Ukwelashwa kwe-in vitro kuyindlela "yokuphila" emibhangqwana eminingi efuna ukuba nezingane, kodwa enye yemiphumela ebuhlungu kakhulu yale nqubo i-ovarian hyperstimulation syndrome. Lesi sifo siphendule umzimba ekwenzeni inani elikhulu lemithi ye-hormonal edingekayo ukuze kukhuthazwe ama-ovari.
Izimpawu zokuqala ze-ovarian hyperstimulation zivela ezinyathelweni zakuqala zokukhulelwa, okungukuthi, ngemuva kokuba isiguli sibuyele ekhaya ngemuva kokuthola amandla okuzulazula. Uphawu lwe-hyperstimulation ye-ovaries luzizwa zingathandeki emathunjini aphansi, umuzwa wokucindezeleka futhi "ukuqhuma" ngenxa yokwanda okukhulu kwama-ovari. Ngokuhambisana nalezi zinguquko, ukujikeleza kwegazi kuphazanyiswa futhi kusetshenziswe uketshezi esiswini, okungabonakala ngokunyuka kwama-2-3 cm nokunyuka okuncane kwesisindo. Lezi zibonakaliso zibonisa uhlobo oluthile lwe-ovarian hyperstimulation syndrome, okuyinto, njengoba umthetho, iphela yedwa emasontweni amabili futhi ayidingi ukwelashwa okukhethekile. Uma isifo esibuhlungu kuya kwesifo singena esibi, isiguli singase sizwe ukuhlanza, ukuphuza, nokuhuda. Ngenxa yokuqoqwa kwamanzi, hhayi kuphela esiswini esingaphansi, kodwa nasemaphashini, i-dyspnoea ne-nausea ivela. Ngesisindo esinzima se-syndrome, ama-ovari angakhula ngesilinganiso esingaphezu kuka-12 cm, okwenza kube khona ukuhluleka komzimba, okudinga ukwelashwa ngokushesha.
Ukwelashwa kwe-ovarian hyperstimulation syndrome
Ngokususelwa ekubonisweni kwemitholampilo yesifo, ukwelashwa kwe-ovarian hyperstimulation kwenziwa ngendlela enomsoco noma ehlinzayo.
Izimiso eziyinhloko zokwelashwa okuzimele zifaka izinqubo ezilandelayo:
- ukuhlinzeka ngokuphumula kombhede ukuvimbela ukuhlukunyezwa kwama-ovari;
- ukuqokwa kokudla okunomkhiqizo ophezulu wemikhiqizo yamaprotheni;
- ukuhambisana nombuso wokuphuza: kuze kufike ku-3 amalitha ngosuku;
- ukubuyiswa kwemali yamanzi-electrolyte ngosizo lwezixazululo ze-hemodez, njll;
- ukususa isicanucanu nokuhlanza ngemithi nokulungisa i-ration yansuku zonke;
- ukuqeda ubuhlungu bezinhlungu ngemithi ebuhlungu;
- umjovo we-fluid intravenous (plasma, amaprotheni, albin) ukubuyisela umthamo wegazi ojikelezayo;
- ukusetshenziswa kwama-antihistamine ukunciphisa ukuguqulwa kwama-capillari.
Uma isiguli sinezibonakaliso zokugaya kwangaphakathi lapho i- ovary iphuka , ukungenelela okuhlinzekwayo kwenziwa kanye nokusetshenziswa kokwelashwa okulondolozayo. Ezimweni eziningi, ngokuxilongwa ngesikhathi esifanele nokwelapha okwanele, isiguli kulindeleke ukuba siphumelele ngemuva kokuthatha ukwelashwa kwamasonto angu-3-6.
Ungakugwema kanjani ukucindezela i-ovarian hyperstimulation?
Ngaphambi kwenqubo ye-IVF, ukunakekelwa kufanele kuthathwe ngokucophelela ukuvimbela ukucindezeleka kwe-ovarian.
- ukwenqaba ukugqugquzela ukuthambekela okukhulisa i-ovarian hyperstimulation syndrome noma ukunciphisa okukhulu emthamo wezidakamizwa ze-gonadotropic;
- ukuqedwa kwesikhashana kwenqubo yokufakelwa kombungu elandelwa yi-cryopreservation yayo yokudluliselwa emgodini wesibeletho emjikelezweni olandelayo wokuya esikhathini.
- ukuqedwa kwenani eliphelele lezinhlobo ze-follicles nama-cysts avela enkambisweni yokuvuselela;
- ukuqedwa kokulawulwa kwesilinganiso somzimba we-chorionic gonadotropin noma ukulinganisa amanani.
Abanye besifazane bangabhekwa eqenjini eliyingozi ekuthuthukiseni i-ovarian hyperstimulation syndrome. Leli qembu lihlanganisa abesifazane abasebasha abangaphansi kweminyaka engama-35, ikakhulukazi labo abanezinombolo eziphansi zomzimba. Futhi, abesifazane abane-polycystic ovary syndrome nalabo abathola izidakamizwa ze-chorionic gonadotropin esikhathini esidlule banethuba lokuba nezinkinga. I-syndrome ivame ukuvela kwabesifazane abanomsebenzi ophakeme we-estradiol e-serum yegazi, kanye nakwabesifazane abanezinhlobo ezihlukahlukene zokuthuthukisa izintambo.