Ukuqina Kwezinhlobo Zamaqanda (OHSS) yini? Izimpawu, Izimbangela, & Ukwelashwa

Ukuqina kwezinhlobo zamaqanda (OHSS) kuyisimo sezempilo lapho amaqanda akho ekhanda khona futhi ebuhlungu ngenxa yemithi yokuzala. Lokhu kwenzeka lapho imithi yokuzala ienza amaqanda akho akhiphe amaqanda amaningi ngesikhathi esisodwa, okuholela ekwakhekeni kwamanzi esiswini nasesifubeni. Nakuba kuzwakala kukhathaza, izimo eziningi ziyamila futhi ziyaphela ngokwazo ngenakekelwe efanele nokulandelela.

Ukuqina Kwezinhlobo Zamaqanda Kuyini?

I-OHSS ivela lapho imithi yokuzala ikhuthaza kakhulu amaqanda akho, ibenza bakhule ngokukhulu kunokulinganiselwe. Amaqanda akho aphendula ngamandla kakhulu ekwelapheni kwe-hormonal, ikakhulu lawo anayo i-human chorionic gonadotropin (hCG) noma i-gonadotropins. Lokhu kuphendula ngokweqile kuholela ekukhishweni kwezinto ezenza imithambo yegazi ikhiphe amanzi ezihlanganweni ezizungezile.

Lesi simo sibathinta ikakhulukazi abesifazane abenza i-in vitro fertilization (IVF) noma ezinye izindlela zokwelapha ezincedisayo. Umuthi wakho uya ngokweqile, ukhulisa ama-follicles namaqanda amaningi ngesikhathi esisodwa. Le nqubo ingabangela izimpawu ezingathandeki eziqala ekuqabukeni okuncane kuya ezinye izinkinga ezinkulu ezidinga ukunakekelwa kwezokwelapha.

Abesifazane abaningi abathuthukisa i-OHSS baba nezimpawu ezimila ezithuthuka ngaphakathi kweviki noma ezimbili. Noma kunjalo, ukuqonda lesi simo kukusiza ukuthi uqaphele ukuthi nini kufanele ufune ukunakekelwa kwezokwelapha nokuthi yini okufanele uyiqonde ngesikhathi sokwelashwa.

Ziyini izimpawu zokuqina kwezinhlobo zamaqanda?

Izimpawu ze-OHSS zingaba ukungakhululeki okuncane kuya ezinye izinkinga ezinkulu ezidinga ukunakekelwa kwezokwelapha ngokushesha. Ubunzima buhlala buxhomeke ekutheni umzimba wakho uphendula kanjani emithini yokuzala nokuthi ukhulelwe yini ngesikhathi sokwelashwa.

Izimpawu ezimila zihlanganisa:

• Ukukhuluphuka kwesisu nobuhlungu obuncane
• Ukuzizwa ukugcwele noma ukucindezela emathangeni akho
• Ukuphefumula okuncane noma ukulahlekelwa ukudla
• Ukuzuza isisindo sama-2-5 ama-pounds ngenxa yokugcinwa kwamanzi
• Ubuhlungu bezisu olufana nezimpawu zangaphambi kwesikhathi

Izimpawu eziphakathi nendawo ezinzima zingathuthuka futhi zingafaka:

• Ukuzuza isisindo ngokushesha okungaphezu kwama-10 ama-pounds ezinsukwini eziyi-3-5
• Ubuhlungu obukhulu besisu nokukhuluphuka okukhulu
• Ukuphefumula okuqhubekayo nokugabha
• Ukuncipha kokungqongqoqa amanzi naphezu kokungenisa amanzi ajwayelekile
• Ukuthukuthela komoya noma ubunzima bokuthukuthela komoya
• Ukukhungatheka noma ukukhanya uma umi
• Ukoma okukhulu naphezu kokupha amanzi

Ezimweni ezingavamile, i-OHSS enzima ingabangela izinkinga eziyingozi ezingabulala. Lezi zibonakaliso zezixwayiso zidinga ukunakekelwa okusheshayo kwezimo eziphuthumayo futhi zifaka ubunzima bokuthukuthela komoya, ubuhlungu lwebele, ukukhuluphuka okukhulu kwesisu, nokungqongqoqa okuncane noma akukho.

Uma uhlangabezana nanoma yiziphi lezi zimpawu, xhumana nodokotela wakho ngokushesha noma ufuna ukunakekelwa kwezokwelapha okusheshayo.

