I-vitro fertilization "yindlela yokuphila" kwizibini ezininzi ezitshatileyo ezifuna ukuba nabantwana, kodwa enye yeyona miphumo emibi kakhulu yale nkqubo yinkqubo ye-ovarian hyperstimulation syndrome. Le ntsholongwane yindlela impendulo yomzimba ekufakweni kwenani elikhulu lamachiza e-hormone afunekayo ukukhuthaza ii-ovaries.
Iimpawu zokuqala ze-ovarian hyperstimulation zivela kwiinqanaba zokuqala zokukhulelwa, oko kukuthi, emva kokuba isiguli sibuyele ekhaya emva kokufumana amandla enamandla. Uphawu loxinzelelo lwama-ovari luvakalelwa kukuba lusizi kwisisu esisezantsi, umvakalelo wexinzelelo kunye "nokugqabhuka" ngenxa yokwanda okwenyuka kumaqanda. Ngaloo tshintsho, ukujikeleza kwegazi kuphazamiseka kwaye kuphuma umbane kwisisu esisenokubonakala ngenyuka kwinqanaba lika 2-3 cm kunye nokwanda kancinci kwesisindo. Le miqondiso ibonisa uhlobo olumnene lwe-ovarian hyperstimulation syndrome, leyo, ngokusemthethweni, iyaphela yodwa kwiiveki ezingama-2-3 kwaye ayifuni naluphi na unyango olukhethekileyo. Ukuba isifo esibunzima ukuya kwesigqirha sidlulela esiqinileyo, isigulane sinokufumana ukuhlanza, ukuhlambalaza, kunye nesifo sohudo. Ngenxa yokuqokelela umbane, kungekhona kwisisu esezantsi kuphela, kodwa nangemiphunga, i-dyspnoea kunye ne-nausea ibonakala. Ngeqondo elibi le-syndrome, ama-ovari angakhula ngesantya esingaphezu kwama-12 cm, obangela ukungafuneki komzimba, okufuna ukufelwa kwezibhedlele ngokukhawuleza.
Unyango lwe-ovarian hyperstimulation syndrome
Ngokusekelwe kwizibonakaliso zeklinikhi zesi sifo, unyango lwe-ovarian hyperstimulation lwenziwa ngendlela ekhuselekileyo okanye ekhuselweyo.
Imigaqo ephambili yonyango olulondolozayo iquka iinkqubo ezilandelayo:
- ukubonelela ngokuphumla kwebhedlele ukwenzela ukuthintela ukukhathazeka kwe-ovari;
- ukutyunjwa kokutya kunye nomxholo ophezulu weemveliso zeprotheni;
- ukuthotyelwa kolawulo lokusela: ukuya kwi-3 ilitha ngosuku;
- Ukubuyiselwa kwamanqanaba-electrolyte ibhalansi ngoncedo lwezixazululo zehemodez, njl.;
- ukunqunyulwa kweentlanzi kunye nokuhlanza ngamachiza kunye nokulungiswa kwemihla ngemihla;
- ukuphelisa intlungu yesifo kunye neyeza zentlungu;
- ukujova kwe-intraveous fluid (plasma, protein, albumin) ukubuyisela umthamo wegazi elijikelezayo;
- ukusetyenziswa kwama-antihistamines ukunciphisa ukutshabalalisa kwama-capillaries.
Ukuba isigulane sinezibonakaliso zokuphuma kwegazi xa i- ovary iphuka , uncedo olwenziwe ngophuhliso olwenziwa kunye nokusetyenziswa kweyeza elondolozayo. Kwiimeko ezininzi, ngokuxilongwa ngexesha elifanelekileyo kunye neyonyango elaneleyo, isigulane kulindeleke ukuba ibuye emva kweeyure ezingama-3-6 zonyango.
Ungakuphepha njani ukucima i-ovarian hyperstimulation?
Ngaphambi kwenkqubo ye-IVF, kufuneka unyathelwe ngononophelo ukukhusela i-ovarian hyperstimulation.
- ukwenqaba ukuvuselela ukutyekela ukunyusa i-ovarian hyperstimulation syndrome okanye ukunciphisa kakhulu umthamo wezilwanyana ze-gonadotropic;
- ukuchithwa kwexeshana kwenkqubo yokutshintshwa kombindi elandelwa yi-cryopreservation yayo yokudluliselwa kwisigxina se-uterine kwisigidi esilandelayo.
- ukupheliswa kwenani elingaphambili lezinto ezinobungqina kunye nama-cysts avela kwinkqubo yokuvuselela;
- ukupheliswa kolawulo lwe-ovulatory dose ye-chorionic gonadotropin okanye isondlo.
Abanye besetyhini banokuthi bangabandakanywa kwiqela elijongene nobungozi ekuphuhliseni i-ovarian hyperstimulation syndrome. Eli qela libandakanya abasetyhini abasetyhini abangaphantsi kwe-35, ngakumbi abo banesicatshulwa sobunzima bomzimba. Kwakhona, abafazi abane-polycystic ovary syndrome kunye nabo bafumana izidakamizwa ze-gonadotropin ngexesha elidlulileyo banethuba lokuba neengxaki. I-syndrome isoloko ivela kubafazi abanomsebenzi ophezulu we-estradiol kwi-serum yegazi, kunye nakwabasetyhini abaneendlela ezahlukeneyo zokuphucula iifollic.