Clomid, tseem hu ua clomiphene citrate, yog cov tshuaj siv los ntxias kom tso qe, lossis ua qe, rau cov poj niam hnub nyoog tshaj 40 xyoos thiab tau ntawv pov thawj los ntawm US Food and Drug Administration. Yog tias koj tab tom ntsib teeb meem ntxiv lawm tshob thiab muaj teeb meem xeeb tub vim yog qhov tshwm sim, lossis qhov xwm txheej uas ua rau tsis muaj qe los tsim, Clomid yuav yog qhov kev xaiv los tham nrog koj tus kws kho mob kom nkag siab tias Clomid tau siv li cas thiab nrhiav seb yog tias cov tshuaj haum rau koj qhov teeb meem..
Kauj ruam
Ntu 1 ntawm 3: Npaj Siv Clomid rau Kev Muaj Menyuam
Kauj Ruam 1. Ua qhov kev kuaj menyuam
Ua ntej siv Clomid, xyuas kom tseeb tias koj xav tau tiag tiag. Clomid tsuas tuaj yeem tau txais nrog kws kho mob daim ntawv xaj. Yog li ntawd, mus ntsib tus kws kho mob poj niam lossis tus kws tshaj lij yug menyuam kom kuaj qhov muaj menyuam tas. Ntau yam tuaj yeem ua rau muaj menyuam tsis taus. Nws yog ib qho tseem ceeb uas koj paub tias dab tsi ua rau koj muaj menyuam ntxiv yog kom muaj kev kho kom raug.
Feem ntau yuav yog, tus kws kho mob yuav pom zoo tias ob niam txiv tseem ua qhov ntsuas kev xeeb tub
Kauj Ruam 2. Tham nrog koj tus kws kho mob txog cov kev xaiv muaj rau koj
Yog tias koj tus kws kho mob txiav txim siab tias lub hauv paus ua rau koj muaj teeb meem yog kev sau tshuaj thiab sau ntawv Clomid, tham txog tus txheej txheem nws lossis nws siv rau koj rooj plaub. Cov txheej txheem rau koj tuaj yeem suav nrog yam xws li noj tshuaj uas tuaj yeem ua rau ovulation. Cov txheej txheem tseem yuav suav nrog kev lees paub phev, los ntawm kev sib deev tsis tu ncua lossis siv cov txheej txheem kev sib deev hauv lub cev (IUI). IUI tshwm sim thaum kws kho mob tso phev rau hauv lub tsev menyuam kom paub tseeb tias nws nyob hauv qhov chaw raug.
Tus kws kho mob tseem yuav teem sijhawm ob peb zaug los kuaj ntshav lossis kuaj ultrasound. Txoj kev ntawd, nws yuav paub qhov xwm txheej ntawm koj kev noj qab haus huv thiab lub xeev ntawm koj lub cev nruab nrog cev
Kauj Ruam 3. Hu koj tus kws kho mob thawj hnub ntawm koj lub cev ntas
Ua ntej kev kho mob, koj yuav tsum hu rau koj tus kws kho mob thaum ntxov ntawm koj lub cev ntas kom paub tseeb tias koj nyob zoo. Feem ntau koj tuaj yeem sab laj nrog kws kho mob hauv xov tooj.
- Yog tias koj tsis muaj koj lub sijhawm ib txwm muaj, koj tus kws kho mob yuav sau tshuaj progesterone los ntxias nws.
- Nws yog ib qho tseem ceeb kom hu rau koj tus kws kho mob thaum ntxov vim tias nws yuav xav tau lub hauv paus ultrasound los kuaj xyuas yog tias koj muaj cyst ua ntej pib kho mob.
- Cov txheej txheem no tuaj yeem txuas ntxiv mus ntev li ntev tau kho vim tias cov hlwv tuaj yeem tsim tom qab lub voj voog Clomid kawg.