Imiphi imihlobo ye-Ovarian Hyperstimulation Syndrome?

I-OHSS ihlelwe ngezinhlobo ezahlukene ngokusekelwe ekutheni izimpawu zivele nini kanye nezinga lokuqina kwazo. I-OHSS ekuqaleni ivame ukuthuthuka phakathi nezinsuku eziyi-9 zokuthi i-hCG trigger shot yakho, kuyilapho i-OHSS ekuqaleni ivela izinsuku ezingama-10 noma ngaphezulu ngemuva kokuthi i-trigger shot.

I-OHSS ekuqaleni ivame ukuvela ngokuqondile ngemithi yokuzala futhi ivame ukuba incane. Izimpawu zakho zivame ukufika phezulu phakathi nezinsuku ezimbalwa bese ziqala ukuthuthuka njengoba imithi isuka emzimbeni wakho. Lo mkhuba ulula ukubikezela futhi kulula ukulawula ngokunakekelwa okusekayo.

I-OHSS ekuqaleni yenzeka lapho ama-hormone okukhulelwa ehlangana nemiphumela esele ikhona evela ekwelapheni kokuzala. Uma ukhulelwa ngesikhathi se-IVF cycle yakho, ukukhiqizwa kwe-hCG yemvelo yomzimba wakho kungenza izimpawu ze-OHSS zibe zimbi noma zide. Lo mkhuba uvame ukuba nzima futhi uhlale isikhathi eside, ngezinye izikhathi udinga ukuphathwa kwezokwelapha okukhulu.

Abaphathi bezempilo bayihlela futhi i-OHSS ngokubukhulu bayo: elula, ephakathi, neqatha. Icala elilula libangela ukungakhululeki okuncane futhi liyaphela ngokushesha. Amacala aphakathi ahilela izimpawu ezibonakala kakhulu kodwa awudingi ukungena esibhedlela. Amacala aqatha angabangela izinkinga ezinzima futhi angadinga ukwelashwa ngokushesha kwezokwelapha noma ukunakekelwa kwesibhedlela.

Yini ebangela i-Ovarian Hyperstimulation Syndrome?

I-OHSS ibangelwa ikakhulukazi imithi yokuzala eyenza ama-ovari akho akhiqize amaqanda amaningi ngesikhathi sokwelashwa kokuzala okusiziwe. Icala elikhulu yi-human chorionic gonadotropin (hCG), eyenza ukuvuthwa kokugcina kwamaqanda ngaphambi kokutholwa noma ukuvuthwa kwawo.

Izici eziningi zifaka isandla ekuthuthukiseni i-OHSS:

• Imithamo enkulu yemithi ye-gonadotropin ngesikhathi sokuvuselelwa kwama-ovari
• I-hCG trigger shots esetshenziswa ekuvuthweni kwamaqanda ngaphambi kokutholwa
• Ubudala obuphansi, ngokuvamile ngaphansi kweminyaka engu-35
• I-Polycystic ovary syndrome (PCOS) noma imijikelezo yokuya exeshini engajwayelekile
• Umbhalo wangaphambili we-OHSS ngesikhathi sokwelashwa kokuzala
• Amazinga aphezulu e-estrogen ngesikhathi semijikelezo yokuvuselelwa
• Inani elikhulu lama-follicles avuthayo ngesikhathi sokwelashwa

Ukukhulelwa kungenza izimpawu ze-OHSS zibe zimbi noma zide ngoba umzimba wakho ukhulula i-hCG ngokwemvelo ngesikhathi sokukhulelwa kwasekuqaleni. Lokhu kudla okwengeziwe kwehomoni kungenza impendulo yama-ovari ibe namandla, okubangela izimpawu ezinzima kakhulu ezihlala isikhathi eside kunamacala ajwayelekile.

Ezimeni ezingavamile, i-OHSS ingenzeka ngokwemvelo ngesikhathi sokukhulelwa ngaphandle kokwelashwa kokuzala. Lokhu kwenzeka uma umzimba wakho ukhulula amazinga aphezulu kakhulu ehomoni yokukhulelwa, ikakhulukazi ezimweni zokukhulelwa okuningi noma ezinye izinkinga zokukhulelwa. Noma kunjalo, iningi lamacala e-OHSS lihlobene nokwelashwa.

Nini okufanele ubona udokotela nge-Ovarian Hyperstimulation Syndrome?

