I-Clomiphene citrate inikeza inhlansi yethemba emibhangqwaneni edonsa kanzima ukuzala izindaba. Lesi sidakamizwa sisebenza njenge-modulator ye-estrogen receptor (SERM) ekhethiwe. Odokotela batusa kwabesifazane abanenkinga yokukhiqiza amaqanda kodwa abafisa ukuwathola abakhulelwe. Lokhu kwelashwa okugunyazwe yi-FDA kuqondiswe ngqo ekungazali kwe-anovulatory noma i-oligo-ovulatory. Umuthi usebenza kahle, kodwa iziguli kufanele zazi ngezingozi ezingase zibe khona.
Lesi sihloko sihlanganisa konke mayelana nomuthi we-clomiphene citrate. Abafundi bazofunda ngokusetshenziswa kwayo, ukuphatha okufanele, imiphumela engemihle engaba khona, kanye nezinyathelo zokuphepha ezidingekayo.
I-Clomiphene citrate ingeyekilasi lemithi ebizwa ngokuthi i-selective estrogen receptor modulators (SERMs). Lo muthi we-non-steroidal wenzalo uyavimba i-estrogen ama-receptors ku-hypothalamus. Ukuvaleka kwenza ubuchopho bucabange ukuthi amazinga e-estrogen aphansi, okube sekuvusa amahomoni adingekayo nge-ovulation.
Odokotela banikeza lo muthi kwabesifazane abanokukhubazeka kwe-ovulatory, njenge i-polycystic ovary syndrome (i-PCOS). Umuthi usiza ekwelapheni izimo zokungabi nabantwana ezingachazeki. Abanye odokotela baphinde bayisebenzise ngaphandle kwelebula ukukhulisa ukukhiqizwa kwe-testosterone emadodeni ane-hypogonadism.
Iziguli zithatha 50 mg nsuku zonke izinsuku ezinhlanu zilandelana. Ukwelashwa kuqala phakathi kwezinsuku 2-5 of the umjikelezo wokuya esikhathini. Udokotela wakho angase andise umthamo ube ngu-100 mg emijikelezweni yakamuva uma i-ovulation ingenzeki.
Ukusabela okujwayelekile kufaka phakathi:
Odokotela banciphisa ukwelashwa emijikelezweni engu-3-6 ukunciphisa ingozi yomdlavuza we-ovarian. Iziguli akufanele zithathe lo muthi ngesikhathi:
I-Clomiphene isebenza njenge-modulator ye-estrogen ekhethiwe enamathela kuma-estrogen receptors ku-hypothalamus. Umuthi ukhombisa ubuchopho bakho ukuthi amazinga e-estrogen aphansi kunamazinga angempela. I-pituitary gland yakho isabela ngokukhiqiza ihomoni ethe xaxa ye-follicle-stimulating (FSH) ne-luteinizing hormone (LH). Lawa ma-hormone akhuthaza ukuthuthukiswa kwe-ovarian follicle kanye nokukhululwa kweqanda. Izimpawu zomzimba wakho zokuzala zisethwa kabusha ngale nqubo.
Kufanele uyisebenzise ngokuqapha njengoba i-clomiphene ixhumana nemithi ehlukahlukene, njenge
Yazisa udokotela wakho ngayo yonke imithi kadokotela, izithasiselo, kanye nemikhiqizo etholakala ngaphandle kwekhawunta ngaphambi kokuba uqale ukwelashwa.
Ukwelashwa kuqala ngo-50 mg nsuku zonke izinsuku ezinhlanu zilandelana. Udokotela wakho cishe uzohlela lokhu phakathi kosuku 3, 4, noma 5 lwakho umjikelezo wokuya esikhathini. Umthamo ungase ukhuphuke ufike ku-100 mg nsuku zonke emijikelezweni yakamuva uma i-ovulation ingenzeki. Abesifazane abasabela ekwelashweni ngokuvamile babonisa impumelelo phakathi kwemijikelezo emithathu yokuqala.
I-Clomiphene citrate inika ithemba imibhangqwana ebhekene nezinselele zokuzala. Le thebhulethi encane emhlophe isize abesifazane ukuba banqobe izithiyo zokuvuthwa kwamaqanda ngamanani empumelelo amahle. Okuhlangenwe nakho kokukhulelwa kuzwakala kunzima, kodwa ukwazi ukuthi lo muthi usebenza kanjani kwenza inqubo icace.
Lokhu kwelashwa kusiza abesifazane abangakwazi ukukhulula amaqanda njalo, ikakhulukazi labo abane-PCOS. Indlela yayo ehlakaniphile ikhohlisa ingqondo ukuthi ikhiqize amahomoni amaningi enzalo, okwenza kube indlela yokwelapha yomugqa wokuqala ekhethwayo kodokotela abaningi. I-Clomiphene citrate ingase ingasizi wonke umuntu, ngakho thintana nodokotela wakho mayelana nesimo sakho.
I-Clomiphene citrate ngokuvamile iphephile kodwa iza nezingozi ezithile:
Iningi labesifazane likhipha amaqanda ezinsukwini ezingu-5-10 ngemva kokuthatha iphilisi lokugcina. Izimpendulo eziyimpumelelo ngokuvamile zenzeka emijikelezweni emithathu yokuqala yokwelashwa. Udokotela wakho uzolandelela i-ovulation nge-ultrasound noma aphakamise amakhithi e-ovulation predictor yasekhaya.
Thatha umthamo ogejiwe ngokushesha nje lapho ukhumbula. Uma kuseduze nomthamo wakho olandelayo ohleliwe, buza udokotela wakho ukuthi wenzeni. Ungalokothi uthathe umthamo ophindwe kabili ukuze ubuyisele ogejiwe.
Izimpawu ze-overdose zihlanganisa isicanucanu, ukuhlanza, ukufiphala okubonakalayo, ukushisa okushisayo, ubuhlungu besisu, nokwanda kwesibeletho. Shayela abezimo eziphuthumayo ngokushesha.
Umuthi awuphephile:
Thatha imithi izinsuku ezinhlanu ezilandelanayo phakathi kwezinsuku ezingu-2-5 zomjikelezo wakho wokuya esikhathini. Namathela ngesikhathi esifanayo nsuku zonke. Ezinye iziguli zikhetha ukuyithatha ngaphambi kokulala ukuze zinciphise imiphumela emibi, kuyilapho ezinye zikhetha imithamo yasekuseni.
Iphrothokholi ejwayelekile idinga ukuthi uphuze lo muthi wokuzala izinsuku ezinhlanu ezilandelanayo emjikelezweni ngamunye. Odokotela abaningi bazokucela ukuthi uqale ngosuku lwesi-3, lwesi-4, noma lwesi-5 lokuya esikhathini. Leli windi elifushane lokwelapha likhuthaza ukukhula kweqanda ngaphandle kokugaxa uhlelo lwakho.
Ukwelashwa akufanele kudlulele ngaphezu kwemijikelezo engu-6 ngenxa yezingozi zomdlavuza ezingaba khona. Kufanele uyeke ngokushesha uma ukhulelwa noma uqaphela imiphumela emibi kakhulu njengezinkinga ezibonakalayo noma ubuhlungu obunamandla besisu.
Ukusetshenziswa kwansuku zonke okuqhubekayo akuphephile. Kufanele unamathele kuhlelo olunqunyiwe lwezinsuku ezi-5 futhi uthathe ikhefu phakathi kwemijikelezo. Lokhu kuvumela umzimba wakho ukuthi uphendule ngendlela efanele.
Ukuthatha imithi ngaphambi kokulala kusiza abesifazane abaningi ukuba bagweme imiphumela emibi emini. Abanye abantu bancamela imithamo yasekuseni. Isikhathi esiqondile sibalulekile kunokuhlala uhambisana nohlelo lwakho olukhethile.
Ezinye iziguli zibona izinguquko zesisindo esincane. Lezi zinguquko ngokuvamile azihlali isikhathi eside futhi ziyaxazululeka ngemva kokuphela kokwelashwa.