He aha te Mate Hyper-whakaohooho Ōwari (OHSS)? Ngā Tōmhā, Ngā Take, me te Maimoatanga

Ko te mate hyper-whakaohooho ōwari (OHSS) tētahi āhuatanga hauora e pupū ana, e mamae ana ō ōwari nā ngā rongoā whakawhanau. Ka puta mai tēnei ina whakaohooho rawa ngā rongoā whakawhanau i ō ōwari kia tō te maha o ngā hua i te wā kotahi, ā, ka arahi ki te whakakī wai i roto i tō kopu me tō uma. Ahakoa e rangona ana he āwangawanga, ko te nuinga o ngā take he ngawari, ka ora ake i a rātou anō me te tiaki tika me te aroturuki.

He aha te Mate Hyper-whakaohooho Ōwari?

Ka puta te OHSS ina whakaohooho rawa ngā rongoā whakawhanau i ō ōwari, ka pupū nui atu i tō rātou rāhi noa. Ka tino kaha te whakautu a ō ōwari ki ngā maimoatanga horomona, ina koa ētahi e wātea ana i te human chorionic gonadotropin (hCG) rānei, gonadotropins rānei. Ka arahi tēnei whakautu nui ki te tukunga o ngā mea e whakakī ana i ngā oko toto ki te wai ki ngā kōpū tata.

Ko te āhuatanga te nuinga e pā ana ki ngā wāhine e mahi ana i te whakawhānui in vitro (IVF) rānei, ētahi atu maimoatanga whakawhanau tautoko rānei. Ka haere tō tinana ki te mahi nui, ka whakaputa i ngā follicle maha me ngā hua i te wā kotahi. Ka taea e tēnei tukanga te whakaohooho i ngā tohu kore-ātaahua mai i te pupū ngawari ki ngā raruraru nui ake e hiahia ana ki te tiaki hauora.

Ko te nuinga o ngā wāhine e whanake ana i te OHSS e pā ana ki ngā tohu ngawari e pai ake ana i roto i te wiki kotahi, rua rānei. Heoi, ko te mārama ki te āhuatanga e āwhina ana i a koe ki te mohio ki te wā hei rapu i te tiaki hauora me te aha e tatari ana i te wā o te maimoatanga.

He aha ngā tohu o te Mate Hyper-whakaohooho Ōwari?

Ka taea e ngā tohu OHSS te whāiti mai i te kore-ātaahua ki ngā raruraru nui ake e hiahia ana ki te tiaki hauora tonu. Ko te kaha te nuinga e whakawhirinaki ana ki te whakautu o tō tinana ki ngā rongoā whakawhanau me te mea kua hapu koe i te wā o te maimoatanga.

Ko ngā tohu ngawari te nuinga e wātea ana:

• Ngongo o te puku me te mamae ngawari
• Te ahua o te makariri, te pehanga ranei i roto i tou upoko
• Te ruaki ngawari, te ngaro ranei o te hiahia kai
• Te piki o te taumaha e 2-5 pauna na te pupuri wai
• Te ngawari o nga u, rite tonu ki nga tohu o mua i te wa

Ka taea te whanake o nga tohu o te taumata waenga ki te kino, a, ka uru atu ki enei:

• Te piki tere o te taumaha neke atu i te 10 pauna i roto i nga ra 3-5
• Te mamae o te puku nui me te pupuhi nui
• Te ruaki tonu me te ruaki
• Te iti haere o te mimi ahakoa te inu wai noa
• Te poto o te manawa, te uaua ranei ki te manawa
• Te wiri, te maarama ranei o te mahunga ina tu
• Te matewai nui ahakoa te inu wai

I etahi wa onge, ka taea e te OHSS nui te whakaeke i nga raruraru kino e raru ai te ora. Ko enei tohu whakatupato e hiahia ana ki te tiaki mate tere, a, kei roto i enei te uaua ki te manawa, te mamae o te uma, te pupuhi nui o te puku, me te iti ranei te mimi. Ki te pa atu koe ki tetahi o enei tohu, waea atu ki to kaiwhakarato hauora tonu, ki te rapu ranei i te awhina hauora tere.