Kufanele uxhumane nedokotela wakho noma isikhungo sokukhiqiza izingane uma uhlushwa yizimpawu ze-OHSS ngemva kokwelashwa kokukhiqiza izingane. Ngisho nezimpawu ezilula zidinga ucingo ukuze uxoxe ngesimo sakho bese unquma ukuthi udinga yini ukuvakashela ehhovisi noma ukulandelelwa okwengeziwe.

Funani usizo lwezokwelapha ngokushesha uma uthola izimpawu eziphakathi nendawo ezinzima. Lokhu kuhlanganisa ukwanda okusheshayo kwesisindo ngamakhilogremu angaphezu kuka-4.5 ezinsukwini ezimbalwa, ubuhlungu obukhulu besisu, ukugabha okuqhubekayo, noma ukuncipha kokungqongqoza. Iqembu lakho lezokwelapha lidinga ukuhlola lezi zimpawu ngokushesha ukuvimbela izinkinga.

Ukukhathalelwa okuphaphandakazayo kuyadingeka uma uhlushwa ubunzima bokuqeda umoya, ubuhlungu esifubeni, ukukhungatheka okukhulu, noma ukungqongqoza okuncane noma akukho okuningi amahora ambalwa. Lezi zimpawu zingabonisa izinkinga ezinkulu njengezihlunu zegazi, izinkinga zezinso, noma uketshezi emaphashini akho. Unganqikazi ukubiza u-911 noma uye egumbini lephuthumayo uma ukhathazekile ngezimpawu zakho.

Imihlangano yokulandelela njalo nezikhungo zakho zokukhiqiza izingane kubalulekile ngesikhathi nangaphandle kwemijikelezo yokwelashwa. Iqembu lakho lezokwelapha lizolula ngama-hormone akho, lilinganise usayizi we-ovary nge-ultrasounds, futhi lihlose isimo sakho sonke. Le ndlela yokugcina ikusiza ukuthi uthole i-OHSS kusenesikhathi futhi ulungise uhlelo lwakho lokwelashwa uma kudingeka.

Iyini imikhakha yokusongela i-Ovarian Hyperstimulation Syndrome?

Izici eziningi zingandisa amathuba akho okukhula kwe-OHSS ngesikhathi sokwelashwa kokukhiqiza izingane. Ukuqonda lezi zici zokungena kusiza iqembu lakho lezokwelapha ukulungisa iprotokoli yakho yokwelashwa futhi likulandele ngokucophelela izimpawu zokuqala zesimo.

Ubudala buthatha indima ebalulekile, ngabesifazane abaneminyaka engaphansi kuka-35 abanengozi enkulu. Ama-ovary aselula avame ukuphendula ngamandla emithi yokukhiqiza izingane, akhiqize amaqanda amaningi nama-hormone aphezulu. Isikhungo sakho sokukhiqiza izingane sizovame ukusebenzisa imithi ephansi uma usesiqwini salo budala.

Izimo zezokwelapha ezihlobene nengozi yakho zihlanganisa:

• I-sindroma ye-ovari ezininzi (PCOS) noma ukuvundiswa okungajwayelekile kweqanda
• Umlando wangaphambili we-OHSS ngesikhathi sokwelashwa kokukhulelwa
• Amazinga aphezulu okuqala e-anti-Müllerian hormone (AMH)
• Ubunzima bomzimba obuphansi noma i-body mass index engaphansi kuka-25
• Umlando wezinkinga zokuzinzisa noma ukuzwela

Izici ezihlobene nokwelashwa zingakhuphula nezingozi zakho. Amazinga aphezulu e-estrogen ngesikhathi sokusheshisa, ukuthuthukiswa kwama-follicles amaningi, noma ukusebenzisa imithi yokukhulelwa eningi konke kuhlanganyela engozini ye-OHSS. Ukudluliselwa kwe-embryo entsha kungase kube yingozi enkulu kune-embryo efriziwe ngenxa yokukhishwa kwe-hormone okuqhubekayo.

Ukukhulelwa ngesikhathi sesikhathi sakho sokwelashwa kukhuphula kakhulu ububi nobude bezimpawu ze-OHSS. Iqembu lakho lokunakekelwa kwezempilo lingase likucele ukuba ufrize ama-embryo bese wenza ukudluliselwa esikhathini esilandelayo uma ungozini enkulu ye-OHSS eqinile.

Ziyini izinhlanganisela ezingase zenzeke ze-Ovarian Hyperstimulation Syndrome?

