Endometriosis ndi mkhalidwe umene minofu yomwe imayika mkati mwa chiberekero chanu (endometrium) imakula m'madera ena a thupi - kawirikawiri m'mimba mwake, mazira, ndi ziwalo zina m'madera amtundu. Zingathe kupweteka komanso kusasaka magazi .
Endometriosis ndi vuto lalikulu, likukhudza atsikana okwana 5.5 miliyoni a ku America omwe ali ndi zaka zakubadwa.
Zizindikiro zikuwoneka kuti zikuipiraipira panthawi kapena nthawi yanu.
Palibe mankhwala a endometriosis. Ngati sichikuchiritsidwa, chikhoza kuchepetsa mwayi wokhala ndi mimba m'tsogolo. Endometriosis ndi chimodzi mwa zifukwa zitatu zomwe zimayambitsa kusabereka. Cholinga cha chithandizo ndi kuchepetsa kupweteka ndi kuteteza kuti endometriosis isadwale kwambiri. Chithandizo chingakhale ndi mankhwala komanso / kapena opaleshoni. Mtundu wa chithandizo chimene mungathe kupeza nthawi zambiri umadalira kuopsa kwa zizindikiro zanu komanso ngati mungafune kutenga mimba kapena ayi.
Depo-subQ Provera 104 ndi jekeseni ya kulera yomwe ili ndi progestin, medroxyprogesterone acetate. Inalandira mgwirizano wa FDA mu March 2005 kuti athetse ululu wokhudzana ndi endometriosis. Chigwirizano cha FDA chinali njira yatsopano yothetsera matenda a endometriosis kupweteka kwa zaka 15. Ngakhale kuti kuvomereza kwa FDA sikukugwiritsidwa ntchito poyendetsa Depo Provera, ma injections a Depo Provera angathandizenso kuthana ndi ululu wophatikizika ndi endometriosis.
Kodi Mphotho Imatipatsa Thandizo Thandizani Endometriosis Pain?
Progesin mu Depo Provera imalingalira kuti imathandiza kuchepetsa kukula kwa minofu ya endometrial komanso ingachepetse kutupa kwa endometriosis.
Pa nthawi ya msambo wanu, mahomoni anu amachititsa kuti chiberekero cha chiberekero chanu chisawonongeke pokonzekera mimba.
Ngati simukukhala ndi pakati, chiberekero cha chiberekero chanu chimatuluka, ndipo mumatuluka (izi ndizo zimayambitsa nthawi yanu). Mahomoni omwe amachititsa kuti msambo wanu ufike msinkhu ndi kugwa ponseponse. Kukula uku ndi kugwa kungayambitse zizindikiro za endometriosis kuti ziipire. Komanso, ngati muli ndi endometriosis, mukakhala ndi nthawi yanu, kutuluka kwa magazi sikungobwera kuchokera mu chiberekero cha chiberekero - minofu ya endometrial yomwe yakula kunja kwa chiberekero imachokanso. Pamene magaziwa akhudza ziwalo zina, zingayambitse kupweteka ndi kutupa chomwe chimayambitsa kupweteka.
Kugwiritsiridwa ntchito kwa Depo Provera kumalola makamu anu a mahomoni kuti akhalebe olimba nthawi yonseyo. Zimathandiza kuchepetsa chiberekero cha chiberekero - izi zingayambitse nthawi yochepa kapena palibe. Depo Provera ingathenso kuteteza ovulation ndi kuchepetsa kuchuluka kwa estrogen pozungulira thupi lanu. Lingaliro apa ndilokuti kuchepa kwa estrogen kosakanikirana ndi matupi a endometriosis amalandira, ntchito yochepa ya maselo imapezeka. Izi zimachepetsa kukula kwa minofu. Monga momwe chiberekero cha chiberekero chimayankha mazinga a mahomoni, matupi a endometriosis amachitanso chimodzimodzi.
