Iimpawu eziPhezulu kunye neengozi zeMithi yobunzima

Ukusuka kwiiNtloko eziya kwiiNtshontsho, ukuKhanya kwamaHlathi ukuya kwiMiod Swings

Imiphumo emibi yeziyobisi kunye nemingcipheko kuxhomekeke kwiyiphi imithi oyenzayo. Izidakamizwa zonyango zomlomo ( njengeComomid okanye i- letrozole ) zinemiphumo emibi kunezidakamizwa zokuzala (ezifana ne- gonadotropins okanye i- GnRH agonists kunye nabachasayo .)

Oko kwathiwa, imiphumo emibi yezidakamizwa eziqhekezayo izithintelo, intloko, isisu, isisu esicasulayo, ukutshisa okutshisa, kunye nokuguquka kwemizwelo .

Iingozi eziqhelekileyo zokuvelisa iziyobisi zithatha ukukhulelwa okuphindaphindiweyo (njengamawele okanye amathathu okanye ngaphezulu ) kunye nokuphuhlisa i- ovarian hyperstimulation syndrome (OHSS) .

Ezi azinjalo kuphela iziphumo ezichaphazelekayo kunye nobungozi, ezizona ziqhelekileyo.

Ukusetyenziswa kweziyobisi kunokudala imimangaliso kwaye isebenza ngokubanzi. Sekunjalo, kubalulekile ukwazi ukuba yintoni engafanelekanga kunye nendlela yokunciphisa amathuba akho ezinzima.

Ukukhutshwa ngokukhawuleza: ukufunda malunga nemiphumo emibi yonyango kunokunyusa uxinzelelo kwaye kunokunyusa ingozi ukuba uya kuba nemiphumo ethile. Oku kuyaziwa ngokuba yimpembelelo yecebo . (Kufana nesiphumo se-placebo, simbi nje.)

Kakade, kufuneka uhlale uxoxa nodokotela wakho ingozi yiphina imithi ngaphambi kokuba uyithathe.

Nangona kunjalo, ukuba uthetha ukuxhalabisa, unokufuna ukunqumla ingcaciso echaphazelekayo yecala / ingozi, kwaye ugxininise kwicandelo elingezansi elinesihloko esithi Indlela Yokunciphisa Ukusetyenziswa Kwezonyango Zempembelelo Zemiba Neengozi .

Iimiphumo ezingezantsi zeZilwanyana ezinokusetyenziswa kwezidakamizwa

Imiphumo emibi ayimfuneko engafunekiyo kwaye ingenangqondo ephuma kwiyeza.

Ingaba okanye uya kuba nemiphumo emibi iya kuxhomekeka ...

• amayeza owathathayo
• umyinge weyeza (amayeza aphezulu athetha ukunyuka kwengozi)
• wakho umzimba

Thatha, umzekelo, isichamo seColomid.

Amanye amabhinqa athabatha iComomid kwaye azive kakuhle. Abanye banamava emakhanda okanye iimvakalelo. Kunzima ukuqikelela ukuba uza kuthini ukusabela de ube uthabatha unyango.

Ngezantsi ziluhlu olutshanje lwemiphumo emibi yezidakamizwa.

Inqaku elibalulekileyo! Azikho zonke iziphumo ezichaphazelekayo kunye nezingozi ezidweliswe. Ukuba ufumana imiphumo emibi, iimpawu ezingavamile, okanye uxhalabele ngesizathu, qhagamshelana nogqirha wakho.

Iziphumo ezichaphazelekayo zeClomid ziquka:

• Ukutshisa okushisayo
• Ukuxhatshazwa kwesisu kunye nesisu
• Ukutyeba kwakho
• Intloko
• Ukuhamba kweemvakalelo
• I sizathu
• Utywala
• Abathengisi bebele
• Ukuphuma kwexesha lokungena kwelanga / ukuphawula
• Ukuma komzimba

Funda ngaphezulu malunga nemiphumo yeComidid apha.

Iziphumo ezichaphazelekayo ze-letrozole ziquka:

• Ukukhathala
• Utywala
• Intloko
• Ukuxhatshazwa kwesibindi / esiswini
• Ukutshisa okushisayo
• Umbono ongezantsi
• Ingxaki yokulala
• Ukuphuma kwexesha lokungena kwelanga / ukuphawula
• Iintlungu zesisu

Funda kabanzi malunga ne-letrozole yonyango lokuzala .

Iziphumo ezichaphazelekayo zegonadotropins ziquka:

• Intloko
• Isisu / isisu esiphazamisayo
• Usulelo oluphezulu lokuphefumula
• Ukunyamezela / ukunyamezela esiswini
• Ukuhamba kweemvakalelo
• Acne
• Ukutyeba kwakho
• Ukuphuma kwexesha lokungena kwelanga / ukuphawula
• Isiza sokungenwa kwesifo kunye nokubomvu
• Utywala

Funda kabanzi malunga nemiphumo yegonadotropin kunye neengozi apha.

Imiphumo emihle eyenzekayo ye-GnRH agonists (njengeLupron) iquka:

• Ukutshisa okushisayo
• Intloko
• Umoya uguquka / uxinzelelo / uxhalabe
• Ukuma komzimba
• Acne
• Isiqhelo somzimba jikelele / intlungu edibeneyo
• I sizathu
• Ukugcinwa kwamanzi
• Isisu esimoshakele
• Ukutyeba kwakho
• Ukusetyenziswa kwezesondo eziphantsi
• Utywala
• Isiza sokungena kwisifo

Funda kabanzi malunga nemiphumela emibi ye-GnRH ye-agonist .

Iziphumo ezichaphazelekayo ze-GnRH zibandakanya:

• Uthando lwesisu
• Intloko
• Isisu / isisu esiphazamisayo
• Ukuphuma kwexesha lokungena kwelanga / ukuphawula
• Isiza sokungena kwisifo

Funda kabanzi malunga negalelo le-GnRH .

Eyona nto kodwa ingozi enkulu yezobisi ezinobungozi

Kwiimeko ezinqabileyo, iziyobisi zonyango zingabangela iziphumo ezibi kakhulu.

Ugqirha wakho kufuneka axoxe nawe nawe.

Njalo xelela ugqirha wakho ukuba unobungqina obubuhlungu, nangona ungaqinisekanga ukuba unxulumene na mayeza.

Kungcono ukubiza ugqirha wakho ukuba unomdla kwaye uyenzele ukuba akuxelele konke okulungileyo, kunokuba uyithintele umphumo ongezantsi ongakhokelela kwingozi yonyango okanye ingozi.

Iinguqulelo zembono : Ipesenti encinci yabasetyhini iya kuba nokuphazamiseka kwembono xa kuthatha iComomid okanye i-letrozole. Ukuba oku kwenzeka kuwe, ubone ukukhanya kokukhanya, ukunyuka okukhawuleza kwi "floaters", okanye umboniso ophazamisayo.

Umbono ophazamisayo unokuza kunye nekhanda elibi.

Tshela ugqirha wakho ngokukhawuleza ukuba oko kwenzeka kuwe. Ingxaki yombono kufuneka ihambe xa uyeka ukuthabatha amayeza. Kwiimeko ezinqabileyo kakhulu, umonakalo wangexesha elide unokwenzeka.

Ukukhulelwa kwe-Ectopic : abafazi abathatha i-gonadotropins banomngcipheko omncinci wokukhulelwa kwe-ectopic.

Ukukhulelwa kwe-Ectopic kungasongela ubomi xa ungayithobeli! Ukuba ufumana ubuhlungu obukhulu be-pelvic, qha ga mshelana nogqirha wakho.

I-Ovarian hyperstimulation syndrome (OHSS) : izidakamizwa zokuzala zifuna ukuba amaqanda avelise amaqanda angaphezulu kunokuba ayedla.

Nge-OHSS, ii-ovari ziyingozi kakhulu. Oku kuqhelekileyo kwinyanga yokwelashwa kwe-IVF, kodwa kungenzeka nakwi-Clomid kunye ne-gonadotropin unyango.

Uninzi lweziganeko ze-OHSS zinyameko, kodwa i-OHSS enamandla ingenzeka. Kwiimeko ezinqabileyo, i-OHSS inokukhokelela ekugqibeleni igazi kunye nokuhluleka kwezintso.

I-OHSS ekhuselekileyo ingasongela ukuzala kwakho kunye nobomi bakho. Ukubamba iimpawu ngokukhawuleza kunye nokufumana unyango olusisiseko.

• IiHSS Symptoms and Treatment

I- ovarian torsion : i-ovarian torsion yinkxalabo enokwenzeka ye-OHSS. Ngaphantsi kwe-2% yabasetyhini abathatha i-gonadotropins baya kuba ne-torment ovarian.

