He aha ka Follitropin Alfa: Nā hoʻohana, ka nui o ka lāʻau, nā hopena ʻaoʻao a me nā mea hou aku

ʻO Follitropin alfa kahi mana synthetic o ka hormone follicle-stimulating (FSH), he hormone maoli i hana ʻia e kou kino e kōkua i ka hana hou ʻana. Hāʻawi ʻia kēia lāʻau lapaʻau ma ke ʻano he injection ma lalo o ka ʻili e kōkua i ka hoʻoulu ʻana i kou mau ovaries e hana i nā hua i ka wā e hoʻāʻo nei ʻoe e hāpai ma o nā lāʻau lapaʻau momona.

Inā ʻoe e noʻonoʻo ana a i ʻole e hoʻomaka ana i ka lāʻau lapaʻau momona, hiki iā ʻoe ke manaʻo e lanakila ʻia e nā lāʻau lapaʻau a pau i pili. ʻO Follitropin alfa kekahi o nā lāʻau momona i hoʻohana pinepine ʻia, a ʻo ka hoʻomaopopo ʻana i ke ʻano o kāna hana hiki ke kōkua iā ʻoe e mākaukau a hilinaʻi i kāu huakaʻi lapaʻau.

He aha ka Follitropin Alfa?

ʻO Follitropin alfa kahi hormone i hana ʻia e ke kanaka e hoʻohālike i ka FSH maoli i hana ʻia e kāu ʻōpū pituitary. ʻO FSH ka hormone e haʻi i kou mau ovaries e hoʻomohala a hoʻokuʻu i nā hua i ka wā o kāu pōʻai menstrual.

Hana ʻia kēia lāʻau lapaʻau me ka hoʻohana ʻana i ka biotechnology kiʻekiʻe e like me kāu FSH ponoʻī. Hele mai ia ma ke ʻano he pauka i hui pū ʻia me ka wai ma mua pono o ka injection, a i ʻole ma ke ʻano he peni i hoʻopiha mua ʻia e mākaukau e hoʻohana.

ʻO ka

Hoʻohana ʻia ka lāʻau lapaʻau i ka wā ʻaʻole ʻoe e ovulating, kahi maʻi i kapa ʻia ʻo anovulation. I kekahi mau hihia, ua kauoha ʻia no ka infertility i wehewehe ʻole ʻia, kahi e hiki ʻole ai i nā kauka ke ʻike i kahi kumu kikoʻī akā makemake lākou e hoʻonui i kou manawa e hāpai ai ma ka hana ʻana i nā hua hou aku.

Hiki nō hoʻi i nā kāne ke loaʻa iā follitropin alfa i nā hihia kakaʻikahi kahi i loaʻa ai iā lākou nā helu sperm haʻahaʻa loa ma muli o nā hemahema hormone. Hiki i ka lāʻau lapaʻau ke kōkua i ka hoʻoulu ʻana i ka hana sperm ke hoʻohana ʻia me nā hormones ʻē aʻe.

Pehea e hana ai ʻo Follitropin Alfa?

Hana ʻo Follitropin alfa ma ka hoʻoulu pololei ʻana i kou ovaries e hoʻomohala i nā follicles hua he nui i ka manawa hoʻokahi. I ka maʻamau, hoʻokuʻu kou kino i hoʻokahi hua i kēlā me kēia mahina, akā ʻo kēia lāʻau lapaʻau e paipai i kekahi mau follicles e ulu like.

Manaʻo ʻia ka lāʻau lapaʻau he ikaika iki i ka honua momona. He ikaika ia e hana i nā hua he nui akā maʻalahi hoʻi i ka hapa nui o nā wahine e ʻae maikaʻi me ka nānā pono.

Ke hoʻokomo ʻia, hele ka hormone ma kou kahe koko i kou ovaries. Ma laila, hoʻopaʻa ia i nā mea hoʻokipa kikoʻī ma kāu follicles hua, e hoʻoulu ana iā lākou e ulu a oʻo. ʻO ka maʻamau, lawe kēia kaʻina hana i 8 a 14 mau lā, ma muli o ke ʻano o kou kino e pane ai.

E nānā kāu hui momona i kāu holomua ma o nā hoʻokolohua koko a me nā ultrasound. Ke nānā nei lākou i nā pae hormone a me ka helu ʻana i ka nui o nā follicles e ulu nei e hōʻoia i ka pane maikaʻi ʻana me ka ʻole o ka hoʻoulu ʻana i kou ovaries.

