Chinetso cheComomid chirwere chekuberekwa dzimwe nguva chakaitwa musati mava kurapwa kweVIVF . Muedzo unozivikanwawo sechikwata chinonzi clomiphene citrate test kana CCCT.
Muedzo unofanirwa kufanotaura kana muviri wako uchaita zvakanaka kubereka zvinodhaka uye kukurudzira maitiro. Kubvira pakurapa kweVIV kunodhura - mupfungwa uye mumuviri - kuita izvi muedzo usati watanga kurapwa kunogona kukubatsira kudzivisa kuora mwoyo, nguva yakarasika, uye kurasikirwa nemari.
Asi kwete chiremba wese anoita chirwere cheCommid. Ndicho chikonzero chiremba wako angave kana asingagoni kuronga dambudziko reCommid, kuti rakaitwa sei, uye kuti zvinoguma zvinorevei.
Sei Chiremba Wenyu Achigona Kuronga Clomid Challenge Test
IkoComid dambudziko rekuedzwa inofanirwa kuongorora huwandu uye huwandu hweii mazai mavari. Apo chiremba wako achitaura pamusoro pekuedza nzvimbo dzako dzekuvhara mazai, izvi ndizvo zvaanoreva. Iko kuedza kwehutano hwakanaka uye kuti yakawanda sei mazai ako.
IkoComid dambudziko rekuedza ndiyo imwe yenzira dzakawanda dzekuongorora mazai ovari, uye kwete vose vanobvumirana kuti ndiyo yakanakisisa nzira. (Zvimwe pane zviri pasi apa)
Mamwe makiriniki anoita chirwere cheCommid kune vose varwere vavo, asi vazhinji vanoedza chete kuedza kana zvimwe zviyero zvinosangana. Chiremba wako anogona kuraira dambudziko reCommid kana:
- Iwe uri pamusoro pezera rimwe. Kazhinji kune vanopfuura 37, asi vamwe vanachiremba vanorayira kuedza kwevakadzi vose vanopfuura 35.
- MaFSH ako mazinga akanga akakwirira. Chikamu chekuongorora kwako kwekuberekwa kwakabatanidza kuongorora kweBSal , iyo inotarisa mazinga ako eFSH hormone pazuva rechitatu rekuenda kwako kumwedzi. Kana zviwanikwa zvako zvaiva nechepamusoro-soro kumusoro kana kuti kumusoro, chiremba wako angada kuita dambudziko reCommid.
Vamwe vanachiremba vanozoita Clomid dambudziko rekuedzwa panguva yekurapa kweComidid. Zvose zvinoda kunowanzoita basa reropa uye zvichida ultrasound.
Kazhinji yenguva, kunyange zvakadaro, kliniki inoita chirwere cheCommid musati yatanga kurapwa kweVF uye pane dzimwe nguva isati iUII kurapwa.
Kana mishonga inobereka panguva yeVIV isingakurudziri mazai ako mazai zvakakwana kuti mubereke mazai akakwana ekudzorera, kutenderera kwako kuchabviswa.
Mari yose inoshandiswa mukurapa kusvika panguva iyoyo icharasikirwa, kwete kureva kushungurudzika mupfungwa.
Chirwere cheCommid chekuedza chinoshandiswa kugadzirisa kana mazai ako angangopindura zvakanaka usati wapedza nguva nemari mukurapa.
Nei Chiremba Wako Asingaregi Clomid Challenge Test
Kutsvakurudza kwakabvunzurudza kana Clomid Challenge yakanyatsokwanisa kufanotaura kushaikwa kweVF. Kunyange zvazvo dzimwe tsvakurudzo dzawana kuti CCCT inogona kufanotaura kuitika kweVIVF kubudirira, zvimwe zviongorori zvakawana kuedza kuti zvive zvisingabatanidzi kana kuti zvisina kunaka sevamwe ovarian reserve testings.
Somuenzaniso, mamwe maongororo akawana kuti FSH basal test - iyo inongova kuongororwa kweropa pazuva rekufamba kwako kwemazuva matatu - yakarurama seyekuti chinetso cheComomid pakufanotaura kushaikwa kweVF.
Zvimwe zvidzidzo zvakawana kuti antral follicle count (ARC) yakanyatsonyatsojeka pakufanotaura nezvekuchengetedza kwemaovari pane dambudziko reCommid. An antral follicle count inosanganisira transvaginal ultrasound uye haifaniri kutora chero mishonga.
