Ukuxhathisa kweComidid kunye neNdlela zokuphucula ukuphendula kwe-Ovulation
Phantse omnye kwabasetyhini abane abayi kuphelisa xa bethatha iComomid . Ngamanye amaxesha, isizathu sokuba ungekho i-Clomid ngenxa yokuba i-dosage iphantsi kakhulu. Kuqhelekile ukuqala unyango lwe-Clomid kwi-50 mg, kwaye ukwandisa ube ngu-100 mg xa ungaphenduli. Kwezinye iimeko, oogqirha baya kuzama ukuya kuma-250 mg. Nangona kunjalo, ukuba awusayi ku- ovulating nakwii-dosage eziphezulu, oku kubizwa ngokuba yi-Clomid ukumelana.
Ukuxhatshazwa kwe-Clomid ayikho imeko efana neyo xa ungakhange ukhulelwe ukuthatha izidakamizwa. Ngaloo ndlela, unako ukutyhila, kodwa ungakhulelwa. Kule meko, awuyi-ovulating.
Ngaba uya kufuneka uhambe kumayeza anamandla okanye unyango olunzima xa u-ovulation engenzeki? Akunjalo.
Yintoni Ebangelwa Ukunganyaniseki kweComidid?
Indlela ogqirha ngayo yokuphatha unyango lwe-Clomid ixhomekeke kwinqanaba elenza ukuba acinga ukuba awuphenduli. Nazi ezinye ezimbalwa eziyaziwayo, izizathu ezinokwenzeka zokuxhatshazwa kwe-Clomid:
I-PCOS : Abasetyhini abane- PCOS banenkathazo ngokuxhatshazwa kwe-Clomid, ingakumbi abo bafunyaniswa njenge-insulin enganyangekiyo okanye ngamanqanaba e-hyperandrogenic (amanqanaba aphezulu e-DHEA kunye namanqanaba e-hormone wesilisa).
I-BMI ngaphezulu kwe-25 : I-index ye-mass body (BMI) ngaphezulu kwe-25 inokunciphisa amathuba okusebenza kweComidid ngempumelelo.
I-Hyperprolactinemia : Abasetyhini abane-hyperprolactinemia abanakho ukuphendula kakuhle kwi-Clomid, ngaphandle kokunyanga i-hyperprolactinemia.
Ewe, kukho amaxesha apho akucaci isizathu sokuba iClomid ingabancedi ukunyusa i-ovulation.
Izinketho ekuphatheni ukuphikiswa kweComidid
Kubafazi abane-PCOS, unyango kunye ne-insulin yokuxhatshazwa kweziyobisi, eyaziwa nangokuthi i-Glucophage, inokunceda. Ngokufanelekileyo, i-Metformin yayiza kubelwa iinyanga ezintathu ukuya ezintandathu ngaphambi kokuzama kwakhona uComomid.
Ezinye izifundo zibonise ukuba ngaphandle kokuphucula amaxabiso omzimba, ukuthatha i-metformin kunye ne-Clomid kunye kunye nokwandisa izinga lokukhulelwa nokunciphisa umngcipheko wokukhulelwa kwesisu.
Enye indlela ekhoyo kwi-metformin yi-N-acetyl-cysteine (NAC), i-amino acid kunye ne-antioxidant esebenza njenge-insulin. Ezinye iziphumo ziye zafumanisa ukuba ukudibanisa iCommid kunye ne-NAC kunokunceda ukunyamezela i-Clomid ukumelana.
Ukuba i- BMI yakho ingaphezu kwama-25 , ugqirha wakho unokubonisa ukuba ulahlekelwe ubunzima ngaphambi kokuzama kwakhona iClomid. Ukulahlekelwa kweepesenti ezili-10 zamanqanaba akho omzimba okwangoku kunokuphucula umphumo kaComomid.
Kwabo abane-hyperprolactinemia, unyango kunye neziyobisi i-Bromocriptine, nokuba yedwa okanye inxulumene neComomid, inokuphucula amaxabiso omzimba.
I-ovarian drilling indlela ekhulile yokuphatha ukumelana ne-Clomid kwabasetyhini abane-PCOS, kodwa ayisebenzisekanga namhlanje ngenxa yeengozi. Ukuba ugqirha wakho ubonisa ukubola kwe-ovari, unokufuna ukubuza isizathu sokhetho olo, xa kukho ezinye iinketho ezinokuthi zifanele zijonge kuqala.
Iipilisi zokuLawula ukuzalwa?
Enye indlela enomdla yokujongana nokuxhatshazwa kweComid kuthatha iipilisi zokulawula ukuzalwa kokuqala ukuya kwiinyanga ezimbini ngaphambi kokuzama enye umjikelo weComomid.
Oku kucetyiswa kubafazi abanamazinga aphezulu e-DHEA yehomoni.
Kubonakala ngathi iipilisi zokulawula ukuzalwa ngokukhawuleza ziza kukunceda ukhulelwe? Kodwa uphando luye lwabonisa iziphumo ezilungileyo. Kweso sifundo esithile malunga nokusetyenziswa kweepilisi zokulawula ukuzalwa, ngaphezu kwama-65 ekhulwini asemantombazaneni anqatshelwe ngama-Clomid, emva kokuba athathe iipilisi zokulalisa ngomlomo iintsuku ezimbini ezandulele umjikelezo wonyango.
Kuthiwani ukuba iClomid ayisasebenzi?
