Clomid, tseem hu ua clomiphene citrate, yog tshuaj siv los ntxias cov poj niam rau ntau tshaj plaub caug xyoo. Yog tias koj muaj teeb meem muaj menyuam ntxiv thiab nyuaj rau cev xeeb tub vim yog anovulation, lossis tsis muaj ovulation, qhov no yuav yog qhov kev xaiv siv tau. Tham nrog kws kho mob ua ntej siv tshuaj kom nkag siab tias nws ua haujlwm li cas thiab nrhiav seb nws puas haum rau koj.
cov kauj ruam
Ntu 1 ntawm 3: Npaj kom noj Clomid
Kauj Ruam 1. Kuaj qhov kev xeeb menyuam
Ua ntej noj Clomid koj yuav tsum paub tseeb tias koj xav tau. Raws li nws tsuas tuaj yeem yuav nrog daim ntawv yuav tshuaj, mus ntsib kws kho mob poj niam lossis tus kws tshaj lij yug menyuam rau qee qhov kev sim. Kev muaj menyuam tsis taus tuaj yeem muaj ntau yam ua rau thiab nws yog ib qho tseem ceeb kom paub seb yog vim li cas thiaj ua kom muaj kev kho kom raug.
Koj tus kws kho mob yuav pom zoo los ntsuas kev xeeb tub rau koj tus khub ib yam
Kauj Ruam 2. Tham nrog cov kws kho mob
Yog tias nws txiav txim siab tias koj qhov teeb meem yog qhov ua txhaum cai thiab sau ntawv Clomid, tham txog cov txheej txheem uas siv rau koj rooj plaub. Koj tus kws kho mob tuaj yeem pom zoo kom siv tshuaj ua kom cev xeeb tub thiab qhia cov phev, xws li los ntawm kev sib deev lossis kev sib deev hauv lub cev. Kev sib deev tshwm sim thaum kws kho mob tso phev rau hauv lub tsev menyuam kom ntseeg tau tias nws mus rau qhov chaw raug.
Koj tus kws kho mob tseem yuav teem sijhawm kuaj ntshav lossis kuaj mob txhawm rau tshuaj xyuas koj kev noj qab haus huv thiab lub xeev ntawm koj lub cev nruab nrog cev
Kauj Ruam 3. Hu rau tus kws kho mob thawj hnub ntawm lub voj voog
Koj yuav tsum tau mus ntsib koj tus kws kho mob thaum pib ntawm koj lub sijhawm kom paub tseeb tias koj tseem muaj kev noj qab haus huv ua ntej pib kho. Feem ntau nws muaj peev xwm ua qhov kev sab laj no hauv xov tooj.
- Yog tias koj tsis cev xeeb tub, koj tus kws kho mob yuav sau tshuaj progesterone kom ua rau lub cev ntas.
- Nws yog ib qho tseem ceeb uas yuav tau hu rau tus kws kho mob ua ntej vim tias nws yuav xav tau ultrasound txhawm rau nrhiav cov hlwv ua ntej pib kawm kho mob.
- Cov txheej txheem tuaj yeem txuas ntxiv mus thoob plaws hauv chav kawm ntawm kev kho mob vim Clomid tuaj yeem xaus rau kev tsim cov hlwv.
Ntu 2 ntawm 3: Noj Clomid rau ntxiv lawm tshob
Kauj Ruam 1. Pib noj Clomid
Tom qab sab laj nrog kws kho mob thiab ua kom ntseeg tau tias txhua yam raug, pib kho. Koj tus kws kho mob feem ntau yuav nug koj kom noj cov tshuaj nyob rau hnub thib peb lossis hnub thib tsib ntawm koj lub cev ntas rau tsib hnub nyob rau tib lub sijhawm. Koj yuav zoo li pib nrog koob tshuaj tsawg, xws li 50 mg ib hnub, txhawm rau txo qhov muaj peev xwm ntawm kev tsim cov hlwv, cov kev mob tshwm sim, thiab ntau yam cev xeeb tub.
- Yog tias koj tsis xeeb tub, koj tus kws kho mob yuav nce koj cov tshuaj rau lub hlis tom ntej.
- Nco ntsoov noj tshuaj rau tsib hnub ncaj. Yog tias koj muaj teeb meem tsis nco qab noj tshuaj, teeb tsa kev ceeb toom ntawm koj lub xov tooj ntawm tes lossis sau tseg hauv qhov chaw pom.
- Yog tias koj tsis noj tshuaj, noj nws sai li sai tau thaum koj nco qab. Txawm li cas los xij, yog nws yuav luag txog lub sijhawm noj tshuaj tom ntej, hu rau koj tus kws kho mob. Tsis yog noj ob zaug ntxiv.
Kauj Ruam 2. Tsim cov txheej txheem
Muaj ntau qhov kev nqis tes uas yuav tsum tau ua ke nrog Clomid. Txij li cov tshuaj tuaj yeem ua rau koj hnyav dhau, koj yuav tsum teeb tsa lub sijhawm rau hnub uas koj yuav tsum tau noj thiab suav nrog txhua yam haujlwm, kev xeem, thiab cov voj voog uas koj xav tau tswj hwm. Tus kws kho mob yuav muab txhua yam ntaub ntawv koj xav tau rau hauv daim ntawv qhia hnub. Kos cov hnub ntawm lub voj voog, pib ntawm thawj hnub ntawm koj lub sijhawm.
Tom qab ntawd koj yuav tsum ntxiv hnub uas koj yuav siv Clomid, hnub uas koj yuav tau sib deev, hnub uas koj yuav noj tshuaj ntxiv, hnub ntawm kev tsim cov tshuaj cuav, kuaj ntshav, thiab ntsuas ultrasound
Kauj Ruam 3. Tsis txhob khij cov lus nug
Koj yuav zoo li yuav tau saib xyuas zoo thaum lub sijhawm kho. Tus kws kho mob yuav tshuaj xyuas lub cev cov lus teb rau Clomid, ib qho los ntawm kev saib qib tshuaj estrogen lossis kuaj lub qe loj hlob nrog ultrasound.
Koj tus kws kho mob kuj tseem yuav nug koj los tshuaj xyuas koj cov tshuaj teb siv kev tshuaj ntsuam hauv tsev. Qhia rau nws paub
Kauj Ruam 4. Nkag siab tias tshuaj ua dab tsi
Tom qab thawj qhov kev kho mob, koj yuav xav tsis thoob tias yuav muaj dab tsi tshwm sim. Hauv kev teb rau Clomid qhov kev hloov pauv hormonal, koj yuav tsum tsim cov hauv paus hauv koj lub zes qe menyuam uas muaj qe. Ib qho ntawm cov hauv paus no yuav dhau los ua qhov tseem ceeb thiab lub qe tsim tawm yuav tsum mus txog qhov loj hlob, qhia tias nws tau npaj txhij tso tawm thiab tias koj tau npaj rau ovulation.
Yog tias koj tsis teb rau Clomid thiab cov hauv paus hniav tsis txhim kho kom raug, lub voj voog kho yuav raug tso tseg. Hauv lub voj voog tom ntej, tus kws kho mob tuaj yeem xaiv kom nce qhov koob tshuaj
Kauj Ruam 5. Saib xyuas ovulation
Los ntawm kaum ob hnub ntawm lub voj voog pib, koj yuav tsum tau kuaj xyuas ovulation. Nws tuaj yeem tshwm sim ntawm lub sijhawm sib txawv nyob ntawm tus neeg, tab sis feem ntau nws tshwm sim nyob rau hnub kaum rau lossis kaum kaum hnub ntawm lub voj voog. Rau qhov raug ntau dua, txawm li cas los xij, koj tus kws kho mob yuav xav saib xyuas koj nrog ob peb hom sib txawv.
- Koj tus kws kho mob yuav hais kom koj ntsuas koj lub cev sov txhua tag kis. Yog tias qhov kub nce txog 0.2 ° C, ovulation yuav tshwm sim nyob rau ob hnub.
- Koj tus kws kho mob kuj tseem yuav pom zoo kom siv qhov kev kuaj ovulation. Cov kev ntsuam xyuas no zoo li kuaj cev xeeb tub thiab tuaj yeem yuav tom khw muag tshuaj. Lawv kuaj cov zis rau luteinizing hormone (LH), uas nws qib nce ib hnub lossis ob hnub ua ntej ovulation. Koj yuav muaj menyuam ntau tshaj plaws nyob rau hnub siab tshaj thiab rau ob hnub tom ntej.