Kunyange zvazvo chirwere chekuedza cheComidid chinoda kuti utore Clomid - chirwere chinosangana nemigumisiro uye njodzi -FSH basal test uye antral follicle count haisi pangozi.
Imwe nyaya neyeComid dambudziko ndiyo inokonzera kushushikana nevarwere vane muedzo, uye kushushikana uku hakugone kuve kwakakosha nemigumisiro inopa (kana kupa.)
Nokuda kwezvikonzero izvi, vamwe vanachiremba vanosarudza kusaita Clomid dambudziko rekuedzwa.
Ko Clomid Challenge Yakaitwa Sei?
Sezvaunogara uchiita, unofanirwa kutevera mirayiridzo inopiwa kwauri nechiremba wako.
Pakati pese, chirongwa cheCommid chinetso chinoda kuti iwe uine ropa rinoswededza pazuva 2, 3 kana 4 yekuenda kwako kumwedzi. Izvi zvichaendeswa kubhii, uye ivo vachatarisa maFSH ako uye mazinga e-estradiol.
Zvadaro, pamasikati 5, 6, 7, 8, uye 9, iwe uchatora 100 mg ye clomiphene citrate.
Kazhinji, izvi zvichava mapiritsi maviri emagiramu akatorwa panguva imwechete, asi bvunza chiremba wako kana iwe usina chokwadi.
Zvadaro, musi wegumi, iwe uchava neropa rinoswededza kuti utarise maFSH ako zvakare.
Vamwe vanachiremba vanorayira kuti ultrasound inopedzisira iverenge uye inoyera chero upi hupi hwekukura huri mune mavha mavari.
Migumisiro Yechiri
Iwe unogona kuva nemigumisiro yakafanana semumwe munhu achitora Clomid yekurapa kubereka . Kutaura zvazviri, chiremba wako anogona kuita chiyero panguva yekuti ivo vari kukubatai nekushaya vana.
Misiyano chete pakati pekubatwa neComidid yekuzodza uye kuva neComidhini mutsindo wokuedzwa iwe une rimwe ropa rekushanda panguva yekuoma.
Zvisinei, usafungidzira kuti watopedza chirwere cheComidhini chekuedza nokuti iwe wakatora Clomid kare. Chiremba wako angave asina kuita zvimwe zvekushanda kweropa kana kuti ultrasounds panguva iyoyo.
Taura nechiremba wako pamusoro pezviratidzo zvinowanzoitika panguva yekuedzwa.
Uyewo chengetedza mupfungwa kuti kana uine zvepabonde zvisina kudzivirirwa panguva yenhamo yeComidid, unogona kutora pamuviri uye uri pangozi yekuwana mimba mapatya .
Chirongwa Chisiripo cheCommid Challenge Test
Migumisiro yakajairika inowirirana zvakasiyana kubva kubasa kuenda kune labhi, saka iwe uchada kuzokurukura zviwanikwa zvako nechiremba wako kuti uzive kana mitsva yako inofungidzirwa yakanaka kana kwete mumakiriniki avo.
Maererano nechimwe chidzidzo, kuva neFSH iri pakati pe1 3.1 ne10.0 IU / I inofungidzirwa kuti inowanikwa.
Nhamba yakakwirira yeFSH yakanzi yakakura kupfuura 10.0 IU / I, ine 24 IU / I iri yakakwirira kwazvo FSH level.
Izvo zvakakwirira zvibereko zvako zveFSH zviri munguva yeComid challenge, kushandiswa kwakanyanya kweVFF kuchakubudirira iwe.
Mune rumwe ruzivo, 76% yevakadzi vakayambuka neComid Challenge vaifungidzirwa kuva nemigumisiro yakasarudzika uye mazai akanaka evari, ne 24% yevakadzi "vakakundikana" dambudziko reComomid. Zvimwe zvidzidzo zvakawana chikamu chiduku zvikuru chevakadzi vasingabvumirwi kurapwa kweVIV mushure mekuoma kweComidid.
Mazinga eEstradiol anowanzotaridzirwa panguva yedambudziko reCommid. A zuva rezuva Zuva 3 chiitiko chiri pakati pe 25-75 pg / ml.
Cherechedza kuti kuwana chigumisiro chinowanzoitika panguva yeComid Challenge hazvirevi kuti IVF ichakuita kuti iwe uve nepamuviri kana kuti mazai ako achaita zvakanaka pakuita zvinodhaka.
Nechiyero ichi, mhedzisiro chete inofanira kureva ndeye chikonzero chakaipa.
Kuita zvakaipa pamusoro pekutsvaga kweCommid kunowedzera mikana iyo IVF isingabudiriri kwauri.
