Tsarin Tsarin Laifi da Hanyoyi don Aminci Hanyoyin Kasuwanci
Game da daya daga cikin mata hudu ba za suyi koyi ba yayin shan Clomid . Wasu lokuta, dalilin da yasa ba za ka iya yin amfani da shi a kan Clomid ba ne saboda nau'in sashi ya yi yawa. Yana da amfani don fara magani a 50 mg, sa'an nan kuma kara zuwa 100 MG idan ba ku amsa ba. A wasu lokuta, likitoci zasu gwada dosin har zuwa 250 MG. Duk da haka, idan har yanzu ba a yin amfani da magunguna ba, to an kira wannan rikici na Clomid.
Tsarin juriya ba irin wannan halin ba ne kamar lokacin da ba kuyi tunanin shan magani ba. A wannan yanayin, za ku iya yin jariri, amma ba za ku yi ciki ba. A wannan yanayin, ba ma bazu ba.
Kuna buƙatar motsawa akan magungunan karfi ko magungunan ƙwayar mawuyacin idan kwayar halitta bata faru ba? Ba dole ba ne.
Abin da ke haifar da kariya daga kariya?
Kwayar likitan ku don magance rikici na Clomid ya dogara ne a kan dalilin da yasa yake tunanin ba ku amsa ba. Ga wasu sanannun sanannun dalilai, dalilai masu yiwuwa don ƙarfafawa na Clomid:
PCOS : Mata tare da PCOS suna da matsala tare da juriya na Clomid, musamman ma waɗanda aka gano su ne na maganin insulin ko kuma a matsayin matakan hyperandrogenic (matakan DHEAs da matakan hormone maza).
BMI a kan 25 : Gidauniyar jiki (BMI) a kan 25 zai iya rage chances na Clomid aiki da nasara.
Hyperprolactinemia : Mata da hyperprolactinemia bazai iya amsawa da kyau ga Clomid, ba tare da kula da hyperprolactinemia ba.
Babu shakka, akwai lokuta idan ba a bayyana dalilin da yasa Clomid ba zai taimaka wajen haifar da kwayoyin halitta ba.
Zaɓuɓɓuka a Biyaya Tsuntsauran Tsaya
Ga matan da ke tare da PCOS, magani tare da kwayar magungunan ƙwayar insulin resistant, watau Glucophage, zai iya taimakawa. Da kyau, Metformin zai saba wa tsawon watanni uku zuwa shida kafin kokarin Clomid.
Wasu nazarin sun nuna cewa ba tare da inganta yawan jirgin kwayoyin ba, shan metformin da Clomid tare zasu iya ƙara yawan hawan ciki da kuma rage haɗarin ɓarna.
Wata hanya mai sauƙi ga metformin shine N-acetyl-cysteine (NAC), amino acid da antioxidant wanda ke aiki a matsayin wakili na insulin. Wasu nazarin sun gano cewa hada hada-haren Clomid da NAC zasu iya taimakawa wajen magance matsalolin Clomid.
Idan BMI ya wuce shekaru 25 , likitanku na iya ba da shawara cewa ku rasa wasu nauyin kafin ku dawo Clomid. Rashin kashi 10 kawai na nauyin jikinka na yanzu zai iya inganta tasirin Clomid.
Ga wadanda ke tare da hyperprolactinemia, magani tare da miyagun ƙwayoyi na Bromocriptine, ko dai shi kadai ko a haɗa tare da Clomid, na iya inganta yawan jinsin.
Rashin hawan Ovarian wata hanyar tsofaffi ce ta magance matsalolin Clomid a cikin mata tare da PCOS, amma ba a amfani dashi a yau saboda hadarin. Idan likita ya ba da shawara ga hawan hawan maido, za ku iya tambayar dalilin dalilin wannan zabi, lokacin da akwai sauran zaɓuɓɓuka waɗanda za a iya gwadawa da farko.
Kwayoyin Kwayoyin Wuta don Inganta?
Wata hanya mai ban sha'awa game da maganin rikice-rikice na Clomid shine ɗaukar kwayoyin haihuwa a cikin watanni biyu zuwa biyu kafin kokarin sake zagaye na zagaye na Clomid.
An bada wannan shawarar ga mata da matakan da ake kira DHEAs na hormone.
Kamar alama mai mahimmanci ne-maganin kwakwalwa na haihuwa zai taimake ka ka yi ciki? Amma binciken bincike ya nuna kyakkyawan sakamako. A cikin binciken daya akan amfani da kwayoyin maganin haihuwa, kawai fiye da kashi 65 cikin dari na matan da ke da ƙwayar ƙwayar mata, sunyi amfani da kwayoyin maganin kwakwalwa a cikin watanni biyu kafin wata magungunan magani.
Mene ne idan Clomid ba Ya aiki?
