Iimpawu ezivela kwiimangalo zeComidation Doping
Njalo ngokuphindaphindiweyo, ibali liphuka kwiindaba malunga nomdlali ongenakuhlolwa kweziyobisi ngenxa yokusetyenziswa kweComomid . Umdlali webhola uRobert Mathis wase-Indianapolis Colts utyholwa ngokutshatyalaliswa kunye ne-clomiphene kwaye wayemiswa okwesikhashana kwi-NFL. UMatis wabika ukuba uthatha iComomid njengonyango lokungabikho komntwana. I-Sprinter uJason Livermore kunye nebhola lenetha uSimone Forbes ngabanye abagijimi abaye bavavanya ukuba bafumane ukusetyenziswa kweComomid ngexesha lokuvavanywa kweziyobisi zemidlalo.
I-Clomid, eyaziwa nangokuthi i-clomiphene citrate, isaziwa ngokuqhelekileyo njengezilwanyana zokuzala, kodwa ingasetyenziselwa ngabadlali kwiinjongo ezingenanto. I-Clomid ibhaliswe njengento enqatshelwe yiNFL, iKomiti yeOlimpiki yamazwe ngamazwe, kunye ne-Arhente ye-Anti-Doping Agency. Ukuba ukusetyenziswa kwe-Clomid kufunyenwe kwiimvavanyo ezibangelwa yingozi, umgijimi angahlawulwa.
Kutheni umqhubi athatha isilwanyana sokuzala njengoClomid?
Abanye abagijimi babamba ukuthatha ibango leComomid ukuba bayithatha ukuba baphathe ukungabikho komntwana . Bathi bazama nje ukuba nomntwana. Ngaba kuyinyani ukuba umntu uya kuthatha iClomid ukuze aphathe ukungabikho komntwana? Ngaba i-Clomid ayikho iyeza lokuzala?
Indlela abadlali beMidlalo abangasebenzisa ngayo iCommid yokukhuthaza ukusebenza okanye ukukhutshwa kwe-Cover-up Doping
Ngaphambi kokuba sithethe ngeComidid, kufuneka sithethe ngokufutshane nge-androgens (njenge testosterone) kunye ne-estrogens.
I-Androgens idlalwa ngokuba yi-"hormone" yamadoda kunye ne-estrogens njengama-hormone "amabhinqa".
Nangona kunjalo, zombini iintlobo zamahomoni ziveliswa kumadoda omabili. Amadoda ngokwemvelo anamazinga aphezulu e-androgens kunye namanqanaba aphantsi ase-estrogens, kwaye amabhinqa anamazinga aphezulu ase-estrogens kunye namanqanaba angaphantsi kwama-androgens.
I-testosterone, enye ye-hormone ye-androgen eyona nto, idlala indima enkulu ekuphuhliseni ubukhulu bomzimba kunye namandla.
Kwakhona kuthintela ukuhamba kwezesondo, amaqondo kunye namanqanaba emandla, kunye nokukhula kweenwele zesilisa (njengezinwele zesifuba nesifuba).
Ngokuzibandakanya kunye nokutya okunomsoco, amadoda anamazinga aphezulu ase testosterone aya kuba nexesha elilula lokwakha ubunzima bemisipha kunye namandla.
Abadlali bezemidlalo bangayama ukunyusa ukusebenza ngokungathathi ngokusemthethweni i-testosterone, ngokuqhelekileyo kwifomu yepilisi, okanye i-hormone ye-testosterone yemvelo, ngokuqhelekileyo nge-injection. Umzekelo, i-Anabolic steroids, umzekelo, uhlobo lwe testosterone.
Ngaphandle kokuba yingozi kwaye inobungozi, ukuthatha ii-androgens ezongezelelweyo kuthathwa njengokukopela kwibala lezemidlalo. Uninzi lwemibutho yezemidlalo kunye ne-doping ivimbela ukusebenzisa i-androgen iziyobisi kunye nama-hormone.
