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Dab tsi yog ovary stimulation?
Nws muab qhov kev pab cuam thaum tus menyuam tuaj lig, thiab nws yog vim qhov txawv txav ntawm ovulation. "Ib tug poj niam uas tsis ovulate los yog voj voog txhua 4 hnub yuav luag tsis muaj feem yuav xeeb tub - tsis pub ntau tshaj 5-20% ib xyoos twg. Yog li los ntawm kev txhawb nqa nws lub zes qe menyuam, peb muab nws txoj hauv kev zoo ib yam ntawm cev xeeb tub, piv txwv li 25 mus rau 35% ib lub voj voog rau ib tug poj niam hnub nyoog qis dua XNUMX xyoos, "hais Dr Véronique Bied Damon, kws kho mob gynecologist tshwj xeeb hauv kev yug menyuam. .
Kev ua haujlwm ntawm zes qe menyuam ua haujlwm li cas?
"Muaj ob hom kev txhawb zog," nws piav qhia. Ua ntej, tus uas nws lub hom phiaj yog kom rov tsim dua physiology: tus poj niam yog txhawb kom tau ib los yog ob lub hauv paus ripe (los yog ov), tab sis tsis muaj ntxiv. Qhov no yog qhov yooj yim stimulation nrog lub hom phiaj ntawm kev kho tus kab mob ovulation, polycystic zes qe menyuam, zes qe menyuam insufficiency, anomaly ntawm lub voj voog; los yog npaj tus poj niam rau kev tsim insemination. » Lub zes qe menyuam tau txhawb nqa me ntsis kom tsis txhob muaj kev pheej hmoo ntawm kev xeeb tub ntau.
"Qhov thib ob: stimulation hauv cov ntsiab lus ntawm IVF. Nyob ntawd, lub hom phiaj yog kom rov qab tau qhov siab tshaj plaws ntawm oocytes, 10 txog 15, ib zaug. Qhov no yog hu ua tswj zes qe menyuam hyperstimulation. Lub zes qe menyuam tau txhawb nqa ntawm ob koob tshuaj piv rau ib qho kev txhawb nqa. “Vim li cas? "Tus naj npawb ntawm IVF them rov qab los ntawm Social Security yog plaub, thiab peb tuaj yeem khov lub embryos. Yog li rau txhua qhov kev sim IVF, peb xav tau ntau lub qe. Peb yuav muaj qhov nruab nrab ntawm 10 mus rau 12. Ib nrab yuav muab embryos, yog li ntawm 6. Peb hloov 1 lossis 2, peb khov rau lwm tus rau kev hloov pauv tom ntej uas tsis suav nrog kev sim IVF. “
Cov tshuaj dab tsi los pib stimulation? Cov ntsiav tshuaj lossis txhaj tshuaj?
Ntxiv dua thiab, nws nyob ntawm. “Ua ntej muaj cov ntsiav tshuaj: clomiphene citrate (Clomid). Qhov kev txhawb nqa no muaj qhov tsis zoo ntawm qhov tsis yog qhov tseeb, me ntsis zoo li 2 CV piv rau lub tsheb niaj hnub; tab sis cov ntsiav tshuaj yog cov tswv yim, nws yog qhov uas ib tug yuav muab rau hauv thawj lub hom phiaj es nyob rau hauv cov poj niam hluas, thiab nyob rau hauv cov kev tshwm sim ntawm polycystic zes qe menyuam ", piav txog Dr. Bied Damon.
Qhov thib ob: subcutaneous punctures. "Cov poj niam txhaj tshuaj txhua hnub, zoo li yav tsaus ntuj, rau lub sijhawm txuas ntxiv txij hnub 3 lossis 4 ntawm lub voj voog mus txog rau lub sijhawm thaum ovulation tshwm sim, uas yog hais txog 11th. los yog 12th hnub, tab sis lub sijhawm no nyob ntawm cov lus teb hormonal ntawm txhua tus. Yog li, kaum hnub hauv ib hlis, txog rau lub hlis, tus poj niam txhaj koob tshuaj FSH (synthetic, zoo li Puregon lossis Gonal-F); los yog HMG (tib neeg menopausal gonadotropin, xws li Menopur). Rau cov ntaub ntawv, qhov no yog purified heev zis los ntawm cov poj niam postmenopausal, vim hais tias thaum postmenopausal, ntau FSH, ib yam khoom uas nkoos zes qe menyuam, yog tsim.
Puas muaj kev phiv rau zes qe menyuam stimulation?
Muaj peev xwm muaj, zoo li nrog txhua yam tshuaj. "Qhov kev pheej hmoo yog zes qe menyuam hyperstimulation syndrome", hmoov zoo tsis tshua muaj thiab saib heev. "Hauv 1% ntawm cov mob hnyav heev, qhov no yuav tsum tau mus pw hauv tsev kho mob vim tias tej zaum yuav muaj kev pheej hmoo ntawm thrombosis lossis pulmonary embolism.
Thaum twg muaj hnub nyoog li cas yuav tsum tau ua stimulation ntawm zes qe menyuam?
Nws nyob ntawm lub hnub nyoog thiab qhov tshwj xeeb ntawm txhua tus neeg mob. "Ib tug poj niam hnub nyoog qis dua 35 xyoo uas muaj lub voj voog tsis tu ncua tuaj yeem tos me ntsis. Txoj cai txhais lus ntawm kev xeeb tub yog ob xyoos ntawm kev sib deev tsis muaj kev tiv thaiv rau ob peb yam tsis muaj menyuam! Tab sis rau ib tug poj niam hluas uas tsuas muaj nws lub caij nyoog ob zaug hauv ib xyoos, tsis muaj qhov taw tes rau kev tos: koj yuav tsum sab laj.
Ib yam li ntawd, rau ib tug poj niam 38 xyoo, peb yuav tsis nkim sij hawm ntau dhau. Peb yuav hais rau nws: "Koj tau ua 3 lub voj voog ntawm kev txhawb nqa, nws tsis ua haujlwm: koj tuaj yeem mus rau IVF." Nws yog nyob rau ntawm rooj plaub ntawm rooj plaub. “
“Lub 4th insemination yog qhov yog. “
"Kuv tig mus rau zes qe menyuam vim kuv muaj polycystic zes qe menyuam, yog li tsis muaj lub voj voog tsis tu ncua. Peb pib qhov kev txhawb nqa, nrog kev txhaj tshuaj ntawm Gonal-F uas kuv tau muab rau kuv tus kheej, txog ib xyoos dhau los.
Nws kav kaum lub hlis, tab sis nrog so, yog li tag nrho ntawm rau stimulation cycles thiab plaub inseminations. Qhov thib 4 yog qhov tseeb thiab kuv muaj plaub thiab ib nrab lub hlis xeeb menyuam. Hais txog kev kho mob, kuv tsis xav tias muaj kev phiv, thiab kuv muab tso rau hauv kev txhaj tshuaj. Qhov kev txwv tsuas yog ua rau kuv tus kheej muaj rau kev kuaj estradiol txhua ob lossis peb hnub, tab sis nws tswj tau. “
Elodie, 31, plaub thiab ib nrab lub hlis cev xeeb tub.