Created at:1/13/2025
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Urofollitropin mushonga wekubatsira kubereka une follicle-stimulating hormone (FSH), hormone yechisikigo inogadzirwa nemuviri wako kubatsira kukura mazai muvakadzi uye mbeu muvarume. Mushonga uyu unobviswa mumvura yevakadzi vakapfuura menopause uye unocheneswa kuti ugadzire mushonga unogona kubatsira vakaroorana vari kutambura kuti vave nemwana.
Kana uri kusangana nematambudziko ekubereka, hausi wega, uye kune mishonga inoshanda iripo. Urofollitropin inoshanda nekutevedzera zviratidzo zvemuviri wako zvechisikigo, ichipa hurongwa hwako hwekuzvara rutsigiro rwakawedzerwa rwaungade kuti rishande zvakanaka.
Urofollitropin inobatsira vakadzi vane dambudziko rekubuda mazai kana kugadzira mazai akakura. Chiremba wako angakurudzira mushonga uyu kana mazai ako achida kumwe kukurudzira kuti abudise mazai panguva yekurapa kubereka senge in vitro fertilization (IVF) kana intrauterine insemination (IUI).
Kuvakadzi, mushonga uyu unobatsira zvikuru kana uine mamiriro akaita se polycystic ovary syndrome (PCOS), hypothalamic amenorrhea, kana dzimwe hormonal imbalances dzinokanganisa kukura kwemazai. Inoshandiswawo kana uri kuita matekinoroji ekubatsira kubereka uko mazai akawanda anodiwa.
Muvarume, urofollitropin inogona kubatsira kuwedzera kugadzirwa kwembeu kana huwandu hwembeu huri pasi hunokonzerwa nekushaikwa kwehomoni. Chiremba wako achasarudza kana mushonga uyu wakakodzera mamiriro ako chaiwo mushure mekuongorora kwakakwana uye kuongorora.
Urofollitropin inoshanda nekupa muviri wako zvakananga neFSH, hormone inokonzera kukurudzira mazai ako kuti akure uye akure mazai. Funga nezvazvo sekupa hurongwa hwako hwekuzvara chiratidzo chaicho chinodiwa kuti zvinhu zvifambe.
Mushonga uyu unoonekwa semushonga wepakati nepakati wekubatsira kubereka. Une simba kupfuura mishonga yekubatsira kubereka inotorwa nemuromo yakaita se clomiphene asi hauna kuoma semamwe mahomoni anoiswa mujeko. Iyo FSH iri mu urofollitropin inonamatira kune receptors mumazai ako, ichikonzera kukura kwemafollicles ane mazai ako.
Sezvo follicles achikura, anoburitsa estrogen, iyo inogadzirira chifukidziro chechibereko chako kuti chigone kubata pamuviri. Chiremba wako achatarisa maitiro aya zvakanyanya kuburikidza nemiedzo yeropa uye ultrasounds kuti ave nechokwadi chekuti mushonga uri kushanda nemazvo uye zvakachengeteka.
Urofollitropin inopiwa sejeko pasi peganda rako (subcutaneous) kana mumhasuru yako (intramuscular). Mupi wako wehutano achakudzidzisa iwe kana mumwe wako wekupa majeko aya zvakachengeteka kumba, kana kuti unogona kuagamuchira muhofisi yachiremba wako.
Nguva yemajeko ako yakakosha kubudirira. Iwe unowanzo kutanga kutora urofollitropin pamazuva akati wandei emuenzaniso wako wemwedzi, kazhinji pakati pezuva re2-5, sezvakatarwa nenyanzvi yako yekubereka. Iyo chaiyo nguva inoenderana nechirongwa chako chekurapa.
Haufaniri kutora mushonga uyu nechikafu sezvo uchijekwa, asi zvakakosha kuutora panguva imwe chete zuva rega rega. Chengeta mabhodhoro asina kuvhurwa mufiriji uye uvarege vachisvika tembiricha yemumba usati wajekisa kuti uderedze kusagadzikana.
Chiremba wako achapa mirairo yakadzama yekutenderedza nzvimbo dzekujekesa kudzivirira kutsamwa. Nzvimbo dzakajairika dzekujekesa dzinosanganisira chidya chako, dumbu, kana ruoko rwepamusoro. Nguva dzose shandisa tsono itsva, yakachena yejekiseni rega rega uye rasa tsono dzakashandiswa zvakanaka mumudziyo wezvinhu zvakapinza.
