Xa iComomid isebenza kakuhle kwaye xa ingenayo
Iyiphi izinga lempumelelo yeComomid? Ukuba ucinga ngolu hlobo lwezilwanyana ezidumileyo, mhlawumbi ufuna ukwazi ukuba kuya kusebenza kuwe. Kubasetyhini abaneengxaki zengqungquthela, amazinga okuphumelela afanelekile. Phakathi kwama-70 ukuya kuma-80 ekhulwini kwabasetyhini abathatha iCommid baya kutyhila ngexesha lokuqala kwonyango.
Ngokuqinisekileyo, ukuvuthwa akufani nokokukhulelwa.
Ziziphi iChamid Chances eziza Kusebenza Ngenyanga yokuqala?
Ngokuxhomekeke kwizifundo zophando ozibhekiselele kuzo, iingxaki zokukhulelwa ngexesha laluphi na umjikelezo wonyango lwe-Clomid phakathi kweesisixhenxe kunye neepesenti ezingama-30. Ukusebenza kweComidid kuyahluka kuye kuxhomekeke kwisizathu sokungabikho kwengqondo .
Gcina ukhumbule ukuba abo abangenayo ingxaki yokuzala banamava malunga neepesenti ezingama-25 zokukhulelwa naliphi na inyanga. Ukuba awuyi kukhulelwa emva kwenyanga enye, ungakhathazeki. Ukuncedisa ngaphezu komjikelezo omnye kuqhelekileyo.
Ziziphi izixazululo zokufumana isisu emva kwezinto ezininzi kwiComidid?
Uhlolo lweencwadi olupapashwe kwi- Human Reproduction luqwalasele izifundo ezininzi kwiComomid. Konke, amazinga okuphumelela kweComid kwabafazi abangaphezu kwama-5,000 bahlanganisiwe. Kule sifundo, bafumene oko
- Iipesenti ezingama-73 ekugqibeleni zagqitywa kwiComomid
- Iipesenti ezingama-36 ekugqibeleni zafumana ukukhulelwa
- Ipesenti ezingama-29 zazala
Izinga lokuzalwa lihla ngaphantsi kwezinga lokukhulelwa ngenxa yokulahleka kwamathambo.
I-Clomid ayibonakali inokunyusa umngcipheko wokukhulelwa kwesisu.
Olunye uphando luchaze amazinga okuphumelela kokukhulelwa phakathi kwama-30 no-40 ekhulwini xa usebenzisa i-Clomid. Kwakhona, izinga lokuzalwa lokuzalwa liza kuba liphantsi ngenxa yokulahlekelwa kokulahleka.
Nangona kunjalo, ukuphumelela kweComid kuxhomekeke ekubeni kutheni ungakwazi ukukhulelwa. I-Clomiphene citrate ingasebenza kakuhle kulabo abaneengxaki zokuvutha.
Kodwa kuthekani ukuba i-ovulation ayinayo imbambano?
Olunye uphando, oluvela eScottland, lubhekisele kwimilinganiselo yempumelelo yezibini ezixilongwa ngokungenakuchazwa. Ababini babesetyenziswe ngenye indlela kumaqela amathathu: "ulawulo olulindelekileyo," unyango kunye neColomid kuphela, okanye i-Clomid ne-IUI . Iqela elona ngonyango lonyango laliyiqela le-IUI kunye neColomid, eliye lazuza iipesenti ezingama-22 lizalisa izinga lokuzalwa. Iqela laseComomid kuphela lonyango lenza okufanayo kwizibini ezithe zafumana nonyango nhlobo.
Ngaba Usuku Oqala I-Clomid Treatment Matter?
I-Clomid ithathwa iintsuku ezintlanu. Unyango luya kuqalwa ngoSuku lwe-2 lomjikelezo wesini, okanye luqaliswe ngokukhawuleza ngoSuku 5. Nangona kunjalo, uninzi oogqirha mhlawumbi uthatha iComid kwiintsuku 3, 4, 5, 6, no-7, okanye thabatha ngayo kwiintsuku 5, 6, 7, 8, ne-9.
Ingaba ibaluleke ukuba yeyiphi inqubo ugqirha wakho ukhetha? Ewe kunye no.