- Hloov chaw ntawm kev ntsuas ovulation, koj tus kws kho mob yuav siv ultrasound los kuaj lub qe kom tiav.
- Koj tus kws kho mob kuj tseem yuav ntsuas koj qib progesterone ob lub lis piam tom qab pib kho. Kev nce ntxiv tuaj yeem qhia qhov tshwm sim ntawm ovulation thiab kev muaj peev xwm ntawm cev xeeb tub.
Kauj Ruam 6. Ua kom ovulation
Yog tias koj tsis tuaj yeem tso qe (lossis tsis xav tos kom ovulation tshwm sim ib txwm), koj tus kws kho mob yuav sau ntawv tshuaj xws li Ovidrel. Hom chorionic gonadotropin no ua zoo li LH, tso lub qe thiab pib tso qe.
- Tom qab txhaj tshuaj tas, koj yuav tsum ovulate tsis pub dhau ib hnub lossis ob hnub.
- Yog tias cov txheej txheem suav nrog kev tsim cov qe menyuam, cov txheej txheem yuav tsum tau teem rau hnub thib peb tom qab txhaj tshuaj.
Kauj Ruam 7. Muaj kev sib deev nyob rau hnub uas kws kho mob qhia
Tom qab pib kho nrog Clomid, koj yuav tsum siv txhua lub sijhawm kom cev xeeb tub uas koj tuaj yeem ua tau. Qhov no txhais tau tias muaj kev sib deev thaum twg qhia los ntawm kws kho mob. Cov hnub tau qhia yuav tsum nyob ze rau hnub qhia rau ovulation.
Yog tias ovulation raug yuam, koj tus kws kho mob yuav qhia koj txog hnub uas koj yuav tsum tau pw ua ke kom ua rau koj muaj peev xwm xeeb tub
Kauj Ruam 8. Saib seb qhov kev kho mob puas ua tiav
Tom qab ua tiav lub voj voog ntawm Clomid, koj yuav tsum tau saib seb nws puas ua haujlwm. Lub tswv yim yog txhawm rau fertilize lub qe tso nrog koj tus khub cov phev. Yog tias tau tshwm sim, lub embryo yuav cog rau hauv lub tsev menyuam hauv ob peb hnub tom ntej no.
- Yog tias koj tsis muaj koj lub sijhawm dhau kaum tsib hnub ntawm koj qhov LH nce, koj tus kws kho mob yuav xaj kom kuaj cev xeeb tub.
- Yog tias koj cev xeeb tub, nws yuav tsis tsim nyog rov ua dua Clomid.
Kauj Ruam 9. Sim dua
Yog tias koj tsis ua tiav hauv thawj lub hlis, tsis txhob cia siab! Koj tuaj yeem txuas ntxiv nrog Clomid rau lub hlis tom ntej. Cov poj niam cev xeeb tub feem ntau yuav pib li ob lub lis piam tom qab ovulation. Pib kho tom ntej nyob rau thawj hnub ntawm koj lub cev ntas.
- Koj tus kws kho mob tuaj yeem nce qib Clomid lossis qhia lwm yam kev kho mob.
- Feem ntau, nws tsis pom zoo kom siv Clomid ntau dua rau rau mus. Yog tias koj tsis tuaj yeem cev xeeb tub tom qab peb lossis rau mus, tham lwm yam kev xaiv nrog koj tus kws kho mob.
Ntu 3 ntawm 3: Nkag Siab Clomid
Kauj Ruam 1. Nkag siab tias nws ua haujlwm li cas
Clomid tau muab cais ua cov tshuaj tiv thaiv ovulation thiab tau siv los ntawm cov poj niam uas muaj teeb meem kev xeeb menyuam. Nws khi rau lub cev cov tshuaj estrogen receptors, tiv thaiv lawv los ntawm kev tsim thiab ua rau lub cev xav tias nws muaj qib qis ntawm cov tshuaj no. Qhov no ua rau lub cev tso tawm gonadotropin-tso cov tshuaj hormone (GnRH), uas ua rau kev tsim cov tshuaj folliculotrophic hormone (FSH), uas txhawb kev tsim qe.
