Uma i-Clomid isebenza kahle futhi uma ingenayo
Iyini izinga lokuphumelela le-Clomid? Uma ucabangela lo muthi odumile wokuzala, cishe ufuna ukwazi ukuthi uzokusebenzela yini. Kwabesifazane abanezinkinga zokuphefumula, izinga lokuphumelela lihle kakhulu. Phakathi kwamaphesenti angama-70 no-80 abesifazane abathatha uComomid bazokhipha isikhathi sokujikeleza.
Yiqiniso, ukuvota akufani nokukhulelwa.
Iyini Amathuba I-Clomid Eyosebenza Ngenyanga Yokuqala?
Kuncike ekutheni ucwaningo olunjani olubhekisela kuzo, izinkinga zokukhulelwa ngesikhathi kunoma yimuphi umjikelezo wezokwelapha we-Clomid ziphakathi kwamaphesenti ayisikhombisa nama-30. Ukusebenza kwe-Clomid kuyahluka kuye ngokuthi imbangela yokungasebenzi .
Khumbula ukuthi labo abangenayo izinkinga zokuzala banamathuba angu -25 okukhulelwa nganoma iyiphi inyanga enikeziwe. Uma ungakhulelwa ngemva kwenyanga eyodwa, ungesabi. Ukulandela umjikelezo ongaphezu kweyodwa kuvamile.
Yiziphi Izimo Zokuthola Ukukhulelwa Ngemva Kwama-Cycles amaningi ku-Clomid?
Ukubuyekezwa kwezincwadi ezishicilelwe ku- Human Reproduction kucubungula izifundo eziningana ku-Clomid. Konke, amazinga okuphumelela kwama-Clomid wabesifazane abangaphezu kuka-5,000 afakiwe. Kulesi sifundo, bathole lokho
- Amaphesenti angu-73 ekugcineni avuliwe ku-Clomid
- Amaphesenti angu-36 ekugcineni azuza ukukhulelwa
- Amaphesenti angu-29 abeletha
Izinga lokuzalwa liphansi kunezinga lokukhulelwa ngenxa yokungaziphathi kahle.
I-Clomid ayibonakali yandisa ingozi yokukhulelwa kwesisu.
Ezinye izifundo ziye zabika izinga lokukhulelwa izinga lokukhulelwa phakathi kwamaphesenti angu-30 no-40 uma usebenzisa i-Clomid. Futhi, izinga lokuzalwa lokuphila lizobe liphansi ngenxa yokulahlekelwa kokukhulelwa.
Noma kunjalo, impumelelo ye-Clomid nayo incike ekutheni awukwazi ukukhulelwa. I-Clomiphene citrate ingasebenza kahle kulabo abanenkinga yokuvota.
Kodwa kuthiwani uma ukuvuthwa akuyona inkinga?
Olunye ucwaningo, lo oluvela eScottland, lubheke izinga lokuphumelela lemibhangqwana ekhonjiswe ngokungenakuchazwa. Imibhangqwana yayinikezwe ngezikhathi ezithile kwelinye lamaqembu amathathu: "ukuphathwa okulindelwe," ukwelashwa nje nge-Clomid, noma i-Clomid ne-IUI . Iqembu eliphuthumayo kakhulu yokwelapha laliyiqembu le-IUI plus Clomid, elizuze amaphesenti angu-22 azalwa ngesilinganiso sokuzalwa. Iqembu le-Clomid yokwelapha kuphela lenza okufanayo emibhangqwaneni engatholanga nhlobo ukwelashwa.
Ingabe Usuku Oqala I-Clomid Treatment Matter?
I-Clomid ithathwa izinsuku ezinhlanu. Ukwelapha kungaqaliswa kusukela ngosuku lweSuku 2 lokujikeleza kokuya esikhathini, noma uqale ngasekupheleni kweSuku 5. Kodwa-ke, odokotela abaningi kungenzeka uthathe i-Clomid ngezinsuku ezintathu, 4, 5, 6, no-7, noma thatha ezinsukwini ezingu-5, 6, 7, 8, no-9.
Ingabe kunendaba ukuthi iyiphi i-protocol udokotela wakho ekhethayo? Yebo no cha.
Ukuze kuholele ukuvuthwa, ukwelashwa kulandela okukhethwa nguSuku 5 kuya ku-9. Uma udokotela wakho efuna "ukuthuthukisa" ukuvuthwa, cishe uzothatha i-Clomid ngezinsuku ezintathu kuya ku-7.
Uma kuziwa ekukhuleni kwamazinga nokukhulelwa kwe-ovulation, noma kunjalo, izifundo azitholanga inzuzo noma insalela. Izinkinga zakho zokukhulelwa zifana nanyana ngabe udokotela wakho ukhetha ngani.
Kuthiwani Uma Ungayitholi Ngemuva Kwezigidi Eziyisithupha Ze-Clomid?
Uma i-Clomid ingakusizi ukuthi ukhulelwe emva kwezinyanga eziyisithupha, udokotela wakho kufanele akhombise ukuthi uzame enye into. Kunezizathu ezimbalwa zalokhu.
Enye, uma i-Clomid ingakusizi ukuthi ukhulelwe ngemuva kwezinyanga eziyisithupha, izinkinga zayo ezisebenza ngenyanga enesikhombisa noma eziyisishiyagalombili ziphansi kakhulu. Khumbula ukuthi ukuzala kwakho ngokwemvelo kunqanda ngokukhula . Uma okuthile kungasebenzi, kungcono ukuqhubeka.
Okwesibili, ukwelashwa okwedlulele neClomid kungaholela ezinkingeni zozalo. Abesifazane abaye bahamba ngezinyathelo eziningana ze-Clomid bangase babe nomfutho we-endometrium, ongenakuvimbela ukufakelwa kwe-embryo.
(Lokhu kuzolungisa ngokwesikhashana emva kwesikhathi kusuka ku-Clomid futhi akuyona umphumela omubi wesikhathi eside.)
Okokugcina, ucwaningo oluthile olwenziwe eComomid lwathola ukuthi ingozi yomdlavuza yanda kakhulu kulabo besifazane abaphathiswe imijikelezo engaphezu kwengu-6. Akucaci ukuthi lokhu kubungozi kuvela ku-Clomid noma kusuka ekungenikeleni kwayo, kodwa, ukuze ube ohlangothini oluphephile, akufanele uthathe i-Clomid imijikelezo engaphezu kwengu-6.
Ngisiphi Isimo I-Clomid Iyoyosebenza Kuwe?
Udokotela wakho cishe uzokuqala ephansi kunazo zonke kuqala, okungu-50 mg. Uma ungagcini ku-50 mg, udokotela wakho angase azame umjikelezo owodwa ngomthamo ofanayo, noma ukwandise umthamo wakho nge-50 mg.
Uma wenza i-ovulate, futhi nje ungazitholi, udokotela wakho uzokugcina emthamo onayo. Ukwandisa umthamo awukwenyusa izinkinga zakho zokukhulelwa . Eqinisweni, ukulinganisa okuphezulu kwe- Clomid kungabangela imiphumela emibi , okunye okunganciphisa ukuzala kwakho.
Omunye umphumela ohlangothini olungenzeka we-Clomid uqiniswe umcibisholo wesibeletho somlomo wesibeletho . I-mucus yomlomo wesibeletho ibalulekile ekukhuliseni futhi kusiza insimu ukuba iphile emzimbeni wesifazane bese ingena embelethweni bese igcina iqanda.
Eminye imiphumela emibi okufanele uyenze kufanele uyiqaphele ukufaka ukushisa okushisayo, ukukhanda ikhanda, ukubhula, ingozi yokukhulelwa okuphindaphindiwe (ukukhulelwa amawele), ukuthuthukisa ama-cysts ama-ovari, nokuphazanyiswa okubukwayo. Izinga eliphezulu liyakwandisa ingozi yakho yokuthuthukisa i- ovarian hyperstimulation syndrome . Uma ukhathazekile nganoma yimiphi imiphumela emibi oyizwayo, njengoba njalo, xhumana nodokotela wakho.
Udokotela wakho uzokukufuna esilinganisweni esincane kunazo zonke, nje ngokwanele ukuqala ukuvota, kepha hhayi ngaphezu kwalokho.
Ngabe i-Clomid ayiphumelelanga nini?
