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Kana iwe uri kuyedza kubata nhumbu kwechinguva ikozvino pasina chero budiriro, iwe unogona kutungamirwa nachiremba wako kuti utarise kurapa kwekubereka. Mishonga yekuzvara ndiyo nhanho yekutanga yekurapa matambudziko ekubereka uye inowanikwa kune vese vakadzi nevarume.
Ichi chinyorwa chichafukidza Fertility Drugs yeVakadzi, mhando dziripo muIndia, pamwe nezvinogona kuitika mhedzisiro yemishonga yekubereka iyi.
Kuberekesa Zvinodhaka Kune Vakadzi: Zvinoshanda Sei?
Chibereko zvinodhaka zvinoshanda nekuwedzera mamwe mahormoni anobatsira kukura uye kusunungura rimwe kana akawanda mazai mwedzi wega. Kana iwe ukasvibisa kashoma kana zvisina kujairika, mishonga yekubereka inogona kukubatsira iwe kubata pamuviri [1] .
Mimwe yemishonga yekubereka inoitwa nemuromo. Panguva imwecheteyo, vamwe vanobayiwa jekiseni uye vanoshanda nenzira imwechete nekusimudzira kuburitswa kwemahormone ayo anotanga kuita ovulation maitiro. Mishonga yekuzvara chikamu chakakosha chekubatsira kubata mishonga yekurapa, senge IVF [piri] .
Kana mukadzi asingakwanise kubata nhumbu kana kuramba achishupika mushure mekuyedza kubata pamuviri kwemwedzi gumi nemaviri kana kupfuura, anogona kukurudzirwa kurapwa kwekubereka. Kune vakadzi vanopfuura makumi matatu nemashanu, vanachiremba vazhinji vanokurudzira kutsvaga kurapwa mushure memwedzi mitanhatu yekuedza kubata pamuviri.
Mhando dzeKubereka Mishonga YeVakadzi
Mhando dzakawanda dzemishonga yekubereka yevakadzi inowanikwa nhasi. Izvo zvakakosha chete tora mushonga wekubereka uri pasi pekutarisirwa nenyanzvi yekubereka kana mumwe chiremba nekuti, nepo ruzhinji rwemishonga yekubereka yakachengeteka uye ichishanda, mimwe inogona kukonzera mhedzisiro [3] .
Mishonga inozivikanwa kwazvo yekubereka yevakadzi (muIndia) ndeinotevera:
- Clomiphene citrate senge Clomid uye Serophene
- Gonadotrophins senge Antagon, Pergonal, Repronex uye Menopur
- Dopamine agonists senge Bromocriptine uye Cabergoline
- Heparin zvinodhaka zvakadai seHep-Lock kana Liquamin
- Metformin hydrochloride
- Follistim kana Gonal-F
- Pregnyl
- Profasi
- Novarel
(1) Clomiphene citrate (Clomid naSerophene) : Iyi mhando yemishonga yekubereka inoshanda nekuita kuti muviri wako 'utende' kuti eestrogen mazinga akaderera uye nekudaro anomutsa iyo FSH kana follicle-inosimudzira mahormone uye LH kana iyo luteinizing mahormone - iwo akakosha pakubudirira kubata [4] . Zvimwe zvinokanganisa inosanganisira kusvotwa, kurutsa, kugadzikana kwepfungwa, kugumbuka, kunzwa kwehunyoro mumazamu, kupisa kunopisa, uye kuoma kwechikadzi. Mune zvimwe zviitiko, zvinogona kukonzera nhumbu dzakawanda, senge mapatya (4-10 muzana) uye katatu (1 muzana).
(2) Gonadotrophins (Antagon, Pergonal, Repronex uye Menopur) : Iyi mhando yemishonga yekubereka inojowa uye inowedzera kugadzirwa kweiyo LH uye FSH mahormone. Gonadotrophins inorayirwa vakadzi vane ovulation inofanirwa kugadziriswa kumwe kurapwa uye mune chemotherapy kesi (sezvo ichivhara pasi pituitary gland, ichimisa ovulation). Zvakajairika mhedzisiro ari kurwadziwa nemusoro, kushaya hope, kupisa kupisa uye kusangana nekutsi kwemukadzi [5] .
(3) Dopamine agonists : Izvi zvinokurudzirwa kune vakadzi vane zvakawandisa zvehomoni prolactin, iyo inoderedza mahormone estrogen mazinga, nokudaro zvichiita kuti zviome kubata pamuviri [6] . Kana ikashandiswa panguva yekubatsirwa kwekubata kubata pamuviri, senge IVF, dopamine agonists inogona zvakare kudzikisa njodzi yean ovarian hyper-stimulation syndrome (inokonzeresa kuti maovari azvimbe) [7] . Zvakajairika mhedzisiro inosanganisira kuvhiringidzika, kuzvimba kwegumbo, kurara zvakanyanya, maitiro ekumanikidza (zvisingawanzoitika).
(4) Heparin zvinodhaka (Hep-Lock kana Liquamin) : Iyi mishonga yekubereka inoiswa jekiseni kudzikisira njodzi yekuparara mumadzimai anotambura nekurwara-kuvhara ropa, chikonzero chinowanzoitika chekushaya mbereko [8] . Zvimwe zvinokanganisa inosanganisira musana, kurwadziwa mudumbu, kudonha kwebvudzi, kuputika kweganda, kubuda ropa kwakanyanya, uye huwandu hwe potassium muropa zvakanyorwa zvakare.
(5) Metformin hydrochloride : Uyu mushonga unonyanya kushandiswa pakurapa chirwere cheshuga uye unogona zvakare kushandiswa kurapa matambudziko eovulation mune vakadzi vane polycystic ovary syndrome (PCOS) [9] . Mahwendefa aya anoshanda nekuderedza insulin inotenderera muropa, izvo zvinogona kubatsira kusimudzira ovulation yakajairwa. Zvimwe zvinokanganisa inosanganisira kushaya simba panyama, manyoka, gasi, kurwadziwa nemhasuru, shuga shoma yeropa, kurwadziwa mudumbu nezvimwe.
(6) Follistim kana Gonal-F : Shanduro yekugadzirwa kweiyo FSH yechisikigo, ino follicle inosimudzira mahormoni inokonzeresa kuti mazai akure uye inomutsa kukura kwemazai mazhinji eiyo IVF inobudirira. [10] . Possible mhedzisiro inosanganisira kutemwa nemusoro, kurwadziwa nemhasuru, kusanduka kwemamiriro sekushamisika uye kunyorova kwemazamu.
(7) Pregnyl, Profasi naNovarel : Iyi mishonga yekubereka inoshanda nenzira imwecheteyo. Ivo vanokurudzira kukura kwemazai uye kuita kuti vaburitswe kubva mu follicle nekusimudzira iyo hCG kugadzirwa kwehomoni mune ino system. Possible mhedzisiro inosanganisira kusvotwa, kurutsa uye kurwadziwa nemudumbu.
Tarira : Chiremba wako anokuzivisa iwe nezve zvingangoitika mhedzisiro yemishonga iyi. Kana iwe ukazviwana uchinetseka uye mukunyanyisa kusagadzikana kana kurwadziwa, tora kurapwa nekukurumidza.
Pane Yekupedzisira Chiziviso ...
Vakadzi vasina nguva dzakajairika uye vakadzi vane mamiriro ekurapa anogona kukanganisa kubata, senge UTI, kufutisa, BP nezvimwewo, vanofanirwa kutaura nachiremba vasati vaedza kubata pamuviri.
