Tsira da ƙwayar haihuwa na iya bayar da kyaututtuka masu yawa a kan Clomid
Femara (letrozole) magani ne mai amfani don amfani da kwayar halitta a cikin mata tare da ciwon polycystic ovary (PCOS) da rashin haihuwa. Yayin da Cibiyar Abinci da Drugurin Amurka ta amince da Femara don amfani da shi a matsayin magani na nono, an yi amfani da ita a kan lakabi ta hanyar likitoci na haihuwa tun shekara ta 2001 domin yana da ƙananan illa ga Clomid (clomiphene) da kuma ƙananan haɗari ciki.
Clomid shine zaɓi na farko na farko don magance rashin haihuwa a cikin mata da PCOS. Binciken da aka yi a kwanan nan, ya nuna cewa Femara na iya bayar da mafi girma daga yawan hawan ciki a cikin yawancin mata
Ana kuma amfani da Femara a lokuta na juriya na Clomid lokacin da Clomid ba zai iya tayar da kwayar halitta ba akan akalla uku hawan magunguna kuma duk da karuwa.
Yadda ake amfani da Femara
Ana ba da Femara a cikin mintuna 2.5-miliya, kwamfutar hannu mai launi. Bisa ga lokacin da lokacinku ya fara, likita zai shawarce ku lokacin da za ku fara jiyya. Za a dauki magani a tsawon kwanaki biyar.
Wasu masana masana'antun gargajiya sun bada shawarar shan kwayoyin kwayoyi a kwanaki 3, 4, 5, 6 da 7 na sake zagayowar ku. Wasu sun yarda da kwanaki 5, 6, 7, 8, da 9. Duk da yake akwai sauran muhawara game da abin da zaɓin ya fi dacewa, binciken da ake ciki a yanzu yana nuna cewa ci gaba yana da yawa ko kuma ƙasa.
Bisa la'akari da lokacin da jiyya ya fara, za ku iya jira lokacin da za ku fara fara jima'i:
- Idan ka fara jiyya a rana ta 3 , zaku iya yin wani lokaci tsakanin ranar 14 da rana 17 na sake zagayowarku. Don yin ciki, zaku so ku fara yin jima'i kafin ku yi kuka. A cikin wannan labari, za ku fara yin jima'i a kowace rana (ko kowace rana) fara ranar 11 kuma ya ƙare ranar 18.
- Idan ka fara jiyya a rana ta 5, za ka iya zama a tsakanin kwanaki 16 zuwa 19. A wannan yanayin, za a fara jima'i tsakanin kwanaki 13 da 21.
Don ƙarin bayani game da lokacin yaduwa, zaka iya amfani da kitfirin hangen nesa . Za ku fara gwada idan kun kammala magani kuma ku gwada yau da kullum har sai kun sami sakamako mai kyau (yana nuna cewa kuna kusa da ovulation). Wannan shine alamar fara farawa.
Ana iya amfani da Femara don maganin kwance (IUI) . An yi amfani da Clomid a wasu lokuta tare da Femara kuma an ɗauka tare a wannan rana.
Hanyoyin Gaba
Letrozole yana aiki ta rage karuwar zartar da isrogene don tada kwayar halitta. Ƙananan ciwon isrogen na kowane irin zai iya haifar da wata mace ta bayyanar cututtuka. Wadanda aka fi sani da su da Femara sun hada da:
- Wulo
- Dizziness
- Ciwon kai
- Ruwan jini
- Hoton haske
- Night Sweats
- Binciken tsoro
- Upset ciki
- Jin zafi
- Difficile barci
- Gudun jini ko jini na jini
Idan ka fuskanci hangen nesa ko wani bayyanar cututtuka da suke da alama mai tsanani, tuntuɓi likitanka nan da nan.
Yayinda yake da wuya, matan da ke shan Femara zasu iya haifar da yanayin da aka sani da ciwo na hyperstimulation na ovarian (OHSS) wanda zai iya bayyana tare da alamun bayyanar da ke fitowa daga shafewa da kuma cututtuka zuwa matsanancin rashin ƙarfi da numfashi.
Amfanin Femara
Akwai ƙarin shaida cewa Femara zai iya zama mafi dacewa ga mata da PCOS da ke fama da matsalolin kwayar cutar.
Bisa ga binciken da aka yi a shekarar 2014 da aka buga a New England Journal of Medicine , kashi 27.5 cikin dari matan da ke da PCOS wadanda suka dauki Femara sun sami nasara idan aka kwatanta da kashi 19.5 cikin 100 wanda ya dauki Clomid. Irin wannan binciken ya nuna alamun amfani a wasu wurare da dama:
- Yawan kwayoyin halitta ya fi girma tare da Femara (kashi 61.7) idan aka kwatanta da Clomid (kashi 48.3).
- Akwai haifa mai girma a tsakanin matan ƙwararrun da ke tare da PCOS waɗanda suke amfani da Femara.
- Akwai ƙananan hanyoyi masu yawa a cikin matan da suka yi amfani da Femara (kashi 3.2) idan aka kwatanta da waɗanda suka yi amfani da Clomid (kashi 7.4).
Rashin hasara na ciki, a halin yanzu, ya kasance mafi mahimmanci ga magunguna biyu (Femara 31.8 bisa dari bisa Clomid kashi 28.2).
Hakazalika, bincike na 2015 da aka buga a PLoS One ya tabbatar da cewa babu wani bambanci da yawa a cikin asalin haihuwar haihuwa a tsakanin yara da aka haife su zuwa ga iyaye mata waɗanda suka yi amfani da Femara ko Clomid.
> Sources:
> Franik, S .; Kremer, J ;, Nelen, W .; da kuma Farquhar, C. "Masu yaduwar cutar marasa lafiya ga matan da ke dauke da cutar polycystic ovary." Cochrane Database Syst Rev 2014; 2: DOI 10.1002 / 14651858.CD010287.
> Kar S. "Shaidu na yanzu suna goyon bayan gorozole don shigar da kwayoyin halitta." J Hum Reprod Sci. 2013; 6 (2): 93-8.
> Legro, R .; Brzyski, R .; Diamond, M. et al. "Letrozole versus clomiphene don rashin haihuwa a cikin ciwon polycystic ovary." N Engl J Med. 2014; 371 (2): 119-29.
> Sharma, S; Ghosh, S .; Singh, S. et al. "Abubuwan da ke faruwa a cikin bazuwar haihuwa a tsakanin Babbobi da aka haife su a baya Letrozole ko Clomiphene don maganin rashin lafiya." KUMA KUMA. 2015; 9 (10): e108219.