Kuyini ukufakwa kwe-ovulation, kusebenza kanjani futhi kwenzelwe ini

-Delile

• Isebenza kanjani
• Yenzelwe ini
• Izinkinga ezingenzeka

Ukungeniswa kwe-ovulation inqubo eyenziwayo ukwenza lula ukukhiqizwa nokudedelwa kwamaqanda ngama-ovari ukuze ukukhulelwa yisidoda kwenzeke futhi, ngenxa yalokho, kubangele ukukhulelwa. Le nqubo ikhonjiswa ikakhulukazi kwabesifazane abanokukhubazeka kwama-ovari, okuyisimo se-polycystic ovary syndrome, ebizwa nangokuthi yi-PCOS, enye yezimbangela ezinkulu zokuzala ngenxa yokungabikho kwe-ovulation.

Amaphrothokholi wokungeniswa kwe-ovulation asuselwa emithini engacindezelwa, njenge-clomiphene citrate, noma ngokusebenzisa ama-hormone anokujova, abizwa ngama-gonadotropin.

Ezimweni zokukhulelwa, ukufakwa kwe-ovulation kubizwa ngokuthi yi-ovarian stimulation futhi kusekelwe ekusetshenzisweni kwamakhambi kowesifazane we-ovular. Bese kuthi la maqanda aqoqwe kusetshenziswa izinaliti ezikhethekile ukuze zikwazi ukuvundiswa isidoda endaweni yokucwaninga.

Isebenza kanjani

I-ovulation inqubo eyenzeka ngokwemvelo emzimbeni wowesifazane, ezikhathini ezibizwa ngemijikelezo. Ama-hormone akhiqizwa yi-pituitary gland njenge-follicle evuselelayo, eyaziwa njenge-FSH kanye ne-luteinizing hormone, ebizwa nge-LH, isebenza ngokubambisana ekukhuliseni nasekukhululweni kwamaqanda. Kodwa-ke, le nqubo ingashintshwa ngenxa yezifo ezithile ezinjenge-polycystic ovary syndrome futhi idale ubunzima bokukhulelwa.

Ngale ndlela, ukwenziwa kwe-ovulation kukhuthaza ukwenziwa kwamazinga e-hormonal futhi kusize ekukhiqizeni amaqanda okufanele avundiswe yisidoda ngokusebenzisa izivumelwano zezidakamizwa ezikhonjiswe ngudokotela wezifo zabesifazane kanye nochwepheshe ekukhiqizweni kwabantu, okungaba:

• I-Clomiphene citrate, njengeClomid noma i-Indux: ngumuthi osetshenziswa kakhulu kwabesifazane abangavundisi futhi abanenkinga yokukhulelwa. Kufanele iqalwe phakathi kosuku lwesibili nolwama-5 ngemuva kokuqala kokuya esikhathini. I-Ultrasonography kufanele yenziwe kusukela ngosuku lwe-12 kuya kosuku lwe-16 lomjikelezo ukwazi impendulo ekwelashweni;
• Ama-Gonadotropin anomjovo: ziyizidakamizwa ezibiza kakhulu, ezenziwa ngomjovo esiswini, futhi okuholela kakhulu ekukhuleni kwezikhwebu eziningi, okwenza amathuba okukhulelwa abe maningi;
• I-Aromatase inhibitors, njenge-anastrozole ne-letrozole: amakhambi anconyelwe abesifazane abangazweli noma labo abanodonga oluncane kakhulu lwesibeletho ngokusetshenziswa kwe-clomiphene citrate futhi ukusetshenziswa kwabo nakho kufanele kuqalwe phakathi kosuku lwesibili nolungu-5 lomjikelezo.

Ngaphezu kwalokho, i-polycystic ovary syndrome ibangela ukumelana ne-insulin, okuholela ekwandeni kwale hormone kanye nengozi eyengeziwe yabesifazane abanalesi sifo abanezinkinga nge-ovulation. Yingakho odokotela abaningi bancoma ukusetshenziswa kwe-metformin, ukwenza ngcono inqubo ye-ovulation. Izinguquko zokudla, ukwehla kwesisindo nakho kusiza ekulawuleni umjikelezo futhi kudale i-ovulation. Bona okuningi ngamanye amakhambi we-polycystic ovary.

Yenzelwe ini

Ukungeniswa kwe-ovulation kusekelwe ekusetshenzisweni kwemithi yokusiza ekukhuliseni nasekukhipheni amaqanda, ukuthi ivundiswe yisidoda futhi iholele ekukhulelweni. Inendima ebalulekile ekwelapheni ukuphazamiseka kwe-ovulatory okubangela ukungabi nenzalo.

Lokhu kwelashwa kuhlose ukukhulisa amathuba okuthi abesifazane bakhulelwe ngokwemvelo, ngokuya ocansini okuhleliwe, noma ngezindlela zokwelashwa ezifana nokukhulelwa. Ukwenziwa kwe-ovulation kunganconywa nakwabesifazane asebevele bevula, kepha abanobunzima bokukhulelwa ngenxa yezinkinga zokuzala kwabesilisa.

Izinkinga ezingenzeka

Enye yezinkinga ezingenzeka ngesikhathi sokungeniswa kwe-ovulation kungaba yi-ovarian hyperstimulation syndrome, lapho kukhishwa khona amaqanda amaningi kwandisa ingozi yokuthi owesifazane akhulelwe amawele noma kungadala ukwanda kokugeleza kwegazi nosayizi we-ovary .

Izimpawu ze-ovarian hyperstimulation syndrome zincike ebangeni lalesi sifo futhi zingahluka zisuka esiswini, isicanucanu kanye nohudo kanye nokudala izinkinga ezinkulu njengokushintshwa kokujiya kwegazi, ushintsho ekusebenzeni kwezinso kanye nama-ascites, okuwukuqoqwa kuketshezi isisu. Thola kabanzi ukuthi yini i-ascites nokuthi ungayiphatha kanjani.

Ngenxa yalesi sizathu, kunconywa ukufaka i-ovulation ngokuhambisana nodokotela, njengoba kuzobekwa imithamo efanelekile kowesifazane ngamunye futhi ngemuva kokusebenzisa imithi, ama-ultrasound kufanele enziwe ukuqapha i-ovulation, ukugwema ukubukeka kwezinkinga.

Njengoba ama-cysts kuma-ovari angadala ubunzima bokukhulelwa, bukela ividiyo enezeluleko eziningi zalokho okufanele ukwenze ukunciphisa le nkinga yezempilo: