I-progesterone ibizwa ngokuthi "Ukukhulelwa kweHormone"
Uma uthola imithi yokwelapha, njenge-vitro fertilization, kungenzeka ukuthi utshelwe ukuthi udinga ukwelashwa kwe-progesterone. Izinhlobo eziningi zemithi zitholwa ekusakazeni ngokusebenzisa ukungenisa noma izijovo. Kodwa-ke, i-progesterone ingcono kakhulu ekuthwalwe ngendwangu yesifazane-noma nge-suppository, iphilisi lesiswini noma i-gel.
I-progesterone ivame ukubizwa ngokuthi "i-hormone yokukhulelwa." Kubalulekile ekulungiseleleni ukufakelwa kweqanda elivundisiwe (embryo) kanye nezinguquko ezenzeka esibelethweni sakho esakhiweni lapho umbungu ubeka khona.
I-progesterone ikhiqizwa ama-ovari akho ngesikhathi sokuvuthwa (ukukhululwa kweqanda elivuthiwe elivela ovary). Ngokuqondile, i-progesterone ikhiqizwa ngamangqamuzana e-ovarian follicles, okuyi-cysts equkethe amaqanda ngaphambi kokuvuthwa. Ngemva kwamasonto angu-8 wokubeletha, i-placenta yenza i-progesterone.
I-progesterone ilungisa uketshezi kwesibeletho sakho (endometrium) sokufakwa kweqanda elikhulelwe. Uma iqanda elikhulelwe lingenakuzifaka esibelethweni, amazinga akho okuwa phansi kweprogesterone nokuya esikhathini kuqala. Uma ukufakelwa kwempumelelo kuphumelela futhi ukukhulelwa kwenzeka, cishe amasonto angaba ngu-10 ekukhulelweni kwakho, i-placenta yakho ithatha futhi ikhiqize amazinga aphezulu we-progesterone futhi iyaqhubeka kuze kube yilapho ingane yakho izalwa.
Ingabe Ngidinga I-Progesterone Yokuphatha Ukungabi Nesifo?
Ukuthatha i-progesterone yingxenye ebalulekile yokwelashwa kokuzala. Phakathi ne-IVF, ukukhiqizwa kwakho okujwayelekile kweprogesterone kunganciphisa ngezizathu eziningana:
- Imithi esetshenziselwa ukunciphisa i-ovulation ngaphambi kwesikhathi (njengeLupron, Antagon noma i-Cetrotide) inganciphisa ukukhiqizwa kwe-progesterone ngemuva kokuqoqwa kwamaqanda akho.
- Ngesikhathi se-follicle aspiration ukuthola amaqanda akho avuthiwe, amangqamuzana amaningi okukhiqiza i-progesterone nawo angasuswa ngenxa yemishini yenqubo ngokwayo.
Ukuze uqiniseke ukuthi ukwakhiwa kwesibeletho kulungiselelwe ukufakwa kweqanda elikhulelwe, iningi labesifazane abaphila nge- IVF bayonikezwa i-progesterone ngemuva kokuthola amaqanda ayo.
I-Progesterone Inikezwa Kanjani?
Uma une-IVF, ungase uqale ukusebenzisa i-progesterone kusukela ngesikhathi phakathi kokudluliswa kweqanda nokudluliswa kombungu. Uma ukuhlolwa kokukhulelwa okuhle kuqinisekisiwe ukwelashwa kwe-progesterone kuzoqhubeka isikhathi esiphelele samasonto angu-10 kuya ku-12 (i-trimester yokuqala). Ungathatha i-progesterone ngomlomo (ngomlomo), ngomjovo, noma ngomzimba.
I-progesterone ethathwe ngomlomo ayinokwethenjelwa ngoba iboniswa ngokomzimba esibindi sakho ngemva kokuba ithole ukuthi inganciphisa ukusebenza kwayo futhi ibangele imiphumela emibi.
Nakuba imijovo ye-progesterone iphumelela, le ndlela yindlela engakhululekile kakhulu ongayithatha.
Ukusebenzisa i-progesterone yesiswini kugwema izinkinga kokubili komlomo ne-progesterone engenayo.
Izinhlobo ezahlukene
Kunezinhlobo ezintathu zamalungiselelo aseprogesterone atholakalayo angasetshenziselwa ubulili:
- I-progesterone suppositories yenziwa yenziwe ngumyalelo we-pharmist esekelwe umthamo we-progesterone kanye nemvamisa yokusetshenziswa njengoba kunqunywe ochwepheshe be-IVF.
- Ijelisi le-progesterone lifakwa esiswini sakho kanye ngosuku ngosuku lokuxhaswa kwe-progesterone noma kabili ngelanga lokufaka esikhundleni se-progesterone usebenzisa i-applicator ekhethekile.
- Amaphilisi e-vaginal afakwa emgodini kanye noma kabili ngosuku usebenzisa i-applicator ekhethekile.
Amagama wegama
Igama legama lomkhiqizo we-progesterones yama-vaginal yi-Crinone, i-Endometrin, ne-Prometrium.
Uma usebenzisa i-progesterone yesisu, akufanele usebenzise noma yimiphi imithi yokwelapha yangasese ngaphambi kwesikhathi sokulashwa ngaphandle kokuba ufundiswe udokotela wakho. Imiphumela emibi ingase ihluke ngohlobo lomkhiqizo we-progesterone yangasese futhi kufanele uqiniseke ukuthi uzoxoxa ngemiphumela emibi engaba nomdokotela wakho.
Ekugcineni, sicela uqiniseke ukuthi uxoxisane nazo zonke izidakamizwa nodokotela wakho ngaphambi kokuba uqale. Sicela ukhumbule ukuthi udokotela wakho ukhona ukusiza ukuqondisa ukwelashwa kwakho uphendule imibuzo.
Ngaphezu kwalokho, uma usuceliwe ukuba uthathe i-progesterone yokuzala futhi uhlolisise isihloko, uzizwe ukhululekile ukuxoxa nganoma yimiphi imibuzo engase ivele ekufundeni kwakho nodokotela wakho.
Imithombo
Molina PE. Isahluko 9. Uhlelo Lokukhiqiza Kwabesifazane. Ku: Molina PE. ama-eds. I-Endocrine Physiology, i-4e . ENew York, NY: McGraw-Hill; 2013.