Kulera kwa Hormonal ndi Menorrhagia Chithandizo

Kodi Menorrhagia ndi chiyani?

Menorrhagia ndilo lingaliro lachipatala chifukwa cha kuchepa kwa msambo waukulu. Ngati simunalandidwe, menorrhagia ikhoza kuyambitsa kuchepa kwa magazi m'thupi. Akuti pafupifupi 10 peresenti ya amayi a msinkhu wobereka adzakhala ndi magazi ochulukirapo - koma pafupi 30 peresenti ya amayi adzafuna chithandizo chamankhwala.

Kodi Kugonana kwa Hormoni Kungakhale Mbali ya Momwe Mungayambitsire Mankhwala?

Mankhwala opatsirana pogonana (monga mapiritsi ) amathandizira kuchepetsa magawo ambiri a magazi.

Chifukwa chaichi, kulera kwa mahomoni kungakhale kothandiza kwambiri monga gawo la mankhwala opatsirana. Kuwonjezera apo, njira zowonetsera njirazi ndizosinthika komanso zovuta kwambiri kusiyana ndi njira zina zothandizira. Njira yothetsera vuto la menorrhagia ndiyo njira yopaleshoni yotchedwa endometrial ablation. Njirayi imayambitsa kubereka .

Mwinamwake mwasankha kugwiritsa ntchito njira zoletsa kubereka chifukwa ndi zothandiza komanso zosavuta kugwiritsa ntchito . Koma kodi mumadziŵa za njira zopanda kulera za mahomoni? Chimodzi mwa mapinduwa ndi chakuti njira zina zothandizira ana amatha kukhala mbali ya ndondomeko ya mankhwala opatsirana.

Kodi ndi njira ziti zothandizira kulandira mahomoni?

Zotsatirazi ndi mndandanda wa njira zothandizira njira zothandizira odwala njira zowonetsera njira zomwe zasonyezedwa kuti zothandiza popereka chithandizo cha menorrhagia. Izi zikhoza kukhala njira zabwino zothandizira ngati mukufuna kutenga mtsogolo m'tsogolo:

• Kuphatikizidwa kwa kulera kwa mahomoni: Njirazi zothandizira kubereka zimakhala ndi progestin ndi kupanga maantirogen . Kuphatikizidwa kwa kubeleka kumachepetsa kuchepa kwa msambo magazi chifukwa cha amayi ambiri. Kotero ndi njira yabwino yoyesera kuti muyese monga gawo la mankhwala anu a menorrhagia.
• Mapiritsi a Kugonana Amadzimadzi : Kodi mumadziŵa kuti kutayika magazi kwanu kwa mwezi ndi tsiku kumatha kuchepetsedwa ndi 40 mpaka 50% ngati mukugwiritsa ntchito mapiritsi oletsa kubereka? Kafukufuku wasonyeza kuti mapiritsi osakaniza atatu ( mapiritsi oletsa kubadwa omwe ali ndi maantirogen ndi progesin - omwe amachititsa kuti mahomoni azisamba nthawi yomwe amayamba kusamba) akhala akuthandiza kwambiri kuchepetsa kusamba kwa magazi komwe kumakhudzana ndi menorrhagia.

• Mapiritsi a Pakati pa Kugonana Kwambiri : Mapiritsi oletsa kubereka (ngati Amethyst , Yaz , Beyaz , Seasonique , ndi Lo Loestrin Fe ) amathandizanso kuchepetsa nthawi zonse za magazi. Mipiritsi yowonjezerayi ingakhale yothandiza kwambiri pakuyang'anira ma menorrhagia. Mukhozanso kugwiritsa ntchito mapiritsi oletsa kubereka nthawi zonse - izi zingakupatseni mpumulo.
• Kulera Kwachipatala Chokhachokha : Njira zothandizira kulandira mahomoni ndi njira yabwino ngati mukufuna kugwiritsira ntchito mavitamini, koma simungagwiritse ntchito njira yomwe ili ndi estrogen. Zochita zowonongeka za Progestin-zokha zomwe zingakuthandizeni kuchepetsa kutuluka kwa masiku anu pa mwezi. Zina mwa njira izi zingakupangitseni kuti musakhale ndi nthawi konse. Chifukwa chaichi, njira yothandizira pulogalamu yokhayokha ya progestin yokha ingakhale mbali yothetsera ndondomeko ya mankhwala anu.
• Mirena IUD : Mirena IUD ndi njira yokhayo yokhayokha. Kwa amayi omwe ali ndi menorrhagia, kafukufuku akuwonetsa kuti Mirena amachepetsa kusamba kwa magazi ndipo amamanga khalidwe labwino komanso kubwezeretsa mapeto - koma Mirena alibe zotsatira zochepa zochepa. Mutha kukhala ndi kuchepa kwa 86% m'magazi mutatha miyezi itatu yokha ndikugwiritsa ntchito Mirena mpaka 97% pambuyo pa miyezi 12.
  
  Poyerekeza ndi amayi omwe amagwiritsa ntchito mapiritsi a progestin okha (ndi progesin norethindrone ), amayi omwe amagwiritsa ntchito Mirena IUD kuti azitha kulandira chithandizo akuoneka kuti ali okhutira ndi okhutira kupitirizabe ndi mankhwalawa. Mirena angakhale njira yabwino kwambiri yothetsera mankhwala kusiyana ndi mapiritsi oletsa kubereka. Zambiri kotero kuti tsopano Mirena ndi FDA -vomereza kuti athandize nthawi zolemetsa .

Zolingalira Zowonjezereka Pogwiritsa Ntchito Kachilombo ka Hormoni Monga Mbali ya Momwe Mungayambitsire Mankhwalawa:

Kumbukirani kuti mkazi aliyense akhoza kukhala ndi njira zosiyana ndi njira zina zothandizira kubereka. Choncho, ngakhale kuti mphamvu ya kubadwa kwa mahomoni ikhoza kukhala mbali yothandiza kuchipatala, chidziwitso ichi chiyenera kukhala mwachidule. Chifukwa chachikulu chogwiritsira ntchito mankhwala okhudzana ndi kubereka ndikumathandiza kubereka (kuteteza mimba yosakonzekeke ) - koma, ngati mukuvutika ndi menorrgia, kambiranani ndi dokotala za zina mwazomwe zingakhale zopanda phindu. Sizimapweteketsa ena mwazinthu zopindulitsa pokhapokha mutaganizira za njira yomwe mthupi lanu lidzagwiritsire ntchito.

_Zotsatira:

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_{Fraser IS, McCarron G. "Kuyesedwa kwafupipafupi kwa 2 hormonal ndi 2 prosthaglandin-oletsa kuteteza akazi omwe akudandaula za menorrhagia." Aust NZJ Chotsatira Gynaecol 1991; 31: 66-70. Idapezeka kudzera mwachinsinsi.}

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_{Kaunitz AM, Meredith S, Inki P, Kubba A, Sanchez-Ramos L. "Njira yotulutsa intrauterine ya Levonorgestrel ndi kubwezeretsa kwa magazi m'thupi mwakuya: Kufufuza mwatsatanetsatane ndi meta." Choletsa Gynecol 2009; 113: 1104-16. Idapezeka kudzera mwachinsinsi.}

_{Larsson G, Milsom I, Lindstedt G, Rybo G. "Chiwopsezo cha mlingo waching'ono umagwirizanitsa njira zothandizira pakamwa pakutha magazi ndi malo a zitsulo." Kusamalitsa 1992; 46: 327-34. Idapezeka kudzera mwachinsinsi.}

_{Sulak PJ, Carl J, Gopalakrishnan I, Coffee A, Kuehl TJ. "Zotsatira za njira zowonjezera zachinsinsi zimayendetsedwa ndi nthawi yochepa yopanda mahomoni kuti athetse magazi." Kulera kwachangu 2004; 70: 281-7. Idapezeka kudzera mwachinsinsi.}