Mimba sichidzachitika ngati mkazi alibe ovulation. Ndipo kuti izi zitheke - ndikofunikira kuti ukhale ovulation, monga lamulo, mankhwala. Chinthu chofala kwambiri pa nkhaniyi ndi Klostilbegit (dzina la mayiko Klomifen). Klostilbegit - mapiritsi kuti aziteteza ovulation, zomwe zimaperekedwa kuti zikhale zosavuta kuzizira, kusapezeka kwake, ma polycystic ovaries. Mlingo umatsimikiziridwa ndi dokotala atapenda bwinobwino. Mankhwalawa amagwiritsidwa ntchito pa mitundu iwiri ya mahomoni:
- FSH (follicle-stimulating hormone) - imakhudza kukonzekera kwa ma thumba losunga mazira (mature follicle) (follicles);
- LH (luteinizing hormone) - imakhudza kutuluka kwa dzira kuchokera ku follicle.
Ndondomeko yotsegula ovulation ndi Klostilbegit
Clostilbegit imayamba kutenga tsiku lachisanu la kusamba. Tengani piritsi imodzi 1 musanagone mpaka masiku 9. Mapeto atatenga mapiritsi, dokotala amayamba kupanga ultrasound ndikupitirira mpaka follicles kufika kukula kwa 20-25 mm. Pambuyo pake, jekeseni wa hCG (chorionic gonadotropin) yalamula. Zimatheka kamodzi pa mlingo wa dokotala (5000-10000 IU). Pambuyo maola 24, maola 36, ovulation amapezeka. Masiku ano moyo wa kugonana uyenera kugwira ntchito. Pamene ultrasound imatsimikizira kuyambika kwa ovulation, imapereka kukonzekera kwa progesterone, mwachitsanzo, Dufaston, Utrozestan, Progesterone mu ampoules.
Azimayi nthawi zambiri amayamba kuyambitsa ovulation 1-2 maphunziro a mankhwala ndi Klostilbegitom. Ngati maphunziro atatu akadzakula pang'onopang'ono, ovulation sichidzayambiranso, ndikofunikira kufufuza mozama ndikuwerenganso chithandizocho. Sikoyenera kugwiritsa ntchito mankhwalawa molakwika (sikuvomerezeka kutenga nthawi zoposa 5-6 mu moyo), chifukwa izi zingathe kufooketsa mazira. Pambuyo pake, kutenga mimba nthawi zonse sikungatheke. Tiyeneranso kukumbukira kuti Clostilbegit imakhudza kwambiri kukula kwa endometrium, siidaperekedwa kwa amayi omwe ali ndi endometrium wolemera kuposa 8 mm. Zikatero, zimalimbikitsa kusankha mankhwala ena omwe amachititsa ovulation, monga Puregon, Gonal, Menogon, kapena ena.
Kupangitsa Medicamental kukakamiza ovulation - kukhala kapena osakhala?
Ndizosatheka kutchula zotsatira za zotsatira za Klostilbegit (komanso mankhwala ena ambiri ochizira matenda). Izi zikhoza kukhala zosokoneza dongosolo la mitsempha yamkati (kusokonezeka maganizo, kusowa tulo, kukhumudwa, kupsinjika mtima, kupweteka mutu), kapangidwe ka zakudya ndi kagayidwe kake (kusungunuka, kusanza, kulemera). Zomwe zimayambitsa matendawa zimatheka.
Komabe, ndi zolephera zonse, sitingalephere kunena za zoyenera. Kuchotsa mimba kumabwezeretsedwanso mwa amayi 70% panthawi zitatu zothandizira. Mwa iwo omwe anathandizidwa ndi kukopa kwa ovulation mu 15-50% mimba imapezeka. Deta ndi yosiyana chifukwa cha zotsatira
Klostilbegit ingathandize kuti mazira angapo apangidwe kamodzi. Nyumbayi imagwiritsidwa ntchito musanayambe IVF (in vitro fertilization). Ndi feteleza chachibadwa, mimba yambiri imatha. Kwa amayi omwe amachititsa ovulation ndi Klostilbegit, kuthekera kwa kupota ndi 7%, ndipo katatu - 0,5%.
Ndikofunika kukumbukira kuti kumwa mankhwalawa sikuvomerezeka, mankhwala ayenera kuchitika pokhapokha kuyang'aniridwa ndi dokotala! Ndipo powasankha, nkofunikira kuganizira za zabwino ndi zoipa zomwe zimakhalapo za mankhwala, zikhalidwe za thupi ndi chikhalidwe cha amayi.