Kukondoweza kwa ovarian: dzanja lothandizira kutenga pakati?

Kodi kukondoweza kwa ovarian ndi chiyani?

Zimathandiza chilengedwe pamene mwana wachedwa kubwera, ndipo ndi chifukwa cha kusokonezeka kwa ovulation. “Mayi amene satulutsa ovulation kapena kuzungulira masiku anayi aliwonse amakhala kuti alibe mwayi wokhala ndi pakati - osapitilira 4-5% pachaka. Chifukwa chake polimbikitsa dzira lake, timamupatsa mwayi wokhala ndi pakati monga momwe zimakhalira m'chilengedwe, mwachitsanzo, 20 mpaka 25% pa kuzungulira kwa mayi wazaka zosakwana 35, " akufotokoza Dr Véronique Bied Damon, dokotala wama gynecologist wodziwa zachipatala. .

Kodi kukondoweza kwa ovarian kumagwira ntchito bwanji?

“Pali mitundu iŵiri ya chisonkhezero,” iye akufotokoza motero. Choyamba, yemwe cholinga chake ndi kubereka physiology: mkazi amalimbikitsidwa kuti apeze follicles imodzi kapena ziwiri zakucha (kapena ova), koma osatinso. Umu ndi momwe kukondoweza kosavuta ndi cholinga chowongolera vuto la ovulation, polycystic ovaries, ovarian insufficiency, anomaly of the cycle; kapena kumukonzekeretsa mayi kuti aberekedwe. »Mazira amakondoweza pang'onopang'ono kuti apewe chiopsezo chotenga mimba kangapo.

"Mlandu wachiwiri: kukondoweza mu nkhani ya IVF. Kumeneko, cholinga ndikubwezeretsanso kuchuluka kwa oocyte, 10 mpaka 15, nthawi imodzi. Izi zimatchedwa controlled ovarian hyperstimulation. The thumba losunga mazira ndi kukondoweza pawiri mlingo poyerekeza ndi kukondoweza limodzi. ” Chifukwa chiyani? "Nambala ya IVF yobwezeredwa ndi Social Security ndi inayi, ndipo titha kuyimitsa miluzayo. Chifukwa chake pamayesero aliwonse a IVF, tikufuna mazira ambiri. Tidzakhala ndi pafupifupi 10 mpaka 12. Theka lidzapereka mazira, kotero pafupifupi 6. Timasamutsa 1 kapena 2, timayimitsa enawo kuti asamutsidwe omwe sawerengedwa ngati kuyesa kwa IVF. “

Ndi mankhwala ati oti muyambe kukondoweza? Mapiritsi kapena jakisoni?

Apanso, zimatengera. “Choyamba pali mapiritsi: clomiphene citrate (Clomid). Kulimbikitsana uku kuli ndi vuto losakhala lolondola kwambiri, pang'ono ngati 2 CV poyerekeza ndi galimoto yamakono; koma mapiritsi ndi othandiza, ndi zomwe munthu angapereke mu cholinga choyamba m'malo mwa amayi achichepere, komanso pakachitika mazira a polycystic ", akufotokoza Dr. Bied Damon.

Mlandu wachiwiri: subcutaneous punctures. "Azimayi amabaya jekeseni tsiku lililonse, makamaka madzulo, kwa nthawi yoyambira pa 3rd kapena 4th tsiku lozungulira mpaka nthawi yomwe ovulation imayambika, ndiye kuti tsiku la 11. kapena tsiku la 12, koma nthawiyi imadalira kuyankha kwa mahomoni kwa aliyense. Chotero, masiku khumi pamwezi, kwa pafupifupi miyezi isanu ndi umodzi, mkaziyo amabaya kaya FSH (yopangidwa, monga Puregon kapena Gonal-F); kapena HMG (gonadotropin ya menopausal yaumunthu, monga Menopur). Pazolemba, izi zimayeretsedwa kwambiri mkodzo kuchokera kwa amayi omwe ali ndi mimba, chifukwa pamene postmenopausal, FSH yambiri, chinthu chomwe chimayambitsa mazira, chimapangidwa.

Kodi pali zovuta zina pakukondoweza kwa ovarian?

Mwina inde, monga ndi mankhwala aliwonse. "Chiwopsezo chake ndi ovarian hyperstimulation syndrome", mwamwayi ndizosowa komanso zowonedwa kwambiri. "Pa 1% ya milandu yowopsa kwambiri, izi zingafunike kugonekedwa m'chipatala chifukwa pangakhale chiopsezo cha thrombosis kapena pulmonary embolism.

Kodi kukondoweza kwa ovarian kuyenera kuchitika pazaka ziti?

Zimatengera zaka komanso vuto la wodwala aliyense. "Mzimayi wazaka zosakwana 35 yemwe amakhala ndi zozungulira amatha kudikirira pang'ono. Tanthauzo lalamulo la kusabereka ndi zaka ziwiri za kugonana kosadziteteza kwa okwatirana opanda mimba! Koma kwa mtsikana yemwe amangokhalira kusamba kawiri pachaka, palibe chifukwa chodikirira: muyenera kufunsa.

Momwemonso, kwa mayi wazaka 38, sitiwononga nthawi yambiri. Tidzamuuza kuti: "Mwachita maulendo atatu olimbikitsa, sizikugwira ntchito: mukhoza kupita ku IVF". Ziri pazochitika ndizochitika. “