Kubudirira Kwemari, Zvaunotarisira, Mariro, uye Njodzi dzeInjectable Fertility Drugs
Gonadotropins inobereka mishonga inobereka follicle stimulation hormone (FSH) , luteinizing hormone (LH) kana kusanganiswa kwemaviri. Iyi mishonga inoshandiswa kukurudzira ovulation. Mazita emagetsi angave akajairika kwauri anosanganisira Gonal-F, Follistim, Ovidrel, Menopur, uye Luveris. (Mazita akawanda pasi apa.)
Gonadotropins inozivikanwa zvisina kurongwa sezvijakuvara.
Izvo zvinotungamirirwa nejairo chete.
(Izvi zvakasiyana nemishonga inobereka seClomid uye letrozole , iyo mapiritsi inotora nemuromo.)
Mahomoni anowanzoitika mumuviri FSH uye LH anonziwo gonadotropins. Vanoita basa rinokosha mukuita mavhiri .
Vanoshanda Sei?
Kuti unzwisise zviri nani kuti gonadotropins inoshanda sei, unofanira kutanga utanga kuti nzira yekuberekwa kwevakadzi inoshanda sei.
Verenga iri nyore kunzwisisa, nhanho-nhanho tsanangudzo yehutano hwekuberekwa kwevakadzi pano.
Kana iwe usina nguva yeiyo, heyi yakakurumbira kugadzirisa zvakare!
Kazhinji, pituitary yako gland inobereka FSH neHH pakutanga kwekuenda kwako kumwedzi. IFSH inotumirwa kunze kwomuviri. LH inenge yakachengetwa mumucheka wepituitary kusvikira nguva isati yasvika.
FSH inotaurira follicles mu mavha mavari kuti amuke uye akure.
FSH inomirira "follicle stimulating hormone." Inoita pfungwa yakakwana, inopiwa iyo inokurudzira follicles !
Gonadotropin zvinodhaka zvinodhaka, izvo zviri FSH kana FSH pamwe neLH, ita zvakafanana.
Vanoudza mapurlicles ari mavari mavari kuti akure uye akure.
LH inowanzopfuura nguva isati yasvika panguva yehutachiona panguva yepanyama uye inobatsira chero mazai akakura kuti apinde kuburikidza nekukura kwekupedzisira kusununguka uye kusunungurwa. Mune mamwe mazwi, vhura!
Munguva yekurapa ne gonadotropin, unogona kupiwa kana mujoyo weRLH kana, kazhinji, hCG . Izvi zvinoshanda sezvisikwa zvomutambo weHS uye zvinotanga kutora mavhinga.
Zvaunotarisira
Gonadotropins inogona kushandiswa ivo pachavo. Inogonawo kushandiswa sechikamu chekurapa kweIUI kana kuti IVF chirwere .
Pasi pane tsanangudzo yekuti ingashandiswa sei pachavo.
Paunowana nguva yako inotevera, uchadana chiremba wako.
Iwe uchange uine rimwe ropa neropa uye an ultrasound. Izvi ndezvekuita nechokwadi kuti hapana matambudziko kana zvikonzero zvisingakwanisi kutarisirwa muhutano. (Somuenzaniso, kuve nechokwadi kuti hausi pamuviri uye hauna british ovarian cyst.)
Chiremba wako angangokutanga iwe ne 75 kusvika ku 150 IU yemishonga yegonadotropin.
Zvichienderana neiyo gonadotropin inorayirwa, unofanira kuzvipa majekiseni pasi peganda (subcutaneously) kana kuti mumusumbu (intramuscularly).
Kumbira chiremba wako kana mukoti kuti aratidze nzira yekuchengetedza majekiseni. Vangangoita izvi pasina iwe uchikumbira.
- Nzira Yokuzvipa Iwe Injere Injection
- Nzira Yokuzvipa Iwe IM Injection
Pamazuva mashomanana anotevera, mahomoni ako, kunyanya estradiol, uye follicles pane mazai ako achacherechedzwa zvakanyanya.
Izvi zvinoitika kuburikidza nebasa reropa uye ultrasound mazuva ose mashoma.
Kakawanda sei? Izvozvo zvichatsigira purogiramu yako yezvechiremba, kuti uri kupindura sei mishonga, uye kuti uri pedyo sei nekuvhura.
Mishonga yako inogona kugadziriswa kana kuti pasi zvichienderana ne-ultrasound nemigumisiro yehomoni.
Chinangwa ndechekukurudzira mazai ezvo zvakakwana kuti awane imwe mazai akanaka, asi kwete kuwedzeredza. Zvimwe zvinokurudzira zvinogona kuwedzera mungozi yako yekuzvitapa kakawanda kana ovarian hyperstimulation syndrome (OHSS).
Apo mahomoni ako uye upamhi hukuru hunoratidza kuti ovulation iri pedo, chiremba wako anogona kuraira jekisi ye hCG.
Izvi zvinozivikanwawo se " chinotyisa chinopfura ." Icho chinokonzera ovulation kuitika anenge maawa makumi matatu gare gare.