I-Clomid akuyona imithi yemilingo yokuzala okuthiwa abanye abantu bayiphutha. Isebenza kahle ezimweni ezifanele-kodwa ingaphumeleli ngokuphelele kulabo abangalungile. Uma kunezinkinga ezengeziwe ngaphandle kwe-ovulation engavamile noma engekho, noma kunoma yiziphi izinkinga zesilisa ezingezansi zokubhekana nokungahambi kahle, impumelelo izobe iphansi.
Akungabaza ukuthi indlela yokwelapha i-Clomid ephumelelayo yenzani imibhangqwana etholakale ene-infertility engacacisiwe. Ucwaningo lithole ukuthi i-Clomid kufanele isetshenziswe kanye nokwelashwa kwe-IUI emibhangqwaneni ene-infertility engachazwanga , ngemiphumela engcono kakhulu.
Futhi, i-Clomid ayihlali ihlale isebenza kahle kwabesifazane abasebenzisana nokugula okuhlobene nobudala , namazinga aphansi okuthiwa yi-estrogen, noma abesifazane abane- primary ovarian insufficiency (ngaphambili ezaziwa ngokuthi ukuhluleka kwe-ovarian ngaphambi kwesikhathi). Kungase kungasebenzi nakwabesifazane abanezinkinga zabo zokuvota kubangelwa inkinga ye-thyroid.
Abesifazane abakhuluphele bangathola impumelelo engcono ngeComidid uma belahlekelwa isisindo. Kungakhathaliseki ukuthi kufanele uthathe isikhathi sokulahlekelwa isisindo noma cha, ngaphambi kokuba uqale ukwelashwa kuncike eminyakeni yakho nokuthi ubukhulu kangakanani. Xoxa ngesinyathelo esihle kakhulu nodokotela wakho.
Kuthiwani Uma Ngingazivali Ngenkathi Ngithatha I-Clomid?
Kuthiwani uma ungafuni ngisho nokugcoba ngenkathi uthatha i-Clomid ? Kunezinye izinto udokotela wakho angazama ngaphambi kokuphakamisa ezinye izindlela zokwelashwa.
Kwabesifazane abane-PCOS , i- letrozole yemithi yomdlavuza (i-Femara) ingaba yimpumelelo enkulu ekukhusheni i-ovulation kune-Clomid. Ukuthatha i-Clomid kanye ne- metformin yezidakamizwa zesifo sikashukela kuye kwandisa izinga lempumelelo yabesifazane abathile.
Uma i-Clomid ikusiza ukuthi ugqoke, kodwa emva kwezinyanga eziyisithupha ukwelashwa awukatholanga ukukhulelwa, isinyathelo esilandelayo singase sithunyelwe emtholampilo wokuzala (uma ungabonakali kakade). Noma, udokotela wakho angase asikisele i- gonadotropins (izidakamizwa ezingenayo ukuzala).
Izwi elivela ku-Verywell
Khumbula ukuthi ngenkathi ungase ujwayelane kakhulu ne-Clomid futhi mhlawumbe ukwelashwa kwe-IVF , empeleni kunezinketho eziningi zokwelapha ukwelashwa okufanele uzicabangele. Njalo khuluma nodokotela wakho uma ukhathazekile ngesinyathelo esilandelayo noma uma i-Clomid ingasebenzi ngendlela othemba ngayo.
> Imithombo:
> Arici, Aydin; Seli, Emre. "Ukuvuthwa kwe-ovulation nge-clomiphene citrate." Uptodate.com.
> Brandes M1, Hamilton CJ, van der Steen JO, de Bruin JP, Bots RS, Nelen WL, Kremer JA. "Ukungasebenzi Okungaqondakali: Isilinganiso Esijwayelekile sokukhulelwa nesimo sokukhulelwa. "Uhlehlisiwe. 2011 Feb; 26 (2): 360-8. i-doi: 10.1093 / i-humrep / deq349. I-Epub ka-2010 Dec 16.
> Homburg R1. "I-Clomiphene-citrate-end of era? Ukubuyekeza okuncane. "Ukuhlehliswa kwe-Hum. 2005 Aug; 20 (8): 2043-51. I-Epub ka-2005 Meyi 5.
> Imithi yokwehlisa i-Ovulation: Umhlahlandlela weziguli. UmNyango we-American for Medicine Reproductive.