Ukhokelo Lwemihla ngemihla kwiComid Treatment for Problems of Ovulation
Ungayithatha njani iComomid yokungabi nantlungu ? Ukuba ugqirha wakho usemisele le mveliso esithandwayo yokuzala, mhlawumbi unomdla malunga nokuba ungalindela ntoni. Enyanisweni, unyango luyahlukahluka kumntu kumntu, kuxhomekeka kwezinye izinto.
Ngokomzekelo, unyango lwe-Clomid kunye nomdla wesifo somzimba ngokuqhelekileyo lubukeka luhlukile kwonyango ngumcebisi wenzalo . Ngamanye amaxesha i-Clomid idibene ne- IUI (intrauterine insemination) unyango . Ngokuphindaphindiweyo, kunqunywe ukuba kulungele ixesha lokulala ekhaya. Isikhokelo sosuku ngalunye kunyango siya kukunika ingcamango jikelele malunga nokuba umjikelezo wakho ukhangeleka njani.
Inqaku elibalulekileyo : Njengokuba kunjalo, landela imiyalelo yakho kagqirha xa uthatha iComomid, kwaye ungabi namahloni ngokubuza imibuzo ngaphambi, ngexesha okanye emva kwonyango.
I-Clomid Cycle Day 1: Uqala ixesha lakho
Ugqirha wakho uya kukuxelela ukuba uqhagamshelane neofisi yakhe ngosuku lokuqala lwenyanga yakho. Ukuba unamaxesha angaqhelekanga , ugqirha wakho unokumisela imishanguzo iPravera, uhlobo lweprogesterone, ukudala ixesha lokuqala.
Umhla wokuqala wexesha lakho ngumhla onayo ukuhamba kwimihla kwaye kungekhona nje ukukhanya kwelanga. Ukuba awuqinisekanga ukuba ixesha lakho liqale, okanye ukuba ukuphuma kwegazi kukhanya ngokungaqhelekanga, cela udokotela wakho. Unokuthi uthathe uvavanyo lokukhulelwa kwe-beta (ngokusebenzisa umsebenzi wegazi) ukuqinisekisa ukuba awukhulelwe.
Usuku olunye lomjikelo wakho ngowusuku lokuqala lwenyanga yakho. Nangona kunjalo, ukuze udideke ngakumbi, ugqirha unokukuxelela ukuba usuku lwakho olusemthethweni luyimini emva kokuba ixesha lakho liqale. Kuxhomekeke kwiliphi ixesha lomhla oqala ngayo ukuhamba kwakho. Esi sizathu esinye unokuba ufuna ukubiza udokotela wakho ngaphambi kokuba uqale unyango.
Bhala lo mhla, njengoko uzakufuna ukuthatha i-Clomid kwiintsuku ezithile zomjikelezo wakho. Kusenokwenzeka ukuba ufumane iimvavanyo ezithile kwiintsuku ezithile. Ukwenza umjikelezo ube lula ukulandelela, unokumakisha kwikhalenda yekharityhulam iintsuku zomjikelezo wakho kunye neentsuku zekhalenda. Ngokomzekelo, ukuba ngo-Aprili 3 ufumana ixesha lakho, ubhala u-1 kwisangqa ngomhla we-3 ku-Epreli, 2 kwisangqa ngo-Ephreli 4, njalo njalo.
Usuku lwe-Clomid Cycle 2-3: I-Baseline Ultrasound Check
Xa ubiza ugqirha wakho ngosuku lokuqala lomjikelezo wakho, unokucelwa ukuba ucebise isheke esicwangcisiweyo se-ultrasound. Oku kunokwenzeka ukuba kwenziwe ngcali yezityalo. Ukuqeshwa kwe-ultrasound kuyakhawuleza kwaye kuya kwenziwa ngokusesikweni. I -ultrasound engapheliyo yenziwa ngeprojekthi ye-ultrasound ngokusebenzisa ubulili bakho.
Ugqirha wakho ukhangele ama-cyst kwi-ovaries, ukuba angadideki kunye nama-cysts amancinci anokubonayo nge-polycystic ovaries . Kule meko, ugqirha ufuna i-cyst enkulu. Ngokuqhelekileyo, i-ultrasound ayifumani nantoni na. Ukuba yonke into ibonakala iyilungileyo, umjikelo wakho unokuqhubeka njengoko uhleliwe.
