Chii chinonzi ovulation induction, inoshanda sei uye ndeyei

Zvemukati

• Inoshanda sei
• Chii ichochi
• Zvinogona kuitika

Ovulation induction ndiyo nzira inoitwa kufambisa kugadzirwa uye kuburitswa kwemazai nemazai kuitira kuti kusangana nehurume kugoneke uye, zvichidaro, kukonzeresa kubata. Maitiro aya anonyanya kuratidzirwa kune vakadzi vane ovarian dysfunction, inova nyaya ye polycystic ovary syndrome, inonziwo PCOS, chimwe chezvikonzero zvikuru zvekushaya mbereko nekuda kwekushayikwa kweovulation.

Ovulation induction protocols akavakirwa pamushonga unogona kumanikidzwa, senge clomiphene citrate, kana kuburikidza nekushandisa kwemajekiseni mahormone, anozivikanwa segonadotropins.

Mune zviitiko zvekusangana, ovulation induction inonzi ovarian kukurudzira uye zvakare zvinoenderana nekushandiswa kwemishonga yemukadzi ovular. Ipapo mazai aya anounganidzwa achishandisa tsono dzakasarudzika kuitira kuti aiswe urume nembeu murabhoritari.

Inoshanda sei

Ovulation inzira inoitika zvakasununguka mumuviri wemukadzi, munguva dzinodaidzwa kutenderera. Mahormone anogadzirwa nepituitary gland senge inosimudzira follicle, inozivikanwa seFSH uye iyo luteinizing hormone, inonzi LH, inoshanda pamwechete mukukudziridza kwe follicular uye mukuburitsa mazai. Nekudaro, maitiro aya anogona kuchinjwa nekuda kwezvimwe zvirwere zvakaita se polycystic ovary syndrome uye zvinokonzeresa kuve nepamuviri.

Nenzira iyi, kuburitswa kweovulation kunomutsa kugadziriswa kwemahormone uye kunobatsira mukugadzirwa kwemazai kuti asangane nembeu kuburikidza nezvirongwa zvemushonga zvinoratidzwa nachiremba wechiremba uye nyanzvi mukuberekesa kwevanhu, izvo zvinogona kuve:

• Clomiphene citrate, senge Clomid kana Indux: ndiwo mushonga unonyanya kushandiswa kuvakadzi vasingavhuri uye vane dambudziko rekubata pamuviri. Inofanira kutanga pakati pezuva rechipiri nerechishanu mushure mekutanga kuenda kumwedzi. Ultrasonography inofanirwa kuitwa kubva pagumi nemaviri kusvika pazuva regumi nematanhatu remhepo kuti uzive mhinduro kurapa;
• Injodzi Gonadotropin: mishonga inodhura, inofambiswa jekiseni mudumbu, uye izvo zvinowanzo kutungamira mukukura kwemamwe follicles, zvichiita mikana yekuva nepamuviri yakakura;
• Aromatase inhibitors, kunge anastrozole uye letrozole: mishonga inokurudzirwa kune vakadzi vanoshingirira kana avo vane rakatetepa kwazvo uterine rusvingo nekushandisa kwecomiphene citrate uye kushandiswa kwavo kunofanirawo kutanga pakati pechipiri ne5 zuva rehurongwa.

Uye zvakare, polycystic ovary syndrome inokonzera insulin kudzvinyirira, izvo zvinotungamira mukuwedzera kwehomoni iyi uye nenjodzi yakawedzera yevakadzi vane chirwere ichi vane matambudziko neovulation. Ndokusaka vanachiremba vazhinji vachikurudzira kushandiswa kwemetformin, kuvandudza maitiro eovulation. Dhijitari shanduko, kurasikirwa uremu zvakare kunobatsira kugadzirisa iyo kutenderera uye kukurudzira ovulation. Ona zvimwe nezve mimwe mishonga yekumba ye polycystic ovary.

Chii ichochi

Ovulation induction inoenderana nekushandiswa kwemishonga kubatsira mukusimudzira uye kuburitsa mazai, kuti isangane nembeu uye kutungamira kuve nepamuviri. Iine basa rakakosha pakurapa kwehutachiona hwehutachiona hunokonzera kushaya mbereko.

Kurapa uku kunovavarira kuwedzera mikana yevakadzi kubata nhumbu nenzira yechisikigo, nehurongwa hwepabonde hwakarongwa, kana kuburikidza nemishonga yakadai sekusangana. Kuburitswa kweovulation kunogona zvakare kukurudzirwa kune vakadzi vatove nemazai, asi vane dambudziko rekutora nhumbu nekuda kwematambudziko ekubereka evarume.

Zvinogona kuitika

Imwe yematambudziko anogona kuitika panguva yekuvhara mazai inogona kunge iri ovarian hyperstimulation syndrome, umo mazai mazhinji anoburitswa achiwedzera njodzi yemukadzi kuve nepamuviri nemapatya kana zvinogona kukonzera kuwedzera kweropa kuyerera uye kukura kweiyo ovary. .

Zviratidzo zveovarian hyperstimulation syndrome zvinoenderana nedambudziko reichi chirwere uye zvinogona kutangira kubva mudumbu distension, kusvotwa uye manyoka pamwe nekukonzera matambudziko akakomba senge shanduko mukugwamba, shanduko mukushanda kwetsvo uye ascites, kunova kuunganidzwa kwemvura mukati dumbu. Tsvaga kuti chii chinonzi ascites uye marapirwo acho.

Nechikonzero ichi, zvinokurudzirwa kukurudzira ovulation pamwe nekufambiswa nachiremba, seyakakodzera madosi anozopihwa mukadzi mumwe nemumwe uye mushure mekushandisa kwemishonga, maastround anofanirwa kuitiswa kuongorora ovulation, achidzivirira kuoneka kwematambudziko.

Sezvo ma cyst ari pamazai anogona kukonzera matambudziko kutora nhumbu, tarisa vhidhiyo ine mamwe matipi ezvekuita kudzikisa dambudziko rehutano: