ʻIke maopopo ʻoe ua ʻike ʻia ka maʻi maʻi maʻi wahine? Wahi a nā helu helu, ʻike pinepine ʻia nā wahine i kēia maʻi ʻino i nā manawa pinepine pinepine. ʻAʻole emi iki nā ʻano maʻi o ka maʻi wahine i ka wahine. Akā ʻaʻole kēia wale: hiki i kahi maʻi ke hiki i kahi ʻōpiopio a hiki i ka hiki ke hāpai kūʻokoʻa. Nīnau mākou i kahi gynecologist-reproductologist Irina Andreyevna Gracheva e kamaʻilio e pili ana i ka hui pū ʻana o ka papahana IVF me ka maʻi diabetes.
Nā Reproductologist-gynecologist ʻo Irina Andreevna Gracheva
Ke puka puka ʻana mai ke kula ʻo Ryazan State Medical University ma kahi me ka hē nui ma ka Lapaʻau NuiNoho ʻia ma Obstetrics a me Gynecology.
He ʻumi makahiki kona nui.
Ua hala ʻo ia i ka hana loea i kāna ʻano hana loea.
Mai ka makahiki 2016 - ke kauka o ka Center no IVF Ryazan.
ʻAʻole hānai nā wahine he nui i nā hōʻailona mua o ka maʻi maʻi. Hoʻohui ʻia lākou i ka hana ma luna o ke ʻano, ke kaumaha, ka hoʻolalelale ʻana i ka ʻōmaʻomaʻo o ka hormonal ... E ʻae, inā loaʻa i ka ʻōpū, ʻelemele i ka wā o ka lā, luhi a maloʻo paha a me ka ʻeha, ʻaʻole ʻoe e wikiwiki e ʻike i ke kauka.
Me ka maʻi maʻi (hope aneʻi - maʻi maʻi) Hiki ke hele mai nā hanana i ke ala ma kahi hāpai. Nui kekahi mau ʻōlelo hoʻopiʻi i loaʻa i ka "kūlana kūpono" (a me ke kaʻina ʻo IVF) hiki i ka mea hōʻeha kino i ka olakino. E helu wale wau i nā inoa wale nō:
- ʻĀnapana (nā kaʻina hana i loko o ke keiki);
- Polyneuropathy ("kahi maʻi o nā nē he nui" ka wā i hōʻino ʻia ka hopena o nā nerve me ka nui o ke kō. Hōʻailona: nāwaliwali o ka naʻau, ke kīleʻa o nā pūhaka a me nā wāwae, paʻakikī me ka kaulike, nā mea hoʻopiʻi lūlū, a me kekahi mea.);
- ʻO Angiopathy Retinal (hōʻeha ʻia nā kīʻaha koko ma muli o ke kiʻekiʻe o ke kō, e like me ka mea e hiki ai iā mākou ke loaʻa i kahi maʻi koʻikoʻi ma luna o ke kumu o ka hoʻoulu ʻana.
ʻO ka maʻa ke ʻano kūlohelohe me ka maʻi pākia 1 (nalowale ke kino i ka hiki ke hana i ka insulin pono, ʻo ka mea maʻi ʻaʻole hiki ke ola me ka ʻole o kēia hormone. - aneā. Ed.). Pono ke mālama ʻia i ka ʻōpū ma mua o ka pilina, kiaʻi mau ʻia e nā kauka. Hiki ke hōʻala ʻia nā pilikia inā he wahine kekahi.
I koʻu mau manawa i ka IVF Center, ua nui koʻu mau maʻi me ka maʻi diabetes type 1. Hānau ka hapanui o lākou a e hānai nei i nā keiki. ʻAʻohe mea ʻōlelo kūikawā no ka hāpai ʻana i kahi hapai i kēia hihia, koe wale nō kahi mea nui. I kekahi hihia e hoʻōki i ka lawe ʻana i ka insulin. He mea pono e kū i ka hoʻokipa hoʻomaha e hoʻoponopono i ka maʻa o ka hormone (hebedoma 14-18, 24-28 a 33-36 i ke kolu ʻokolu).
Eia eia nā mea maʻi me ka maʻi diabetes type 2 ʻaʻole maʻamau e hele i kahi mea hoʻohua. Hōʻike ka maʻi ma ka poʻe ma hope o nā makahiki he kanaha i nā wāhine postmenopausal. Ua loaʻa iaʻu nā maʻi he nui i makemake e hānau ma hope o kanalima makahiki, akā ʻaʻohe mea o lākou i kahi maʻi maʻi maʻi maʻi. ʻIke wau i kekahi mau mea, me ka maʻi maʻamau ʻo 2, hiki ke ʻoki ʻia ka hana ʻana o ka hua.
