I-Proginova ingenye yezidakamizwa ngokuvamile ezibekwe ngokulungiselela i-IVF. Isakhi saso esisebenza ngokuyinhloko i-estradiol, i-analogue yokwenziwa komzimba we-ovarian hormone estrogen. Lesi sici sibhekene nezinqubo eziningi ezibaluleke kakhulu ezenzeka emzimbeni wesifazane. Kujwayelekile ukuhamba komjikelezo, ukugqugquzela ukuguquka kwesimiso esifanele, kuthinta isimo se-system central wezinzwa, kuncishise ingozi yokukhula kwesifo somzimba. Kodwa okubaluleke kakhulu - i-estrogen idlala indima ebalulekile ekutheni owesifazane abe ngumama.
Iyini inhloso yokuqhubeka kwezidakamizwa?
Izazi ze-gynecologists kanye nochwepheshe bezikhungo zezempilo zokuzala zivame ukubeka i-proginova yezidakamizwa esigabeni sokuqala se-IVF ukulungisa isidumbu somama esizayo ngokukhulelwa.
Ezimweni eziningi, ukukhulelwa akukwenzeka ngenxa ye-endometrium engenakuthuthukiswa. I-Endometrium ungqimba lwamangqamuzana afaka isibeletho lapho kusetshenziswa khona iqanda elikhulile. Ngokwejwayelekile, ngaphambi kokuvuthwa, kungafinyelela ubukhulu obuyi-7-10 mm. Kodwa-ke, kwabanye besifazane ubukhulu be-endometrium abudluli ku-4-5 mm, okusho ukuthi iqanda lomntwana ongenakukwazi ukuzuza ngaphakathi kwesibeletho nokukhulelwa ngeke kwenzeke.
I-proginova ivuselela ukukhula kwe-endometrium futhi yandisa amathuba okuphumelela ekuhleleni ukukhulelwa ne-IVF. Emva kwenqubo ye-in vitro fertilization, i-proginum inqunywe njengomuthi wesondlo, ukuze iseli elifakiwe lamukelwe.
Ngaphezu kwalokho, inqubo enqunyiwe yabesifazane abaye bahlinzwa ukukhipha ama-ovari ngenxa yokuphulwa komjikelezo wokuya esikhathini. Sebenzisa lesi sidakamizwa futhi njengokwelashwa kwe-hormone esikhundleni sesikhathi sokuya esikhathini, kanye nokuvimbela ukuguqulwa kwamathambo ngemva kokuya esikhathini.
Ngezinye izikhathi amaphilisi e-proginov anqunywe ngesikhathi sokukhulelwa, kodwa kuphela ezimweni ezimbili:
- ngezinga eliphansi lama-estrogens (athathwa kuphela kuze kube sevikini lesishiyagalombili libandakanya);
- ngokukhulelwa okubambezelekile, ubuthakathaka bomsebenzi.
Ukuphuza kanjani amaphilisi okuqhubekayo?
Thatha umuthi ulula ngokwanele. Akudingekile ukubala umthamo we-Proginum, ngoba ithebhulethi eyodwa isivele iqukethe umthamo wansuku zonke ophezulu wezinto ezisebenzayo. Ukupakisha kuklanyelwe inkambo eyodwa (izinsuku ezingu-21). Thatha izidakamizwa eyodwa tablet ngosuku, ngesikhathi esifanayo. I-dragee yokuqala kufanele ithathwe ezinsukwini zokuqala ezingu-5 zokuphuma kwesikhashana noma kunoma yiluphi usuku uma kungekho umjikelezo wesisodwa.
I-Proginova isiphuza esinye sezikimu ezimbili (okhethwe udokotela oya khona ngesisodwa):
- Uhlelo lwe-Cyclic: uthathe i-dragee amasonto amathathu, bese wenza ikhefu elide ngesonto.
- Uhlelo oluqhubekayo: zingakapheli izinsuku ezingama-21 kuthatha amaphilisi avela ephaketheni elilodwa, emva kwalokho ngosuku olulandelayo baqala elinye elisha.
Njengawo wonke ama-hormone ukulungiselela, i-proginova inomthetho wephilisi elikhohliwe: uma ungaphuthelwa ukuqokwa okulandelayo, udinga ukuthatha amaphilisi ngokushesha. Ithebulethi elandelayo ithathwa ngesikhathi esivamile. Ngokulibaziseka phakathi kwamanani amahora angaba ngu-24, ukuphuma kwamagciwane kungakhula.
Kubalulekile! Ungathathi i-proginova neminye imithi esekelwe ku-estrogen.
Uma imiphumela emibi ivela (ukuhlukumeza noma ukuhlanza, ukuphuma kwegazi, ukukhanda ikhanda, izinguquko embonweni kanye nokucindezelwa kwegazi, ukuthuthukiswa kwe-jaundice), kufanele ushiye ngokushesha ukuthatha imithi bese uthola usizo lwezokwelapha.
Ubani ophikisana ne-proginova yezidakamizwa?
Njengoba i-proginova - izidakamizwa ze-hormone, akumele neze uthathe wena.
Khumbula ukuthi akufanele uthathe izidakamizwa, uma ukhulelwe noma ukondla, zihlushwa izifo ezibi kakhulu zesibindi kanye ne-gallbladder, ukwephulwa kwamagciwane e-fatabetism, ukuphuma kwegazi. Ukuqhathaniswa nakho kubuye kube: izicubu ezimbi ezixhomeke ku-estrogen, i-thromboembolism, ukuvuvukala kwe-pancreatic, ukungakwazi ukusebenza kwe-lactase nokuxilonga komuthi.