Ntu 2 ntawm 3: Siv Clomid los kho kev muaj menyuam ntxiv
Kauj Ruam 1. Pib siv Clomid
Tom qab kws kho mob tshuaj xyuas koj thiab xyuas kom txhua yam zoo, nws yuav pib kho. Feem ntau koj yuav raug nug kom noj Clomid nyob rau hnub thib peb txog rau hnub thib tsib ntawm koj lub cev ntas thiab tseem yuav siv nws tib lub sijhawm txhua hnub rau 5 hnub. Koj yuav zoo li pib siv Clomid ntawm qhov qis, xws li 50 mg ib hnub. Qhov no yog ua kom txo qis qhov tshwm sim ntawm cov hlwv, cov kev mob tshwm sim, thiab ntau yam cev xeeb tub.
- Yog tias koj tseem tsis tau xeeb tub, koj tus kws kho mob yuav nce koj qhov koob tshuaj thaum koj lub voj voog Clomid tom ntej.
- Xyuas kom koj noj cov tshuaj raws li tau hais tseg 5 hnub yam tsis tau ploj ib hnub. Yog tias koj muaj teeb meem nco qab koj lub sijhawm teem tshuaj, tsim cov lus rau koj tus kheej thiab tshaj tawm nws qhov twg koj yuav pom nws lossis teeb tsa lub tswb ntawm koj lub xov tooj kom ceeb toom koj kom noj tshuaj tib lub sijhawm txhua hnub.
- Yog tias koj plam sijhawm, noj cov tshuaj uas tsis nco sai li sai tau thaum koj nco nws. Txawm li cas los xij, yog tias koj tsuas yog nco nws thaum koj lub sijhawm tom ntej ze, hu rau koj tus kws kho mob rau cov lus qhia. Tsis txhob noj ob zaug ntxiv.
Kauj Ruam 2. Ua ib lub sijhawm
Kev kho menyuam yaus siv Clomid cuam tshuam nrog ntau lwm yam kev ntsuas. Koj tuaj yeem dhau mus. Yog li ntawd, tsim cov txheej txheem niaj hnub lossis daim ntawv qhia hnub uas muaj koj cov sijhawm teem tshuaj thiab txhua yam kev ua ub no sib txawv, kev sim, thiab cov voj voog uas koj yuav tsum tau ua raws. Tus kws kho mob yuav muab txhua yam ntaub ntawv uas koj xav tau sau rau hauv daim ntawv qhia hnub. Koj yuav tsum cim hnub nyob hauv koj lub voj voog, pib nrog hnub 1 yog thawj hnub ntawm koj lub sijhawm.
Tom qab ntawd koj yuav tsum tau ntxiv hnub uas koj tab tom noj Clomid, hnub koj yuav tau sib deev, hnub koj yuav tsum tau noj tshuaj ua kom muaj menyuam, koj hnub IUI, thiab txhua hnub koj yuav xav tau kuaj ntshav los yog teem caij ultrasound
Kauj Ruam 3. Ua raws li txhua lub sijhawm uas koj tsim
Nws yuav zoo li koj tus mob yuav raug saib xyuas zoo thoob plaws hauv kev kho mob. Koj tus kws kho mob yuav tshuaj xyuas kom paub tseeb tias koj lub cev tau teb rau Clomid kom raug. Nws lossis nws yuav ua qhov no los ntawm kev tshuaj xyuas qib tshuaj estrogen lossis ua ultrasound txhawm rau paub tseeb tias qe loj hlob tau tshwm sim.
Lossis, koj tus kws kho mob yuav nug koj kom tshuaj xyuas koj lub cev cov lus teb rau cov tshuaj uas siv cov khoom kwv yees kwv yees. Qhia tus kws kho mob txog cov txiaj ntsig
Kauj Ruam 4. Kawm seb cov tshuaj ua haujlwm li cas
Tom qab koj thawj qhov kev kho mob, koj yuav xav tsis thoob tias cov tshuaj ua rau lub cev zoo li cas. Hauv kev teb rau qhov hloov pauv hormonal tshwm sim los ntawm kev noj Clomid, lub cev yuav tsum tsim cov hauv paus hauv zes qe menyuam thiab cov hauv paus no yuav muaj qe. Feem ntau, ib qho ntawm cov hauv paus yuav loj hlob mus rau hauv lub hauv paus tseem ceeb thiab lub qe yuav mus txog qhov loj hlob. Qhov no qhia tau tias lub qe npaj txhij tso tawm thiab koj npaj txhij rau ovulation.
