Kunyanya kushandisa zvinodhaka kunogona kupa zvipo zvinokosha kupfuura Clomid
Femara (letrozole) mishonga inonzwika inoshandiswa kukurudzira kuvharidzira muvakadzi vane polycystic ovary syndrome (PCOS) uye vasina kufanirwa kusununguka. Kunyange zvazvo Femara yakabvumirwa neU.S. Food and Drug Administration kuti ishandiswe sechirwere chekenza yemucheche, yakashandiswa kure-nereki nevanokura vana kubva muna 2001 nokuti ine zvishoma zvinokonzera Clomid (clomiphene) pamwe nehuwandu hwehuwandu huzhinji pamuviri.
Clomid ndiyo yekutanga yekutsvaga musarudzo yekurapa kusabereka kwevakadzi neCPOS. Kutsvakurudza kwemazuva ano, zvisinei, zvakaratidza kuti Femara inogona kupa zvikwereti zvakakwirira zvekuzvitakura mukati mehuwandu hwevakadzi
Femara inowanzoshandiswa mumamiriro ezvinhu eComidid kushivirira apo Clomid isingakwanisi kukurudzira ovulation pamusoro pemitambo mitatu yekurapa uye pasinei nekuwedzera dhizi.
Maitiro Okushandisa Femara
Femara inopiwa mu 2.5-milligram yellow, pirafura yakafukidzwa nefirimu. Kubva pane apo nguva yako inotanga, chiremba wako achakuudza iwe kana uchitanga kurapwa. Kurapa kuchaendeswa kwemazuva mashanu anotevera.
Dzimwe nyanzvi dzinobereka kukurudzira kurora mapiritsi pamazuva matatu, 4, 5, 6 uye 7 ekufamba kwako. Vamwe vanobvumira mazuva 5, 6, 7, 8, uye 9. Kunyange zvazvo pane nharo dzakasarudzwa pamusoro pekusarudzwa kwechokwadi chaizvo, tsvakurudzo yezvino inoratidzika inoratidza kuti kubudirira kwehuwandu kune zvakawanda-kana-zvishoma.
Kubva pane apo chirwere chakatanga, unogona kutarisira paunoda kutanga kuita zvepabonde:
- Kana iwe wakatanga kurapwa pazuva 3 , iwe unogona kunge uchivhara imwe nguva pakati pezuva 14 nezuva 17 rekufamba kwako. Kuti uwane pamuviri, iwe unoda kutanga kutanga kuita zvepabonde usati wapfugama. Muchiitiko ichi, iwe unotanga kuita zvepabonde zuva rega rega (kana rimwe zuva rimwe nerimwe) kutanga pazuva re11 uye kupera pazuva re18.
- Kana iwe wakatanga kurapwa pazuva 5, iwe ungangodaro wakavhara pakati pezuva 16 ne19. Muchiitiko ichi, unotanga kuita zvepabonde pakati pezuva 13 ne21.
Kuti utaure zviri nani nguva yekuvepa, iwe unogona kushandisa ovulation predictor kit . Iwe unotanga kuedza kana wapedza kurapwa uye kuedza zuva rega roga kusvikira wagamuchira chiitiko chakanaka (chinoratidza kuti wava pedyo nekuvhunga). Ichi ndicho chiratidzo chokutanga kuita zvepabonde.
Femara inogonawo kushandiswa mukurapa kwe intrauterine insemination (IUI) . Clomid dzimwe nguva inorayirwa pamwe chete nevakadzikadzi uye inotorwa pamwe chete mumazuva mamwechete.
Migumisiro Yechiri
Letrozole inoshanda kuburikidza nekuderedza mazinga eesrogen kuitira kukurudzira ovulation. Low estrogen mazinga emhando ipi zvayo inogona kuita kuti mukadzi ave nezviratidzo. Izvo zvinowanzoonekwa nechishuwo chevakadzi zvinosanganisira:
- Kuneta
- Chizutu
- Headache
- Bloating
- Hot flashes
- Sweat Night
- Chiratidzo chakasvibiswa
- Kushungurudza mudumbu
- Kutambudzika kwepabonde
- Dambudziko rokurara
- Kutora kana kusava nemwedzi kunenge kuchibuda ropa
Kana iwe uine maonero asina kunaka kana zviratidzo zvipi zvingaita zvakaoma zvikuru, taura nechiremba wako pakarepo.
Kunyange zvazvo zvisingawanzoitiki, vakadzi vanotora Femara vanogona kuve nemamiriro ezvinhu anozivikanwa se ovarian hyperstimulation syndrome (OHSS) iyo inogona kuratidza nezviratidzo kubva pakubvongodza uye kubuda kumhepo kusvika pakuperevedza kwekufema uye kurwadziwa kwepfupa.
Kubudirira kwe Femara
Pane humwe huchapupu hunowedzera kuti Femara inogona kuva yakakodzere kune vakadzi vane PCOS vanotambura nehutano hwehutano.
Maererano nekudzidza kwegore ra2014 rakabudiswa muNew England Journal of Medicine , 27.5 muzana vakadzi vane PCOS vakatora Femara vakaberekwa zvakanaka kuburikidza ne19.5% vakatora Clomid. Chidzidzo ichocho chakaratidza kubatsira mune dzimwe nzvimbo dzakawanda:
- Hondo ye ovulation yaiva yakakwirira ne Femara (61.7 muzana) yakaenzaniswa neComomid (48.3 muzana).
- Paiva nehuwandu hwekuberekwa kwepamusoro pakati pevakadzi vakanyanya vane PCOS vakashandisa Femara.
- Pakanga pane vashoma vanozvitakura muvakadzi vakashandisa Femara (3.2 muzana) vachienzanisa nevaya vakashandisa Clomid (7.4 muzana).
Mungozi yekurasikirwa pamuviri, panguva iyo, yakanga yakawanda-kana-isina yakafanana yemishonga yose (Femara 31,8 muzana neComungu 28.2 muzana).
Saizvozvowo, chidzidzo che2015 chakabudiswa mu PLoS One chakagumisa kuti pakange pasina kuchinja kukuru muhuwandu hwekuremara kwekuberekwa pakati pevana vakazvarwa kumadzimai vakaberekwa nenzira yega kana avo vakashandisa Femara kana Clomid.
> Sources:
> Franik, S .; Kremer, J ;, Nelen, W ;; uye Farquhar, C. "Aromatase inhibitors kuvakadzi vashoma vane polycystic ovary syndrome." Cochrane Database Syst Rev. 2014; 2: DOI 10.1002 / 14651858.CD010287.
> Kar S. "Uhu huripo hunotsigira letrozole yekuvhota." J Hum Reprod Sci. 2013; 6 (2): 93-8.
> Legro, R .; Brzyski, R .; Diamond, M. et al. "Letrozole inopesana nechisimba chekushaya vana mu polycystic ovary syndrome." N Engl J Med. 2014; 371 (2): 119-29.
> Sharma, S; Ghosh, S ;; Singh, S. et al. "Congenital Malformations pakati pevana Vaberekwa Vanotevera Letrozole kana Clomiphene yeInfertility Treatment." PLoS ONE. 2015; 9 (10): e108219.