I-Estrogen ingasiza umzimba wakho ukulungiselela ukukhulelwa
Uma wena nomlingani wakho nisanda kutholakala nge-vitro fertilization (IVF), kungenzeka ukuthi udokotela wakho ubeke i-estrogen enqunyiwe ukukusiza ukuba ukhulelwe. Uma une-polycystic ovarian syndrome (i-PCOS), isimo esibangela ukuba u- estrogen evelele , isimiso somuthi we-estrogen singase simangale.
Kungani Odokotela Benza I-Estrogen
I-Estrogen supplementation ngesikhathi sokujikeleza kwe- IVF ehlanganisa i- gonadotropin noma i-gonadotropin-ukukhulula ama-hormone ngokuvamile asetshenziswa yizintatheli eziningi ezingenasifo.
Elinye lamahomoni amakhulu okukhulelwa, i- estrogen , lisiza ukugcina i-endometrial lining of the uterus. I-endocrinologists yokuzala ibeka izithako ze-estrogen ukusiza i-endometrium yakho ikhule futhi ilungiselele ukukhulelwa.
Ngaphambi kokuba iqanda lisetshenziswe esibelethweni sakho, uma ubhedu bakho bubukeka buncane kakhulu, udokotela wakho angase abeke i-estrogen engaphezulu. Umthamo okhuphukayo ungasiza ukukhuphula ibhande lakho, ulungiselele isibeletho sakho sokukhulelwa. Uma usebenzisa i-egg donor, umbungu wama-donor noma ukudluliselwa kwe-embryo efriziwe, udokotela wakho cishe uzoba nesrogen ngaphambi kosuku lwakho lokufakelwa.
Ukuhlaziywa kwe-meta eshicilelwe eMdeni kubheka izifundo ezingu-11 ezibandakanya ukwesekwa kwe-estrogen kanye ne-progesterone njengenkxaso ye-luteal kulabo abane-IVF. Abacwaningi baphetha ngokuthi ukuthatha ama- progesterone ne-estrogen supplement ngesikhathi se-IVF ukwelashwa ngemuva kokuqanda amaqanda kwakuhambisana nokukhula okukhulelwe komtholampilo kune-progesterone yedwa.
Ezinye imiphumela ezifana nesilinganiso sokukhulelwa okuqhubekayo, izinga lokufaka umanyolo, izinga lokufakelwa kwesisu , kanye nesilinganiso sokukhulelwa kwesisu satholakala ukuthi sinye efanayo kokubili ukwelashwa.
Ukuthatha i-Estrace noma i-Estradiol
I-Estrace , noma i-estradiol, isimo se-estrogen esivame ukushiwo. Udokotela wakho cishe uzobeka u-2mg kabili kathathu ngosuku.
Abanye odokotela bangakuyala ukuba ufake iphilisi ngaphakathi kwesifazane kunokuba uwuthathe ngomlomo. Iphilisi elifanayo, linikezwe ngendlela ehlukile.
Uma uthatha u-Estrace ngokwemvelo, kubalulekile ukugcina okulandelayo engqondweni. Okokuqala, ungabona ukukhishwa okwesibhakabhaka nokuhlaza okwesibhakabhaka. Lokhu akufanele ukhathazeke ngakho; kungukuphela kwezingxenye zamapillisi eziphula. Uma ufaka iphilisi, kufanele ulale okungenani isigamu sehora ukuvimbela iphilisi ukuba ingaphumeleli. Uma unenkinga ngokufaka, ungagqoka iglavu ye-latex ukuvimbela iphilisi ukuba ihlukane ngaphansi komunwe wakho.
Ngenkathi uthatha i-estrogen, udokotela wakho cishe uzofuna ukuqapha usebenzisa ukuhlolwa kwegazi noma ama-ultrasound. Ukulungiswa kwesikhashana kungahle kudingeke ukuze ukwandise amazinga akho e-hormone kanye nokukhanya kwe-endometrial . Qinisekisa ukuthi ulandela izincomo zakho ze-RE mayelana ne-Estrace yokufaka.
Imiphumela emibi ye-estradiol ne-Estrace ingafaka:
- Ukusakaza noma ukukhanyisa ukuphuma kwegazi
- Isisu esithukuthele, isiyaluyalu, noma ukuhlanza
- Ukukhishwa kwamagciwane noma ukushaya
- Inzuzo yesisindo
- Ukuvuvukala noma ukubhula
- Izinsizwa
- Ububele besisu noma ubuhlungu
Njenganoma yimiphi imithi yokwelashwa, imiphumela emibi ingaba khona. Uma uthatha imithi e-estrogen esekelwe futhi ube nezimpawu ezikukhathazayo, khuluma nodokotela wakho noma u-pharmist.
Ungayeki ukuthatha u-Estrace noma i-estradiol ngaphambi kokubonisana nodokotela wakho njengoba lokhu kungathinta umjikelezo wakho we-IVF.
Imithombo
- > Zhang XM1, Lv F, Wang P, Huang XM, Liu KF, Pan Y, Dong NJ, Ji YR, She H, Hu R.Estrogen ukwengezela ku-progesterone njenge-luteal phase ukwesekwa kweziguli ezitholakalayo ku-in vitro fertilization: ukubuyekezwa okuhlelekile nemeta -analysis.Medicine (Baltimore). 2015 Feb; 94 (8): e459.
- "I-Estrogen kanye ne-progesterone supplementation ye-luteal phase support in in vitro fertilization kanye nokudluliswa kombungu." S. Chen, H. Li, L. Kong, uL. Zhu, X. Zhang, F. Xing. Ukuzala nokuthobeka - September 2004. Vol. 82, amakhasi S191-S192.
- "I-Estrogen yokwengeza ku-progesterone ye-luteal phase support in imijikelezo eyenziwe yi-GnRH efana ne-gonadotrophins ye-IVF: ukubuyekezwa okuhlelekile nokuhlaziywa kwe-meta." I-EM Kolibianakis et al. Ukukhiqizwa Komuntu - June 2008. Vol. 6, amakhasi 1346-54.