He aha nga momo Syndrome Whakaohooho Ovarian?

Ka wehea te OHSS ki nga momo rereke i runga i te wa e puta mai ai nga tohu me to raatau taumata kino. Ko te OHSS timatanga-wawe e whanake ana i roto i nga ra 9 i muri i to pana hCG, i te wa e puta mai ana te OHSS mutunga-wawe i muri i nga ra 10, neke atu ranei i muri i te pana.

Ko te OHSS timatanga-wawe e puta mai ana i nga rongoa huaora, a, he iti ake te kino. Ko o tohu e puea ana i roto i nga ra torutoru, ka pai haere te ahua i te wa e wehe atu ana nga rongoa i to tinana. Heoi, heoi, he maama ake te whakahaere me te tiaki tautoko.

Ka puta te OHSS mutunga-wawe ina taunekeneke nga homoni hapu me nga hua morearea mai i nga maimoatanga huaora. Ki te hapu koe i roto i to huringa IVF, ka taea e te whakaputa hCG taiao o to tinana te kino ake, te roa ranei i nga tohu OHSS. Ko tenei momo e tino kino ana, e roa ana te roa, a, i etahi wa ka hiahia ki te whakahaere hauora nui ake.

Ka wehewehea hoki e ngā kaiwhakarato hauora te OHSS kia rite ki tōna kino: ngā mate ngawari, ngā mate tūturu, me ngā mate kino. Ka iti rawa te kore ngāwari o ngā mate ngawari, ā, ka tere te ora. Ko ngā mate tūturu e pā ana ki ngā tohu kitea ake, engari kāore e hiahiatia te whakauru ki te hōhipera. Ka taea e ngā mate kino te arahi ki ngā raruraru kino, ā, me āwhina tonu rātou, me te tiaki hōhipera pea.

He aha te take o te mate Ovarian Hyperstimulation Syndrome?

Ko te OHSS te take matua o ngā rongoā hua e whakaohooho ana i ō ovaries kia whakaputa i ngā hua maha i ngā maimoatanga hua whakawhānau. Ko te mea nui ko te human chorionic gonadotropin (hCG), e whakaohooho ana i te whānuitanga o te hua i mua i te tango, i te whānau rānei.

He maha ngā take e āwhina ana ki te whanake i te OHSS:

• Ngā rongoā gonadotropin nui i te wā e whakaohooho ana i ngā ovaries
• Ngā whakawhāinga hCG hei whakawhānuitia i ngā hua i mua i te tango
• Te pakeke taitamariki, i raro iho i te 35 tau te pakeke
• Te mate polycystic ovary syndrome (PCOS) te rānei ngā huringa marama kore-tika
• Te hītori o mua o te OHSS i ngā maimoatanga hua
• Ngā taumata estrogen teitei i ngā huringa whakaohooho
• Te maha o ngā follicle e whanake ana i te wā e maimoatia ana

Ka taea e te hapu te whakaiti i ngā tohu OHSS, te roa rānei, nā te mea ka whakaputa taiaotia e tō tinana te hCG i te wā o te hapu. Ka taea e tēnei whakawhānuitanga o te homoni te whakapakari i te whakautu ovarian, ā, ka arahi ki ngā tohu kino ake e roa atu i ngā take noa.

I ētahi wā, ka puta noa te OHSS i te wā o te hapu, kāore hoki i ngā maimoatanga hua. Ka puta tēnei ina whakaputa tō tinana i ngā taumata teitei o ngā homoni hapu, ina koa i ngā take o ngā hapu maha, i ētahi raruraru hapu rānei. Engari, ko te nuinga o ngā take OHSS e pā ana ki te maimoatanga.

Nōhea te toro atu ki te taote mō te Ovarian Hyperstimulation Syndrome?

