Isifo se-Ovarian hyperstimulation syndrome

I-Ovarian hyperstimulation syndrome (OHSS) yingxaki ethi ngamanye amaxesha ibonwe kwabasetyhini abathatha amayeza okuzala akhuthaza imveliso yeqanda.

Ngokwesiqhelo, umfazi uvelisa iqanda elinye ngenyanga. Abanye abantu basetyhini abanengxaki yokukhulelwa banokunikwa amayeza okubanceda bavelise kwaye bakhuphe amaqanda.

Ukuba la mayeza avuselela ii-ovari kakhulu, ii-ovari zinokudumba kakhulu. Ulwelo lunokuvuza kwindawo yesisu nasesifubeni. Oku kubizwa ngokuba yi-OHSS. Oku kwenzeka kuphela emva kokuba amaqanda ekhululwe kwi-ovary (ovulation).

Unokuba nakho ukufumana i-OHSS ukuba:

• Ufumana umfanekiso we-chorionic gonadotropin (hCG).
• Ufumana ngaphezulu kwedosi enye ye-hCG emva kwe-ovulation.
• Uyakhulelwa ngelixesha lomjikelo.

I-OHSS inqabile ukuba yenzeke kwabasetyhini abathatha kuphela iziyobisi ngokuzala ngomlomo.

I-OHSS ichaphazela i-3% ukuya kwi-6% yabasetyhini abahamba nge-vitro fertilization (IVF).

Eminye imingcipheko ye-OHSS ibandakanya:

• Ukuba mncinci kuneminyaka yobudala engama-35
• Ukuba nenqanaba eliphezulu le-estrogen ngexesha lonyango lokuchuma
• Ukuba ne-polycystic ovarian syndrome

Iimpawu ze-OHSS zinokubakho ukusuka kubumnene ukuya kubunzima. Uninzi lwabasetyhini abanesi sifo baneempawu ezincinci ezinje:

• Ukudumba kwesisu
• Intlungu ethambileyo esiswini
• Ukutyeba kwakho

Kwiimeko ezinqabileyo, abasetyhini banokuba neempawu ezinzulu, kubandakanya:

• Ukufumana ubunzima ngokukhawuleza (ngaphezulu kwe-10 yeepawundi okanye i-4.5 kilograms kwiintsuku ezi-3 ukuya kwezi-5)
• Intlungu ebukhali okanye ukudumba kwindawo esiswini
• Ukunciphisa ukuchama
• Ukuqhawukelwa ngumphefumlo
• Isihlunu, ukugabha, okanye urhudo

Ukuba unetyala elinzima le-OHSS, umboneleli wakho wokhathalelo lwempilo kuya kufuneka ukuba abeke esweni iimpawu zakho ngononophelo. Unokungeniswa esibhedlele.

Ubunzima bakho kunye nobungakanani bendawo yesisu sakho (isisu) siya kulinganiswa. Uvavanyo olunokwenziwa lunokubandakanya:

• I-ultrasound yesisu okanye i-ultrasound yangasese
• I-x-ray yesifuba
• Gcwalisa ubalo lwegazi
• Iphaneli ye-Electrolytes
• Uvavanyo lomsebenzi wesibindi
• Uvavanyo lokulinganisa ukuphuma komchamo

Amatyala amancinci e-OHSS awanakufuneka aphathwe. Le meko inokuthi iphucule amathuba okuba ukhulelwe.

La manyathelo alandelayo anokukunceda ekunciphiseni ukungonwabi kwakho:

• Fumana ukuphumla okuninzi kunye nemilenze yakho iphakanyisiwe. Oku kunceda umzimba wakho ukhulule ulwelo. Nangona kunjalo, imisebenzi elula ngalo lonke ixesha kwaye ingcono kunokuphumla kokulala, ngaphandle kokuba ugqirha wakho ukuxelele ngenye indlela.
• Sela ubuncinci iiglasi ezili-10 ukuya kwezili-12 (malunga ne-1.5 ukuya kwezi-2 zelitha) zamanzi ngosuku (ngakumbi iziselo ezinee-electrolyte).
• Gwema utywala okanye iziselo ezine-caffeine (ezinjengeekhola okanye ikofu).
• Kuphephe ukuzilolonga kakhulu kunye nokwabelana ngesondo. Le misebenzi inokubangela ukungonwabi kwe-ovari kwaye inokubangela ukuba ii-cysts ze-ovari ziphume okanye zivuze, okanye zibangele ukuba ii-ovari ziguqukele kwaye zinqumle ukuhamba kwegazi (i-ovarian torsion).
• Thatha i-pain-counter-the-counter reliever efana ne-acetaminophen (iTylenol).