Yog tias lub cev tsis teb rau Clomid thiab cov hauv paus tsis txhim kho raws li qhov lawv yuav tsum tau, kev kho lub voj voog yuav raug tso tseg. Hauv lub voj voog tom ntej ntawm kev kho, tus kws kho mob yuav nce qhov koob tshuaj Clomid
Kauj Ruam 5. Saib xyuas koj cov qe
Kwv yees li 12 hnub ua ntej koj lub cev ntas, koj yuav tsum pib tshuaj xyuas ovulation. Nov yog lub sijhawm zoo rau cev xeeb tub. Txhua tus neeg ovulates ntawm lub sijhawm sib txawv, tab sis feem ntau ovulation tshwm sim nyob rau hnub 16 lossis 17th hnub ntawm kev coj khaub ncaws. Txawm li cas los xij, kom paub tseeb, koj tus kws kho mob yuav tshuaj xyuas koj li ovulation ntau txoj hauv kev sib txawv.
- Koj tus kws kho mob yuav hais kom koj ntsuas koj qhov kub thiab txias txhua tag kis thaum tib lub sijhawm. Yog tias qhov kub nce ntxiv txog 0.35 degrees Celsius, nws tuaj yeem yog qhov piv txwv tias ovulation yuav tshwm sim hauv ob hnub tom ntej.
- Cov kws kho mob tuaj yeem pom zoo siv cov khoom kwv yees ovulation. Koj tuaj yeem yuav nws hla lub txee ntawm lub tsev muag tshuaj. Nws zoo li cov khoom siv kuaj cev xeeb tub, tab sis nws kuaj xyuas qhov muaj luteinizing hormone (LH). LH qib mus txog lawv qib siab tshaj plaws txog 24-48 teev ua ntej ovulation thiab koj nyob ntawm koj qhov muaj menyuam ntau tshaj nyob rau hnub uas LH qib nce thiab ob hnub tom qab ntawd.
- Ntxiv nrog rau kev siv cov khoom kwv yees ovulation, koj tus kws kho mob kuj tseem yuav siv lub tshuab ultrasound los txheeb xyuas seb lub qe puas los yog koj tau tso qe lawm.
- Koj tus kws kho mob kuj tseem yuav ntsuas qib progesterone txog 14-18 hnub tom qab koj noj Clomid. Kev nce qib progesterone tuaj yeem qhia txog ovulation thiab muaj peev xwm cev xeeb tub.
Kauj Ruam 6. Ua ib yam dab tsi kom ua rau ovulation
Yog tias koj tsis tuaj yeem ua ovulate ib txwm muaj (lossis hloov chaw tos kom ovulation tshwm sim), koj tus kws kho mob yuav sau ntawv noj tshuaj ua kom muaj zog xws li Ovidrel. Cov tshuaj no muaj tib neeg chorionic gonadotropin uas ua haujlwm zoo li LH. Cov tshuaj no yuav ua rau lub qe tso tawm, ua rau ovulation.
- Tom qab cov tshuaj raug txhaj, kev cia siab tias yuav tshwm sim li ntawm 24-48 teev.
- Yog tias koj cov txheej txheem kho mob suav nrog IUI, qhov no feem ntau ua tiav li 36 teev tom qab koj tau txais koj qhov kev txhaj tshuaj tiv thaiv ovulation.
Kauj Ruam 7. Sib deev hnub uas koj tus kws kho mob pom zoo
Tom qab pib kho nrog Clomid, nco ntsoov tias koj ua qhov feem ntau ntawm koj txoj hauv kev xeeb tub. Qhov no txhais tau tias koj yuav tsum tau sib deev txhua zaus koj tus kws kho mob pom zoo. Feem ntau tus kws kho mob yuav hais qhia qee hnub nyob ib ncig ntawm hnub thaum xav tias yuav muaj ovulation.