Ukuba i-ultrasound ifumana i-cyst okanye i-cysts, ugqirha wakho uya kucima loo mjikelezo. Ungadinga ukulinda de inyanga ezayo uzame kwakhona. Ukuba bafumana i-cyst, ningakhathazeki. La ma-cysts awanqabileyo kwaye ayedla ngokwabo. Umqobo ongundoqo uya kufuneka ulinde enye inyanga ukuqala unyango.
Njengoko kunjalo, buza ugqirha wakho ukuba unomdla.
I-Clomid Cycle Day 3-5: I-Clomid Treatment iqala
Emva kokuba ususwe ngugqirha wakho ukuqala umjikelo, uya kuthatha idosi yakho yokuqala yeClomid ngosuku ogqirha ugqirha ngalo. Uza kuthatha idosi enye imihla ngemihla ezintlanu, kodwa awuyi kuthatha nayiphi na i-Clomid ngosuku lokuqala lomjikelezo wakho.
Ugqirha wakho unokukuxelela ukuba uthathe amapilisi e-Clomid kwenye yeendlela ezilandelayo:
- Ngeentsuku zokujikeleza 3, 4, 5, 6, no-7
- Kwiintsuku zokujikeleza 5, 6, 7, 8, no-9
Abanye oogqirha baya kuba uqala unyango ngosuku lomhla wesi-2 okanye umjikelo wosuku lwe-4, nangona oku akuqhelekanga. Akukho kubonakala ngathi akukho umahluko kwimpumelelo yokukhulelwa phakathi kokuqala kweComomid ngosuku lwesithathu okanye ngosuku 5. oogqirha abahlukeneyo bakhetha ukusebenzisa iiprotokholi ezahlukeneyo.
Kwezinye iimeko, ugqirha wakho unokucela ukuba utshintshe usuku lokuqala kumjikelezo wakho ozayo, ukuba ubone ukuba kuya kwenza umehluko kuwe. Ngokufanelekileyo, thabatha iComomid ngexesha elifanayo yonke imihla. Abanye bathi ukuthatha ipilisi ngaphambi kokulala kunokukunceda ulale ngezinye zeempembelelo . Abanye benza ngcono xa bathabatha ipilisi ekuseni.
Ukuba unomjikelezo weCommid, ungazama ukuwuthatha ngexesha elithile lemihla, kodwa ungatshintshi ixesha lemihla xa uqala umjikelezo ngaphandle kokuba uthethe ugqirha wakho.
Iintsuku ze-Clomid Cycle 3-9: I-Clomid iqala ukusebenza
Awuyi kukhupha iintsuku ezintlanu uthatha amapilisi e-Clomid. Nangona kunjalo, nge-dose yakho yokuqala, iComomid iqala ukuphendula ngokukhenketho ekugqibeleni kuya kubakhokelela ekugqibeleni.
Ngamafutshane, i- hormone i-FSH (i-follicle stimulating hormone) ibonisa ukuba amaqanda akhule kunye namaqanda aqolileyo (ahlanganiswe kwiifollicle zamanzi) aya kukhutshwa nge-ovulation. Njengoko iifollicle kuma-ovari zikhula, zikhulula i-estrogen. Ukunyuka kwe-estrogen kusayinisa ingqondo ekunciphiseni imveliso ye-FSH. Oku, ngokukhawuleza, kunciphisa ukuvuselelwa kwama-ovari.
I-Clomid isebenza ngokukhohlisa ingqondo ekucingeni ukuba amanqanaba e-estrogen aphantsi kakhulu. Yenza oku ngokuvimbela i-estrogen ekubopheleleni kwi-receptor yayo. I-Estrogen iyajikeleza kwigazi lakho, kodwa i-receptors ayikwazi ukuyijonga. Ukucinga ukuba akukho zilwanyana ezikhulayo kuba i-estrogen ibonakala iphantsi, umzimba wakho uphendula ngokukhulula i-hormonone yokukhulula i-gonadotropin, okanye i-GnRH.