FSH txhawb kev loj hlob ntawm cov hauv paus, cov ntsiab lus uas muaj qe hauv zes qe menyuam
Kauj Ruam 2. Paub tias yuav siv nws li cas
Tus kws kho mob tuaj yeem sau tshuaj Clomid rau ntau yam laj thawj. Nws tau siv thaum koj muaj teeb meem ntxiv lawm tshob tshwm sim los ntawm anovulation, uas txhais tau tias koj tsis tuaj yeem tsim lossis tso qe qe paub tab. Cov cim qhia tias koj yuav muaj teeb meem xws li ncua sijhawm lossis kev coj khaub ncaws tsis xwm yeem.
- Ib qho xwm txheej uas feem ntau kho nrog Clomid yog polycystic ovary syndrome. Nws cov tsos mob suav nrog lub sijhawm tsis xwm yeem, ntau lub ntsej muag thiab plaub hau ntawm lub cev, pob txuv thiab taub hau. Tus kab mob no tuaj yeem ua rau cov hlwv ntawm zes qe menyuam. Muaj ntau yam tshuaj siv los kho cov tsos mob, tab sis Clomid tau siv ua thawj kab kev kho mob ntxiv rau qhov tsis muaj menyuam los ntawm tus mob.
- Tsis txhob siv tshuaj yog tias koj cev xeeb tub. Tus kws kho mob yuav tsum ua qhov kev kuaj cev xeeb tub ua ntej sau nws.
Kauj Ruam 3. Siv qhov tshuaj kom raug
Tus kws kho mob yuav tsum qhia koj txog kev mloog zoo rau siv. Feem ntau, qhov pib koob tshuaj yog 50 mg rau tsib hnub, pib hnub thib tsib ntawm kev coj khaub ncaws. Yog tias qhov no tsis ua rau ovulation, koob tshuaj tuaj yeem nce ntxiv rau 100 mg hauv lub hlis tom ntej.
- Kev kho mob yuav hloov pauv los ntawm ib hlis mus rau ib hlis, tshwj xeeb tshaj yog tias tsis muaj kev nce ntxiv hauv ovulation.
- Tsis txhob nce lossis txo qhov ntau npaum ntawm koj tus kheej. Ib txwm ua raws tus kws kho mob cov lus qhia.
Kauj Ruam 4. Paub txog cov kev mob tshwm sim uas twb muaj lawm
Clomid tuaj yeem ua rau qee qhov cuam tshuam xws li yaug dej los yog tshav kub, ua rau lub plab ua paug (uas suav nrog xeev siab thiab ntuav), mob lub mis, mob taub hau, kiv taub hau, tso zis tawm txawv txav thiab tsis pom kev.
- Cov tshuaj tuaj yeem ua rau zes qe menyuam hyperstimulation syndrome thaum lossis tom qab kho. Thaum qhov no yog mob hnyav, nws tsis tshua muaj. Nws tuaj yeem ua teeb meem loj xws li cov kua hauv lub plab thiab hauv siab. Nrhiav kev pab tam sim yog tias koj muaj mob hnyav lossis o, hnyav hnyav nce, hnov xeev siab, lossis ntuav.
- Yog tias koj ntsib teeb meem pom kev hnyav, o ntawm koj lub plab, lossis ua tsis taus pa, hu rau koj tus kws kho mob tam sim ntawd.
Kauj Ruam 5. Nkag siab txog qhov txaus ntshai
Txawm hais tias Clomid pab nrog ovulation, koj yuav tsum tau ceev faj thaum siv nws. Nws yuav tsum tsis txhob haus ntau tshaj rau rau mus. Yog tias koj tsis ua tiav tom qab rau mus, koj tus kws kho mob tuaj yeem pom zoo rau lwm txoj hauv kev xws li kev txhaj tshuaj hormonal lossis hauv vitro fertilization.
- Cov zes qe menyuam zes qe menyuam tuaj yeem tsim vim yog kev txhawb zes qe menyuam. Ib qho ultrasound yuav tsum tau ua txhawm rau nrhiav cov hlwv ua ntej pib lwm lub voj voog ntawm Clomid.
- Kev siv clomiphene mus sij hawm ntev, tus neeg sawv cev ua haujlwm 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 cuam tshuam nrog lub tswv yim no.