ʻO ka hoʻoulu ʻana o Ovarian: he lima kōkua e hāpai?

He aha ka hoʻoulu ʻana i ka ovarian?

Hāʻawi ia i ke ʻano i ka lima kōkua i ka wā e lohi ai ka hiki ʻana mai o kahi pēpē, a ma muli o ke ʻano ovulation. "ʻO ka wahine ʻaʻole ovulate a i ʻole ka pōʻai i kēlā me kēia 4 lā ʻaʻole hiki ke hāpai - ʻaʻole ʻoi aku ma mua o 5-20% o kēlā me kēia makahiki. No laila ma ka hoʻoulu ʻana i kāna mau ovaries, hāʻawi mākou iā ia i nā manawa like o ka hāpai ʻana e like me ke ʻano, ʻo ia hoʻi 25 a 35% i kēlā me kēia pōʻai no ka wahine ma lalo o XNUMX mau makahiki, "wahi a Dr Véronique Bied Damon, gynecologist loea i ka lāʻau lapaʻau. .

Pehea e hana ai ka hoʻoulu ʻana o ka ovarian?

"ʻElua ʻano o ka hoʻoulu ʻana," wehewehe ʻo ia. ʻO ka mea mua, ʻo ka mea nona ka pahuhopu e hana hou i ka physiology: ua hoʻoulu ʻia ka wahine e loaʻa i hoʻokahi a ʻelua mau follicles pala (a i ʻole ova), akā ʻaʻole hou. ʻO kēia ka hihia o ka hoʻoulu maʻalahi me ka manaʻo e hoʻoponopono i kahi maʻi ovulation, polycystic ovaries, ovarian insufficiency, a anomaly of the cycle; a i ʻole e hoʻomākaukau i ka wahine no ka hoʻomake ʻana. »Hoʻoulu ʻia nā ovaries i mea e pale aku ai i ka pilikia o ka hāpai ʻana.

"ʻO ka hihia ʻelua: ka hoʻoulu ʻana i ka pōʻaiapili o IVF. Ma laila, ʻo ka pahuhopu e hoʻihoʻi i ka helu kiʻekiʻe o nā oocytes, 10 a 15, i ka manawa hoʻokahi. Kapa ʻia kēia i ka hyperstimulation ovarian controlled. Hoʻoulu ʻia nā ovaries ma kahi pālua ʻelua e hoʻohālikelike ʻia me kahi hoʻoulu hoʻokahi. " No ke aha mai ? "ʻEhā ka helu o IVF i uku hou ʻia e Social Security, a hiki iā mākou ke hoʻokuʻu i nā embryos. No kēlā me kēia ho'āʻo IVF, makemake mākou i nā hua he nui. E loaʻa iā mākou ka awelika o 10 a 12. Hāʻawi ka hapalua i nā embryos, no laila ma kahi o 6. Hoʻololi mākou i ka 1 a i ʻole 2, hoʻokuʻu mākou i nā mea ʻē aʻe no ka hoʻoili ʻana ma hope ʻaʻole i helu ʻia he hoʻāʻo IVF. “

He aha nā lāʻau e hoʻomaka ai i ka hoʻoulu ʻana? Nā papa a i ʻole nā ​​injections?

Eia hou, pili. "ʻO ka mua aia nā papa: clomiphene citrate (Clomid). ʻO kēia hoʻouluʻana i ka hemahema o ka pololeiʻole, heʻano like me ka 2 CV i hoʻohālikelikeʻia me kahi kaʻa hou; akā, pono nā papa, ʻo ia ka mea e hāʻawi ai i ka manaʻo mua ma mua o nā wahine ʻōpio, a inā he polycystic ovaries ", wehewehe ʻo Dr. Bied Damon.

ʻO ka hihia ʻelua: subcutaneous punctures. "Hoʻokomo nā wahine i ka huahana i kēlā me kēia lā, ma ke ahiahi, no kahi manawa e hoʻolōʻihi ʻia mai ka lā 3 a i ʻole 4 o ka pōʻai a hiki i ka manawa e hoʻomaka ai ka ovulation, ʻo ia hoʻi ka 11th. a i ʻole ka lā 12, akā pili kēia lōʻihi i ka pane hormonal o kēlā me kēia. No laila, he ʻumi lā o ka mahina, no ʻeono mahina, hoʻokomo ka wahine i ka FSH recombinant (synthetic, like Puregon a i ʻole Gonal-F); a i ʻole HMG (ke kanaka menopausal gonadotropin, e like me Menopur). No ka mooolelo, ua hoomaemae loa ia ka mimi mai na wahine postmenopausal, no ka mea, i ka manawa o ka postmenopausal, nui ka FSH, he mea e hooulu ai i na ovaries.

Aia kekahi hopena ʻaoʻao i ka hoʻoulu ʻana i ka ovarian?

ʻAe, e like me nā lāʻau lapaʻau. "ʻO ka pilikia ʻo ka maʻi hyperstimulation ovarian", ʻoi aku ka laʻa loa a nānā nui ʻia. "Ma ka 1% o nā hihia koʻikoʻi, pono paha kēia i ka haukapila no ka mea aia paha ka pilikia o ka thrombosis a i ʻole pulmonary embolism.

I ka makahiki hea e hana ʻia ai ka hoʻoulu ʻana i ka ovarian?

Aia ia i ka makahiki a me ka hihia kūikawā o kēlā me kēia maʻi. "Hiki i ka wahine ma lalo o 35 mau makahiki ke kali iki. ʻO ka wehewehe kānāwai o ka infertility he ʻelua makahiki o ka moe kolohe ʻole no nā kāne me ka ʻole o ka hāpai ʻana! Akā, no ka wahine ʻōpio ʻelua wale nō ka manawa o ka makahiki, ʻaʻohe mea e kali ai: pono ʻoe e kūkākūkā.

Pēlā nō, no ka wahine 38 makahiki, ʻaʻole mākou e hoʻopau i ka manawa. E ʻōlelo mākou iā ia: "Ua hana ʻoe i 3 mau manawa o ka hoʻoulu ʻana, ʻaʻole ia e hana: hiki iā ʻoe ke hele i IVF". Aia ia ma ka hihia i kēlā me kēia hihia. “