Abadlali bafuna ukuthabatha izilingo ezingekho ngaphantsi kwee-odom, ezifuna ukuba ubungqina be-androgen doping. Kwaye emva kweenyanga emva kokuthatha i-androgens yokwenziwa, i-trace amounts are seen in blood tests.
Ukuze abadlali bajonge ukuphucula ukusebenza, ubungqina obuhlala ixesha elide obusetyenziswe ngokungafanelekanga kunye ne-androgen sebenzisa ukhetho oluyingozi.
Bambalwa abadlali abaza kubazama ukuzama.
Nangona kunjalo, ukuthatha i-testosterone ngqo yindlela enye yokuphucula ama-androgen. Kwakhona kunokwenzeka ukwandisa i-testosterone ngokungathanga ngqo.
Yiloo nto iClomid yenzayo.
Khumbula okokuqala ukuba amadoda ane-estrogen kunye ne-estrogen receptors, nje ngaphantsi kwabafazi.
I-Clomid isebenza ngokukhusela i-estrogen receptors emzimbeni. Ngenxa yokuba i-estrogen receptors ivalwe, i-estrogen ejikelezayo emzimbeni ayifumanwanga ngokuqhelekileyo.
Oku kubangela i-hormone-productive stings to think the levels of estrogen ziphantsi (nangona zingekho), ngoko ke izigulane zizama ukuvelisa ii-estrogen ezininzi. Umzimba ukwenza oku ngokukhuthaza ukuveliswa kwamanye ama hormone abalulekileyo okuzala: i-LH ne-FSH.
Yintoni enxulumene ne testosterone? I-Testosterone ikhiqizwa ngamaseli aziwa ngokuba ngamaLaydig. Zivelisa i-testosterone ngokuphendula i-LH. Amanqanaba aphezulu a-LH athetha amanqanaba aphezulu e-testosterone.
Yile ndlela iClomid iphakamisa ngayo amanqanaba e testosterone ngokungathanga ngqo. Umdlali akayi kuthatha ngqo i-testosterone eyongezelelekileyo, kodwa ekhohlisa umzimba wakhe ukuvelisa ngaphezulu.
I-Clomid ayiyena kuphela isicatshulwa esinokusetyenziswa ngale ndlela. Ezinye ziquka i-chlorotrianisene (TACE), ethamoxytriphetol (MER-25), kunye ne-tamoxifen (i-Nolvadex). Zininzi zala machiza ayanqatshelwe yi-arhente zeedopho.
I-Clomid inokuthi ithathwe ngumdlali ojonge ukunyusa ukusebenza ngokunyusa ngokungaqhelekanga amanqanaba e testosterone emzimbeni, kodwa ingasetyenziselwa ukulwa nemiphumo emibi ye-anabolic steroid.
Ngokusebenzisa i-anabolic steroid, umzimba ekugqibeleni unciphisa okanye unqande ukuvelisa i-testosterone yedwa. Amanqanaba aphantsi ka testosterone angakhokelela kwiingxaki ezinkulu zezempilo. I-Clomid inokunceda umzimba uphinde uqalise ukuveliswa kweli hormone ebalulekileyo.
Ngaba Amadoda Athabatha I-Clomid Yokungafihli? Ngaba i-Clomid Yenzelwe Abasetyhini?
I-Clomid ingasetyenziselwa ukuphatha ukungabikho komntwana kwimeko ethile. Nangona isetyenziswe ngokuphambili ukujongana neengxaki ze-ovulation kubasetyhini, iingcaphephe zenzalo ziyakumisela amadoda.
Njengoko ufunda ngasentla, iCommid inokunceda ukukhulisa amanqanaba e-testosterone. Esinye isizathu esinokubangela ukuba impilo yezilwanyana ezihlwempuzekileyo kunye neentlobo eziphantsi ze-sperm zingaba yi-testosterone ephantsi, kwaye i-Clomid inokukwazi ukusombulula oku kwiimeko ezithile.
