Inselele ye-Clomid yindlela yokuhlola inzalo ngezinye izikhathi eyenziwa ngaphambi kokwelashwa kwe-IVF . Ukuhlolwa kuyaziwa nangokuthi i-clomiphene test test inselelo noma i-CCCT.
Ukuhlolwa kuhloswe ukubikezela ukuthi umzimba wakho uzokuphendula yini izidakamizwa zokuzala kanye nokugqugquzela ama-ovarian. Njengoba ukwelashwa kwe-IVF kuyabiza - ngokomzwelo nangokwenyama - ukwenza lesi sivivinyo ngaphambi kokuba uqale ukwelashwa kungakusiza ukuba ugweme ukudumala, isikhathi esilahlekile, futhi ulahlekelwe imali.
Kodwa akuwona wonke udokotela owenza inselele ye-Clomid. Yingakho udokotela wakho angase noma angalawule inselele ye-Clomid, ukuthi yenziwe kanjani, nokuthi yimiphi imiphumela ekushoyo.
Okwenza Udokotela Wakho Angalawule Ukuhlolwa Kwe-Clomid Challenge
Ukuhlola inselele ye-Clomid kuhloswe ukuhlola ikhwalithi nobuningi bamaqanda kuma-ovari. Uma udokotela wakho ekhuluma ngokuhlola ama-ovarian reserves, yilokhu akushoyo. Kuyinto yokuhlola ukuthi impilo yakho inempilo kangakanani nokuthi amaqanda akho amaningi kangakanani.
Ukuhlola inselelo ye-Clomid kuyindlela eyodwa kuphela yokuhlola ama-ovarian reserves, futhi akuwona wonke umuntu ovuma ukuthi kuyona engcono kakhulu. (Ngaphezu kwalokho ngezansi)
Ezinye imitholampilo zenza inselele ye-Clomid kuzo zonke iziguli zazo, kodwa iningi lihlola kuphela uma kutholakala izinqubo ezithile. Udokotela wakho angalawula inselele ye-Clomid uma:
- Uphelile iminyaka ethile. Ngokuvamile kuneminyaka engama-37, kodwa odokotela abathile bahlela ukuhlolwa kubo bonke abesifazane abangaphezu kuka-35.
- Amazinga wakho we-FSH ayephezulu. Ingxenye yokuhlolwa kwakho okuyisisekelo kokuzala kufaka phakathi ukuhlolwa kwe-FS basal , ebuka amazinga akho e-FSH hormone ngosuku lwesithathu lomjikelezo wakho wokuya esikhathini. Uma imiphumela yakho ibe phezulu noma iphezulu, udokotela wakho angase afune ukwenza inselele ye-Clomid.
Abanye odokotela bazokwenza ukuhlolwa kobunzima be-Clomid ngesikhathi sokwelashwa kwe-Clomid. Konke okudinga umsebenzi wegazi njalo futhi mhlawumbe i-ultrasound.
Kodwa-ke, isikhathi esiningi, umtholampilo wenza inselele ye-Clomid ngaphambi kokuqala ukwelashwa kwe-IVF futhi ngezinye izikhathi ngaphambi kokuphathwa kwe-IUI.
Uma izidakamizwa zokuzala ngesikhathi se-IVF zingashukumisi ama-ovari akho ngokwanele ukukhiqiza amaqanda okwanele okuthola, umjikelezo wakho uzokhanselwa.
Yonke imali esetshenziselwa ukwelashwa kuze kube yilapho izolahleka, ingakhulumi ngokucindezeleka ngokomzwelo.
Ukuhlola inselele ye-Clomid kuhloswe ukucacisa ukuthi ama-ovari akho angase aphendule kahle ngaphambi kokuchitha isikhathi nemali kokwelashwa.
Okwenza Udokotela Wakho Angahle Adale I-Clomid Challenge Test
Ucwaningo luye lwabuza ukuthi i-Clomid Challenge ingakwazi yini ukubikezela ukwehluleka kwe-IVF. Ngenkathi ezinye izifundo zithole ukuthi i-CCCT ingakwazi ukubikezela amathuba okuphumelela kwe-IVF, ezinye izifundo zithole ukuhlola ukuthi zingabandakanya noma zingafani nezinye izivivinyo zama-ovarian reserve.
