Iindidi ezisi-8 zamachiza okuzala kubasetyhini, usetyenziso lwazo, kunye neziphumo ebezingalindelekanga

Amagama Aphezulu Ebantwaneni

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Umhla Wokuzalwa:

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Ndithumele Nge-Imeyile Veza Kwindawo

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• Abasetyhini bawafuna nini amachiza okuchuma?
• Asebenza Njani Amachiza Okuchuma Kwabasetyhini?
• Ngawaphi awona machiza alungileyo okuchuma kwabasetyhini?
• Ngaba kukho naziphi na iziphumo ezisecaleni zamachiza okuchuma kwabasetyhini?

Amayeza okuzala amabhinqa aqala ukunikezelwa eUnited States ebutsheni beminyaka yee-1960, yaye ukususela ngoko aye anceda amabhinqa amaninzi ukuba akhulelwe. (Nye) . Uninzi lweepilisi zokuchuma zonyusa amathuba okukhulelwa ngokuvuselela i-ovulation. Ukongeza kubudlolo, la mayeza kagqirha kuphela angasetyenziselwa ukunyanga imiba eyahlukeneyo yezonyango kwabasetyhini.

utatomkhulu imibongo yokufa ndiyakukhumbula

Funda esi sithuba ukuze ufunde ngakumbi malunga namachiza okuzala, kubandakanya indlela yawo kunye nezinto ezahlukeneyo ezilungileyo kunye neengozi zokuthatha la machiza.

Abasetyhini bawafuna nini amachiza okuchuma?

Umbutho wezeMpilo weHlabathi (i-WHO) uchaza ubudlolo njengesifo senkqubo yokuzala, echazwa ngokusilela ekufezekiseni ukukhulelwa kwezonyango emva kweenyanga ezili-12 okanye ngaphezulu kokulalana rhoqo okungakhuselekanga. (Mbini) .

Amachiza okuchuma afanelekile ukuba unokudlolo ngenxa yayo nayiphi na okanye ngaphezulu kwale miba yezempilo ilandelayo:

• I-Polycystic ovary syndrome (PCOS) kunye nezinye iingxaki ze-ovulation

• Iziphazamiso zethyroid

• Ukuphazamiseka kokutya

• Iingxaki zobunzima - ubunzima obungaphantsi, ubunzima okanye ukulandela umthambo ogqithisileyo

• Imiba ene-FSH (follicle-stimulating hormone) kunye ne-LH (luteinizing hormone) amanqanaba

Uninzi lwezi meko zingasentla zibangela i-ovulation engaqhelekanga okanye ephosiweyo, kwaye ugqirha wakho unokukuyalela amayeza ukulungisa ingxaki yakho. (3) .

Asebenza Njani Amachiza Okuchuma Kwabasetyhini?

Amachiza okuzala asebenza ngolu hlobo:

• Ukuvuselela ii-ovari ukuvelisa amaqanda amaninzi

• Ukwandisa amanqanaba athile ehomoni emzimbeni, ngaloo ndlela kunceda ekukhuleni nasekukhululeni iqanda elingaphezulu kwesinye kumjikelo ngamnye. Yaziwa ngokuba yi-controlled ovarian hyperstimulation (superovulation)

• Ukuthintela ukukhutshwa kwe-ovulation kwangaphambi kwexesha ngexesha leteknoloji encediswayo yokuzala (ART).

Amachiza okuzala nawo asebenza ngokudityaniswa nonyango oluncediswayo lokukhawula olufana nokufakwa kwamadlozi okanye i-IVF. (4) .

Isipaji somntu onqamlezayo esinamakhadi okuthenga ngetyala

Ngawaphi awona machiza alungileyo okuchuma kwabasetyhini?

Phantse onke amayeza okuzala anceda kwi-ovulation, kodwa iyeza elifanelekileyo kuwe lixhomekeke kwinto echaphazela i-ovulation yakho kunye nokukhawula. (5) .

1. I-Clomiphene citrate

I-Clomiphene citrate ibangela i-ovulation ngokuvuselela i-pituitary gland. Imiselwe kubasetyhini abane-PCOS okanye eminye imiba ye-ovulation. Kukwacetyiswa ukuba kuphuculwe ukuveliswa kwamaqanda kubasetyhini abane-ovulation rhoqo.

• Amayeza omlomo kufuneka athathwe iintsuku ezintlanu ngexesha lokuqala lomjikelo wokuya exesheni, ukuya kuthi ga kwimijikelo emithandathu yokuya exesheni.

• Kufunyenwe ukuba kubangele i-ovulation kwi-80% yabasetyhini, apho isiqingatha sasikwazi ukukhulelwa. Ukuphumelela kwayo kuxhomekeke kwiminyaka yabasetyhini kunye nezinye izinto (6) .

• Ichiza linokwandisa amathuba okuba abantu bakhulelwe abaninzi (7) .

• Ifumaneka phantsi kwamagama eemveliso zeClomid, Clomidac, Bemot, Clomifene, njl.

