Ovarian reserve test ndiyo chikamu chinokosha chekuedzwa kwekubereka uye danho rinokosha musati mutevedzeri weVIVF . Mamwe mazai ekuvhara maitiro isinganzwisisi kuita uye anogona kuitika pakutanga kwekuedza kwako kuedza nekurapa. Dzimwe mimwe miedzo yakanyanya kuoma kana kuti isina kuvhiringidza, uye haigone kuitwa kusvikira iwe uri kliniki yekubereka uye uchifunga nezvekurapa kweVF.
Chii chatinoreva kuburikidza neovarian reserve?
Chii chinoitika kana mhinduro dzako dzisingatarisi dzakanaka, kana kuti mhinduro dzako dzakanyanya kunaka? Uye izvi zvose zvinotamba sei muawa yako yehupenyu?
Ndezvipi Zvichienderana Nezvokuchengetedzwa Kwako Ovarian
Apo vanachiremba vanotaura nezvehupenyu hwako hwemaawa, vari kutaura pamusoro pehuwandu hwemazai mavari mavari.
Apo patinotaura kuwanda, munyaya iyi, hatisi kutaura pamusoro pechiratidzo chaiyo. Parizvino hapana nzira yekuziva kunyatsokwanisa kuti vangani mazai mazai ari mumayamu emukadzi.
Kunyanya kunyanya, kuva nehupfumi hwekuvhara mahara kunoreva kuti mukana wehutano hweHIVF huri nani. Nzvimbo dzinosuruvarisa mazai anowedzera maitiro ekuregererwa kweVIV. Ndiyo apo kurapwa kunomira mukati mekufamba-famba nokuti kubereka zvinodhaka zvakakundikana kukurudzira mazai ekubereka mazai akakwana.
Mwana musikana anoberekwa namazai ose aanozombova nawo. Sezvo musikana achikura, nhamba ye mazai mumayamu ake ovari inoderera. Uhu hwemazai hunoitawo kuderera, zvichiita kuti kuwedzerwe njodzi yekuparara kwepamuviri uye kusakwana kwepabonde kune vakadzi 35 nevekare .
Asi sezvaunogona kunge uchiziva kubva pane zvakaitika, makore haasi iye oga muhuwandu uye hunhu hwemazai mubereki.
Zvinokwanisika kuti mukadzi wechidiki ave nehuwandu hushoma huri mazai mumapapiro ayo. Zvinogona zvakare kuti mukadzi ari mumakore makumi mana ekumusoro ave nepamusoro-soro yemazai maawa maari kana achienzaniswa nevamwe vakadzi vemazera ake.
Apa ndipo pane ovarian reserve test inouya.
Ovarian reserve miedzo inogona kubatsira chiremba wako kuti aone kana iwe ungangodaro unopindura zvisina kunaka kana kuti nani pane zvaunotarisirwa, maererano nevamwe vakadzi vezera rako.
Ovarian kuchengetedzwa kunoitwa nekuda kwezvikonzero zviviri zvinokosha: kuongororwa kwechikonzero chekushaya vana uye kunzwisisa kwokuti mavhai ako angapindura sei pakuberekwa kwekubereka.
Ovarian Reserve Kuongororwa Sekugadzira Chirongwa
Mushure mokutaura nachiremba wenyu pamusoro pekunetseka kwako kwekubereka, gynecologist yako angangoita rimwe basa rekushandisa ropa, kutarisa mahomoni ako.
Mamwe mahomoni ari kuongororwa achapa chiremba wako kunzwisisa nezvesimba rako rinogona kuwanikwa.
Imwe yehomoni yakatanga kuedzwa ndiyo zuva rako 3 FSH mazinga . Zvisinganzwisisiki zvakakwirira zveFSH zvinogona kuva chiratidzo chevarombo vemahombekombe.
