Zuva-neZuva Rinotungamirira kuComidid Treatment for Matambudziko Ovulation
Iwe unotora sei Clomid yekusununguka ? Kana chiremba wako akaraira izvi zvinodhaka kubereka mishonga, iwe unenge uchida kuziva nezvekutarisira. Zvechokwadi, kurapa kuchasiyana kubva kumunhu kusvika kumunhu, zvichienderana nezvimwe zvinhu.
Somuenzaniso, Clomid kurapwa ne gynecologist kazhinji inotarisa yakasiyana nekurashwa neyanzvi hwekubereka . Dzimwe nguva Clomid inosanganiswa neIUI (intrauterine insemination) kurapwa . Dzimwe nguva, inorayirwa kuti iite nguva yekuita zvepabonde kumba. Iri zuva-nezuva-gwara rekurapa richakupa pfungwa yakawanda yekuti kutenderera kwako kungaita sei.
Nyaya inokosha : Sezvaunogara uchiita , tevedzera mirairo yachiremba wako paunotora Clomid, uye usanyara pakubvunza mibvunzo kare, panguva, kana mushure mekurapa.
Clomid Purogiramu Zuva 1: Nguva Yenyu Inotanga
Chiremba wako angangokuudza kuti utaure nehofisi yake pazuva rekutanga rako. Kana iwe usina nguva dzisina kukodzera , chiremba wako anogona kupa mishonga Provera, chimiro cheprogesterone, kuti atange nguva yekutanga.
Zuva rokutanga remakore ako ndiro zuva raunenge uchienda kumwedzi uye kwete kungoona kupenya. Kana usina chokwadi kana nguva yako yakatanga, kana kuti kubuda kwako kusina kujeka, bvunza chiremba wako. Anogona kunge iwe iwe unotora bvunzo yekuita pamuviri weBheta (kuburikidza nebasa reropa) kuti uone kuti hausi pamuviri.
Zuva rimwe rokutenderera kwako ndiro zuva rokutanga remakore ako. Zvisinei, kungova kunyanya kuvhiringidza, chiremba wako angakuudza kuti zuva rako rezvepamutemo rimwe zuva rakatevera nguva yako yakatanga. Izvo zvinoenderana nenguva ipi yezuva kutenderera kwako kwakatanga. Ichi ndicho chimwe chikonzero iwe ungada kuidza chiremba wako usati watanga kurapwa.
Nyora zuva iri pasi, sezvamunoda kutora Clomid pamazuva chaiwo ekufamba kwako. Iwe unogonawo kunge uine humwe huongero hwakaitwa mumazuva chaiwo. Kuita kuti mhepo iite nyore kutarisa, iwe unogona kuisa pane imwe khalendari mazuva ekutenderera kwako pamwe chete nemazuva ekarenda. Somuenzaniso, kana musi waApril 3 iwe ukawana nguva yako, iwe unogona kunyora 1 mudenderedzwa musi waApril 3, 2 muchitenderedzwa musi waApril 4, nekudaro.
Clomid Purogiramu Zuva 2-3: Baseline Ultrasound Check
Paunoshevedza chiremba wako pazuva rokutanga rokutenderera kwako, unogona kubvunzwa kuronga chinyorwa chekutanga chechi ultrasound. Izvi zvingangoita kuti zviitwe nemudzidzisi wekubereka. Iyo kusarudzwa kwe-ultrasound inokurumidza uye ichazoitwa transvaginally. A transvaginal ultrasound inogadzirwa ne probe ye ultrasound kuburikidza nemudzimai wako.
Chiremba wako ari kutsvaga cysts pane mazai mavari, kuti asazovhiringidzika ne cysts maduku anokwanisa kuona nema polycystic ovaries . Muchiitiko ichi, chiremba ari kutsvaga cyst yakakura. Kazhinji, iyo ultrasound haina kuwana chero chinhu. Kana zvinhu zvose zvichiita zvakanaka, kutenderera kwako kunogona kuenderera sezvazvakarongwa.