I-GnRH isayine i-pituitary gland ukuvelisa ngaphezulu kwe-FSH ne-LH. Amazinga aphezulu e-FSH avuselela ama-ovari, kwaye amazinga aphezulu e-LH ekugqibeleni anokubangela i-ovulation. Nangona uthatha iComomid iintsuku ezintlanu kuphela, ukusabela kwamaketanga okuqala ngepilisi yakho yokuqala kuqhubeka ngenyanga. Esi sizathu esenza ukuba uqhubeke nokufumana ezinye iziphumo zemihla emva kokuba uthathe idilesi yakho yokugqibela.
Iintsuku eziyi-10 ukuya kwi-21 kwi-Clomid: Ukujonga iifolumu
Ngaphandle kokuthabatha ukuba usebenzisa i- kitty ovulation predictor kit ukuze ukwazi ukuchitha ixesha lesibini kwiintsuku zakho ezinqabileyo, uninzi lwezilwanyana zezilwanyana aluqapheli ngenyameko imijikelezo yeComidid.
Oko kwathiwa, ininzi ye-endocrinologists yokuzala. Oogqirha abanomdla bayaqapha i-Clomid imijikelezo yezizathu ezibini ezibalulekileyo:
- Ukugcina iliso malunga nokuba zingaphi iifolli zikhula , ngoko ziyakususa umjikelo ukuba ngaphezulu kwembini (okanye ngaphezu kweyodwa) kubonakale
- Ukuhamba ngexesha elidutshulwayo (elichazwe kwisinyathelo esilandelayo) okanye i- IUI (i-intrauterine insemination)
Ukuqwalasela umjikelo ngokuqhelekileyo uqala iintsuku ezimbalwa emva kokuba iphilisi yakho yokugqibela ithatyathwe kwaye ingabandakanya i-ultrasounds kunye nokusebenza kwegazi emva kweentsuku ezimbalwa uze udibanise. I-ultrasound technician izakulinganisa iifolli ezikhulayo, kwaye ugqirha wakho uya kugqiba isigqibo-ngokusekelwe ekukhuleni kwabo-xa ixesha liza kutsholwa (ukuba unayo enye), i-IUI, okanye ulala nomjikelezo.
Ukuba iifolli ezimbini zikhula zibe bubungakanani obuvuthiweyo, ugqirha wakho unako okanye angakucebisi ukuba usuqhewule umjikelezo. Iifolli ezimbini ezinkulu ziphakamisa iingxaki zakho zokukhulelwa amawele , kodwa akuqinisekanga. Tshela ugqirha wakho ukuba kubalulekile kuwe ukuba ugweme ukukhulelwa amawele, ngoko unokukucebisa ukuba wenze ntoni.
Ukuba ezintathu okanye ngaphezulu zabalimi zivuthiwe, ugqirha wakho uya kucima umjikelezo, oku kuthetha ukuba uya kucelwa ukuba ungalalani ngesondo (ukuphepha ukukhulelwa). Kwaye ukuba i-IUI okanye i-trigger iplanyelwe icwangcisiwe, ayiyi kunikwa ukukhusela ukukhulelwa okuphezulu, okwenza kube nzima kakhulu kuwe nakumntwana wakho ozayo.
Ukuba umjikelo wakho uyakunqanyulwa, njengokuba kukhwankqisayo njengoko oku kunokuba (kunye nokulingayo njengoko kunokuba kukungayinaki i-doc yakho kwaye ulala ngesondo), kufuneka uthathe izilumkiso zakho. Kungaba ngumqondiso omhle ukuba umzimba wakho uphendule kwiComidid ngokufanelekileyo. Ngethemba, kumjikelezo olandelayo, ugqirha wakho unokukwazi ukulungisa unyango lwakho ukwenzela ukuba ungavuseleli amaqanda amaninzi. Kungcono ukulinda de ixesha elizayo kunokuphela kokukhulelwa okuphezulu.
Iintsuku ze-Clomid ntshukumo 15 ukuya ku-25: I-Trigger Shot (Mhlawumbi)
Ukuba ubona ochwepheshe bezityalo, unokunika umjovo we-hormone ye- chorionic gonadotropin (hCG) ngaphezu kweComomid-eyaziwa nangokuthi "i-trigger shot". Kubizwa ngokuba yi-trigger edutshulwayo kuba ibangela ukuba i-ovulation ivele kwiiyure ezingama-24 ukuya kuma-36. Ugqirha wakho unokuyalela i-trigger shot ukunceda ixesha elingcono le-IUI okanye ukulala naye okanye ukunika ama-ovari ukunyusa okunye.