Isibonelo, ezinye izifundo zithole ukuthi ukuhlolwa kwe-FSH ye-basal - okuwukuhlolwa kokuhlolwa kwegazi ngosuku lomjikelezo wakho wesibili - kunembile njengenselele ye-Clomid ekubikezelweni kwe-IVF ukwehluleka.
Ezinye izifundo ziye zathola ukuthi inani le-antral follicle (ARC) linembile kakhulu ekubikezelweni kwezinqolobane ze-ovari ngaphezu kwenselelo ye-Clomid. Ukubalwa kwezintambo ezithintekayo kuhilela i-ultrasound yangaphandle futhi akudingi ukuthatha noma yimiphi imithi.
Ngenkathi ukuhlolwa kwenselele ye-Clomid kudinga ukuthi uthathe i-Clomid - isidakamizwa esinemiphumela emibi kanye nezingozi -I-FS yokuhlolwa kwe-basal kanye ne-antral follicle count ayinengozi kakhulu.
Enye inkinga nge inselele ye-Clomid yiyona eyenza ukukhathazeka ngeziguli ezivivinywe, futhi lokhu ukukhathazeka kungabi ngisho nemiphumela enganikeza yona (noma ayiniki.)
Ngenxa yalezi zizathu, odokotela abathile bakhetha ukungenzi ukuhlolwa kobunzima be-Clomid.
Isivivinyo Senkinga Ye-Clomid Senziwe Kanjani?
Njengalokhu njalo, kufanele ulandele imiyalelo eyinikezwe udokotela wakho.
Ngokuvamile, ukuvivinya inselelo ye-Clomid kudinga ukuthi udwebe ngegazi ngosuku 2, 3 noma 4 emjikelezweni wakho wokuya esikhathini. Lokhu kuzothunyelwa ebhokisini, futhi bayobuka amazinga akho e-FSH ne-estradiol.
Khona-ke, ngezinsuku ezingu-5, 6, 7, 8, no-9, uzothatha i-100 mg ye-clomiphene citrate.
Ngokuvamile, lokhu kuzoba amaphilisi amabili ama-50 mg athathwe ngesikhathi esifanayo, kodwa cela udokotela wakho uma ungaqiniseki.
Khona-ke, ngosuku lweshumi, uzoba nokunye ukudweba kwegazi ukubuka amazinga akho we-FSH futhi.
Abanye odokotela banquma nokuthi i-ultrasound engaphumelelanga ibale futhi ilinganise noma yiziphi izintambo ezikhulayo kuma-ovari.
Okuqhamuka uma udla imishanguzo
Ungaba nemiphumela emibi njengomuntu othatha i- Clomid yokwelashwa kokuzala . Eqinisweni, udokotela wakho angenza uvivinyo phakathi nomjikelezo wokuthi nabo bakulwela ukungabi nabantwana.
Umehluko kuphela phakathi kokuphathwa neComomid yokugcoba nokuba nokuhlolwa kobunzima be-Clomid unomsebenzi wegazi ngaphezulu ngesikhathi kunselele.
Kodwa-ke, ungacabangi ukuthi usudlulile ukuhlolwa kwenselelo ye-Clomid ngoba nje uthathe i-Clomid ngaphambili. Udokotela wakho kungenzeka ukuthi akenzanga umsebenzi owengeziwe wegazi noma ama-ultrasounds ngaleso sikhathi.
Khuluma nodokotela wakho mayelana nanoma yiziphi izimpawu ezivamile onayo ngesikhathi sokuhlolwa.
Futhi khumbula ukuthi uma unesidingo esingavimbelwe ngesikhathi senselele ye-Clomid, ungakhulelwa futhi usengozini yokukhulelwa amawele .
Umphumela ojwayelekile we-Test Clomid Challenge Test
Imiphumela evamile ihlukahluka ngandlela-thile kusuka kubhubhu ebhubhu, ngakho kuzodingeka uxoxe ngemiphumela yakho nodokotela wakho ukuze wazi ukuthi imiphumela yakho ibhekwa njengokujwayelekile noma hhayi emtholampilo.
Ngokwesinye isifundo, ukuba nezinga le-FSH phakathi kuka-3.1 no-10.0 i-IU / I kubhekwa ukuthi kuluhlu olujwayelekile.
Izinga eliphezulu le-FSH lalibhekwa njengelikhulu kune-10.0 IU / I, ne-24 IU / I ibe yizinga eliphezulu kakhulu le-FSH.
