Izidakamizwa Zokuzala: Izinketho Zokwelashwa Kwabesifazane Namadoda

-Delile

• Amagama
• Izidakamizwa zokuzala kwabesifazane
• Izidakamizwa ezikhuthaza i-follicle (FSH)
• I-Urofollitropin lyophilisate
• Follitropin alfa lyophilisate
• Clomiphene
• I-chorionic gonadotropin (hCG) yomuntu
• I-recombinant chorionic gonadotropin (r-hCG)
• I-chorionic gonadotropin (hCG) yomuntu
• I-gonadotropin ye-menopausal yabantu (hMG)
• Abaphikisi be-Gonadotropin-releasing hormone (GnRH)
• I-Ganirelix acetate
• I-Cetrotide acetate
• Ama-agonists eDopamine
• I-Bromocriptine
• I-Cabergoline
• Izidakamizwa zokuzala kwabesilisa
• I-chorionic gonadotropin (hCG) yomuntu
• I-hormone evuselela i-follicle (FSH)
• Ukukhulelwa ngokwelashwa kokuzala
• Khuluma nodokotela wakho

Isingeniso

Uma uzama ukukhulelwa futhi kungasebenzi, kungenzeka ukuthi uhlola ukwelashwa. Izidakamizwa zokuzala zaziswa okokuqala e-United States ngawo-1960 futhi sezisize abantu abaningi ukuba bakhulelwe. Esinye sezidakamizwa ezivamile zokuzala zanamuhla singaba inketho yakho noma yesithandwa sakho.

Amagama

Ithebula elingezansi lichaza amagama asizayo ukuwazi lapho kuxoxwa ngokuzala.

Izidakamizwa zokuzala kwabesifazane

Izinhlobo eziningi zemithi yokuzala yabesifazane ziyatholakala namuhla. Ungaqaphela ukuthi kunezidakamizwa eziningi ezibalwe kule ndatshana yabesifazane kunamadoda. Lokho ikakhulu kungenxa yokuthi kulula ukukhuthaza ukukhiqizwa kwamaqanda kwabesifazane kunokukhulisa ukubalwa kwesidoda emadodeni. Nayi imithi ejwayelekile yokuzala yabesifazane.

Izidakamizwa ezikhuthaza i-follicle (FSH)

I-FSH yihomoni ekhiqizwa ngumzimba wakho. Kubangela ukuthi elinye lamaqanda emaqanda akho livuthwe futhi kubangele ukuthi kwakheke i-follicle ezungeze iqanda elikhulayo. Lezi yizinyathelo ezibalulekile umzimba wesifazane odlula kuzo njengoba ulungiselela ukuphuma ngeqanda. Njenge-FSH eyenziwe ngumzimba wakho, ifomu lesidakamizwa i-FSH nalo lingakhuthaza ukukhiqizwa kweqanda.

I-FSH inconyelwa abesifazane abasebenza ama-ovari kodwa amaqanda abo engakhuli kahle njalo. I-FSH ayinconywa kwabesifazane abanokwehluleka kwe-ovarian ngaphambi kwesikhathi. Ngaphambi kokuthola i-FSH, cishe uzolashwa ngomuthi obizwa nge-chorionic gonadotropin (hCG).

I-FSH itholakala e-United States ngezindlela eziningi.

I-Urofollitropin lyophilisate

Lesi sidakamizwa senziwe nge-FSH yomuntu. Inikezwa ngomjovo ongaphansi. Lokho kusho ukuthi ijojowe endaweni enamafutha ngaphansi kwesikhumba. I-Urofollitropin itholakala kuphela njengesidakamizwa sohlobo lwegama iBravelle.

Follitropin alfa lyophilisate

Lesi sidakamizwa yinguqulo ephindaphindekayo ye-FSH. Iphinde inikezwe ngomjovo ongaphansi. I-Follitropin itholakala kuphela njengezidakamizwa ezibizwa ngegama i-Follistim AQ ne-Gonal-F.