Yog tias koj tau txhaj tshuaj tiv thaiv ovulation, koj tus kws kho mob yuav qhia koj hnub pes tsawg rau kev sib deev kom muab sijhawm zoo rau koj cev xeeb tub
Kauj Ruam 8. Txheeb xyuas seb qhov kev kho mob puas ua haujlwm
Tom qab ua tiav kev kho mob siv Clomid, koj yuav tsum tshuaj xyuas seb cov tshuaj ua haujlwm zoo li cas. Thaum lub sij hawm ovulation, uas yog thaum lub qe tso tawm, nws cia siab tias lub qe tuaj yeem fertilized los ntawm phev. Yog tias qhov no tshwm sim, lub embryo yuav ncav cuag thiab txuas rau lub tsev menyuam ob peb hnub tom qab.
- Yog tias koj tsis muaj koj lub sijhawm kwv yees li 15 hnub tom qab LH nce siab, koj tus kws kho mob yuav hais kom koj mus kuaj cev xeeb tub.
- Yog tias koj cev xeeb tub, kev kho Clomid tsis tsim nyog ntxiv lawm.
Kauj Ruam 9. Sim dua
Yog tias koj tsis tau xeeb tub hauv thawj lub hlis, tsis txhob poob siab. Koj tuaj yeem txuas ntxiv kho Clomid rau lub hlis tom ntej. Yog tias koj tsis xeeb tub, koj lub sijhawm feem ntau yuav tshwm sim rau hnub 14 txog 17 tom qab ovulation. Thawj hnub kev kho mob tau pib dua yog thawj hnub ntawm kev coj khaub ncaws tom ntej. Hnub no tus kws kho mob yuav txuas ntxiv cov kev kho mob hauv qab no.
- Tus kws kho mob yuav nce qhov koob tshuaj Clomid lossis qhia txog txoj hauv kev kho mob sib txawv.
- Feem ntau, ib tus neeg yuav tsum tsis raug kho nrog Clomid ntau dua 6 txoj hauv kev. Yog tias koj tsis xeeb tub tom qab 3 txog 6 txoj kev kho, tham nrog koj tus kws kho mob txog lwm yam kev xaiv muaj.
Ntu 3 ntawm 3: Nkag Siab Clomid
Kauj Ruam 1. Kawm paub tias Clomid ua haujlwm li cas
Clomid tau muab cais ua cov tshuaj tiv thaiv ovulation siv los ntawm cov poj niam uas muaj teeb meem kev muaj menyuam. Cov tshuaj no ua haujlwm los ntawm kev khi rau cov tshuaj estrogen hauv lub cev, yog li thaiv qhov tsim cov tshuaj no. Txoj kev ntawd, koj lub cev yuav xav tias koj muaj cov tshuaj estrogen qis. Qhov no ua rau lub cev tso tawm gonadotropin tso cov tshuaj hormone (GnRH). Cov tshuaj hormone ua me me no ua rau lub cev tsim cov tshuaj follicle-stimulating hormone (FSH) ntau dua, uas pab txhawb kev tsim qe hauv lub cev.
FSH txhawb kev loj hlob ntawm cov hauv paus, uas yog cov qe muaj cov ntsiab lus hauv zes qe menyuam
Kauj Ruam 2. Paub tias yuav siv cov tshuaj no thaum twg
Cov kws kho mob tuaj yeem sau tshuaj Clomid rau ntau qhov laj thawj sib txawv. Clomid tau siv yog tias koj muaj teeb meem ntxiv lawm tshob, ib qho xwm txheej uas tiv thaiv koj los ntawm ovulation, thiab qhov ntawd txhais tau tias koj tsis tuaj yeem tsim lossis tso qe laus. Cov cim qhia tias koj yuav muaj teeb meem ntawm ovulation suav nrog tsis muaj lub sijhawm lossis lub cev ntas tsis xwm yeem.
