Dambudziko reKanare reMishonga Inobatsira Kuenzanisa Nengozi Infertility Itself Inounza
Kuita zvinodhaka kunokonzera kenza here? Zvakadini nehutano hweVIV ? Ichokwadi kuti zvidzidzo zvishomanana zvakaita sekuwana kuwirirana pakati pekushandiswa kwezvinodhaka zvekushandisa zvinodhaka uye kuwedzerwa kwengozi yepfuva kana uterine kenza, kunyanya neCom clomid yemishonga.
Yese mishonga, kusanganisira kubereka zvinodhaka, inouya nezvipingamupinyi.
Asi iwe unofanira kunge uine hanya nehuwandu hwechirwere chekenza here? Ngatitarisei.
Zvinodhaka Zvingaita Kuti Zviwedzere ... kana Kuderedza Ngozi Yenyu Yenharaunda?
Muna 2005, kubudiswa kwevakawanda kwakashuma kuti kushandiswa kweComidid kunogona kuwedzera mungozi yekenza yeukenza.
Zvisinei, kubvira panguva iyoyo, zvidzidzo zvakawanda zvakaitwa, uye vazhinji havana kuwana kuwedzera kukuru kwechirwere chekenza mushure mekushandisa Clomid.
Izvozvi, zvinonzwisisika, kumwe kuongororwa kwakaratidza kuti vakadzi vanobatwa nemishonga inobereka zvinoratidzika kuratidza kuderedzwa kwengozi yekuita chirwere chekuberekwa kana uchienzaniswa nevadzimai vasina simba vasina kutsvaga kurapwa.
Chimwe chidzidzo chakawana pangozi yekudzivirira kenza yepamu mushure meCommid.
Sei zvakasanzwisisika?
Dambudziko nevakawanda vezviongorori izvi hazvifungi nezvimwe zvinogona kuisa mungozi yekenza yeuketini.
Izvozvi, kana mukadzi asingambotauri nemimba, chirwere chake chekenza chinowedzera.
Uyewo, kuneta haisi ngozi chete yekusagadzikana , asiwo ingozi yekenza.
Icho chingave chisina kuva mishonga yekuberekwa zvachose.
Pane kudaro, kuwedzera kwechiitiko kunogona kuve kuchireva chikonzero chekushaya infertility pachayo, kana nhamba ipi zvayo yezvimwe zvinhu zvisati zvatorwa munyaya ino.
Tsvakurudzo dzakawanda dzakawana kubatana kunogona kuitika pakati pezvimwe zvikonzero zvekushaya vana uye kuwedzera kungoti yekenza.
Imwe dambudziko rinowanzosangana nedzidzo idzi ndeyekuenzanisa kwemazamu akanga ari maduku.
Clomid uye Dzimwe Ovarian Kukurudzira Zvinodhaka uye Ovarian Cancer Risk
Ihwo huchapupu hwakasimba zvikuru hwekuti Clomid nedzimwe mishonga inokonzera mishonga inokurudzira haiti kuwedzera mungozi yekenza yevana vanouya kubva kuChranerane Review, yakabudiswa muna 2013.
Kubvunzurudzwa kwaisanganisira zvidzidzo kubva muna 1990 kusvika munaFebruary 2013. Zvidzidzo zvakabatanidzwa pamwe zvaisanganisira 182 972 vakadzi.
Zvidzidzo zvinomwe zvakawana kuti hakuna humwe huwandu hwekenza yevana vanowedzera muchechi muvakadzi vanoshandisa chero mushonga wekubereka (kusanganisira Clomid) pakuenzanisa ngozi yavo kune vamwe vakadzi vane zvinetso zvekuberekwa vasingashandisi zvinodhaka.
Maererano nekudzokorora, zvidzidzo izvo zvakawana kuwedzerwa kwechirwere chepachirwere zvakanga zvisina kuvimbiswa nokuti zvakakundikana kutarisa dambudziko rekushaya chibereko pachako kana kuti kukosha kwekuenzanisa kwaiva kuduku kudonhedzwa.
Borderline Ovarian Tumors uye IVF?
Kubvunzurudzwa kweCochrane kwave kuwanika mungozi yakawedzerwa yezvipembenene zvemiganhu yemuganirwo mumadzimai avo akapfuura kuburikidza nekurapa kwaVIV.
Iyi ngozi yakanga isipo pashure peCommid kana Clomid ne gonadotropins kurapwa chete.
Kurapa kwemakumbo e-borderline ovarian hakusi kwakanyanya uye kunobatanidzwa sezvinowanzoita matumire evhavari, uye kufungidzira kwevakadzi vane tumurumire ine mhirizhonga yakanaka kwazvo.
