Sindrome ya Hyperstimulation y’Ovaries (OHSS) ni iki? Ibimenyetso, Impamvu, & Ubuvuzi

Sindrome ya hyperstimulation y’ovari (OHSS) ni uburwayi aho ovaire zawe ziba zifunitse kandi zibabaza bitewe n’imiti yongerera ubushobozi bwo kubyara. Ibi bibaho iyo imiti yongerera ubushobozi bwo kubyara ituma ovaire zawe zisohora amagi menshi icyarimwe, bigatuma amazi yubura mu nda no mu kifuba. Nubwo byumvikana bibi, ingero nyinshi ni ntoya kandi zikira ubwazo hakoreshejwe ubuvuzi bukwiye no kugenzura.

Sindrome ya Hyperstimulation y’Ovaries ni iki?

OHSS ibaho iyo imiti yongerera ubushobozi bwo kubyara istimula ovaire zawe cyane, ikaba ituma zifunitse cyane kurusha uko zikwiye kuba zimeze. Ovaire zawe zisubiza cyane imiti y’imisemburo, cyane cyane irimo human chorionic gonadotropin (hCG) cyangwa gonadotropins. Iyi misubizo myinshi ituma havoma ibintu bituma imiyoboro y’amaraso isohora amazi mu mubiri uri hafi.

Iki kibazo cyibasira ahanini abagore bakora in vitro fertilization (IVF) cyangwa ubundi buvuzi bwo kubyara bufashwa. Umubiri wawe uba uri mu mirimo myinshi, uba ukora follicles na amagi menshi icyarimwe. Uyu murimo ushobora gutera ibimenyetso bidahagaze neza kuva ku kubyimbagira gake kugeza ku ngaruka zikomeye zisaba ubuvuzi bwihuse.

Abagore benshi bagira OHSS bagira ibimenyetso bito byikira mu cyumweru kimwe cyangwa bibiri. Ariko rero, gusobanukirwa iki kibazo bigufasha kumenya igihe ukwiye gushaka ubuvuzi n’icyo ugomba kwitega mu gihe cy’ubuvuzi.

Ibimenyetso bya Sindrome ya Hyperstimulation y’Ovaries ni ibihe?

Ibimenyetso bya OHSS bishobora kuva ku gucika intege gake kugeza ku ngaruka zikomeye zisaba ubuvuzi bwihuse. Ubukana bwa byo bugenda bitewe n’uko umubiri wawe usubiza imiti yongerera ubushobozi bwo kubyara niba utwite mu gihe cy’ubuvuzi.

Ibimenyetso bito bisanzwe birimo:

• Kubyimbirwa mu nda no kubabara gake
• Kumva umubiri wuzuye cyangwa ukanze mu kibuno
• Kugira isereri gake cyangwa kudashira amafunguro
• Kuzamura ibiro 2-5 kubera amazi yikubise mu mubiri
• Amabere ababara nk’uko bigenda mbere y’imihango

Ibimenyetso bikomeye cyangwa byoroheje bishobora kuza, kandi birimo:

• Kuzamura ibiro byinshi kurusha 10 mu minsi 3-5
• Kubabara cyane mu nda no kubyimbirwa cyane
• Iseseri idashira no kuruka
• Kugabanyuka kw’inkari nubwo unywa amazi asanzwe
• Guhumeka nabi cyangwa kugorana guhumeka
• Kuzenguruka cyangwa kumva umutwe uremereye igihe uhagaze
• Kunywa amazi cyane nubwo unywa

Mu bihe bitoroshye, OHSS ikomeye ishobora gutera ingaruka zikomeye zishobora kwica. Ibi bimenyetso byo kuburira bisaba ubutabazi bw’ubuvuzi bw’ibanze, kandi birimo guhumeka nabi, kubabara mu kifuba, kubyimbirwa cyane mu nda, no kunywa amazi make cyangwa nta n’ayo.

Niba ufite ibyo bimenyetso, hamagara muganga wawe vuba cyangwa ushake ubutabazi bw’ubuvuzi bw’ibanze.