Usenokuba uvile nge-hCG xa ufunda malunga neemvavanyo zokukhulelwa, kuba i-hCG yi-hormone yokukhulelwa. Emzimbeni, i-hCG yenza izinto ezinjenge-LH (i-hormone ye-luteinizing), leyo i-hormone ephakama ngaphambi kokuvuthwa kunye nokutshintshela i-follicles ukuphuka nokukhupha iqanda.
I-trigger ipopu idla ngokunika iintsuku ezi-7 ukuya kwe-9 emva kwepilisi yakho yokugqibela, kodwa inokunikezwa kamva kunoko ukuba ukuhlolwa kwe-ultrasound kufumanisa ukuba iifolli zakho zifuna ixesha elingakumbi ukuvuthwa ngaphambi kokukhishwa kwiibhedi zabo ezipholileyo.
Inqaku elibalulekileyo : ukuba unikwe i-trigger shot, qaphela ukuba uvavanyo lokukhulelwa oluthathwa ngaphandle kweveki emva koko luyabhalisa njengento enhle, nokuba awukhulelwe. Uvavanyo luya kuthatha i-hormone enikwe ngejoza.
Iintsuku ezili-10 ukuya kwi-17: I-Clomid Sexy Time, Mhlawumbi IUI
Ukuvuthwa ngokuqhelekileyo kubonakala iintsuku ezi-5 ukuya kwi-10 emva kokuthatha ipilisi yamagumbi okugqibela.
Ngoko ukuba uthathe iComomid kwiintsuku ezi-3 ukuya ku-7 zomjikelezo wakho, unakho ukuhamba phakathi kweentsuku eziyi-10 no-16. Ukuba uthathe iComomid kwiintsuku 5 ukuya ku-9, ukuvuthwa kunokwenzeka ukuba kwenzeke phakathi kweentsuku ezili-12 no-17 zomjikelezo wakho .
I-Ovulation ingaba kunjalo nangaphezulu kweentsuku ezili-10 emva kwepilisi yakho yokugqibela yeCommid, ngoko ke into emele uyigcine engqondweni. Ukuba unikwe i-trigger shot, u-ovulation uya kuvela kwiiyure ezingama-24 ukuya kuma-36 emva kwejojo.
Ngaphandle kokuba ugqirha wakho akuxelele ngenye indlela, kufuneka uqale ukulala ngesinye imihla , okanye yonke imihla, uqala iintsuku ezintathu emva kokuba uthathe ipilisi yakho yokugqibela yeCommid. Kufuneka uqhubeke ulala ngaphambi kokuba uqinisekise ukuba ukuvuthwa kwenzeka. Unokufumana ubungqina obuvela kwisithati sokushisa esisiseko somzimba okanye uvavanyo lwegazi lweprogesterone (lunikwe ngomhla we-21 womjikelezo).
Ngaba wenza umjikelezo we- IUI ? Ngokusekelwe kwii-ultrasounds zakho kunye nexesha lakho lokudubula, ugqirha uya kukuxelela ukuba ungena nini kwi-IUI. Kwiimeko ezininzi, unokwenza ngesondo kwiintsuku zakho ezivuthiweyo ekhaya ngaphandle kwe-IUI yakho. (Cinga nje ngekhredithi engaphezulu!)
Usuku lwe-Clomid Cycle 19 okanye 21: Uvavanyo lwegazi lweProgesterone
Bobabini bezilwanyana zezilwanyana kunye neengcali zenzalo ziyalungisa uvavanyo lwegazi lweprogesterone ngexesha elithile phakathi kweentsuku ze-19 no-21, nangona zinganikwa emva kamva ukuba ugqirha wakho uyazi ukuba uye wagqithisa emva komhla we-21 womjikelezo wakho.
