Ohss

Syndrome ye ovarian hyperstimulation chirwere chinoratidza kuwanda kwakanyanya kwehomoni. Kazhinji inoitika muvakadzi vanotora mishonga yehomoni inodonha kuti ikurudzire kukura kwezai mumatombo. Ovarian hyperstimulation syndrome (OHSS) inokonzera kuti mazai arove uye arwadze.

OHSS inogona kuitika muvakadzi vari kuita in vitro fertilization (IVF) kana ovulation induction nemishonga inodonha. Zvishoma, OHSS inoitika panguva yekurapa kubereka uchishandisa mishonga yaunonwa nemuromo, senge clomiphene.

Kurapa kunoenderana nehukuru hwechirwere. OHSS inogona kuvandudza pachayo mumamiriro ezvinhu akapfava, nepo mamiriro ezvinhu akakomba angada kupihwa kurapwa kwemishonga nekuwedzera kurapwa.

Zviratidzo zve ovarian hyperstimulation syndrome kazhinji zvinovamba mukati mevhiki mushure mekushandisa mishonga inodonhedzwa kuti ikurudzire ovulation, kunyange zvazvo dzimwe nguva zvingatora mavhiki maviri kana kupfuura kuti zviratidzo zviratidzike. Zviratidzo zvinogona kubva pazvishoma kusvika pazvakakomba uye zvinogona kuipa kana kuvandudza nekufamba kwenguva.

Kana uri kurapwa zvekuzvara mwana uye uine zviratidzo zve ovarian hyperstimulation syndrome, taura nachiremba wako. Kunyange kana uine chirwere chinenge chisinganyanyi kuoma che OHSS, chiremba wako achatarisira kukuona kuti une kuwedzera kurema zvakanyanya kana zviratidzo zvako zvichinyanya kuipa.

Bvunza chiremba wako nekukurumidza kana ukawana matambudziko ekufemba kana kurwadziwa mumitsipa panguva yekurapwa kwako zvekuzvara mwana. Izvi zvinogona kuratidza mamiriro ekukurumidza anoda kutarisirwa nekukurumidza kwechiremba.

Chikonzero che ovarian hyperstimulation syndrome hachizivikanwi zvizere. Kuve nemazinga akakwirira e human chorionic gonadotropin (HCG) — hormone inowanzo gadzirwa panguva yekuzvitakura — inopihwa mumuviri wako inotamba basa. Midziyero yeropa yeiyo ovaries inoshanda zvisina kujairika ku human chorionic gonadotropin (HCG) uye inotanga kubudisa mvura. Mvura iyi inoputira maovari, uye dzimwe nguva huwandu hukuru hunofamba kuenda mudumbu.

Mukati mekurapa kwekuzvara, HCG inogona kupihwa se "trigger" kuitira kuti follicle yakakura ibvise egg rayo. OHSS kazhinji inoitika mukati mevhiki mushure mekunge wagamuchira injection yeHCG. Kana ukava nepamuviri panguva yekurapa, OHSS inogona kuipa sezvo muviri wako uchitanga kugadzira HCG yayo semhinduro yekuzvitakura.

Mishonga yekuzvara inopihwa nekuiswa inonyanya kukonzera OHSS kupfuura kurapwa ne clomiphene, mushonga unopiwa se piritsi raunonwa nemuromo. Dzimwe nguva OHSS inoitika pachayo, isina hukama nekurapa kwekuzvara.

Dzimwe nguva, OHSS inoitika muvakadzi vasina zvinokonzera njodzi. Asi zvinhu zvinozivikanwa kuti zvinoita kuti njodzi yako yeOHSS iwedzere zvinosanganisira:

• Polycystic ovary syndrome — chirwere chinowanzoitika chekubereka chinokonzera kusagadzikana kwemwedzi, kukura kwemvere zvakanyanya uye chitarisiko chisina kujairika chema ovary pakuongororwa kwe ultrasound
• Huwandu hukuru hwe follicles
• Zera riri pasi pe35
• Kurema kwemuviri kuri pasi
• Estradiol (estrogen) yakakwira kana iri kuwedzera nekukurumidza usati watanga HCG trigger shot
• Zviitiko zvekare zveOHSS

Syndrome ye ovarian hyperstimulation yakakomba haina kujairika, asi inogona kutyisidzira hupenyu. Zvinetso zvinogona kusanganisira:

• Kuunganidzwa kwemvura mudumbu uye dzimwe nguva mumapapu
• Kusagadzikana kwema electrolytes (sodium, potassium, nezvimwe)
• Ropa rinogwamba mumitsinga mikuru, kazhinji mumakumbo
• Kukundikana kweitsvo
• Kupotoka kweovari (ovarian torsion)
• Kuputika kwe cyst muovari, izvo zvinogona kutungamira pakubuda ropa kwakakomba
• Matambudziko ekufemba
• Kurasikirwa nepfumbiro nekuda kwekubuda ropa kana kupera nekuda kwezvinetso
• Zvisingawanzoitika, rufu

Kuti udzivise mikana yekuwana ovarian hyperstimulation syndrome, uchada chirongwa chako chekurapa kwekusimudzira kubereka. Tarisira kuti chiremba wako aongorore zvakanyatsojeka chikamu chega chega chekurapa, kusanganisira ultrasound dzakawanda kuongorora kukura kwema follicle uye bvunzo yeropa kuongorora mahomoni ako. Nzira dzekuita kuti OHSS idzivirirwe dzinosanganisira:

