Ukufeza i-IVF, owesifazane unqunywe amalungiselelo akhethekile okufanele akhuthaze ukuvuthwa kwezinga elilodwa, kodwa izinhlamvu ezimbalwa ezinama-ovules (kufika ku-10-12). Emva kokugqugquzela, ukukhishwa kwale follicle kwenziwa futhi amaqanda athathwa kuwo. Kodwa kwabanye besifazane ngenxa yezici zomuntu ngamunye, kungase kutholakale i- hyperstimulation yama-ovari nge-IVF.
I-Ovarian hyperstimulation syndrome ene-IVF
Ngokuvamile, ukuxilongwa nge-IVF kwenzeka kubantu besifazane abaye bathola ukuthi bane-polycystic ovary syndrome. Lokhu kuyinkimbinkimbi enkulu kakhulu ne-IVF, iqala ukuzibonakalisa ngokugcizelela. Kodwa izimpawu eziyinhloko zenzeka lapho ukuxubha kwegazi kuvela emva kweVIV futhi ukukhulelwa kwenzeka - phakathi no-trimester wokuqala. Ekuqaleni i-hyperstimulation syndrome ibonakala, iyinkimbinkimbi kakhulu.
Izimpawu ze-hyperstimulation ne-IVF
Izibonakaliso zokuqala ze-hyperstimulation ezenzeka nge-IVF - ubuhlungu, ukuzwa ubuhlungu emathunjini aphansi, ukwanda komthamo wayo, ukwanda kokuvuthwa. Izimpawu zokudakwa (inambuzane, ukuhlanza, ukufisa ukudla), isifo sohudo, flatulence, inzuzo yesisindo, ubukhulu bama-ovari buyi-8-12 cm Ngezinga elibi, kunezinhlupho zenhliziyo, ukuphefumula, ukunyuka kwengcindezi yegazi, ukunyuka okukhulu kakhulu ngobukhulu besisu, ubukhulu bama-ovari kusukela ku-12 ukuya ku-20-25 cm ububanzi.
Izinkinga ze-ovarian hyperstimulation syndrome zingase ziqhekeke ama-cysts ovarian, i-ovarian torsion ngenxa yokuhamba ngokweqile ne-ovarian necrosis, ukukhulelwa kwe-ectopic. Kukhona ukuqoqwa kwamanzi emzimbeni wesisu (ascites), i-thoracic cavity (i-hydrothorax) ngenxa yokukhubazeka komsebenzi wokuthumba. Ukwakhiwa kwe-thrombus ekwandiseni i-ovarian hyperstimulation kungaholela ekuthandeni kwemithambo yegazi yesibindi noma izinso.
Ukwelashwa kwe-ovarian hyperstimulation syndrome
Ngobunzima obukhulu, akukho ukwelashwa okukhethekile. Abesifazane banconywa ukuba baphuze ngokweqile, banomsoco okwanele, ugweme ukuzikhandla ngokomzimba nokulawula i-diuresis yansuku zonke. Izinga elijwayelekile nelinamandla liphathwa ngokuphakade: lisela izidakamizwa ezinciphisa ukuguqulwa komdonga wetshe (antihistamines, corticosteroids, anti-prostaglandins). Ukuvimbela ukwakheka kwezidakamizwa ezikhethwa yi-thrombi ezinciphisa igazi coagulability. Uma ukuphuka kwe-cysts noma i-torsion ne-necrosis yama-ovari, ukungenelela kokuhlinzwa kungenzeka.