Vakadzi vazhinji vanotora urofollitropin kwemazuva 7-14 panguva yega yega yekurapa. Chiremba wako achatarisa mhinduro yako kuburikidza nemiedzo yeropa nguva dzose uye ultrasounds kuti aone nguva chaiyo yakakunakira.
Kureba kwemushonga kunoenderana nekukurumidza kunokura ma follicles ako uye kusvika pakukura kwakakodzera. Vamwe vakadzi vanopindura nekukurumidza mukati mevhiki, asi vamwe vangada kusvika kumavhiki maviri ejekiseni rezuva nezuva. Nyanzvi yako yekubereka vana ichagadzirisa nguva yako yekurapa zvichienderana nekupindura kwako kwega.
Unogona kuda kutenderera kwakawanda kwekurapa kuti ubate pamuviri. Vakaroora vakawanda vanoda kutenderera 3-6 kwekurapa, kunyangwe izvi zvichisiyana zvakanyanya kubva kumunhu nemunhu. Chiremba wako achakurukura zvaunotarisira zvechokwadi uye nguva zvichienderana nekuongororwa kwako kwekubereka vana.
Semushonga chero upi zvake, urofollitropin inogona kukonzera mhedzisiro, kunyangwe kwete munhu wese anoiziva. Mazhinji emhedzisiro idiki uye inogoneka, uye timu yako yehutano ichakutarisa zvakanyanya panguva yekurapa.
Mhedzisiro yakajairika yaungasangana nayo inosanganisira kusagadzikana kudiki panzvimbo yejekiseni, senge kutsvuka, kuzvimba, kana kunzwira tsitsi. Izvi zvinowanzo gadzirisa mukati memaawa mashoma uye zvinogona kuderedzwa nekutenderedza nzvimbo dzekujekiseni uye kushandisa aizi pamberi pejekiseni.
Heano mhedzisiro inowanzoitika yaunofanirwa kuziva nezvayo:
Zviratidzo izvi zvinowanzo ratidza zviratidzo zvepamuviri zvekutanga kana PMS yakanyanya, iyo inogona kuve inonetsa pamoyo panguva yekurapa kubereka vana. Rangarira kuti kusangana nemhedzisiro iyi hakufaniri kubudirira kana kukundikana kwekurapa kwako.
Mhedzisiro yakakomba asi isingawanzoitiki inoda kutariswa kwekurapa nekukurumidza. Matambudziko aya asingawanzoitiki anogona kusanganisira ovarian hyperstimulation syndrome (OHSS), uko mazai ako anova akakura zvakanyanya uye anoburitsa mazai akawandisa.
Bata chiremba wako nekukurumidza kana iwe ukaona:
Zviratidzo izvi zvinogona kuratidza OHSS kana mamwe matambudziko akakomba anoda kutarisirwa kwekurapa nekukurumidza. Kiriniki yako yekubereka ichakupa gwara rakajeka rekuti ungavadana riini nekukurumidza.
Urofollitropin haikodzeri munhu wese, uye chiremba wako achanyatsoongorora nhoroondo yako yekurapa asati akuraira. Mamwe mamiriro anoita kuti mushonga uyu usachengeteke kana kushanda zvishoma.
Haufaniri kutora urofollitropin kana wakatova nepamuviri kana kuyamwisa. Chiremba wako achasimbisa kuti hauna pamuviri usati watanga kurapwa uye anogona kukurudzira bvunzo dzepamuviri mukati memutambo wako.
Mamiriro akati wandei ekurapa anoita kuti urofollitropin isakodzere kana kuisa njodzi:
Kana uine nhoroondo yegwamba reropa, sitiroko, kana chirwere chemoyo, chiremba wako achayerera njodzi nemabhenefiti nekuchenjerera. Vamwe vakadzi vane mamiriro aya vanogona kushandisa urofollitropin pasi pekutariswa kwepedyo kwekurapa.