Pehea wau e lawe ai iā Follitropin Alfa?

Hāʻawi ʻia ʻo Follitropin alfa ma ke ʻano he subcutaneous injection, ʻo ia hoʻi, hoʻokomo ʻoe iā ia i loko o ka ʻiʻo momona ma lalo pono o kou ʻili. Hoʻokomo ka hapa nui o nā kānaka iā ia i loko o ko lākou ʻūhā, ʻōpū, a i ʻole ka lima luna.

E hāʻawi maʻamau ʻoe iā ʻoe iho i ka injection i ka manawa like i kēlā me kēia ahiahi. ʻO ka lawe ʻana i ke ahiahi e kōkua i ka hoʻohālike ʻana i nā hiʻohiʻona hormone maoli o kou kino a hiki ke hōʻemi i kekahi mau hopena ʻaoʻao e like me ka nausea maʻalahi.

Ma mua o ka hoʻokomo ʻana, e ʻae i ka lāʻau lapaʻau e hiki i ka mahana o ka lumi inā ua waiho ʻia i loko o ka pahu hau. E hoʻomaʻemaʻe i kahi e hoʻokomo ai me ka swab waiʻona a e hoʻololi i nā wahi e hoʻokomo ai e pale i ka huhū. E aʻo aku kāu keʻena hānau iā ʻoe i ke ʻano kūpono o ka hoʻokomo ʻana a hāʻawi i nā ʻōlelo kikoʻī.

ʻAʻole pono ʻoe e lawe i kēia lāʻau lapaʻau me ka meaʻai, akā ʻo ka ʻai ʻana i ka meaʻai māmā ma mua e kōkua paha inā ʻike ʻoe i ka ʻeha o ka ʻōpū. E noho maikaʻi i ka wai i ka wā o kāu lapaʻau ʻana, no ka mea, hiki i kēia ke kōkua i kou kino e hana i ka lāʻau lapaʻau me ka ʻoluʻolu.

ʻIke ka hapa nui o nā wahine i ka lilo ʻana o nā injections i mea maʻamau ma hope o kekahi mau lā. He lahilahi loa nā nila, e like me nā mea i hoʻohana ʻia no ka insulin, no laila he liʻiliʻi ka ʻoluʻolu.

Pehea ka lōʻihi e lawe ai au i ka Follitropin Alfa?

Lawe ka hapa nui o nā wahine i ka follitropin alfa no 8 a 14 mau lā i kēlā me kēia pōʻaiapuni lapaʻau. Aia ka lōʻihi pololei iā ʻoe i ka wikiwiki o ka ulu ʻana o kāu follicles a pehea ka pane ʻana o kou kino i ka lāʻau lapaʻau.

E nānā kāu hui hānau i kāu holomua i kēlā me kēia lā ma o nā hoʻokolohua koko a me nā ultrasound. Ke nānā nei lākou i nā hōʻailona e hōʻea ana kāu follicles hua i ka nui kūpono a me ka pae oʻo.

Ke mākaukau kāu follicles, e hooki ʻoe i ka lawe ʻana i ka follitropin alfa a loaʻa i kahi lāʻau lapaʻau ʻē aʻe i kapa ʻia he

ʻO nā hopena ʻaoʻao maʻamau āu e ʻike ai, ʻo ia ka pehu ʻana, ka ʻoluʻolu o ka pelvic, a me ka palupalu o ka umauma. ʻIke kekahi mau wahine i nā ʻeha poʻo, nā loli o ke ʻano, a i ʻole ka luhi nui.

He mea maʻamau nā hopena ma ka pūnaewele injection akā maʻamau ka maʻalahi. Hiki iā ʻoe ke ʻike i ka ʻulaʻula, ka pehu ʻana, a i ʻole ka ʻeha liʻiliʻi ma kahi āu i hāʻawi ai i ka injection. E mae ana kēia mau mea i loko o hoʻokahi a ʻelua paha lā.