Ni izihe ngero za Ovarian Hyperstimulation Syndrome?

OHSS igabanywamo ubwoko butandukanye bushingiye ku gihe ibimenyetso bigaragara n’uburemere bwabyo. OHSS itangira hakiri kare isanzwe itera mu minsi 9 nyuma yo guterwa hCG, mu gihe OHSS itangira nyuma igaragara nyuma y’iminsi 10 cyangwa irenga nyuma yo guterwa.

OHSS itangira hakiri kare isanzwe iterwa na imiti yongerera ubushobozi bw’uburumbuke kandi isanzwe iba nta ngaruka zikomeye. Ibimenyetso byawe bikunze kuba byinshi mu minsi mike hanyuma bigakira buhoro buhoro uko imiti ivamo mu mubiri wawe. Ubu bwoko buroroshye kubona kandi buroroshye gucunga ubufasha.

OHSS itangira nyuma ibaho iyo imisemburo y’inda ihura n’ingaruka zisigaye z’ubuvuzi bwongerera ubushobozi bw’uburumbuke. Niba utwite mu gihe cy’imiti ya IVF, gutera kwa hCG kamere mu mubiri wawe bishobora kongera cyangwa gukomeza ibimenyetso bya OHSS. Ubu bwoko busanzwe bukomeye kandi buramara igihe kirekire, rimwe na rimwe bisaba ubuvuzi bukomeye.

Abaganga bita ku buzima kandi basobanura ubukana bwa OHSS: buke, buringaniye, n’ubukomeye. Ibi birasanzwe bitera akaga gato kandi bikira vuba. Ibi byoroheje bigira ibimenyetso byinshi ariko gake cyane bisaba kujyanwa kwa muganga. Ibi bikomeye bishobora gutera ingaruka zikomeye kandi bishobora gusaba ubufasha bwa muganga cyangwa kujyanwa kwa muganga vuba.

Ese iki gitera Ovarian Hyperstimulation Syndrome?

OHSS iterwa ahanini n’imiti ikoreshwa mu kubyara ifasha ibiheri byawe gukora amagi menshi mu gihe cyo kuvura ubugumba. Icyateye ibyo ni human chorionic gonadotropin (hCG), ituma amagi akura neza mbere yo kuyakuramo cyangwa gukuramo.

Ibintu byinshi bigira uruhare mu iterambere rya OHSS:

• Umuti wa gonadotropin ukoreshwa cyane mu gihe cyo gukangurira ibiheri
• Injanga ya hCG ikoreshwa mu kugira ngo amagi akure neza mbere yo kuyakuramo
• Urubyiruko, ahanini munsi y’imyaka 35
• Polycystic ovary syndrome (PCOS) cyangwa imihango idasanzwe
• Amateka yabanje ya OHSS mu gihe cyo kuvura ubugumba
• Ibiso byinshi bya estrogen mu gihe cyo gukangurira ibiheri
• Umubare munini w’amagi akura mu gihe cyo kuvura

Gutwita bishobora kuba bibi cyangwa bikarushaho kubaho igihe kirekire ibimenyetso bya OHSS kuko umubiri wawe ukora hCG mu gihe cyo gutwita. Iyi hormone yiyongereye ishobora kongera uburyo ibiheri bisubiza, bigatuma ibimenyetso bikomeye bikaba igihe kirekire kurusha ibisanzwe.

Mu bihe bidafite akagero, OHSS ishobora kubaho mu buryo bw’umwimerere mu gihe cyo gutwita hatabayeho kuvura ubugumba. Ibi bibaho iyo umubiri wawe ukora hormone nyinshi z’inda, cyane cyane mu gihe cyo gutwita inda nyinshi cyangwa ibibazo bimwe na bimwe byo gutwita. Ariko rero, umubare munini w’ibibazo bya OHSS bijyanye no kuvura.

Iyo ukwiye kubona muganga kubera Ovarian Hyperstimulation Syndrome?

Wagomba kuvugana n’ibitaro byita ku kubyara cyangwa umuganga wawe niba ubonye ibimenyetso bya OHSS nyuma yo kuvurwa kugira ngo ubyare. Ndetse n’ibimenyetso bito bisaba guhamagara kuri telefoni kugira ngo muganire ku buzima bwawe kandi mumenye niba ukeneye kujya kwa muganga cyangwa gukurikiranwa by’umwihariko.

Shaka ubufasha bwa muganga ako kanya niba ufite ibimenyetso bikomeye cyangwa bikaze. Ibi birimo kwiyongera k’uburemere bwihuse kurenza ibiro 10 mu minsi mike, ububabare bukabije mu nda, kuruka kenshi, cyangwa kunyara gake. Ikipe y’abaganga bawe ikeneye gusuzuma ibyo bimenyetso vuba kugira ngo birinde ingaruka mbi.

Ubufasha bwihuse bukenewe niba ugira ikibazo cyo guhumeka, ububabare mu gituza, guhindagurika cyane, cyangwa kunyara buke cyangwa kutakunyara na gato amasaha menshi. Ibyo bimenyetso bishobora kugaragaza ingaruka zikomeye nka caillots de sang, ibibazo by’impyiko, cyangwa amazi mu mwijima. Ntuzuzagere kubabaza guhamagara 911 cyangwa kujya mu bitaro byihuse niba uhangayikishijwe n’ibimenyetso byawe.

Gukurikiranwa buri gihe mu bitaro byita ku kubyara ni ingenzi mu gihe cyo kuvurwa no nyuma yacyo. Ikipe y’abaganga bawe izakurikirana urwego rw’imisemburo yawe, ipime ingano y’ovari hakoreshejwe ultrasound, kandi isuzume ubuzima bwawe muri rusange. Ubu buryo bwo kwirinda bufasha gufata OHSS hakiri kare kandi buhindura gahunda yawe yo kuvurwa niba bibaye ngombwa.

Ni ibihe bintu byongera ibyago byo kurwara Ovarian Hyperstimulation Syndrome?

Ibintu byinshi bishobora kongera amahirwe yo kurwara OHSS mu gihe cyo kuvurwa kugira ngo ubyare. Gusobanukirwa ibyo bintu byongera ibyago bifasha ikipe y’abaganga bawe guhindura uburyo bwo kuvura no gukurikirana hakiri kare ibimenyetso by’indwara.

Imyaka ikina uruhare runini, abagore bari munsi y’imyaka 35 bafite ibyago byinshi. Ovari z’abakiri bato zikunze gusubiza neza imiti yo kubyara, zikabyara amagi menshi n’imisemburo myinshi. Ibitaro byita ku kubyara bizakoresha imiti mike niba uri muri icyo kigero cy’imyaka.

Indwara zikurikirana ibyago birimo:

• Sindrome ya ovaire polykistiques (PCOS) cyangwa ovulation idahwitse
• Amateka yabanje ya OHSS mu gihe cyo kuvura ubugumba
• Urugero rwo hejuru rwa anti-Müllerian hormone (AMH)
• Urugero runini rw'umubiri cyangwa imibare y'umubiri munsi ya 25
• Amateka y'uburwayi bwa allergie cyangwa uburibwe

Ibintu bifitanye isano n'ubuvuzi bishobora kandi kongera ibyago byawe. Urugero rwo hejuru rwa estrogen mu gihe cyo gukangurira, iterambere ry'amagi menshi, cyangwa gukoresha imiti yo kuvura ubugumba mu bwinshi byose bigira uruhare mu byago bya OHSS. Gukoresha imbuto z'abana bashya bishobora gutera ibyago kurusha gukoresha imbuto z'abana zikonjeshejwe kubera gukomeza kwerekana imisemburo.

Gutwita mu gihe cyo kuvura kwawe byongera cyane uburemere n'igihe cy'ibimenyetso bya OHSS. Ikipe yawe y'ubuvuzi ishobora kugutegeka gukonjesha imbuto z'abana no kubikora mu gihe gikurikira niba uri mu kaga gakomeye ka OHSS ikomeye.

Ni iki gishobora kuba ingaruka mbi za Ovarian Hyperstimulation Syndrome?

