Hloov kho ntawm zes qe menyuam stimulation

Dab tsi yog ovary stimulation?

Hauv kev coj khaub ncaws ib txwm, lub zes qe menyuam tsim ib lub follicle. Thaum lub sij hawm ntawm ovulation, qhov no yuav tshem tawm ib tug oocyte, uas yuav, los yog tsis, fertilized los ntawm ib tug phev.

 

La stimulation ntawm zes qe menyuam, los yog ovulation induction, koom nrog kev tswj hwm cov tshuaj hormones rau tus poj niam kom rov tsim cov xwm txheej no. Lub hom phiaj ntawm qhov kev kho mob no yog kom tau txais cov maturation ntawm ib tug follicle, thiab yog li ntawd cia ovulation.

Ovarian stimulation: rau leej twg?

Ovarian stimulation yog rau txhua tus poj niam uas tsis xeeb tub vim yog irregular los yog tsis muaj ovulation. Cov txheej txheem no yog thawj kauj ruam ua ntej kev kho mob hnyav, xws li hauv vitro fertilization (IVF) thiab inseminations.

Yuav ua li cas ovary stimulation ua haujlwm

Ua ntej ntawm tag nrho cov, koj yuav tsum tau mus rau ib tug ntev ntev thiab txwv tsis pub lub roj teeb ntawm kev ntsuam xyuas, tab sis qhov tseem ceeb yog tias koj xav tau nce koj txoj kev xeeb tub. Tom qab kev xam phaj thiab tshuaj xyuas lub cev, tus kws kho mob yuav hais kom koj ntsuas koj qhov ntsuas kub txhua txhua tag kis rau ob lossis peb lub hlis txhawm rau nrhiav koj hnub kawg.ovulation. Ces nws yuav sau ntawv Kev kuaj ntshav los ntsuas cov tshuaj hormones sib txawv (FSH, LH thiab estradiol), nrog rau lub plab ultrasound hauv lub chaw ua haujlwm tshwj xeeb. Yog tias koj tsis ovulating, koj yuav tsum tau noj duphaston ua rau koj lub sijhawm. Nws tsuas yog tom qab cov kauj ruam no koj tuaj yeem pib kho.

Ovarian stimulation: dab tsi yog kev kho mob?

Peb hom kev kho mob ua tau rau a stimulation ntawm zes qe menyuam :

  • cov kev pab cuam pharmaceuticals (Clomiphene citrate, hu ua Clomid), hais lus. Lawv muaj cov tshuaj tiv thaiv estrogenic. Qhov kom zoo dua: lawv yog cov ntsiav tshuaj yuav tsum tau noj txhua hnub rau 7 hnub rau ib lub voj voog. Lawv yuav induce a FSH zais cia, cov tshuaj hormones lub luag haujlwm rau kev loj hlob ntawm follicles, yog li ua rau stimulation ntawm zes qe menyuam.
  • cov kev pab cuam txhaj tshuaj hormone. Qee pawg kws kho mob nyiam muab FSH cov tshuaj hormones ncaj qha. Gonadotropins (FSH), nyob rau hauv txhaj tshuaj npaj, ua ncaj qha rau zus tau tej cov follicles nyob rau hauv lub zes qe menyuam. Lawv yog tswj los ntawm tom (intramuscular, intradermal lossis subcutaneous).
  • Tsis paub, LRH twj xa cov tshuaj hormones uas qee cov poj niam tsis muaj (gonadorelin) tso cai rau ovulation. Lawv yuav tsum hnav lub twj tso kua mis no kom txog thaum cev xeeb tub. Txawm li cas los xij, tej zaum koj yuav tau sim ntau yam kev kho mob ua ntej koj pom qhov uas yog rau koj. tuav ceev!

Ovarian stimulation ntawm Clomid, gonadotropins… Dab tsi tshwm sim?

nrog LRH twj, tsis muaj qhov tsis zoo. Raws li kev kho mob nrog Clomid, nws ua rau ob peb phiv, nrog rau qee lub sijhawm tshwj xeeb ntawm kev pom kev cuam tshuam, mob taub hau, digestive cuam tshuam thiab xeev siab. Qee qhov xwm txheej, cov tshuaj no kuj tseem tuaj yeem ua rau muaj kev cuam tshuam tsis zoo ncauj tsev menyuam, uas yuav tsum tau koom nrog kev kho mob nrog estrogen.

Kev txhaj tshuaj hormone, ntawm qhov tod tes, feem ntau nrog kev hnov ​​​​mob hnyav hauv ob txhais ceg, hnyav hauv plab plab, nce me ntsis hauv qhov hnyav lossis txawm tias plab zom mov.

Ntau qhov hnyav thiab hmoov zoo tsis tshua muaj, tus mob syndromezes qe menyuam hyperstimulation txhais ua a o ntawm zes qe menyuam, muaj kua nyob rau hauv lub plab kab noj hniav thiab muaj kev pheej hmoo ntawm phlebitis. Qhov tshwm sim no tshwm sim thaumntau follicles tau matured. Tab sis qhov hnyav tshaj plaws yog qhov kev puas siab puas ntsws. Kev ntxhov siab, qaug zog… nws yog ib qho tseem ceeb uas koj yuav tsum tau ua siab ntev thaum kho.

Contraindications rau stimulation ntawm zes qe menyuam

Hais txog contraindications, tsuas yog cov poj niam uas muaj keeb kwm ntawm hypotalamic-pituitary qog, thrombosis, cerebrovascular kev huam yuaj (stroke), mob qog noj ntshav los yog mob hnyav los ntshav tsis tuaj yeem tau txais txiaj ntsig los ntawm cov kev kho mob no.

Saib xyuas zes qe menyuam stimulation

A Kev tshuaj xyuas dual, lom thiab ultrasound, yog qhov tseem ceeb thaum lub zes qe menyuam stimulation. Cov ultrasounds tso cai rau cov follicles los ntsuas thiab yog li lawv txoj kev loj hlob yuav tsum ua raws, thiab cov tshuaj hormonal (kev kuaj ntshav) yog siv los saib xyuas cov qib estradiol. Lawv kuj muab qhov ntsuas ntawm hormonal secretions thiab follicles.

Lub hom phiaj ntawm qhov no kev soj ntsuam ovulation kuj yog los kho cov kev kho mob, tiv thaiv kev pheej hmoo ntawm ntau cev xeeb tub (los ntawm kev nce lossis txo qis ntawm cov tshuaj hormones), qhia hnub zoo tagnrho rau kev sib deev, los yog tej zaum los ntawm ua rau ovulation, Feem ntau yog los ntawm kev txhaj tshuaj ntawm HCG uas ua rau lub cev tsis zoo ncov LH ovulation inducer.

Ovarian stimulation: dab tsi yog qhov ua tau zoo?

Cov lus teb rau kev kho mob txawv ntawm poj niam mus rau poj niam. Nws tag nrho nyob ntawm qhov ua rau koj tsis muaj menyuam, koj lub hnub nyoog, koj keeb kwm… Thaum txoj kev kho mob tau pom, nws zoo li peb tau rov tsim thawj qhov txuas hauv cov saw hlau. Nws tau pom tias feem ntau muaj kev xeeb tub thawj plaub lub hlis.

Yog hais tias lub stimulation ntawm zes qe menyuam muab tsis muaj dab tsi, nws muaj peev xwm pib dua. Hauv Fab Kis, Kev Pov Hwm Kev Noj Qab Haus Huv tau teeb tsa tsis muaj kev txwv rau kev pab cuam ntawm zes qe menyuam stimulation. Qee tus kws kho mob gynecologists nyiam qhov chaw kho mob thiab cia lub zes qe menyuam so rau yam tsawg kawg txhua ob lub voj voog. Gynecologists zoo li pom zoo tias nws yuav muaj txiaj ntsig zoo los txuas ntxiv zes qe menyuam thaum tsis muaj cev xeeb tub lossis tom qab cev xeeb tub. peb mus rau rau lub hlis sim, vim tias cov kev kho mob poob hauv kev ua haujlwm zoo.

Sau ntawv cia Ncua