Kodi kulowetsedwa kwa ovulation ndi chiyani, zimagwira ntchito bwanji ndipo ndichani

Zamkati

• Momwe imagwirira ntchito
• Ndi chiyani
• Zovuta zotheka

Ovulation induction ndi njira yomwe imachitika kuti mazira ndi mamuna azipanga ndikutulutsa mazira kuti ubwamuna ndi umuna zitheke, chifukwa chake zimayambitsa kutenga pakati. Njirayi imawonetsedwa makamaka kwa azimayi omwe ali ndi vuto losakhazikika m'mimba, lomwe ndi vuto la polycystic ovary syndrome, lotchedwanso PCOS, chimodzi mwazomwe zimayambitsa kusabereka chifukwa chosowa ovulation.

Mapulogalamu olandirira ma ovulation amachokera ku mankhwala omwe amatha kupanikizika, monga clomiphene citrate, kapena kugwiritsa ntchito mahomoni ojambulidwa, otchedwa gonadotropins.

Pakakhala umuna, kutulutsa kwa ovulation kumatchedwa kukondoweza kwa mazira komanso kutengera kugwiritsa ntchito mankhwala azitsamba. Kenako mazirawa amatoleredwa pogwiritsa ntchito singano zapadera kuti athe kuthira umuna mu labotale.

Momwe imagwirira ntchito

Kutsekemera ndi njira yomwe imachitika mwachilengedwe mthupi la mkazi, munthawi yotchedwa mayendedwe. Mahomoni opangidwa ndimatenda amtundu wa pituitary monga follicle yolimbikitsa, yotchedwa FSH ndi luteinizing hormone, yotchedwa LH, imagwirira ntchito limodzi pakukula kwa follicular ndikutulutsa mazira. Komabe, njirayi imatha kusinthidwa chifukwa cha matenda ena monga polycystic ovary syndrome ndipo amayamba kukhala ndi pakati.

Mwanjira imeneyi, kutulutsa kwa ovulation kumalimbikitsa kusinthasintha kwa mahomoni ndikuthandizira kupanga mazira kuti amere ndi umuna kudzera pamankhwala osokoneza bongo omwe akuwonetsedwa ndi azimayi azachipatala komanso katswiri wazobereka, omwe atha kukhala:

• Clomiphene citrate, monga Clomid kapena Indux: ndi mankhwala omwe amagwiritsidwa ntchito kwambiri kwa azimayi omwe sagwira dzira ndipo amavutika kutenga pakati. Iyenera kuyambika pakati pa tsiku lachiwiri ndi lachisanu kuyambira kusamba kwa msambo. Ultrasonography iyenera kuchitidwa kuyambira pa 12 mpaka 16 tsiku lazunguli kuti mudziwe yankho la chithandizo;
• Gonadotropins jekeseni: ndi mankhwala okwera mtengo kwambiri, operekedwa ndi jakisoni m'mimba, ndipo omwe nthawi zambiri amatsogolera kukulira kwa ma follicles ambiri, ndikupangitsa mwayi wokhala ndi pakati wokula;
• Aromatase inhibitors, ngati anastrozole ndi letrozole: ndi mankhwala omwe amalimbikitsidwa kwa amayi osagonjetsedwa kapena omwe ali ndi khoma laling'ono kwambiri la chiberekero pogwiritsa ntchito clomiphene citrate ndipo kugwiritsa ntchito kwawo kuyeneranso kuyambika pakati pa tsiku lachiwiri ndi lachisanu la kuzungulira.

Kuphatikiza apo, polycystic ovary syndrome imayambitsa kukana kwa insulin, komwe kumabweretsa kuwonjezeka kwa hormone iyi komanso chiwopsezo chowonjezeka cha azimayi omwe ali ndi vutoli omwe ali ndi vuto la ovulation. Ndicho chifukwa chake madokotala ambiri amalimbikitsa kugwiritsa ntchito metformin, kukonza njira yoyambira. Kusintha kwa zakudya, kuchepa thupi kumathandizanso kuwongolera kayendedwe kake ndikupangitsa ovulation. Onani zambiri za zithandizo zina zapakhomo za polycystic ovary.

Ndi chiyani

Ovulation induction imagwiritsa ntchito kugwiritsa ntchito mankhwala othandizira pakukula ndikutulutsa mazira, kuti atenge umuna ndi umuna ndikubweretsa mimba. Ili ndi gawo lofunikira pakuthandizira zovuta zam'mimba zomwe zimayambitsa kusabereka.

Mankhwalawa cholinga chake ndi kuwonjezera mwayi wa amayi kutenga pakati mwachilengedwe, pogonana, kapena kudzera kuchipatala monga umuna. Kuchulukitsa kwa ovulation kungathenso kulimbikitsidwa kwa azimayi omwe amatulutsa kale dzenje, koma omwe akuvutika kutenga pakati chifukwa cha zovuta zakubereka.

Zovuta zotheka

Chimodzi mwazovuta zomwe zingachitike panthawi yochotsa ma ovulation atha kukhala matenda owonjezera ovarian, omwe mazira ambiri amatulutsidwa ndikuwonjezera chiopsezo cha mayi kutenga pakati ndi mapasa kapena zingayambitse kuchuluka kwa magazi ndi kukula kwa ovary .

Zizindikiro za ovarian hyperstimulation syndrome zimadalira kukula kwa vutoli ndipo zimatha kuyambira m'mimba, nseru ndi kutsegula m'mimba komanso kuyambitsa mavuto ena akulu monga kusintha kwa magazi, kusintha kwa impso ndi ascites, komwe ndiko kusungunuka kwa madzi mimba. Pezani zambiri za ascites ndi momwe mungachitire.

Pachifukwa ichi, tikulimbikitsidwa kuti tithandizire ovulation mothandizidwa ndi adotolo, chifukwa milingo yoyenera idzaperekedwa kwa mayi aliyense ndipo mutagwiritsa ntchito mankhwala, ma ultrasound amayenera kuchitidwa kuti ayang'anire ovulation, kupewa mawonekedwe azovuta.

Momwe ma cyst omwe amakhala m'mimba mwake angayambitsire zovuta kutenga mimba, onerani kanema wokhala ndi malangizo ena pazomwe mungachite kuti muchepetse vutoli: