Nzira Inogona Kuita Maitiro uye Utano Zvokurapa Zvimwe zvePOSP
Polycystic ovarian syndrome (PCOS) ndechimwe chezvikonzero zvinowanzoita zvekusagadzikana kwevakadzi, zvinokonzera inofungidzirwa kuti mamiriyoni mashanu vakadzi. Asi unogona kutora PCOS. Kune huwandu hwehutano hunobudirira huripo huripo, kubva kuCommid kusvika kuGonadotropins kusvika kuVIV .
Vazhinji vakadzi vachabata pamuviri pamwe nekubatanidzwa kwekuchinja mararamiro uye kushandiswa kwemishonga.
Kunyange zvazvo vamwe vakadzi vane PCOS vachida IVF, vazhinji vanozove nepamuviri vachishandisa kurapa kwepasi-tech.
Heano mamwe emasarudza iwe uye chiremba wako anogona kuongorora.
Kurasikirwa Uremu kuti Udzorezve Kuvhara
Vakawanda (asi kwete vose) vakadzi vane PCOS vanorwisana nekuneta. Izvi ndezvokuti PCOS inoshungurudza zvakanyanya kuti muviri wako unoita sei insulin, iyo inogonawo kuita kuti uwedzere kuwedzera.
Chimwe chezvikonzero chikuru izvo vakadzi vane PCOS vasingagoni kutora mhepo ndeyekuti havaiti. Kana kuti havaiti nguva dzose. Vakadzi vane PCOS avo vanopfuvura zvakanyanya vanowanzova nekunyanyisa kukuru, kuenda kwemwedzi pakati pezvikamu.
Zvidzidzo zvakawana kuti kurasikirwa kweimwe huwandu huwedzere kunogona kutora kudzoka.
Iwe haufaniri kurasikirwa uremu hwose. Maererano nekutsvakurudza, kurasikirwa ne5 kusvika ku10 muzana yehuwandu hwemazuva ako kunogona kukwana kuti udzike-kutanga maitiro ako ekuenda kumwedzi.
Zvinosuruvarisa, hapana humwe humwe uchapupu hwokuti kuderedza uremu huchakubatsira iwe kuzvitora iwe pachako.
Iwe unogona kunge uchida kudhakwa zvinodhaka. Kutsvakurudza kwakawana kuti vakadzi avo vakaremerwa nehutachiwana vane mukana mukuru wekubudirira kurapa kurapa.
Kurasikirwa haisi nyore kune chero munhu, uye zvinogona kunge zvakaoma kune avo vane PCOS.
Ita kuti chiremba wako aedze insulin yako. Kana iwe uine insulin isingaiti, kutora chirwere cheshuga chemashupine metformin chinogona kubata chirwere che insulin uye chinogona kukubatsira iwe kurasikirwa nechimwe chiyero ichi.
Inogona kukubatsirawo kubata .
Kudya, Kuita muviri, uye PCOS
Kudya kudya kwakanaka kunonyanya kukosha kune vakadzi vane PCOS. Izvi zvishoma pamusana pengozi yakakwirira yokuva kudarika, uye zvishoma pamusana pematambudziko emitumbi yavo nehutachiona hwehutachiona.
Pane here kudya kumwe kwakakosha kweCPOS? Icho chinhu chekukakavadzana.
Zvimwe zvidzidzo zvakataurira kuti kudya kwakadzika-carb ndiyo yakanakisisa yePCOS, asi zvimwe zvidzidzo hazvina kuwana gorosi rakakosha.
Chinhu chinonyanya kukosha ndechekuita kuti hupenyu hwako huve hwakakosha muzvokudya zvinovaka muviri uye mapuroteni akakwana uye huri pasi pekudya zvemashuga. Kudzivisa kudya zvisina kuchena uye zvokudya zvinogadziriswa ndiyo yakanakisisa kubheji.
