IiNtlawulo zeNtuthuko, Oko kukulindela, iindleko, kunye neengozi zeMithi yokuLawiswa kweziNyango
I-Gonadotropins yilezi zonyango eziqulethe i- follicle stimulation hormone (FSH) , i-hormone ye-luteini (LH) okanye idibaniselwano ezimbini. Ezi zonyango zisetyenziselwa ukukhuthaza i-ovulation. Amagama eBrama anokungaqhelekanga kuwe afaka iGonal-F, Follistim, Ovidrel, Menopur, kunye neLuveris. (Amagama angaphantsi.)
I-Gonadotropins yaziwa ngokungaqhelekanga njengemivimba.
Zilawulwa yilejo kuphela.
( Okuhluke kwiziyobisi ezinokuzala ezifana neClomid kunye ne- letrozole , ezipilisi ezithatha ngomlomo.)
Amahomoni asemvelo emzimbeni we-FSH kunye ne-LH ayaziwa nangokuthi yi-gonadotropins. Zidlala indima ebalulekileyo kwi-ovulation .
Ba sebenza Njani?
Ukuqonda kakuhle indlela i-gonadotropins isebenza ngayo, kufuneka uqale uqonde indlela inkqubo yokuzalisa ngayo isetyhini isebenza ngayo.
Funda okulula ukuyiqonda, isinyathelo-nge-nyathelo inkcazo yomjikelo wesetyhini apha.
Ukuba awunayo ixesha lelo, nantsi i-recap ephezulu ngokukhawuleza!
Ngokuqhelekileyo, i-pituitary gland yakho ikhiqiza i-FSH ne-LH ekuqaleni kwesijikelezo sakho sokuya esikhathini. I-FSH ithunyelwa emzimbeni. I-L i igcinwe kwi-pituitary gland de ngaphambi nje kokuba i-ovulation.
I-FSH ixelela iifollicle kumaqanda akho ukuba uvuke kwaye ukhule.
I-FSH imela "i-follicle stimulating hormone." Yenza ingqiqo, xa ivuselela i- follicles !
Izidakamizwa ze-Gonadotropin, ezenza i- FSH okanye i-FSH kunye ne-LH, yenza okufanayo.
Batshela iifollicle kumaqanda akho ukukhula nokuphuhlisa.
I-LH igqitha ngokuphambili ngaphambi kokuvuthwa kwimijikelezo yemvelo kwaye isinceda nawaphi na amaqanda aqolileyo ukuba aqhubeke nokukhula kokugqibela nokukhutshwa. Ngamanye amagama, velisa!
Ngethuba lonyango kunye ne-gonadotropins, unokunikezwa nge-injection ye-RLH okanye, ngokuqhelekileyo, i- hCG . Oku kwenza njenge-spy ye-LH yemvelo kwaye iya kubangela i-ovulation.
Yintoni ongayilindela
I-Gonadotropins ingasetyenziselwa yedwa. Zingasetyenziselwa njengenxalenye yonyango lwe- IUI okanye umjikelo wonyango lwe-IVF .
Ngezantsi ingcaciso yeendlela angasetyenziselwa ngayo.
Xa ufumana ixesha elilandelayo, uya kubiza ugqirha wakho.
Emva koko uza kuba nomsebenzi wegazi kunye ne-ultrasound. Oku kukuqinisekisa ukuba akukho zixazululo okanye izizathu ongeke uphathwe kulo mjikelezo. (Ngokomzekelo, ukuqinisekisa ukuba awukhulelwe kwaye unayo i-cyst ovarian cyst.)
Ugqirha wakho uya kukuqalisa ngoku-75 ukuya ku-150 IU yeyeza-gonadotropin.
Ngokuxhomekeke kwi-gonadotropin enqunyelwe, kuya kufuneka uzinike ii-injections nje ngaphantsi kwesikhumba (ngaphantsi) okanye kwi-muscle (intramuscularly).
Buza ugqirha okanye umongikazi ukuba abonise indlela yokukhusela ngokukhuselekileyo iijoke. Baya kwenza oku ngaphandle kokuba ubuze.