[Funda: I-PCOS kunye nokukhulelwa ]

2. I-Letrozole

I-Letrozole ikwasetyenziselwa ukuvuselela i-ovulation. Iyeza lomlomo livuselela i-pituitary glands ukuba yenze ngakumbi i-FSH, ukukhupha i-ovulation kunye nokukhulula amaqanda. Isebenza kubasetyhini abane-PCOS, kwaye kubasetyhini abaqhelekileyo ukuphucula imveliso yamaqanda.

• Amayeza kufuneka athathwe iintsuku ezintlanu ngexesha lokuqala lokuya exesheni.

• Inokusebenza ngcono kune-clomiphene kwabasetyhini abane-PCOS.

• Abasetyhini abachasayo kwi-clomiphene citrate babonisa ukunyuka kwezinga le-ovulation kunye nokusetyenziswa kwe-letrozole (8) .

• Ifumaneka phantsi kwegama legama elithi Femara.

3. I-gonadotropin yomntu yokuya exesheni (hMG)

I-hMG yindibaniselwano yeehomoni ze-FSH kunye ne-LH. Ezi hormone ikakhulu zivuselela ama-ovari ukuba avelise kwaye avuthwe amaqanda. I-Gonadotropins iluncedo kubasetyhini abanee-ovari ezinempilo kodwa abanako ukukhupha (ukuphuhlisa-amaqanda). Ngokuqhelekileyo oku kwenzeka xa kukho iingxaki kwi-pituitary gland.

uthathwa nini ngokwahlukana ngokusemthethweni?

• Liyeza elitofwayo, elidla ngokunikwa ngaphantsi kwesikhumba (9) .

• Zitofwa kwiintsuku ezimbini ukuya kwezintathu emva kokuqala kwamathuba, ukuya kutsho kwiintsuku ezisixhenxe ukuya kwezilishumi elinesibini.

• Ichiza liyafumaneka phantsi kwegama lebhrendi iMenopur, Pergonal, kunye neRepronex.

4. Follicle-stimulating hormone (FSH)

Eli liyeza likwasebenza njenge-hMG ngokukhuthaza ii-ovari ukuba zivelise iifollicles ezininzi kwaye ngaloo ndlela amaqanda amaninzi.

• Lichiza elitofwayo.

• Unyango luthatha iintsuku ezilishumi ukuya kwezili-12, kuxhomekeke kwixesha elithathwayo ukuze amaqanda avuthwe.

• Ifumaneka phantsi kwamagama e-brand Gonal-F, Follistim AQ, Fostimon, Bemfola, Puregon, Pergoveris, kunye neBravelle.

5. I-chorionic gonadotropin yomntu (hCG)

Amayeza atofwayo avuselela amaqanda ukuba avuthwe kwaye agqabhuke.

• Inikwa njengesiqalo sokugqibela kunyango lwe-ART.

• Ifumaneka phantsi kwamagama ebhrendi iChoragon, Ovitrelle, Ovidrel, Pregnyl, kunye neProfasi.

6. I-Gonadotropin-releasing hormone (GnRH) an'https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3759499/' rel='follow noopener noreferrer'> (10) . Basebenza ngokucinezela ukuveliswa kwe-FSH kunye ne-LH, nto leyo evuselela ama-ovari ukuba akhulule amaqanda. Ngale ndlela, i-GnRH an'/fertilaid-women-men-natural-fertility-supplement-3116166'> I-FertilAid yabasetyhini kunye namadoda ]

8. I-Bromocriptine kunye ne-Cabergoline (i-Dopamine an'are-are-any-side-effects-of-fertility-drugs-in-women'>Ngaba kukho naziphi na iimpembelelo zeZiyobisi zokuchuma kwabasetyhini?

Njengalo naluphi na olunye unyango, amachiza okuzala nawo aneziphumo ebezingalindelekanga, ikakhulu kusetyenziso lwexesha elide. Iziphumo ezingathandekiyo zezinye iipilisi zokuchuma ziquka (Shumi elinanye) :

• Amayeza athile abangela ukusabela okungephi njengokuqunjelwa, ukuvutha kobushushu, intloko ebuhlungu, ukungakwazi ukuzola, nokucaphuka.

• Iziyobisi zandisa amathuba okuzala abantu abaninzi.

• Imingcipheko ephezulu yokuzala ngaphambi kwexesha inyanyaniswa nokuzalwa okuninzi.

• I-Ovarian stimulation syndrome, ebangela ukuba ii-ovari zibe zikhulu ngokungaqhelekanga ngolwelo. I-syndrome inxulunyaniswa neentlungu zesisu, isisu esidumbileyo, isicaphucaphu, ukuphefumla kancinci, ukudumba, kunye nokuncipha komchamo.

• Amathuba okukhulelwa kwe-ectopic axhaphake kubasetyhini abafumana unyango lwe-IVF.

[Funda: Ukutya Okuphucula Amathuba Okukhulelwa ]

Lixesha lokushiya amaxhala akho ngasemva kwaye uqhagamshelane nogqirha wakho. Maninzi amachiza aluncedo anokuthi ugqirha wakho akucebise ukwandisa amathuba akho okukhulelwa. Nangona kunjalo, kuphephe ukuzinyanga ngokwakho kuba kuyingozi kwimpilo yakho.

Ngaba wakha wathatha iipilisi zokuchuma? Yabelana ngamava akho nathi kwicandelo elingezantsi lamagqabaza.

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