Nakuba izincazelo eziningi ze-OHSS zibuthakathaka futhi ziyaphela ngaphandle kwemiphumela yesikhathi eside, ukuqonda izinhlanganisela ezingase zenzeke kuzokusiza ukuba uqaphele ukuthi nini kufanele ufunesikhathi sokwelashwa ngokushesha. Izinhlanganisela ezinkulu azivamile kodwa zingaba yingozi eyingozi uma zingaphathwa ngokushesha.

Izinhlanganisela ezihlobene noketshezi zenzeka lapho uketshezi oluphezulu luqoqana ezindaweni ezingajwayelekile emzimbeni wakho. Lokhu kungabangela ukuphelelwa amanzi naphezu kokugcinwa kwamanzi, ukungalingani kwama-electrolyte okuthinta umsebenzi wenhliziyo nezinso, nobunzima bokuthanda uma uketshezi luqoqana eduze kwamaphaphu akho. Lezi zinhlanganisela zidinga ukuphathwa ngokunakekelwa kwezokwelapha futhi ngezinye izikhathi ukungena esibhedlela.

Izinhlanganisela ezihlobene negazi zingathuthuka ngenxa yokuphelelwa amanzi nokushintsha kwe-kemistri yegazi:

• Ama-blood clots ezinyaweni, emaphashini, noma kwamanye amalungu abalulekile
• Ukusebenza okungalungile kwezinso ngenxa yokunciphisa ukugcwala kwegazi
• Izinkinga zesibindi ezivela ekuqoqeni kwamanzi nokushintsha kwama-electrolyte
• Uxinzelelo lwegazi oluphansi oluholela ekudidekeni nasekuhlulekeni
• Ukuthuthukiswa kengozi yesifo sobuchopho ezimweni ezinkulu

Izinkinga zama-ovari zingezona ezivamile, kodwa zingafaka phakathi ukugoqa kwama-ovari, lapho ama-ovari akhulayo eguqa khona futhi ephazamisa ukunikezwa kwegazi. Lokhu kudinga ukuhlinzwa okusheshayo ukuze kusindiswe i-ovari. Ukuqhekeka kwe-ovari kunqabile kakhulu kodwa kungabangela ukuphuma kwegazi okudingayo ukusebenta okuhlinzayo ngokushesha.

Izinkinga ezihlobene nokukhulelwa zingase zenzeke uma ukhulelwa phakathi kwesikhathi se-OHSS. Lezi zingafaka phakathi ingozi enkulu yokulahlekelwa ukukhulelwa, ukubeletha kwangaphambi kwesikhathi, noma izinkinga zokukhulelwa ngenxa yokucindezeleka kwe-hormonal nelokwenyama le-OHSS. Noma kunjalo, abesifazane abaningi abane-OHSS baqhubeka bekhulelwa impilo ngenxa yokunakekelwa komtholampilo okufanele.

Ungalivimba kanjani i-Ovarian Hyperstimulation Syndrome?

Ukuvimbela i-OHSS kugxile ekutholeni izici zakho zingozi kusenesikhathi nokulungisa izinhlelo zokwelashwa kokuzala ngokufanele. Iqembu lakho lokunakekelwa kwezempilo lingathatha izinyathelo eziningana zokunciphisa amathuba akho okukhula lesi simo ngenkathi usafinyelela imiphumela yokwelashwa ephumelelayo.

Ukulinganiswa kwemithi kubonisa umugqa wokuqala wokuvikela. Udokotela wakho angase asebenzise amazinga okuqala aphansi e-gonadotropins, ashintshe uhlobo lwe-trigger shots, noma asebenzise imithi ephansi izingozi ze-OHSS. Amanye amakliniki asebenzisa i-GnRH agonist triggers esikhundleni se-hCG kubantu abasezingozini eziphezulu, kunciphisa ngokuphawulekayo amazinga e-OHSS.

