Isingeniso se-Ovulation

Kuyini ukungeniswa kwe-ovulation?

I-ovulation induction yisivumelwano sokulashwa esakhelwe ukwandisa inani lamaqanda ovuna kowesifazane emjikelezweni. Ngenkathi ukuvuselelwa kwe-ovarian kwe-IVF ne-ICSI kuhlose ukukhiqiza amaqanda amaningi ukuze aqoqwe (kwabesifazane abavame ukukhipha amaqanda), ukungeniswa kwe-ovulation kuhlose ukukhuthaza amaqanda ambalwa nje kwabesifazane abangavuki ngokwejwayelekile. Ukwelashwa kuvame ukusetshenziswa kwabesifazane abane-polycystic ovarian syndrome (PCOS), isimo esibonakala ngama-cysts ama-ovarian amaningi, isikhathi esingajwayelekile noma esingekho, kanye namazinga aphezulu ama-hormone abesilisa (androgen).

Emjikelezweni ongalindelekile (umjikelezo wemvelo), owesifazane uvame ukuqanda iqanda elilodwa inyanga ngayinye. Kuyaqabukela kakhulu, amaqanda esifazane angakhipha ngokuzenzekelayo amaqanda ama-2 kunoma yimuphi umjikelezo onikeziwe, ongaholela kumawele angafani. Kumjikelezo we-ovulation ovuselelwe, inhloso ukufeza ukukhula kwe-multifollicular kanye ne-ovulation - ukuvuthwa kwamaqanda amaningi kumjikelezo owodwa. Lapho amaqanda amaningi evulwa ngasikhathi sinye, amathuba okukhulelwa avame ukukhula kakhulu.

Ukwelapha kuyinkambo yama-hormone okuzala ukuze akhuthaze amaqanda ukuba akhiqize i-follicle evuthiwe, bese kubhekelwa isikhathi sokuya ocansini noma i-Artificial Insemination (AI) / Intrauterine Insemination (IUI) ukuze ihambisane ne-ovulation. Kepha, ngoba abesifazane abane-PCOS bavame ukusabela kakhulu emithini yokuzala, kunengozi yangempela yokukhiqizwa kwama-follicle amaningi nokukhulelwa okuningi. Ukuqapha njalo ngezilinganiso ze-ultrasound ne-hormone ngakho-ke kuyadingeka ukuthi kuqinisekiswe eyodwa kuphela noma ama-follicles akhula.

Ukungeniswa kwe-ovulation kungenziwa kusetshenziswa imishanguzo efakwe ngomlomo noma imishanguzo yokujova, futhi kuvame ukuhlanganiswa ne-intrauterine insemination (IUI). Iziguli ezingazuza ekungenisweni kwe-ovulation / IUI imibhangqwana enokuzala okungachazeki, i-PCOS, i-endometriosis, kanye nokungasebenzi kwe-ovarian. Ukuze ulungele ukungena kwe-ovulation kufanele ube nomgogodla ovamile wesibeletho, okungenani ithubhu elilodwa elijwayelekile le-fallopian, futhi umlingani wakho kufanele abe nokubala kwesidoda okujwayelekile. Njengesinye sezikhungo ezihola phambili zokuzala eNingizimu Afrika, iMedfem Fertility Clinic ibilapha ngempumelelo iziguli ezizoqokwa nge-ovulation induction ngendlela efanelekile futhi esebenzayo. Lokhu kusho ukuthi sisebenzisa imigomo yokukhuthaza ephephile kepha esebenza kahle kakhulu ukuthola amazinga aphezulu empumelelo ngenkathi sinciphisa ubungozi bokukhulelwa oku-oda okuphezulu (ama-triplets noma ngaphezulu).

Kusetshenziselwa ubani ukwelashwa kwe-ovulation?

Ukungeniswa kwe-ovulation kungakusiza uma:

  • Unezinkinga ze-ovulation ezingaphendulanga emithini elula
    (njengamathebulethi we-clomiphene).
  • Ukhule ungazivezi futhi ufisa ukuzama ukwelashwa kwe-ovulation induction ukuze wandise inani lamaqanda akhiqizwa kumjikelezo ngamunye - ngaleyo ndlela ukhulisa ithuba lokukhulelwa.

Ngabe imishanguzo yokulimala yokulimala isebenza kanjani?

Ngesikhathi somjikelezo wokuya esikhathini wemvelo, ukhipha i-luteinizing hormone (LH) ne-follicle ivuselela i-hormone (FSH) kusuka kwindlala ye-pituitary. Lawa ma-hormone akhuthaza ukukhula kwefollicle - isikhala samanzi esibelethweni lapho iqanda likhula khona. Yize ama-follicle amaningana ekhula njalo ngenyanga, kumjikelezo wemvelo kuphela ovuthwa ngokwanele ukuvimba iqanda lakhe.