Nubwo ubundi buryo bwinshi bwa OHSS ari buke kandi bugakira nta ngaruka z'igihe kirekire, gusobanukirwa ingaruka zishoboka bigufasha kumenya igihe cyo gushaka ubuvuzi bw'ihutirwa. Ingaruka zikomeye ni nke ariko zishobora guhitana ubuzima niba zitavuwe vuba.

Ingaruka zifitanye isano n'amazi zibaho iyo amazi asohotse akumira ahantu hatariho mu mubiri wawe. Ibi bishobora gutera kukama nubwo amazi afunze, kudahuza kwa electrolytes bigira ingaruka ku mikorere y'umutima n'impyiko, no kugorana guhumeka niba amazi akumira hafi y'ibihaha. Izi ngaruka zisaba ubuvuzi bwitonze kandi rimwe na rimwe no kujya mu bitaro.

Ingaruka zifitanye isano n'amaraso zishobora kuvuka kubera kukama no guhinduka mu maraso:

• Ibisigo by'amaraso mu maguru, mu bihaha, cyangwa mu zindi nzego z'ingenzi
• Kudakora neza kw'impyiko kubera kugabanuka kw'amaraso
• Ibibazo by'umwijima bituruka ku kubika amazi no guhinduka kwa electrolytes
• Igitsure cy'amaraso gito gitera guhindagurika no kugwa
• Ibyago byiyongereye byo kugira umwijima mu bihe bikomeye

Ingaruka ku myenda y’inda zirakomeye ariko si zo zihoraho, zishobora kuba harimo no guhindagurika kw’inda, aho inda zikomeye zikubita maze zigacika imitsi yazo y’amaraso. Ibi bisaba kubagwa vuba kugira ngo umwanda urokowe. Kwatuka kw’inda ni gake cyane ariko bishobora gutera kuva imbere bikaba ngombwa kubagwa vuba.

Ingaruka zijyanye n’inda zishobora kubaho niba utwite mu gihe cy’ikibazo cya OHSS. Ibi bishobora kuba harimo ibyago byo kubura imbuto, kubyara imburagihe, cyangwa ingaruka z’inda bitewe n’umunaniro w’imisemburo n’umubiri wa OHSS. Ariko kandi, abagore benshi bafite OHSS bakomeza kugira inda nzima bafashwe neza n’abaganga.

Uko Sindrom ya Hyperstimulation y’inda ishobora gukumirwa

Gukumira OHSS byibanda ku kumenya ibyago byawe hakiri kare no guhindura gahunda zo kuvura ubugumba hakurikijwe ibyo. Ikipe yawe y’ubuvuzi ishobora gufata ingamba nyinshi kugira ngo igabanye amahirwe yo kurwara iyi ndwara mu gihe ikomeza kugera ku bizafasha.

Guhindura imiti ni yo ntambwe ya mbere yo gukumira. Muganga wawe ashobora gukoresha umunyu muke wa gonadotropins, guhindura ubwoko bwa trigger shots, cyangwa gukoresha imiti igabanya ibyago bya OHSS. Amwe mu mavuriro akoresha GnRH agonist triggers aho gukoresha hCG ku barwayi bafite ibyago byinshi, bigabanya cyane umubare wa OHSS.

Impinduka mu buvuzi ikipe yawe y’ubuvuzi ishobora kugutekerezaho harimo:

• Gukonjesha imbuto zose no gusubika kwimura ku rundi gihe
• Guhagarika igihe hari amagi menshi yateye imbere
• Gukoresha umunyu muke w’imisemburo mu gihe cyose cyo gukangurira
• Kwita cyane hakoreshejwe ibizamini by’amaraso n’ibizamini bya ultrasound
• Guhagarika imiti mbere y’urushinge rwa trigger shot niba ari ngombwa

Uburyo bwo kubaho bushobora kandi kugufasha kugabanya ibyago. Kuguma ufite amazi ahagije, kugumana umutekano w’umusemburo ukoresheje ibinyobwa by’abakina siporo, no kwirinda imyitozo ikomeye mu gihe cy’ubuvuzi bifasha umubiri wawe guhangana n’umunaniro uterwa n’imiti yongerera ubushobozi bwo kubyara. Ubushakashatsi bumwe bugaragaza ko imiti imwe n’imwe ishobora gufasha, ariko banza ubiganire n’abaganga bawe.