FSH mazinga angave akakwirira nokuti iwe wakwegura, uye naizvozvo iyo yakakwirira FSH yepamusoro inogona kuonekwa sechinhu chinowanzoita chekukwegura nekuderedza kubereka. Iyi nhau dzakaipa kana uri kuedza kutora pamuviri, asi hachisi icho chiratidzo chokuti pane chimwe chinhu "chakaipa" newe.
Zvisinei, dzimwe nguva, vakadzi vaduku vanogona kunge vane mafomu akakura kwazvo FSH mazinga.
Vasikana vaduku vanowanikwa vane varombo vane mazai ehurumende vanogona kuonekwa kuti vane Primary Ovarian Insufficiency kana POI.
POI inowanzonziwo seKusakundikana Kwepamberi Ovarian (POF).
FSH mazinga ndiyo imwe nzira yekuedza mazai ovarian. Iwe unogona kuva nemazinga echirongwa cheFSH, asi mamwe mavhareji ezvidzidzo zvinogona kuwanikwa kuti maovory yako ovarian haasi pasi.
Yeuka kuti mazai ovarian inongova chikamu chimwechete chekuedza kubereka. Iwe unogona kuva nehupamhi hwekuvhara mazai ovarian, asi uchiri kuoma ne ovulation kana mazai evha. Panewo tubal uye uterine zvinhu zvinofungisisa, endometriosis , uye kusununguka kwemurume .
Zvadaro, panewo kuora mwoyo kuongororwa kwekusadudzirwa kusina kutsanangurwa.
Kurapa kwehutano Kubudirira uye Ovarian Reserve Kuongororwa
Iwe unogona kunge uchishamisika kuti sei iwe usingakwanisi kungoenderera mberi nekurapa kwekubereka uye kuputsa ovarian reserve kuedza.
Dambudziko nderokuti kunyanya kurapa kubereka uye hukuru hweVF haugone kukunda mashoma ovarian reserve.
Chinhu chisingazivikanwi zvakajeka ndezvekuti IVF inogona kugadzirisa chero chero dambudziko rekubereka. Izvi hazvisi chokwadi.
Kana mazamu ako ovarian ari pasi, zvinodhaka zvinoshandiswa kuti zvikurise mazai ako angasashanda. Kana mishonga isingakurudziri mazai akakwana kuti awanezve, mararamiro ako anogona kubviswa usati wasvika pakunamatira uye kubviswa kwemuviri.
Kwete izvi chete zvinogona kukonzera kushungurudzika kukuru kwepfungwa, asiwo mari inorema. Chero mari yawakashandisa paIVF kusvika panguva iyoyo icharasikirwa.
Ichi ndicho chikonzero chekutanga chekuvhara mavhareji. Saka vanachiremba vanokwanisa kuvhara varwere vanogona kunge vane chirwere cheVIV chisina kubviswa.
Izvi hazvirevi kuti mukadzi ane hutachiwana hwehupfumi hwenyika haagoni kugamuchira kurapa kwekubereka, zvisinei. IVF ine mazai evha kana mubereki wemukomana ndiyo imwe nzira iwe unogona kukumbira chiremba wako pamusoro.
Uyezve, iwe unogona kusarudza kupfuurira neVIV kunyange kana iwe uine chirwere chakashata chemasango. Chiremba wako anofanirwa kukuudza iwe kuti mikana yako yekubudirira yakaderera zvikuru, asi izvozvo hazvirevi kuti iwe haugoni kuedza IVF nemazai ako kana kliniki inoda kukubata iwe.
Ingoziva kuti uri kutora dambudziko rezvemari uye remweya nekuenda mberi.
Zvakadini kana mazamu ako akachengetedzwa achidzoka kupfuura zvinopfuura zvakanakisisa? Mune mamwe mazwi, zvakadini kana iwe uri kune rumwe rutivi rwemashoko?
Hungu, zvinoita kuti ovarian reserve kuongororwa kuti aone kuti mazai ako angangodaro anopindura mishonga yekubereka.
