Iprogesterone Ibizwa ngokuba ngu "Ukukhulelwa kweHormone"
Ukuba ufumana unyango lwe-fertility, njenge-vitro fertilization, unokuxelelwa ukuba udinga unyango lwe-progesterone. Zininzi iintlobo zonyango ziyaziswa ngokusasazwa ngentsingiselo okanye iilenki. Nangona kunjalo, i-progesterone ifaneleke ukuxhaswa nge-bining of the vaginal-mhlawumbi nge-suppository, i pilisi okanye i-gel.
Iprogesterone idlalwa ngokuba yi "hormone yokukhulelwa." Kubalulekile ekulungiseleleni ukutshalwa kweqanda (umbungu) kunye neenguqu ezenzekayo kwisibeleko sakho kwisayithi apho umbungu uhlala khona.
Iprogesterone ikhiqizwa ngamaqanda akho ngexesha lokuvuthwa (ukukhululwa kweqanda elivuthiweyo kwi-ovary). Ngokukodwa, iprogesterone ikhiqizwa ngamaseli e-ovarian follicles, eziyi-cysts eziqulethwe ngamaqanda ngaphambi kokuvuthwa. Emva kweeveki ezi-8 zesisu, i-placenta yenza progesterone.
Iprogesterone ilungiselela ubhedu lwesisu sakho (endometrium) ukuze uzaliswe iqanda elichumayo. Ukuba iqanda elichumayo alinakuzifaka kwisibeleko, amanqanaba akho okuhlaselwa kweprogesterone kunye nokuya esikhathini. Ukuba ukufakelwa kwempumelelo kuyaphumelela kwaye ukukhulelwa kwenzeka, malunga neveki ezili-10 ukukhulelwa kwakho, i-placenta yakho ithatha kwaye ivelise amanqanaba aphakamileyo e-progesterone kwaye iyaqhubeka ide usana lwakho luzalwe.
Ngaba Ndiyayifuna Iprogesterone Ukunyanzelisa?
Ukuthatha i-progesterone yinxalenye ebalulekileyo yonyango lokuzala. Ngexesha le-IVF, umveliso wakho oqhelekileyo weprogesterone unganciphisa ngenxa yezizathu ezininzi:
- Amachiza asetyenziswe ukuphuculwa kwe-ovulation yangaphambi kwesikhathi (njengeLupron, Antagon okanye i-Cetrotide) inokunciphisa umveliso weprogesterone emva kokuqokelela amaqanda akho.
- Ngexesha lepropical aspiration ukufumana amaqanda akho aqolileyo, ezininzi iiseli ezivelisa iprogesterone nazo ziyakususwa ngenxa yendlela yokusebenza.
Ukuze uqiniseke ukuba umbane we-uterus ulungele ukufakelwa kweqanda elikhulelweyo, ininzi yabasetyhini abane- IVF baya kunikwa i-progesterone emva kokufunyanwa kwamaqanda ayo.
Iprogesterone Inikwa Njani?
Ukuba unayo i-IVF, unokuqala ukusebenzisa i-progesterone ukuqala ngexesha phakathi kokutshintshwa kweqanda kunye nokudluliswa kwembungu. Xa uvavanyo lokukhulelwa okuqinisekileyo luqinisekisile unyango lwe-progesterone luya kuqhubeka ixesha elide lide ukuya kwiiveki ezi-10 ukuya kwezi-12 (i-trimester yokuqala). Unokuthatha i-progesterone ngomlomo (ngomlomo), nge-injection, okanye ngesini.
Iprogesterone ethathwe ngomlomo ayithembekiyo ngenxa yokuba isetyenziselwa kwisibindi sakho emva kokuba ifunyenwe kwaye inokunciphisa ukusebenza kwayo kwaye ibangele imiphumo emibi.
Nangona iipresterone iinjongo zisebenza kakuhle, le ndlela yindlela engenakuphuculiswa ngayo ukuba uyithathe.
Ukusetyenziswa kweprogesterone yesiswini kugweba iingxaki zomlomo kunye neprogesterone engenayo.
Iintlobo ezahlukeneyo
Kukho iintlobo ezintathu zokulungiselela iprogesterone ezinokusetyenziswa ngesini:
- I-progesterone suppositories yenziwe yenziwe ngumyalelo we-pharmist esekelwe kwidaysi yeprogesterone kunye nokusetyenziswa kwexesha njengoko kuchazwe ngu-IVF.
- I-gel progesterone ifakwa kwisiswini sakho kanye ngemini yokuxhaswa kweprogesterone okanye kabini ngosuku ukutshintshwa kweprogesterone usebenzisa i-applicator ekhethekileyo.
- Iipilisi zamagciwane zifakwa kwisisini kanye okanye kabini ngosuku usebenzisa i-applicator ekhethekileyo.
Amagama eBrithani
Igama leBrits progesterones li-Crinone, Endometrin, ne-Prometrium.
Ukuba usebenzisa i-progesterone yamagciwane akufanele usebenzise nayiphi na iminye imithi yokwabelana ngesini ngexesha loonyango ngaphandle kokuba ulandiswe ngugqirha wakho. Imiphumo emibi ingahluka ngohlobo kunye ne-brand ye-progesterone yamanzi kwaye kufuneka uqiniseke ukuba uxoxe ngeziphumo ezinobungozi kunye nodokotela wakho.
Ekugqibeleni, nceda uqiniseke ukuba uxoxa ngazo zonke unyango kunye nodokotela wakho ngaphambi kokuba uqale. Kucelwa ukhumbule ukuba ugqirha wakho ukhona ukunceda ukukhokela unyango lwakho uphendule imibuzo.
Ukongezelela, ukuba uye wacetyiswa ukuba uthathe i-progesterone yokuzala kwaye uye wacwaninga ngesihloko ngokwakho, zikhululeke ukuxoxa ngazo nayiphi na imibuzo engase ivele ekufundeni kwakho kunye nodokotela wakho.
Imithombo
Molina PE. Isahluko 9. Isistim sokuzala isetyhini. Ku: Molina PE. eds. I-Endocrine Physiology, 4e . New York, NY: McGraw-Hill; 2013.