Migumisiro Yechipfuva uye Ngozi dzeMishonga Inobatsira

Kubvira pamusoro-kati kumusoro kusvika kumapatya, kutsva kwemafuta kunopisa

Kuita zvinodhaka zvinokonzerwa nemishonga uye njodzi zvinomiririra pane mishonga yauri kutora. Mishonga yemichero yomukati (sezvakaita Clomid kana letrozole ) ine madhara emigumisiro kupfuura zvinodhaka kushandiswa kwemishonga (sezvakaita gonadotropins kana GnRH agonist uye vanopikisa .)

Izvozvo zvakati, iyo inowanzobatwa nemishonga inokonzerwa nemishonga inoputika, kuora musoro, kunyorova kwepamuviri, kushungurudzika mudumbu, kupisa kunopisa, uye mafungiro emhepo .

Nzira dzakawanda dzinowanzobatwa nemishonga inobereka hutachiwana hutachiwana hwepamuviri ( semapatya kana katatu kana kupfuura ) uye kusimbisa ovarian hyperstimulation syndrome (OHSS) .

Iyi haisi yega inogona kugadzirisa migumisiro uye njodzi, iyo inonyanya kuonekwa.

Kuita zvinodhaka zvinogona kuita zviratidzo uye zvinowanzobudirira. Kunyange zvakadaro, zvakakosha kuziva kuti chii chinogona kuipa uye kuti ungaderedza sei mikana yako yezvinetso.

Mhinduro shoma : kuverenga pamusoro pemigumisiro yemigumisiro kunogona kuwedzera kushushikana uye kunogona kuwedzera njodzi iwe uchaona mamwe madhara. Izvi zvinozivikanwa sechinhu chisingaiti. (Zvakafanana nemafungiro e placebo, kungoita zvakaipa.)

Zvechokwadi, iwe unofanirwa kugara uchikurukura nachiremba wako zviitiko zvemishonga chero ipi zvayo usati wazvitora.

Zvisinei, kana iwe uchitarisa kune kuzvidya mwoyo, iwe unogona kutamba pfungwa yakajeka yehuipi / yeruzivo, uye funga nezvechikamu chine chinyorwa chinoti Ungadzivisa Sei Kuberekwa Kwezvinodhaka Maitiro Nezvimwe Ngozi .

Migumisiro Yechirume Inowanzoshandiswa Zvokurapa Zvinodhaka

Migumisiro yakaipa isiri izvo zvisingadiwi uye zvisingaiti zvechirwere zvinokonzerwa nemishonga.

Iwe uchave nematambudziko kana iwe uchanzwa uchatarisira ...

• mishonga yaunotora
• muyero wemishonga (mizinga yakakwirira inowanzoreva kuti yakawedzerwa ngozi)
• muviri wako

Tora, somuenzaniso, mishonga inobereka Clomid.

Vamwe vakadzi vanotora Clomid uye vanonzwa zvakanaka. Vamwe vanotarisana nemusoro kana mafungiro. Zvakaoma kufanotaura kuti uchaita sei kusvikira watora mishonga.

Pasi apa pane mazita mashomanana ekutengesa zvinodhaka zvinokonzerwa nezvinodhaka.

Nyaya inokosha! Hazviiti zvose zvinokonzerwa nemigumisiro uye njodzi dzakanyorwa. Kana uri kutarisana nemigumisiro yakakomba, zviratidzo zvisingawanzoitiki, kana unonetseka nechikonzero chero chipi zvacho, taura nechiremba wako.

Zvinokonzerwa nemagumisiro emagetsi eClomid anosanganisira:

• Hot flashes
• Kuvhiringidza uye kushungurudza pamuviri
• Kuwedzera kwehuwandu
• Headaches
• Maitiro anofamba
• Nausea
• Chizutu
• Breast tenders
• Kuenda kumwedzi kusina kuchena / kubuda
• Vaginal dryness

Verenga zvakawanda pamusoro peComid madhara pano.

Zvinokonzerwa nemigumisiro ye letrozole inosanganisira:

• Kuneta
• Chizutu
• Headache
• Kuvhiringidza / kubvisa pamuviri
• Hot flashes
• Chiratidzo chakasvibiswa
• Dambudziko rokurara
• Kuenda kumwedzi kusina kuchena / kubuda
• Kutambudzika kwepabonde

Verenga zvakawanda nezve letrozole yekurapa kuno.