Zera rako rinogonawo kukanganisa kana mushonga uyu wakakodzera. Kunyangwe pasina zera rakanyanya, kubudirira kunowanzo kuderera zvakanyanya mushure memakore makumi mana nemaviri, uye njodzi dzinogona kuwedzera.
Urofollitropin inowanikwa pasi pemazita akati wandei emhando, kunyangwe chinhu chinoshanda chichiramba chakafanana. Zita remhando rinowanzozivikanwa ndiBravelle, iro rakashandiswa zvakanyanya mukurapa kubereka kwemakore mazhinji.
Mamwe mazita emhando anosanganisira Fertinex, kunyangwe iyi fomu yakamira mumisika yakati wandei. Pharmacy yako inogona kutakura mhando dzisina zita reurofollitropin, iro rine hormone imwechete inoshanda asi inogona kudhura zvishoma.
Mhando kana vhezheni isina zita yaunogamuchira haikanganisi zvakanyanya kushanda kwemushonga. Zvisinei, zvakakosha kushandisa mhando imwechete nguva dzose mukati mekutenderera kwako kwekurapa kuti uve nechokwadi chekushandisa mishonga nguva dzose uye mhinduro.
Mishonga yakati wandei inogona kumutsa ovulation kana urofollitropin isiri iyo yakakunakira. Chiremba wako angakurudzira mishonga ye recombinant FSH yakaita seGonal-F kana Follistim, iyo iri vhezheni dzekugadzira dzehormone imwechete.
Izvi zvimwe zvekugadzira zvinowanzoita kuti pave nezvishoma zvekugadzirisa allergic sezvo zvisingatorwi kubva mumvura yewanhu. Zvinouyawo mumapenhi ekuisa anokurumidza ayo vamwe varwere vanowana zviri nyore kushandisa kupfuura mabhodhoro echinyakare uye majekiseni.
Pakuita kurapwa kusina simba, chiremba wako angakurudzira kutanga nemishonga yemuromo yakaita seclomiphene citrate (Clomid) kana letrozole (Femara). Mapiritsi aya ari nyore kutora uye haadhure, kunyangwe asingaite zvakanyanya kuvakadzi vanoda kukurudzira kwakasimba kweovarian.
Human menopausal gonadotropin (hMG) imwe sarudzo yekujekiseni ine ese ari FSH uye luteinizing hormone (LH). Mishonga yakaita seMenopur kana Repronex inogona kunge yakakodzera kana iwe uchida mahomoni ese kuti uwane mhinduro yakanaka.
Urofollitropin uye clomiphene zvinoshanda zvakasiyana uye zvakakodzera mamiriro akasiyana. Clomiphene inowanzoita yekutanga-mutsara wekurapa nekuti inotorwa nemuromo uye haina kupinda kupfuura majekiseni.
Urofollitropin inowanzoshanda zvakanyanya kupfuura clomiphene kuvakadzi vasina kupindura kumishonga yemuromo kana vanoda kutonga kwakanyanya kwekuvhurwa kwemazai avo. Inonyanya kukosha kumativi eIVF uko mazai akawanda anodiwa.
Zvisinei, "zviri nani" zvinoenderana nemamiriro ako chaiwo. Clomiphene ingave yakakwana kana iwe uchitanga kurapwa kwekubereka uye uine matambudziko ekuvhurwa kwemazai akapfava. Zvakare zvakachipa zvakanyanya uye hazvidi majekiseni ezuva nezuva.
Chiremba wako anowanzoedza clomiphene kutanga kunze kwekuti uine mamiriro chaiwo anoita kuti urofollitropin ive sarudzo iri nani yekutanga. Sarudzo inoenderana nezvinhu zvakaita sezera rako, kuongororwa, nhoroondo yekurapa yapfuura, uye inishuwarenzi.
Hongu, urofollitropin inogona kuva yakachengeteka uye inoshanda kuvakadzi vane PCOS, asi inoda kunyatso tariswa. Vakadzi vane PCOS vane njodzi yakakwira yekuvandudza ovarian hyperstimulation syndrome (OHSS) nekuti mazai avo anowanzoita sensitive kumishonga yekubereka.
Chiremba wako anogona kutanga nedosi yakaderera uye achakutarisa kakawanda nemiedzo yeropa uye ultrasounds. Chinangwa ndechekumutsa mazai ako zvakakwana kuti abudise mazai akakura pasina kukonzera overstimulation ine njodzi.
Vakadzi vazhinji vane PCOS vanowana pamuviri unobudirira vachishandisa urofollitropin, kunyanya kana kurapwa kwakapfuura nemishonga yemuromo kusina kushanda. Nyanzvi yako yekubereka ichagadzira chirongwa chakagadzirirwa iwe pachako chinoderedza njodzi uchivandudza mikana yako yekubata pamuviri.
Kana iwe ukaisa urofollitropin yakawandisa netsaona, taura nekiriniki yako yekubereka nekukasira, kunyangwe zviri mushure memaawa. Makiriniki mazhinji ane masevhisi ekufona-pa-kufona emamiriro ekukurumidzira emishonga senge iyi.
Kudya mushonga wakawandisa kunogona kuwedzera njodzi yako ye ovarian hyperstimulation syndrome, saka chiremba wako achada kukutarisa zvakanyanya ne bvunzo dzeropa uye ultrasounds. Vanogona kuchinja mishonga yako yasara kana kumisa kurapwa kwenguva pfupi zvichienderana nekuti wakawana mishonga yakawanda sei.
Usavhunduka kana izvi zvikaitika - kukanganisa kwemishonga kunoitika kazhinji kupfuura zvaungafunga, uye timu yako yezvokurapa ine ruzivo rwekutarisira mamiriro aya. Iva akatendeseka nezve kuti wakatora mishonga yakawanda sei kuti vakwanise kupa hanya yakanaka.
Kana iwe ukakanganwa kudya urofollitropin, taura nekliniki yako yekubereka vana nekukurumidza sezvinobvira kuti uwane gwara. Nguva yemishonga yekubereka vana yakakosha, saka usaedze kuita sarudzo wega nezvekuti unotora mushonga wakareba here.
Kazhinji, kana iwe uchiziva mukati memaawa mashoma enguva yako yekujova yakarongwa, chiremba wako anogona kukuudza kuti utore mushonga wakakanganwa nekukasira. Zvisinei, kana zvave maawa mazhinji kana pedyo nemushonga wako unotevera wakarongeka, vanogona kuchinja chirongwa chako.
Usambofa wakawedzera mishonga pasina gwara rekurapa, sezvo izvi zvinogona kukonzera overstimulation. Chikwata chako chekubereka vana chichabatsira kuona nzira yakanakisisa yekuita zvichienderana nekwauri mumutambo wako wekurapa uye kuti muviri wako wanga uchipindura sei.
Iwe uchamira kutora urofollitropin kana chiremba wako aona kuti ma follicles ako asvika saizi yakakodzera uye kukura. Sarudzo iyi inobva pamazinga emahormone eropa uye kuyerwa kwe ultrasound, kwete pazuva rakatemerwa.
Kazhinji, iwe uchagamuchira
Kana kutenderera kwako kuchifanira kumiswa nekuda kwekushaya mhinduro kana njodzi yekukurumidza, chiremba wako achamisawo mushonga. Usamira kutora urofollitropin wega usina kutungamirirwa nachiremba, sezvo izvi zvinogona kupedza kutenderera kwese kwekurapa.
Maekisesa akareruka kusvika pakati nepakati anowanzoita sekuchengeteka uchitora urofollitropin, asi uchafanira kudzivisa maekisesa akasimba kana mabasa anogona kukonzera trauma yeovari. Sezvo maovari ako achikura panguva yekurapa, anova anonyanya kukuvadzwa.
Kufamba, yoga yakapfava, uye kushambira zvishoma zvinowanzoita zvakanaka, asi dzivisa kumhanya, kusimudza huremu, kana chero chiitiko chinosanganisira kusvetuka kana kufamba kamwe kamwe. Chiremba wako achapa matungamirirwo chaiwo zvichienderana nekuti maovari ako ari kupindura sei kurapa.
Munguva yekupedzisira yekutenderera kwako kwekurapa, kunyanya mushure mejekiseni rekutanga, ungangoda kudzivisa maekisesa zvachose kusvikira waziva kana wakamirira. Izvi zvinobatsira kuchengetedza maovari ako akakura uye chero pamuviri wekutanga unogona kuitika.