Kodi Ndi Mankhwala Otani Amene Amathandiza Endometriosis?
Musanagwiritse ntchito mankhwala opanga mahomoni (monga Depo Provera) pofuna kuchiza endometriosis, agnist GnRH (monga leuprolide ) akhala mankhwala operekedwa kuti athandize kupweteka kwa endometriosis.
Mankhwalawa ndi mtundu wa mahomoni obadwa, omwe amadziwika kuti gonadotropin-release hormone, omwe amathandiza kuchepetsa kusamba. Mukamagwiritsira ntchito leuprolide, kwenikweni imasiya ntchito yonse ya mahomoni ndi ovoda. Leuprolide imakhudzanso zotsatira zoopsa, zina mwa izi ndi izi:
- Zizindikiro za Vasomotor (kutentha, kutentha, thukuta)
- Kutaya kwa mafupa
- Zizindikiro zonyansa (ubongo wouma, kusinthasintha kwa maganizo, kusokonezeka kugona)
- Mutu
- Kusokonezeka maganizo
- Kuchepetsa libido
Kodi Kafukufuku Amati Chiyani za Depo Provera vs. Leuprolide?
Chimodzi mwa maphunziro odziwika kwambiri m'dera lino anayerekezera Depo-subQ Provera 104 ndi ntchito ya leuprolide mu amai 257 omwe anali ataphunzira kuti ali ndi endometriosis.
Panali amayi okwana 153 omwe amagwiritsa ntchito Depo-subQ Provera 104 ndi 146 akazi omwe amagwiritsira ntchito leuprolide kwa miyezi 6. Zotsatira zasonyeza kuti:
- Depo-subQ Provera 104 imathandizanso kuti muzitha kupweteka chifukwa cha endometriosis monga momwe mumapangidwira.
- Depo-subQ Provera 104 ndipo ntchito ya leuprolide imachepetsanso ululu m'magulu asanu a endometriosis: ululu wa m'mimba, kutaya magazi , chifuwa cha m'mimba, dyspareunia (kugonana kowawa), ndi induration (kuuma ndi kuphulika kwa minofu).
- Pambuyo pa miyezi 6 yogwiritsiridwa ntchito, Depo-subQ Provera 104 inachititsa kuti kuperewera kwapang'onopang'ono kwa mafupa kukhale kochepa kwambiri kusiyana ndi leuprolide. Pakadutsa miyezi 12 chithandizo, fupa la mafupa linabwereranso kuntchito ya mankhwala a Depo-subQ Provera 104 ogwiritsa ntchito, koma osati kwa omwe amagwiritsa ntchito leuprolide.
- Mankhwalawa mofanana adathandizira kusintha kwakukulu kwa moyo ndi chiwonongeko chonse.
Ofufuzawo anamaliza kunena kuti Depo-subQ Provera 104 imayesetsa kupweteka chifukwa cha endometriosis bwinobwino. Koma amayi omwe amagwiritsira ntchito Depo-subQ Provera 104 anafotokoza zochepa zosautsa (ngati kutentha kapena kutentha) zizindikiro ndi zizindikiro zachinyengo (monga kusokonezeka kwa kugona, kusinthasintha maganizo, ndi kukhumudwa kwa akazi) komanso odziwa bwino kuchepa kwa mfupa kusiyana ndi akazi omwe amagwiritsa ntchito leuprolide. Choncho, sikuti kokha ndi njira yothandiza kwambiri yobereka , Depo-subQ Provera 104 ndi yoyenera komanso yothandiza njira yothandizira chithandizo monga mankhwala ochizira matenda a endometriosis.