Ukusetyenziswa kweziyobisi kwenza ukuba ii-ovari zikhulise. Ngamanye amaxesha, i-ovary iyakwazi ukuzitshintsha ngokwawo, ukusika igazi. Ugqirha ukuze ungabikho nto i-ovary okanye ususe i-ovary ingafuneka.

I-ovarian torsion inokubeka ubomi bakho kunye nokukhula kwengozi.

Ukuba ufumana ubuhlungu obukhulu be-pelvic, iya kwinqanaba eliphuthumayo elisondeleyo ngokukhawuleza.

Ukusabela okuvakalayo: ukusabela okuphambene nokusetyenziswa kweziyobisi kunqabile. Nangona kunjalo, njengawo nawaphi na amayeza (okanye ukutya), ukusabela kwenzeka.

• Ukutshatyalaliswa kweAnaphylactic?

Amawele, ama-Triplets, kunye ne-High-Order Order

Ukuba utyunyiwe kumaphephandaba nangayiphi na indlela, sele usasazi ngomngcipheko wokuphindaphinda xa usebenzisa iziyobisi zokuzala.

Umngcipheko wakho wokukhulelwa ngokuphindaphindiweyo uya kuxhomekeka kwiyiphi unyango lokunyanga onalo kunye nawaphi unyango owenzayo.

Ngokomzekelo, umngcipheko wokuba namawele xa uthatha i-gonadotropins iphindwe kathathu ngokuphakamileyo njengoko iComomid.

Abanye abantu bacinga ngokugqithiseleyo ukuba ukuphindaphinda kuyingozi yonyango lwe- IVF . Oku akunjalo. Umngcipheko wakho wokuphindaphindwa uphezulu kakhulu kunye ne-IUI (insemination) unyango ngaphandle kwe-IVF.

Ngokuqhelekileyo, kunye noClomid , ithuba lakho lokuba namawele ngu-10%. Ithuba lakho lokuba neentathu okanye ngaphezulu lingaphantsi kwe-1%.

Ininzi engama-30% yokukhulelwa kwezidakamizwa zokuzala i-gonadotropin ziphindaphindwa. Iibini zantathu ezikhulelwe zikhulelwe ngamawele, kunye nesithathu zi-triplets okanye ukukhulelwa okuphezulu.

Ngamanye amaxesha, isibini sinethemba lokuba ziyakhulelwa ngamawele okanye kathathu, okanye zize zicele oogqirha ukuba bancede. Oku akusiyo ikhetho elihle, wena okanye umntwana wakho.

• Ingozi yokukhulelwa komzimba
• Imibuzo: Ngaba Ngaba Ukholo Lwenu Lokufumana Iimbini Eziphezulu Kuninzi?
• Yintoni Eyandisa Ukwenzeka Kweentlobo Zakho?

Indlela Yokunciphisa Ubunzima beMiphumo emibi yeeDrug kunye neengozi

Akunakwenzeka ukuba uphephe ngokupheleleyo yonke imiphumo emibi. Nangona kunjalo, kukho ezinye izinto wena okanye ugqirha wakho onokukwenza ukuze unciphise ubungozi bakho.

Ezinye iziphumo zempembelelo zingagwenywa okanye zinciphise ngokuthatha amayeza ebusuku okanye ngokutya. Soloko uthetha nodokotela wakho malunga nexesha elifanelekileyo kunye nendlela yokuthatha amayeza akho.

Ugqirha wakho kufuneka asebenzise iqondo eliphantsi kakhulu. Yingakho kusondele ukuba kulungele ukuqala kwiqondo lokulahleka, kwaye ukwandisa umyinge ukuba awusebenzi, kunokuba uqale phezulu.

Vumela ugqirha ukuba wazi ukuba iziphumo zecala zibi. Nokuba ngaba ziyimpembelelo echaphazelekayo yeemvakalelo (apho abantu abaninzi begcina oogqirha babo.) Kukho esinye isilwanyana.

Ukunciphisa umngcipheko wakho wokukhulelwa amawele okanye ukuphindaphinda, ukujonga okufutshane umjikelezo wakho kubalulekile.