Ukuphakama kwemiphumela yakho ye-FSH ngesikhathi senselele ye-Clomid, ukwelashwa okungenasiphelo kwe-IVF kuzophumelela kuwe.
Kwesifundo esisodwa, abesifazane abangu-76% abahamba ngezinselele zeComomid babhekwa njengemiphumela evamile kanye nezinqolobane ezinhle ze-ovarian, nabesifazane abangu-24 "abangaphumeleli" inselele ye-Clomid. Ezinye izifundo zithole iphesenti elincane kakhulu labesifazane abafanelekile ekunakekelweni kwe-IVF emva kwenselele ye-Clomid.
Amazinga e-Estradiol nawo acatshangwa ngesikhathi senselele ye-Clomid. Isikhathi esijwayelekile seSuku 3 siyi-25-75 pg / ml.
Qaphela ukuthi ukuthola imiphumela evamile ngesikhathi senselele ye-Clomid akusho ukuthi IVF izokukhulelwa noma ukuthi ama-ovari akho azophendula kahle emithini yokuzala.
Ngalesi sivivinyo, umphumela kuphela okumele usho kusho imiphumela embi.
Ukwenza kahle inselele ye-Clomid kwandisa izingqinamba ukuthi IVF ngeke iphumelele kuwe.
Ukwenza kahle ekuvivinyweni kwenselelo ye-Clomid akusho okuningi ukuthi uzokhulelwa yini nge-IVF.
Kwenzekani Ngemuva Kokuhluleka Kokuhlolwa Kwe-Clomid Challenge?
Ngokuvamile, uma imiphumela yakho ingekho kahle phakathi nokuhlolwa kwenselele ye-Clomid, udokotela wakho uzokukwazisa ukuthi impumelelo yakho yokuphumelela kwe-IVF yokwelapha iphansi.
Imitholampilo eminingi izocabangela nezinye iziphumo zokuhlolwa kwe-ovarian reserve kanye nemiphumela yakho yenselelo ye-Clomid. Khumbula ukuthi akubona wonke umuntu ovuma ukuthi i-CCCT yiyona yokuhlolwa okuhle kwama-ovarian reserves.
Isinyathelo esilandelayo sizoxhomeka kudokotela wakho nawe.
Ezinye imitholampilo yenqaba ukunikeza ukwelashwa kwe-IVF kwabesifazane abahluleka inselele ye-Clomid. Noma, bayonikeza kuphela i-egg donor IVF yesiguli.
Ngomhlinzeki weqanda, izindawo zakho zokugcina ama-ovari azifanelekile.
I-IVF ene-egg donor inezinga eliphakeme kakhulu lempumelelo, ngisho namanani okuphumelela kangcono kunabesifazane abanezindawo ezinhle ze-ovarian ezihamba nge-IVF. Kodwa kuyabiza, futhi akuwona wonke umuntu ofuna ukusebenzisa i-egg donor.
I-IVF iyinhlangano yokukhetha, kodwa udokotela wakho angeke akhulume. Umfelandawonye we-IVF ovuthiwe awubiza kakhulu kune-egg donor IVF futhi mhlawumbe engabizi kangako kune-IVF yendabuko. Ngakho qiniseka ukuthi ubuze ngakho.
Uma ungafuni ukuya umzila wabanikeli, futhi umtholampilo wakho uphendulela futhi unqabe ukukuphatha, khumbula ukuthi lokhu kungase kube yingxenye yokuthi abafuni ukulimaza amazinga abo okuphumelela kwe-IVF.
Ezinye imitholampilo zihlose ekusizeni abesifazane abanezimpofu ezingenamsoco ovarian. I-egg donor IVF ingase ibe yindlela enhle kakhulu kuwe, kodwa kungcono uma usebenza nodokotela owaziwa nezinselelo ezithile zokuzala.
Uma ufuna ukuqhubeka ne-IVF yendabuko, wazi ukuthi izinkinga zakho zokuphumelela ziphansi, abanye odokotela bangase bazimisele ukukunikeza ukwelashwa.
Kungakhathaliseki ukuthi lokhu kuyisithakazelo sakho, noma kunjalo, kuyindaba yokuphikisana.
Ukuthola umbono wesibili ngaphambi kokutshala isikhathi sakho, imali, kanye nemizwelo ekwelapheni cishe kuyindlela engcono kakhulu ongayithatha.
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