Naliphi na iComomid kunye neentambo zokutshatyalaliswa kweentlobo ezithintela iindaba, iimpapasho zeendaba zifana nokubonisa ukuba i-Clomid ayinayo imvume ye-FDA yokunyangwa kwabantwana abangenalo unyango.
Kwaye oku kuyinyaniso. Ukusebenzisa iComomid ukuphatha ukungabikho komntwana kubonwa njengento yokusetyenziswa kweleyile. Nangona kunjalo, oku akuyona into yokufumana konke ukuzonwabisa. Bobabini kwiiyeza jikelele kunye nokuzala, ukusetyenziswa kweleyile-yeelwimi ezahlukeneyo-akunjalo.
Kubomama, umzekelo, i- metformin ingasetyenziselwa kunyango lokuphuphuma kwesisu okanye ukungavumelekanga, ngokukodwa kubasetyhini abane- PCOS . Kodwa i-metformin isishukela se-diabetes kwaye kungekhona i-FDA evunywe njengeziyobisi zokuzala.
I-Lupron yenye yeziyobisi ezingavunywanga yi-FDA njengeziyobisi zokuzala, kodwa isetyenziswa rhoqo ngexesha lotyando lwe-IVF .
Ziziphi iiNtloko zeMatriki eziQhathelweyo ukuba zenze ntoni xa zifuna unyango lwezilwanyana?
Abadlali bebhola kufuneka bahlole iqumrhu lezemidlalo elisebenzayo phantsi kokuba baqalise nayiphina imithi kwiluhlu olungavumelekanga. Kukho iimeko ezingenziwanga. Iingxaki ziqala xa abadlali behluleka ukutyhila kwiziphathimandla ezifanelekileyo iimfuno zabo zonyango.
Ukuba umgijimi udinga ukuthatha iComidid ngezizathu zonyango, unokufaka isicelo sokuba yintoni eyaziwa ngokuba yiNtengiso yokuThengiswa kokuSebenzisa (TUE). Oku kuya kuvumela umdlali ukuba asebenzise isilwanyana esivumelekile ngokuqhelekileyo kwisithuba esithile esithile.
Kubalulekile ukufaka isicelo semvume nokuba ngaba uya kuthatha kuphela iyeza ngexesha elifutshane. Isilwayo kunye nemiphumo yaso inokuhlala ihlala kwindlela yakho. Yilondoloze ukhusele kwaye usebenzise isicelo sokukhutshwa, kungakhathaliseki ukuba yintoni na isilwanyana esinqatshelweyo kunye nokuba unyango (okanye olufutshane) uza kuba yintoni.
Kwakhona kubalulekile ukubonisa ukuba i-Clomid ayiyona ndlela eqhelekileyo okanye eyona ndlela iphumelele kunyango lokungabikho komntwana.
Ngokomzekelo, kuqheleke kakhulu ukuba amadoda abe nolwabiwo lwesibalo esingaqhelekanga ngamanqanaba e-testosterone aqhelekileyo. Kwiinkoliso zezi zihlandlo, isizathu sokungabalalisi kwezidalwa zesilisa aziwa.
Kubantu abafumana izibalo ezingabonakaliyo zesisu ngenxa yezizathu ezingaziwa, uphando alufumananga iClomid ibe yilisi eluncedo.
Ngaba I-Clomid Inokukhuthaza Ukusebenza Kwezemidlalo Kweyabasetyhini?
Bobabini abagijimi besilisa nabasemadodeni abanokusebenzisa kakubi iziyobisi ukwenzela ukwandisa ukusebenza, kwaye kunjalo, asizange sive ngeembaleki zentombi ebanjwe ephethe uComomid.