Eia nā hopena ʻaoʻao koʻikoʻi e pono ai ka lāʻau lapaʻau koke:

• ʻO ka ʻeha nui o ka ʻōpū a i ʻole ka pehu ʻana e paʻakikī ai ka hanu
• Ka loaʻa ʻana o ke kaumaha wikiwiki (ʻoi aku ma mua o 3-5 paona i loko o kekahi mau lā)
• ʻO ka nausea nui a me ka luaʻi ʻana e pale iā ʻoe mai ka mālama ʻana i nā wai
• Hoʻemi ʻia ka mimi a i ʻole ka mimi ʻeleʻele loa
• ʻO nā ʻeha poʻo nui me nā loli ʻike
• ʻO ka ʻeha o ka umauma a i ʻole ka pilikia o ka hanu

Hiki i kēia mau hōʻailona ke hōʻike i ka ovarian hyperstimulation syndrome (OHSS), kahi maʻi kakaʻikahi akā koʻikoʻi kahi e pehu nui ai kou ovaries. ʻOiai ʻaʻole maʻamau, he mea nui e ʻike i kēia mau hōʻailona a hoʻokaʻaʻike koke i kāu hui momona inā loaʻa lākou.

ʻO wai ka mea ʻaʻole pono e lawe iā Follitropin Alfa?

ʻAʻole kūpono ʻo Follitropin alfa no nā mea a pau, a e nānā pono kāu kauka momona i kāu mōʻaukala olakino ma mua o ke kau ʻana. ʻAʻole ʻōlelo ʻia ka lāʻau lapaʻau inā loaʻa iā ʻoe kekahi mau maʻi olakino.

ʻAʻole pono ʻoe e hoʻohana i ka follitropin alfa inā loaʻa iā ʻoe nā cysts ovarian a i ʻole nā ovaries nui ʻaʻole pili i ka PCOS. Hiki i ka lāʻau lapaʻau ke hoʻonui i kēia mau maʻi a hoʻonui i kou pilikia o nā pilikia.

Pono nā wahine me ka maʻi thyroid ʻole, nā pilikia adrenal, a i ʻole nā maʻi pituitary e pale i kēia lāʻau lapaʻau. Hiki i kēia mau maʻi ke hoʻopilikia i ke ʻano o kou kino e hana ai i nā hormones a hiki ke hoʻemi i ka maikaʻi o ka lāʻau a i ʻole ka pilikia.

Inā he mōʻaukala kou o nā ʻōpū koko, ka hahau ʻana, a i ʻole kekahi mau maʻi puʻuwai, pono i kāu kauka e loiloi pono i nā pilikia. Hiki i nā lāʻau lapaʻau hormone ke hoʻonui iki i ka pilikia o ka hoʻopaʻa ʻana i ke koko i kekahi poʻe.

ʻAʻole kūpono hoʻi ka lāʻau lapaʻau inā e hāpai ana ʻoe, he kahe koko ʻokoʻa ʻoe mai ka ʻōpū me ke kumu ʻike ʻole ʻia, a i ʻole he mau maʻi maʻi hormone-sensitive e like me kekahi mau maʻi maʻi umauma a i ʻole ovarian.

Nā inoa inoa o Follitropin Alfa

Loaʻa ʻo Follitropin alfa ma lalo o nā inoa inoa like ʻole, ʻo Gonal-F ka mea i ʻike nui ʻia. Loaʻa kēia inoa inoa i ke ʻano pauka e hui pū ai ʻoe ma mua o ka injection a me nā peni i hoʻopiha mua ʻia.

ʻO nā inoa inoa ʻē aʻe e komo pū ana me Bemfola a me Ovaleap, he mau mana biosimilar o ka lāʻau lapaʻau mua. Hana like lākou akā he ʻokoʻa iki paha ka ʻeke a i ʻole nā mea hana injection.

E hana maʻamau kāu keʻena momona me kāu hui ʻinikua e hoʻoholo i ka inoa inoa i uhi ʻia a me ka mea kūpono loa iā ʻoe. Loaʻa i nā mana i ʻae ʻia o follitropin alfa ka mea hana like a me ka pono.

Nā koho ʻē aʻe o Follitropin Alfa

Nui nā lāʻau lapaʻau ʻē aʻe e hiki ke hoʻoulu i ka hana hua inā ʻaʻole ʻo follitropin alfa ke koho kūpono iā ʻoe. Ua like loa ʻo Follitropin beta akā ua hana ʻia me ka hoʻohana ʻana i kahi hana hana ʻokoʻa iki.

ʻO Menotropins, i loaʻa iā FSH a me ka hormone luteinizing (LH), e ʻōlelo ʻia paha inā pono ʻoe i ke kākoʻo hormone hou. Loaʻa kēia mau lāʻau lapaʻau mai nā hormones kanaka i hoʻomaʻemaʻe ʻia ma mua o ka hana ʻia ʻana.

No nā wahine me PCOS, hiki ke hoʻāʻo ʻia ʻo letrozole a i ʻole clomiphene citrate ma mua no ka mea he mau lāʻau lapaʻau waha lākou ma mua o nā injections. Hana lākou ma ka paipai ʻana i kou kino e hana i ka nui o kāna FSH ponoʻī.

E noʻonoʻo kāu kauka i kāu hōʻailona kikoʻī, pehea ʻoe i pane ai i nā lāʻau lapaʻau mua, a me kāu mau makemake pilikino i ke koho ʻana i ka lāʻau lapaʻau maikaʻi loa no kou kūlana.

Ua ʻOi aku ka maikaʻi o Follitropin Alfa ma mua o Follitropin Beta?

He mau lāʻau lapaʻau like loa ʻo Follitropin alfa a me follitropin beta e hana like ana no ka hapa nui o nā wāhine. He mau mana synthetic lāua ʻelua o FSH, akā ua hana ʻia lāua me nā hana hana like ʻole.

Hōʻike nā haʻawina e hana ana nā lāʻau lapaʻau ʻelua i nā helu hāpai like a loaʻa nā ʻano hopena ʻaoʻao like. ʻO ke koho ma waena o lāua e pili pinepine ana i nā mea hana e like me ke kumukūʻai, ka uhi ʻinikua, a me ka mea hana injection āu e makemake ai.

Manaʻo kekahi mau wāhine he maʻalahi kekahi e hoʻokomo ma mua o kekahi, a i ʻole makemake lākou i ka mea hana peni e hele mai ana me kekahi mau māka. Hiki i kāu hui momona ke kōkua iā ʻoe e hoʻāʻo i nā mea ʻelua e ʻike i ka mea e ʻoluʻolu ai iā ʻoe.

I nā hihia kakaʻikahi, hiki i kahi wahine ke pane maikaʻi aʻe i kekahi ma mua o kekahi, akā ʻaʻole maʻamau kēia. Inā ʻaʻole ʻoe e pane maikaʻi i kekahi ʻano, hiki i kāu kauka ke hoʻololi iā ʻoe i kekahi no kāu pōʻai aʻe.

Nā Nīnau i Nīnau Pinepine ʻia e pili ana iā Follitropin Alfa

He Palekana ʻo Follitropin Alfa no nā Wāhine me PCOS?

ʻAe, hoʻohana pinepine ʻia ʻo follitropin alfa a palekana maʻamau no nā wāhine me PCOS, akā pono ia i ka nānā pono. Aia nā wāhine me PCOS i ka pilikia nui o ka maʻi hyperstimulation ovarian (OHSS) no ka mea, ʻoi aku ka maʻalahi o kā lākou ovaries i nā lāʻau momona.

E hoʻomaka paha kāu hui momona iā ʻoe ma kahi haʻahaʻa haʻahaʻa a nānā pono iā ʻoe ma o nā hoʻokolohua koko a me nā ultrasound. Hiki iā lākou ke ʻōlelo aku i nā lāʻau lapaʻau hou e kōkua i ka pale ʻana i ka OHSS, e like me ka metformin a i ʻole ka hoʻohana ʻana i kahi pana hoʻomaka ʻokoʻa.

Nui nā wāhine me PCOS i loaʻa nā hāpai kūleʻa me ka hoʻohana ʻana iā follitropin alfa. ʻO ke kī ka hana pū ʻana me kahi hui momona i ʻike i ka pehea e hoʻoponopono ai i nā protocols lapaʻau no kāu kūlana.

He aha kaʻu e hana ai inā hoʻohana hewa au i ka nui o Follitropin Alfa?

Inā ua hoʻokomo hewa ʻoe i ka follitropin alfa ma mua o ka mea i kauoha ʻia, e hoʻokaʻaʻike koke i kāu keʻena hānau, ʻoiai inā ma waho o nā hola hana. Pono lākou e ʻike koke i hiki iā lākou ke nānā pono iā ʻoe no nā hōʻailona o ka overstimulation.