Kuita zvakanaka paComidid dambudziko rekuedzwa haritauri zvakawanda pamusoro pekuti iwe uchatora pamuviri weVIV.
Chii Chinoitika Pashure peComidhi Challenge Kuedzwa Kwekuedzwa?
Kazhinji, kana mitsva yako isiri yakanaka munguva yeComber test test, chiremba wako achakuudza kuti maitiro ako ekubudirira kweVIV anobudirira akaderera.
Makiriniki akawanda achatorawo mamwe maitiro ekuongororwa ekuchengetedzwa kwemaawa pamwe chete nemigumisiro yako yeComidid yakaoma. Yeuka kuti havasi vose vanobvumirana kuti CCCT ndiyo inonyanya kuedza yeavoan reserves.
Nhanho inotevera ichaenderana nechiremba wako newe.
Mamwe makiriniki anoramba kupa chirwere cheVF kuvakadzi vanokundikana dambudziko reComomid. Kana kuti, vanozopa chete murwere wevana vanopa IVF.
Uine mazai ezai, nzvimbo dzenyu dzekuvhara mazamu hazvibatsiri.
IVF ine mazai evha ine huwandu hwepamusoro hwekubudirira kwehutano, kunyange kubudirira kwehuwandu hwehuwandu kupfuura vakadzi vane nzvimbo dzakanaka dzekuvhara mazai dzinofamba neAIDS. Asi inodhura, uye kwete munhu wose anoda kushandisa dhiabhorosi.
Embryo donor IVF isarudzo yekufungisisa, asi chiremba wako haafaniri kutaura. Embryo donor IVF haina mari shoma kupfuura egg donor IVF uye zvichida kunyange zvisingadhuri kupfuura yekare yeVF. Saka iva nechokwadi chekubvunza pamusoro pazvo.
Kana iwe usingadi kuenda munzira yavanopa, uye kliniki yako inokutsausa uye yakaramba kukubata iwe, yeuka kuti izvi zvingave zvishoma nokuti havadi kuparadza vana vavo IVF kubudirira.
Mamwe makiriniki anonyanya kubatsira kubatsira vakadzi vane varombo vane mahara. Mhizha donor IVF inogona kunge iri sarudzo yakanakisisa kwauri, asi zviri nani kana ukashanda nachiremba ane ruzivo nematambudziko ako okubereka.
Kana iwe uchida kupfuurira nemasikirwo IVF, uchiziva kuti maitiro ako ekubudirira ari pasi, vamwe vanachiremba vangave vachida kukupa kurapa kwauri.
Kunyangwe izvi zviri muchido chenyu, zvisinei, iyo nyaya yekukakavadzana.
Kuwana pfungwa yechipiri usati waisa nguva yako, mari, uye manzwiro mukati moutano ndiyo inenge yakanakisisa nzira yekutora.
Sources:
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Broekmans FJ, Kwee J, Hendriks DJ, Mol BW, Lambalk CB. "Kuongorora kwakarongeka kwezviedzo kufananidza kuvhara kwemaawa uye IVF mhinduro." Hum Kudzorerwa. 2006-Nov-Dec; 12 (6): 685-718. Epub 2006 Aug 4. http://humupd.oxfordjournals.org/content/12/6/685.long
Csemiczky G, Harlin J, Fried G. "Simba rinoparidzirwa remagetsi e clomiphene citrate kuedza kwekukundikana kwe in vitro fertilization treatment." Acta Obstet Gynecol Scand. 2002 Oct; 81 (10): 954-61. http://www.ncbi.nlm.nih.gov/pubmed/12366487
Hendriks DJ, Mol BW, Bancsi LF, te Velde ER, Broekmans FJ. "Chirongwa chema clomiphene citrate kuedza kwekufanotaura kwevarombo vasingasaruri mhinduro uye zvisingaverengeki kuvarwere vari kuitika mu vitro fertilization: kurongeka kwekuongorora." Fertil Steril. 2006 Oct; 86 (4): 807-18. Epub 2006 Sep 7. http://www.ncbi.nlm.nih.gov/pubmed/16962116
Ramalho de Carvalho B, Gomes Sobrinho DB, Vieira AD, MP Reende, Barbosa AC, Silva AA, Nakagava HM. "Ovarian reserve kuongorora nokuda kwekushaya upenzi." ISRN Obstet Gynecol. 2012; 2012: 576385. doi: 10.5402 / 2012/576385. Epub 2012 Jan 26. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3302183/