Zviratidzo, Zvinokonzera, uye Zvirwere Zvisingakwanisi Kurega
Anovulation zvinoreva kusava nechirwere , kana kuti kusina ovulation. Ovulation ndiyo kusunungurwa kweii kubva muhara. Izvi zvinofanira kuitika kuitira kuti tibate pamuviri nenzira yega. Kana urovulation isiripo, asi kwete zvachose iripo, iyi inonzi ogogo-ovulation.
Zvose zvekufuridzira uye ogogo-ovulation ndiwo marudzi ehutachiona husingaiti. Ovulatory kusagadzikana chinhu chinowanzokonzera kusakwana kwevakadzi , kunoitika kusvika ku40 muzana yevakadzi vasina kubereka.
Zviratidzo zvekuzodza kana Ovulatory Dysfunction
Kazhinji, vakadzi vane kuzora vachave vasina nguva. Munyaya yakaipisisa, vangave vasina kuwana maitiro avo zvachose. Kana maitiro ako ari mashoma kupfuura mazuva makumi maviri nemaviri, kana kupfuura mazuva makumi matatu, iwe unogona kunge uine maitiro asingabatsiri. Kana maitiro ako akawira mukati mezvinoenderana mazuva ose kusvika pamazuva makumi matatu nemasere, asi urefu hwemagetsi ako hunosiyana kubva pamwedzi kusvika pamwedzi, izvo zvinogonawo kuva chiratidzo chekuvhiringidza kwemaitiro.
Somuenzaniso, kana mwedzi umwe nguva yako mazuva makumi maviri nemaviri, iyo inotevera ndeye 35, kuti kusiyana kwakawanda pakati pemakwikwi kunogona kuratidza dambudziko rekuvhota. Zvinokwanisika kuwana matanho ako purogiramu inenge yakarongeka uye kwete kuvhara, kunyange izvi zvisingawanzoitiki. Kuenda kumwedzi apo mavhiri haaiti inozivikanwa kunonzi anovulatory cycle.
Kufuridzirwa uye Ovulatory Kusagadzikana Chinokonzera Kusakosha?
Kune vakaroorana vasingabatsiri, mikana yekuberekwa inenge 25 muzana mwedzi mumwe nomumwe. Kunyangwe kana kuvhuvhuta kuchiitika zvinowanzoitika, vakaroorana havakwanisi kubata pamuviri. Apo mukadzi ari kuvhara, haagoni kutora pamuviri nekuti hapana mazai okugadzirwa. Kana mukadzi asina kuvhara muviri, ane mikana shomanana yekuita pamuviri, sezvo achizorora zvishoma.
Uyezve, kuve kwemaawa ekupedzisira kunenge kusina kubudisa mazai akakwirira. Izvi zvinogonawo kuita kuti mbeu isaswededze. Uyewo, kuregererwa kwemavhiri kunoreva kuti mahomoni ari mumuviri wemukadzi haana kunaka.
Izvi zvisiri izvo zvinogona kutungamirira kune dzimwe nyaya, kusanganisira:
- Kusava nemichero yakaorera yekervical mucus
- Kupinha kana kudarika-thickening ye endometrium (apo mazai anogadzirwa anoda kuisa)
- Abnormally low levels of progesterone
- A shorter luteal phase
Zvinokonzera Kudzora
Anovulation uye ovulatory dysfunction kunogona kukonzerwa nehuwandu hwezvinhu. Chikonzero chinonyanya kukanganisa chekusavhiringidza kwehupenzi ndeye polycystic ovarian syndrome (PCOS). Zvimwe zvinokonzera kukanganisa kana kusavapo zvinosanganisira:
- Kuwedzera muviri
- Kuderedza muviri zvakanyanya
- Extreme exercise
- Hyperprolactinemia
- Kutadza kusati kwamboita mavari
- Kupera nguva, kana pasi mashoma ovarian
- Utachiona husingaiti (hyperthyroidism)
- Zvikuru zvakanyanya kuwanda kwepfungwa
Kuongororwa kweAnvulation
Chiremba wako achakubvunza nezvekuenda kwako kumwedzi. Kana iwe ukashuma zvisiri izvo kana kuti zvisiripo, maitiro asingashandisi achafungidzirwa. Chiremba wako angakukumbirawo kuti uone kutengesa kwemuviri wako wepasepa kumba kwemwedzi mishomanana.