- Indlela Yokuzinikela Ngayo Injection Engaphantsi
- Indlela yokuzinikela nge-IM Injection
Ngaphezulu kweentsuku eziliqela ezilandelayo, ama-hormone akho, i-estradiol ngokukhethekileyo, kwaye iifollicle kwiiyunithi zakho ziya kujongwa ngokukhawuleza.
Olu liso lwenziwa nge-blood work and ultrasound yonke imihla embalwa.
Kaninzi kangaphi? Oku kuya kuxhomekeka kwiprogram yomgulana wakho, indlela ophendula ngayo kwiidakamizwa, kunye nendlela osondeleyo ngayo ukuhamba.
Amayeza akho angatshintshwa okanye ahla phantsi kuxhomekeke kwimiphumo ye-ultrasound kunye ne-hormone.
Injongo kukukhuthaza ama-ovari anele ukuvelisa enye iqanda elihle, kodwa kungabikho ngaphezu kwabo. Olunye uvuselelo lunokunyusa ingozi yakho yokukhulelwa okubanzi okanye i- ovarian hyperstimulation syndrome (OHSS).
Xa ama-hormone amazinga kunye nobukhulu bomnxeba bubonisa ukuvuthwa kusondele, ugqirha wakho unokuyalela umjovo weHCG.
Oku kwaziwa nangokuthi "i- trigger shot ." Yenza ukuba i-ovulation ivele malunga neeyure ezingama-36 kamva.
Ugqirha wakho kufuneka akuxelele naziphi iintsuku zokulala, ngoko "unokubamba" iqanda uze ukhulelwe!
Xa kwenzeka ukuvuthwa, ungase uqale ukuthatha i-progesterone. Akuyena wonke umntu oya kufuna le, nangona kunjalo.
Amazinga akho e-hormone aya kuqhutyelwa ukuba ahlolwe, nangona kuninzi kangangoko.
Uya kuthatha uvavanyo lokukhulelwa ekupheleni komjikelo ukuqinisekisa ukuba unyango luphumelele.
Ngamanye amaxesha, unyango lunokucinywa phakathi. Oku kungenzeka ngaphambi kokuba ibhentshi ibethe okanye mhlawumbi ngaphambili.
Isizathu esivakalayo sokususwa komjikelo wakho ugqirha ugxeka ukuba ii-ovari ziye zaxhaswa.
Ukuyeka amayeza kunokuphepha imeko enzulu ye-OHSS kunye neempendulo eziphezulu.
Ugqirha wakho unokuphinde akuxelele ukuba unqabe ukulala.
Njengoko kunzima ukuva oku, kubaluleke kakhulu ukuba ulandele imiyalelo yakho kagqirha.
Ukukhulelwa kunokunyusa amathuba okukhulelwa okuphezulu, okubeka wena nabantwana bakho engozini.
Kwakhona, ukuba uhlakulela i-OHSS, ukukhulelwa kunokuncintisa ukubuyiswa kwakho.
Iintlobo ezahlukeneyo
Kukho iintlobo ezimbini ezisisiseko ze-gonadotropins: i-gonadotropins ephindaphindiweyo kunye ne-gonadotropins ekhishwe ngamanzi.
I-gonadotropin i-recombinant yenziwe kwi-laboratory isebenzisa ubuchwepheshe be-DNA.
I-gonadotropin ye-FSH engapheliyo kwimarike ibandakanya iGonal-F kunye ne-Follistim.
Okwangoku, iLuveris yiyona kuphela i-LH gonadotropin efumanekayo.
I-gonadotropin e-Urinary-ekhishweyo ichithwa kwaye ihlanjululwe kumchamo weentombi ze-postmenopausal. (Umchamo wabo uphezulu ngokwemvelo kwi-FSH.) Ziquka i-gopaadotropins yabantu (i-HMG) yabantu, i-FSH ecocekileyo kunye ne-FSH ecocekileyo.
Ukuhlanjululwa komchamo-ephuma kwi-FSH gonadotropins iquka i-Bravelle ne-Fertinex.
I-gonadotropin yabantu abanomdlavuza (hMG) iqukethe i-FSH ne-LH. Iquka imithi efana neHumegon, i-Menogon, iPergonal ne-Repronex.
I-Menopur i hMG ehlambulukileyo.
