Kutsvakurudza kutsva kuri kuratidza kuti mishonga yekenza yemvere inozivikanwa se letrozole (Femara) inogona kunge iri nani pane Clomid yekuvandudza mitero yevakadzi pamuviri neCPOS. Izvi ndezvemashoko makuru kune mamiriyoni evakadzi vanotambura kubva kuCPOS, chinokonzera chikonzero chekushaya vana muUnited States.
Dhiyabhorosi Richard Legro, muchechi wekupedzisira wokubereka vana paPennsylvania Hershey Medical Centre akabudisa mhinduro kubva kumuedzo wake wekupedzisira weNIH-wakabhadharwa pamusangano weAmerican Association of Reproductive Medicine (ASRM) yakaratidza 25% yevakadzi vakabatwa ne letrozole vaine kuberekwa kurarama vachienzaniswa kusvika ku8,8% yevakadzi vakatora cloned.
Mutsika, Clomid yave iri mishonga yekutanga yemishonga yekusarudza kukurudzira kuvhara kwevakadzi muCPOS asi ine uwandu hwekuwanda kwekuita pamuviri uye kuwedzera kuwedzerwa kune estrogen. Mukuenzanisa, letrozole haisimudze estrogen-like Clomid, ine dambudziko rakaderera rekushaya muviri uye rine ine nguva yakakwana yekuita pamuviri wekutakura.
Chii Chinonzi Letrozole?
Letrozole is aromatase inhibitor inodzivirira kutendeuka kwe androgen kune estrogen. Inowedzerawo kukura kwemagetometri uye inokurudzira hutano hwakanaka hwehupenyu hwevanhu. Kunyange zvazvo isingabvumirwi neDFA nokuda kwekushandisa uku, yakaratidzwa kuti inokurudzira kuvharidzira kune vakadzi vasingabvumi. Nokuda kwechikonzero ichi, dzimwe nyanzvi dzekushaya simba dzinoshandisa mushonga muvakadzi vasingakwanisi kushivirira kana vasingatauri zvakanaka kuna Clomid.
Letrozole mishonga inowanzoshandiswa kurapa maronda esterogen-inotenderera, zvikurukuru kenza yepamuviri kune vakwegura, mushure me-menopausal vakadzi.
Kusarudzwa:
Letrozole inouya mahwendefa e 2.5mg uye inotorwa kamwe chete pazuva kwemazuva mashanu, kazhinji inotanga pazuva masikati kana zuva mashanu kuenda kwako kumwedzi . Iwe unogona kuongorora kutarisa kuburikidza nekuongororwa kweropa uye / kana ultrasound kuti uone kana uri kusvika kuovulation.
Migumisiro Yechipfuva:
Pasi pose, letrozole inobvumirwa zvakanaka.
Zvikanganiso zvinogona kusanganisira:
- kuneta
- kurema kuwanikwa
- headache
- bone kana musuru kurwadziwa
- hot flashes
Ngozi dzekuzvarwa Kukanganiswa:
Zvakakosha kucherechedza kuti mishonga iyi haifambidzani nekuzvitakura nekuyamwisa. Zvisinei, ndapota ziva kuti uri kutora ichi chirwere usati wava nepamuviri, saka hazviwedzere ngozi yako yekuva nemwana ane zviremera zvokuberekwa. Letrozole inofanira kumiswa pakarepo kana pamuviri uchibudirira.
Yakagadziriswa naCPOS Expert Angela Grassi, MS, RDN
Sources:
Legro RS, Kunselman AR, Brzyski RG, Casson PR, Diamond MP, Schlaff WD, Christman GM, Coutifaris C, Taylor HS, Eisenberg E, Santoro N, Zhang H. Kubata muPolycystic Ovary Syndrome II (PPCOS II): chikonzero uye kuronga kwechipiri-blind fuomized trial ye clomiphene citrate uye letrozole yekurapa kwekushaya vana muvakadzi vane polycystic ovary syndrome. Contemp Clinical Trials. 2012 May; 33 (3): 470-81.
Nayereh Ghomian, MD, Ashraf Khosravi, MD, uye Nezhat Mousavifar, MD A Rakagadziriswa Chipatara Chekuenzanisa Kuenzanisa Nenguva Dzakasiyana-siyana Kwekutanga Kusiyana Kwemazuva Mazuva eLetrozole Kuchirwa muCommiphene Citrate Resistant PCOS Varwere muIUI Cycles. Int J Fertil Steril. 2015 Apr-Jun; 9 (1): 17-26.