Ukuguqulwa kokwelashwa iqembu lakho lokunakekelwa kwezempilo lingase likuncoma kufaka phakathi:

• Ukubandakanya wonke ama-embryo nokubambezela ukudluliselwa esikhathini esilandelayo
• Ukukhansela isimiso uma ama-follicles amaningi kakhulu evela
• Ukusebenzisa amazinga e-hormone aphansi kulo lonke ukukhuthazwa
• Ukuqapha njalo ngokuhlolwa kwegazi nama-ultrasounds
• Ukuhamba (ukuyeka imithi) ngaphambi kwe-trigger shot uma kudingeka

Izindlela zokuphila zingasiza futhi ekuqedeni ingozi yakho. Ukugcina umzimba uthambile, ukulinganisela ama-electrolyte ngeziphuzo zezemidlalo, nokugwema ukuzivocavoca okunzima ngesikhathi sokwelashwa kusiza umzimba wakho ukuba ubhekane nokucindezeleka kwemithi yokuzala. Amanye ama-study abonisa ukuthi ezinye izithasiselo zingasiza, kodwa xoxa nalabo abakhathalela impilo yakho kuqala.

Ukuxhumana okuvulekile nekhliniki yakho yokuzala kubalulekile ukuvimbela. Bika noma yiziphi izimpawu ngokushesha, hamba kuyo yonke imiqhudelwano yokulandelela, futhi ulandele imiyalelo yemithi ngokuqondile. Iqembu lakho lokukhathalela impilo lithembela kulwazi lolu ukuze lilungise ukwelashwa kwakho futhi livimbele izinkinga.

Uhlolwa kanjani u-Ovarian Hyperstimulation Syndrome?

Ukuxilongwa kwe-OHSS kuvame ukuqala ngezimpawu zakho kanye nomlando wakho wezokwelapha, ikakhulukazi ukwelashwa kwakho kwamuva kokuzala. Udokotela wakho uzokuqondisa mayelana nokuthi izimpawu zaqala nini, ubukhulu bazo, nokuthi zishintshe kanjani kusukela uqale imithi yokuzala.

Ukuhlolwa komzimba kugxila ezimpawu zokugcinwa kwamanzi nokukhula kwama-ovary. Umhlinzeki wakho wezempilo uzohlola isisindo sakho, ukucindezeleka kwegazi, nosayizi wesisu. Bazohlola ngobumnene isisu sakho ukuze babone ubuhlungu, ukuvuvukala, nokuqoqwa kwamanzi. Lolu hlolo lusiza ekuqondeni ubukhulu besimo sakho.

Izivivinyo zelebhu zinikeza ulwazi olubalulekile mayelana nendlela umzimba wakho obuphendula ngayo ku-OHSS:

• Izivivinyo zegazi ukuhlola amazinga ama-electrolyte kanye nomsebenzi wezinso
• Inani eliphelele legazi ukuhlola isimo sokuthambile
• Izivivinyo zomsebenzi welaphu uma izimpawu zinzima
• Ivivinyo lokukhulelwa ukuze kutholakale ukuthi ukukhulelwa yini elisebenza ezimpawu
• Amazinga e-hormone kufaka phakathi i-estradiol ne-hCG

Izivivinyo ze-imaging zisiza ukubona ama-ovary akho nokubona ukuqoqwa kwamanzi. I-pelvic ultrasound ibonisa usayizi we-ovary, inani lama-follicles, nanoma yiluphi unamanzi olukhululekile e-pelvis yakho. Uma unezinkinga zokuphefumula, ama-X-ray esifuba noma ama-CT scans angahlola unamanzi oluzungezile amaphaphu akho.

Iqembu lakho lezempilo lizokwahlukanisa i-OHSS yakho njengengaphansi, ephakathi, noma eqatha ngokusekelwe kulezi zitholakala. Lokhu kuhlukaniswa kuqondisa izinqumo zokwelashwa futhi kusiza ukubikezela ukuthi izimpawu zakho zingaphela isikhathi esingakanani. Ukulandelela njalo kungaqhubeka kuze kube yilapho izimpawu zakho ziphela ngokuphelele.

Iyini ukwelashwa kwe-Ovarian Hyperstimulation Syndrome?

Ukwelashwa kwe-OHSS kugxile ekuphatheni izimpawu nokuvimbela izinkinga ngenkathi umzimba wakho uqaphela ngokwemvelo imiphumela yemithi yokuzala. Izimo eziningi ziphulukana phakathi neviki eli-1-2 ngokunakekelwa okusekayo, yize ukukhulelwa kungandisa isikhathi sokuphulukana.

I-OHSS ephansi ngokuvamile idinga ukuphathwa ekhaya kuphela ngokulandelela okuqinile. Iqembu lakho lezempilo lizonika imiyalo ethile yokuphatha izimpawu futhi lihlele ukuhlola njalo ukuqinisekisa ukuthi uthuthuka. Le ndlela ikuvumela ukuthi uphulukane ngokunethezeka ekhaya ngenkathi uhlala uxhumene nokusekelwa kwezokwelapha.