Zvinokonzerwa nemigumisiro yegonadotropin inosanganisira:

• Headaches
• Nausea / kutsamwisa mudumbu
• Kumusoro kuputika kwepamuviri tsukamu
• Kubata / kubata kumeso
• Maitiro anofamba
• Acne
• Kuwedzera kwehuwandu
• Kuenda kumwedzi kusina kuchena / kubuda
• Injection site soreness uye redness
• Chizutu

Verenga zvakawanda pamusoro pegonadotropin madhara uye njodzi pano.

Zvinokonzerwa nemigumisiro yeGnRH agonists (kufanana neLupron) inosanganisira:

• Hot flashes
• Headache
• Mafungiro anoshanduka / kuora mwoyo / kuzvidya mwoyo
• Vaginal dryness
• Acne
• Kazhinji muviri wenyama aches / marwadzo
• Nausea
• Fluid retention
• Kushungurudza mudumbu
• Kuwedzera kwehuwandu
• Kuita zvepabonde kukanganisa
• Chizutu
• Injection site soreness

Verenga zvakawanda pamusoro peGnRH agonist madhara .

Zvinokonzerwa nemigumisiro yemagumisiro eGnRH anosanganisira:

• Mwoyo nyoro
• Headache
• Nausea / kutsamwisa mudumbu
• Kuenda kumwedzi kusina kuchena / kubuda
• Injection site soreness

Verenga zvakawanda pamusoro peGnRH zvinopesana nemigumisiro .

Kazhinji Asi Zvichida Zvimwe Ngozi Dzairwere Zvinodhaka

Muzviitiko zvisingawanzoitiki, kushandisa zvinodhaka kunogona kukonzera madhara akaipa.

Chiremba wako anofanira kukurukura izvi newe.

Nguva dzose udza chiremba wako kana uri kutariswa zviratidzo zvinoshungurudza, kunyange kana iwe usina chokwadi kana vakabatana nemishonga.

Zviri nani kudana chiremba kana iwe uine hanya uye achiita kuti akuudze zvinhu zvose zvakanaka, kupfuura kunyanya kukanganisa kunokonzera kukanganisa kwehutano kana ngozi.

Chiratidzo Kuchinja : Chikamu chiduku chevakadzi chichaona kuvhiringidzika kwemaono pakutora Clomid kana letrozole. Kana izvi zvikaitika kwamuri, maona kupenya kwechiedza, kuwedzera kamwe kamwe mu "floaters", kana kuti maonero asina kunaka.

Chiratidzo chakajeka chinogona kuuya pamwe nemusoro wakaoma musoro.

Udza chiremba wako pakarepo kana izvi zvichiitika kwauri. Dambudziko rezviratidzo rinofanira kuenda kana iwe ukamira kutora mishonga. Muzvikamu zvisingawanzoitiki, kukanganisa kwenguva refu kunogona kuitika.

Ectopic pregnancy : Vakadzi vanotora gonadotropins vane ngozi shomanana ye ectopic pregnancy.

Ectopic pregnancy inogona kuisa upenyu pangozi kana isingafurwi! Kana iwe uine kurwadziwa kwakanyanya kweplavic, taura nachiremba wako pakarepo.

Ovarian hyperstimulation syndrome (OHSS) : kubereka zvinodhaka nemaune zvinokurudzira mavhai ekubereka mazai akawanda kupfuura zvaaiwanzoita.

Ne OHSS, mazamu acho anowedzera kutyisa. Izvi zvinowanzoonekwa panguva yeVIVF kurapwa, asi zvinogonawo kuitika neComomid uye gonadotropin mishonga.

Zviitiko zvizhinji zveHSSSS zvinyoro, asi zvakanyanya OHSS zvinogona kuitika. Muzviitiko zvisingawanzoiti, OHSS inogona kutungamirira kuropa rekuvhara uye kushaya mafungiro.

HSSSS yakasimba inogona kutyisidzira kubereka kwako uye kunyange hupenyu hwako. Kubata zviratidzo nokukurumidza uye kugamuchira kurapwa kwekutanga ndicho chinhu chinokosha.

