Clomid Resistance uye Nzira Dzokuvandudza Mavhinga Okupindurwa
Panenge imwechete muvakadzi vana havazovhiri pavanotora Clomid . Dzimwe nguva, chikonzero chausingazogadziri paComomid ndechokuti kuyerwa kwacho kwakanyanya. Zvakajairika kutanga Clomid kurapwa pa 50 mg, uye owedzera ku 100 mg kana iwe usingapinduri. Mune zvimwe zviitiko, vanachiremba vachaedza doses kusvika 250 mg. Zvisinei, kana iwe usati uine ovulating kunyange papamusoro madhagi, izvi zvinonzi kunonzi Clomid kushorwa.
Clomid kushivirira haisi mamiriro akafanana kana iwe usingafungi kutora mishonga inobereka. Mukudaro, unogona kuvhara, asi usati wava nepamuviri. Muchiitiko ichi, iwe hausi kunyange ovulating.
Iwe unoda here kutamira kune mishonga yakasimba kana mishonga yakaoma yakawanda kana ovulation isingaitiki? Kwete hazvo.
Chii Chinoita Kuti Clomid Resistance?
Chirwere chako chiremba mukurapa Clomid kudzivisa chinotarisana nei achifunga kuti hausi kupindura. Heano mazita mashomanana anozivikanwa, zvikonzero zvinokonzera Clomid kushorwa:
PCOS : Vakadzi vane PCOS vanowanzova nechinetso neComomid resistance, kunyanya avo vanorwara sevanopikisa insulin kana nehuwandu hwe hyperandrogenic (mizinga yakakwirira yeDHEAs uye mahomoni evanhu).
BMI inopfuura 25 : A body mass index (BMI) inopfuura 25 inogona kuderedza mikana yeCommid inoshanda zvakanaka.
Hyperprolactinemia : Vakadzi vane hyperprolactinemia vangave vasina kupindura zvakanaka kuClomid, vasina kutorawo hyperprolactinemia.
Zvechokwadi, pane dzimwe nguva apo hazvisi pachena kuti nei Clomid isingabatsiri kuderedza ovulation.
Zvisarudzo mukurapa Clomid Resistance
Kune vakadzi vane PCOS, kurapwa ne insulin kushandiswa kwemishonga metformin , inozivikanwawo seGlucophage, inogona kubatsira. Zvakanaka, Metformin yaiwanzogadziriswa kwemwedzi mitatu kusvika kumatanhatu usati waedza Clomid zvakare.
Zvimwe zvidzidzo zvakaratidza kuti kunze kwekuvandudza mazinga ekuvhura, kutora metformin uye Clomid pamwe chete zvinogonawo kuwedzera kuve nekuita pamuviri uye kuderedza dambudziko rokusununguka pamuviri.
Imwe nzira inogona kushandiswa kune metformin ndeyeN-acetyl-cysteine (NAC), amino acid uye antioxidant inoshanda se insulini inokurudzira mutambi. Zvimwe zvidzidzo zvakaona kuti kubatanidza Clomid neNAC kunogona kubatsira kubata chirwere cheComidid.
Kana yako BMI inopfuura makumi maviri nemashanu , chiremba wako angaratidza kuti unorasikirwa nemutoro usati waedza zvakare Clomid. Kurasikirwa ne10 muzana yemuviri wako wekurema kwemazuva ano kunogona kuwedzera maitiro aComomid.
Kune avo vane hyperprolactinemia, kurapwa nemushonga weBromocriptine, kana woga kana kuti pamwe chete neComomid, inogona kuvandudza mazinga ekuvhura.
Oryan drilling is an old method of treating Clomid resistance in women with PCOS, but is not commonly used today because of the risks. Kana chiremba wako achiratidza kuvhara maovarian, unogona kuda kubvunza chikonzero chekusarudza uku, kana pane zvimwe zvingasarudzwa izvo zvinogona uye zvinofanira kuedzwa kutanga.
Kuberekwa Kwemapiritsi Ekusakosha?
Imwe nzira inofadza yekubata neComid resistance kunotora kuberekwa kwepiritsi kwemwedzi umwe kusvika kune maviri usati waedza imwe denderedzwa yeK Clomid.
Izvi zvinokurudzirwa kuvadzimai vane mazinga akareba ehomoni DHEAs.
Inoratidzika sekidiki-intuitive-birth control mapiritsi ichakubatsira kuti uwane pamuviri? Asi zvidzidzo zvitsvakurudzo zvakaratidza migumisiro yakanaka. Mune kumwe kuongorora pamusoro pekushandisa kwekuberekwa kwepiritsi mapiritsi, vanopfuura 65 muzana yevakadzi vechiGermom vanopikisana vakavharwa, mushure mekutora mapiritsi ekuberekwa kwemuromo kwemwedzi miviri isati yatanga kupora.
Zvakadini kana Clomid Ichiri Isingashandisi?