Izindlela zokwelapha zezinga ezahlukene zokukhuluphala zifaka:

• Izimo ezilula: Ukukhathalela ekhaya ngokulandelela izimpawu nokulandelwa njalo
• Izimo ezimaphakathi: Ukulandelela kwezokwelapha okuvamile kakhulu nokwelashwa okungenzeka kwabagula
• Izimo ezinkulu: Ukuhlala esibhedlela sokulandelela okuqine kakhulu nokuphathwa kwezokwelapha

Ukuhlala esibhedlela kuba yingqayizivele ye-OHSS eqatha lapho izinkinga zikhula khona noma izimpawu ziyanda ngokushesha. Ukukhathalela esibhedlela kuvumela ukulandelela okuqhubekayo, ukuphathwa kwezinto ezigeleza nge-intravenous, kanye nokungenelela ngokushesha uma kuvela izinkinga ezinkulu. Ukulala esibhedlela okuningi kuhlala izinsuku eziyi-2-5, kuye ngendlela ophendula ngayo ekwelapheni.

Ukungenelela kwezokwelapha kungafaka izinto ezigeleza nge-intravenous ukulungisa ukuphelelwa amanzi nokungalingani kwama-electrolyte, imithi yokuphatha isicanucanu nobuhlungu, nezinqubo zokususa amanzi amaningi uma kuphefumula kuba nzima. Abaphansi kwegazi bangase banikezwe ukuvimbela ama-clots ezimweni ezinkulu.

Ukubhekwa kokubuyela esimweni esijwayelekile kuqhubeka kuze kube yilapho izimpawu zakho ziphela ngokuphelele futhi ama-ovari akho ebuyela esimeni sawo esijwayelekile. Lo mqondo ngokuvamile uthatha amasonto angu-1-3 kubantu abaningi besifazane, nakuba ukukhulelwa kungandisa isikhathi sokubuyela esimweni esijwayelekile kakhulu.

Ukulawula kanjani i-Ovarian Hyperstimulation Syndrome ekhaya?

Ukulawula i-OHSS emaphakathi ekhaya kugxila ekuhlaleni ukhululekile ngenkathi usekela inqubo yemvelo yomzimba wakho yokubuyela esimweni esijwayelekile. Iqembu lakho lezempilo lizonika imiyalo ekhethekile ngokuya ngezimpawu zakho nezici ezingozi, ngakho-ke landela imiyalo yabo ngokucophelela.

Ukulawula uketshezi kubalulekile kodwa kudinga ukulinganisela. Phuza amanzi amaningi, ikakhulukazi izimpuphu eziqukethe ama-electrolyte njengeziphuzo zezemidlalo, ukuze ugcine uketshezi olufanele. Kodwa-ke, gwema ukusebenzisa amanzi amaningi kakhulu, okuthuthukisa ukungalingani kwama-electrolyte. Hlose ukuthi umchamo wakho ube mnyama njengophawu loketshezi olufanele.

Izeluleko zokudla zisekela ukubuyela kwakho esimweni esijwayelekile:

• Dla ukudla okuncane, okuvamile ukulawula isicanucanu
• Khetha ukudla okumnandi, okulula ukuqeda uma uzizwa ugula
• Faka ukudla okunamaprotheni amaningi ukuze usekele ukululama
• Gwema ukudla okune-sodium eningi okungenza kube kubi ukugcinwa kwamanzi
• Cabanga ngetiye ye-ginger noma ama-crackers ukuze unciphise isicanucanu

Ukushintsha kwemisebenzi kusiza ukuvimbela izinkinga ngenkathi kuqhubeka ukududuza. Phumula uma uzizwa ukhathele, kodwa ukuhamba okuthambile njengokuhamba okufushane kungasiza ukuvimbela ama-blood clots. Gwema ukuzivocavoca okunzima, ukuphakamisa izinto ezisindayo, noma imisebenzi engase ibe yimbangela yokulimaza esiswini kuze kube yilapho udokotela wakho ekukhulula.