Ngamanye amaxesha, i-ultrasound iya kubonisa iifollicle ezikhulayo ekuphenduleni kwiClomid, kodwa i-middlecycle ye- LH ukuqhuma ayinamandla ngokwaneleyo ukuzisa i-ovulation. Kule meko, ugqirha wakho unokunika i-Clomid kunye ne-injection ye-hCG, njengesiza se-Ovidrel, ukuba iqhube i-ovulation kwaye ikhulise i-midcycle LH.
Ukuba emva kokuzama okukhethwa kukho, awusayi ku-ovulating kwi-Clomid, ugqirha wakho unokubonisa ukuba uzama ezahlukeneyo zokunyusa amayeza.
I-Letrozole (eyaziwa ngokuba yi-Femera) yenye enye inketho kubasetyhini abangaboni ngeComomid. Ucwaningo luye lwabonisa ukuba i-Letrozole inokubangela ukunyuka kwamanye amabhinqa nge-PCOS abangaphenduliyo kwiComidid, kunye nabanye abafazi abangenalwazi olungabonakaliyo kunye nokuxhatshazwa kwe-Clomid.
Kwisifundo esinye, abasetyhini abane- Clomid yokumelana kunye ne-PCOS babenakho ukuvuthwa xa bethatha iyeza i-Letrozole (i-79.3 yeepesenti eveziweyo), kunokuthatha i-Clomid ngokudibanisa ne-2, i-injection ephantsi ye-FSH unyango (ama-56.59 ekhulwini). Amanqanaba okukhulelwa aphuculwe, kunye neepesenti ezingama-23 zabesetyhini ezithatha i-Letrozole ekufezeni ukukhulelwa, kunye neepesenti ezili-14 ekufezeni ukukhulelwa kunye ne-Clomid kunye neenjini ezimbini ze-FSH.
I-Letrozole, kodwa, ayithengiswanga njengeziyobisi. Kukho ukuphikisana ngokukhuseleko kokusetyenziswa kwayo. I-Letrozole inokubangela iziphene zokuzalwa xa zithathwa ngexesha lokukhulelwa. Abaninzi bathi iyeza likhuselekile kwaye litsho ukuba le nkunkuma mayibe yinkqubo yakho ngexesha lokukhulelwa kwenzeka, nangona uphando olungakumbi lufuneka luyenziwe.
Ezinye iindlela zokunyanga kwama-Clomid ziquka unyango ophantsi lwe-gonadotropin unyango , okanye ngaphandle kwonyango lwe-IUI . Oku kuquka izidakamizwa ezifana neGonal-F, Follistim, ne-Ovidrel. (Ngamanye amazwi, izidakamizwa ze-FSH kunye ne-LH zonyango .) Ezi zi yobisi zibiza kakhulu kwaye ziza nemiphumo engaphezulu kuneComomid, kodwa ziyakwenza i-ovulation xa i-Clomid ihluleka.
Igama elivela kwi-Verywell
I-Clomid isoloko isilwa sokuqala sokuzaliswa kwesilwanyana emva kokuxilongwa kwesifo. Usenokuba uzama ukukhulelwa ngaphezu konyaka ngethuba lo mjikelo wonyango luqala. Xa engasebenzi, unokuziva ukhathazekile kukuba lo ngumqondiso wezinto ezizayo. Unokukhathazeka oku kuthetha ukuba uzimisele ukunyango olubi kakhulu, njenge-IVF .
Inyaniso kukuba iClomid ibonisa kuphela ukuqala kwonyango lokungabikho komntwana. Ukuba awuhambisi umjikelezo wakho wokuqala okanye wesibini, okanye ungakhulelwa, zama ukusazela. Kukho amanyathelo amaninzi endleleni ngaphambi kokuba uceliwe ukuba ucinge ngonyango oluphezulu lwezonyango .
> Imithombo:
> Abu Hashim H1, Foda O2, Ghayaty E3. "Ukuhlanganiswa kwe-metformin-clomiphene kwi-clomiphene-resistant sycystic ovary syndrome: ukuphononongwa ngendlela echanekileyo kunye nokuhlaziywa kwemeta yezilingo ezilawulwa ngononophelo. "I-Acta Obstet Gynecol Scand. 2015 Sep; 94 (9): 921-30. i-doi: 10.1111 / aogs.12673. Epub 2015 Jun 2.
Ganesh A, Goswami SK, Chattopadhyay R, Chaudhury K, Chakravarty B. Ukuthelekiswa kwe-letrozole kunye ne-gonadotropin eqhubekayo kunye ne-clomiphene-gonadotropin inhlanganisela yokunyuka kwe-ovulation ngo-1387 I-PCOS abafazi emva kokuhluleka kwe-citro-clomiphene. Umbhalo woNxibelelwano oluNcedisayo kunye neeGenetics. 2009 uJan 7. [Epub phambi kokuprinta]
Goenka Deepak, Goenka ML. " Iipilisi zomlomo zonyango zokuxilongwa kwezilwanyana ezinokuxhatshazwa kwamacrophene ezilandelwayo zilandelwa ngokuphindaphinda unyango lwe-citomiphene. " I-Journal ye-Obstetrics ne-Gynecology yaseIndiya. Vol. 56, No. 2: Matshi / uEpreli 2006 Pg 159-161. Kufikeleleka kwi-intanethi ngoFebruwari 19, 2009.
Ukusebenzisa i-Oral Contraceptives njengeNyango yezigulane eziphikisana neComidid. I-InterNational Council ye-Unfertility Information Distribution: I-Infertility Journal Summaries.