Estrogen ingathandize thupi lanu kukonzekera mimba
Ngati inu ndi mnzanuyo muli pafupi kulowa mu vitro fertilization (IVF), mwayi wanu ndi dokotala wanu wakuuzani estrogen kukuthandizani kukhala ndi pakati. Ngati muli ndi matenda a polycystic ovarian (PCOS), chikhalidwe chomwe chimakupangitsani estrogen chachikulu , mankhwala a estrogen angadabwe.
Chifukwa Chimene Madokotala Amapereka Esitrogen
Estrogen supplementation panthawi ya IVF yophatikizana ndi gonadotropins kapena gonadotropin-kutulutsa mahomoni amagwiritsidwa ntchito ndi akatswiri ambiri opatsirana.
Imodzi mwa mahomoni akuluakulu a mimba, estrogen , imathandiza kusunga chiberekero cha m'mimba. Mapuloteni otchedwa endocrinologists amapereka zakudya zotchedwa estrogen zowonjezereka kuti zithandize endometrium kukula ndikukonzekera kutenga mimba.
Dzira lisanalowe mu chiberekero chanu, ngati chipinda chanu chikuwoneka chochepa kwambiri, dokotala wanu angapereke mankhwala ochuluka a estrogen. Kuwonjezeka kwa mlingo kungakuthandizeni kubisala, kukonzekera chiberekero cha mimba. Ngati mukugwiritsa ntchito dzira loperekerako, mwana wosabadwa kapena feteleza ya feteleza, dokotala wanu angapereke mankhwala a estrogen musanafike tsiku lanu lokhazikika.
Kusanthula kwa meta komwe kunafalitsidwa mu Medicine kunayang'ana pa maphunziro 11 okhudzana ndi estrogen supplementation kuphatikizapo progesterone monga thandizo la luteal kwa omwe ali ndi IVF. Ochita kafukufuku anapeza kuti kutenga puloteni ndi progestro yeniyeni ndi isrojeni panthawi ya mankhwala a IVF pambuyo pobwezera dzira kumakhala ndi chiŵerengero chapamwamba cha mimba kuposa progesterone wokha.
Zotsatira zina monga kupitilira mimba nthawi zonse, kukula kwa feteleza, kuchuluka kwa msinkhu, komanso kuperewera kwa amayi obwera chifukwa chosowa kwa amayi .
Kutenga Estrace kapena Estradiol
Estrace , kapena estradiol, ndi mawonekedwe a estrogen omwe amadziwika kwambiri. Dokotala wanu akhoza kulamula 2mg awiri kapena katatu patsiku.
Madokotala ena angakulimbikitseni kuti muyike mapiritsi m'mimba mmalo mwa kuwatenga pakamwa. Ndi mapiritsi omwewo, omwe amaperekedwa m'njira zosiyanasiyana.
Ngati mutenga Estrace mwakachetechete , ndikofunika kuti muzikumbukira zotsatirazi. Choyamba, mukhoza kuona kutuluka kwa buluu. Izi sizikudetsa nkhaŵa; ndi mapiritsi a mapiritsi okha omwe akuswa. Mukayika mapiritsi, muyenera kuika pansi kwa theka la ola limodzi kuti muteteze mapiritsi. Ngati mukuvutika ndi kuika, mukhoza kuvala galavu ya latex kuti muteteze mapiritsi kuti aswe pansi.
Pamene akutenga estrogen, dokotala wanu amafunika kuyang'anitsitsa mukugwiritsa ntchito mayeso a magazi kapena ultrasound. Kusintha kwa nthawi zina kungafunikire kuti muyambe kuchulukitsa mahomoni anu ndi mapiritsi a endometrial . Onetsetsani kutsatira malangizo a RE anu okhudza Estrace dosing.
Zotsatira za estradiol ndi Estrace zingaphatikizepo izi:
- Kuthetsa magazi kapena kumaliseche magazi
- Kukhumudwa m'mimba, kunyozetsa, kapena kusanza
- Vaginal kumwa kapena kuyabwa
- Kulemera kwalemera
- Kutupa kapena kuphulika
- Mutu
- Chikondi cha m'mimba kapena ululu
Monga mankhwala aliwonse a mankhwala, zotsatira zoyipa zikhoza kuchitika. Ngati mukugwiritsa ntchito mankhwala a estrogen ndipo muli ndi zizindikiro zomwe zimakukhudzani, lankhulani ndi dokotala wanu kapena wamankhwala.
Musayambe kutenga Estrace kapena estradiol musanayambe kumufunsa dokotalayo chifukwa izi zingakhudze momwe mumayendera.
Zotsatira
- > Zhang XM1, Lv F, Wang P, Huang XM, Liu KF, Pan Y, Dong NJ, Ji YR, H H, Hu R.Estrogen wothandizira progesterone monga luteal gawo chithandizo kwa odwala omwe ali mu vitro feteleza: ndondomeko yowonongeka ndi meta -analysis.Medicine (Baltimore). 2015 Feb; 94 (8): e459.
- "Estrogen kuphatikizapo progesterone supplementation kwa luteal phase support mu vitro fetereza ndi kamwana kutumiza." S. Chen, H. Li, L. Kong, L. Zhu, X. Zhang, F. Xing. Utsi ndi Wofooka - September 2004. Vol. 82, masamba S191-S192.
- "Estrogen Kuwonjezeredwa ndi progesterone ya luteal phase support mu zochitika zomwe zimayambitsa GnRH zofanana ndi gonadotrophins kwa IVF: ndondomeko yowonongeka ndi kufotokozera mwachidule." EM Kolibianakis et al. Kubereka Kwa Munthu - June 2008. Vol. 6, masamba 1346-54.