Mēnā ka pāngia koe e tetahi o ngā tohu o te OHSS i muri i ngā maimoatanga whakahihiri, me whakapiri atu koe ki tō rūma whakahihiri, ki tō kaiwhakarato hauora rānei. Ahakoa ngā tohu ngawari, he mea tika te waea hei kōrero mō tō āhuatanga me te whakatau mena ka hiahiatia e koe te haerenga ki te tari, te tirotiro atu rānei.

Rapua te awhina hauora tūturu mena ka whanakehia e koe ngā tohu tūpato ki te kino. Kei roto i ēnei ngā pikinga taimaha tere neke atu i te 10 pauna i roto i ngā rā torutoru, te mamae o te kopu nui, te ruaki tonu, te iti rānei o te mimi. Me aromatawai wawetia e tō rōpū hauora ēnei tohu hei aukati i ngā raruraru.

He mea tika te tiaki mate tere mena ka uaua te manawa, te mamae o te uma, te wiri nui, te iti rānei o te mimi mo ngā haora maha. Ka taea e ēnei tohu te tohu i ngā raruraru kino penei i ngā toto kōtiti, ngā raruraru whatukuhu, te wai rānei i roto i ō ngā pūkahukahu. Kaua e whakaroa ki te karanga i te 911, ki te haere rānei ki te rūma mate tere mena kei te manukanuka koe mō ō tohu.

He mea nui ngā whakatau tirotiro noa ki tō rūma whakahihiri i te wā me muri i ngā huringa maimoatanga. Ka aroturukihia e tō rōpū hauora ō taumata homoni, ka ine te rahi o te ovaries mā ngā ultrasound, ka aromatawai hoki i tō āhuatanga whānui. Ka āwhina tēnei huarahi whakahaere ki te hopu i te OHSS i te tīmatanga me te whakarereke i tō mahere maimoatanga mena ka hiahiatia.

He aha ngā take morearea mō te Ovarian Hyperstimulation Syndrome?

He maha ngā take ka piki ake tō tūponotanga ki te whanake i te OHSS i te wā o ngā maimoatanga whakahihiri. Ka āwhina te mārama ki ēnei take morearea i tō rōpū hauora ki te whakarereke i tō tikanga maimoatanga me te tirotiro atu i a koe mō ngā tohu o te āhuatanga i te tīmatanga.

He tino mahi te tau, me ngā wāhine kei raro i te 35 te tūponotanga nui atu. Ka whakautu ngā ovaries taitamariki ki ngā rongoā whakahihiri, ka whakaputa i ngā hua me ngā taumata homoni teitei. Ka whakamahi te nuinga o tō rūma whakahihiri i ngā rongoā iti ake mena kei roto koe i tēnei rōpū tau.

Ko ngā āhuatanga hauora e pā ana ki tō morearea ko:

• Te mate o te ovary polycystic (PCOS) rānei te koretake o te ovulation
• Te hītori o mua o te OHSS i te wā o ngā maimoatanga huaora
• Ngā taumata taketake teitei o te hormone anti-Müllerian (AMH)
• Te taumaha tinana iti rānei te taumaha tinana i raro i te 25
• Te hītori o ngā mate pāwera rānei ngā ngoikoretanga

Ka taea hoki e ngā take e pā ana ki te maimoatanga te whakapiki ake i tō tūponotanga. Ko ngā taumata estrogen teitei i te wā o te whakaohooho, te whanaketanga o ngā follicle maha, te whakamahinga rānei o ngā rongoā huaora teitei katoa ka āhei ki te tūponotanga OHSS. Ka nui ake pea te tūponotanga o ngā whakawhiti embryo hou i ngā whakawhiti embryo kua oti te tio, nā te whakamahinga tonu o te hormone.