Wasu lokuta, duban dan tayi zai nuna matakan da suke girma a mayar da martani ga Clomid, amma hawan LH yawo ba ƙarfin isa ya haifar da kwayoyin halitta ba. A wannan yanayin, likitanku na iya rubuta Clomid tare da allurar HCG, kamar maganin Ovidrel, don haifar da ƙirar halitta kuma ya ƙarfafa hawan LH.
Idan bayan an gwada waɗannan zaɓuɓɓuka, ba har yanzu kuna yin amfani da Clomid ba, likitanku na iya bayar da shawarar yin ƙoƙarin ƙoƙari daban-daban na masu yadawa.
Letrozole (wanda aka fi sani da Femera) wani zaɓi ne ga mata waɗanda ba suyi amfani da Clomid ba. Nazarin ya nuna cewa Letrozole na iya haifar da kwayoyin halitta a wasu mata da PCOS wadanda ba su amsawa da Clomid ba, har da wasu matan da ba tare da la'akari da haihuwa da kuma juriya na Clomid ba.
A cikin binciken daya, matan da ke dauke da kyakyawar Kwayoyin cuta da PCOS sun fi sauƙi suyi koyi yayin shan magani na Letrozole (kashi 79.3 bisa dari), fiye da lokacin da suka ɗauki Clomid a hade tare da kashi biyu, injections na FSH (kashi 56.59 bisa dari). Har ila yau, an samu cigaba da hawan ciki, tare da kashi 23 cikin dari na matan da ke ɗauke da Letrozole samun ciki, da kuma kashi 14 cikin dari na samun ciki tare da Clomid da biyu injections na ƙananan FSH.
Amma, ba a sayar da Letrozole a matsayin likita ba. Akwai rikice-rikice game da amincin amfani da shi. Dirrozole zai iya haifar da lahani na haihuwa idan an ɗauka a lokacin daukar ciki. Mutane da yawa suna jayayya cewa magani yana da lafiya kuma ya ce cewa miyagun ƙwayoyi ya kamata ya kasance daga tsarinka ta hanyar lokacin haihuwa, ko da yake karin bincike ya kamata a yi.
Wasu zaɓuɓɓuka don magance matsalolin Clomid sun haɗa da maganin gonadotropin marasa ƙarfi , tare da ko ba tare da maganin IUI ba . Wannan ya hada da kwayoyi kamar Gonal-F, Follistim, da Ovidrel. (A wasu kalmomi, ƙwayoyin FSH da LH sunadarai .) Wadannan kwayoyi sun fi tsada kuma sun zo tare da mafi rinjaye fiye da Clomid, amma zasu iya haifar da kwayoyin halitta lokacin da Clomid ta kasa.
Kalma Daga Verywell
Clomid ne sau da yawa na farko da miyagun ƙwayoyi magani kokarin bayan rashin haihuwa ganewar asali. Wataƙila ka yi ƙoƙarin yin ciki har tsawon shekara guda bayan lokacin da wannan yanayin ya fara. Lokacin da ba ta aiki ba, za ka iya jin damuwa cewa wannan alama ce ta abubuwan da za su zo. Kuna iya damuwa wannan na nufin an ƙaddara maka don maganin mafi tsada, kamar IVF .
Gaskiyar ita ce, Clomid kawai tana nuna farkon rashin kula da rashin haihuwa. Idan baku yin tsinkaye a kan na farko ko na biyu ba, ko kuma ku yi ciki, kada kuyi tsoro. Akwai matakai da dama tare da hanyar kafin a tambaye ku don yin la'akari da maganin ƙwayoyin haihuwa .
> Sources:
> Abu Hashim H1, Foda O2, Ghayaty E3. "Haɗar metformin-clomiphene a haɗin ƙwayar polycystic ovary clomiphene: nazari na yau da kullum da kuma kwaskwarima na gwajin gwagwarmaya bazuwar. "Dokar Obstet Gynecol Scand. 2015 Satumba 94 (9): 921-30. Doi: 10.1111 / rags12673. Afub 2015 Jun 2.
Ganesh A, Goswami SK, Chattopadhyay R, Chaudhury K, Chakravarty B. Magana da letrozole tare da ci gaba da gonadotropins da clomiphene-gonadotropin don haɓaka ovulation a cikin 1387 PCOS mata bayan clomiphene citrate gazawar: gwagwarmaya na gwajin gwaji. Journal of Assisted Reproduction and Genetics. 2009 Janairu 7. [Epub gaba da buga]
Goenka Deepak, Goenka ML. " Hanyoyin maganin maganin rigakafi na maganin maganin kwayar cutar clomiphene wanda ya biyo bayan maganin cutar clomiphene. " The Journal of Obstetrics and Gynecology of India. Vol. 56, A'a. 2: Maris / Afrilu 2006 Pg 159-161. Samun shiga yanar-gizon Fabrairu 19, 2009.
Yin amfani da maganin maganganun maganganu a matsayin Jiyya ga marasa lafiya mai tsabta. Ƙungiyar InterNational a kan Rahoton Bayani na Bayani: Rahoton Labari na Banza.