Kuya kufuneka ulilinganise suku ngalunye ukuze uqiniseke ukuba awubeki bunzima buninzi (2 okanye iiponti ezingaphezulu okanye malunga nekhilogremu enye okanye nangaphezulu ngosuku).

Ukuba umboneleli wakho uxilonga i-OHSS ebukhali ngaphambi kokudlulisa imibungu kwi-IVF, banokuthatha isigqibo sokurhoxisa ukudluliselwa kombungu. Iimbumba zinqabile kwaye zilinde i-OHSS ukuba isombulule ngaphambi kokucwangcisa umjikelo wokudlulisa umbungu.

Kwimeko enqabileyo yokuba ube ne-OHSS enzima, kuya kufuneka uye esibhedlele. Umboneleli uya kukunika ulwelo ngomthambo (ulwelo olufakwa ngaphakathi). Baza kususa ulwelo oluqokelelwe emzimbeni wakho, kwaye babeke iliso kwimeko yakho.

Uninzi lweziganeko ezinobulali ze-OHSS ziya kuhamba zodwa emva kokuqala ukuya exesheni. Ukuba unetyala elinzima ngakumbi, kunokuthatha iintsuku ezininzi ukuba iimpawu ziphuculwe.

Ukuba ukhulelwe ngexesha le-OHSS, iimpawu zinokuya zisiba mandundu kwaye kunokuthatha iiveki ukuba zihambe.

Kwiimeko ezinqabileyo, i-OHSS inokukhokelela kwiingxaki ezibulalayo. Oku kunokubandakanya:

• Amahlwili egazi
• Ukungaphumeleli kwezintso
• Ukungalingani okungathethekiyo kwe-electrolyte
• Ulwelo olunamandla olwakhiweyo esiswini okanye esifubeni

Fowunela umnikezeli wakho ukuba unazo naziphi na kwezi mpawu zilandelayo:

• Ukukhutshwa komchamo omncinci
• Ukuba nesiyezi
• Ukutyeba kakhulu, ngaphezulu kweekhilogram enye ngosuku
• Isicaphucaphu esibi kakhulu (awukwazi ukugcina ukutya okanye ulwelo phantsi)
• Iintlungu ezinzima zesisu
• Ukuqhawukelwa ngumphefumlo

Ukuba ufumana inaliti yamayeza okuchuma, kuyakufuneka ukuba ube novavanyo lwegazi rhoqo kunye ne-pelvic ultrasound ukuqinisekisa ukuba ii-ovari zakho aziphenduli ngaphezulu.

I-OHSS

UCatherino WH. Ukuzala i-endocrinology kunye nokungachumi. Ku: IGoldman L, iSchafer AI, ii-eds. Amayeza eGoldman-Cecil. Ngomhla wama-26. IPhiladelphia, PA: Elsevier Saunders; 2020: isahluko 223.

Ifayile ye-BCJM. Iindlela zonyango kwezokuvuselelwa kwe-ovari yokungachumi. Ku: Strauss JF, Barbieri RL, ii-eds.I-Yen & Jaffe ye-Endocrinology yokuzala. Ngomhla we-8. IPhiladelphia, PA: Elsevier; I-2019: isahluko 30.

Lobo RA. Ukungachumi: i-etiology, uvavanyo lokuqonda isifo, ulawulo, isifo. Ku: Lobo RA, Gershenson DM, Lentz GM, Valea FA, ii-eds. Gynecology egqibeleleyo. Umhla wesi-7. IPhiladelphia, PA: Elsevier; Ngo-2017: isahluko 42.