hana shigar tayin.
• Guji jima'i, saboda yana iya zama mai ciwo kuma yana iya haifar da fashewar ƙwayar ƙwai.
• Kiyaye matakin motsa jiki mai sauƙi, guje wa ayyuka masu wahala ko masu tasiri.
• Auna kanka akan ma'auni ɗaya kuma auna kewaye da cikinka kowace rana, ka ba likitankana rahoton ƙaruwa mara kyau.
• Kira likitankana idan alamunka da matsalolin sun yi muni.