Ko te hapu i te wā o tō huringa maimoatanga ka nui ake te kaha me te roa o ngā tohu OHSS. Ka tūtohu pea tō rōpū hauora ki te tio i ngā embryo me te mahi i te whakawhiti i tetahi huringa muri mai ki te mea kei te nui tō tūponotanga mō te OHSS kino.

He aha ngā raruraru pea o te Ovarian Hyperstimulation Syndrome?

Ahakoa ko te nuinga o ngā keehi o te OHSS he ngawari, ka mutu kahore he pānga roa, ko te mārama ki ngā raruraru pea ka āhei ki a koe te mohio ki te wā hei rapu i te tiaki hauora tonu. He onge ngā raruraru kino, engari ka mate pea ki te kore e tukatuka wawe.

Ka puta mai ngā raruraru e pā ana ki te wai ina kohia te wai i ngā wāhi rerekē puta noa i tō tinana. Ka āhei tenei ki te matewai ahakoa te pupuri wai, ngā koretake o te electrolyte e pā ana ki te mahi o te ngakau me te whatukuhu, me ngā raruraru manawa ki te kohia te wai i te taha o ō ngā manawa. Me whakahaere hauora atawhai enei raruraru, ā, i etahi wā ka noho i te hohipera.

Ka taea te whanake i ngā raruraru e pā ana ki te toto nā te matewai me ngā huringa i roto i te matū toto:

• Ngā toto i roto i ngā waewae, ngā manawa, ngā kōpū nui rānei
• Te kore mahi o te whatukuhu nā te iti o te rere toto
• Ngā raruraru ate mai i te kohikohi wai me ngā huringa electrolyte
• Te iti o te toto e puta ai te māuiui me te ngaro o te ngakau
• Te nui ake o te tūponotanga o te pōkaikaha i roto i ngā keehi kino

Ka iti ake te tūponotanga o ngā raruraru o te ovaries, engari ka uru atu ki reira te kōwhiu o te ovaries, te whakawhānuitanga o ngā ovaries e piko ana ka mutu te whānuitanga o te toto. Me mahi te pokanga tere kia ora ai te ovary. He tino onge te pakaru o te ovary, engari ka taea te whākōkī i roto i te tinana e hiahia ana ki te pokanga tere.

Ka puta mai pea ngā raruraru e pā ana ki te hapu mēnā ka hapu koe i te wā o te huringa OHSS. Ka uru atu ki ēnei te piki o te tūponotanga o te ngaro o te hapu, te whānau wawe, te raruraru rānei o te hapu nō te ahotea o te homoni me te tinana o te OHSS. Heoi, he tokomaha ngā wāhine e pangia ana e te OHSS e hapu ana ki ngā tamariki ora me te tiaki hauora tika.

Me pēhea te aukati i te mate Ovarian Hyperstimulation Syndrome?

Ko te arotahi o te aukati i te OHSS ko te kite wawe i ō kaupapa morearea, me te whakarite i ngā tikanga whakaora hua kia rite ki ēnei. Ka taea e tō rōpū hauora te mahi i ētahi mahi hei whakaiti i ō tūponotanga ki te whanake i tēnei mate, ā, ka tutuki tonu ngā hua whakaora angitu.

Ko te whakarerekē i ngā rongoā te raina tuatahi o te aukati. Ka whakamahi pea tō tākuta i ngā rongoā iti o te gonadotropins, ka whakarerekē ki ētahi momo whakaohooho, ka whakamahi rānei i ngā rongoā e whakaiti ana i te tūponotanga o te OHSS. Kei etahi whare hauora e whakamahi ana i nga kaiwhakaohooho GnRH agonist hei utu mo te hCG mo nga turoro morearea teitei, e whakaiti ana i nga reiti OHSS.

