Yintoni enokuyilindela: unyango, ama-Side Effects, kunye ne-Success Rates
Unokucinga ngeComomid njengenxalenye yesicatshulwa sezilwanyana- kwaye kuyinyaniso yokuba imvume ye-FDA kuphela yonyango lwabafazi abangenabantwana. Kodwa i-Clomid ingasetyenziselwa ukunyanga ezinye iimeko zokungabikho kwamadoda . Ezi ziko zibhekwa njenge "off-label".
Sibanzi
I-Clomid inokunceda ukuzala komntu ngeendlela ezimbalwa. Inokukunceda ukwandisa amanqanaba omzimba kunye nokulungisa ukungalingani kwe-hormonal.
Inokukunceda ukuba ugweme i- IVF okanye unyango oluphambili. Kwezinye iimeko, kunokuncedisa ukuphucula impumelelo yakho emva kokuhlinzwa okanye ngexesha le-IVF.
Ukuba uyazibuza ukuba i-Clomid ingakunceda, thatha ixesha lokuphonononga izinga lempumelelo yalo kunye nemiphumo emibi. Ngaloo ndlela unokwenza isistim esinqunywe kwaye unikwe amandla kunye nencoko enkulu kunye nodokotela wakho.
Iinkcazo
Ugqirha wakho angamisela uComomid kwiimeko ezilandelayo.
Unamazinga aphantsi e-testosterone.
Nangona abantu bephathwa nge- testosterone esezantsi bahlala benamava, ugqirha wakho unokuqwalasela ngokukhethekileyo ukucacisa i-Clomid ukuba amazinga aphantsi aphethwe yi-hypogonadotropic hypogonadism. Nangona ungazami ukuzama ukuzala, uComomid unokunceda ngeempawu ze-hypogonadism, kuquka:
- Ukungasebenzi kwe-Erectile
- Ukunciphisa ukukhula kweenwele zomzimba
- Ukunciphisa ubunzima bemisipha
- Ukukhathala
- Libido ephantsi
- Ingxaki kunye noxinzelelo
- Ukutshisa okushisayo
Ufumene uvavanyo lwe-idiopathic oligoasthenozoospermia.
Idiopathic iinjongo ezingaziwayo. I-Oligoasthenozoospermia ithetha inani elincinci lomdaka kunye nesimo esingenasiphelo sesisu .
Ukuba uhlalutyo lwesilwanyana lubona ukuba unobuncinane besibalo sentsholongwane kunye nobuthathaka obubi, kodwa ugqirha wakho akakwazi ukuchaza isizathu sokuba unengxaki, unokukuxilonga nge-idiopathic oligoasthenozoospermia.
I-Clomid enye inokwenzeka ukhetho lwonyango.
Ufunyanwe ukuba unayo i-azoospermia engenziyo.
I-Azoospermia ithetha ukuba akukho ndoda efunyenwe kwi-semen. Izithintelo ezingenanto zokungabikho komzimba ukukhusela isisu singena kwi-ejaculate.
Nge-azoospermia, i-Clomid inokumiselwa ukunceda ukudala nokwandisa isibalo sesidoda. Nangona oko akuphumelelanga, i-Clomid ingandisa ukwanda kwe-sperm extraction okanye i-testes biopsy (yilapho iiseli zesisu ezifayo zifunyanwa ngedalane ngqo kwii-testes, kwaye zakhula kwindawo yebhanki).
Une-varicocele.
Esinye sezizathu eziqhelekileyo zokusweleka kwindoda kungama-varicoceles . I-varicocele yi-varicose vein kwi-scrotum okanye i-testes.
Akungabazeki ukuba utyando okanye iClomid yonyango olungcono. Uphando lubonakala lukhulisa impilo yempilo ngokubanzi ngaphezu kweClomid, kodwa yintoni unyango olunokuthi ukwandise imingcipheko yakho yokukhulelwa ingacacanga. Ngokuxhomekeke kwimiba yeqabane lakho lomfazi kunye nokuba unayo ingxaki yokuzala, ugqirha wakho unokubonisa ukuba uzame ukwelashwa kweComidid kuqala. Emva koko, ukuba awuphumelelanga, unokhetho ukuba ube ne-varicocelectomy (ukuhlinzwa ukuze ususe i-varicocele).
Isistim kunye neNyango
Ukwelashwa kwe-Clomid yamadoda akufani nokunyanga kwabantwana abangabantwana.
Abafazi bathatha iComomid malunga neentsuku ezintlanu kwiintsuku ezithile zenyanga. Ukuba kusebenza, iComomid iphucula ukuzala komfazi ngaloo nyanga.
