Kuberekwa hakuzoitiki kana mukadzi asina huvhu. Uye kuita kuti zviitike - zvakakosha kukurudzira ovulation, semutemo, mishonga. Mishonga inowanzoshandiswa munyaya iyi ndeyeKlostilbegit (zita remarudzi ose Klomifen). Klostilbegit - piritsi inokurudzira ovulation, iyo inorayirwa kuti isati yashandurwa, kusadaro kwayo, polycystic ovaries. Nhamba yacho inotsanangurwa nachiremba mushure mekunyatsoongorora. Chirwere ichi chinangwa chemarudzi maviri emahomoni:
- FSH (follicle-stimulating hormone) - inokanganisa kugadzirirwa kwemaovari maitiro akazara (follicles);
- LH (luteinizing hormone) - inokanganisa kusunungurwa kweii kubva muhutori.
Chirongwa chekuvhota chinokurudzira neKlostilbegit
Clostilbegit inotora kutora musi wechishanu wekuenda kumwedzi. Tora 1 bhetirasi 1 usati wambarara kusvikira mazuva 9. Mushure memugumo wekutora mahwendefa, chiremba anotanga kuita ultrasound uye anoenderera mberi kusvikira follicles ichisvika kuhukuru hwe20-25 mm. Mushure meizvi, chirwere cheHCG (chorionic gonadotropin) chinorayirwa. Izvo zvinoitwa kamwe chete muyero yakatemwa nachiremba (5000-10000 IU). Pashure pemaminetsi makumi maviri nemanomwe, maawa makumi matatu nemaawa makumi mana, ovulation inowanikwa. Mazuva ano hupenyu hwepabonde hunofanira kunge hunoshanda. Apo ultrasound inopupurira kutanga kweivulation, inoronga maitiro eprogesterone, somuenzaniso, Dufaston, Utrozestan, Progesterone mu ampoules.
Vakadzi vanowanzokwanisa kutanga nguva dzose ovulation 1-2 mafundo ekurapa neKlostilbegitom. Kana kana mushure mekudzidzira katatu mushure mekuwedzera kuwedzerwa muyero, ovulation haigonezve, zvinokosha kuti uongorore zvakanyanya uye uongorore mushonga. Hazvisiko kushandisa mushonga uyu (haubvumirwi kutora nguva dzinopfuura 5-6 muhupenyu), sezvo izvi zvinogona kutungamirira kukuneta kwemashizha. Mushure mokudaro, pamuviri wakazara hauzoitike. Inofanirawo kuonekwa kuti Clostilbegit inoshungurudza kukura kwe endometrium, haisi yakanyorerwa vakadzi vane endometrium yakareba kupfuura 8 mm. Mumamiriro ezvinhu akadaro, zvinokurudzirwa kusarudza mamwe mishonga inokurudzira ovulation, yakadai sePuregon, Gonal, Menogon, kana vamwe.
Medicamental kukurudzira kwekuvhunga - kuva kana kuti kusava?
Hazvibviri kutaura nezvemigumisiro yeKlostilbegit (pamwe nemamwe mimwe mishonga yekurapa kuzora). Izvi zvinogona kuva kushungurudzwa kwepakati yenheyo system (mafungiro anokanganisa, kusuruvara, kusuruvara, kuora mwoyo, musoro wepamusoro), chirwere chekudya uye metabolism (kushungurudza, kusuruvara, kuwedzera kuwanda). Allergic reactions inogonawo kuitika.
Zvisinei, nezvose zvisina kukanganisa, hatigone kukundikana kutaura pamusoro pezvakakodzera. Ovulation yakadzorerwa zvachose muna 70% yevakadzi mukati mekutatu kwemishonga yekurapa. Pakati pevaya vakabatsirwa nekukurudzirwa kwechirwere mu15-50% pamuviri unoitika. Dhiyabhorosi yakasiyana zvakanyanya nekuda kwehuipi
Klostilbegit inogona kukurudzira kubudiswa kwamaii mazai kamwechete. Iyi pfuma inowanzoshandiswa vasati vasvika IVF (in vitro fertilization). Nekudyara kwepanyama, kuve nepamuviri yakawanda kunogoneka. Kune vakadzi vanokurudzira ovulation neKlostilbegit, mukana wekutavira ndewe 7%, uye katatu - 0.5%.
Zvakakosha kuyeuka kuti kutora mishonga yakadaro iwe isingagamuchirwi, kurapwa kunofanira kuitwa kunze kwekutarisirwa kwechiremba! Uye kana uchisarudza, zvakakosha kufunga nezvakanaka uye zvisina kunaka zvechirwere, mararamiro ehupenyu uye hutano hwevakadzi.