Itumanaho ryiza n’ibitaro byita ku kubyara ni ingenzi mu gukumira. Menyesha vuba ibimenyetso byose, witabire ibizami byose byo kugenzura, kandi ukore neza amabwiriza y’imiti. Ikipe y’abaganga bawe ikeneye ayo makuru kugira ngo ihindure uburyo bwo kuvura kandi ikumire ingaruka mbi.

OHSS imenyekana ite?

Kumenya OHSS bisanzwe bitangira ku bimenyetso byawe n’amateka yawe y’ubuzima, cyane cyane uburyo bwo kuvura ubushobozi bwo kubyara uheruka gukora. Muganga wawe azakubaza igihe ibimenyetso byatangiye, uburemere bwabyo, n’uko byahindutse kuva utangiye imiti yongerera ubushobozi bwo kubyara.

Isuzumwa ry’umubiri riba rigamije kureba ibimenyetso byo kubika amazi no kwiyongera kw’igihembo. Umuforomokazi wawe azagenzura ibiro byawe, umuvuduko w’amaraso, n’ingano y’inda. Azasuzumana ubwitonzi inda yawe kugira ngo arebe niba hari ububabare, kubyimba, no kubika amazi. Iki gisuzumwa gifasha kumenya uburemere bw’uburwayi bwawe.

Ibizami bya laboratwari bitanga amakuru akomeye yerekeye uko umubiri wawe usubiza OHSS:

• Ibizami by’amaraso kugira ngo harebwe urwego rw’umusemburo n’imikorere y’impyiko
• Igipimo cy’amaraso kugira ngo harebwe uko umubiri uhagaze
• Ibizami byo kureba imikorere y’umwijima niba ibimenyetso bikomeye
• Isuzumwa ry’inda kugira ngo harebwe niba gutwita ari cyo gituma ibimenyetso bigaragara
• Urwego rw’imisemburo irimo estradiol na hCG

Ubushakashatsi bw’amashusho bufasha kubona neza igihembo cyawe no kubona amazi yabitswe. Ultrasound y’igice cy’ibitsina igaragaza ingano y’igihembo, umubare w’amagi, n’amazi yose ari mu kibuno cyawe. Niba ufite ibibazo byo guhumeka, ama rayons X y’ibituza cyangwa CT scan bishobora kureba amazi ari hafi y’ibihaha byawe.

Itsinda ryanyu ry’ubuvuzi rizashyira OHSS yawe mu byiciro bya: byoroheje, bikaze cyangwa bikomeye hashingiwe kuri ibyo bisubizo. Icyo gushyira mu byiciro gifasha mu gufata ibyemezo byo kuvura kandi gifasha kumenya igihe ibimenyetso byawe bishobora kumara. Gukurikirana buri gihe bishobora gukomeza kugeza igihe ibimenyetso byawe bikize burundu.

Ni iki kivura Ovarian Hyperstimulation Syndrome?

Kuvura OHSS byibanda ku gucunga ibimenyetso no gukumira ingaruka mbi mu gihe umubiri wawe wiyakiriye neza ingaruka z’imiti yongerera ubushobozi bw’uburumbuke. Ibi bibaho mu byumweru 1-2 hakoreshejwe ubufasha, nubwo gutwita bishobora gutinda igihe cyo gukira.

OHSS yoroheje isaba gusa kwitabwaho mu rugo no gukurikiranwa hafi. Itsinda ryanyu ry’ubuvuzi rizatanga amabwiriza yihariye yo gucunga ibimenyetso kandi rigena igihe cyo gusubiramo kugira ngo mumenye ko muri gukira. Ubu buryo burafasha gukira neza murugo mugihe ukomeje gufashwa n’abaganga.