Ukunyangwa kwamadoda akusebenzi njengaleyo. Ngamadoda, iComomid idla ngokuthatha iintsuku eziliqela ubuncinane kwiinyanga ezintathu. Kuthatha ixesha elingakumbi ukubona iziphumo, kwaye akufanele ulindele ukuphuculwa ngokukhawuleza kokuzala. Unyango ngokuqhelekileyo kuthatha ubuncinane inyanga ngaphambi kokuba nayiphi na inguqu kwi-semen ibonwe, kunye neenyanga ezintathu ezizeleyo ngaphambi kokuba ukukhulelwa kwentlawulo kubonise ukuphuculwa.
Kufuneka ulandele rhoqo imiyalelo yakho ugqirha ngenkathi uthatha iComomid. Iiprojekti ezimbalwa eziqhelekileyo ezisetyenziswayo zibandakanya:
- Isilinganiselo sama-25mg esithathwa imihla ngemihla kwiintsuku ezingama-25, ilandelwe ixesha lokuphumla kweentsuku ezintlanu. Lo mjikelo uphindwa kwiinyanga ezintathu.
- Isilinganiselo sama-25mg esithathiweyo iintsuku ezintlanu, ilandelwa iintsuku ezintlanu, kwiinyanga ezintathu.
- Isilinganiselo esiphezulu se-100mg esithathiweyo iintsuku ezili-10, kanye ngenyanga, kwinyanga ezintathu.
Ugqirha wakho unokumisela umntu olwa ne-antioxidant ukuba athathe kunye neComomid. Ama-antioxidants afana ne-vitamin E aboniswe ukuphucula phambili impumelelo yonyango. Ugqirha wakho unokuhlaziya umsebenzi wegazi ngexesha elilodwa ukujonga amanqanaba akho e-testosterone. Unako ukulungisa utshintsho lwakho ngokusekelwe kwiziphumo.
Imiphumela
Izifundo ezininzi kwiComidid kunye namadoda ayifumananga nemiphumo emibi kakhulu. Oku akuthethi ukuba nemiphumo emibi kakhulu ayinakwenzeka, kuphela ukuba xa kunjalo, akunqabile.
Eminye Imiphumo Yecala
Umbono ogqityiweyo uyimpembelelo engundoqo enokuthi ibe yingozi, njengoko ingaba yingozi kwaye ingabangela umonakalo wombono ongapheliyo xa ungashiywanga. Ukuba ufumana umbono ophazamisayo okanye ukuphazamiseka kombono ngenkathi uthatha iComomid, qha ga mshelana nodokotela wakho ngokukhawuleza.
Iimiphumo ezingasenyanga
Akukho nkcazelo eninzi efumanekayo kwimiphumo engekho engathà sina kodwa engabonakaliyo yeComidid kumadoda. Oku kungenxa yokuba uphando lokuqala luqhutywa kuphela kwizigulane zezilwanyana.
Ngokuqhelekileyo, ezininzi iimpembelelo ezibonakala kubasetyhini zibangelwa utshintsho lwe-estrogen. Ngenxa yokuba amanqanaba e-estrogen emadodeni aphantsi kunabasetyhini, amadoda akancinci ukufumana ezinye zeempembelelo ezingathandekiyo ezibangelwa ngabafazi.
Olunye uphando lwafumanisa ukuba ama-5 eepesenti zezigulane zesigane zineentlungu zentsimbi. Kwamadoda athile, ububele buhamba ngokukhawuleza ngexesha lonyango. Kwabanye, kwaqhubeka de kube yonyango.
Ngaba i-Clomid Treatment in Men iyakwandisa ingozi yamawele?
Hayi, iComomid ayinyuli umngcipheko weewele xa kuthatyathwa ukuba yindoda engekho. Xa amabhinqa ethatha iCommid, ikhulisa i-ovulation. Oku kungakhokelela ekubeni ube namaqanda amabini ekhutshwe endaweni enye kuphela. Ukuba amaqanda amabini avuliwe kwaye bobabini baqeshwe, umfazi angakhulelwa ngamawele.
Kwamadoda, iComomid iyandisa inani labasilisa kunye nempilo. Uninzi lwentlobo alukhokelela ekwandeni kwamawele.