Kana iyo ultrasound inowana cyst kana cysts, chiremba wako angangoderedza izvi. Iwe unogona kumira kumirira kusvikira mwedzi unouya kuti uedze zvakare. Kana vakawana krisiti, musanetseka. Aya majekiti haawanzokuvadza uye anowanzopera paavo pachavo. Icho chinonyanya kukanganisa iwe unofanirwa kumirira mumwe mwedzi kutanga kurapwa.
Sezvo nguva dzose, bvunza chiremba wako kana iwe uchida.
Clomid Purogiramu Zuva 3-5: Clomid Treatment Inotanga
Kana wangove wakanatswa nachiremba wako kuti utange mararamiro, iwe uchatora chiremba chako chekutanga che Clomid pazuva iro chiremba wako akarayira. Iwe uchatora rimwe dose zuva nezuva kwemazuva mashanu, asi iwe haungatori chero Clomid pazuva rokutanga rokutenderera kwako.
Chiremba wako angakuudza kuti utore mapiritsi eComidid pane chimwe chezvikamu zvinotevera:
- Pakufamba mazuva 3, 4, 5, 6, uye 7
- Pakufamba mazuva 5, 6, 7, 8, uye 9
Vamwe vanachiremba vachaita kuti iwe utange kurapwa pamusi wezuva 2 kana kuti zuva rezuva 4, kunyange izvi zvisiri zvishoma. Ikoko hakuratiki kuva nekusiyana mukuzvitakura kubudirira pakati pekutanga Clomid pazuva 3 kana zuva 5. Vanachiremba vakasiyana vanosarudza kushandisa mitemo yakasiyana.
Mune zvimwe zviitiko, chiremba wako angakukumbira kuti uchinje zuva rokutanga paunotevera rwendo, kuti uone kana ruchaita mutsauko iwe. Zvakanaka, tora Clomid panguva imwe chete zuva nezuva. Vamwe vanoti kutora mapiritsi pamberi pemubhedha kunogona kukubatsira kurara nemamwe emigumisiro . Vamwe vanoita zviri nani kana vakatora mapiritsi mangwanani.
Kana iwe uine imwe Clomid, iwe unogona kuitora panguva yakasiyana yezuva, asi usashandise nguva yezuva kana iwe uchitanga mhirizhonga kunze kwekuti iwe utaure nachiremba wako.
Clomid Mazuva Okupedzisira 3-9: Clomid Inotanga Kushanda
Iwe haugoni kuvhara mumazuva mashanu uri kutora mapiritsi eComidid. Zvisinei, newaini yako yokutanga, Clomid inotanga kushandiswa kweketani iyo ichazopedzisira yaita kuti kuve nekuvhunga.
Muchidimbu, hormone FSH (follicle stimulating hormone) inoratidza mavha mazai kuti akure uye mazai akakura (akavharirwa mu follicles of fluid) kuti asunungurwe kuburikidza ne ovulation. Sezvo follicles pamashizha ekukura, anosunungura estrogen. Kuwedzera kweestrogen kunoratidza kuti uropi hunoderedza kupera kweFSH. Izvi, zvakare, zvinononoka kugadziriswa kwemasvosve.
Clomid inoshanda nekunyengedzera uropi pakufunga kuti maestrogen ewesero yako haasi pasi. Izvo zvinoita izvi nekudzivirira isrogen kubva kusunga kusvika kune yakagamuchira. Estrogen iri kutenderera muropa rako, asi avo vanogamuchira havakwanise kuiona. Kufunga kuti hakuna kuwedzera follicles kubva pane isrogen inoratidzika seyocheka, muviri wako unopindura nekusunungura gonadotropin-releasing hormone, kana GnRH.
