Mukati
Chii chinonzi ovarian stimulation?
Mumazuva ekuenda kumwedzi, ovary inobudisa follicle. Panguva yekuvhara, iyi inodzinga oocyte, iyo inenge iri, kana kuti kwete, yakasanganiswa nembeu.
La kukurudzira ovarian, kana kuti ovulation induction, kunosanganisira kuisa mahormone kumukadzi kuti aberekezve chiitiko ichi. Chinangwa chekurapa uku ndechekuwana kukura kwe follicle, uye saka bvumira ovulation.
Ovarian kukurudzira: kune ani?
Ovarian stimulation ndeyevakadzi vese vanotadza kubata pamuviri nekuda kwe kusarongeka kana kusavapo ovulation. Nzira iyi inhanho yekutanga tisati tarapwa zvinorema, senge in vitro fertilization (IVF) uye insemination.
Mashandiro anoita ovarian stimulation
Chekutanga pane zvese, iwe unofanirwa kuenda kune yakarebesa uye inorambidza bhatiri yebvunzo, asi yakakosha kana iwe uchida wedzera mikana yako yekuzvitakura. Mushure mekubvunzurudzwa kwakakwana uye kuongororwa kwemuviri, chiremba achakukumbira kuti utore tembiricha yako mangwanani ega ega kwemwedzi miviri kana mitatu kuti uwane zuva rako rakakodzera.ovulation. Ipapo achanyora kuongororwa ropa kuyera mahomoni akasiyana (FSH, LH uye estradiol), pamwe chete nepelvic ultrasound mune imwe nyanzvi yehofisi. Kana iwe usiri ovulation, iwe uchafanirwa kutora duphaston kuti utange nguva yako. Ndiko chete mushure medanho iri ndipo paunogona kutanga kurapwa.
Ovarian stimulation: chii kurapwa?
Mhando nhatu dzekurapa dzinogoneka kune a kukurudzira ovarian :
- zvinobatsira Pharmaceuticals (Clomiphene citrate, inozivikanwa se Clomid), nemuromo. Vane anti-estrogenic chiito. Zvakanakira: iwo mahwendefa anofanira kutorwa zuva nezuva kwemazuva manomwe pakutenderera. Ivo vachakurudzira a FSH secretion, iyo hormone inokonzera kukura kwefollicles, nokudaro inokonzera kukurudzira kweiyo ovary.
- zvinobatsira majekiseni ehomoni. Zvimwe zvikwata zvekurapa zvinoda shandisa FSH hormone zvakananga. Gonadotropins (FSH), mukugadzirwa kwejekiseni, ita zvakananga pakugadzirwa kwefollicles mu ovary. Dzinotungamirirwa na inoruma (intramuscular, intradermal kana subcutaneous).
- Zvishoma zvinozivikanwa, pombi yeLRH inopa hormone inoshaikwa nevamwe vakadzi (gonadorelin) kuti ibvumidze kubuda. Vanofanira kupfeka pombi iyi kusvika vabata pamuviri. Chero nzira, ungangoda kuedza marapirwo akati wandei usati wawana iyo yakakunakira. Bata zvakasimba !
Kukurudzira ovarian kuburikidza neClomid, gonadotropins… Ndezvipi zvinokonzeresa?
ne pombi yeLRH, hapana mhedzisiro yakaipa. Kana iri kurapwa neClomid, inokonzera zvishoma zvakavhiringidza, kunze kweapo neapo kuvhiringidzika kwekuona, kutemwa nemusoro, kuvhiringika kwekugaya uye kusvotwa. Mune zvimwe zviitiko, mushonga uyu unogonawo kuva nemigumisiro yakaipa pane cervical mucus, izvo zvinoda kubatanidza kurapwa neestrogen.
Majekiseni eHomoni, kune rumwe rutivi, inowanzoperekedzwa nekunzwa kwekuremera mumakumbo, kurema mudumbu rezasi, kuwedzera kuduku muhuremu kana kunyange kukanganisa kwekudya.
Zvakanyanya kukomba uye nerombo rakanaka zvisingaite, iyo syndromeovarian hyperstimulation inoturikira kuti a kuzvimba kwemaovari, kuvapo kwemvura mudumbu remudumbu uye njodzi yephlebitis. Chiitiko ichi chinoitika kanaakawandisa follicles akura. Asi zvinorema zvakanyanya ndezvepfungwa. Kushushikana, kuneta… zvakakosha kuti unzwe kudzikama panguva yekurapwa uku.
Contraindications yekukurudzira ovarian
Nezve contraindications, vakadzi chete vane nhoroondo ye hypotalamic-pituitary tumor, thrombosis, cerebrovascular tsaona (stroke), kenza kana kukanganisa kwakanyanya kwekubuda ropa havagone kubatsirwa nemishonga iyi.
Kuongorora kukurudzira ovarian
A maviri ekutarisa, biological uye ultrasound, inokosha panguva yekukurudzira ovarian. The ultrasounds bvumira follicles kuyerwa uye saka kukura kwavo kuteverwa, uye hormonal assays (kuongororwa kweropa) kunoshandiswa kutarisa mazinga estradiol. Vanopawo kuyerwa kwehomoni secretions uye follicles.
Chinangwa cheizvi ovulation monitoring zvakare kugadzirisa kurapwa, kudzivirira njodzi dze mimba yakawanda (nekuwedzera kana kuderedza kutora kwehomoni), kuratidza zuva rakakodzera rekusangana pabonde, kana kuti kubva kukonzera ovulation, kazhinji nejekiseni reHCG rinotevedzera pamusoro peLH ovulation inducer.
Ovarian kukurudzira: ndeipi mikana yekubudirira?
Mapinduriro pakurapwa anosiyana kubva kumukadzi kuenda kumukadzi. Zvose zvinoenderana nechikonzero chekushaya mbereko kwako, zera rako, nhoroondo yako… Kana marapirwo akakodzera awanikwa, zvinoita sekunge tasimbisazve chinongedzo chekutanga mucheni. Zvinoonekwa kuti mimba inowanzoitika mumwedzi mina yekutanga.
kana kukurudzira ovarian inopa chinhu, zvinokwanisika kutanga patsva. MuFrance, Inishuwarenzi Yehutano haina muganho wekuvhara kwekukurudzira ovarian. Mamwe magynecologists anosarudza kuisa kunze marapirwo uye rega maovha azorore kweinenge sekondi yega yega kutenderera. Gynecologists vanoita sevanobvumirana kuti zvingava zvinobatsira kuenderera mberi nekukurudzira ovarian mukusavapo kwepamuviri kana mushure mekuita pamuviri. mwedzi mitatu kusvika kumitanhatu kuedza, nokuti marapiro anorasikirwa nekubudirira.