Ekuqalisweni kwe-ovulation, abesifazane abangavukeli ama-gonadotropins (amafomu we-FSH kanye / noma we-LH) ngomjovo ukukhuthaza ukukhula kweqanda elilodwa noma amaningi. Ngesikhathi ukwelashwa kwakho, udokotela wakho uzokuqapha ngokucophelela ngokuhlolwa kwegazi nama-ultrasound.

Yini okufanele ngiyilindele ngesikhathi sokwelashwa?

Ukwelashwa kwakho kuvame ukuqala ngosuku ezintathu noma ezine zomjikelezo wakho wokuya esikhathini futhi kuthatha cishe izinsuku eziyisishiyagalombili kuya kweziyishumi. Umhlengikazi uzokufundisa wena nomlingani wakho ukuthi ungawunikeza kanjani imijovo ekhaya. Cishe uzoba nokuqokwa emtholampilo okubili noma kane kokuhlolwa kwegazi kanye / noma ama-solas vaginal ukuqapha impendulo yakho nokulungisa umthamo wakho wemithi.

Ama-aphoyintimenti akho azohlelelwa phakathi kwe-7: 30 am ne-9: 00 am, futhi kuzovama kakhulu ngesikhathi se-ovulation. Yize abesifazane ngamunye ehlukile, lokhu kuyisibonelo sesheduli yomjikelezo wokwelashwa:

Lapho ukuhlolwa kwegazi nama-ultrasound kukhombisa ama-follicle avuthiwe kuya kwamane, omunye wodokotela wethu uzonikeza umuthi wesibili (i-hCG) wokubangela i-ovulation. Imvamisa uvusa i-36 emahoreni e-48 ngemuva kwalomjovo wokugcina.

Cishe i-24 kuya emahoreni e-36 ngemuva komjovo we-hCG, uzoba ne-intrauterine insemination (IUI). Lokhu kwenziwa ngokufaka isampula elungiselelwe ngokukhethekile isidoda sozakwenu ngomlomo wesibeletho futhi usibeka eduze kwesiqalo sesibeletho sakho lapho esinethuba elihle kakhulu lokufaka umquba iqanda. Inqubo ithatha imizuzu embalwa nje futhi kufanele ingabi nobuhlungu.

Uphumelela kangakanani ukwenziwa kwe-ovulation?

Imvamisa, i-20% kuya ku-25% yemibhangqwana ephilile, evundile iba nezinyanga zonke abazama ngayo. Ngokuphikisanayo, izinga lokukhulelwa phakathi kwemibhangqwana enezinzalo livame ukuba phakathi kwe-2% kuya ku-10% ngenyanga. Ukungeniswa kwe-ovulation kuvame ukukhiqiza amanani okukhulelwa e-10% kuya ku-20% ngomjikelezo ngamunye, kuya ngeminyaka yowesifazane, ukuxilongwa nesikhathi sokuzala.

Phakathi kwabesifazane abanezinkinga ezithile ze-ovulatory, ukwelashwa lokungeniswa kwe-ovulation kungabuyisela ngisho namazinga okuzala okujwayelekile we-20% ku-25% ngenyanga. Uma ungakhulelwa phakathi kwemijikelezo emithathu yokuqala yokwelashwa sizoxoxa nezinye izindlela zokwelashwa nawe.

Ngazi kanjani ukuthi ngabe ngiyaqanda isisu?

Uma uthola imijikelezo yokuya esikhathini njalo, cishe ucishe u-ovulating (kungakhathalekile ubude bomjikelezo). Ukulinganisa usuku lwe-ovulation, khipha izinsuku ze-14 kusuka kubude bakho bomjikelezo ojwayelekile. Ngakho-ke uma imijikelezo yakho iyizinsuku ze-28, uzovota ngosuku lwe-14, kepha uma imijikelezo yakho imfushane isib, izinsuku ze-25, ngokususa izinsuku ze-14, uzobe udlubhe ngosuku lwe-11.

Kunezimpawu ezimbalwa okufanele uzibheke lapho uzama ukuthola isikhathi sakho se-ovulation.

I-Mucus: ungahle ubone ithuba ebuchosheni besitho sangasese sowesifazane sangasese mayelana nesikhathi lapho usukulungele ukukhipha amaqanda. Kuwo wonke umjikelezo wokuya esikhathini, isibeletho noma ukuvulwa kwesibeletho kukhiqiza i-mucus. Ngaphambi nje kokukhiqizwa kwesibeletho i-mucus icace futhi inyamalale futhi ibukeka njengehlophe elimhlophe njengeqanda. Lo mucus usiza isidoda ukuba sikhuphuke esithweni sangasese sangasese nangomlomo wesibeletho.

Izimpawu zangaphambi kokuya esikhathini: Umjikelezo wokuya esikhathini uvame ukuhlotshaniswa nezimpawu ezinjengokuqhuma kwamathumbu esiswini, ububele besifuba nokushintsha kwemizwa. Lezi zimpawu zivame ukuzwakala kakhulu kubantu besifazane abanezinkinga zokuphuma emzimbeni, njengalezo ezine-PDCO noma i-endometriosis.

