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Afai o loʻo e taumafai e maʻitaga mo sina taimi nei e aunoa ma se manuia, oe ono faʻatonuina e lau fomaʻi e mafaufau i le fanautama togafitiga. O fualaʻau fanafanau o le laʻasaga muamua lea i le togafitia o faʻafitauli o le fanautama ma o loʻo avanoa mo tamaʻitaʻi ma aliʻi.
O lenei tusitusiga o le a aofia ai Fertility Drugs mo Tamaʻitaʻi, ituaiga o loʻo avanoa i Initia, ma aʻafiaga e ono tutupu mai o nei vailaʻau fanafanau.
Vailaau Fertility Mo Fafine: Faʻafefea E Galue?
O fualaʻau fanautama e aoga i le faʻateleina o homone e fesoasoani i le matua ma faʻasaʻoloto se tasi pe sili atu o fuamoa i masina taʻitasi. Afai e seasea ona e ovulate pe le masani ai foi, o fualaʻau o le fanautama e mafai ona fesoasoani ia te oe e to [1] .
O nisi o vailaʻau fanafanau o loʻo tuʻuina atu i le tautala. I le taimi lava e tasi, o nisi e tuiina ma galulue i le auala lava e tasi e ala i le faʻalauiloaina o le tatalaina o homone ia, i le isi itu, amataina le faʻatupuina o le ovulation. O fualaʻau fanautama o se vaega taua o fesoasoani fesoasoani faʻapitoa mafaufau, pei o le IVF [lua] .
Afai e le mafai ona maʻitaga se fafine pe faʻaauau pea ona maua i maʻitaga pe a uma ona taumafai e to mo le 12 masina pe sili atu foi, e ono fautuaina o ia ia fanautama togafitiga. Mo fafine ua silia ma le 35, ua fautuaina e le tele o fomaʻi le sailia o togafitiga pe a maeʻa le ono masina o taumafai e tō.
Ituaiga O Vailaila Fertility Mo Fafine
Tele o ituaiga o vailaʻau fanafanau mo fafine o loʻo avanoa nei. E taua naʻo ave fualaʻau fanautama i lalo o le vaʻavaʻaia o se fanautele faʻapitoa poʻo isi fomaʻi polofesa aua, e ui o le tele o fualaʻau lafulemu e saogalemu ma aoga, o nisi e mafai ona iʻu ai i itu-aʻafiaga [3] .
O fualaʻau lauiloa mo le fanautama mo fafine (i Initia) e faʻapea:
- Clomiphene citrates pei o Clomid ma Serophene
- Gonadotrophins pei o Antagon, Pergonal, Repronex ma Menopur
- Dopamine agonists pei o Bromocriptine ma Cabergoline
- Heparin vailaʻau pei o Hep-Lock poʻo Liquamin
- Metformin hydrochloride
- Follistim poʻo Gonal-F
- Pregnyl
- Profasi
- Novarel
(1) Clomiphene citrate (Clomid ma Serophene) : O nei ituaiga o fualaʻau fanafanau galue e ala i le faia o lou tino 'talitonu' o le estrogen tulaga e maualalo ma faʻamalosia ai le FSH poʻo le follicle-faʻaosofia ai homone ma LH poʻo le luteinizing hormone - o mea e manaʻomia mo le manuia afuafua [4] . Aʻafiaga itu aofia ai le niniva, puaʻi, lagona fesuiaʻi, itaitagofie, o se lagona o le agavaivai i le fatafata, vevela susulu, ma mageso measā. I nisi tulaga, e mafai ona mafua ai le tele o maitaga, pei o masaga (4-10 pasene) ma triplets (1 pasene).
(2) Gonadotrophins (Antagon, Pergonal, Repronex ma Menopur) : O nei ituaiga o vailaʻau fanautama e tuiina ma faʻalauteleina le gaosiaina o le LH ma le FSH homone. O le Gonadotrophins e faʻatonuina mo fafine o latou ovulation tatau ona faʻatonutonuina mo isi togafitiga ma i chemotherapy tulaga (pei ona tapunia lalo o le pituitary gland, taofi ovulation). Le masani aʻafiaga o le tiga o le ulu, le mautonu, vevela pupula ma measā mago [5] .
(3) Dopamine agonists : O mea ia e fautuaina mo tamaʻitaʻi e tele naua le homone prolactin, e faʻaititia ai le maualuga o le homone estrogen, ma faigata ai ona maʻitaga [6] . Pe a faʻaaogaina i taimi e fesoasoani ai i le mafaufauina o togafitiga, pei o le IVF, o le dopamine agonists mafai foi ona faʻaititia le aʻafia o le ovarian hyper-stimulate syndrome (mafua ai le ovaries ia fulafula) [7] . Masani aʻafiaga aofia ai le le mautonu, vae fulafula, tele moe, amio faʻamalosi (seasea).
(4) Heparin vailaʻau (Hep-Lock poʻo Liquamin) : O nei fualaʻau fanafanau e tuiina e tuʻu ai i lalo le aʻafiaga o le maʻitaga i fafine o loʻo mafatia mai faʻaletoto-faʻafitauli pipisi, o se mafuaʻaga masani o le maʻitaga [8] . Aʻafiaga itu aofia ai tua, manava tiga, paʻu lauulu, paʻu o le paʻu, mamafa le tafe o le toto, ma le maualuga o le potassium tulaga i le toto ua faʻamaonia foi.
(5) Metformin hydrochloride : O lenei vailaʻau e muamua faʻaaogaina mo togafitiga o le maʻisuka ma mafai foi ona faʻaaogaina e togafitia ai faʻafitauli ovulation i fafine ma polycystic ovary syndrome (PCOS) [9] . O papa e aoga i le tuʻuina i lalo o le inisalini o loʻo sosolo maualuga i le toto, lea e mafai ona fesoasoani e faʻateleina le masani ai i le gasegase. Aʻafiaga itu aofia ai vaivaiga tino, manava tata, kesi, maso tiga, maualalo le suka suka, manava tiga ma isi
(6) Follistim poʻo Gonal-F : O se vaega gaosi o le natura FSH, o lenei follicle-faʻaosofia o le homone mafua ai le fuamoa ina matua ma faʻaosofia ai le atinaʻeina o tele fuamoa mo se manuia IVF [10] . Mafai aʻafiaga aofia ai le tiga o le ulu, maso tiga, suiga o lagona e pei o le maualuga itaitagofie ma le agavaivai o susu.
(7) Pregnyl, Profasi ma Novarel : O nei fualaʻau fanafanau galue i le tutusa auala. Latou te faʻaosofia le matua o fuamoa ma faasaʻoloto mai le follicle e ala i le faʻalauiloaina o le hCG hormone gaosia i le tino. Mafai aʻafiaga aofia ai le niniva, puaʻi ma tiga o le manava.
Faʻaliga : O le a logoina oe e lau fomaʻi e uiga i aʻafiaga o nei vailaʻau. A e faʻapea o loʻo e tauivi ma ua sili atu lou le mautonu poʻo le tiga, ia e alu loa lava i le faʻafomaʻi.
I Se Faaiuga Mulimuli ...
Tamaʻitaʻi e leai ni taimi masani ma tamaʻitaʻi e maua i tulaga faʻafomaʻi e ono afaina ai le maʻitaga, pei o UTI, ova o le tino, BP ma isi mea, e tatau ona talanoa i se fomaʻi ae e te leʻi taumafai e maʻito.
