Mankhwala Osabereka: Njira Zothandizira Akazi ndi Amuna

Zamkati

• Mawu
• Mankhwala obereketsa azimayi
• Mankhwala osokoneza bongo a Follicle (FSH)
• Urofollitropin lyophilisate
• Follitropin alfa lyophilisate
• Clomiphene
• Chorionic gonadotropin (hCG) yaumunthu
• Ophatikizanso anthu chorionic gonadotropin (r-hCG)
• Chorionic gonadotropin (hCG) yaumunthu
• Matenda a menopausal gonadotropin (hMG)
• Otsutsa a Gonadotropin-release hormone (GnRH)
• Ganirelix nthochi
• Cetrotide nthochi
• Agonist a Dopamine
• Bromocriptine
• Kabergoline
• Mankhwala obereketsa amuna
• Chorionic gonadotropin (hCG) yaumunthu
• Hormone-yolimbikitsa mahomoni (FSH)
• Mimba ndi chithandizo cha chonde
• Lankhulani ndi dokotala wanu

Chiyambi

Ngati mukuyesera kutenga pakati ndipo sikugwira ntchito, mwina mungafufuze chithandizo chamankhwala. Mankhwala obereketsa adayambitsidwa koyamba ku United States mzaka za 1960 ndipo athandiza anthu ambiri kutenga pakati. Imodzi mwa mankhwala omwe alipo masiku ano osabereka ingakhale njira kwa inu kapena mnzanu.

Mawu

Gome ili m'munsi limatanthauzira mawu omwe ndi othandiza kudziwa pokambirana za chonde.

Mankhwala obereketsa azimayi

Mitundu yambiri yamankhwala oberekera amayi ilipo masiku ano. Mutha kuzindikira kuti pali mankhwala ambiri omwe alembedwa m'nkhaniyi azimayi kuposa amuna. Izi zili choncho makamaka chifukwa ndikosavuta kulimbikitsa kupanga mazira mwa akazi kuposa kuwonjezera kuchuluka kwa umuna mwa amuna. Nawa mankhwala omwe azimayi ambiri amabereka.

Mankhwala osokoneza bongo a Follicle (FSH)

FSH ndi mahomoni opangidwa ndi thupi lanu. Zimapangitsa limodzi la mazira m'mimba mwanu kukula ndipo limapangitsa kuti follicle ipange mozungulira dzira lomwe likukhwima. Izi ndi njira zofunika kwambiri zomwe thupi lachikazi limadutsamo likamakonzekera. Monga FSH yopangidwa ndi thupi lanu, mtundu wa mankhwala a FSH amathanso kulimbikitsa ovulation.

FSH imalimbikitsa azimayi omwe mazira awo amagwira ntchito koma omwe mazira awo samakhwima pafupipafupi. FSH siyikulimbikitsidwa kwa amayi omwe ali ndi vuto losakhwima msanga. Musanalandire FSH, mwina mudzalandira mankhwala otchedwa human chorionic gonadotropin (hCG).

FSH imapezeka ku United States m'njira zingapo.

Urofollitropin lyophilisate

Mankhwalawa amapangidwa kuchokera ku FSH yaumunthu. Amaperekedwa ndi jakisoni wocheperako. Izi zikutanthauza kuti yabayidwa m'dera lamafuta pansi pa khungu. Urofollitropin imangopezeka ngati dzina la mankhwala a Bravelle.

Follitropin alfa lyophilisate

Mankhwalawa ndi mtundu wokonzanso wa FSH. Amaperekedwanso ndi jekeseni ya subcutaneous. Follitropin imangopezeka ngati dzina la mankhwala Follistim AQ ndi Gonal-F.

Clomiphene

Clomiphene ndi estrogen receptor modulator (SERM). Zimagwira ntchito polimbikitsa khungu lanu. Izi zimapangitsa kuti FSH. Clomiphene imalimbikitsa gland kuti atulutse FSH yambiri. Amagwiritsidwa ntchito nthawi zambiri kwa amayi omwe ali ndi polycystic ovarian syndrome (PCOS) kapena mavuto ena ovulation.

Clomiphene imabwera ngati piritsi lomwe mumamwa. Amapezeka kokha ngati mankhwala achibadwa.

Chorionic gonadotropin (hCG) yaumunthu

Chorionic gonadotropin ndi mahomoni opangidwa ndi thupi lanu. Zimayambitsa follicle m'modzi mwa mazira anu kuti mutulutse dzira lokhwima. Zimayambitsanso mazira ambiri kuti apange progesterone ya mahomoni. Progesterone imachita zinthu zambiri, kuphatikizapo kukonzekera chiberekero kuti dzira la umuna liyikemo.

Fomu ya mankhwala ya hCG imagwiritsidwa ntchito nthawi zambiri ndi clomiphene kapena menopausal gonadotropin (hMG). Iyenera kugwiritsidwa ntchito mwa amayi omwe ali ndi thumba losunga mazira. Sayenera kugwiritsidwa ntchito mwa amayi omwe ali ndi vuto losalephera kutulutsa mazira msanga. HCG ya mankhwala imapezeka ku United States m'njira ziwiri.

Ophatikizanso anthu chorionic gonadotropin (r-hCG)

Mankhwalawa amaperekedwa ndi jakisoni wamagetsi. Musanagwiritse ntchito r-hCG, mudzayambitsidwa ndi gonadotropin kapena FSH ya menopausal menopausal. Recombinant hCG imaperekedwa ngati mlingo umodzi tsiku limodzi pambuyo pa mlingo womaliza wa chithandizo. Mankhwalawa amapezeka pokhapokha ngati dzina la mankhwala Ovidrel.

