I-Estrogen inokukunceda umzimba wakho ulungiselele ukukhulelwa
Ukuba wena kunye neqabane lakho nifanele nibe ne-vitro fertilization (IVF), amathuba akho ugqirha wakho ubeke i-estrogen ukukunceda ukhulelwe. Ukuba unayo i-polycystic ovarian syndrome (i-PCOS), imeko eyenzela u- estrogen ephezulu , umyalelo we-estrogen unokumangalisa.
Kutheni oogqirha babhala i-Estrogen
Ukuxhaswa kwe-Estrogen ngexesha lomjikelezo we- IVF oquka i- gonadotropins okanye i-gonadotropin-ukukhulula i-hormone isetyenziswa ngabantu abaninzi beengcali.
Enye yehomoni ezinkulu zokukhulelwa, i- estrogen , inceda ukugcina i-endometrial lining of the uterus. I-endocrinologists ekuzaliseni i-endocrrium iyalongeza kwaye ilungiselela ukukhulelwa.
Ngaphambi kokuba iqanda lifakwe kwisibeleko sakho, ukuba ubhedu bakho bubukeka buncipha, ugqirha wakho unokuyalela i-estrogen. Ukunyuka kwesilinganisi kunokuncedisa ukunqanda umbane wakho, ukulungiselela isisu sakho sokukhulelwa. Ukuba usebenzisa iqanda lomnikeli, umbungu wesibonelelo okanye ukudluliselwa kwebraza ekhutshiwe, ugqirha wakho uya kubeka i-estrogen kakhulu ngaphambi komhla wokufakelwa kwakho.
Uhlalutyo lwe-meta olupapashwe kwiMicrotheli lubhekisele kwizifundo ezili-11 ezibandakanya i-estrogen supplementation kunye neprogesterone njengenkxaso yesigaba kwi-IVF. Abaphengululi baphetha ukuba ukuthatha i- progesterone kunye ne-estrogen yonyango ngexesha le-IVF emva kokufunyanwa kweqanda kwakuxhomekeke kwizinga eliphezulu lokukhulelwa kwekliniki kunokugqithiswa kweprogesterone yedwa.
Ezinye iziphumo ezifana nesantya sokukhulelwa okuqhubekayo, izinga lokunyanzelisa umlinganiselo, izinga lokufakela isantya, kunye nezinga lokukhulelwa kwesisu lafunyaniswa ukuba lifana nezo zonyango.
Ukuthatha i-Estrace okanye i-Estradiol
I-Estrace , okanye i-estradiol, yindlela ye-estrogen eqhelekileyo. Ugqirha wakho uya kubeka u-2mg kabini ukuya kathathu ngosuku.
Abanye oogqirha banokukuyala ukuba ufake ifilisi kwindawo yesini endaweni yokuyithatha ngomlomo. Yile pilisi efanayo, nje inikwe ngendlela eyahlukileyo.
Ukuba uthabatha u-Estrace ngokwasemzimbeni , kubalulekile ukugcina okulandelayo engqondweni. Okokuqala, unokwazi ukukhupha okuluhlaza okwesibhakabhaka. Le nto ayingakhathazeki ngayo; kuba kuphela iipilisi ezahlukileyo. Emva kokuba ufake i pilisi, kufuneka ubeke ubuncinane ubuncinane kwisiqingatha seyure ukukhusela i pilisi ukuba iwele. Ukuba unenkinga ngokufaka, unokugqoka iglavu ye-latex ukukhusela iipilisi ekuphuleni phantsi kwe-fingernail yakho.
Ngelixa uthatha i-estrogen, ugqirha wakho uya kufuna ukubeka iliso usebenzisa iimvavanyo zegazi okanye i-ultrasounds. Ukulungiswa kwexesha kunokufuneka ukuba ukwandise amazinga e-hormone kunye ne- endometrial lining . Qinisekisa ukulandela iingcebiso zakho ze-RE malunga ne-Estrace dosing.
Imiphumo emibi ye-estradiol ne-Estrace ingaquka:
- Ukutshatyalaliswa okanye ukuphuma kwegazi lomzimba
- Isisu esicasulayo, isicupunu, okanye ukuhlanza
- Ukukhutshwa kwamagciwane okanye ukubetha
- Ukutyeba kwakho
- Ukuvuvukala okanye ukubetha
- Intloko
- Ubumnene besisu okanye intlungu
Njengawuphi na unyango lweyeza, iimiphumo ezibi kakhulu zingenzeka. Ukuba uthatha imishanguzo e-estrogen kwaye unempawu ezikukhathazayo, xela ugqirha okanye umseli.
Ungayeki ukuthatha u-Estrace okanye i-estradiol ngaphambi kokubonisana nodokotela wakho njengoko oku kunokuchaphazela umjikelezo wakho we-IVF.
Imithombo
- > Zhang XM1, Lv F, Wang P, Huang XM, Liu KF, Pan Y, Dong NJ, Ji YR, H H, Hu R.Estrogen isongezelelo kwiprogesterone njengenkxaso yesigaba se-luteal kwizigulane ezithotyelwa kwi-vitro fertilization: ukuhlaziywa kweenkqubo kunye ne-meta -analysis.Medicine (Baltimore). 2015 Feb; 94 (8): e459.
- "I-Estrogen kunye ne-progesterone yokuxhaswa kwi-luteal phase support kwi-vitro fertilization kunye nokudluliswa kwembungu." S. Chen, H. Li, L. Kong, uL. Zhu, X. Zhang, F. Xing. Ukhuseleko kunye noTyala - ngoSeptemba 2004. I-Vol. 82, amakhasi S191-S192.
- "Ukongezwa kwe-Estrogen kwiprogegone yokuxhasa isigaba se-luteal kwizijikelezo ezixhaswe kunye ne-GnRH ezifanayo kunye ne-gonadotrophins ze-IVF: ukuhlolwa kweenkqubo kunye nokuhlaziywa kwemeta." EM Kolibianakis et al. Ukuzaliswa koLuntu - ngo-Juni 2008. 6, iphepha 1346-54.