Zvadaro, chiremba wako anorayira basa reropa kuti aongorore mazinga ehomoni. Chimwe chezviedzo izvi chinogona kusanganisira zuva 21 progesterone ropa test. Mushure mekuvhura, progesterone inowedzera. Kana huwandu hweprogesterone yako isingasimuke, iwe hauve uri oula . Chiremba wako anogonawo kuronga ultrasound. Iyo ultrasound ichacherechedza chimiro uye chiyero chebereki uye mavhai, uye zvakare kutarisa kuona kana mazai ako e polycystic, iyo chiratidzo chePCOS.
Ultrasound inogona kushandiswawo kutarisa kufambira mberi kwehutano uye ovulation, kunyange izvi zvisingawanzoitiki. Muchiitiko ichi, unogona kunge uine huwandu hwemakiromita anodarika kwemaawa maviri kusvika kwevhiki.
Mishonga yeKupera
Kurapa kunobva pane chikonzero chekuzodza. Zvimwe zviitiko zvekuzodza zvinogona kurapwa nehupenyu hwekuchinja kana kudya. Kana uremu hwepanyama huri pasi kana chiito chakanyanya kukonzera chiri chikonzero chekuzodza, kuwana uremu kana kuderedza chiito chako chekuita zvinogona kunge kwakakwana kuti utangezve kuvhara. Izvo zvinoenda kunorema. Kana iwe uri kunyanya kuwandisa , kurasikirwa kunyange 10 kubva muzana yehuwandu hwako hwemazuva ano zvingave zvakakwana kuti utangezve kuvhara.
Chirwere chinowanzoonekwa chekuzodza ndeyekuita zvinodhaka . Kazhinji, Clomid ndiyo inotanga kushandisa mishonga inobereka. Clomid inogona kukonzera ovulation mu80 muzana yevakadzi vanopisa, uye kubatsira vanenge 45 muzana vanozvitora mumwedzi mitanhatu yekurapa. Kana Clomid isingashandisi , pane zvimwe zvirwere zvekuberekwa zvakasara kuedza.
Kune vakadzi vane PCOS, insulini-kukurudzira zvinodhaka zvakadai semetformin inogona kubatsira mukadzi kutanga ovulating zvakare. Mwedzi mitanhatu yekurapa inodiwa musati maziva kana metformin inoshanda. Mushure mokunge, edza kutora pamuviri. Kana metformin iga isingabatsiri, kushandiswa kwemishonga inobereka pamwe chete yakaratidzwa kuwedzera mukana wekubudirira kuvakadzi vasina kumbovhiringidza zvinodhaka zvinodhaka chete. Chirwere chemishonga letrozole (Femara) chinogona kubudirira zvikuru pakukonzera kuvhara kwevakawanda mukati mevakadzi vane PCOS.
Kana chikonzero chekuzodza chiri nguva isati yasvika kusakanganiswa kwemaawa kana kuti mahara mashoma evhaan, saka kubereka mishonga hazvikwanisi kushanda. Asi izvi hazvireve kuti haugone kutora mazai ako. Vamwe vakadzi havazokwanisi kuve nemimba mazai avo uye vangada kurapwa kwaVIV neayai.
> Sources:
> Infertility. National Library yeMishonga: MedlinePlus.
> Mishonga yeIn Inducing Ovulation: Mutungamiri wevarwere. American Society of Reproductive Medicine.