Nguva dzose kurovedza muviri kwakawanikwa zvakare kubatsira nezviratidzo zvePCOS. Mune rumwe ruzivo, kubatana kwekugara kwenguva refu uye kudya kudya kwakanaka kwakagadzirisa kuenda kumwedzi nguva dzose ne 50%.
Zvichida kudya uye kuita zvekudzidzira muviri chete kuchakubatsira iwe kuzvitora hazvisi pachena. Zvisinei, mararamiro ane hutano angabatsira mishonga yako yekuberekera inoshanda zvakanaka, uye ichakubatsira iwe kunzwa zviri nani zvakakwana.
Kufanana nekurasikirwa kwekurema, zvakakosha kuedza kana iwe uchida kubata pamuviri.
Metformin Treatment
Metformin chirwere cheshuga cheshuga chinoshandiswa kuporesa insulini yekudzivirira. Iko dzimwe nguva inorayirwa kuvadzimai vane PCOS, kunyange kana vasina kunyanya insulin kusagadzikana.
Kushandisa metformin yePCOS kunofungidzirwa kusina-kushandisa mavara. Zvisinei, mushonga wacho hauna kuchengeteka uye ungabatsira vakadzi vane PCOS kuti vawane pamuviri.
Maererano nekutsvakurudza, metformin inogona ...
- Kubatsira kuti uremerwe uremu
- Dzorerazve nguva yenguva yekuenda kumwedzi
- Kuvandudza kubudirira kwemimwe mishonga inobereka
- Deredza mutengo wekuperevedza
Clomid Treatment
Clomid ndiyo inowanzoshandiswa kubereka zvinodhaka, pamwe chete nemishonga inowanzoshandiswa yevakadzi neCPOS. Vakadzi vazhinji vane PCOS vachabata pamwe neCommid.
Zvisinei, hazvisi kubudirira kune munhu wose. Vamwe vakadzi vane PCOS vachawana chirwere cheComomid . Iyi ndiyo apo Clomid haiti kutora ovulation sezvinodiwa.
Zvidzidzo zvakawana kuti kusanganiswa kwemasformin uye Clomid kunogona kubatsira kurova Clomid kushorwa.
Kana izvi zvisiri kubudirira, chiremba wako anogona kufunga nezvechirwere chetero letrozole.
Kuchengetedza Utano neLetrozole
Letrozole, inozivikanwawo nezita rayo rokuti Femara, haisi mishonga inobereka asi inowanzoshandiswa seyese kune vakadzi vane PCOS.
Letrozole chaizvoizvo mishonga yemukenza. Zvisinei, zvidzidzo zvakawana kuti inogona kuva yakakosha kupfuura Clomid pakukurudzira kuvhara kwevakadzi mune PCOS.
Usavhunduswa nekuti chokwadi kuti mishonga iyi inotanga kuitirwa sechirwere chekenza. Iyo migumisiro yechirwere yakanyanyisa, uye yakanyatsotsvakurudzwa muvakadzi vanoedza kubata pamuviri.
Gonadotropins yePCOS
Kana Clomid kana letrozole isingabudiriri, danho rinotevera rinodhaka mishonga yekuberekwa kana gonadotropin.
Gonadotropin yakaitwa nemahomoni FSH, LH, kana kusanganiswa kwemaviri. Mazita emagetsi iwe ungaziva kuti Gonal-F, Follistim, Ovidrel, Bravelle, uye Menopur.
Chiremba wako angaratidza kusanganiswa kwemukanwa uye zvinodhaka zvinodhaka zvinodhaka. Semuenzaniso, Clomid ine "kutambisa" kupfurwa kweLH pakati pemakore.
Imwe ingangodaro inotenderera ne gonadotropin chete.
Kana, chiremba wako angaratidza gonadotropin neIUI (intrauterine insemination) chirongwa. IUI inosanganisira kuisa semiti yakashambidzwa zvakananga mumuviri kuburikidza necatheter. Mbeu inogona kubva kumunhu anopa mhodzi kana mumwe wako.
