Kubereka Zvinodhaka: Kurapa Sarudzo dzeVakadzi neVarume
Zvemukati
- Chirevo
- Mishonga yekubereka yevakadzi
- Follicle inosimudzira mahormone (FSH) zvinodhaka
- Urofollitropin lyophilisate
- Follitropin alfa lyophilisate
- Clomiphene
- Chorionic gonadotropin (hCG) yemunhu
- Yakawirazve yevanhu chorionic gonadotropin (r-hCG)
- Chorionic gonadotropin (hCG) yemunhu
- Yevanhu menopausal gonadotropin (hMG)
- Gonadotropin-inosunungura mahormone (GnRH) vanopikisa
- Ganirelix acetate
- Cetrotide acetate
- Dopamine agonists
- Bromocriptine
- Cabergoline
- Mishonga yekuberekesa yevarume
- Chorionic gonadotropin (hCG) yemunhu
- Follicle-inosimudzira mahormone (FSH)
- Mimba nekurapa kwekubereka
- Taura nachiremba wako
Nhanganyaya
Kana iwe uri kuyedza kubata pamuviri uye isiri kushanda, unogona kunge uri kuongorora kurapwa. Mishonga yekuzvara yakatanga kuunzwa muUnited States muma1960 uye yakabatsira vanhu vasingaverengeke kubata pamuviri. Imwe yemishonga yemazuvano yakajairika yemubereko inogona kunge iri sarudzo iwe kana mumwe wako.
Chirevo
Tafura iri pazasi inotsanangura mazwi anobatsira kuziva kana uchikurukura nezve kubereka.
| Nguva | Tsanangudzo |
| Kudzora ovarian kukurudzira (COS) | Rudzi rwekurapa kubereka. Zvinodhaka zvinokonzeresa kuti mazai anoburitsa mazai akati wandei pane rimwe chete. |
| Luteinizing mahormone (LH) | Hormone inogadzirwa nepituitary gland. Mune vakadzi, LH inosimudzira ovulation. Muvarume, LH inosimudzira kugadzirwa kwemuviri kwemahomoni echirume akadai se testosterone. |
| Hyperprolactinemia | Mamiriro apo iyo pituitary gland inoviga yakawandisa yehomoni prolactin. Yakakwira mazinga eprolactin mumuviri inodzivirira kuburitswa kweLH uye follicle-inosimudzira kemoni (FSH). Pasina FSH yakakwana neLH, muviri wemukadzi haugone kubuda. |
| Kushaya mbereko | Iko kusakwanisa kubata nhumbu mushure megore rimwe rekusazvidzivirira pabonde mumadzimai ari pasi pemakore makumi matatu nemashanu, kana mushure memwedzi mitanhatu yebonde risina kuzvidzivirira mune vakadzi vane makore anodarika makumi matatu nemashanu. |
| In vitro kuberekesa (IVF) | Rudzi rwekurapa kubereka. Mazai akakura anobviswa mumazai emukadzi. Mazai aya anosangana nembeu murabhoritari ndokuzoiswa muchibereko chemukadzi kuti akure mberi. |
| Ovulation | Kusunungurwa kwezai kubva mumhodzi yemukadzi |
| Polycystic ovarian chirwere (PCOS) | Mamiriro ezvinhu apo mukadzi asingaiti mazai mwedzi wega wega |
| Kukurumidza kukundikana kweovari (yekutanga ovarian kusakwana) | Mamiriro ekuti mazai emukadzi anomira kushanda asati ave nemakore makumi mana ekuberekwa |
| Recombinant | Yakagadzirwa uchishandisa yemunhu majini zvinhu |
Mishonga yekubereka yevakadzi
Mhando dzakawanda dzemishonga yekubereka yevakadzi inowanikwa nhasi. Iwe unogona kucherechedza kuti kune akawanda madhiragi akanyorwa mune ino chinyorwa chevakadzi pane evarume. Izvi zvinonyanya nekuti zviri nyore kusimudzira kugadzirwa kwemazai muvakadzi pane kuwedzera huwandu hwehurume muvarume. Heano mishonga yakajairika yekubereka yevakadzi.