Isilwanyana esichaphazelekayo, i-chorionic gonadotropin (hCG) yinto eyingxenye yonyango lwezonyango kunye neentsholongwane ze-gonadotropin .
Unokwazi i-hCG njenge-hormone yokukhulelwa , kodwa kwakhona kwenzeka ukuba i-molecularly efana ne-LH.
Ngomjikelezo wendalo, i-LH ibangela ukuvuthwa .
Njengengxenye yokunyanga kwenyango, injoza ye-hCG ingasetyenziselwa ukudala i-ovulation.
U-Ovidrel, uNovarel, u-Pregnyl kunye noProfasi ngamagama e-brand for hCG injectables.
Mngcipheko
I-Ovarian hyperstimulation syndrome (OHSS) yinkxalabo enzulu yonyango lwe-gonadotropin.
I-OHSS enhle ivela kwi-10% ukuya kwi-20% yabasetyhini abathatha i-gonadotropins. I-OHSS enkulu ivela kwi-1% yexesha.
I-OHSS enzima ingaba yingozi xa inganyanzelwanga okanye ingaphathwa kakuhle. Kubalulekile ukuba uyazi kakuhle iimpawu.
Enye ingozi ekhoyo yonyango lwe-gonadotropin kukukhulelwa okubanzi.
Ezinye izifundo ziye zafumanisa ukuba ukuya ku-30% yokukhulelwa ezithwele i-gonadotropins ngamawele okanye ngaphezulu. (Oku kufaniswa ne-1% ukuya kwi-2% yokukhulelwa komzimba.)
Uninzi lokukhulelwa okubanzi kunye ne-gonadotropins ngamawele. Ukufika ku-5% i-triplets okanye ngaphezulu.
Ukukhulelwa kwamanani amaninzi , kuquka ukukhulelwa kwamabini , kuyingozi kumama kunye neentsana.
Ukuvavanya ukujonga umjikelo wonyango kunokunceda ukukhusela ukukhulelwa okubanzi.
Oogqirha abaninzi baya kukhansela ukuba ngaphezulu kweetollicle ezintathu zikhula okanye ukuba ama-estradiol aphezulu kakhulu.
Ezinye izifundo ziye zakwazi ukufumana ukukhulelwa kweziphindaphindiweyo eziphantsi kwe-5%. Benze oku ngokuqala kwiqondo eliphantsi, usebenzisa ukunyuka okunyukayo kuphela xa kuyimfuneko kunye nokuvavanya okufutshane.
- Ingozi yokukhulelwa komzimba
- Ngaba Ndifanele Ndikhulelwe Ngamawele Ngenjongo?
- Imibuzo: Ngaba Ngaba Ukholo Lwenu Lokufumana Iimbini Eziphezulu Kuninzi?
Umngcipheko wokukhulelwa kwe- ectopic kunye nokukhulelwa komzimba kuphezulu kunye nokukhulelwa kwe-gonadotropin.
Ngaphantsi kwe-1% yabasetyhini abathatha i-gonadotropins baya kuba ne-adnexal torsion, okanye i-ovarian twisting.
Yilapho i-ovary iphendulela ngokwawo kwaye ichithe igazi layo. Ugqirha kuyimfuneko ukuba untwist okanye ususe i-ovary echaphazelekayo.
Umngcipheko wakho wokukhulelwa kwengxaki - njengokukhulelwa-ukunyusa uxinzelelo lwegazi kunye nokuphazamiseka kwe-placental - kunokunyuka kancinane xa kuthelekiswa nokukhulelwa ngokwemvelo.
Ingaba oku kubangelwa yi-gonadotropins okanye ukungabikho kwengqondo akucaci.
Ngenxa yokuba i-gonadotropini inokusetyenziswa ngamachiza, ungase ufumane ubunzima obukufuphi kwimihlaba yejoyi.
Ukuba ukrokrela usulelo, qiniseka ukuba uqaphele ugqirha wakho ngokukhawuleza.
Ziziphi Iimpumelelo Zentengo?
Ubuchule bakho bokukhulelwa impumelelo kunye ne-gonadotropin kuya kuxhomekeka kwiimeko ezahlukeneyo, kubandakanywa nobudala bakho kunye nesizathu sokungabikho.