Iyi haisi nyaya dzakaipa, asi haisi nyaya huru kana. Zvinoreva kuti njodzi yako yezvinetso zvakadai se ovarian hyperstimulation syndrome (OHSS) yakakwirira. Vakadzi vane PCOS vanowanzotarisana nenhau iyi.
Chiremba wako anogona kupa mishonga yakaderera yemishonga munyaya iyi, kana kusarudza purogiramu yakasiyana yeyodzero yeVIV, iyo inoderedza ngozi yako yezvinetso.
Ipi Kuedzwa Isingagoni Kukuudza
Ovarian reserve test haagoni kukuudza zvakawanda pamusoro peii yai.
Mukadzi anorwara ane chirwere chisina kunaka chekuchengetedza mazai anowanzove ane mazai akakwirira emukati. Asi mukadzi ane mazai akanaka evarian angave asina mazai akakodzera akadzorerwa.
Mune mamwe mazwi, zvinogona kutora nhamba yakanaka mazai panguva yeVIV, asi zvishoma nezvishoma kune mazai aya anozadza. Kana kuti mukadzi angave ane ngozi yakawanda yokupererwa pamuviri, nemhaka yehurombo husina kuchena kana hutachiona hwehutachiona, kana nekuda kwehutachiona husina simba.
Nguva yemberi inogona kutitorera miedzo iyo inobatsira kuziva mazai ehu kana embryo, asi hapana chakavonekwa uye chakavimbika chinowanika iye zvino.
Izvo zvinokwanisika kuva nemigumisiro yakaisvonaka pane ovarian reserve kuongororwa, asi vachiri nekusarudzwa kusina kufanirwa kwemashoko ekubereka mishonga uye kuguma neAIVF yakagadziriswa.
IVF kubudirira kunopfuura kungova nemazai akakwana okuwana. Ichokwadi IVF kubudirira kunoreva kubata pamuviri uye sezvatareva pamusoro, mazai ehu inongova chikamu chimwe chemufananidzo mukuru, wakaoma. Iko yehuni , tubal uye uterine zvinhu, uye kubereka kwevarume kunopinda mumatambudziko ako ekubudirira kurapa kurapa.
Utano hwakashata hunogonawo kuita basa muhu rakashata uye hutano hunhu, hunogona kuchinja huwandu hweVF hunofanirwa kubudirira.
Ovarian Reserves uye Your Age
Zera rinonyanya kukosha mune zveVIV uye kurapwa kubudirira. Iwe haugoni kutarisa zera chete kana kuti mhinduro chete ye ovarian reserves test. Mashoko aya anofanira kufungwa pamwe chete.
Semuenzaniso, kunyange kana mukadzi ane makore makumi mana ane zvigumisiro zvakanaka pamusana pekuchengetedzwa kwekuvhara, maitiro ake ekubudirira kweVIV anowedzera kudarika makore makumi maviri nemashanu ane zvakafanana zvakafanana.
Usakanganwa zera remurume wako, zvimwe. Kubereka kwake kunodererawo nezera, kunyange kana kwete sezvinoshamisa sezvinoita mumukadzi.
Sources:
Badawy A1, Wageah A, El Gharib M, Osman EE. "Kufananidza uye kuongororwa kwemupfumi wekushushikana kwemasikati: dambudziko." J Reprod Infertil. 2011 Oct; 12 (4): 241-8.
Broekmans FJ1, Kwee J, Hendriks DJ, Mol BW, Lambalk CB. "Kuongorora kwakarongeka kwezviedzo kufananidza kuvhara kwemaawa uye IVF mhinduro." Hum Kudzorerwa. 2006-Nov-Dec; 12 (6): 685-718. Epub 2006 Aug 4.
Ramalho de Carvalho B1, Gomes Sobrinho DB, Vieira AD, MP Reende, Barbosa AC, Silva AA, Nakagava HM. "Ovarian reserve kuongorora nokuda kwekushaya upenzi." ISRN Obstet Gynecol. 2012; 2012: 576385. doi: 10.5402 / 2012/576385. Epub 2012 Jan 26.