Follicle inosimudzira mahormone (FSH) zvinodhaka
FSH ihormone inogadzirwa nemuviri wako. Inokonzeresa rimwe remazai ari mumazai ako kukura uye rinokonzeresa kuti follicle igadzire yakatenderedza zai rinokura. Aya ndiwo matanho akakosha anoenda nemuviri wechikadzi sezvo achigadzirira kubuda. Kufanana neFSH inogadzirwa nemuviri wako, fomu reFSH rinogona kukurudzira ovulation.
FSH inokurudzirwa kune vakadzi vane mazai avo anoshanda asi mazai avo asingakure nguva dzose. FSH haina kukurudzirwa kune vakadzi vane kukundikana kweovarian nguva isati yakwana. Usati wagamuchira FSH, iwe ungangodaro unorapwa nemushonga unonzi munhu chorionic gonadotropin (hCG).
FSH inowanikwa muUnited States nenzira dzakasiyana.
Urofollitropin lyophilisate
Mushonga uyu unogadzirwa kubva kuvanhu FSH. Inopihwa ne subcutaneous jekiseni. Izvi zvinoreva kuti jekiseni munzvimbo ine mafuta ingori pasi peganda. Urofollitropin inongowanikwa chete sezita rezita drug Bravelle.
Follitropin alfa lyophilisate
Ichi chinodhaka ndeye recombinant vhezheni yeFSH. Izvo zvakare zvinopihwa ne subcutaneous jekiseni. Follitropin inongowanikwa chete sezita rezita zvinodhaka Follistim AQ uye Gonal-F.
Clomiphene
Clomiphene inosarudza estrogen receptor modulator (SERM). Inoshanda nekumutsiridza yako pituitary gland. Iri gland rinogadzira FSH. Clomiphene inokurudzira gland kuti ibudise zvimwe FSH. Inowanzoshandiswa kune vakadzi vane polycystic ovarian syndrome (PCOS) kana mamwe matambudziko ane ovulation.
Clomiphene inouya sehwendefa raunotora nemuromo. Inongowanikwa chete seyakajairika mushonga.
Chorionic gonadotropin (hCG) yemunhu
Chorionic gonadotropin yemunhu ihormoni inogadzirwa nemuviri wako. Iyo inokonzeresa follicle mune rimwe remazai ako kuburitsa rakakura zai. Izvo zvakare zvinokonzeresa maovari ako kuburitsa iyo hormone progesterone. Progesterone inoita zvinhu zvakawanda, kusanganisira kugadzirira chibereko chezai rakasimudzwa kuti riise mukati maro.
Iyo fomu yezvinodhaka yeHCG inowanzo shandiswa ne clomiphene kana munhu menopausal gonadotropin (hMG). Inofanira chete kushandiswa mumadzimai ane anoshanda maovari. Iyo haifanire kushandiswa mune vakadzi vane nguva isati yakwana ovarian kutadza. Mushonga hCG unowanikwa muUnited States nenzira mbiri.
Yakawirazve yevanhu chorionic gonadotropin (r-hCG)
Mushonga uyu unopihwa jekiseni repasi peganda. Usati washandisa r-hCG, iwe uchafanotarisirwa nevanhu menopausal gonadotropin kana FSH. Recombinant hCG inopihwa seyadhi imwechete zuva rimwe chete mushure mekupedzisira muyero wekutanga kurapwa. Mushonga uyu unongowanikwa chete sezita rezita remishonga Ovidrel.
Chorionic gonadotropin (hCG) yemunhu
Mushonga uyu unopinzwa mumhasuru yako. Izvi zvinonzi jekiseni repfungwa. Usati washandisa ichi chinodhaka, iwe uchafanotarisirwa nevanhu menopausal gonadotropin kana FSH. Chorionic gonadotropin yemunhu inopihwa seyadhi imwe chete zuva rimwe mushure mekupedzisira kurapwa. Mushonga uyu unowanikwa semushonga wegeniki uye sezita remazita ezvinodhaka Novarel naPregnyl.
Yevanhu menopausal gonadotropin (hMG)
Mushonga uyu mubatanidzwa wemaviri mahormone emunhu FSH neLH. Yevanhu menopausal gonadotropin inoshandiswa kune vakadzi vane mazai avo ane hutano zvakanyanya asi havakwanise kugadzira mazai. Izvo hazvishandiswe kune vakadzi vane kukurumidza ovarian kutadza. Ichi chinodhaka chinopihwa seyakadzika jekiseni. Inongowanikwa chete sezita rezita remishonga Menopur.
Gonadotropin-inosunungura mahormone (GnRH) vanopikisa
Vanopikisa GnRH vanowanzo shandiswa mumadzimai ari kurapwa nehunyanzvi unonzi unodzorwa ovarian kukurudzira (COS). COS inowanzo shandiswa nemishonga yekurapa yakadai se in vitro fertilization (IVF).
Vanopikisa GnRH vanoshanda nekuchengetedza muviri wako kubva mukugadzira FSH neLH. Aya mahormone maviri anoita kuti mazai aburitse mazai. Nekudzvinyirira ivo, vanopikisa veGnRH vanodzivirira ovulation yekuzvarwa. Apa ndipo panosunungurwa mazai kubva mumazai nekukurumidza. Iyi mishonga inobvumira mazai kuti akure zvakanaka kuti agone kushandiswa kune IVF.
Vanopikisa GnRH vanowanzo shandiswa ne hCG. Vaviri vanopokana neGnRH vanowanikwa muUnited States.
Ganirelix acetate
Mushonga uyu unopihwa jekiseni repasi peganda. Inongowanikwa chete seyakajairika mushonga.
Cetrotide acetate
Ichi chinodhaka chinopihwawo neiyo subcutaneous jekiseni. Inongowanikwa chete sezita rezita zvinodhaka Cetrotide.
Dopamine agonists
Vanopokana neDopamine vanogona kushandiswa kurapa mamiriro anonzi hyperprolactinemia. Iyo mishonga inoshanda nekudzora huwandu hweprolactin iyo pituitary gland inoburitswa. Iyi inotevera dopamine agonist mishonga inowanikwa muUnited States.
Bromocriptine
Mushonga uyu unouya sehwendefa raunotora nemuromo. Inowanikwa semushonga wakajairika uye sezita rezita zvinodhaka Parlodel.
Cabergoline
Mushonga uyu unouya sehwendefa raunotora nemuromo. Inongowanikwa chete seyakajairika mushonga.
Mishonga yekuberekesa yevarume
Mishonga yekubereka yevarume inowanikwawo muUnited States.
Chorionic gonadotropin (hCG) yemunhu
Chorionic gonadotropin yemunhu inoitika zvakasikwa chete mumiviri yevakadzi. Iyo fomu yezvinodhaka yeHCG inopihwa kuvarume nenjekisheni inotsvedza. Iyo inoshandiswa kusimudzira yavo testosterone kugadzirwa. Mushonga uyu unowanikwa semushonga wemageneral. Inowanikwawo sezita rezita zvinodhaka Novarel naPregnyl.
Follicle-inosimudzira mahormone (FSH)
Miviri yevarume inogadzira FSH kubatsira kukurudzira kugadzirwa kwehurume. Iyo fomu yezvinodhaka yeFSH inoshanda chinangwa chimwe chete. Inowanikwa muUnited States se follitropin alfa lyophilisate. Ichi chinodhaka ndeye recombinant vhezheni yeFSH. Follitropin inopihwa jekiseni subcutaneous. Inowanikwa sezita rezita zvinodhaka Follistim AQ uye Gonal-F.
Mimba nekurapa kwekubereka
Vacheche Vanobatwa Nechibereko Kurapa | HutanoGroveTaura nachiremba wako
Kana iwe uri kusangana nekushaya mbereko, taura nachiremba wako. Vanogona kukuudza nezvese ako marapirwo sarudzo, kusanganisira mbereko mishonga. Wongorora runyorwa rwezvinodhaka nachiremba wako uye uve nechokwadi chekubvunza chero mibvunzo yauinayo. Mibvunzo yako inogona kusanganisira:
- Chii chiri chikonzero chekushaya mbereko kwemumwe wangu kana mumwe wangu?
- Ndiri here ini, kana mumwe wangu, mukwikwidzi wekurapwa nemishonga yekubereka?
- Inishuwarenzi yangu inovhara kurapwa nemishonga yekubereka here?
- Pane here kumwe kurapa kusiri kwemushonga kunogona kubatsira ini kana mumwe wangu?
Kudzidza nezvesarudzo dzako dzese dzokurapa kunogona kukubatsira kuti unzwe ruzivo uye zvirinani kusarudza nzira yekurapa yekubereka iyo yakakunakira iwe.
Zvitsva Zvitsva
Chirwere chemwoyo uye kushamwaridzana
