Ciwon mara da ciki na Ovarian

Ciwon hawan ciki na Ovarian (OHSS) matsala ce da ake gani a wasu lokuta ga mata waɗanda ke shan magungunan haihuwa da ke motsa ƙwayar kwai.

A ka’ida, mace na samar da kwai daya a kowane wata. Wasu matan da ke da matsala wajen samun ciki na iya ba su magunguna don taimaka musu samarwa da sakin ƙwai.

Idan wadannan magungunan suna motsa ovaries sosai, ovaries na iya kumbura sosai. Ruwa na iya zubowa zuwa cikin ciki da kirji. Wannan ana kiransa OHSS. Wannan na faruwa ne kawai bayan an saki qwai daga kwayayen (ovulation).

Wataƙila kuna iya samun OHSS idan:

• Kuna karɓar harbi na gonadotropin na ɗan adam (hCG).
• Kuna samun fiye da kashi ɗaya na hCG bayan ƙwan ƙwai.
• Kuna zama ciki yayin wannan sake zagayowar.

OHSS ba safai yake faruwa a cikin matan da kawai suke shan ƙwayayen haihuwa ta bakinsu ba.

OHSS yana shafar 3% zuwa 6% na matan da suka shiga cikin kwayar cutar in vitro (IVF).

Sauran abubuwan haɗarin ga OHSS sun haɗa da:

• Beingarancin shekaru 35
• Samun matakin haɓakar isrogen sosai yayin maganin haihuwa
• Samun ciwon ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar cuta

Kwayar cututtukan OHSS na iya zama daga mai sauƙi zuwa mai tsanani. Yawancin mata masu yanayin suna da alamun rashin lafiya kamar:

• Ciwan ciki
• Jin zafi mai rauni a cikin ciki
• Karuwar nauyi

A cikin wasu al'amuran da ba safai ba, mata na iya samun alamun cututtuka masu tsanani, gami da:

• Karuwar nauyi cikin sauri (fiye da fam 10 ko kilogram 4.5 cikin kwanaki 3 zuwa 5)
• Jin zafi mai tsanani ko kumburi a yankin ciki
• Rage fitsari
• Rashin numfashi
• Tashin zuciya, amai, ko gudawa

Idan kana da matsala mai tsanani na OHSS, mai ba ka kiwon lafiya zai buƙaci saka idanu kan alamun ka da kyau. Ana iya shigar da kai asibiti.

Za a auna nauyin ku da girman yankin ku (ciki). Gwajin da za a iya yi sun hada da:

• Cikakken duban dan tayi ko duban dan tayi
• Kirjin x-ray
• Kammala lissafin jini
• Wutar lantarki
• Gwajin aikin hanta
• Gwaje-gwajen don auna fitowar fitsari

Matsaloli masu sauƙi na OHSS galibi basa buƙatar kulawa. Yanayin na iya inganta haɓakar ɗaukar ciki.

Matakan da zasu biyo baya zasu iya taimaka maka sauƙaƙa damuwarka:

• Samun hutu sosai tare da ɗaga ƙafafunku. Wannan yana taimakawa jikinka sakin ruwa. Koyaya, aikin haske kowane lokaci sannan kuma ya fi cikakken kwanciyar hutawa, sai dai idan likitanku ya gaya muku in ba haka ba.
• Sha aƙalla gilashin 10 zuwa 12 (kimanin lita 1.5 zuwa 2) na ruwa a rana (musamman abubuwan sha waɗanda ke ɗauke da lantarki).
• Guji giya ko abubuwan sha mai sha (kamar su colas ko kofi).
• Guji motsa jiki mai tsanani da kuma jima'i. Waɗannan ayyukan na iya haifar da rashin jin daɗin ovarian kuma yana iya haifar da ɓarkewar ƙwayayen ƙwai ko yoyo, ko kuma sa ɗakunan su juya kuma su yanke gudan jini (ƙyamar ƙwai).
• Verauki mai rage radadin ciwo kamar acetaminophen (Tylenol).

Ya kamata ku auna kanku kowace rana don tabbatar da cewa ba ku sa nauyi da yawa (fam biyu ko fiye ko kusan kilogram 1 ko fiye da haka a rana).

Idan mai ba da sabis ya binciki mai tsanani OHSS kafin canja wurin amfrayo a cikin IVF, ƙila su yanke shawarar soke amsar amfrayo.Embryos din sun daskare kuma suna jiran OHSS su warware kafin tsara jadawalin daskararwar amfrayo.

A cikin yanayin da ba safai kuka kamu da cutar OHSS ba, mai yiwuwa kuna bukatar zuwa asibiti. Mai ba da sabis ɗin zai ba ku ruwa ta jijiya (jijiyoyin jini). Hakanan zasu cire ruwan da suka taru a jikinka, da kuma lura da yanayinka.

Yawancin lokuta masu sauƙi na OHSS zasu tafi da kansu bayan fara al'ada. Idan kana da matsala mafi tsanani, zai iya ɗaukar kwanaki da yawa don alamun ya inganta.

Idan kayi ciki yayin OHSS, alamun cutar na iya zama mafi muni kuma zasu iya ɗaukar makonni kafin su tafi.

A cikin al'amuran da ba safai ba, OHSS na iya haifar da rikitarwa na kisa. Waɗannan na iya haɗawa da:

• Jinin jini
• Rashin koda
• Matsanancin rashin daidaiton lantarki
• Tsananin ruwa mai ƙarfi a cikin ciki ko kirji

Kira mai ba ku sabis idan kun sami ɗayan waɗannan alamun alamun masu zuwa:

• Lessarancin fitowar fitsari
• Dizziness
• Karuwar nauyi mai yawa, fiye da fam 2 (kilogiram 1) a rana
• Tashin mara kyau (ba za ku iya kiyaye abinci ko ruwa ƙasa ba)
• Tsananin ciwon ciki
• Rashin numfashi

Idan kuna shan allurai na magungunan haihuwa, kuna buƙatar yin gwajin jini na yau da kullun da kuma duban duban ciki don tabbatar da cewa ƙwayayenku ba su cika amsawa ba.

OHSS

Anna Katarina Tsarin ilimin haihuwa da rashin haihuwa. A cikin: Goldman L, Schafer AI, eds. Magungunan Goldman-Cecil. 26th ed. Philadelphia, PA: Elsevier Saunders; 2020: babi na 223.

Fauser BCJM. Hanyoyi na likita don motsawar kwai don rashin haihuwa. A cikin: Strauss JF, Barbieri RL, eds.Yen & Jaffe's Haihuwar Endocrinology. 8th ed. Philadelphia, PA: Elsevier; 2019: babi na 30.

Lobo RA. Rashin haihuwa: ilimin ilimin halittu, binciken bincike, gudanarwa, hangen nesa. A cikin: Lobo RA, Gershenson DM, Lentz GM, Valea FA, eds. M Gynecology. 7th ed. Philadelphia, PA: Elsevier; 2017: babi na 42.