Ma kahi o 40% o koʻu mau maʻi āpau a meKe kū'ē i ka insulin.ʻO kahi endocrine kēia, kahi kumu maʻamau ma ka infertility. Me kēia halaʻole, hana ʻia ke kino i ka insulin, ʻaʻole hoʻohana pono iā ia. ʻAʻole pane nā cell i ka hana o ka hormone a hiki ʻole ke hoʻokaʻawale i ka glucose mai ke koko.
Hiki ke hoʻonui i kēia kūlana ke ʻoi aku ʻoe ma luna o ka momona, alakaʻi i kahi ʻano luhi, kahi i loaʻa mai kou ʻohana i ka maʻi maʻi, a i ʻole ʻoe e ulaula. ʻO ka hopena koʻikoʻi he hopena koʻikoʻi loa ma ka hana ovarian. Hiki i nā maʻi i hope ke paʻakikī i ka hoʻomaka ʻana o ka hāpai ʻana.
- nā kekeʻe hanstrual e hele mai;
- ʻaʻohe ovulation;
- lilo nā menstruation;
- ʻaʻole ke kumu maoli ka hānau ʻana;
- loaʻa kēia polycystic ovary.
Inā ma mua, he maʻi hoʻohālikelike ka maʻi diabetes no ka hoʻolālā ʻana i ka wā e hāpai ai i ka hapai, ke aʻo nei nā kauka i ke ʻano koʻikoʻi loa i kēia pilikia. Wahi a ka WHO, ma ko mākou'āina he 15% o nā kāne he mau maʻi ʻole, ma waena o lākou he mau kāne me ka maʻi diabetes.
ʻO ka ʻōlelo aʻo nui - mai hoʻomaka i ka maʻi! I kēia hihia, e hoʻonui pinepine ʻia ka loaʻa ʻana o ka hoʻopiʻi pinepine i kekahi mau manawa. Inā he nui ke kō o ke koko ma waena o nā pae o ka WHO, e hoʻokūkū ʻia kēia no ke komo ʻana i ka protocol (mai 3.3 a 5.5 mmol / l no ke koko o ka capillary, 6.2 mmol / l no ke koko venous).
ʻAʻole aneane like ka papahana IVF mai ka protocol maʻamau. Me ka hoʻouluʻana o ka ovulation, ʻoi aku ka nui o ka kaumaha o ka hormonal. Eia naʻe, ʻoiaʻiʻo, he ʻokoʻa nā mea āpau. Hoʻopili loa nā hua i ka insulin. Hoʻonui ʻia kona mau wai e 20-40%.
ʻO kēia pūnāwai, ua hiki i nā kauka ke hōʻoia i ka lāʻau lapaʻau Metmorfin, e hoʻoponopono ana i nā pae glucose o ke koko, e hāpai i ka wahine hāpai i ka wahine me ka maʻi maʻi. Me ka hoʻouluʻana o ka hormonal, hiki ke hoʻonui ʻia kona nui.
ʻO ka pae aʻe e hoʻohuli ai ka ovarian puncture a me ka embryo transfer (ma hope o ʻelima mau lā). I ka hihia o ka maʻi hilinaʻi i ka insulin, ua hōʻike ʻia e kahi wahine e neʻe hou aku i kahi embryo hoʻokahi. I nā hihia ʻē aʻe ʻelua, hiki i ʻelua.
Inā koho pololei ʻia ka lāʻau lapaʻau a ʻo ka mea maʻi ma lalo o ka mākaʻi o ke kauka, ʻaʻole ka hopena o ka maʻi maʻi i ka implantation o ka embryo (i loko o kā mākou keʻena, ʻo ka hopena o nā protocols a pau IVF hiki i ka 62.8%). Ma ke noi a ka mea maʻi, hiki i ka genetics ke ʻike i ka hiki ʻana o ka maʻi diabetes ma ka embryo e hoʻohana ana i ka PGD (preimplantation genetic diagnosis). ʻO ka hoʻoholo e pili ana i ka mea e hana inā ʻike ʻia kēia ʻano mea e nā mākua.
ʻO kaʻoiaʻiʻo, he paʻakikī mau ka papa o ka hāpai ʻana i nā wahine. ʻO nā maʻi āpau a lākou e pono ai e mālama ʻia e kahi endocrinologist. Lawe lākou i ka insulin āpau i ka wā e hāpai ai, Metformin - hiki i nā 8 wiki. E haʻi hou aku kāu kauka iā ʻoe i kēia mea. ʻAʻohe mau contraindications no ka hānau ʻana o nā keiki maoli i ka maʻi kūmole inā ʻaʻohe pilikia koʻikoʻi a me kekahi ʻano ala ʻē aʻe.