• Kuchinja mishonga. Chiremba wako anoshandisa huwandu hwakaderera hwemishonga inokurudzira maovari ako uye inokonzera ovulation.
• Kuwedzera mishonga. Mishonga mimwe ineita sekuderedza njodzi yeOHSS pasina kukanganisa mikana yekuzvitakura. Idzi dzinosanganisira aspirin shoma; dopamine agonists senge carbergoline kana quinogloide; uye calcium infusions. Kupa vakadzi vane polycystic ovary syndrome mushonga wemetformin (Glumetza) panguva yekukurudzira maovari kunogona kubatsira kudzivirira hyperstimulation.
• Coasting. Kana mahomoni ako e estrogen ari akakwirira kana uine huwandu hwakawanda hwema follicle akakura, chiremba wako anogona kukuraira kuti urege mishonga inodonha uye umire mazuva mashoma usati wapa HCG, iyo inokonzera ovulation. Izvi zvinozivikanwa se coasting.
• Kudzivisa kushandisa HCG trigger shot. Nekuti OHSS kazhinji inoitika mushure mekupihwa HCG trigger shot, nzira dzinoshandiswa panzvimbo peHCG dzekukurudzira dzakagadzirwa uchishandisa gonadotropin-releasing hormone (Gn-RH) agonists, senge leuprolide (Lupron), se nzira yekudzivirira kana kuderedza OHSS.
• Kufungisa ma embryo. Kana uri kuita in vitro fertilization (IVF), ma follicle ese (akakura uye asina kukura) anogona kubviswa mumas ovarian ako kuderedza mukana weOHSS. Ma follicle akakura anoberekwa uye anofungiswa, uye maovari ako anobvumidzwa kuzorora. Unogona kudzokera kuitika kwe IVF gare gare, kana muviri wako wagadzirira.

Kuongororwa kweOvarian hyperstimulation syndrome kunogona kuenderana ne:

• Kuongororwa kwemuviri. Chiremba wenyu acharangarira kuwedzera uremu, kuwedzera kukura kwepamuviri, uye marwadzo emudumbu aunogona kuva nawo.
• Ultrasound. Kana uine ovarian hyperstimulation syndrome (OHSS), ultrasound inogona kuratidza kuti maovari ako makuru kupfuura kazhinji, ane cysts dzakazara nemvura kwamakakura mafollicles. Panguva yekurapwa nemishonga yekubereka, chiremba wenyu anogara achiongorora maovari ako nevaginal ultrasound.
• Kuongororwa kweropa. Kuongororwa kweropa kunobvumira chiremba wenyu kuongorora kusakwana muropa rako uye kana basa reitsvo rako riri kukanganiswa neOHSS.

Syndrome ye ovarian hyperstimulation kazhinji inozvigadzirisa yoga pachayo mukati mevhiki kana maviri kana kuti kwenguva yakareba zvishoma kana uri nepamuviri. Kurapwa kunangidzirwa pakukuchengetedza wakasununguka, kuderedza basa reovari uye kudzivirira matambudziko.

OHSS iri nyoro kazhinji inozvigadzirisa yoga pachayo. Kurapwa kweOHSS yakanyanya kunogona kusanganisira:

Panyaya yeOHSS yakakomba, ungada kupinza muchipatara kuti uongororwe uye kurapwa kwakasimba, kusanganisira mvura yeIV. Mupi wako wehutano anogona kukupa mushonga unonzi cabergoline kuderedza zviratidzo zvako. Dzimwe nguva, mupi wako wehutano anogona kukupawo mimwe mishonga, senge gonadotropin-releasing hormone (Gn-RH) antagonist kana letrozole (Femara) - kubatsira kudzora basa reovari.

Matambudziko akakomba anogona kuda kurapwa kuwedzerwa, sekubviswa kwecyst yeovari yakapwanya kana kutarisirwa kwakanyanya kwekukuvara kwechiropa kana mapapu. Ungadawo mishonga inodzivisa kuumbwa kwema clots eropa kuti uderedze njodzi yema clots eropa mumitsipa yako.

• Kuwedzera kunwa mvura
• Kuongororwa kwemuviri kakawanda uye ultrasounds
• Kuyerwa kwekuoma zuva nezuva uye kuyera kwechikomba kuti uone shanduko huru
• Kuyerwa kwekuti unogadzira urine yakawanda sei zuva rega rega
• Kuongororwa kweropa kuti uone kuoma kwemuviri, kusawirirana kwema electrolytes nematambudziko mamwe
• Kubudisa mvura yakawandisa mudumbu uchishandisa tsono inoiswa mudumbu rako
• Mishonga inodzivirira kuumbwa kwema clots eropa (anticoagulants)

Kana ukawana syndrome ye ovarian hyperstimulation syndrome iri nyoro, ungakwanisa kuramba uchiita mabasa ako ezuva nezuva. Tevedza zano romupi wehutano hwako, izvo zvinogona kusanganisira mazano aya:

• Edza mushonga unodzima marwadzo unowanikwa pasina chinyorwa chechiremba se acetaminophen (Tylenol, nezvimwewo) kune kusagadzikana kwemudumbu, asi usatora ibuprofen (Advil, Motrin IB, nezvimwewo) kana naproxen sodium (Aleve, nezvimwewo) kana uchangoita embryo transfer, sezvo mishonga iyi inogona kukanganisa kuiswa kwe embryo.
• Dzivisa bonde, sezvo rinogona kurwadza uye rinogona kukonzera kuti cyst iri mu ovary yako iputse.
• Chengeta nhanho yekufamba kwemuviri iri nyoro, uchizvidza mabasa ane simba kana ane simba rakakura.
• Zviyeresei pane chiyereso chimwe chete uye chiyerekedza kumativi emudumbu mazuva ese, uchizivisa kuwedzera kusina kujairika kumupi wako wehutano.
• Fonera mupi wako wehutano kana zviratidzo zvako nezviratidzo zvikanyanya kuipa.