GnRH inoratidza pituitary yako gland kuti ibudise zvakawanda FSH neLH. Mazinga akareba eFSH anokurudzira mavha mavari, uye mazinga akareba eH anogadzirisa hutachiona. Kunyangwe iwe uchitora Clomid kwemazuva mashanu chete, mararamiro emaketani anotanga nepiritsi yako yekutanga inoenderera mberi mwedzi wose. Ichi ndicho chimwe chikonzero nei iwe uchiramba uchinge uine mamwe madhara nemisi mushure mokunge iwe uchitora muwandu wako wokupedzisira.
Clomid Mazuva Okupedzisira 10 kusvika ku21: Kuongorora Nyaya Dzakashata
Kunze kwekuti iwe unoshandisa chirongwa chekuvhara mazai kuitira kuti iwe uwane nguva yekuita zvepabonde kwemazuva ako anobereka, vazhinji vanowedzera gynecologist havanyatsocherechedza Clomid mishonga yekurapa.
Izvozvo zvakati, vazhinji vanobereka vana endocrinologists vanoita. Vanachiremba vane ruzivo vanocherechedza Clomid miviri yezvikonzero zviviri zvinokosha:
- Kuti urambe uine zvo kuti ndeapi follicles inokura , saka vanogona kugadzirisa denderedzwa kana zvinopfuura zviviri (kana kupfuura kupfuura imwe) zvichioneka
- Kupera nguva nhanho inopfura (yakatsanangurwa muchiito chinotevera) kana IUI (intrauterine insemination)
Kuongorora kutenderera kwacho kunotanga mazuva mashomanana mushure mekunge piritsi yako yekupedzisira inonzi Clomid inotorwa uye inogona kusanganisira ultrasound uye neropa rinoshanda mazuva ose mashomanana kusvikira iwe uchivhura. Mucherechedzo we ultrasound achayera kukura kwe follicles, uye chiremba wako achasarudza-zvichienderana nekukura kwavo-apo nguva inotanga kupfura (kana iwe uine imwe), IUI, kana zvepabonde zvekufamba.
Kana mapiyona maviri achikura kusvika pakukura kwakakura, chiremba wako anogona kana kuti haakupi kukukurudzira kuti iwe urege kutenderera. Mhando miviri ye follicles inokurudzira matanho ako ekutora mapatya , asi haatenderwi. Udza chiremba wako kana zvakakosha kwauri kuti urege kudzika pamuviri mapatya, saka anogona kukupa mazano pane zvaunofanira kuita.
Kana zvitatu kana kupfuura zvipembenene zvakakura, chiremba wako angangoderedza kubhururuka, zvichireva kuti uchakumbirwa kuti usaita zvepabonde (kurega kubata pamuviri). Uye kana IUI kana kuti kutema pfuti yakarongeka, hazvizopiwi kuti urege kunyanya kutakura pamuviri, iyo inotakura mungozi yakakomba iwe nevana vako remangwana.
Kana kutenderera kwako kuchikanganiswa, sekugumburwa sezvo izvi zvinogona kuva (uye sekuedza sezvazvingave kuregeredza iwe doc uye kuita zvepabonde chero zvakadaro), unofanira kutora nyevero dzechiremba wako zvakanyanyisa. Zvinogona kuva chiratidzo chakanaka chokuti muviri wako unopindirana neComidid zvakanakira. Tariro, mune imwe nguva inotevera, chiremba wako anogona kugadzirisa kurapa kwako kuitira kuti usasimudzira mazai akawanda. Zviri nani kumirira kusvikira nguva inotevera pane kuguma nehutachiwana hwekutengesa.
Clomid Mazuva Okupedzisira 15 kusvika ku25: The Trigger Shot (Zvichida)
Kana uri kuona nyanzvi yekubereka, anogona kupa chirongwa chehomoni yevanhu chorionic gonadotropin (hCG) kuwedzera kune Clomid-iyo inozivikanwa se "chinotyisa kupfura." Iko kunonzi trigger kupfura nokuti inokonzera ovulation kuti ipinde mukati maawa 24 kusvika ku 36. Chiremba wako anogona kuraira nhungurudzo yekubata kuti abatsire nguva iri nani yeIUI kana kuita zvepabonde kana kuti kupa maovari ako kukuwedzera zvishoma.