Ukuze kuqhutywe i-ovulation, unyango lulandela umhla woku-5 ukuya kwe-9. Ukuba ugqirha wakho ufuna "ukuphucula" i-ovulation, uya kuthatha u-Clomid kwiintsuku 3 ukuya ku-7.
Xa kuziwa kwizinga lokuphumelela nokukhupha i-ovulation, kunjalo, uphando alufumananga nzuzo okanye ukungonakali. Iingxaki zakho zokukhulelwa zifana naluphi na ukhetho ugqirha wakho akhetha kuwe.
Kuthiwani Ukuba Awukwazi Ukuqonda Emva Kweenyanga Ezi-6 ze-Clomid?
Ukuba i-Clomid ayikuncedi ukuba ukhulelwe emva kweenyanga ezintandathu, ugqirha wakho kufuneka akucebise ukuba uzame enye into. Kukho izizathu ezimbalwa zezi.
Enye, ukuba i-Clomid ingakuncedanga ukukhulelwa emva kweenyanga ezintandathu, iingxaki zayo zokusebenza ngenyanga yesisixhenxe okanye ezisibhozo ziphantsi kakhulu. Khumbula ukuba ukuzala kwakho ngokwemvelo kuyancipha ngeminyaka . Ukuba kukho into engasebenzi, kulungile ukuqhubeka.
Okwesibini, unyango olongezelelweyo kunye neClomid lungakhokelela kwiingxaki zokuzala. Abasetyhini abaye bahamba ngeendlela ezininzi zeComomid bangaba nobuncinci be-endometrial linings, ezinokuthi ziphazamise ukufakelwa kwembungu.
(Oku kuya kulungisa emva kwexesha kude neComomid kwaye akusiyo ingozi emide yesikhathi eside.)
Ekugqibeleni, uphando olusandul 'ukuqala kwiComidid lufumene ingozi yemhlaza yengqondo kwabasetyhini abaphathwe iminyaka engaphezu kweesithandathu. Akucaci ukuba lo mngcipheko uvela kwiComomid okanye kwi-infertility ngokwayo, kodwa, ukuba ube kwicala elikhuselekileyo, akufanele uthathe iComomid malunga nemijikelezo engaphezulu kweesithandathu.
Kwiliphi Imodi Kuya Kusebenza Kuphi Usebenze?
Ugqirha wakho uya kuqala ukuqala kwi-lowest kuqala, ngowama-50 mg. Ukuba awuyikuvusa i-50 mg, ugqirha wakho unokuzama umjikelezo omnye komlinganiselo omnye, okanye ukwandisa umyinge wakho nge 50 mg.
Ukuba uvula i-ovulate, kwaye awukwazi ukukhulelwa, ugqirha wakho uya kukugcina kwi-dose. Ukwandisa i-dosage ayinyuli imithwalo yakho yokukhulelwa . Enyanisweni, i-doses ephezulu yeCommid ingakhokelela kwimiphumo emibi , ezinye zazo zinganciphisa ukuzala kwakho.
Esinye isiphumo esisecaleni seComomid sinyanzelise inambuzane yomlomo wesibeleko . Ubumba bentloko buyimfuneko ukuzala kwaye lunceda imbewu ukuba iphile kwimeko yesini kwaye yenza indlela yayo kwisibeleko kwaye ekugqibeleni iya kwiqanda.
Ezinye iziphumo ezichaphazelekayo kufuneka uqaphele ukuba ziquka ukutshisa okutshisa, iintloko, ukuqhaqhaqha, ukukhulelwa okuphindaphindiweyo (ukukhulelwa amawele), ukuphucula i-ovarian cysts kunye nokuphazamiseka okubonakalayo. Amanqanaba aphezulu anokunyusa umngcipheko wakho wokuphucula i- ovarian hyperstimulation syndrome . Ukuba unomdla malunga nayiphi na imiphumo echaphazelekayo, njengokuba uhlala unxibelelana nogqirha wakho.
Ugqirha wakho uya kukufuna kwinqanaba elisezantsi kunako konke, okwaneleyo ukukhupha i-ovulation, kodwa kungabi ngaphezu koko.