Clomiphene

I-Clomiphene iyimoduli ekhethiwe ye-estrogen receptor modulator (SERM). Isebenza ngokuvuselela i-pituitary gland yakho. Le ndlala yenza i-FSH. I-Clomiphene ishukumisa indlala ukuthi ikhiphe i-FSH engaphezulu. Kuvame ukusetshenziselwa abesifazane abane-polycystic ovarian syndrome (i-PCOS) noma ezinye izinkinga nge-ovulation.

I-Clomiphene iza njengethebhulethi oyiphuzayo ngomlomo. Itholakala kuphela njengomuthi ojwayelekile.

I-chorionic gonadotropin (hCG) yomuntu

I-chorionic gonadotropin i-hormone eyenziwe ngumzimba wakho. Kubangela i-follicle kwelinye lamaqanda akho ukukhipha iqanda elivuthiwe. Kubuye kubangele ama-ovari akho ukukhiqiza i-hormone progesterone. IProgesterone yenza izinto eziningi, kufaka phakathi ukulungisa isibeletho ukuze iqanda elikhulelisiwe lifakwe kulo.

Ifomu lesidakamizwa le-hCG livame ukusetshenziswa ne-clomiphene noma i-human menopausal gonadotropin (hMG). Kufanele isetshenziswe kuphela kwabesifazane abanamaqanda asebenzayo. Akufanele isetshenziswe kwabesifazane abanokwehluleka kwe-ovarian ngaphambi kwesikhathi. Isidakamizwa i-hCG sitholakala e-United States ngezindlela ezimbili.

I-recombinant chorionic gonadotropin (r-hCG)

Lesi sidakamizwa sinikezwa ngomjovo ongaphansi. Ngaphambi kokusebenzisa i-r-hCG, uzothathwa ngaphambi kwesikhathi nge-menopausal gonadotropin noma i-FSH. I-hCG ye-recombinant inikezwa njengomthamo owodwa ngosuku olulodwa ngemuva komthamo wokugcina wokwelashwa kwangaphambili. Lesi sidakamizwa sitholakala kuphela njengomuthi wegama lomkhiqizo i-Ovidrel.

I-chorionic gonadotropin (hCG) yomuntu

Lesi sidakamizwa sijojowe emisipheni yakho. Lokhu kubizwa ngokuthi umjovo we-intramuscular. Ngaphambi kokusebenzisa lesi sidakamizwa, uzothathwa ngaphambi kwesikhathi nge-menopausal gonadotropin noma i-FSH. I-chorionic gonadotropin inikezwa njengethamo elilodwa ngosuku olulodwa ngemuva komthamo wokugcina wokwelashwa kwangaphambili. Lesi sidakamizwa sitholakala njengomuthi ojwayelekile futhi njengezidakamizwa zegama lomkhiqizo iNovarel nePregnyl.

I-gonadotropin ye-menopausal yabantu (hMG)

Lesi sidakamizwa siyinhlanganisela yamahomoni womuntu amabili i-FSH ne-LH. I-human menopausal gonadotropin isetshenziselwa abesifazane abama-ovari abo enempilo ngokuyisisekelo kepha abakwazi ukuthuthukisa amaqanda. Ayisetshenziselwa abesifazane abanokwehluleka kwe-ovarian ngaphambi kwesikhathi. Lesi sidakamizwa sinikezwa njengomjovo ongaphansi. Itholakala kuphela njengegama lomuthi i-Menopur.

Abaphikisi be-Gonadotropin-releasing hormone (GnRH)

Abaphikisi be-GnRH bavame ukusetshenziswa kwabesifazane abaphathwa ngenqubo ebizwa nge-controlled ovarian stimulation (COS). I-COS ivame ukusetshenziswa ngezindlela zokwelapha ezifana ne-in vitro fertilization (IVF).