Uburyo bwo kuvura butandukanye bitewe n’uburemere bw’uburwayi harimo:

• Uburwayi buke: Kwitabwaho murugo hakurikiwe ibimenyetso no gukurikirana buri gihe
• Uburwayi buciriritse: Gukurikiranwa n’abaganga kenshi no kuvurwa hanze y’ibitaro
• Uburwayi bukomeye: Kwinjira mu bitaro kugira ngo hakorwe isuzuma rikomeye no kuvurwa

Kwinjira mu bitaro biba ngombwa ku barwaye OHSS ikomeye iyo habaye ingaruka mbi cyangwa ibimenyetso bikagenda nabi vuba. Kwitabwaho mu bitaro bituma hakorwa isuzuma rihoraho, kuvurwa hakoreshejwe amazi mu mitsi, no gutabara vuba iyo habaye ingaruka zikomeye. Igihe cyo kurwarira mu bitaro kenshi kiba ari iminsi 2-5, bitewe n’uko ugaragara nyuma yo kuvurwa.

Uburyo bwo kuvura bushobora kuba harimo amazi atangwa mu mitsi kugira ngo akureho umunyu n’amazi make mu mubiri, imiti yo kuvura iseseme n’ububabare, ndetse n’uburyo bwo gukuraho amazi y’umubiri arenze urugero iyo guhumeka bigoye. Imiti igabanya amaraso ishobora kwandikwa kugira ngo ikumire udukoko mu gihe cy’uburwayi bukomeye.

Gukurikirana uburyo wakira bikomeza kugeza igihe ibimenyetso byawe byose bikize kandi amagi yawe agarutse ku bunini busanzwe. Uyu muhora ubusanzwe uramara ibyumweru 1-3 kuri benshi mu bagore, nubwo gutwita bishobora kongera igihe cyo gukira cyane.

Nigute wakwita kuri Ovarian Hyperstimulation Syndrome (OHSS) iwawe?

Kwita ku ndwara ya OHSS yoroheje iwawe, byibanda ku kuguma wishimye mugihe ushyigikira uburyo bw’umubiri wawe bwo gukira. Ikipe y’abaganga bawe izakugira inama zihariye zishingiye ku bimenyetso byawe n’ibyago ufite, rero ikurikize amabwiriza yabo neza.

Kwita ku mazi ni ingenzi ariko bisaba kubyiringira. Nibaza amazi menshi, cyane cyane ibinyobwa birimo électrolytes nka sports drinks, kugira ngo ugumane amazi ahagije. Ariko, irinda kunywa amazi arenze urugero, bishobora kongera ibibazo bya électrolytes. Gerageza kureba ko inkari zawe zifite ibara ryiza nk’ikimenyetso cy’amazi ahagije.

Inama ku biribwa zishyigikira gukira kwawe:

• Funga ifunguro duto, kenshi kugira ngo ubone uko uhangana n’iseseme
• Hitamo ibiryo biryoshye, byoroshye kunywa niba urwaye
• Fata ibiryo birimo poroteyine nyinshi kugira ngo ushyigikire gukira
• Irinde ibiryo birimo umunyu mwinshi bishobora kongera amazi mu mubiri
• Tegereza icyayi cya gingembre cyangwa bisikite kugira ngo ugabanye iseseme

Guhindura imikorere bifasha kwirinda ingaruka mbi mugihe ushyigikira uko wumva. Ruhukira igihe wumva unaniwe, ariko kugenda buhoro buhoro nko kugenda ingendo ngufi bishobora kugufasha kwirinda imikaya y’amaraso. Irinde imyitozo ikomeye, gutwara ibiremereye, cyangwa ibikorwa bishobora gutera ibikomere mu nda kugeza igihe muganga yawe aguhaye uburenganzira.

Gukurikirana ibimenyetso ni ingenzi kugira ngo umenye igihe icyo ari cyo cyose uburwayi bwawe buzamuka. Ipime uburemere bwawe buri munsi igihe kimwe, kurikiza amazi unywa n’inkari, kandi bandika impinduka zose mu kuribwa cyangwa mu guhumeka. Hamagara ikipe y’abaganga bawe ako kanya niba ibimenyetso byawe bikomeye cyangwa ibimenyetso bishya bibangamye bigaragara.