Chimwe chezviitiko zvinogona kuitika zvegonadotropins ndeye ovarian hyperstimulation syndrome (OHSS). Iyi ndiyo apo mazai emuviri anonyanyisa kugadzirisa mishonga yekubereka. Kana isina kutorwa kana kuti yakaoma, inogona kuva yengozi.
Vakadzi vane PCOS vari pangozi yakakura yeHSSSS. Chiremba wako angashandisa maitiro mashoma emishonga inobata mishonga yekudzivirira kuti irege izvi. Zvakakodzera, chiremba wako anofanira kushandisa chirwere chakanyanya kuderera.
Munguva yekurapwa, kana iwe une zviratidzo zveHSSSS, iva nechokwadi chekuudza chiremba wako.
IVF (In Vitro Fertilization) kana IVM (In Vitro Maturation)
Kana gonadotropins isiri kubudirira, danho rinotevera ndeye IVF kana IVM.
Iwe unogona kunge wakambonzwa nezve IVF, kana kuti in vitro fertilization. IVF inosanganisira kushandiswa mishonga inokonzera kuberekwa kushandura mazai ega kuitira kuti vape huwandu hwemazai akakura.
Mazai aya anodzowa kubva kumavharo mavari panguva inonzi inozivikanwa sezai.
Mazai aya anobva aiswa pamwe chete nehuta muPetri ndiro. Kana zvose zvichifamba zvakanaka, chirume chichawedzera mamwe mazai.
Mushure mokunge mazai akaberekwa ave pakati pemazuva matatu kusvika ku5 ekuparadzanisa nekukura, imwe kana maviri inotamirwa muchibereko. Iyi nzira inonzi inozivikanwa sekutumirwa kwembryo.
Vhiki mbiri gare gare, chiremba wako anorayira kuongororwa kwepamuviri kuti aone kana kutenderera kwacho kuchibudirira kana kwete.
Sezvakaita gonadotropin mishonga chete, chimwe chezvipingamupinyi zveVIV, kunyanya kuvakadzi vane PCOS, inopfurikidza nekudarika kweiyo mavari.
Ndiyo iyo IVM inopinda.
IVM inomiririra muhuro hwekutsvaira . Panzvimbo pokukupa mizinga yakakura yekushandisa zvinodhaka kuti usimbise mazai ako kuti akure mazai mazhinji, uye IVM unogamuchira kana kwete mishonga yekuberekwa kana kuti kuderera zvakanyanya.
Chiremba anotora kubva kumavanga mazai mazai asina mazai, ayo ivo vakabva vakura mubazi. Nokudaro zita mu vitro (mu lab) kusimwa (kukura).
IVM haina kupiwa pamakliniki ose ekubereka. Ichi chinhu chaunofanira kufunga paunosarudza kliniki yekubereka.
Sources:
Moran LJ1, Hutchison SK, Norman RJ, Teede HJ. "Upenyu hunochinja kune vakadzi vane polycystic ovary syndrome." Cochrane Database Syst Rev. 2011 Feb 16; (2): CD007506. doi: 10.1002 / 14651858.CD007506.pub2. http://www.ncbi.nlm.nih.gov/pubmed/21328294
Mahoney D1. "Maitiro ekuchinja mararamiro anoshandiswa pakati pevakadzi vasina simba uye vanopfuvura ne polycystic ovary syndrome." J Am Assoc Nurse Pract . 2014 Jun; 26 (6): 301-8. doi: 10.1002 / 2327-6924.12073. Epub 2013 Sep 3. http://www.ncbi.nlm.nih.gov/pubmed/24170708
Polycystic ovary syndrome (PCOS) fact sheet. Womenshealth.gov. Yakasvika musi waAugust 31, 2015. https://www.womenshealth.gov/az-topics/polycystic-ovary-syndrome
Chii Chinonzi In vitro Maturation? Chokwadi Sheet. Society for Reproductive Medicine. Yakasvika musi waSeptember 2, 2015. http://www.sart.org/FACTSHEET_What_is_in_vitro_maturation_IVM/