Uphononongo luka-2011 yi-I-Jones Institute for Medicine Reproductive yajonga i-1,400 ye-gonadotropin. Izinga lokukhulelwa lilonke lalingama-12%, kunye nezinga lokuzalwa eliphilayo malunga ne-7.7%. Izigulane ezincinci zazinamazinga aphezulu okuzalwa.
Kule sifundo, ngokucima umjikelo ukuba iipolisi ezintathu okanye ngaphezulu eziphambili ziphuhlisiwe okanye ama-estradiol aphezulu ngaphezu kwe-1500 pg / ml, bakwazi ukugcina isantya sokukhulelwa kwe-2.6% ephantsi.
Izifundo ezindala zifumene amazinga aphezulu okukhulelwa kunye ne-gonadotropins kuneli.
Nangona kunjalo, kunokwenzeka ukuba izinga eliphezulu lempumelelo lifike ngexabiso lomngcipheko ophezulu we-OHSS kunye nokukhulelwa okubanzi.
Iindleko zonyango
I-Gonadotropin unyango ongeyena umjikelezo we-IUI okanye we- IVF ungadala naphakathi kwe-$ 500 ukuya kwii-5,000 zamawaka.
Ixabiso eliphezulu liqwalasela umsebenzi wegazi kunye nokubeka iliso kwi-ultrasound. Kwakhona, intengo iyahluka kuba abafazi abahlukeneyo baya kufuna iimfuno ezahlukileyo zamachiza.
Inkampani yakho yomshuwalense inokuhlawula inxalenye yonyango. Okanye, banokuhlawula yonke into ... okanye akukho nanye kuyo.
Unokufuna ukuhlawula ikliniki yakho yokuzala ngokugcwele. Emva koko, unokufuna ukufakela ukubuyiselwa imali kwi-inshurensi yakho, okanye iklinikhi inokusingatha izibango zomshuwalense kuwe.
Qinisekisa ukucacisa konke oku ngekliniki yakho yokuzala ngaphambi kokuqala unyango.
Awufuni ukumangaliswa yinqununu ephakamileyo ekupheleni.
- Indlela yokuhlawula ngaphantsi kwaye ufumane iCash for Treatment Treatments
- Ixabiso le-IVF lingakanani?
- Yintoni iIUI?
- Iinkqubo ze-IVF, iiNngcipheko, iiNdleko kunye neNtlawulo yeNtlawulo
- Ukuqonda ukuPhathwa koKhuseleko
- Indlela Yokuba Nesana Xa Uzama Ukusilela
- Indlela Yokujamelana Nokuba Uzama Ukuqonda Ukukunceda
- 8 Iingxaki zeBafana
Imithombo:
UGrene, uRobert A. noTarken, uLaurie. (2008). IHormone egqibeleleyo Ukulinganisa Ukunyusa. I-United States yaseMelika: I-Press Rivers.
R Homburg, CM Howles. "I-dose ephantsi ye-FSH unyango lwe-infratility inambuzane ehambelana ne-polycystic ovary syndrome: ingqiqo, iziphumo, izibonakaliso zokucocwa." Ukuhlaziywa koLuntu. Uhlaziyo (1999) 5 (5): 493-499. i-doi: 10.1093 / i-humupd / 5.5.493.
I-Sarhan A, i-Beydoun H, i-Jones HW Jr, i-Bocca S, i-Oehninger S, i-Stadtmauer L. "I-Gonadotrophin yokuvuthwa nokuphucula iziphumo: ukuhlalutya kweeyure eziyi-1400." Ukuzalisa i-biomedicine online. Ngo-Agasti ka-2011; 23 (2): 220-6. Epub 2011 Meyi 15.
Iimiphumo ezingezantsi zeGonadotropins: Iphepha leNgcaciso loMonde. Umbutho waseMelika weMithi yokuzala. Ifumaneka kwi-intanethi ngo-Agasti 14, 2011.
van Wely M, Kwan I, Burt AL, Thomas J, Vail A, Van der Veen F, Al-Inany HG. "I-gonadotrophin ye-uron i-reconinant versus urinary gonadotrophin yokuvuselela i-ovarian ekuncediseni iikhompyutheni zobuchwepheshe bokuzala." I-Cochrane Database Database. 2011 Feb 16; (2): CD005354.