Yintoni i-ovulation induction, isebenza njani kwaye yenzelwe ntoni

Umxholo

• Ingaba isebenza kanjani
• Yenzelwe ntoni
• Iingxaki ezinokwenzeka

Ukungeniswa kwe-Ovulation yinkqubo eyenziwayo ukuququzelela ukuveliswa kunye nokukhutshwa kwamaqanda zii-ovari ukuze ukuchumisa isidoda kunokwenzeka kwaye, ngenxa yoko, kubangele ukukhulelwa. Le nkqubo iboniswa ikakhulu kwabasetyhini abane-ovarian dysfunction, eyimeko ye-polycystic ovary syndrome, ekwabizwa ngokuba yi-PCOS, esona sizathu siphambili sokungachumi ngenxa yokungabikho kwe-ovulation.

Iiprotokholi zokungenisa ii-ovulation zisekwe kumayeza anokucinezelwa, anjenge-clomiphene citrate, okanye ngokusebenzisa iihomoni ezinesitofu, ezaziwa njenge-gonadotropins.

Kwiimeko zokuchumisa, i-ovulation induction ibizwa ngokuba kukukhuthaza i-ovari kwaye ikwasekwe kusetyenziso lwamayeza e-ovular woman. Emva koko la maqanda aqokelelwa kusetyenziswa iinaliti ezizodwa ukuze achume isidoda kwilabhoratri.

Ingaba isebenza kanjani

I-Ovulation yinkqubo eyenzeka ngokwendalo emzimbeni womfazi, kumaxesha abizwa ngokuba yimijikelezo. Iihomoni eziveliswa yidlala yebhinqa efana nefollicle evuselelayo, eyaziwa ngokuba yi-FSH kunye nehomoni ye-luteinizing, ebizwa ngokuba yi-LH, isebenza kunye kuphuhliso lobukho kunye nasekukhululweni kwamaqanda. Nangona kunjalo, le nkqubo inokutshintshwa ngenxa yezifo ezithile ezinjenge-polycystic ovary syndrome kwaye ibangele ubunzima ekukhulelweni.

Ngale ndlela, ukwenziwa kwe-ovulation kukhuthaza ukulungiswa kwamanqanaba e-hormonal kwaye kunceda kwimveliso yamaqanda ukuba achunyiswe sisidoda ngokusebenzisa iiprothokholi zamachiza eziboniswe ngugqirha wezifo zabasetyhini kunye nengcali kwezokuzala, ezinokuthi:

• Clomiphene citrate, ezinje ngeComomid okanye i-Indux: lelona nyango lisetyenziswayo kakhulu kwabasetyhini abangakhupheli ovundini kwaye abanobunzima bokukhulelwa. Kufuneka iqalwe phakathi komhla wesi-2 nowesi-5 emva kokuqala kokuba sexesheni. I-Ultrasonography kufuneka yenziwe ukusuka ngomhla we-12 ukuya kowe-16 kumjikelo ukuze wazi impendulo kunyango;
• Ii-Gonadotropins ezinokungeniswa: zizidakamizwa ezibiza kakhulu, ezilawulwa ngenaliti esiswini, kwaye zikhokelela ekukhuleni kweefollic ezingakumbi, zisenza amathuba okuba ukhulelwe ngakumbi;
• Aromatase inhibitors, Njenge-anastrozole kunye ne-letrozole: Unyango olucetyiswayo kwabasetyhini abangaxhathisiyo okanye abo banodonga oluncinci kakhulu lwesibeleko kunye nokusetyenziswa kwe-clomiphene citrate kunye nokusetyenziswa kwazo kufuneka kuqalwe phakathi komhla we-2 nowe-5 womjikelo.

Ukongeza, i-polycystic ovary syndrome ibangela ukunganyangeki kwi-insulin, ekhokelela ekwandeni kwale hormone kunye nomngcipheko owandayo wabasetyhini abanesi sifo abanengxaki yokuhamba nge-ovulation. Kungenxa yoko le nto oogqirha abaninzi bancomela ukusetyenziswa kwe-metformin, ukuphucula inkqubo ye-ovulation. Utshintsho ekudleni, ukunciphisa umzimba kunceda ekulawuleni umjikelo kunye nokukhuthaza i-ovulation. Bona ngakumbi ngamanye amayeza asekhaya e-polycystic ovary.

Yenzelwe ntoni

Ukungeniswa kwe-Ovulation kusekwe ekusetyenzisweni kwamayeza ukunceda kuphuhliso kunye nokukhululwa kwamaqanda, ukuchumiswa sisidoda kunye nokukhokelela ekukhulelweni. Inendima ebaluleke kakhulu kunyango lweengxaki zokukhutshwa kwamazinyo okubangela ukungachumi.

Olu nyango lujolise ekwandiseni amathuba okuba abasetyhini bakhulelwe ngokwendalo, ngokwabelana ngesondo okucwangcisiweyo, okanye ngonyango olufana nokuchumisa. Ukwenziwa kwe-ovulation kunokucetyiswa kwabasetyhini abasele bevula, kodwa abanobunzima bokukhulelwa ngenxa yeengxaki zokuzala.

Iingxaki ezinokwenzeka

Enye yeengxaki ezinokubakho ngexesha lokungeniswa kwe-ovulation inokuba sisifo se-ovarian hyperstimulation syndrome, apho amaqanda amaninzi akhutshwa ekhulisa umngcipheko wokuba umfazi akhulelwe amawele okanye inokubangela ukwanda kokuhamba kwegazi kunye nobungakanani be-ovary. .

Iimpawu zesifo se-ovarian hyperstimulation syndrome zixhomekeke kwinqanaba lokungahambi kakuhle kwaye zinokubakho ukusuka kwisisu esiswini, isicaphucaphu kunye norhudo kunye nokubangela iingxaki ezinzulu ezinje ngotshintsho ekunqobeni isisu. Fumanisa ngakumbi ukuba yintoni i-ascites kunye nokuba uyiphatha njani.

Ngesi sizathu, kuyacetyiswa ukukhuthaza i-ovulation kunye nogqirha ukuba ahambe, njengoko kuya kumiselwa iidosi ezichanekileyo kumfazi ngamnye kwaye emva kokusetyenziswa kwamayeza, ii-ultrasound kufuneka zenziwe ukubeka esweni i-ovulation, kuthintelwe ukubonakala kweengxaki.

Njengoko ii-cysts kwii-ovari zinokubangela ubunzima bokukhulelwa, bukela ividiyo eneengcebiso ezingaphezulu zokwenza into yokunciphisa le ngxaki yezempilo: