Ukukhulelwa ngeke kwenzeke uma owesifazane engenayo i-ovulation. Futhi ukwenza kwenzeke-kubalulekile ukugqugquzela i-ovulation, njengomthetho, ngokwemithi. Isidakamizwa esivame kakhulu kule nkinga i-Klostilbegit (igama lamazwe onke uKlomifen). I-Klostilbegit - iphilisi yokugqugquzela i-ovulation, enqunyelwe ukuvuthwa okungavamile, ukungabikho kwayo, ama-ovaries we-polycystic. Umthamo unqunywa udokotela emva kokuhlolwa okuphelele. Isidakamizwa sibhekiswe ezinhlotsheni ezimbili zamahomoni:
- I-FSH (i-follicle-stimulating hormone) - iyathinta ukulungiswa kwama-ovari okuvuthiwe okuvuthiwe (follicle);
- I-LH (i-hormone i-luteinizing) - ithinta ukukhululwa kweqanda kusuka ku-follicle.
I-Scheme ye-ovulation stimulation yi-Klostilbegit
I-Clostilbegit iqala ukuthatha ngosuku lwesihlanu lwenyanga yokuya esikhathini. Thatha ithebhulethi eli-1 ngaphambi kokulala kuze kube yizinsuku ezingu-9. Ngemuva kokuphela kokuthatha amaphilisi, udokotela uqala ukwenza i-ultrasound futhi uyaqhubeka kuze kube yi-follicles ifinyelela usayizi we-20-25 mm. Emva kwalokhu, umjovo weHCG (i-chorionic gonadotropin) yomuntu inqunyelwe. Yenziwa kanye ngesilinganiso esinqunywe udokotela (5000-10000 IU). Ngemuva kwamahora angu-24, amahora angama-36, i-ovulation kwenzeka. Lezi zinsuku impilo yobulili kufanele isebenze. Lapho i-ultrasound iqinisekisa ukuqala kwe-ovulation, yenze amalungiselelo e-progesterone, isibonelo, i-Dufaston, i-Utrozestan, i-Progesterone ku-ampoules.
Abesifazane ngokuvamile bakwanele ukuqala izifundo ezijwayelekile zokwelashwa ezijwayelekile 1-2 nge-Klostilbegitom. Uma emva kwezinsuku ezi-3 ngokunyuka kancane kancane emithini, i-ovulation ayifuni, kuyadingeka ukuba uhlole ngokucophelela futhi ubuyekeze ukwelashwa. Akudingekile ukuhlukumeza lo muthi (akunconywa ukuthatha izikhathi ezingaphezu kuka-5-6 ekuphileni), ngoba lokhu kungabangela ukukhathala kwama-ovari. Emva kwalokho, ukukhulelwa okujwayelekile ngeke kwenzeke. Kumele kuqashelwe ukuthi i-Clostilbegit ithinta kabi ukukhula kwe-endometrium, ayinqunyelwe abesifazane abane-endometrium elincane kune-8 mm. Ezimweni ezinjalo, kunconywa ukuthi ukhethe ezinye izidakamizwa ezikhuthaza ukuvuthwa, njenge-Puregon, i-Gonal, i-Menogon, noma abanye.
Ukuvuselelwa kwe-medicamental ye-ovulation - ukuba noma kungabi khona?
Ngeke ukwazi ukukhuluma ngemiphumela emibi ye-Klostilbegit (kanye nezinye izidakamizwa eziningi zokwelapha ukugcoba). Lokhu kungase kube ukuphazamiseka kwesimiso sezinzwa eziphakathi (ukuguquka kwemizwelo, ukuleleka, ukuthukuthela, ukucindezeleka, ikhanda lokukhwabanisa), umzila wokugaya umzimba kanye nesimetabolism (isicashu, ukuhlanza, ukuzuza isisindo). Ukuphendula kwe-allergen nakho nakho.
Noma kunjalo, ngazo zonke izinkinga, asikwazi ukwehluleka ukusho mayelana nokufaneleka. Ukuvuthwa kubuyiselwe ngokuphelele kuma-70% wabesifazane phakathi kwemijikelezo emithathu yokwelapha. Kulabo abasizwa yi-stimulation of ovulation ngo-15-50% ukukhulelwa kwenzeka. Idatha ihluke kakhulu ngenxa yethonya
I-Klostilbegit ingashukumisa ukukhiqizwa kwamaqanda amaningana ngesikhathi esisodwa. Le ndawo isetshenziswa njalo ngaphambi kwe-IVF (in vitro fertilization). Ngomanyolo wemvelo, ukukhulelwa okuningi kungenzeka. Kwabesifazane abagqugquzela i-ovulation ne-Klostilbegit, amathuba okuba i-twinning ayi-7%, futhi kathathu-0.5%.
Kubalulekile ukukhumbula ukuthi ukuthatha imithi enjalo ngokwamukelekile, ukwelashwa kufanele kwenziwe kuphela ngaphansi kokuqondiswa udokotela! Futhi uma ukhetha, kubalulekile ukucabangela izakhiwo ezinhle nezimbi zomuthi, izici zomzimba kanye nesimo sempilo yabesifazane.