Ukukhulelwa akuyi kwenzeka xa ibhinqa lingenayo i-ovulation. Kwaye ukwenzela ukuba kwenzeke-kuyimfuneko ukuvuselela i-ovulation, njengomthetho, ngokwasemzimbeni. Isidakamizwa esona siqhelekileyo kulo mzekelo nguKlostilbegit (igama lesizwe laseKlomifen). I-Klostilbegit - ipilisi yokuvuselela i-ovulation, enqunyelwe ukuba i-ovulation engavumelekanga, ukungabikho kwayo, i-polycystic ovaries. Umyinge ugqitywa ngugqirha emva kokuvavanya. Isilwayo senzelwe ezimbini iintlobo zamahomoni:
- I-FSH (i-homlicle-stimulating hormone) - ithintela ukulungiswa kwee-ovari i-follicle evuthiweyo (i-follicles);
- I-LH (i-hormone ye-luteinizing)-ithintela ukukhutshwa kweqanda kwi-follicle.
Inkqubo yokuvuselela i-ovulation yiKlostilbegit
I-Clostilbegit iqalisa ukuthatha ngosuku lwesihlanu lomjikelezo wesini. Thatha i-tablet 1 ngaphambi kokuba ulale kuze kube seentsuku ezili-9. Emva kokuphela kokuthatha amacwecwe, ugqirha uqala ukwenza i-ultrasound aze aqhubekele kwaze kwaba yilapho i-follicles ifikelela kubukhulu be-20-25 mm. Emva koko, i-injection ye hCG (i-chorionic gonadotropin) yamiselweyo. Yenziwa kanye kwinqanaba elinqunywe ngugqirha (5000-10000 IU). Emva kweeyure ezingama-24, kwiiyure ezingama-36, i-ovulation ivela. Le mihla ubomi besondo kufuneka busebenze. Xa i-ultrasound iqinisekisa ukuqala kwe-ovulation, misela amalungiselelo e-progesterone, umzekelo, iDufaston, Utrozestan, Progesterone kwi-ampoules.
Abasetyhini badla ngokwaneleyo ukuqala i-ovulation 1-2 rhoqo izifundo zonyango kunye neKlostilbegitom. Ukuba emva kwezifundo ezi-3 ngokunyuka ngokuthe ngcembe kwinqanaba, i-ovulation ayifumaneki, kuyimfuneko ukuqhuba uviwo olupheleleyo kwaye uhlaziye unyango. Akuyimfuneko ukuyisebenzisa kakubi eli liyeza (akukhuthazwa ukuba lithathe ngaphezulu kwamaxesha ama-5-6 ebomini), njengoko oku kungakhokelela ekuphelelweni kwama-ovari. Emva koko, ukukhulelwa okuqhelekileyo kuya kuba nzima. Kufuneka kwakhona kuqaphele ukuba i-Clostilbegit ithintela kakubi ukukhula kwe-endometrium, ayinqunyelwe kubafazi abane-endometrium elincinci kune-8 mm. Kwiimeko ezinjalo, kucetyiswa ukuba ukhethe ezinye iziyobisi ezikhuthaza ukuvuthwa, njengePuregon, Gonal, Menogon, okanye abanye.
Ukuvuselela i-Medicamental ye-ovulation - ukuba okanye kungekhona?
Akunakwenzeka ukuba ungathethi ngemiphumo emibi ye-Klostilbegit (kunye nezinye iziyobisi zonyango lwe-anovulation). Ezi zinto zingabangela ukuphazamiseka kwenkqubo ye-nervous central (ukuguquka kwemizwelo, ukusila, ukungaxakeki, ukuxinezeleka, intloko yesifo), umgudu wokugaya kunye ne-metabolism (isicupunu, ukuhlanza, inzuzo yesisindo). Ukuphendulwa kwemizimba kunokwenzeka.
Nangona kunjalo, ngazo zonke iingxaki, asikwazi ukuthetha ngokumalunga. I-Ovulation ibuyiselwe ngokupheleleyo kwi-70% yabasetyhini ngexesha lezithathu zonyango. Kwalabo bancedwa yi-stimulation of ovulation ngo-15-50% ukukhulelwa kwenzeka. Idatha ihluke kakhulu ngenxa yempembelelo
I-Klostilbegit inokukhuthaza ukuveliswa kwamaqanda athile ngexesha elilodwa. Le ndawo isetyenziswa rhoqo ngaphambi kwe-IVF (in vitro fertilization). Ngokukhulelwa komzimba, ukukhulelwa okuphezulu kunokwenzeka. Kubafazi abavuselela i-ovulation ne-Klostilbegit, amathuba okuba i-twinning i-7%, kunye ne-triplets-0.5%.
Kubalulekile ukukhumbula ukuba ukuthatha imithi enjalo ayimkelekanga, unyango kufuneka lwenziwe kuphela ngaphantsi kweso sigqirha! Kwaye xa ukhetha, kuyimfuneko ukuqwalasela iimpawu ezilungileyo nezibi zeliza, iimpawu zomzimba kunye nemeko yempilo yabasetyhini.