(Ewe, ndiyabona ukuba imidlalo eyenza iindlunkulu ngokubhekiselele ekutshatheni iindoda zihlala zilawulwa yindoda, kodwa i-Olimpiki, umzekelo, ifaka phakathi kwabesilisa ngokusemgangathweni.)
Lo ngumbuzo obalulekileyo kuba abagijimi besifazane - ngenxa ye-deposits yabo ephantsi kakhulu-basengozini yokufumana ukungavunyelwanga okanye ukungabikho. Akuqhelekanga kubadlali beentombi ukuba bayeke ukufumana ixesha labo okanye babe nokukhanya kakhulu, ukuhamba kwesinye isikhathi . Yiyo kanye loo nto iClomid ithetha ngayo ukunyanga.
Nali iindaba ezilungileyo: uphando lwangoku lufumene ukuba i-Clomid ayikhuthazi izinga legazi le-testosterone kubafazi. Ngoko ke, iComomid ayifanele ithathwe njengento yokutshatyalaliswa kwamatye.
Nangona kunjalo, kufuneka uhlale uqwalasela umbutho wakho wezemidlalo ngaphambi kokuqala nayiphi na unyango.
Ngezinye iiComidid ezifihliweyo kwiMveliso yeBlackmarket
Abakhi bezakhiwo kunye nabagijimi banokuthi batye ukuthenga iintengiso ze-intanethi ezipapashwa ukunyusa ukusebenza. Ezinye zeemveliso zingabhalwa njengeziquko "zonke izendalo" okanye ibango lingenanto echanekileyo.
Nangona kunjalo, kwenzeka ukuba ezinye zeemveliso ze-blackmarket ziqulethe i-citomiphene citrate.
Omnye kufuneka ahlale ecaphele xa kuthengwa izongezo okanye iziyobisi ezithengiswayo ezivela kwimithombo engaqinisekanga. Ngelishwa, ukubiza ukuba awukwazi umkhiqizo owathathayo oqulethe into enqatshelweyo ayiyi kukukhupha.
Igama elivela kwi-Verywell
Bonke abagijimi-abesifazana nabesilisa-banembopheleleko yezilwanyana kunye namahomoni abayithathayo, kwaye kufuneka baqonde ukuba yintoni imishanguzo eluhlu lwezinto ezingavumelekanga.
Ngokukodwa xa ujongene namahomoni, kufuneka uqinisekise kunye noogqirha bakho kunye nemibutho echaphazelekayo yezemidlalo ukuba unyango lwakho aluyi kukhokelela kwizigwebo okanye izigwebo zokutshatyalaliswa.
Njengokuba abanye abagijimi baye bafumanisa ubuhlungu, ukungazi imigaqo ayikho isizathu.
Imithombo:
I-Chatterjee S1, i-Chowdhury RG, uKhan B. "Ukulawulwa kwezonyango zokungabikho komntwana." UJ Indian Med Assoc. 2006 Feb; 104 (2): 74, 76-7. http://www.ncbi.nlm.nih.gov/pubmed/16856586
DJ Handelsman. "Ukuchithwa kwe-androgen ngokungavaliyo ngokuchithwa kwe-estrogen kwimidlalo." I-Br J Pharmacol. 2008 Juni; 154 (3): 598-605. i-doi: 10.1038 / bjp.2008.150. Epub 2008 Apr 21. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2439522/
DJ Handelsman. Ukuphononongwa kwekliniki: Isizathu sokunqanda i-chorionic gonadotropin kunye nabagcini be-estrogen kwimidlalo. "J Clin Endocrinol Metab. 2006 ngoMeyi; 91 (5): 1646-53. Epub 2006 Feb 14. http://www.ncbi.nlm.nih.gov/pubmed/16478815
U-Whitten SJ1, Nangia AK, uKolettis PN. "Khetha izigulane nge-hypogonadotropic hypogonadism zingaphendula unyango nge-clomiphene citrate." UFertil Steril. 2006 Dec; 86 (6): 1664-8. Epub 2006 Septemba 27.