Iingeniso zeNtsebenzo zeNtlungu ezingenzi lutho
Impumelelo ingachazwa ngeendlela ezimbini ezahlukeneyo:
- Ukuphuculwa kwindoda yempilo kunye namanqanaba e-testosterone
- Ukwanda kwezinga lokukhulelwa
Unjani uhlobo lokukhulelwa onokulindela? Isilinganiso sokukhulelwa sisisiseko esiphantsi kweepesenti ezingama-13 ukuya kwe-15, kwaye kwizifundo ezibandakanya imibhangqwana ejongene nokungabikho komntu, ukukhulelwa kwentlawulo emva kokuba unyango lwe-Clomid luhluka.
Oko kuthethwa nguPhando
Olunye uphando oluthambile kodwa olunomdla lufumene ukuba i-Clomid, kunye ne-antioxidant treatment (njenge-vitamin E), iphakame kakhulu ukukhulelwa kwezixa ezingama-36.
Olunye uhlalutyo lwama-meta lubhekiselele kwiziphumo zezifundo eziliqela kwi-Clomid kunye nokungabikho kwamadoda, ngokukodwa, amadoda afumana ubuninzi be-sperm count and / okanye i-sperm motility motility. Kufumene ukuba unyango kunye neComomid, xa kuthelekiswa nalukho unyango, lwandise ukwanda kwengcinezi malunga neepesenti ezingama-5 kunye nokuphuculiswa kwesimo sembewu ngamaphesenti angama-4.
Amanqanaba e-hormone ezithwalayo aphuculwe ngokuphawulekayo kunye nokunyanga kweComid, kunye namazinga e-FSH aphakama ama-4 eepesenti kunye nama-testosterone aphakama ngama-54 ekhulwini.
Amadoda afumana iAzoospermia
Akusikho isidoda esitholakalayo kwi-semen nonke.
Kwisifundo esithile, uComomid wanceda ama-64.3 amadoda ukuba akhiqize umduna, kunye neziphumo zokuhlalutya zesisu ezibonisa phakathi kwezigidi ezili-16 zezigidi ngebhililitha.
Kuba amadoda angakhange avelise isidoda emva kokunyanga kweComidid, zonke izigulane ezi zifundo zineentlobo ezaneleyo zokufumana isisu ngokusebenzisa isicatshulwa se-spermtic sperm. I-sperm ekhutshiwe ingasetyenziselwa unyango lwe-ICSI-IVF .
Igama elivela kwi- Verywell
Kwezinye iimeko, ugqirha wakho uya kumisela iComomid ngezizathu ngaphandle kokungabikho. Kungakhathaliseki ukuba ngaba kunjalo, qiniseka ukuba uqonda iziphumo ezichaphazelekayo kunye nokusebenza ngesandla kunye nodokotela wakho ukuze ulandele umgaqo-nkqubo ochanekileyo wonyango. Ngale ndlela uza kubona ukhuselekileyo kwaye mhlawumbi iziphumo ezilungileyo.
Kwimeko apho uthatha iCommid ukuphucula ukuzala, kunokunika wena kunye neqabane lakho ithemba. Khumbula ukuba imeko yakho iya kuxhomekeka kubuncwane bakho kunye nokuzala komlingani wakho, ngoko ungaziva udimazekile xa uColomid engasebenzi. Kwakhona, qonda uphando kunye nokusebenza ngesandla ngesandla kunye nogqirha wakho ukuhlola zakho iinketho.
> Imithombo:
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> IGeorge B1, iBantwal G. "Ukuphathwa kwe-endocrine yenkqantosi yesintu. "I- Indian J Endocrinol Metab . Ngo-2013 Oct; 17 (iSiza1): S32-S34.
> Ghanem H1, uShaeer O, uEl-Segini A. "I-clomiphene citrate kunye ne-antioxidant therapy ye-idiopathic yokungabi namntwana: ityala elilawulwa ngokungahleliwe. " Fertil Steril . 2010 Meyi 1; 93 (7): 2232-5. i-doi: 10.1016 / j.fertnstert.2009.01.117. Epub 2009 uMatshi 6.
> Katz DJ1, uNabulsi O, uThal R, uMunhall JP. "Iziphumo ze-clomiphene unyango lwama citrate kuma-young hypogonadal men. " BJU Int . Ngo-Agasti ka-2012; 110 (4): 573-8. i-doi: 10.1111 / j.1464-410X.2011.10702.x. Epub 2011 Nov 1.
> Patankar SS1, Kaore SB, Sawane MV, Mishra NV, Deshkar AM. "Impembelelo ye-clomiphene citrate kwi-sperm ukunyaniseka kwintsebenziswano yabesilisa abanezithandane ezingenabantwana. " UmNdiya J Physiol Pharmacol . 2007 Ngo-Apr-Juni; 51 (2): 195-8.