Ovarian hyperstimulation chirwere

Ovarian hyperstimulation syndrome (OHSS) idambudziko iro dzimwe nguva rinoonekwa mumadzimai anotora mishonga yekubereka inosimudzira kugadzirwa kwezai.

Kazhinji, mukadzi anobereka zai rimwe pamwedzi. Vamwe vakadzi vane dambudziko rekutora nhumbu vanogona kupihwa mishonga inovabatsira kugadzira uye kusunungura mazai.

Kana iyi mishonga ichikurudzira mazai zvakanyanya, mazai acho anogona kuzvimba zvakanyanya. Fluid inogona kuerera mukati medumbu uye chipfuva nzvimbo. Izvi zvinonzi OHSS. Izvi zvinoitika chete mushure mekunge mazai aburitswa kubva muchivharo (ovulation).

Unogona kuve unokwanisa kuwana OHSS kana:

• Iwe unogamuchira pfuti yemunhu chorionic gonadotropin (hCG).
• Iwe unowana inopfuura imwechete dhizaini yeHCG mushure meovulation.
• Iwe unova nepamuviri panguva ino yekutenderera.

OHSS haiwanzo kuitika kune vakadzi vanongotora zvinodhaka nemuromo.

OHSS inokanganisa 3% kusvika 6% yevakadzi vanopinda mu vitro fertilization (IVF).

Zvimwe zvinokonzeresa zviitiko zveHSS zvinosanganisira:

• Kuva mudiki pane zera makumi matatu nemashanu
• Kuve neakanyanya yakakwira estrogen nhanho panguva yekurapa kwekubereka
• Kuve ne polycystic ovarian syndrome

Zviratidzo zveHSSSS zvinogona kubva pane zvinyoro kusvika kune zvakanyanya. Vazhinji vakadzi vane chirwere vane zvinyoro zviratidzo zvakadai se:

• Kubuda mudumbu
• Nyoro marwadzo mudumbu
• Kurera huremu

Muzviitiko zvisingawanzoitika, vakadzi vanogona kuve nezviratidzo zvakakomba, zvinosanganisira:

• Kukurumidza kurema (kupfuura mapaundi gumi kana makirogiramu 4.5 mumazuva matatu kusvika mashanu)
• Kurwadziwa kwakanyanya kana kuzvimba mudumbu nzvimbo
• Kuderedza weti
• Kufema kwekufema
• Kusvotwa, kurutsa, kana manyoka

Kana iwe uine kesi yakakomba yeHSSSS, wako mupi wekuchengetedza hutano anozoda kuongorora zviratidzo zvako nokungwarira. Unogona kupinzwa muchipatara.

Kurema kwako uye kukura kwenzvimbo yako yedumbu (dumbu) kuchayerwa. Miedzo inogona kuitwa inosanganisira:

• Abdominal ultrasound kana yemukadzi ultrasound
• Chest x-ray
• Yakazara kuverenga ropa
• Electrolytes pani
• Chiropa basa bvunzo
• Kuyedza kuyera kuburitsa weti

Makesi akapfava eOHSS kazhinji haadi kurapwa. Mamiriro acho anogona kunyatso kuvandudza mikana yekuve nepamuviri.

Aya anotevera matanho anogona kukubatsira kudzikisira kusagadzikana kwako:

• Wana zororo rakawanda nemakumbo ako akasimudzwa. Izvi zvinobatsira muviri wako kuburitsa dzihwa. Nekudaro, chiitiko chakareruka nguva nenguva uye zvirinani pane kuzorora zvakakwana kwemubhedha, kunze kwekunge chiremba wako akakuudza neimwe nzira.
• Imwai magirazi gumi kusvika gumi nemaviri (anenge 1.5 kusvika 2 litita) emvura pazuva (kunyanya zvinwiwa zvine maelectrolyte).
• Dzivisa doro kana zvinwiwa zvine caffeine (senge makora kana kofi).
• Dzivisa zvakanyanya kurovedza muviri uye zvepabonde. Izvi zviitiko zvinogona kukonzera kusagadzikana kweovarian uye zvinogona kukonzera ovarian cysts kutsemuka kana kubuda, kana kukonzera kuti maovari amonyanise nekugura kuyerera kweropa (ovarian torsion).
• Tora over-the-counter pain reliever yakadai seacetaminophen (Tylenol).

Unofanira kuzviyera zuva rega rega kuti uve nechokwadi chekuti hausi kuisa huremu hwakawandisa (2 kana anopfuura mapaundi kana kirogiramu imwe kana kupfuura pazuva).

Kana mupi wako achiongorora OHSS yakaoma asati aendesa mazai muIVF, vanogona kusarudza kukanzura hutachiona hwemuviri. Mazai aya akaomeswa nechando uye vanomirira OHSS kuti igadzirise vasati varonga iyo yechando embryo yekufambisa kutenderera.

Mune kesi isingawanzoitika yekuti iwe unovaka zvakanyanya OHSS, iwe ungangoda kuenda kuchipatara. Iye mupi anokupa zvinwiwa kuburikidza nemutsinga (intravenous fluids). Ivo zvakare vachabvisa zvinwiwa zvakaunganidzwa mumuviri wako, uye voongorora mamiriro ako.

Mazhinji makesi akapfava eOHSS anozoenda ega mushure mekutanga kuenda kumwedzi. Kana iwe uine kesi yakanyanya, zvinogona kutora mazuva akati wandei kuti zviratidzo zvive nani.

Kana iwe ukava nepamuviri panguva yeHSS, zviratidzo zvinogona kuwedzera uye zvinogona kutora vhiki kuti uende.

Muzviitiko zvisingawanzoitika, OHSS inogona kutungamira kumatambudziko anouraya. Izvi zvinogona kusanganisira:

• Ropa rinovhara
• Itsvo kutadza
• Yakakura electrolyte kusaenzana
• Yakakura fluid inovaka mudumbu kana muchipfuva

Fonera mupiki wako kana iwe uchinge waona chero cheanotevera zviratidzo:

• Pasina weti kuburitsa
• Dzungu
• Kuwedzeredza uremu, anopfuura makirogiramu maviri pazuva
• Kusuruvara kwakanyanya (haugone kuchengeta chikafu kana zvinwiwa pasi)
• Kutambudzika kwakanyanya kwepamuviri
• Kufema kwekufema

Kana iwe uri kuwana majekiseni emishonga yekubereka, iwe uchafanirwa kugara uine kuongororwa kweropa uye pelvic ultrasound kuti uve nechokwadi chekuti mazai ako haasi kunyanyisa-kupindura.

OHSS

Catherino WH. Kubereka endocrinology uye kushaya mbereko. Mune: Goldman L, Schafer AI, eds. Goldman-Cecil Mushonga. 26th ed. Philadelphia, PA: Elsevier Saunders; 2020: chitsiko 223.

Fauser BCJM. Maitiro ekurapa ekukurudzira ovari kushaya mbereko. Mune: Strauss JF, Barbieri RL, eds.Yen & Jaffe's Kubereka Endocrinology. 8th ed. Philadelphia, PA: Elsevier; 2019: chits.

Lobo RA. Kusabereka: etiology, ongororo yekuongorora, manejimendi, kufungidzira. Mune: Lobo RA, Gershenson DM, Lentz GM, Valea FA, eds. Yakakwana Gynecology. 7th ed. Philadelphia, PA: Elsevier; 2017: chitsuwa 42.