Ukubhekwa kwezimpawu kubalulekile ekutholeni noma yikuphi ukwanda kokukhuluphala kwesimo sakho. Zilinganise usuku ngalunye ngesikhathi esifanayo, landela ukusetshenziswa kwamanzi nokukhipha umchamo, futhi uqaphele noma yikuphi ukushintsha ebuhlungwini noma ekuphemeni. Xhumana neqembu lakho lezempilo ngokushesha uma izimpawu zibe zimbi noma izimpawu ezintsha ezikhathazayo zivele.

Ukuphathwa kobuhlungu kuvame ukubandakanya imithi ethengiswa ngaphandle kokubhalwa iresiphi evunywe yiqembu lakho lezeMpilo. Ama-heat pads asezingeni eliphansi anganika induduzo ebuhlungwini obukhulu besisu. Kodwa-ke, gwema i-aspirin noma imithi engase ithonye ukugqwala kwegazi ngaphandle kwemvume yezokwelapha.

Kufanele ulungiselele kanjani i-aphoyintimenti yakho nodokotela?

Ukulungiselela i-aphoyintimenti yakho yezokwelapha ehambisana ne-OHSS kusiza uqinisekise ukuthi uthola ukunakekelwa okuhle kakhulu futhi uthole izimpendulo zemibuzo yakho yonke. Ukuletha ulwazi oluhleliwe kuvumela iqembu lakho lezeMpilo ukuba lenze izinqumo ezisekelwe olwazini mayelana nokwelashwa kwakho.

Bhala ngokuningiliziwe izimpawu zakho ngaphambi kwe-aphoyintimenti yakho. Gcina i-log yansuku zonke efaka isisindo sakho, ukulinganisa kwesisu, amazinga obuhlungu, nanoma yiziphi izimpawu ezintsha. Qaphela ukuthi nini izimpawu zibuhlungu kakhulu, yini eyenza zibe ngcono noma zibe zimbi, nokuthi zithinta kanjani imisebenzi yakho yansuku zonke.

Lungiselela ulwazi olubalulekile okufanele wabelane ngalo:

• Uhlu oluphelele lwemithi yokuzala namathani owawuthathe
• Isikhathi lapho izimpawu zaqala khona nokuthi ziye zathuthuka kanjani
• Umbhalo wesisindo sakho sansuku zonke nokungenisa amanzi
• Noma iyiphi enye imithi noma izithasiselo ozithatha njengamanje
• Imibuzo mayelana nelenkaneli yakho yokwelashwa nethemba lokubuyela esimweni esijwayelekile

Letha umuntu osekela uma kungenzeka, ikakhulukazi uma uzizwa ungaphili kahle. Bangakusiza ukuba ukhumbule ulwazi olubalulekile, ubuze imibuzo ongazi khumbula, futhi unikeze ukwesekwa ngokomzwelo ngesikhathi se-aphoyintimenti yakho. Ukuba nomuntu okushayeka kuyabaluleke kakhulu uma ubhekene nokuqina noma ukungakhululeki.

Bhala phansi imibuzo yakho ebaluleke kakhulu ngaphambi kokuba ungayikhohlwa ngesikhathi se-aphoyintimenti. Imibuzo evamile ifaka isikhathi eside izimpawu zihlala isikhathi esingakanani, izimpawu zexwayiso ezidinga ukunakekelwa okusheshayo, ukulinganiselwa kwemisebenzi, nokuthi nini ungaqala kabusha imisebenzi evamile noma ukwelashwa kokuzala.

Lungiselela izinqubo ezingase zenzeke ngokugqoka izingubo ezanelisayo, eziqondile, ezivumela ukufinyelela okulula ekuhlolweni komzimba nase-ultrasound uma kudingeka. Letha uhlu lwezixhumana eziphuthumayo nolwazi lwakho lokuthola imali ukuze kululamisiwe noma yikuphi ukwelashwa noma ukuhlolwa okudingekayo.

Iyini into ebalulekile mayelana ne-Ovarian Hyperstimulation Syndrome?

I-OHSS iyimo eliphatheka kalula elithinta abesifazane abanye ngesikhathi sokwelashwa kokuzala, kodwa izincazelo eziningi ziyamboza futhi ziyaphela ngokuphelele ngenxa yokunakekelwa okuhle. Ukuqonda izimpawu nokuthi nini kufanele ufuna usizo kukwenza ube namandla okulawula impilo yakho ngalesi sikhathi esinzima.