Chidzidzo chegore ra2015 chakaedza kupfuurira mberi kutsvaga zvinogona kuitika kune mishonga ye borderline ovarian uye kubereka kubereka.
Zvavakawana ndezvokuti kwakanga kusina kusimba kwakasimba pakati pemakumbo emakondomu uye emhando yekushandisa zvinodhaka.
Zvisinei, panogona kuva nekukwanisa kunobatana pakati pemakumbo emumucheto we-borderline ovarian uye progesterone supplementation.
Vatsvakurudzi vakaona kuti mungozi yezvipembenene zvemimiganhu yepamiganhu yaiva yakakwirira kune vakadzi vakashandisa progesterone vachienzanisa nevaya vasina kumboita, uye vakakwirira kune vakadzi vakanga vane maitiro mana kana kupfuura eprogesterone supplementation.
Izvozvo zvakati, nhamba yevakadzi mukudzidza nemiganhu yepakati pemakumbo yaiva shoma.
Kudzidza-kutevedzana nemapoka makuru emadzimai anodiwa.
Endometrial Cancer Risk?
Ko kuberekwa kwemishonga kunogona kuwedzera mungozi wekenza yemakemikari here?
Ongororo yeCochrane yevadzidzi 19 yakagumisa kuti nekuda kwekudzidzira kushandiswa kwekugadzirisa, hazvibviri kutaura nechipi zvacho chechokwadi kana kenza yemukenza yepemetrase inowedzera mushure mokunge yaiswa kune zvinodhaka zvinodhaka.
Ikoko kwakaratidza kunge kune inogona kuwedzera mungozi kuvakadzi vaiva nepamusoro zvikuru yeClomid (yakakura kupfuura 2 000 mg-yevhesi yekutanga chirwere inongova 50 mg) uye vakatora Clomid kwemanomwe manomwe kana kupfuura.
Zvisinei, kutsvakurudza kwemazuva ano kwakanga kusingagoni kusiyanisa kana iyo yakawedzerwa ngozi yaizovapo kune Clomid kana pasi pekubereka zvinhu. Semuenzaniso, PCOS inozivikanwa kuti iwedzere njodzi yekudzidzira kenza yemapendometri.
Dambudziko Renguva refu reKenza yeBerechi Mushure meVIVF
Ko kurapa kweVIV kunowedzera mukana wako wekenza yepabonde here? Tsvakurudzo yezvino inotaura kuti haigone.
Chidzidzo chikuru pane zvekare chaisanganisira vakadzi 25 108, nevejiyamu yekutevera kwemakore 21 mushure mekurapa. Ava vaiva vakadzi vanobva kuNetherlands, avo vakagamuchira chirwere cheVIV pakati pe1980 ne1995.
Ikoko kwakanga kusina ngozi yakawedzerwa yekenza yemazamu muvakadzi vakagamuchira IVF vachienzaniswa nevaya vakagamuchira dzimwe nzira dzokubereka (asi kwete IVF.)
Zvinofadza kuti vanotsvakurudza vakawana njodzi yekenza yepamu yaiva yakaderera kuvadzimai vaiva nemakore 7 kana kupfuura IVF vakaenzaniswa nevadzimai vaiva nemakore 1 kana maviri. Hazvizivikanwi nei ichi chiri.
IVF uye Ovarian Cancer
Pamusangano weAmerican Society for Reproductive Medicine (ASRM), 2015, Dr. Alastair Sutcliffe weSchool of Child Health paYunivhesiti yeLondon yakapa ruzivo rwekutarisa dambudziko rekenza kuvakadzi vainge vachipfuura nehuwandu hweVIV .
Ichi chidzidzo chaisanganisira vakadzi vanopfuura 250 000 vekuBritish uye vakashandisa maitiro ekurapa pakati pe1991 na2010.
Mashoko akanaka ndeokuti havana kuwana mungozi yakakura yepfuva kana chirwere chekuberekwa mune zvekare varwere veVIV.
Nhau dzakaipa ndeyokuti yakawana njodzi yakawanda yekenza yemaawa.
Apo vakadzi vakanga vasati vamboenda kuburikidza neVIV vaine 11 mu10 000 mukana wekuvandudza kenza yeAvari, varwere veVIV vaiva ne15 mu10 000.
Dambudziko iri duku asi rinokosha kuziva.
Kungofanana nedzimwe tsvakurudzo dzinotaurwa pamusoro apa, kubvumirana ndekwokuti kuwedzera kwengozi haisi kukonzerwa nehuwandu hweVVF pachahwo asi kuti vakadzi vacho vaida kurapwa.
Infertility uye kudiwa kweVIV kunofungidzirwa sechiitiko. Kwete mishonga inobereka inoshandiswa panguva yekurapa.
Nezvo zvakati, chidzidzo chacho chakawana zvakare kuti kenza yekenza yaiva yakanyanya mumakore matatu ekutanga pashure pokurapa.