Chorionic gonadotropin (hCG) yaumunthu

Mankhwalawa amalowetsedwa mu mnofu wanu. Izi zimatchedwa jekeseni wamitsempha. Musanagwiritse ntchito mankhwalawa, mudzayambiratu ndi menopausal gonadotropin kapena FSH. Chorionic gonadotropin imaperekedwa ngati mlingo umodzi tsiku limodzi pambuyo pa mlingo womaliza wa chithandizo. Mankhwalawa amapezeka ngati mankhwala achibadwa komanso monga mankhwala odziwika kuti Novarel ndi Pregnyl.

Matenda a menopausal gonadotropin (hMG)

Mankhwalawa ndi kuphatikiza kwa mahomoni awiri amunthu FSH ndi LH. Menopausal gonadotropin imagwiritsidwa ntchito kwa amayi omwe mazira ambiri amakhala athanzi koma sangakhale ndi mazira. Sagwiritsidwe ntchito kwa amayi omwe ali ndi vuto la ovari asanakwane. Mankhwalawa amaperekedwa ngati jakisoni wamagetsi. Amapezeka kokha ngati mankhwala otchedwa Menopur.

Otsutsa a Gonadotropin-release hormone (GnRH)

Otsutsana ndi GnRH nthawi zambiri amagwiritsidwa ntchito mwa azimayi omwe amathandizidwa ndi njira yotchedwa ovarian stimulation (COS). COS imagwiritsidwa ntchito ndi chithandizo chamankhwala monga in vitro feteleza (IVF).

Otsutsa a GnRH amagwira ntchito posunga thupi lanu kuti lisatulutse FSH ndi LH. Mahomoni awiriwa amachititsa kuti thumba losunga mazira litulutse mazira. Powapondereza, omwe amatsutsana ndi GnRH amaletsa kutsekemera kwadzidzidzi. Apa ndipamene mazira amatulutsidwa m'chiberekero molawirira kwambiri. Mankhwalawa amalola mazira kukula bwino kuti athe kugwiritsidwa ntchito pa IVF.

Otsutsa a GnRH amagwiritsidwa ntchito ndi hCG. Otsutsa awiri a GnRH amapezeka ku United States.

Ganirelix nthochi

Mankhwalawa amaperekedwa ndi jakisoni wamagetsi. Amapezeka kokha ngati mankhwala achibadwa.

Cetrotide nthochi

Mankhwalawa amaperekedwanso ndi jakisoni wocheperako. Amapezeka kokha ngati mankhwala odziwika kuti Cetrotide.

Agonist a Dopamine

Otsutsa a Dopamine atha kugwiritsidwa ntchito kuthana ndi vuto lotchedwa hyperprolactinemia. Mankhwalawa amagwira ntchito pochepetsa kuchuluka kwa ma prolactin omwe amasuliridwa ndi pituitary gland. Mankhwala otsatirawa a dopamine agonist amapezeka ku United States.

Bromocriptine

Mankhwalawa amabwera ngati piritsi lomwe mumamwa. Ilipo ngati mankhwala achibadwa komanso ngati dzina loti Parlodel.

Kabergoline

Mankhwalawa amabwera ngati piritsi lomwe mumamwa. Amapezeka kokha ngati mankhwala achibadwa.

Mankhwala obereketsa amuna

Mankhwala obereketsa abambo amapezeka ku United States.

Chorionic gonadotropin (hCG) yaumunthu

Chorionic gonadotropin imachitika mwachilengedwe m'matupi a akazi okha. Fomu ya mankhwala ya hCG imaperekedwa kwa amuna mwa jakisoni wamagetsi. Amagwiritsidwa ntchito kulimbikitsa testosterone yawo yopanga. Mankhwalawa amapezeka ngati mankhwala achibadwa. Imapezekanso ngati mankhwala omwe amadziwika kuti Novarel ndi Pregnyl.

Hormone-yolimbikitsa mahomoni (FSH)

Matupi aamuna amatulutsa FSH yothandizira kukopa umuna. Mtundu wa mankhwala a FSH umagwira chimodzimodzi. Imapezeka ku United States ngati follitropin alfa lyophilisate. Mankhwalawa ndi mtundu wokonzanso wa FSH. Follitropin imaperekedwa ndi jakisoni wamagetsi. Ilipo ngati mankhwala odziwika ndi dzina Follistim AQ ndi Gonal-F.

Mimba ndi chithandizo cha chonde

Lankhulani ndi dokotala wanu

Ngati mukulimbana ndi kusabereka, kambiranani ndi dokotala wanu. Amatha kukuwuzani zamankhwala anu onse, kuphatikiza mankhwala obereketsa. Onaninso mndandanda wa mankhwalawa ndi dokotala wanu ndipo onetsetsani kuti mukufunsa mafunso aliwonse omwe muli nawo. Mafunso anu atha kukhala awa:

• Ndi chifukwa chanji chosabereka cha mnzanga kapena cha mnzanga?
• Kodi ndine, kapena mnzanga, ofuna kulandira chithandizo chamankhwala obereketsa?
• Kodi inshuwaransi yanga imaphimba chithandizo chamankhwala obereketsa?
• Kodi pali mankhwala ena osagwiritsa ntchito mankhwala omwe angathandize ine kapena mnzanga?

Kuphunzira za njira zanu zamankhwala kumatha kukuthandizani kuti mukhale ndi chidziwitso komanso kuti musankhe njira yothandizira chonde yomwe ili yoyenera kwa inu.