Kafukufuku wowonjezera amatsimikiziranso zotsatira izi. Ndipotu, ofufuza adafufuza zonse zomwe adafufuza kuti agwiritse ntchito progestin pofuna kuchiza endometriosis yomwe inalembedwa zaka khumi (1993-2003). Zotsatira zofanana za maphunziro onsewa zasonyeza kuti medroxyprogesterone acetate, progestin mu Depo Provera ndi yogwira ntchito monga GnRH agonists (leuprolide) kuchepetsa kupweteka kwa endometriosis komanso kusintha moyo wokhudzana ndi thanzi. Olembawo akulongosola kuti Depo Provera amagwiritsidwa ntchito kwa amayi omwe ali ndi matenda otchedwa endometriosis omwe amachititsa kuchepa kwakukulu kwa zizindikiro za ululu ndipo kumachepetsa kuchepa kwa matenda atsopano a endometriosis.
Depo Provera monga Endometriosis Chithandizo: Mawu Otsiriza
Depo Provera wakhala akugwiritsidwa ntchito kuti athetse bwino endometriosis. Chifukwa chachikulu chomwe chilili ndi Depo Provera chingathandize kupewa ovulation . Depo Provera amakhudza mwachindunji minofu ya endometrial poyambitsa kuipitsa - izi zimapangitsa kuchepa kwa kusamba kwa mimba - komwe kumawathandiza kupweteka.
Komabe, Depo Provera angakhale chithandizo chamakono kwa endometriosis. Ngakhale kuti ndiwothandiza pafupipafupi, atasiya Depo Provera, pali mwayi waukulu kuti minofu ya m'mimba idzabwerera. Depo Provera nayenso samachiza kusabereka komwe kumakhudzana ndi endometriosis. Ngati mukufuna kutenga mimba, opaleshoni ikhoza kukhala njira yabwino kwambiri yothetsera matenda a endometriosis.
Depo Provera ndi othandiza kwambiri ngati leuprolide ndi ena agnist agnist pakuchulukitsanso ululu wogwirizana ndi endometriosis. Koma, leuprolide ndi yokwera mtengo ndipo imakhudzidwa ndi zotsatira zovuta kwambiri. Zomwe zikunenedwa, Depo Provera amabwera ndi chenjezo la chitetezo cha bokosi lakuda - ngati agwiritsidwa ntchito kwa zaka zoposa ziwiri, Depo Provera akhoza kuwonjezera kupopera kwa mafupa anu (zomwe zimapangitsa kuti chiopsezo cha osteoporosis chiwonjezeke). Kugwiritsa ntchito Depo Provera kungachedwetsenso kubereka kwanu (pafupifupi 50% ya amayi adzatha kutenga mimba mkati mwa miyezi 10 pambuyo pomaliza jekeseni wawo wa Depo Provera, koma ikhoza kutenga miyezi 18 kuti abwerere). Azimayi ena amawawuza magazi osasintha kapena osasintha pamene akugwiritsa ntchito Depo Provera limodzi ndi zotsatira zina zosafunika . Mwamwayi, mutapatsidwa jekeseni wa Depo Provera, ngati simukukondwera ndi zotsatira zake, muyenera kuyembekezera nthawi ya miyezi itatu mpaka mahomoni onse omwe amachokera ku chithandizochi amasiya pang'onopang'ono thupi lanu. Choncho ngati mukuganiza kuti mukugwiritsa ntchito Depo Provera ngati njira yothetsera matenda anu a endometriosis, onetsetsani kuti mukuyankhula ndi dokotala wanu , kotero inu nonse mungathe kudziwa ngati chithandizo cha kupweteka chimene Depo Provera angapereke chimaposa zotsatirazi.
Zotsatira:
Crosignani PG, Luciano A, Ray A, ndi Bergqvist A. "Mankhwala osokoneza bongo a medroxyprogesterone acetate ndi leuprolide acetate pochiza matenda a endometriosis." Hum. Kutembereredwa. 2006; 21 (1): 248-256.
Vercellini P, Fedele L, Pietropaolo G, Frontino G, Somigliana E, ndi Corsignani PG. "Progestogens for endometriosis: Pita kumbuyo." Kutembereredwa Kwachimwemwe 2003; 9: 387-396.