Chiremba wako anofanira kukuudzawo mazuva api kuti uite zvepabonde, kuitira kuti iwe unogona "kubata" evha uye kutora pamuviri!
Kana imwe nguva mavhiriki achiitika, unogona kutanga kutora progesterone. Haasi munhu wose achada izvi, zvakadaro.
Mahomoni ako acharamba achiongororwa, kunyange zvishoma.
Iwe uchatora chirwere chekuzvitakura pamugumo wegadziriro kuti uone kana kurapwa kwakabudirira.
Dzimwe nguva, kurapwa kunogona kubviswa mukati. Izvi zvinogona kuitika musati mutsva wacho wafuridzirwa kana kunyange mberi.
Chikonzero chinowanzovhiringidzika chekuregererwa kwechirwere chiremba wako anofungira kuti mavha mavari ave achifungidzirwa.
Kuvhara mishonga kunogona kudzivisa nyaya yakakomba yeHSSSS uye yakawanda-yakawanda yakawanda.
Chiremba wako anogonawo kukuudza kuti urege kuita zvepabonde.
Sezvo zvakaoma sezvinoreva kunzwa izvi, zvakakosha zvikuru iwe kutevera mirairo yachiremba wako.
Kubata kunogona kuwedzera mikana yekuzvitakura zvakanyanya, izvo zvinokuisa iwe nevana vako pangozi.
Uyezve, kana iwe ukava neHSSSS, pamuviri unogona kuita kuti iwe uwanezve.
Mhando dzakasiyana
Iko kune maitiro maviri ezvinyorwa zvegonadotropin: gonadotropin recombinant uye gonadotropin yakabudiswa-urinary.
Gonadotropin inogadziriswa inogadzirwa mu laboratori inoshandisa rejinist DNA teknolojia.
Kakawandisa FSH gonadotropin mumusika kunosanganisira Gonal-F uye Follistim.
Iye zvino, Luveris ndiyo chete inonzi LH gonadotropin inowanikwa.
Urinary-yakabudiswa gonadotropin inotorwa uye inonatswa kubva mumucho wevakadzi ve postmenopausal. (Muti wavo unowanzokwirira muFSH.) Inosanganisira vanhu menopausal gonadotropins (hMG), yakanatswa FSH uye yakanatswa FSH.
Urine yakanatswa-yakabviswa FSH gonadotropin inosanganisira Bravelle naFertinex.
Human menopausal gonadotropins (hMG) ine FSH uye LH. Inosanganisira mishonga seHumegon, Menogon, Pergonal uye Repronex.
Menopur iri hMG yakanatswa zvikuru.
Imwe mishonga inobatana, yevanhu chorionic gonadotropin (hCG) inowanzotora mushonga wekuberekwa nejonadotropin injections .
Iwe unogona kuziva hCG sehomoni yekuzvitakura , asi iyo inowanzove ye molecularly yakafanana neHH.
Mukuzvarwa kwepanyama, LH inokonzera ovulation .
Sezvimwe chikamu chekurapa kwekuberekwa , mujenya weHCG unogona kushandiswa kuunza hutachiona.
Ovidrel, Novarel, Pregnyl naPasi ndivo mazita emararamiro ejoka hCG.
Associated Risks
Ovarian hyperstimulation syndrome (OHSS) inogona kunge yakakomba zvikuru ye gonadotropin therapy.
Hew OHSS inowanikwa mu10% kusvika ku20% yevakadzi vanotora gonadotropin. Nhepfenyuro yeHSS inobata 1% yenguva.
Nhepfenyuro yeHSS inogona kuuraya kana isingateereri kana kuti isina kurapwa zvakanaka. Zvakakosha iwe unoziva zviratidzo.
Imwe inogona kuisa mungozi yegonadotropin therapy ndeyekudzivirirwa kwevazhinji.
Zvimwe zvidzidzo zvakaona kuti kusvika 30% yezvokuita pamuviri wakagadzirirwa ne gonadotropins mapatya kana kupfuura. (Iyi inofananidzwa ne1% chete kusvika 2% yekutakura pamuviri.)
Vakawanda vane pamuviri vakawanda vane gonadotropin mapatya. Kusvika ku5% kune katatu kana kupfuura.
Kubata pamuviri , kusanganisira twine pamuviri , kune ngozi kune amai nevana.
Kucherechedza kurongedza kwemupurogiramu hwekurapa kunogona kubatsira kudzivirira kutora mimba yakawanda.
Vanachiremba vazhinji vanozobvisa kana kupfuura mapfumbamwe follicles zvichikura kana kana mazinga e-estradiol akareba kwazvo.
Zvimwe zvidzidzo zvakakwanisa kuwana muyero wekuwanda kwepamuviri huri pasi kusvika 5%. Vakaita izvozvi kuburikidza nekutanga pamwero wakaderera, vachishandisa kuwedzera kunononoka kana pazvinenge zvichidiwa uye pedyo nekucherechedza.
