Ovarian kukurudzira: ruoko runobatsira kubata pamuviri?

Chii chinonzi ovarian stimulation?

Iri kupa zvisikwa rubatsiro rwekubatsira kana mwana anonoka kuuya, uye zvinokonzerwa nekusakwana kwekuita ovulation. “Mukadzi asingaite ovulation kana kutenderera mazuva mana ega ega anenge asina mukana wekubata pamuviri – haupfuuri 4-5% pagore. Saka nekumutsiridza mazai ake, tinomupa mikana yakafanana yekuve nepamuviri seyakasikwa, kureva 20 kusvika 25% pakutenderera kumukadzi ari pasi pemakore 35 ekuberekwa, ”anotsanangura Dr Véronique Bied Damon, chiremba wechikadzi anorapa kurapa kwekubereka. .

Kukurudzira ovarian kunoshanda sei?

“Kune marudzi maviri okukurudzira,” anotsanangura kudaro. Kutanga, uyo ane chinangwa chokubereka physiology: mukadzi anokurudzirwa kuti awane imwe kana maviri akaibva follicles (kana ova), asi kwete zvakare. Iyi ndiyo nyaya yekukurudzira nyore nechinangwa chekugadzirisa chirwere chekuvhara, polycystic ovaries, ovarian insufficiency, an anomaly of the cycle; kana kuti kugadzirira mukadzi kuti aberekeswe. »Mazai anokurudzirwa zvine mwero kudzivirira njodzi yekuva nepamuviri pakawanda.

"Chechipiri nyaya: kukurudzira mumamiriro eIVF. Ikoko, chinangwa ndechekudzosa huwandu hwemaoocyte, gumi kusvika gumi nemashanu, panguva imwe chete. Izvi zvinonzi controlled ovarian hyperstimulation. Maovari anokurudzirwa pachiyero cheviri zvichienzaniswa nekukurudzira kumwe chete. " Sei ? “Huwandu hweIVF yakadzoserwa neSocial Security ina, uye tinogona kuomesa mazai. Saka pakuedza kwese kweIVF, tinoda mazai akawanda. Tichava neavhareji ye10 kusvika ku15. Hafu ichapa embryos, saka anenge 10. Isu tinotamisa 12 kana 6, isu tinoomesa vamwe kune kunotevera kutamiswa izvo zvisingaverengeki sekuedza kweIVF. “

Ndeipi mishonga yekutanga kukurudzira? Mahwendefa kana majekiseni?

Zvakare, zvinoenderana. “Kutanga kune mapiritsi: clomiphene citrate (Clomid). Kukurudzira uku kune kukanganisa kwekusanyanya kunyatsojeka, zvishoma se2 CV kana ichienzaniswa nemotokari yemazuva ano; asi mahwendefa anoshanda, ndizvo izvo munhu achapa muchinangwa chekutanga pane vakadzi vechidiki, uye kana paine polycystic ovaries ”, anotsanangura Dr. Bied Damon.

Nyaya yechipiri: subcutaneous punctures. "Vakadzi vanobaya chigadzirwa zuva nezuva, kunyanya manheru, kwenguva inotangira kubva pazuva rechitatu kana 3 rekutenderera kusvika panguva iyo ovulation inotanga, ndiko kuti 4th. kana zuva rechigumi nemaviri, asi nguva iyi inoenderana nemhinduro yehomoni yega yega. Saka, mazuva gumi pamwedzi, kweinenge mwedzi mitanhatu, mukadzi anobaya kana recombinant FSH (synthetic, sePuregon kana Gonal-F); kana HMG (human menopausal gonadotropin, yakadai seMenopur). Nokuda kwezvinyorwa, izvi zvakacheneswa zvikuru weti kubva kumadzimai ekupedzisira, nokuti kana postmenopausal, FSH yakawanda, chinhu chinokurudzira mazai, chinogadzirwa.

Pane here mhedzisiro yekukurudzira ovarian?

Pamwe hongu, sezvakaita chero mushonga. "Njodzi ndeye ovarian hyperstimulation syndrome", nerombo rakanaka isingawanzo uye yakatariswa zvakanyanya. “Muchikamu chimwe chete kubva muzana chevanhu vakanyanya kurwara, izvi zvingada kuti munhu apinzwe muchipatara nekuti panogona kunge paine njodzi yechirwere chethrombosis kana pulmonary embolism.

Kukurudzira ovarian kunofanira kuitwa pazera ripi?

Zvinoenderana nezera uye nyaya chaiyo yemurwere wega wega. “Mukadzi ari pasi pemakore makumi matatu nemashanu ane makore ese anogona kumirira zvishoma. Tsanangudzo yepamutemo yekushaya mbereko makore maviri ebonde risina kudzivirirwa kune vakaroorana vasina pamuviri! Asi kumukadzi wechidiki anongotora nguva yake kaviri pagore, hapana chikonzero chekumirira: unofanirwa kubvunza.

Saizvozvowo, kumudzimai ane makore makumi matatu nemasere, hatisi kuzopedza nguva yakawandisa. Isu tichati kwaari: "Iwe wakaita 38 kutenderera kwekukurudzira, hazvishande: iwe unogonawo kuenda kuIVF". Zviri pane imwe nyaya-ne-nyaya. “