Ubuvuzi bw’ububabare busanzwe bukoresha imiti igurwa mu maduka yemewe n’abaganga bawe. Imisatsi ishyushye ku bushyuhe buke ishobora guhumuriza ububabare buke mu nda. Ariko rero, banuka aspirine cyangwa imiti ishobora kugira ingaruka ku gukama kw’amaraso utabanje kubyemererwa na muganga.

Wategura gute uruzinduko kwa muganga?

Gutegura ibizamini byawe by’ubuvuzi bijyanye na OHSS bigufasha kubona ubuvuzi bwiza kandi ukabona ibisubizo by’ibibazo byawe byose. Kuzana amakuru yateguwe neza bituma itsinda ry’abaganga bawe bafata ibyemezo byuzuye ku bijyanye n’ubuvuzi bwawe.

Andika neza ibimenyetso byawe mbere y’uruzinduko rwawe. Komereza ku kwandika buri munsi ibiro byawe, ingano y’inda, urwego rw’ububabare, n’ibimenyetso byose bishya. Bandika igihe ibimenyetso biba bikomeye, icyabiteza cyangwa kibirinda, n’uburyo bigira ingaruka ku mirimo yawe ya buri munsi.

Tegura amakuru akomeye ugomba gusangira:

• Urutonde rwuzuye rw’imiti y’uburumbuke n’umunono wanyoye
• Igihe ibimenyetso byatangiye n’uburyo byagiye bikura
• Inyandiko y’ibihe byawe bya buri munsi n’amazi unywa
• Ibindi miti cyangwa ibinyobwa by’imiti ukoresha ubu
• Ibibazo ku bijyanye na gahunda y’ubuvuzi bwawe n’ibyiringiro byo gukira

Zana umuntu ugufasha niba bishoboka, cyane cyane niba wumva udameze neza. Bashobora kugufasha kwibuka amakuru akomeye, kubaza ibibazo ushobora kwibagirwa, no kugutera inkunga mu gihe cy’uruzinduko rwawe. Kugira umuntu uguherekeza ni ingenzi cyane niba ufite uburwayi cyangwa ububabare.

Andika ibibazo byawe by’ingenzi mbere kugira ngo utabyibagirwa mu gihe cy’uruzinduko. Ibibazo bisanzwe birimo igihe ibimenyetso bisanzwe bimara, ibimenyetso by’umutekano bikenera ubuvuzi bw’ihutirwa, amabwiriza yo kwirinda, n’igihe ushobora gusubukura ibikorwa bisanzwe cyangwa kuvura uburumbuke.

Tegura ibyo ushobora gukenera mu buvuzi, wambare imyenda yoroshye kandi idafunze cyane, kugira ngo ubashe gukorerwa isuzuma ngaruka mbere n’ikizamini cya ultrasound niba bibaye ngombwa. Zana urutonde rw’abantu wakwitabaza mu gihe cy’akaga n’amakuru y’ubwisungane bw’ubuzima kugira ngo byorohereze kuvurwa cyangwa gukorerwa ibizamini bikenewe.

Ni iki gikuru wakuramo ku ndwara ya Ovarian Hyperstimulation Syndrome?

OHSS ni indwara ishobora kuvurwa, ikaba iza ku bagore bamwe mu gihe cyo kuvurwa kugira ngo babyare, ariko ubusanzwe iyi ndwara iba ari ntoya kandi ikagenda neza iyo uvuwe neza. Gusobanukirwa ibimenyetso n’igihe ukwiye gushaka ubufasha bizatuma ugendera neza ubuzima bwawe muri iki gihe gikomeye.

Ikintu gikomeye cyane gikwiye kwibukwa ni uko OHSS ari indwara y’igihe gito. Nubwo ibimenyetso bishobora kuba bibi kandi bikatera impungenge, umubiri wawe uzakira iyo imiti yo kubyara ivuye mu mubiri wawe. Abagore benshi barakira cyane mu byumweru 1-2, kandi iyi ndwara ntabwo ikunda gutera ibibazo by’ubuzima mu gihe kirekire.

Uburyo bwo kwirinda iyi ndwara bukomeza gutera imbere uko ubuvuzi bw’ububyari bugenda butera imbere. Itsinda ry’abaganga bawe rifite ibikoresho byinshi byo kugabanya ibyago, mu gihe bagufasha kugera ku nzozi zawe zo kubyara. Kuganira neza ku bimenyetso byawe n’impungenge bizatuma baguha ubuvuzi bwiza.

Niba ufite OHSS, ibuka ko utari wenyine muri iyi ngorane. Abagore benshi baratsinda iyi ndwara kandi bagira imbyaro zikomeye. Itsinda ry’abaganga bawe rifite ubunararibonye mu kuvura OHSS kandi bazakuyobora mu gukira, bakaguha ubufasha n’ubukurikirane bikenewe.

Ibibazo bikunze kubaho ku ndwara ya Ovarian Hyperstimulation Syndrome

Ese OHSS ishobora kugira ingaruka ku mahirwe yo gutwita?

OHSS ubwayo ntigabanya ubushobozi bwo kubyara cyangwa amahirwe yo gutwita mu gihe kizaza. Mu by’ukuri, igikorwa cy’ovari gitera OHSS kenshi kigaragaza ubuziranenge bwiza n’umubare mwinshi w’amagi. Ariko rero, OHSS ikomeye ishobora gusaba gusubika kwimura imbuto kugeza ku gihe gikurikiyeho, ibyo bishobora gutuma amahirwe yo gutwita arushaho kuba menshi binyuze mu guha umubiri wawe umwanya wo gukira.

OHSS imara igihe kingana iki?

Urugero rwinshi rwa OHSS rukira mu byumweru 1-2 uko imiti yo kubyara iva mu mubiri wawe. Niba utwite muri icyo gihe, ibimenyetso bishobora kumara igihe kirekire bitewe na hormone z’inda zikomeza icyo kibazo. Imikorere ikomeye ishobora kumara ibyumweru 2-3 kugira ngo ikire burundu, ariko ibimenyetso bisanzwe bigenda bigabanuka muri icyo gihe.

Nzahura na OHSS ukundi mu buvuzi bw’uburumbuke bw’ejo hazaza?

Kugira OHSS rimwe ntibihamya ko uzayibona ukundi, ariko byongera ibyago byayo. Ikipe yawe ivura uburumbuke izahindura gahunda yawe y’ubuvuzi mu bihe biri imbere, ikoresheje umunyu muke w’imiti, inshinge zitandukanye zo gutera, cyangwa ingamba zo kubika imbuto kugira ngo igabanye cyane amahirwe yo kongera kugira OHSS.

Nshobora gukora imyitozo ngororamubiri niba mfite OHSS?

Ibikorwa byoroheje nko kugenda buhoro buhoro bisanzwe byiza kandi bishobora gufasha gukumira imikaya y’amaraso, ariko wirinde imyitozo ikomeye kugeza muganga akuyemereye. Ovari zawe zikomeye zirakomeye kurushaho gukomereka, kandi ibikorwa bikomeye bishobora kongera ibimenyetso cyangwa guteza ibibazo. Kurikiza amabwiriza yihariye y’ikipe yawe y’ubuvuzi hashingiwe ku gukomeza kw’ibimenyetso.

Ese OHSS bisobanura ko IVF yanjye itarabashije kugira umusaruro?

OHSS ntiigaragaza ko IVF yananiwe kandi ikunze kubaho mu bihe byahaye amagi n’imbuto nziza. Abagore benshi bafite OHSS bagira amahirwe yo gutwita, haba muri icyo gihe cyangwa nyuma yo kwimura imbuto mu gihe gikurikiyeho. Ikipe yawe ivura uburumbuke izakorana nawe kugira ngo ibone igihe gikwiye n’uburyo bw’ubuvuzi kugira ngo ibone ibisubizo byiza bishoboka.