Dzimwe nguva, ultrasound icharatidza follicles iri kukura mukupindura Clomid, asi kuputika kweHIV midksi haisi yakasimba zvakakwana kuunza ovulation. Muchiitiko ichi, chiremba wako anogona kupa chirongwa cheCommid pamwe nejecha reHCG, sechirwere cheOvidrel, kuti itange kusveta uye kukurudzira kuputika kweHIV kumakore.
Kana mushure mokuedza izvi zvingasarudzwa, hausati uine oula pane Clomid, chiremba wako angaratidza kuti achiedza mishonga yakasiyana-siyana inokurudzira mishonga.
Letrozole (inozivikanwawo seFirera) ndeimwe imwe nzira yevakadzi vasingasvibisi neComomid. Zvidzidzo zvakaratidza kuti Letrozole inogona kukurudzira kuvhara mune vamwe vakadzi vane PCOS vasingatauri kuCommid, pamwe chete nevamwe vakadzi vane unflained infertility uye Clomid resistance.
Mune rumwe ruzivo, vakadzi vane Clomid kushorwa uye PCOS vainyanya kuvhiringidza pavanotora mishonga Letrozole (79.3 muzana yakavhurwa), kupfuura apo paine kutora Clomid pamwe chete nemaviri, majekiseni maduku eFSH therapy (56.59 muzana yakavhurwa). Kuberekwa kwehuwandu hwakakonzerwawo, uye 23 muzana yevakadzi vanotora Letrozole pakuwana pamuviri, uye 14 muzana pakuwana pamuviri neComidid uye majekiseni maviri eudhi-dose FSH pamwe chete.
Letrozole haisi, asi, inotengeswa sechibereko chekubereka. Pane mhirizhonga pamusoro pekuchengetedzwa kwekushandisa kwayo. Letrozole inogona kukonzera kukanganisa kuberekwa kana kutorwa panguva yekuzvitakura. Vakawanda vanotaura kuti mishonga yakachengeteka uye inoti mushonga unofanirwa kunge uri kunze kwehutano hwako nenguva yekuzvitora kunoitika, kunyange kutsvakurudza kwakawanda kunofanira kuitwa.
Zvimwe zvingasarudzwa zvekurapa Clomid kupikisa zvinosanganisira pasi-dose gonadotropin therapy , ine kana pasina IUI kurapwa . Izvi zvinosanganisira zvinodhaka zvakadai seGonal-F, Follistim, uye Ovidrel. (Mune mamwe mazwi, zvinokonzerwa neFSH uye LH zvinodhaka zvinodhaka .) Mishonga iyi inodhura uye inouya nemamwe madambudziko kupfuura Clomid, asi inogona kukurudzira ovulation apo Clomid inokundikana.
Shoko Rinobva Kunyanya
Clomid inowanzotanga kushandiswa kwemishonga yakaitwa mushure mekushaya zvirwere. Iwe unogona kunge wakanga uchiedza kubata pamuviri kwegore negore nguva iyi inotanga kurapwa. Kana isingashandi, unganzwa uchinetseka kuti ichi chiratidzo chezvinhu zvinouya. Iwe unogona kunetseka izvi zvinoreva kuti iwe unotarisirwa kune kurapa kunodhura, kufanana neIVF .
Ichokwadi ndechokuti Clomid inongoratidzira kutanga kwekushaya rubatsiro. Kana iwe usingafambisi paunotanga kana kuti wechipiri, kana kuti usava nepamuviri, edza kusatya. Pane zvikwereti zvakawanda munzira iyo usati wabvunzwa kuti uongorore marapirwo epamusoro ekugadzira .
> Sources:
> Abu Hashim H1, Foda O2, Ghayaty E3. "Akabatanidza metformin-clomiphene mu clomiphene-resistant polycystic ovary syndrome: kugadziriswa kwekuongorora uye meta-kuongororwa kwemiedzo yakasarudzwa yakaitwa. "Acta Obstet Gynecol Scand. 2015; Sep; 94 (9): 921-30. doi: 10.1111 / aogs.12673. Epub 2015 Jun 2.
Ganesh A, Goswami SK, Chattopadhyay R, Chaudhury K, Chakravarty B. Kuenzaniswa kwe letrozole ne gonadotropin inopfuurira uye clomiphene-gonadotropin kusanganiswa kweivulation induction muna 1387 PCOS vakadzi mushure mekugadzirisa clomiphene citrate: randomised prospective clinic trial. Zvinyorwa zveBatsiro Reproduction uye Genetics. 2009 Jan 7. [Epub mberi of print]
Goenka Deepak, Goenka ML. "Chirongwa chemuviri wemapiritsi chinonzi pretreatment for clomiphene citrate casant resistant followed by repeat clomiphene citrate treatment. " Journal of Obstetrics uye Gynecology of India. Vol. 56, Nha. 2: March / April 2006 Pg 159-161. Inowanikwa paIndaneti February 19, 2009.
Kushandisa Zviratidzo Zvokurapa Sokurapa KwemaComid-Varwere Vanorwisana. The InterNational Council on Infertility Information Kuparadzira: Infertility Journal Zvinyorwa.