Ukushisa: Ngemuva kwe-ovulation izinga lakho lokushisa lenyuka futhi lihlale liphakeme kulo lonke umjikelezo. Lokhu kungenxa yokuthi amazinga akho e-progesterone - asiza ukulungiselela isibeleko ukufakelwa nokukhulelwa - anda nge-ovulation. Uzodinga ukuthatha okushisa kwakho njalo ekuseni. Ngemuva kwezinyanga ezimbili kuya kwezintathu zokuqopha izinga lokushisa kwakho uzobona ngethemba iphethini futhi uzokwazi ukubona usuku lwakho lwe-ovulation. Imvamisa kosuku olwandulela ukuvuselelwa kwe-ovulation kukhona ukucwilisa ekushiseni okubonisa ukuhlinzwa kwe-LH. Lesi isikhathi esihle sokuzibandakanya ocansini. Kunconywa ukuthi uhlangane ngocansi ezinsukwini ezintathu noma ezine ngaphambi nangosuku losuku lwakho lwe-ovulation ukuze wandise amathuba akho okuba ukhulelwe.

Kungani ngingavuki?

Kwabesifazane abaningi isizathu sokuthi abayivuseleli kungenxa yezimpawu zama-hormone adidekile avela emzimbeni okusho ukuthi ukwanda kwe-ovulation akunakwenzeka ngendlela ejwayelekile.

Ukuphazamiseka kwendawo yigama elisetshenziselwa ukuchaza iqembu lokuphazamiseka lapho i-ovulation yenzeka khona lapho. Ukwehluleka kwegama elithi pituitary kusetshenziswa lapho i-ovulation ihluleka ukwenzeka nhlobo (i-ovulation) futhi azikho izinkathi (amenorrhoea). Ngenkathi azinazimpawu ezithile zokuphazamiseka, kungahle kube nezici ezithile ezihlobene nabantu eziba nenkinga yokucabanga. Lokhu kungafaka:

  • I-Amenorrhoea (ukuntuleka kokuya esikhathini)
  • Imijikelezo engavamile yokuya esikhathini
  • Ukuphela kokuya esikhathini
  • Ukukhuluphala
  • Ukwehla kwesisindo ngokweqile
  • Ukukhuluphala ngokweqile
  • Ukukhula kwezinwele okungajwayelekile noma okweqile ebusweni nasemzimbeni
  • induna

Iningi labantu abanezinkinga ze-ovulation lithola i-amenorrohoea. I-amenorrhoea eyisisekelo yenzeka emantombazaneni angaphansi kwe-16 angakayi esikhathini, futhi imvamisa ibangelwa ukushoda kwe-hormone. I-amenorrhoea yesibili yenzeka kwabesifazane abakhule baye esikhathini kodwa bake bayeka izinyanga ezingaphezu kweziyisithupha. Lokhu kungahlangana:

  • Ukukhuluphala ngokweqile: Ukuba yi-10 nje ukuya ku-15% ngaphezulu kwezisindo zakho zomzimba kungafaka isandla ebungozini bezinkinga ze-ovulation. Isisindo esilahlekile kubantu besifazane abangavumbeli zivame ukudala inqubo evamile ukuthi iqale kabusha. Ukhuluphele kubuye kuxhunyaniswe nePCOS.
  • I-Polycystic ovarian syndrome: I-PCOS yisimo lapho amaqanda evuthwa emaqandeni kodwa angadedelwa kumashubhu e-fallopian futhi esikhundleni salokho ahlala emaqanda bese akhula abe ngama-cysts.
  • I-endometriosis: I-endometriosis yenzeka lapho izicubu ezivame ukugqokisa ingaphakathi lesibeletho zikhula kwezinye izindawo zomzimba wakho lapho okungekhona ezako, njengasezibelethweni, amashubhu e-fallopian nangaphandle kwesibeletho. I-endometriosis etholakala kuma-ovary nayo ingakhula ibe miningi futhi yakha amasystem angaphazamisa i-ovulation.
  • Ukuzivocavoca ngokweqile / ukuthamba ngokweqile: Lapho owesifazane evivinya umzimba kakhulu futhi ikakhulukazi uma isisindo somzimba sakhe siphansi (ngaphansi kwe-20% yesisindo somzimba osifanele, ama-ovulation angahle ayeke. I-ovulation ingabuyiselwa ngokubuyela ekuzivocavoca ngokulinganiselayo kanye nokudla okunempilo.
  • Ukucindezeleka: Ukucindezeleka ngokomzwelo nezinye izingcindezi ezinjengokushonelwa kungaba yingozi empilweni yowesifazane nokuzala kwakhe.
  • Ukwehluleka kwe-ovary: Lokhu kuphumela ekulahlekelweni kokuhlinzekwa kweqanda okuvela e-ovary kungenzeka ngenxa yokunqamuka kokuya esikhathini.
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