Mai hopohopo, akā e lawe nui i kēia. Hiki i ka overdose ke hoʻonui i kou pilikia o ka hoʻomohala ʻana i ka OHSS, hiki ke pilikia inā ʻaʻole mālama pono ʻia. Hiki i kāu keʻena ke makemake e ʻike iā ʻoe no nā hana koko hou a me nā ultrasound.

I kekahi mau hihia, hiki iā lākou ke ʻōlelo e kāpae i kāu pōʻaiapuni i kēia manawa e pale ai i nā pilikia. ʻOiai ka mea e hōʻeha ai, ʻoi aku ka palekana o kēia ma mua o ka pilikia ʻana i nā pilikia olakino koʻikoʻi mai ka overstimulation.

He aha kaʻu e hana ai inā ua hala wau i kahi mahele o Follitropin Alfa?

Inā ua hala ʻoe i kahi mahele, e hoʻokaʻaʻike i kāu keʻena hānau i ka hiki wawe e loaʻa ai ke alakaʻi. Mai pāpālua i kāu mahele aʻe me ka ʻole e kamaʻilio mua me lākou, no ka mea, hiki i kēia ke alakaʻi i nā pilikia.

Ma muli o ka manawa āu i hala ai i ka mahele a me kahi āu i loko o kāu pōʻaiapuni, hiki iā lākou ke lawe i ka mahele i hala i hope, lele loa, a i ʻole e hoʻoponopono i kāu mau mahele i koe. He ʻokoʻa kēlā me kēia kūlana, no laila he mea nui ke alakaʻi pilikino.

E hoʻāʻo e lawe i kāu mau injections i ka manawa like i kēlā me kēia lā e pale ai i ka hala ʻana i nā mahele. Hiki i ka hoʻonohonoho ʻana i kahi alarm i kēlā me kēia lā ma kāu kelepona ke kōkua iā ʻoe e hoʻomanaʻo, ʻoiai i nā manawa paʻahana a i ʻole ke koʻikoʻi.

I ka manawa hea e hiki ai iaʻu ke hooki i ka lawe ʻana iā Follitropin Alfa?

E hooki ʻoe i ka lawe ʻana iā follitropin alfa ke hoʻoholo kāu hui hānau ʻana ua hiki i kāu mau follicles hua i ka nui kūpono a me ka pae o ka oʻo. ʻO ka maʻamau kēia ma hope o 8 a 14 mau lā o ka mālama ʻana, akā ʻokoʻa ia ma muli o kāu pane pilikino.

E nānā kāu kauka i kāu holomua ma o nā hoʻokolohua koko e ana ana i nā pae hormone a me nā ultrasound e helu a ana i kāu follicles. Ke hiki i nā follicles nui loa ma kahi o 18-20 millimeters ke anawaena, ua hiki i ka manawa e hooki ai.

Mai hooki i ka lawe ʻana i ka lāʻau lapaʻau ma kāu iho me ka ʻole e kūkākūkā me kāu hui momona. ʻO ka hooki ʻana i ka wā mua loa e hopena i nā hua ʻaʻole i oʻo pono, ʻoiai ʻo ka hoʻomau ʻana i ka lōʻihi loa e alakaʻi i ka overstimulation.

Hiki iaʻu ke hoʻoikaika kino i ka wā e lawe ana i ka Follitropin Alfa?

He maikaʻi ka hoʻoikaika kino māmā a me ka maʻalahi i ka wā e lawe ana i ka follitropin alfa, akā pono ʻoe e pale i nā hana ikaika a i ʻole nā hana e pili ana i ka lele a i ʻole ka wili. I ka wā e ulu nui ai kou ovaries mai ka lāʻau lapaʻau, lilo lākou i mea palupalu a maʻalahi i ka ʻeha.

ʻO ka hele wāwae, yoga mālie, a me ka ʻauʻau ʻana he mau koho palekana. E hoʻolohe i kou kino a e hooki inā ʻoe e ʻike i kekahi ʻoluʻolu pelvic a i ʻole nā ​​hōʻailona maʻamau i ka wā o ka hana.

I ka wā e kokoke ana ʻoe i ka lawe ʻana i ka hua manu, hiki i kāu kauka ke ʻōlelo aku e pale i ka hoʻoikaika kino no kekahi mau lā. Kōkua kēia i ka pale ʻana i kāu ovaries i hoʻonui ʻia mai nā pilikia hiki ke loaʻa e like me ka ovarian torsion, kahi e wili ai ka ovary iā ia iho.