• OHSS Zviratidzo uye Kurapa

Ovarian torsion : ovarian torsion inogona kunetseka kweHSSSS. Vanodarika 2% yevakadzi vanotora gonadotropins vachawana chirwere chekuvhara mazai.

Kuita zvinodhaka kunokonzera kuti mavha mavari awedzere. Dzimwe nguva, chirwere ichi chinogona kushandura pachako, kubvisa ropa. Kuvhiya kuti urege kuvhara mahara kana kuti kubvisa ovary kunogona kudiwa.

Ovarian torsion inogona kuisa upenyu hwako uye kubereka pangozi.

Kana iwe uine kurwadziwa kwakanyanya kweplavic, enda kuchivanze chekutsvaga chiri pedyo iwe pakarepo.

Allergic reaction : allergic reaction kusvika pakubereka mishonga haigoni. Zvisinei, sekune chero mishonga (kana zvokudya), zvinogona kuitwa zvinogona.

• Chii Chinonzi Anaphylactic Shock?

Twins, Triplets, uye High-Order Pregnancies

Kana iwe wakagadzirirwa munhau mune chero nzira, iwe unotoziva kare nezvehutano hwekuwanda kwepamusoro apo uchishandisa zvinodhaka.

Mungozi yako yekuita mitezo yakawanda inobva pane zvinorapwa kurapa iwe uye kuti ndeupi mushonga wauri kutora.

Somuenzaniso, njodzi yekuve namawere kana iwe uchitora gonadotropin inopetwa katatu sezvinonzi Clomid.

Vamwe vanhu vanokanganisa kufunga kuti kuwanda kunongova pangozi nehuwandu hweVIV . Izvi hazvisi chokwadi. Ngozi yako yekuwanda yakawanda kwazvo neIUI (insemination) kurapwa kupfuura IVF.

Kazhinji, pamwe naComomid , mukana wako wekuva nemapatya ndiwo 10%. Mukana wako wokuva nekatatu kana kupfuura uri pasi pe1%.

Vanenge makumi matatu kubva muzana kubva muzana kubva pamuviri kubva kune gonadotropin kubereka mishonga yakawanda. Zvikamu zviviri kubva muzvitatu zvevaya vanozvitakura vane pamuviri mapatya, uye chetatu zvikamu zvitatu kana kupfuura-kutora pamuviri.

Dzimwe nguva, vakaroorana vanotarisira kuti vanoita pamuviri nemapatya kana katatu, kana kuti kunyange kubvunza vanachiremba kuti vabatsire. Ichi hachisi chakanakisisa, iwe kana mwana wako.

• Dambudziko reKubata pamuviri
• Quiz: Ndezvipi Zvaunofunga Pakubata Maviri Marefu Kupfuura Vazhinji?
• Chii Chinowedzera Maitiro Ako Amapatya?

Nzira Yokuderedza Kuderedza Mishonga Miti Dzakagadzirirwa Dambudziko uye Njodzi

Hazvibviri kunyatsodzivisa zvose zvinokonzera migumisiro. Zvisinei, pane zvimwe zvinhu iwe kana chiremba wako anogona kuita kuti uderedze njodzi dzako.

Dzimwe mimwe migumisiro inogona kudziviswa kana kuderedzwa nokutora mishonga usiku kana kuti nezvokudya. Nguva dzose taura nachiremba wako nezve nguva yakanakisisa uye nzira yokutora mishonga yako.

Chiremba wako anofanirwawo kushandisa chirwere chinonyanya kuderera. Ichi ndicho chikonzero chinenge chiri nani nguva dzose kutanga pamusarasi, uye kuwedzerwa kuyerwa kana kusingashandisi, panzvimbo yekutanga yakakwirira.

Rega chiremba wako azive kana maitiro ako akaipa. Kunyange kana vane mafungiro akafanana nemigumisiro (iyo vanhu vakawanda vanochengeta kubva kuvanachiremba vavo.) Panogona kuva nemimwe mishonga.

Kuti uderedze njodzi yako yekuwana mapatya kana kuwanda, kutarisisa kwekufamba kwako kwakakosha.

Ne gonadotropins kana Clomid, ultrasound inogona kushandiswa kusarudza kuti ingani yakawanda inowedzera follicles iri kukura. Zvose mapurisa ndeyedzidziso yekugona mwana, kana iwe uine pamuviri.