Abamelene ne-GnRH basebenza ngokugcina umzimba wakho ungakhiqizi i-FSH ne-LH. Lawa mahomoni amabili enza ukuthi ama-ovari akhiphe amaqanda. Ngokubacindezela, abaphikisi be-GnRH bavimbela ukuvuthwa okuzenzakalelayo. Yilapho amaqanda ekhishwa khona esibelethweni kusenesikhathi. Le mithi ivumela amaqanda ukuthi akhule kahle ukuze asetshenziselwe i-IVF.

Abaphikisi be-GnRH bavame ukusetshenziswa ne-hCG.Izitha ezimbili ze-GnRH ziyatholakala e-United States.

I-Ganirelix acetate

Lesi sidakamizwa sinikezwa ngomjovo ongaphansi. Itholakala kuphela njengomuthi ojwayelekile.

I-Cetrotide acetate

Lesi sidakamizwa sinikezwa ngomjovo ongaphansi. Itholakala kuphela njengegama lomuthi i-Cetrotide.

Ama-agonists eDopamine

Abaphikisi be-Dopamine bangasetshenziswa ukwelapha isimo esibizwa nge-hyperprolactinemia. Izidakamizwa zisebenza ngokunciphisa inani leprolactin ekhishwa yindlala ye-pituitary. Imithi elandelayo ye-agonist ye-dopamine iyatholakala e-United States.

I-Bromocriptine

Lesi sidakamizwa siza njengethebhulethi oyiphuza ngomlomo. Kutholakala njengomuthi ojwayelekile futhi njengegama lomuthi iParlodel.

I-Cabergoline

Lesi sidakamizwa siza njengethebhulethi oyiphuza ngomlomo. Itholakala kuphela njengomuthi ojwayelekile.

Izidakamizwa zokuzala kwabesilisa

Imithi yenzalo yamadoda iyatholakala nase-United States.

I-chorionic gonadotropin (hCG) yomuntu

I-chorionic gonadotropin ivela ngokwemvelo kuphela emizimbeni yabesifazane. Ifomu lesidakamizwa le-hCG linikezwa amadoda ngomjovo ongaphansi. Isetshenziselwa ukuthuthukisa ukukhiqizwa kwabo kwe-testosterone. Lesi sidakamizwa sitholakala njengomuthi ojwayelekile. Iphinde itholakale njengegama lomuthi wezidakamizwa iNovarel nePregnyl.

I-hormone evuselela i-follicle (FSH)

Imizimba yabesilisa ikhiqiza i-FSH ukusiza ukukhuthaza ukukhiqizwa kwesidoda. Ifomu lesidakamizwa i-FSH lisebenza ngenhloso efanayo. Itholakala e-United States njenge-follitropin alfa lyophilisate. Lesi sidakamizwa yinguqulo ephindaphindekayo ye-FSH. I-Follitropin inikezwa ngomjovo ongaphansi. Itholakala njengezidakamizwa ezibizwa ngegama elithi Follistim AQ kanye neGonal-F.

Ukukhulelwa ngokwelashwa kokuzala

Khuluma nodokotela wakho

Uma ubhekene nokungabi nenzalo, khuluma nodokotela wakho. Bangakutshela ngazo zonke izinketho zakho zokwelashwa, kufaka phakathi izidakamizwa zokuzala. Buyekeza lolu hlu lwezidakamizwa nodokotela wakho bese uqiniseka ukuthi ubuza noma imiphi imibuzo onayo. Imibuzo yakho ingafaka:

• Siyini isizathu sokungazali noma komlingani wami?
• Ngabe mina, noma umlingani wami, ngizoqokelwa ukwelashwa ngemithi yokuzala?
• Ngabe umshwalense wami umboza ukwelashwa ngemithi yokuzala?
• Ingabe zikhona ezinye izindlela zokwelapha ezingezona izidakamizwa ezingasiza mina noma umlingani wami?

Ukufunda ngazo zonke izinketho zakho zokwelashwa kungakusiza uzizwe unolwazi futhi ukwazi kangcono ukukhetha indlela yokwelashwa okuzalayo ekufanele.