Iprogesterone yi-hormone ephakama emva kokuvuthwa, kwaye ukuvavanywa kwayo kunokuqinisekisa ukuba okanye kungekhona yini iCommid eyabangela ukuvuthwa. Esinye isizathu sokuvavanya amanqanaba e-progesterone kukuqinisekisa ukuba amazinga aphantsi. Ukuba kunjalo, ugqirha wakho unokuyalela i-progesterone yangasese isondlo njengesongezelelo.
Iintsuku ezingama-Clomid iintsuku ezingama-21 ukuya ku-35: Iiveki ezimbini zilinde
Iiveki ezimbini zilindele emva kokuba ugqithise kwaye uphele okanye uvavanyo lokukhulelwa olufanelekileyo okanye ixesha lakho . Oku mhlawumbi kuyona nto inzima kakhulu kumjikelezo ukunyamezela. Yonke into ongayenza ulinde uze ubone ukuba umjikelezo usebenze.
Ngexesha leveki ezimbini ulinde , unako ukufumana iimpawu ezinomzimba we- ovarian hyperstimulation syndrome . Uphawu oluqhelekileyo lwe-OHSS lubhenca. Iimeko ezinzima aziqabile xa uthatha iComomid, kodwa inokwenzeka. Qiniseka ukuba uqhagamshelane nodokotela wakho ukuba iimpawu zakho zinzima okanye ukuba unomdla.
Qaphela : Abanye abesifazana badibanisa ukubhubhisa kwii-ovari njenge-Clomid njengempawu zokukhulelwa kwasekuqaleni , xa eqinisweni akunjalo. Khumbula ukuba ezinye zeempembelelo zeComidid ziyakulinganisa "iimpawu zokukhulelwa," kwaye uzame ukukhumbula ukuba ukukhulelwa akuthethi ukuba ukhulelwe .
Iintsuku ezingama-28 ze-Clomid iintsuku ezingama-35 no-35: Usuku lovavanyo lokukhulelwa!
Ekugqibeleni, umhla owalindele kuyo yonke inyanga: usuku lokuvavanya lokukhulelwa !
Ugqirha wakho unokuyalela uvavanyo lokukhulelwa kwe-beta okanye uvavanyo lwegazi olulinganisa ubuninzi be- hCG , phakathi kweveki ezimbini zokulinda kwaye ekugqibeleni, okanye unokuyalela umyalelo wegazi kuphela ekupheleni. Kwakhona kunokwenzeka ukuba akucele ukuba uthathe uvavanyo lokukhulelwa ekhaya ngexesha elithile phakathi kweentsuku ezingama-28 no-35 zomjikelo wakho, kwaye akufundise ukuba ufonele ukuba ufumana umphumo omuhle.
Ukuba ukuvavanya kulungile , vuyisana! Ugqirha wakho uya kubeka iliso ukukhulelwa kwiiveki ezimbalwa ukuqinisekisa ukuba yonke into iyahamba kakuhle, kwaye ukhangele ukuba uye wakha amawele (okanye ngaphezulu). Ukuba uvakalelwa ngakumbi kunomdla, qiniseka ukuba kuqhelekile. Ukukhulelwa emva kokusweleka akusoloko kulula, ngakumbi emoyeni .
Ukuba uvavanyo lubi , ugqirha wakho unokulinda aze abuyisele kwakhona. Kungenzeka ukuba amazinga e-hormone aphezulu okwaneleyo okwamanje. Kodwa ukuba ufumana ixesha lakho, umjikelezo mhlawumbi awuzange usebenze.
Ukuba nomjikelezo ongenakuphumelela unokuphazamisa, kwaye kuyaqhelekile ukuba uzive uhlulwe kwaye ulahlekelwe yithemba elithile. Khumbula ukuba unokuzama kwakhona kwaye ngamanye amaxesha unyango lufuna iimilungiselo ngaphambi kokuba uphumelele.
> Imithombo:
> Umbutho waseMerika weMithi yokuzalisa, iMithi yokuKhuthaza ukuThuthuka.
Coughlan C, uFitzgerald J, uMilne P, Wingfield M. "Ngaba ukhuselekile ukubeka i-clomiphene citrate ngaphandle kwamaziko okubeka iliso kwi-ultrasound?" J Obstet Gynaecol . NgoMeyi ngo-2010; 30 (4): 393-6. i-doi: 10.3109 / 01443611003646280.