- Dambudziko reKubata pamuviri
- Ndinofanira Kuwana Mucheche neMapatya pachinangwa?
- Quiz: Ndezvipi Zvaunofunga Pakubata Maviri Marefu Kupfuura Vazhinji?
Ngozi ye ectopic pamuviri uye kupererwa pamuviri kune yakakosha nemitambo yegonadotropin-pregnancy.
Pasi pa1% yevakadzi vanotora gonadotropin vachaona adnexal torsion, kana kuti ovarian twisting.
Iyi ndiyo apo mavhiri anokanganisa pachawo uye anochera ropa rayo. Kuvhiya kunofanirwa kuti urege kusunungura kana kuti kubvisa ovary inobatwa.
Ngozi yako yekudzivirira kubata pamuviri - sekuita pamuviri-kunokonzera kukonzerwa kweropa uye kukanganisa kunokonzera - kunogona kuwedzera zvishoma kana kuchienzaniswa nekuzvitakura kwepachizvaro.
Kunyangwe izvi zvinokonzerwa negonadotropins kana kusununguka hazvina kujeka.
Nemhaka yekuti gonadotropin inopindwa mishonga inoshandiswa, unogonawo kunetseka pedyo nejw.org.
Kana iwe uchifungidzira utachiona, iva nechokwadi chekucherechedza chiremba wako pakarepo.
Ndezvipi Zvinobudiriridza?
Mikana yako yekuita pamuviri kubudirira ne gonadotropin inobva pane zvakasiyana-siyana zvezvinhu, kusanganisira makore ako uye chikonzero chekushaya vana.
Chidzidzo che 2011 chakaitwa neThe Jones Institute for Reproductive Medicine chakacherechedza mazana emakirini 1,4 gonadotropin ekurapa. Zvose zvekuzvitakura kwaive 12%, nehupenyu hwekuberekwa hupenyu hwe7.7%. Vachiri vaduku vaiva nehuwandu hwakakura hwekuzvarwa patsva.
Muchidzidzo ichi, nekudzivisa kubhururuka kana matatu kana kupfuura yakawanda follicles yakagadzirwa kana kuti isradiol mazinga akanga akakwirira kudarika 1500 pg / ml, vakakwanisa kuchengeta huwandu hwekuita pamuviri pasi pasi 2.6%.
Zvidzidzo zvekare zvakakwanisa kuwana mimba yakakwirira yekuzvitakura ne gonadotropin kupfuura iyi.
Zvisinei, zvinogoneka kuti kubudirira kwepamusoro kwehuwandu kwakauya pamutengo wemukana wepamusoro weHSSSS uye kuwanda kwekuzvitakura.
Mari yekurapa
Gonadotropin mishonga isiri iyo IUI kana IVF yakatora inogona kutengesa pakati pe $ 500 kusvika $ 5,000.
Nhamba yakakwirira inotora basa reropa uye ultrasound monitoring. Uyewo, mutengo unowirirana nokuti vakadzi vakasiyana vachada zviyero zvakasiyana zvemishonga.
Inishuwarensi yako inogona kubhadhara chikamu chemishonga. Kana kuti, vanogona kuribhadharira zvose ... kana kuti hapana chazvo.
Iwe unogona kudiwa kubhadhara kliniki yako yekuberekera muzere zvakakwana pakutanga. Zvadaro, iwe unogona kuisa kubhadhara kubva kune inshuwarisi yako pachako, kana kliniki inogona kutora zvikwereti zveshuwarisi kwauri.
Iva nechokwadi chekujekesa zvose izvi nekliniki yako yekubereki usati watanga kurapwa.
Iwe hausi kuda kushamiswa nemutemo wepamusoro pamagumo.
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Greene, Robert A. naTarken, Laurie. (2008). Perfect Hormone Balance For Fertility. United States of America: Three Rivers Press.
R Homburg, CM Howles. "Nhamba yakaderera FSH yepiritsi yehutachiona husina simba inobatanidza polycystic ovary syndrome: rational, results, reflections refinements." Kuberekwa Kwevanhu Kuvandudza. Kuvandudzwa (1999) 5 (5): 493-499. doi: 10.1093 / humupd / 5.5.493.
Sarhan A, Beydoun H, Jones HW Jr, Bocca S, Oehninger S, Stadtmauer L. "Gonadotrophin ovulation induction and enhancement results: analysis of over 1400 cycles." Reproductive biomedicine online. 2011 Aug; 23 (2): 220-6. Epub 2011 May 15.
Migumisiro Yakashata yeGonadotropins: Mwoyo Murefu Chikafu. American Society for Reproductive Medicine. Inowanikwa paIndaneti 14 August 2011.
van Wely M, Kwan I, Burt AL, Thomas J, Vail A, Van der Veen F, Al-Inany HG. "Kuramba uchienzanisa nekuvhenekera gonadotrophin nokuda kwekusimudzira maitiro ekubatsira pakuberekwa kwekombiyuta maitiro." Cochrane Database Yakarongeka Ongororo. 2011 Feb 16; (2): CD005354.