Kuti iite IVF, mukadzi anorayirwa zvakagadzirirwa zvakakosha zvinofanira kukurudzira kusatswa kwemweya kwete, asi mashoma follicles ane ovules (kusvika kusvika 10-12). Mushure mekusimudzira, kupiswa kwezviputi izvi zvinoitwa uye mazai anotorwa kubva kwavari. Asi mune vamwe vakadzi nekuda kweunhu humwe hunhu hwemuviri, pangave kune huwandu hwekuvhara mazai ne IVF.
Ovarian hyperstimulation syndrome ne IVF
Kunyanya kazhinji, hyperstimulation neIVF inowanikwa kuvakadzi vane chirwere chinonzi polycystic ovary syndrome. Ichi ichi chinetso chakakomba zvikuru neIVF, inotanga kuzviratidza pachayo nekududzira. Asi zviratidzo zvikuru zvinowanikwa apo hutachiona hunotangira mushure meVIVF uye pamuviri inowanikwa - munguva yekutanga yechitatu. Pakutanga hyperstimulation syndrome inoratidza, iyo yakaoma zvikuru.
Zviratidzo zvekunyengedza ne IVF
Zviratidzo zvekutanga zve hyperstimulation zvinowanikwa neAVF - marwadzo, kunzwa kwekuremera mumudumbu pasi, kuwedzera kwehuwandu hwayo, kuwedzerwa mukudhonza. Zviratidzo zvekudhakwa (kunyoreraa, kurutsa, kusava nenzara), chirwere, flatulence, kuwedzera kwekukura, ukuru hwemapapiro e8-12 cm Panguva yakaoma, pane kutyora kwemwoyo, kupfupika kwemhepo, kuwedzerwa kweropa, kuwedzera kukuru muhukuru hwemudumbu, ukuru hwemavha mavari kubva pa12 kusvika ku20-25 masendimita.
Zvinetso zve ovarian hyperstimulation syndrome zvingave zvakakanganiswa mavari, mavhiri ehupusi nemhaka yekufamba zvakanyanya uye ovarian necrosis, ectopic pregnancy. Ikoko kune kuwedzera kwemvura mumakumbo emimba (ascites), thoracic cavity (hydrothorax) nekuda kwekushaya simba rekuita basa. Kuwedzera kwekrombussi yekuumbwa ne ovarian hyperstimulation kunogona kutungamirira ku-thrombosis yemidziyo yeropa yechiropa kana mafungiro.
Kurapa kweOvarian hyperstimulation syndrome
Nekunyarara kwakanyanyisa, hakuna hutano hwakakosha. Vakadzi vanokurudzirwa kunwa zvakanyanya, kuva nechikafu chakakwana, kudzivisa kuedza muviri nekudzivirira diuresis zuva nezuva. Ivhareji uye chirwere chakasimba inobatwa nekusingaperi: kupa zvinodhaka zvinoderedza kupora kwemugungwa rusvingo (antihistamines, corticosteroids, anti-prostaglandin). Kudzivirira kugadzirwa kwe thrombi kusarudza zvinodhaka zvinoderedza ropa coagulability. Kana kuputika kwe-cysts kana torsion uye necrosis ye mavhai, kupindira kwekuvhiya kunogona.