Ko ēnei ngā whakarerekētanga whakaora ka tūtohu pea tō rōpū hauora:

• Te whakakī i ngā ira katoa me te whakaroa i te whakawhiti ki te huringa muri
• Te whakakore i te huringa mēnā he maha rawa ngā follicle e whānuitia ana
• Te whakamahi i ngā rongoā homoni iti i te wā o te whakaohooho
• Te arotake pinepine me ngā whakamātautau toto me ngā ultrasound
• Te whakarere (te mutu i ngā rongoā) i mua i te whakaohooho mēnā e hiahiatia ana

Ka taea hoki e ngā tikanga oranga te whakaiti i tō tūponotanga. Ko te noho makuku pai, te pupuri i te toenga o ngā electrolytes me ngā inu hākinakina, me te karo i te whakakino i te tinana i te wā e tukatuka ana, ka āwhina i tō tinana ki te whakahaere i te ahotea o ngā rongoā hua. E whakaatu ana etahi rangahau kei te āwhina etahi tāpiringa, engari kōrerohia ēnei ki tō rōpū hauora tuatahi.

He mea nui te whakawhitiwhiti kōrero tuwhera ki tō pokapū hua hei aukati. Whakamōhiotia tetahi tohu tonu, haere ki ngā whakaritenga aroturuki katoa, me te whai i ngā tohutohu rongoā tika. Kei te whakawhirinaki tō rōpū hauora ki ēnei korero hei whakarite i tō maimoatanga me te aukati i ngā raruraru.

Me pēhea te whakatau i te Syndrome Whakaohooho Ovarian?

Ko te whakatau i te OHSS te timatanga me ō tohu me tō hītori hauora, inā koa ō maimoatanga hua tata nei. Ka ui tō tākuta mo te wā i tīmata ai ngā tohu, tōnā kaha, me te āhua o te huringa mai i te tīmatanga o ngā rongoā hua.

Ko te tirotiro tinana te aro ki ngā tohu o te pupuri wai me te nui haere o te ovaries. Ka tirotirohia e tō kaiwhakarato hauora tō taumaha, te toto toto, me te rahi o te kopu. Ka tirotirohia e rātou mā te ngawari tō kopu mō te mamae, te pupū, me te kohikohi wai. Ka āwhina tēnei tirotiro ki te whakatau i te kaha o tō āhuatanga.

Ka whakarato ngā whakamātautau taiwhanga i ngā korero nui mō te whakautu a tō tinana ki te OHSS:

• Ngā whakamātautau toto hei tirotiro i ngā taumata electrolyte me te mahi whatukuhu
• Te tatau toto katoa hei aromatawai i te āhua o te makuku
• Ngā whakamātautau mahi ate mena he nui ngā tohu
• Te whakamātautau hapu hei whakatau mena kei te whakauru te hapu ki ngā tohu
• Ngā taumata homoni tae atu ki te estradiol me te hCG

Ka āwhina ngā rangahau whakaahua ki te kite i ō ovaries me te kite i te kohikohi wai. Ka whakaatu te ultrasound pelvic i te rahi o te ovaries, te maha o ngā follicle, me tetahi wai kore i roto i tō pelvis. Ki te pēhea koe i ngā raruraru manawa, ka tirotirohia e ngā X-rays uma, te CT scans rānei te wai i te taha o ō ngā pūkahukahu.

Ka whakarōpū tō rōpū hauora i tō OHSS hei ngā taumata ngawari, tūpato, rānei, nui, e whakamahia ana ngā kitenga nei. Ka ārahi tēnei whakarōpū i ngā whakatau ātete, ā, ka āwhina ki te kī he pehea te roa o ō tohu pea. Ka taea tonu te aro turuki tūturu kia ngaro rawa atu ō tohu.

He aha te rongoā mō te mate HyperStimulation Ovarian?

Ka āta whakahaeretia te rongoā OHSS i ngā tohu, ā, ka aukati i ngā raruraru i te wā e ora ana tō tinana i ngā pānga o ngā rongoā hua. Ka pai ake te nuinga o ngā keehi i roto i te 1-2 wiki me te tiaki tautoko, ahakoa ka roa ake te wā ora i te wā hapu.

Ko te OHSS ngawari e hiahia ana noa ki te whakahaere whare me te aro turuki tata. Ka hoatu e tō rōpū hauora ngā tohutohu motuhake mō te whakahaere tohu, ā, ka whakarite i ngā tirotiro tūturu kia pai haere koe. Ka taea e tēnei huarahi te ora marie i te kāinga me te hono tonu ki te tautoko hauora.

Ko ngā huarahi ātete mō ngā taumata kino rerekē ko:

• Ngā keehi ngawari: Tiaki kāinga me te aro turuki tohu me te whai ake tūturu
• Ngā keehi tūpato: Aro turuki hauora maha atu me ngā ātete tākuta pea
• Ngā keehi nui: Whare hauora mō te aro turuki nui me te whakahaere hauora

Ka hiahiatia te noho whare hauora mō te OHSS nui ina puta mai ngā raruraru, kāore rānei e kino haere ngā tohu. Ka taea e te tiaki whare hauora te aro turuki tonu, te whakahaere wai intravena, me te whakauru wawe mena ka puta mai ngā raruraru nui. Ko te nuinga o ngā noho whare hauora he 2-5 rā te roa, kei runga i tō whakautu ki te ātete.

Ka uru pea ngā whakauru hauora ki ngā wai intravena hei whakatika i te mate wai me ngā koretake o te waikawa, ngā rongoā hei whakahaere i te ruaki me te mamae, me ngā tukanga hei tango i te wai nui mena ka uaua te manawa. Ka taea te tuhi i ngā kaiwhakaraupapa toto hei aukati i ngā kōpū i ngā keehi nui.

Ka haere tonu te whakamātautau whakaora kia ngaro rawa ō tohu ā, kia hoki mai ngā ovaries ki te rāhi noa. Ko te tikanga, ka roa tēnei mahi i te 1-3 wiki mō te nuinga o ngā wāhine, ahakoa ka roa ake te wā whakaora i te whakamamae.

Me pēhea te whakahaere i te mate Ovarian Hyperstimulation Syndrome i te kāinga?

Ko te whakahaere i te kāinga o te OHSS ngawari e āta whai ana ki te noho mārama me te tautoko i te mahi whakaora taiao o tō tinana. Ka homai e tō rōpū hauora ngā aratohu motuhake e hāngai ana ki ō tohu me ngā take tūpono, na kia whai i ā rātou whakahau.

He mea nui te whakahaere wai, engari e hiahiatia ana te taurite. Inumia te wai maha, ina koa ngā inu e whai pāhare pākahiko ana penei i ngā inu hākinakina, kia mau te makuku tika. Heoi, kia kaua e inu wai nui rawa, ka taea te whakaiti i te kore taurite o te pāhare pākahiko. Whakaarohia te mimi mā hei tohu mo te makuku tika.

Ko ngā tūtohu kai e tautoko ana i tō whakaora:

• Kai iti, maha ngā kai hei whakahaere i te ruaki
• Kōwhiri kai ngawari, ngāwari ki te kai mena kei te pēhia koe
• Whakauruhia ngā kai whai pūmua hei tautoko i te whakaora
• Kaua e kai i ngā kai nui te tote ka taea te whakaiti i te pupuri wai
• Whakaarohia te tii karika, te mīti rānei hei whakaora i te ruaki

Ko ngā whakarerekētanga mahi e āwhina ana ki te aukati i ngā raruraru me te whakatairanga i te mārama. Okioki ina tīkitiki koe, engari ko te nekehanga ngawari penei i ngā hikoi poto ka āwhina ki te aukati i ngā toto. Kaua e mahi whakakino, e kawe taumaha rānei, e mahi rānei ka taea te whara i te kopu kia tukuna koe e tō tākuta.

He mea nui te whakamātautau tohu hei hopu i tetahi whakaiti o tō āhuatanga. Whakapaua koe i ia rā i te wā kotahi, whai i tō inu wai me tō mimi, ā, tuhia ngā whakarerekētanga i te mamae, te manawa rānei. Whakapā atu ki tō rōpū hauora tonu mena ka kino ake ngā tohu, ka puta mai rānei ngā tohu hou e awangawanga ana.

Ko te whakahaumanu i te mamae te tikanga ko te whakamahi i ngā rongoā kore-whakahaunga kua whakaaetia e tō rōpū hauora. Ka taea e ngā papa wera i ngā taumata iti te hoatu i te whakamarie mō te mamae iti o te kopu. Heoi, kia kaua e inu aspirini, kāore rānei i ngā rongoā ka pā ki te toto toto, kāore he whakaae a te taakuta.

Me pēhea te whakarite mō tō whakatau ki te taakuta?

Ko te whakarite mō ō whakatau hauora e pā ana ki te OHSS e āwhina ana kia whiwhi koe i te tiaki pai rawa atu, ā, kia whiwhi whakautu hoki ki ō pātai katoa. Ko te kawe mai i ngā korero kua whakaritea e āhei ai tō rōpū hauora te whakatau i ngā whakatau e pā ana ki tō maimoatanga.

Tuhia pai ō tohu i mua i tō whakatau. Kia mau ki te rārangi o ia rā, tae atu ki tō taumaha, te ine o te kopu, ngā taumata mamae, me ētahi atu tohu hou. Tēnā kia tuhia te wā e kino rawa ana ngā tohu, he aha te mea e pai ake ai, he aha te mea e kino ake ai, me pehea te pānga ki ō mahi o ia rā.

Whakamahia ngā korero nui hei whakamōhio:

• Rārangi katoa o ngā rongoā huaora me ngā rāpoi kua inu koe
• Te wa i tīmata ai ngā tohu me te āhua o te whakawhānui
• Tuhinga o ō taumaha o ia rā me te inu wai
• Ngā rongoā, rānei ngā taapiri e inu ana koe i tēnei wā
• Ngā pātai e pā ana ki tō mahere maimoatanga me ngā tumanakohanga ora

Kawe mai tētahi hei tautoko ki a koe, ina koa ki te kore koe e pai. Ka taea e rātou te āwhina i a koe ki te maumahara ki ngā korero nui, ki te ui ki ngā pātai ka wareware pea koe, ā, ki te whakawhiwhi tautoko ngākau i te wā o tō whakatau. He mea nui rawa te waka mai i tētahi ki te kawe i a koe, ina koa ki te pōuri, rānei te mamae.

Tuhituhia ō pātai nui rawa atu i mua, kia kaua e wareware i te wā o te whakatau. Ko ngā pātai noa ko te roa o te roa o ngā tohu, ngā tohu whakatūpato e hiahia ana ki te tiaki tonu, ngā ārai mahi, me te wā ka taea te whakahoki mai i ngā mahi noa, i ngā maimoatanga huaora rānei.

Whakamahia te kakahu ngawari, ngawari te kakahu e taea ai te whakamātautau tinana me te ultrasound mena e hiahiatia ana. Maua mai te rārangi o ngā wāhitau tūāwhiorangi me ō korero inihua hei whakapai ake i ngā maimoatanga me ngā whakamātautau e tika ana.

He aha te mea nui mō te mate HyperStimulation Ovarian?

Ko te OHSS he mate e taea te whakahaere e pā ana ki ētahi wāhine i te wā e maimoatia ana te momona, engari ko te nuinga o ngā keehi he ngawari, ka ora katoa me te tiaki tika. Ko te mārama ki ngā tohu me te wā hei rapu awhina ka whakamana i a koe ki te whakahaere i tō hauora i tēnei wā uaua.

Ko te mea nui rawa atu hei mahara ko te OHSS he mea tūāwhiorangi. Ahakoa kaore e pai ngā tohu, ka ora tō tinana i te wehe atu o ngā rongoā momona i tō pūnaha. Ko te nuinga o ngā wāhine ka pai ake te ora i roto i te 1-2 wiki, ā, kaore e tino pā te mate ki ngā raruraru hauora roa.