I-gonadotropins okanye i-Clomid, i-ultrasound ingasetyenziselwa ukuchonga ubuninzi bezinto ezikhoyo ezinokuphuhliswa. Zonke iifolli yintsana engakwazi ukuyiqonda, ukuba ukhulelwe.

Ugqirha wakho unokurhoxisa umjikelo wakho ukuba ucinga ukuba umngcipheko wakho wokuphindaphinda uphakamileyo. Unokucelwa ukuba ugweme ukulala ngesondo.

Mamela ugqirha wakho. Khumbula ukuba ukukhulelwa okubanzi kukubeka impilo yakho (kunye nobomi) engozini.

Ngonyango lwe-IVF, umngcipheko wokuphindaphinda unokunciphisa kunye nokutshintshwa kwesisu esisodwa (SET). Oku akufanelekanga kuzo zonke izibini, nangona kunjalo. Thetha nogqirha wakho malunga nokukhetha kwakho.

Qaphela iikliniki zokuzala ezinobugwili obukhulu ekunyangekeni kwentsholongwane .

Ngakolunye uhlangothi, kunokuvakalelwa kukuba ugqirha uthembisa ukuba uphumelele kwaye uqale ngeyona "ngcono" okanye unyango oluqinileyo kuqala. Ngakolunye uhlangothi, ukuxhuma phezulu kwitebe ngokukhawuleza kunokukhokelela ekuwa kwexesha ngaphambi kwexesha.

Ewe, nangona uhlolwe ngokucophelela kunye nogqirha onoxanduva, usenokuba ne-OHSS okanye ukhulelwe ngamawele okanye ngaphezulu.

Ngaloo nto, into engcono ukuyenza kukuba ulandele iingcebiso zonyango lwakho kwaye unyamekele.

Ukunyamekela kokunakekelwa kwangaphambi kokubeleka kunokunciphisa ingozi ezayo ngokukhulelwa okubanzi . Ngokufumana okokuqala kwaye unyango, i-OHSS ayinqabile kakhulu kwaye kaninzi ingaqwalaselwa ekhaya.

Oluthe xaxa malunga nokunyanga ukuzala:

• Izinketho ezili-17 zoNyango lweZonyango
• Ngaba Izidakamizwa Zezilwanyana Zenza I-Cancer?
• Izinto ezili-6 Abantu abaninzi abazi nge Clomid
• IVF kunye neveki ezimbini zilinde
• Ukusetyenziswa kwezidakamizwa eziqhelekileyo
• I-IVF Treatment: Inyathelo ngesinyathelo
• Ukujongana noxinzelelo lweZonyango
• Ukugqiba Ukungafuni Ukulandela Unyango Lokunyanga
• Ukuhlawula Ukunyangwa Kwezityalo

_Imithombo:

_{Iingxaki kunye neengxaki ezinxulumene nokuzalwa kwamanani amaninzi: i-Fact Sheet Sheets. Umbutho waseMelika weMithi yokuzala. Ufikelele kwi-Agasti 20, 2008. http://asrm.org/uploadedFiles/ASRM_Content/Resources/Patient_Resources/Fact_Sheets_and_Info_Booklets/complications_multiplebirths.pdf}

_{I-ovarian hyperstimulation syndrome. I-Medical Encyclopedia, i-MedlinePlus. Kufumaneke ngomhla we-20 Agasti, 2008. http://www.nlm.nih.gov/medlineplus/ency/article/007294.htm}

_{Amachiza okuKhuthaza ukuThengisa: Isikhokelo sabathinteli. Umbutho waseMelika weMithi yokuzala. Ufikelele kwi-Agasti 20, 2008. http://asrm.org/uploadedFiles/ASRM_Content/Resources/Patient_Resources/Fact_Sheets_and_Info_Booklets/ovulation_drugs.pdf}

_{Izingozi ze-Vitro Fertilization: I-Fact Sheet. Umbutho waseMelika weMithi yokuzala. Ufikelele kwi-Agasti 20, 2008. http://asrm.org/uploadedFiles/ASRM_Content/Resources/Patient_Resources/Fact_Sheets_and_Info_Booklets/risksofivf.pdf}

_{Imiphumo emibi yeziyobisi zokuzala (i-gonadotropins.) Iphepha leNkcazo. Umbutho waseMelika weMithi yokuzala. Kufinyelelwe ngo-Apreli 10, 2016. https://www.asrm.org/FACTSHEET_Side_effects_of_injectable_fertility_drugs_gonadotropins/}