Chiremba wako anogona kubvisa mararamiro ako kana achifunga kuti njodzi yako yakawanda yakareba. Iwe unogona kubvunzwa kuti usaita zvepabonde.

Teerera kune chiremba wako. Yeuka kuti pamuviri wakawanda unoita kuti iwe nevana vako mune ramangwana utano (uye kunyange hupenyu) huri pangozi.

Nekurapa kwaVIV, dambudziko rako rekuwedzera rinogona kuderedzwa nekusarudzwa kwema embryo (SET). Izvi hazvifananidzi kune vose vakaroorana, kunyange zvakadaro. Taura nechiremba wako pamusoro pezvaunogona kuita.

Chenjererai makiriniki ekuberekera ane hupenzi hwakanyanya mukurapa kwekushaya simba .

Kune rumwe rutivi, zvinogona kunzwa zvakanaka kuti uve nechiremba achikupikira iwe kubudirira uye achitanga ne "zvakanakisisa" kana kurapa kwakasimba kupfuura kutanga. Kune rumwe rutivi, kusvetuka pamusana pakarepo nokukurumidza kungaita kuti nguva isati yasvika.

Zvechokwadi, kunyange nekutarisa zvakanyatsocherechedza uye chiremba ane hanya, iwe uchiri kuwedzera HSSSS kana kutora pamuviri nemawele kana kupfuura.

Muchiitiko ichocho, chinhu chakanakisisa chaunofanira kuita ndechokutevera chiremba wako kurapa mazano uye kuzvichengeta iwe pachako.

Kuchengetedza kwakanaka kwepabonde kunogona kuderedza dambudziko rinouya nevakawanda pamuviri . Nokukurumidza kuonekwa uye kurapwa, OHSS haina kazhinji yakaoma uye kazhinji inogona kugadziriswa kumba.

Zvimwe pamusoro pokurapa kubereka:

• 17 Zvingasarudzwa zveHercital Treatment
• Zvinodhaka Zvinokonzera Utano Zvinokonzera Kanzira Here?
• 6 Zvinhu Zvakawanda Vanhu Hazvizivi Nezve Clomid
• IVF uye Mavhiki maviri Anomirira
• Kurapa Kunowanzozvarwa
• IVF Kuchengetedzwa: Nhanho Nhanho
• Kutarisana neHurtility Treatment Kushungurudzika
• Kusarudza Kuti Usafanira Kutsvaka Kubereka Kuchengetedzwa
• Kubhadhara Zvokurapa Zvokudya

_Sources:

_{Matambudziko uye Matambudziko Anosangana Nevakawanda Kuberekwa: Chokwadi Sheet. American Society of Reproductive Medicine. Yakasvika musi waAugust 20, 2008. http://asrm.org/uploadedFiles/ASRM_Content/Resources/Patient_Resources/Fact_Sheets_and_Info_Booklets/complications_multiplebirths.pdf}

_{Ovarian hyperstimulation syndrome. Medical Encyclopedia, MedlinePlus. Yakasvika musi waAugust 20, 2008. http://www.nlm.nih.gov/medlineplus/ency/article/007294.htm}

_{Mishonga yekukuvadza kuvhara: Chirevo chevarwere. American Society of Reproductive Medicine. Yakasvika musi waAugust 20, 2008. http://asrm.org/uploadedFiles/ASRM_Content/Resources/Patient_Resources/Fact_Sheets_and_Info_Booklets/ovulation_drugs.pdf}

_{Ngozi dzeIn Vitro Fertilization: Chidimbu Chinyorwa. American Society of Reproductive Medicine. Yakasvika musi waAugust 20, 2008. http://asrm.org/uploadedFiles/ASRM_Content/Resources/Patient_Resources/Fact_Sheets_and_Info_Booklets/risksofivf.pdf}

_{Zvimwe zvinokonzerwa nemishonga inoberekwa inobereka (gonadotropins.) Chokwadi Sheet. American Society of Reproductive Medicine. Yakasvika musi waApril 10, 2016. https://www.asrm.org/FACTSHEET_Side_effects_of_injectable_fertility_drugs_gonadotropins/}