Daawooyinka Taranka: Fursadaha Daaweynta ee Haweenka iyo Ragga
Qanacsan
- Erey bixin
- Dawooyinka taranka ee haweenka
- Dawooyinka hormoonka kiciya ee follicle (FSH)
- Urofollitropin lyophilisate
- Follitropin alfa lyophilisate
- Clomiphene
- Gonadotropin chorionic bini'aadamka (hCG)
- Gonadotropin chorionic chorionic aadanaha (r-hCG)
- Gonadotropin chorionic bini'aadamka (hCG)
- Gonadotropin menopausal-ka (hMG)
- Gonadotropin-sii deynta hormoonka (GnRH) antagonists
- Ganirelix acetate
- Cetrotide acetate
- Cilmiga agonistayaasha
- Bromocriptine
- Cabergoline
- Dawooyinka taranka ee ragga
- Gonadotropin chorionic bini'aadamka (hCG)
- Hormone-kiciyaha follicle (FSH)
- Uurka leh daaweynta bacriminta
- La hadal dhakhtarkaaga
Hordhac
Haddii aad isku dayeyso inaad uur yeelato oo aysan shaqeynin, waxaa laga yaabaa inaad raadiso daaweyn caafimaad. Daawooyinka bacriminta waxaa markii ugu horeysay laga soo saaray Mareykanka 1960s waxayna ka caawiyeen dad aan tiro lahayn inay uur qaadaan. Mid ka mid ah daawooyinka bacriminta ee ugu caamsan maanta ayaa ikhtiyaar u ah adiga ama lammaanahaaga.
Erey bixin
Jadwalka hoose wuxuu qeexayaa ereyo waxtar u leh in la ogaado marka laga hadlayo bacriminta.
Muddada | Qeexid |
Kicinta ugxan-sidaha la xakameeyey (COS) | Nooca daaweynta bacriminta. Daroogooyinka ayaa sababa ugxan sidaha inay sii daayaan dhowr ukun halkii ay ka sii deyn lahaayeen mid. |
Hormoonka luteinizing (LH) | Hormoon ay soo saarto qanjirka 'pituitary gland'. Haweenka, LH waxay horumarinaysaa ugxansidaha. Ragga, LH waxay dhiirrigelisaa wax soo saarka jirka ee hormoonnada ragga sida testosterone. |
Hyperprolactinemia | Xaalad ah halka qanjirka 'pituitary gland' uu si aad ah u qarsado hormoonka prolactin. Heerarka sare ee prolactin ee jirka ayaa ka hortaga sii deynta LH iyo hormoonka kiciya follicle (FSH). Iyadoo aan ku filneyn FSH iyo LH, jirka haweeneyda waxaa laga yaabaa inaysan ugxan bixin. |
Madhalaysnimo | Awood la'aanta in uur la yeesho ka dib hal sano oo galmo aan badbaado lahayn oo dumarka ka yar 35 sano, ama ka dib lix bilood oo galmo aan badbaado lahayn oo dumarka ka weyn 35 sano |
Bacrinta fitamiinada (IVF) | Nooca daaweynta bacriminta. Ukunta qaangaarka ah ayaa laga saaraa ugxaanta haweeneyda. Ukunta waxaa lagu bacrimiyaa shahwada shaybaarka ka dibna la geliyaa ilmo galeenka dumarka si ay u sii horumarto. |
Ugxanta | Ukunta oo laga sii daayo ugxanta haweeneyda |
Cudurka 'Polycystic ovarian syndrome' (PCOS) | Xaalad ah in haweeneydu aysan ugxan bixin bil kasta |
Hawlgabka ugxansidaha degdega ah (yaraanta ugxan-yarida ugxan-yar) | Xaalad ah in ugxan sidaha haweeneyda ah ay shaqada joojiso inta aysan gaarin 40 sano |
Dib isu soo uruurinaya | Lagu sameeyay iyadoo la adeegsanayo walxaha hidaha ee aadanaha |
Dawooyinka taranka ee haweenka
Noocyo badan oo ah dawooyinka bacriminta ee haweenka ayaa la heli karaa maanta. Waxaad ogaan kartaa inay jiraan dawooyin ka badan kuwa ku taxan maqaalkan dumarka marka loo eego ragga. Taasi badanaa waa sababta oo ah way fududahay in kor loo qaado wax soo saarka ukunta ee haweenka marka loo eego kordhinta tirada manida ragga. Waa kuwan dawooyinka bacriminta ee dumarka.
Dawooyinka hormoonka kiciya ee follicle (FSH)
FSH waa hormoon jirkaagu soo saaro. Waxay ku keentaa mid ka mid ah ukunta ugxansidahaaga inay baaluqdo waxayna keentaa in follicle uu ku samaysmo hareeraha ugxanta bislaanaya. Kuwani waa talaabooyin muhiim ah oo jirka haweeneyda uu maro marka uu isu diyaarinayo ukun bixinta. Sida FSH ee jirkaaga sameeyo, qaabka daroogada ee FSH wuxuu kaloo kobcin karaa ugxansidaha.
FSH waxaa lagula talinayaa dumarka ugxansidahoodu shaqeeyaan laakiin ukuntahoodu si joogto ah uma bislaadaan. FSH laguma talinayo dumarka qaba ugxansidaha ugxansha la'aanta. Kahor qaadashada FSH, waxaa suuragal ah in lagaa daaweeyo dawo loo yaqaan 'human chorionic gonadotropin' (hCG).
FSH waxaa laga heli karaa Mareykanka qaabab kala duwan.
Urofollitropin lyophilisate
Daawadani waxay ka samaysan tahay bini'aadamka FSH. Waxaa lagu bixiyaa cirbadeynta subcutaneous. Taasi waxay ka dhigan tahay in lagu duray aagga dufanka leh maqaarka hoostiisa. Urofollitropin waxaa kaliya loo heli karaa iyada oo ah magaca magaca dawada Bravelle.
Follitropin alfa lyophilisate
Daawadani waa nooc ka mid ah noocyada FSH. Waxaa sidoo kale lagu bixiyaa cirbadeynta subcutaneous. Follitropin waxaa loo heli karaa oo kaliya daawooyinka magaca ku caan ah ee Follistim AQ iyo Gonal-F.
Clomiphene
Clomiphene waa xulasho qaabeyaha estrogen receptor (SERM). Waxay ku shaqeysaa iyada oo kicinaysa qanjirka 'pituitary gland'. Qanjirkani wuxuu sameeyaa FSH. Clomiphene wuxuu kallifaa qanjidhada si loo helo sir badan oo FSH ah. Waxaa badanaa loo isticmaalaa dumarka qaba polycystic ovarian syndrome (PCOS) ama dhibaatooyin kale oo la xiriira ugxansidaha.
Clomiphene wuxuu u yimaadaa kiniin aad afka ku qaadato. Kaliya waxaa loo heli karaa iyada oo ah daawo guud.
Gonadotropin chorionic bini'aadamka (hCG)
Gonadotropin chorionic Human waa hormoon jirkaagu sameeyo. Waxay ku kicisaa follicle mid ka mid ah ugxansidahaaga si ay u sii daayaan ukumo bislaaday. Waxay sidoo kale kicisaa ugxan sidahaaga si ay u soo saaraan hormoonka progesterone. Progesterone wuxuu sameeyaa waxyaabo badan, oo ay ka mid tahay diyaarinta makaanka ugxanta la bacrimiyey si loogu beero.
Nooca daroogada ee hCG waxaa badanaa loo isticmaalaa clomiphene ama menopausal gonadotropin aadanaha (hMG). Waa in loo adeegsadaa kaliya dumarka leh ugxan sideyaasha shaqeeya. Waa in aan loo isticmaalin dumarka ugxanta ugxansanaanta hawlgabka ah. Daawada hCG waxaa laga heli karaa Mareykanka laba nooc.
Gonadotropin chorionic chorionic aadanaha (r-hCG)
Daawadan waxaa lagu bixiyaa cirbadeynta subagga subaga hoosteeda. Kahor intaadan isticmaalin r-hCG, waxaa lagugu daaweyn doonaa gonadotropin menopausal ama FSH. Recombinant hCG waxaa loo qaataa hal qaadasho hal maalin kadib qiyaasta ugu dambeysa ee daaweynta. Daawadani waxaa kaliya loo heli karaa iyada oo ah magaca magaca dawada ee Ovidrel.
Gonadotropin chorionic bini'aadamka (hCG)
Daawadan ayaa lagu durayaa muruqaaga. Tan waxaa lagu magacaabaa irbadda intramuscular. Kahor isticmaalka dawadan, waxa lagugu daaweyn doonaa gonadotropin menopausal ama FSH. Gonadotropin chorionic bini'aadamka waxaa loo bixiyaa sida hal qaadasho hal maalin kadib qiyaasta ugu dambeysa ee daaweynta. Daawadani waxaa loo heli karaa iyada oo ah daawo guud iyo sida magacyada caanka ah ee Novarel iyo Pregnyl.
Gonadotropin menopausal-ka (hMG)
Daawadani waa isku darka labada hormoon ee aadanaha FSH iyo LH. Gonadotropin menopausal menopausal waxaa loo isticmaalaa dumarka ugxansidahooda asal ahaan caafimaad qabaan laakiin ma horumarin karaan ukunta. Looma adeegsan dumarka leh ugxansidaha hawlgabka xilli hore. Daawadani waxaa loo bixiyaa sidii irbad subag hoosaad ah. Kaliya waxaa loo heli karaa iyada oo ah magaca sumadda magaca Menopur.
Gonadotropin-sii deynta hormoonka (GnRH) antagonists
GnRH antagonists waxaa badanaa loo isticmaalaa haweenka lagu daaweeyo farsamo loo yaqaan kicinta ugxan sidaha loo xakameeyo (COS). COS waxaa caadi ahaan loo isticmaalaa daaweynta bacriminta sida bacriminta ku jirta fitamiinada (IVF).
GnRH antagonists waxay ku shaqeeyaan iyagoo jidhkaaga ka ilaaliya inuu soo saaro FSH iyo LH. Labadan hormoon ayaa sababa in ugxan sidaha ay soo daayaan ukumo. Iyaga oo xakameynaya, kuwa ka soo horjeedda GnRH waxay ka hortagaan ugxaanta lama filaanka ah. Tani waa marka ukunta laga sii daayo ugxansidaha xilli hore. Daawooyinkani waxay ukunta u oggolaadaan inay si sax ah u bislaadaan si loogu isticmaalo IVF.
GnRH antagonists waxaa caadi ahaan loo isticmaalaa hCG. Laba GnRH oo ka soo horjeedda ayaa laga heli karaa Mareykanka.
Ganirelix acetate
Daawadan waxaa lagu bixiyaa cirbadeynta subagga subaga hoosteeda. Kaliya waxaa loo heli karaa iyada oo ah daawo guud.
Cetrotide acetate
Daawadani sidoo kale waxaa lagu bixiyaa cirbadeynta subcutanoous subcutaneous. Waxaa kaliya loo heli karaa iyada oo ah magaca sumadda magaca Cetrotide.
Cilmiga agonistayaasha
Dopamine antagonists waxaa loo isticmaali karaa in lagu daaweeyo xaalad loo yaqaan 'hyperprolactinemia'. Daawooyinka waxay ku shaqeeyaan yareynta qadarka prolactin qanjirka 'pituitary gland'. Daawooyinka daawada dopamine ee agonist ayaa laga heli karaa Mareykanka.
Bromocriptine
Dawadani waxay u timaadaa sidii kiniin aad afka ku qaadato. Waxaa loo heli karaa iyada oo ah daawo guud iyo sida magaca daroogada loo yaqaan 'Parlodel'.
Cabergoline
Dawadani waxay u timaadaa sidii kiniin aad afka ku qaadato. Kaliya waxaa loo heli karaa iyada oo ah daawo guud.
Dawooyinka taranka ee ragga
Daawooyinka bacriminta ragga ayaa sidoo kale laga heli karaa Mareykanka.
Gonadotropin chorionic bini'aadamka (hCG)
Gonadotropin chorionic bini'aadamka wuxuu ku dhacaa si dabiici ah kaliya jirka haweenka. Nooca daroogada ee hCG waxaa ragga lagu siiyaa cirbado subcutaneous ah. Waxaa loo isticmaalaa in lagu xoojiyo wax soo saarkooda testosterone. Daawadani waxaa loo heli karaa sidii daawo guud. Waxa kale oo loo heli karaa sida dawooyinka magaca caanka ah ee Novarel iyo Pregnyl.
Hormone-kiciyaha follicle (FSH)
Jirrada ragga waxay soo saaraan FSH si ay uga caawiyaan kicinta soo saarista manida. Nooca daroogada ee FSH wuxuu u adeegaa isla ujeedo. Waxaa laga heli karaa Mareykanka sida follitropin alfa lyophilisate. Daawadani waa nooc ka mid ah noocyada FSH. Follitropin waxaa lagu siiyaa cirbadeynta subcutaneous. Waxaa loo heli karaa sida dawooyinka magac-u-yaal ah ee Follistim AQ iyo Gonal-F.
Uurka leh daaweynta bacriminta
Dhallaanka Lagu Qaaday Daaweynta Bacriminta | CaafimaadkaGroveLa hadal dhakhtarkaaga
Haddii aad wax ka qabanaysid madhalaysnimo, kala hadal dhakhtarkaaga. Waxay kuu sheegi karaan dhammaan xulashooyinkaaga daaweyn, oo ay ku jiraan dawooyinka bacriminta. Dib ula fiiri liistada daroogada dhakhtarkaaga oo hubi inaad weydiiso wixii su'aalo ah ee aad hayso. Su'aalahaaga waxaa ka mid noqon kara:
- Maxay tahay sababta dhalmo la’aantayda ama lammaanahaygu?
- Miyaan ahay, ama lammaanahaygu, murashax u ah daaweynta dawooyinka bacriminta?
- Caymiskaygu ma daboolaa daaweynta dawooyinka bacriminta?
- Ma jiraan daaweyn kale oo aan daroogo ahayn oo aniga ama lammaanahayga caawin kara?
Barashada dhammaan xulashooyinkaaga daaweyn waxay kaa caawin kartaa inaad dareento xog-ogaalnimo iyo inaad si fiican u awooddo inaad doorato habka daaweynta bacriminta ee kugu habboon adiga.