Into ebaluleke kakhulu okumele uyikhumbule ukuthi i-OHSS iyisikhashana. Nakuba izimpawu zingase zibe buhlungu futhi zikhathaze, umzimba wakho uzophulukana njengoba imithi yokuzala ishiya umzimba wakho. Abesifazane abaningi babona ukuthuthuka okukhulu phakathi neviki eli-1-2, futhi le mo ehlala ibingabangela izinkinga zempilo zesikhathi eside.

Amasu okuvimbela aqhubeka ezuza njengoba imithi yokuzala ithuthuka. Iqembu lakho lokukhathalela impilo linamathuluzi amaningi okuthoba ingozi yakho ngenkathi likusiza ukufeza imigomo yakho yokwakha umndeni. Ukuxhumana okuqondile mayelana nezimpawu zakho nokukhathazeka kwakho kubavumela ukuba banikeze ukunakekelwa okuhle kakhulu.

Uma uthuthukisa i-OHSS, khumbula ukuthi awuwedwa kulolu phuculo. Abesifazane abaningi bayiphatha ngempumelelo le mo futhi baqhubeka bekhulelwe impilo. Iqembu lakho lokukhathalela ukubala liyazi kahle ukuphatha i-OHSS futhi lizokukhokhela ekuphulukiseni ngokusekelwa okufanele nokubhekwa.

Imibuzo evame ukubuzwa mayelana ne-Ovarian Hyperstimulation Syndrome

Ingabe i-OHSS ingathinta amathuba ami okuthola ukukhulelwa?

U-OHSS ngokwawo awuhlukanisi ukukhulelwa kwakho noma amathuba okuphumelela kokukhulelwa kwesikhathi esizayo. Eqinisweni, impendulo yama-ovari ebangela i-OHSS ivame ukubonisa ikhwalithi enhle yamaqanda nobuningi. Noma kunjalo, i-OHSS eqinile ingadinga ukulibaziseka kokudluliselwa kwembrio kusikhathi esilandelayo, okungathuthukisa ngempela amazinga okukhulelwa ngokuvumela umzimba wakho ukuthi uqale uphulukiswe.

Isikhathi esingakanani i-OHSS ihlala?

Izigameko eziningi ze-OHSS ziyaphela phakathi kwamasonto angu-1-2 njengoba imithi yokukhulelwa ishiya umzimba wakho. Uma ukhulelwa phakathi kwesikhathi, izimpawu zingase zihlale isikhathi eside ngenxa yamahomoni okukhulelwa wemvelo aqhubekisa lesimo. Izigameko ezinkulu zingase zithathe amasonto angu-2-3 ukuze ziphele ngokuphelele, kepha izimpawu zivame ukuthuthuka kancane ngalesi sikhathi.

Ngingaphinde ngithole yini i-OHSS ekwelapheni kokukhulelwa kwesikhathi esizayo?

Ukuba ne-OHSS kanye akuqinisekisi ukuthi uyithola futhi, kodwa kukwandisa ingozi yakho. Iqembu lakho lokukhulelwa lizoshintsha uhlelo lwakho lokwelapha lwamazinga esikhathi esizayo, usebenzisa imithi ephansi, izithombe ezahlukene zokuphakamisa, noma amasu okuqandisa ama-embryo ukuze kunciphisa kakhulu amathuba akho okukhula kwe-OHSS futhi.

Ngingazivocavoca yini nge-OHSS?

Ukuzivocavoca okulula njengokuhamba okuthambile kuvame ukulungile futhi kungasiza ukuvimbela ukugqwala kwegazi, kodwa gwema ukuzivocavoca okunzima kuze kube yilapho udokotela ekukhulula. Ama-ovari akho amakhulu ayingozi kakhulu ekulimala, futhi ukuzivocavoca okunzima kungalimaza izimpawu noma kubangele izinkinga. Landela imiyalelo ethile yeqembu lakho lezokunakekelwa kwezempilo ngokususelwa ebukhali bezimpawu zakho.

Ingabe i-OHSS isho ukuthi isimiso sami se-IVF asiphumelelanga?

I-OHSS ayibonisi ukwehluleka kwe-IVF futhi ivame ukwenzeka emazingeni avelisa amaqanda nama-embryo asezingeni eliphakeme. Abesifazane abaningi abane-OHSS banokukhulelwa okuphumelelayo, noma kuleso sikhathi esifanayo noma ngemuva kokudluliselwa kwembrio esikhathini esilandelayo. Iqembu lakho lokukhulelwa lizosebenza nawe ukuze lilinganise isikhathi nezindlela zokwelapha ukuze kube khona imiphumela emihle kakhulu.