Iwe unogona kunge wakanzwa nezve hCG paunenge uchiverenga nezvekudzivirira mitezo, nokuti hCG ndiyo inotakura mhomoni. Mumuviri, hCG inoshanda zvakadai saHH (luteinizing hormone), iyo inonzi hormone inoputika musati yamboita ovulation uye inoratidza kuti follicles inoputsa uye kusunungura mazai.
Nzira inopfura inowanzopiwa mazuva manomwe kusvika kwema 9 mushure memapiritsi ako ekupedzisira, asi inogona kupiwa mushure meiyi kana ultrasound kuongorora inowanikwa kuti follicles yako inoda nguva yakawanda kuti ikure usati watanga kukanganisa kubva pamabhedha ekunyatsokwana.
Nyaya inonyanya kukosha : kana iwe ukapiwa chinotyisa, funga kuti kuve nemuviri wekutora kunotorwa mushure mevhiki mushure mekunge kunyoresa sechinhu chakanaka, kunyange kana iwe usina pamuviri. Muedzo uyu uchangove uri kutora mahomoni anopiwa kuburikidza nejojo.
Clomid Mazuva Okupedzisira 10 kusvika ku17: Clomid Sexy Time, Zvichida IUI
Ovulation inowanzoitika mazuva mashanu kusvika kune gumi mushure mokutora mapiritsi ekupedzisira eComidid.
Saka kana iwe wakatora Clomid mumazuva matatu kusvika ku7 ekutenderera kwako, iwe unogona kunge uchivhara pakati pezuva 10 ne16. Kana iwe wakatora Clomid mumazuva 5 kusvika ku9, ovulation inowanzoitika pakati pezuva 12 ne17 yekutenderera kwako .
Ovulation inogona, kunyange zvakadaro, inoitika kunyange mushure memazuva gumi mushure mekupedzisira yemapiridhi piritsi, saka chinhu chimwe chinofanira kuchengeta mupfungwa. Kana iwe wakapiwa chinotyisa kuputika, ipapo kuveveza kuchaitika maawa 24 kusvika ku 36 mushure mejojo.
Kunze kwekuti chiremba wako atakuudza zvakadaro, iwe unofanira kutanga kuita zvepabonde mamwe zuva rimwe nerimwe , kana zuva rega rega, kutanga mazuva matatu mushure mekutora purogiramu yako yekupedzisira yeCommid pill. Iwe unofanirwa kuramba uchiita zvepabonde kusvikira iwe watsigira kuti ovulation yakaitika. Iwe unogona kuwana kusimbiswa kubva mumuviri wepasi yekushisa chati kana chirongwa cheprogesterone chekuyera (chinopiwa pazuva re21 rekufamba).
Uri kuita IUI cycle here? Kubva paunowedzera uye nguva yaunotanga kupfura, chiremba wako achakuudza nguva yokuti upinde IUI. Muzviitiko zvakawanda, iwe unogonawo kuita zvepabonde pamazuva ako anoberekera kumba pamusoro peIUI yako. (Funga nezvazvo sechikwereti chikuru!)
Clomid Cycle Day 19 kana 21: Progesterone Blood Test
Vose gynecologist uye nyanzvi dzekubereka zvinowanzoita chirongwa cheprogesterone chepamuviri imwe nguva pakati pezuva 19 ne21, kunyange zvingazopiwa gare gare kana chiremba wako achiziva kuti wakagadzira mushure mezuva 21 rekufamba kwako.
