In vitro fertilization "mararamiro" kune vakaroorana vakawanda vanoshuva kuva nevana, asi imwe yemigumisiro yakaipisisa yeyi nzira ndeye ovarian hyperstimulation syndrome. Izvi zvinokonzerwa nemuviri kusvika pakuiswa kwehuwandu hwemishonga yemhomoni inofanirwa kusimbisa mavharasi.
Zviratidzo zvekutanga zvekuvhara maitiro zvinowanikwa mumatambo ekutanga ekudzivirira, ndiko kuti, mushure mekunge murwere adzokera kumba mushure mokuwana mafungiro akanaka. Chiratidzo chekugadzirisa mazai maitiro ari kushungurudzika mudumbu rezasi, manzwiro ekuremara uye "kuputika" nekuda kwekuwedzera kukuru mumashizha. Pamwe chete nekushanduka uku, kupararira kweropa kunovhiringidzika uye kusvibiswa mukati mamuviri kunowedzera, izvo zvinogona kuonekwa nekuwedzera kwechiuno kusvika 2-3 cm uye kuwedzera kuduku kuyerwa. Izvi zviratidzo zvinoratidza hunyoro hwomuviri we ovarian hyperstimulation syndrome, iyo, sekutonga, inonyangarika pachayo mumasvondo maviri uye hairevi chero kurapa kwakakosha. Kana chirwere chinorwara-che-chakanyanya chinopinda mune chakakomba, murwere angasangana nekurutsira, flatulence, uye chirwere. Pamusana pekuunganidzwa kwemvura, kwete mucheche pasi pega, asiwo mumapapu, dyspnoea uye nausea kuonekwa. Nechirwere chakakomba chechirwere, mazai emuviri anogona kukura pamwero wepamusoro pe12 cm, zvichikonzera kukundikana kwekushaya simba, izvo zvinoda kukurumidza kupinda muchipatara.
Kurapa kweOvarian hyperstimulation syndrome
Kubva pamakiriniki ekuratidzwa kwechirwere, kurapwa kweavoan hyperstimulation kunoitwa nenzira yakachengetedza kana yekuvhiya.
Nheyo dzepamusoro dzekuchengetedza zvakakodzera dzinosanganisira nzira dzinotevera:
- kupa chizoro chekuvata kwekudzivirira kwekuvhiringidzika kwevanhu;
- kusarudzwa kwezvokudya nehuwandu hwezvinyorwa zveprotini;
- kutungamirirwa nehurumende yekunwa: kusvika kune 3 malita pazuva;
- kudzorerwa kwemvura-electrolyte kuenzanisa nekubatsira kwe hemodez solutions, nezvimwe;
- kubvisa kusuruvara uye kurutsa nemishonga uye kugadzirisa kuronga kwezuva nezuva;
- kubviswa kwehutano syndrome nemarwadzo ekurwadziwa;
- kujowa kwechirwere chemvura (plasma, mapuroteni, albumin) kugadzirisa izwi rekupararira ropa;
- kushandiswa kwea antihistamine kuderedza kuperevedza kwemapilisiri.
Kana murwere ane zviratidzo zvekubuda kweropa panguva iyo chirwere chinoputika , ikozvino kupindira kunoitwa pamwe chete nekushandiswa kwechirwere chekuchengetedza. Muzviitiko zvakawanda, nenguva yekuongororwa uye kurapa kwakakwana, murwere anotarisirwa kupora mushure memasvondo matatu kusvika ku6 ekurapa.
Nzira yekudzivirira sei ovarian hyperstimulation?
Pamberi pehutano hweVVF, kutarisirwa kunofanira kutorwa kunyatsodzivirira kudzivirira kwekuvhara maitiro.
- kuramba kurutsa nemutauriro unotaurira kuwedzera ovarian hyperstimulation syndrome kana kuderedza zvakanyanya mumuviri wezvinodhaka zvegonadotropic;
- kubviswa kwenguva pfupi kwema embryo kudengisa nzira yakateverwa neyoyo cryopreservation yekuendesa kune uterine cavity mukuzotevera kumwedzi.
- kugadziriswa kwepamusoro inokwanisika nhamba ye follicles uye cysts dzinowanikwa mukugadzirisa;
- kubviswa kwehutungamiri hwehutachiwana hwechirionic gonadotropin kana maitiro ekuchengetedza.
Vamwe vakadzi vanogona kuonekwa seboka rekukuvadza kwekuvandudzwa kwe ovarian hyperstimulation syndrome. Iri boka rinosanganisira vakadzi vaduku vari pasi pe35, kunyanya avo vane nhengo dzepasi mashoma index. Uyewo, vakadzi vane polycystic ovary syndrome uye avo vakagamuchira chirongwa chegriadon gonadotropin munguva yakapfuura vane mukana wekuve nezvinetso. Chirwere chinowanzowanikwa kuvakadzi vane mabasa akakwirira e-estradiol muropa serum, pamwe chete nevakadzi vane dzakasiyana-siyana zvekuvandudza follicles.