- Ib qho ntawm cov xwm txheej uas siv Clomid tau pom zoo yog polycystic ovary syndrome (PCOS). Cov tsos mob ntawm PCOS suav nrog kev coj khaub ncaws tsis xwm yeem, ntau dhau ntawm lub ntsej muag thiab lub cev plaub hau kev loj hlob, pob txuv, thiab txiv neej txawv txaij. Muaj ntau hom tshuaj xaiv los kho PCOS cov tsos mob, tab sis Clomid yog thawj qhov kev xaiv rau kev kho mob ntxiv lawm tshob los ntawm PCOS.
- Tsis txhob noj Clomid thaum cev xeeb tub. Feem ntau tus kws kho mob yuav kuaj cev xeeb tub ua ntej sau tshuaj Clomid.
Kauj Ruam 3. Noj tshuaj kom raug
Tus kws kho mob yuav qhia txog kev mloog zoo ntawm Clomid uas yuav siv. Txawm li cas los xij, qee qhov xwm txheej, qhov pib pom zoo koob tshuaj yog 50 mg, noj txhua hnub rau 5 hnub thiab pib hnub 5 ntawm kev coj khaub ncaws. Yog tias qhov koob tshuaj tsis ua rau ovulation, koob tshuaj tuaj yeem nce ntxiv rau 100 mg, noj txhua hnub rau 5 hnub ntawm kev coj khaub ncaws tom ntej.
- Kev kho mob yuav hloov pauv los ntawm ib lub voj voog mus rau lwm qhov, tshwj xeeb tshaj yog tias tsis muaj kev nce ntxiv hauv ovulation.
- Tsis txhob nce lossis txo qhov koob tshuaj raws li qhov xav tau. Nco ntsoov tias koj ib txwm ua raws koj tus kws kho mob cov lus qhia txog kev noj ntau npaum li cas.
Kauj Ruam 4. Paub txog qhov tshwm sim muaj tshwm sim
Muaj qee qhov tshwm sim tshwm sim ntawm kev siv Clomid. Cov tshuaj no tuaj yeem ua rau muaj kev phiv me me xws li yaug tawm ntawm daim tawv nqaij lossis ua rau muaj kev sov siab thoob plaws lub cev, mob plab suav nrog xeev siab thiab ntuav, mob lub mis, mob taub hau, kiv taub hau, los ntshav hauv qhov chaw txawv, thiab qhov muag tsis pom kev.
- Cov tshuaj no tuaj yeem ua rau zes qe menyuam hyperstimulation syndrome (OHSS), uas tuaj yeem tshwm sim thaum lossis tom qab kho. OHSS, thaum mob hnyav, yog tsawg. OHSS tuaj yeem ua teeb meem loj thiab txaus ntshai xws li cov kua dej hauv lub plab thiab hauv siab. Nrhiav kev kho mob tam sim yog tias koj hnov mob hnyav lossis o, hnyav hnyav nce, xeev siab, lossis ntuav.
- Yog tias koj ntsib teeb meem tsis pom kev, lub plab o lossis ua tsis taus pa, hu rau koj tus kws kho mob tam sim.
Kauj Ruam 5. Nkag siab txog qhov txaus ntshai
Txawm hais tias Clomid tuaj yeem pab daws teeb meem ovulation, koj yuav tsum tau ceev faj thaum siv cov tshuaj no. Clomid yuav tsum tsis txhob siv ntau dua 6 txoj hauv kev. Yog tias koj tau siv Clomid rau 6 lub hlis tab sis tsis cev xeeb tub, koj tus kws kho mob yuav pom zoo lwm txoj hauv kev xws li kev txhaj tshuaj hormone lossis hauv vitro fertilization (IVF).
- Cov hlwv zes qe menyuam tuaj yeem tsim los ntawm kev zes qe menyuam ntau dhau. Cov kws kho mob tuaj yeem ua qhov ntsuas ultrasound txhawm rau nrhiav qog zes qe menyuam ua ntej pib lwm txoj kev kho Clomid.
- Kev siv clomiphene ntev, cov tshuaj hauv Clomid, tuaj yeem ua rau muaj kev pheej hmoo mob qog noj ntshav ntawm zes qe menyuam, tab sis muaj qee qhov kev tshawb fawb tsis ntev los no uas tsis txhawb nqa qhov no.