Saka, hazvibviri kutonga zvachose kuti mishonga inobereka yakaita basa muhutano hwekenza. Kucherechedza kuongorora mumakore pashure pekurapwa kweVIV kungave kwakachenjera.
Kwete Nengozi Inowedzera yeKenza
Meta-tsvakurudzo inongororo yekutsvakurudza iyo inounganidza mashoko kubva kuongororo dzakawanda uye inovadzidza pamwe chete. Yunivhesiti yeOttawa yakaita meta-analysis kuti ione kana kushandiswa kwezvinodhaka kwekushandisa zvibereko kwakakonzera njodzi yekenza kana ichienzaniswa nevakadzi vasina kuberekwa vasina kutorwa.
Kuongorora kwaisanganisira data yakakonzerwa nedzidzo gumi dzakasiyana-siyana dzekutsvakurudza, neruzivo pamusoro pevakadzi vanotora zvinodhaka zvakadai seComid, gonadotropins , chorionic gonadotropin (hCG) , uye gonadotropin-releasing hormone agonists (GnRH).
Vatsvakurudzi vakaona kuti kana vachienzanisa vakadzi vasina vana vanobatwa nemishonga inobereka, kupikisa vakadzi vasina kuberekwa vasina kumbobatwa, avo vanobatwa nemishonga yekuberekwa vakanga vasina kuwedzera mungozi yekuva nekenza yeukenza.
Chinonyanya kufadza, vakawana kuti vakadzi avo vaibatwa sevanoratidzika sevari nechepakati chekenza yevana vanopesana kana vachienzaniswa nevakadzi vasina kuberekwa vasina kutorwa.
Mune imwe dzidzo, iyi inotungamirirwa neDenmark Cancer Society, vatsvakurudzi vakaongorora boka revakadzi 54,362 vane infertility. (Kuongororwa kweboka rimwechete apo pavanotarisa boka guru revanhu vane mamiriro akafanana, kazhinji pane nguva yakareba.)
Muchidzidzo ichi, vatsvakurudzi havana kuwana kuwedzera kwakanyanya mumungozi yekenza yepabonde mushure mekushandiswa kwemishonga yekushandisa, kunyanya gonadotrophins , Clomid , hCG , kana GnRH .
Zvimwe zvidzidzo zvakawana zvakafanana.
Shoko Rinobva Kunyanya
Kubvumirana ndeyokuti kubereka zvinodhaka hakuwedzeri njodzi yako yekukura mazamu kana chirwere chekuberekwa. Uyewo, dzimwe dzidzo dzakatarisa kushandiswa kwezvinodhaka zvekushandisa uye mamwe marudzi ekenza (utachiona uye kenza yeganda, somuenzaniso), uyewo havana kuwana kuwedzera kukuru mune ngozi.
Zvisinei, nokuti kusununguka pachako chinhu chinokonzerwa nekenza, kutevera pashure pokunyatsoongorora kunokurudzirwa.
Vakadzi vane hutachiwana husingawaniki, vasingatomborwi uye vanozvara, pamwe chete nevakadzi vanorwara vane endometriosis , vanogona kunyanya kuva nehuwandu hwekuva nekenza.
PCOS , chikonzero chinowanzokonzera kusava nemhuka, inozivikanwawo kuti inouya nehuwandu hwekuwedzera kenza yemapendometri. Zvinokwanisika kuti maitiro makuru kwazvo eComidid, kana kurapwa kunowedzera kupfuura mamwe mabheji manomwe, zvinogona kuwedzera dambudziko rekenza yemakemikari. Asi huchapupu huripo hahugoni kusiyanisa kana ngozi iyi inowedzera inouya kubva kuComidid kana kuti infertility pachayo.
Uyezve, zvinokosha kuchengeta mupfungwa kuti teknolojia yekurapa kunochinja. Nhamba yepamusoro yezvinodhaka ikozvino inoshandiswa kudarika mumazuva ekutanga ekurapwa , uye dzakawanda zvezviongorori nezvekenza uye kubereka kubereka kunosanganisira vakadzi vanobatwa muma1980, zvakanyanya kukuvadza kudarika zvavanogona kuva nhasi.
Kuongorora kwekenza uye kurapa kubereka kunodawo nguva yakareba yekutevera. Zvinogona kunge makumi emakore tisati tava kunyatsotaura kuti kunobatsira sei kubereka kwekuberekwa pazera remakore makumi matatu nemashanu kuchava kune mukadzi ane makore 65 kana makumi manomwe. Kunyange zvazvo tsvakurudzo dzakawanda dzinofanira kuitika, ikozvino, zvinodhaka zvinowanzo (zvikuru) kubva pachigoni.
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