Kafukufuku watsopano akusonyeza kuti mankhwala a khansa ya m'mawere otchedwa letrozole (Femara) akhoza kukhala abwino kuposa Clomid kuti apange mimba ya amayi omwe ali ndi PCOS. Iyi ndi nkhani yabwino kwa mamiliyoni a akazi omwe amavutika ndi PCOS, omwe amachititsa kuti anthu asamakhale ndi ubereki ku United States.
Dr. Richard Legro, katswiri wa zachipatala wamtundu wa Penn State Hershey Medical Center adawonetsa zotsatira za mlanduwo womwe waperekedwa ndi NIH ku msonkhano wa 2012 wa American Reproductive Medicine (ASRM) womwe unasonyeza kuti 25 peresenti ya amayi omwe anachitidwa ndi letrozole anali ndi moyo wobadwa poyerekeza mpaka 16,8% azimayi omwe adatengedwa.
Mwachikhalidwe, Clomid yakhala mankhwala oyamba omwe ali ndi ufulu wosankha kuti aziteteza ovulation mwa amayi omwe ali ndi PCOS koma ali ndi mlingo wapamwamba wa kutenga mimba zambiri ndipo amayamba kuwonetsedwa ndi estrogen. Poyerekeza, letrozole siimapanga estrogen-ngati Clomid, ili ndi chiopsezo chochepa cha zovuta za mtima ndipo imakhala ndi mimba yochepa yochepera pakati.
Kodi Letrozole Ndi Chiyani?
Letrozole ndi aromatase inhibitor yomwe imaletsa kutembenuka kwa androgen kwa estrogen. Zimathandizanso kukula kwa mapometer ndipo zimalimbikitsa chitukuko chamoyo chokhachokha. Ngakhale kuti sakuvomerezedwa ndi a FDA kuti agwiritse ntchito, awonetseredwa kuti ayambitse ovulation mwa amayi omwe sali ovulate. Pachifukwa ichi, akatswiri ena odwala matenda osabereka akugwiritsa ntchito mankhwalawa mwa amayi omwe sangathe kulekerera kapena omwe samayankha bwino Clomid.
Letrozole ndi mankhwala omwe amagwiritsidwa ntchito kwambiri pochizira zilonda zam'estrogen, makamaka khansa ya m'mawere ku amayi achikulire, omwe amatha kupha amayi.
Kusankha:
Letrozole imakhala ndi mapiritsi a 2.5mg ndipo imatengedwa kamodzi patsiku kwa masiku asanu, kawirikawiri kumayamba pa tsiku lachitatu kapena lachisanu lakumasamba kwanu. Mungafunike kuyang'anitsitsa kupyolera mwa kuyesedwa kwa magazi ndi / kapena ultrasounds kuti mudziwe nthawi yomwe mukuyandikira.
Zotsatira Zotsatira:
Kwenikweni, letrozole imalekerera bwino.
Zotsatirapo zingaphatikizepo:
- kutopa
- phindu lolemera
- mutu
- fupa kapena kupweteka kwa minofu
- kutentha kotentha
Mavuto Obadwa Obadwa:
Ndikofunika kudziwa kuti mankhwalawa sagwirizana ndi mimba ndi kuyamwitsa. Komabe, chonde mvetserani kuti mukumwa mankhwalawa musanayambe kutenga mimba, kotero sichikulitsa chiopsezo chanu chokhala ndi mwana ali ndi zilema zobereka. Letrozole iyenera kuimitsidwa msangamsanga pamene mimba yayamba.
Yosinthidwa ndi katswiri wa PCOS Angela Grassi, MS, RDN
Zotsatira:
Legro RS, Kunselman AR, Brzyski RG, Casson PR, Diamond MP, Schlaff WD, Christman GM, Coutifaris C, Taylor HS, Eisenberg E, Santoro N, Zhang H. Kutenga mu Polycystic Ovary Syndrome II (PPCOS II) komanso kupangika kwa mayesero awiri omwe amachititsa chidwi kwambiri ndi clomiphene citrate ndi letrozole pofuna kuchiza kusabereka kwa amayi ndi polycystic ovary syndrome. Kuyesa Mavuto Akumayesero. 2012 May; 33 (3): 470-81.
Nayereh Ghomian, MD, Ashraf Khosravi, MD, ndi Nezhat Mousavifar, MD A Randomized Clinical Trial pa Kuyerekeza Zomwe Zimagwirizanitsa Masiku Awiri Oyamba Oyambirira a Chithandizo cha Letrozole ku Clomiphene Citrate Resistant PCOS Odwala mu IUI Cycles. Int J Fertil Steril. 2015 Apr-Jun; 9 (1): 17-26.