Progesterone inonzi hormone inokura mushure mekuvhara, uye kuedza kwayo kunogona kusimbisa kana kwete Clomid yakakonzera ovulation. Chimwe chikonzero chekuedza maitiro eprogesterone ndechekuita kuti hutano husati hwakanyanya. Kana vakadaro, chiremba wenyu anogona kuraira progesterone vaginal suppository sekuwedzera.
Clomid Mazuva Okupedzisira 21 kusvika ku35: Mavhiki maviri Anomirira
Mavhiki maviri anomirira anotanga mushure mekunge uvhara uye wobva wapera kana nemuviri wepamuviri yekuedzwa kana nguva yako . Ichi ndicho chikafu chakaoma kwazvo chikamu chekutenderera kutsungirira. Zvose zvaunogona kuita ndezvokumirira uye kuona kana kufamba kwakashanda.
Panguva yemavhiki maviri amirira , unogona kuona zviratidzo zvishoma zve ovarian hyperstimulation syndrome . Chiratidzo chakakurumbira cheHSSSS chiri kuputika. Chiitiko chakaoma hachiwanzoitiki pakutora Clomid, asi inogona kuitika. Iva nechokwadi chekutaura nachiremba wako kana zviratidzo zvako zvakanyanya kana iwe unonetseka.
Cherechedza : Vamwe vakadzi vanovhiringidza kuputika kubva kumakumbo maComid-anokurudzirwa sehutachiona hwepamuviri hwekutanga , kana muchokwadi hausi. Yeuka kuti mamwe emigumisiro yeClomid inogona kutevedzera "zviratidzo zvekuzvitakura," uye edza kuyeuka kuti kunzwa pamuviri hakureve kuti uri nepamuviri .
Clomid Mazuva Okupedzisira 28 uye 35: Kuberekwa kweZuva Rokuedzwa!
Pakupedzisira, zuva rawakamirira mwedzi wose: kuberekwa kwekuedzwa zuva!
Chiremba wako anogona kuraira kuedza kwekuita pamuviri weBeta kana kuongororwa ropa kunotarisa huwandu hCG , pakati pevhiki yako yevhiki mbiri wakamirira uye pakuguma, kana kuti anogona kurayira ropa rinoshanda chete pakupedzisira. Zvinogona zvakare kuti angokukumbira kuti utore pamba-mimba yekuzvidzivirira pamuviri imwe nguva pakati pemazuva 28 ne35 ekutenderera kwako, uye unokurayiridza kuti utone kana ukawana mhinduro yakanaka.
Kana kuedza kwakanaka , congratulations! Chiremba wako achangotarisa kubata kwemavhiki mashomanana kuti ave nechokwadi chokuti zvose zviri kufamba zvakanaka, uye kuti uone kana wakabata mbabvu (kana kupfuura). Kana iwe uchinzwa uchitya kupfuura kufara, iva nechokwadi chokuti zvinoitika. Kusununguka mushure mekushaya vana hakusi nyore nguva dzose, kunyanya mupfungwa .
Kana kuedzwa kusina kunaka , chiremba wako angamirira uye akudzorera zvakare. Zvingaita kuti mahomoni asati akakwirira zvakakwana zvakadaro. Asi kana iwe ukawana nguva yako, hurumende yakadaro haina kushanda.
Kuva nekutadza kuburikidza kunogona kukanganisa, uye zvinowanzoita kuti uchinzwe kukundwa uye kurasika tariro. Yeuka kuti iwe unokwanisa zvakare zvakare uye kuti dzimwe nguva kurapwa kunoda kugadziriswa usati wasvika kubudirira.
> Sources:
> American Society for Reproductive Medicine, Mishonga yeInking Ovulation.
Coughlan C, Fitzgerald J, Milne P, Wingfield M. "Ndezvakachengetwa here kuti ugovera clomiphene citrate pasina michina yekuongorora inonzi ultrasound?" J Obstet Gynaecol . 2010 May; 30 (4): 393-6. doi: 10.3109 / 01443611003646280.