Ukuqhuba i-IVF, umfazi umiselwe amalungiselelo akhethekileyo okumele avuselele ukuvuthwa komnye, kodwa iifollic eziningana kunye ne-ovules (ukuya ku-10-12). Emva kokuvuselela, ukugqitywa kwezi follicle kwenziwa kwaye amaqanda athathwe kuwo. Kodwa kwamanye amabhinqa ngenxa yeempawu zomzimba ngamnye, kunokubakho i- hyperstimulation yama-ovari kunye ne-IVF.
I-Ovarian hyperstimulation syndrome ene-IVF
Ngokuqhelekileyo, i-hyperstimulation ne-IVF ivela kubasetyhini abaye bafumanisa ukuba bane-polycystic ovary syndrome. Le ngxaki enzulu kakhulu ne-IVF, iyaqala ukuzibonakalisa ngokugqithisa. Kodwa iimpawu eziphambili zenzeka xa i-hyperstimulation ikhula emva kwe-IVF kwaye ukukhulelwa kwenzeka - ngexesha lekota yokuqala. Ekuqaleni i-hyperstimulation syndrome ibonakalisa, iyinkimbinkimbi ngakumbi.
Iimpawu zoxinzelelo lwe-IVF
Iimpawu zokuqala ze-hyperstimulation ezenzeka nge-IVF - intlungu, ukuvakalelwa kwesisu esiswini esezantsi, ukwanda kwomsindo walo, ukwanda kwe-urination. Iimpawu zokuxhatshazwa (isicupunu, ukuhlanza, ukungakwazi ukuphazamiseka), isifo sohudo, i-flatulence, inzuzo yesisindo, ubungakanani bama-ovari buyi-8-12 cm Kwimeko enzima, kukho ukuphulwa kwentliziyo, ukuphefumula okufutshane, ukunyuka kwengcinezelo yegazi, ukwanda okukhulu kwindoda yesisu, ubungakanani bama-ovari ukusuka ku-12 ukuya ku-20-25 cm ububanzi.
Iingxaki ze-ovarian hyperstimulation syndrome zingabikho i-ovarian cysts, i-ovarian torsion ngenxa yokuhamba ngokweqile kunye ne-ovarian necrosis, ukukhulelwa kwe-ectopic. Kukho ukuxhamla kwamanzi kwisisu esiswini (ascites), isigxina se-thoracic (i-hydrothorax) ngenxa yomsebenzi wokuguguleka. Ukwakheka kwe-thrombus ekwenzeni i-ovarian hyperstimulation kungakhokelela ekuthandeni kwemithwalo yegazi yesibindi okanye iintso.
Unyango lwe-ovarian hyperstimulation syndrome
Ngobuqili obunzima, akukho nonyango ekhethekileyo. Abasetyhini banconywa ukuba baphuze kakhulu, banomsoco okwaneleyo, baphephe ukunyanzelisa umzimba kunye nokulawula i-diuresis yemihla ngemihla. Isilinganiso esiphakathi nesigxina siphethwe ngokusisigxina: misela izidakamizwa ezinciphisa ukugqitywa kwetonga lesitya (antihistamines, corticosteroids, anti-prostaglandins). Ukuthintela ukwakheka kwezidakamizwa zokumisela i-thrombi ezinciphisa i-blood coagulability. Xa ukuphuka kwama-cysts okanye i-torsion ne-necrosis ye-ovari, ukungenelela ngonyango kunokwenzeka.