Iziyobisi zokuchuma: Ukhetho kunyango lwaBasetyhini kunye naMadoda

Umxholo

• Isigama
• Iziyobisi zokuchuma kwabasetyhini
• Iifollicle ezikhuthaza iziyobisi (FSH) iziyobisi
• Urofollitropin lyophilisate
• Follitropin alfa lyophilisate
• Clomiphene
• I-chorionic gonadotropin yabantu (hCG)
• Ukuphindaphinda i-chorionic gonadotropin yabantu (r-hCG)
• I-chorionic gonadotropin yabantu (hCG)
• I-gonadotropin ye-menopausal yabantu (hMG)
• I-Gonadotropin-ekhulula ihomoni (GnRH)
• IGanirelix acetate
• Cetrotide acetate
• Dopamine agonists
• IBromocriptine
• Ikhabergoline
• Iziyobisi zokuchuma amadoda
• I-chorionic gonadotropin yabantu (hCG)
• I-follicle evuselela i-hormone (FSH)
• Ukukhulelwa ngonyango lokuchuma
• Thetha nogqirha wakho

Intshayelelo

Ukuba uzama ukukhulelwa kwaye ayisebenzi, unokuphonononga unyango. Iziyobisi zokuchuma zaziswa okokuqala eMelika ngeminyaka yoo-1960 kwaye ziye zanceda abantu abaninzi ukuba bakhulelwe. Elinye lawona machiza aqhelekileyo okuchuma namhlanje linokuba lukhetho kuwe okanye kwiqabane lakho.

Isigama

Le theyibhile ingezantsi ichaza amagama aluncedo xa uxoxa ngokuzala.

Iziyobisi zokuchuma kwabasetyhini

Iindidi ezininzi zamayeza okuzala kwabafazi ziyafumaneka namhlanje. Ungaqaphela ukuba zininzi iziyobisi ezidweliswe kweli nqaku labasetyhini kunamadoda. Oko ikakhulu kungenxa yokuba kulula ukukhuthaza imveliso yeqanda kubafazi kunokuba kunjalo kukonyusa inani lobudoda emadodeni. Nanga amayeza aqhelekileyo okuzala kwabafazi.

Iifollicle ezikhuthaza iziyobisi (FSH) iziyobisi

I-FSH yincindi yedlala eveliswa ngumzimba wakho. Ibangela elinye lamaqanda kwii-ovari zakho ukuba likhule kwaye ibangele ukuba follicle yenze ijikeleze iqanda elikhulayo. La ngamanyathelo aphambili umzimba wabasetyhini ohamba kuwo njengoko ulungiselela ukuphuma. Njenge-FSH eyenziwe ngumzimba wakho, uhlobo lweziyobisi lwe-FSH lunokukhuthaza i-ovulation.

I-FSH iyacetyiswa kwabasetyhini abasebenza ii-ovari kodwa amaqanda abo engakhuli rhoqo. I-FSH ayikhuthazwanga kwabasetyhini abanokusilela kwe-ovari ngaphambi kwexesha. Ngaphambi kokuba ufumane i-FSH, uya kunyangwa ngesiyobisi esibizwa ngokuba yi-chorionic gonadotropin (hCG).

I-FSH iyafumaneka e-United States ngeendlela ezininzi.

Urofollitropin lyophilisate

Eli chiza lenziwe nge-FSH yomntu. Inikwa ngenaliti engaphantsi. Oko kuthetha ukuba ingene kwindawo enamafutha nje phantsi kolusu. I-Urofollitropin ifumaneka kuphela njengegama lebrendi yeziyobisi iBravelle.

Follitropin alfa lyophilisate

Eli chiza yinguqulelo ephindayo ye-FSH. Ikwanikwa kwakhona ngenaliti engaphantsi. I-Follitropin ifumaneka kuphela njengegama lophawu lweziyobisi iFollistim AQ kunye neGonal-F.

Clomiphene

I-Clomiphene yimodyuli ye-estrogen receptor modulator (SERM). Isebenza ngokukhuthaza i-pituitary gland. Eli dlala lenza i-FSH. I-Clomiphene inyanzelisa i-gland ukuba ikhuphe i-FSH ngakumbi. Ihlala isetyenziselwa abasetyhini abane-polycystic ovarian syndrome (i-PCOS) okanye ezinye iingxaki nge-ovulation.

I-Clomiphene iza njengecwecwe olithathayo ngomlomo. Ifumaneka kuphela njengechiza eliqhelekileyo.

I-chorionic gonadotropin yabantu (hCG)

I-chorionic gonadotropin yincindi yedlala eyenziwa ngumzimba wakho. Ibangela ifollicle kwelinye lamaqanda akho ukukhupha iqanda eliqolileyo. Ikwabangela ii-ovari zakho ukuvelisa iprogesterone yehomoni. Iprogesterone yenza izinto ezininzi, kubandakanya ukulungiselela isibeleko iqanda elichumileyo ukuze lifakwe kulo.

Ifom yeziyobisi ye-hCG ihlala isetyenziswa nge-clomiphene okanye i-menopausal gonadotropin (hMG). Kufuneka isetyenziswe kuphela kubafazi abanee-ovari ezisebenzayo. Ayifanelanga ukuba isetyenziswe kubafazi abanokusilela kwe-ovari ngaphambi kwexesha. Ichiza hCG liyafumaneka e-United States ngeendlela ezimbini.

Ukuphindaphinda i-chorionic gonadotropin yabantu (r-hCG)

Eli chiza unikwa ngenaliti ongama. Ngaphambi kokusebenzisa i-r-hCG, uya kwenziwa kwangaphambili nge-menopausal gonadotropin okanye i-FSH. I-hCG ephindayo inikwa njengedosi enye kusuku olunye emva kwethamo lokugqibela lonyango. Eli chiza lifumaneka kuphela njengegama lophawu lwegama u-Ovidrel.

I-chorionic gonadotropin yabantu (hCG)

Eli chiza lifakwe kwimisipha yakho. Oku kubizwa ngokuba ngenaliti yemisipha. Ngaphambi kokusebenzisa eli chiza, uya kwenziwa kwangaphambili nge-menopausal gonadotropin okanye i-FSH. I-chorionic gonadotropin yomntu inikwa idosi enye ngosuku olunye emva kwedosi yokugqibela yonyango lwangaphambili. Eli chiza liyafumaneka njengeyeza eliqhelekileyo nanjengegama leziyobisi igama elithi Novarel kunye nePregnyl.

I-gonadotropin ye-menopausal yabantu (hMG)

Eli chiza lidibaniso lamahomoni amabini abantu i-FSH kunye ne-LH. I-gonadotropin ye-menopausal yabantu isetyenziselwa abafazi ababenama-ovari abo asempilweni ngokusisiseko kodwa abanakho ukuphuhlisa amaqanda. Ayisetyenziswanga kwabasetyhini abanokungaphumeleli kwe-ovari ngaphambi kwexesha. Eli chiza unikwa ngenaliti ongama. Ifumaneka kuphela njengegama lophawu lweziyobisi iMenopur.

I-Gonadotropin-ekhulula ihomoni (GnRH)

Abachasi be-GnRH bahlala besetyenziswa kubafazi abaphathwa ngendlela ebizwa ngokuba kukulawulwa kwe-ovarian stimulation (COS). I-COS isetyenziselwa unyango lwezityalo ezifana ne-in vitro fertilization (IVF).

Abachasi be-GnRH basebenza ngokugcina umzimba wakho ekuveliseni i-FSH kunye ne-LH. Ezi hormone zimbini zibangela ukuba amaqanda akhuphe amaqanda. Ngokubacinezela, abachasi be-GnRH bathintela ukuvuthwa okuzenzekelayo. Yilapho amaqanda ekhutshwa khona kwii-ovari kwangoko. La machiza avumela amaqanda ukuba akhule ngokufanelekileyo ukuze asetyenziselwe i-IVF.

Abachasi be-GnRH zihlala zisetyenziswa kunye ne-hCG. Ababini abachasene ne-GnRH bayafumaneka eMelika.

IGanirelix acetate

Eli chiza unikwa ngenaliti ongama. Ifumaneka kuphela njengechiza eliqhelekileyo.

Cetrotide acetate

Eli chiza kwakhona inikwa ngenaliti ongama. Ifumaneka kuphela njengegama lophawu lweziyobisi i-Cetrotide.

Dopamine agonists

Abachasi be-Dopamine banokusetyenziselwa ukunyanga imeko ebizwa ngokuba yi-hyperprolactinemia. Amachiza asebenza ngokunciphisa inani leprolactin ekhutshwa yindlala. La mayeza e-dopamine agonist alandelayo ayafumaneka eMelika.

IBromocriptine

Eli chiza liza njengethebhulethi oyithathayo ngomlomo. Iyafumaneka njengamayeza enziwe afana nalawo enziwa ngumenzi nanjengegama lesichazi-gama elithi Parlodel.

Ikhabergoline

Eli chiza liza njengethebhulethi oyithathayo ngomlomo. Ifumaneka kuphela njengechiza eliqhelekileyo.

Iziyobisi zokuchuma amadoda

Amayeza okuchuma amadoda ayafumaneka eMelika.

I-chorionic gonadotropin yabantu (hCG)

I-chorionic gonadotropin yomntu ivela ngokwendalo kuphela kwimizimba yabasetyhini. Ifom yeziyobisi ye-hCG inikwa amadoda ngenaliti yangaphantsi. Isetyenziselwa ukukhulisa imveliso ye testosterone. Eli chiza liyafumaneka njengeyeza eliqhelekileyo. Ikwafumaneka njengegama leziyobisi igama uNovarel kunye noPregnyl.

I-follicle evuselela i-hormone (FSH)

Imizimba yamadoda ivelisa i-FSH ukunceda ukukhuthaza imveliso yesidoda. Ifom yeziyobisi ye-FSH isebenza kwinjongo enye. Iyafumaneka e-United States njenge-follitropin alfa lyophilisate. Eli chiza yinguqulelo ephindayo ye-FSH. Follitropin inikwa ngenaliti ongama. Iyafumaneka njengegama lophawu lweziyobisi iFollistim AQ kunye neGonal-F.

Ukukhulelwa ngonyango lokuchuma

Thetha nogqirha wakho

Ukuba ujongene nokungachumi, thetha nogqirha wakho. Banokukuxelela ngazo zonke iindlela zonyango lwakho, kubandakanya iziyobisi zokuchuma. Ukuphonononga olu luhlu lweziyobisi kunye nogqirha wakho kwaye uqiniseke ukuba ubuza nayiphi na imibuzo onayo. Imibuzo yakho ingaquka:

• Siyintoni isizathu sokungachumi komlingane wam okanye iqabane lam?
• Ngaba ndim, okanye liqabane lam, umgqatswa wonyango ngamachiza okuzala?
• Ngaba i-inshurensi yam igubungela unyango ngamachiza okuzala?
• Ngaba zikho ezinye iindlela zonyango ezingasebenzisi iziyobisi ezinokunceda mna okanye iqabane lam?

Ukufunda ngazo zonke iindlela zonyango onokuthi ukhethe ngazo kunokukunceda uzive unolwazi ngakumbi kwaye ube nakho ngakumbi ukukhetha indlela yonyango lokuchuma ekulungeleyo.