Iphi iComomid engeyiphumelelanga?
I-Clomid ayikho isicatshulwa sokwenza umlingo abanye abantu abaphosakeleyo. Isebenza kakuhle kwiimeko ezifanelekileyo-kodwa ayinakuphumelela ngokupheleleyo kubantu abangalunganga. Ukuba kukho iingxaki ezongezelelweyo ngaphandle kokugqithisileyo okanye ukungabikho nto, okanye kukho nayiphi na imiba yongxaki yokungabikho komntwana , ingaphumeleli iya kuba yinto ephantsi.
Akungabazeki ukuba uphumelele njani unyango lweComidid kwizibini ezixilongwa ngokungenakuchazwa. Uphando lufumene ukuba iClomid ifanele isetyenziswe kunye ne-IUI unyango kwiibini ezithandwayo ezingenakuchazwa , ngenxa yeziphumo ezilungileyo.
Kwakhona, iComomid ayisoloko isebenza kakuhle kwabasetyhini abajongene nokungabikho komntwana , kunye namanqanaba aphantsi e-estrogen, okanye abafazi abane- primary ovarian insufficiency (ngaphambili ezaziwa ngokuba yi-ovarian failure premature). obangelwa yi-thyroid.
Abasetyhini abanokugqithisa banokuba nempumelelo engcono kunye neClomid xa belahlekelwa isisindo. Ingaba okanye ungafanele uthathe ixesha lokunciphisa umzimba ngaphambi kokuba uqale unyango kuxhomekeke kwiminyaka yakho kunye nokuba ukhulu kangakanani. Xoxa ngeyona ndlela ihamba phambili kunye nogqirha wakho.
Kuthiwani ukuba andiyikuvuthwa xa ndithatha iClomid?
Kuthekani ukuba awunakuvuthwa xa usebenzisa iComomid ? Kukho ezinye izinto ogqirha wakho azama ukuzenza ngaphambi kokubonisa ezinye iindlela zokwelapha.
Kubafazi abane-PCOS , i- letrozole yemithi yomhlaza (i-Femara) ingaba yimpumelelo ngakumbi ekubangela i-ovulation kuneComomid. Ukuthatha iComomid kunye nesifo sesifo sikashukela se-metformin uye kwandisa izinga lokuphumelela kwabafazi abathile.
Ukuba i-Clomid inokukunceda ukuba ugxeke, kodwa emva kweenyanga ezintandathu unyango awuzange ukhulelwe, isinyathelo esilandelayo sinokudluliselwa kwiklinikhi yokuzala (ukuba awubonwanga kakade kwenye). Okanye, ugqirha wakho unokubonisa ukuba i- gonadotropins (iziyobisi ezinobungozi).
Igama elivela kwi-Verywell
Khumbula ukuba ngelixa uhlala uqhelana noClomid kunye nonyango lwe-IVF , kukho, eneneni, ukhetho oluninzi lokunyanga olwenzela ukonga. Soloko uthetha ugqirha wakho ukuba unomdla malunga nesinyathelo esilandelayo okanye ukuba iClomid ayisebenzi njengoko wawuthemba.
> Imithombo:
> Arici, Aydin; Seli, Emre. "Ukuvuthwa kwe-induction kunye ne-clomiphene citrate." Uptodate.com.
> Brandes M1, Hamilton CJ, van der Steen JO, de Bruin JP, Bots RS, Nelen WL, Kremer JA. Ukungafihlanga okungacaci: Inani eliqhelekileyo lokuTyala lokuKhulelwa kunye neNdlela yokuCoca. "Uhlambalaza. 2011 Feb; 26 (2): 360-8. i-doi: 10.1093 / i-humrep / deq349. Epub ngo-Agasti wama-16.
> Homburg R1. "I-Clomiphene-citrate-end of time? Ukuhlaziywa kweminye. "U-Hum Reprod. 2005 Aug; 20 (8): 2043-51. Epub 2005 Meyi 5.
> Imithi yokukhupha i-Ovulation: Isikhokelo sabathinteli. Umbutho waseMelika weMithi yokuzala.