Kei te haere tonu te whakapai ake o ngā rautaki aukati i te whakapai ake o te rongoā momona. He maha ngā taputapu kei a tō rōpū hauora hei whakaiti i tō tūponotanga i te wā e āwhina ana koe ki te whakatutuki i ō whāinga hanga whānau. Ko te kōrero whakatuwhera e pā ana ki ō tohu me ō awangawanga ka taea e rātou te whakarato i te tiaki pai rawa atu.

Mena ka whanake koe i te OHSS, kia mahara kei te noho tahi koe i tēnei wheako. He maha ngā wāhine e angitu ana i tēnei mate, ka haere tonu ki te whānau tamariki hauora. Kei te whai wheako tō rōpū momona ki te whakahaere i te OHSS, ā, ka arataki i a koe i te wā e ora ana me te tautoko me te tirotiro tika.

Ngā pūrongo e uiuihia pinepine ana e pā ana ki te mate HyperStimulation Ovarian

Ka pā te OHSS ki ō tūmanako ki te hapu?

Kāore te OHSS iho e whakaiti i tō hua manu, kāore hoki i ngā wā o te haputanga i muri mai. Ko te tikanga, ko te whakautu o te ovaries e pā ana ki te OHSS e whakaatu ana i te kounga pai me te nui o te hua manu. Heoi, ki te kaha te OHSS, me whakaroa pea te whakawhiti i te embryo ki tetahi huringa i muri mai, ā, ka taea e tēnei te whakapai ake i ngā reiti haputanga mā te tuku i tō tinana kia ora tuatahi.

E hōea ana te OHSS?

Ka mutu te nuinga o ngā keehi o te OHSS i roto i te 1-2 wiki i te wa e mahue atu ai ngā rongoā hua manu i tō pūnaha. Ki te hapu koe i te wa o te huringa, ka roa pea ngā tohu na te mea ka whakaroahia te āhuatanga e ngā homoni haputanga taiao. Ka roa pea te 2-3 wiki te mutu o ngā keehi kino, engari ka pai haere ngā tohu i tenei wā.

Ka whiwhi anō au i te OHSS i ngā maimoatanga hua manu i muri mai?

Ki te whiwhi koe i te OHSS kotahi, kāore e whakaatu ana ka puta anō, engari ka piki ake tō tūponotanga. Ka whakarite tō rōpū hua manu i tō maimoatanga mō ngā huringa i muri mai, mā te whakamahi i ngā rongoā iti ake, ngā whakakīkī rerekē rānei, ngā rautaki whakakīkī embryo rānei hei whakaiti i tō tūponotanga ki te whiwhi anō i te OHSS.

Ka taea e au te whakakori tinana me te OHSS?

Ko te mahi ngāwari penei i te hikoi ngawari he pai tonu, ā, ka āhei pea te aukati i ngā toto, engari kaua e whakakori kaha kia tae ra ano ki te whakaae tō tākuta. He ngoikore ake ngā ovaries nui ki te whara, ā, ka kaha ake pea ngā tohu, ka raru rānei te mahi kaha. Whai i ngā aratohu mahi motuhake a tō rōpū hauora e hāngai ana ki te kaha o ō tohu.

E whakaatu ana te OHSS kua kore angitu tō huringa IVF?

Kāore te OHSS e whakaatu i te kore angitu o te IVF, ā, ka puta pinepine i ngā huringa e whakaputa ana i ngā hua manu kounga teitei me ngā embryos. He maha ngā wāhine e whiwhi ana i te OHSS e hapu pai ana, i te huringa kotahi rānei, i muri i te whakawhiti embryo i tetahi huringa i muri mai rānei. Ka mahi tahi tō rōpū hua manu ki a koe hei whakapai ake i te wā me ngā huarahi maimoatanga mō ngā hua pai rawa atu.