Endometriosis ndi mkhalidwe umene minofu yomwe imayika mkati mwa chiberekero (endometrium) imakula m'madera ena a thupi. Zimayambitsa kupweteka, kusasinthasintha magazi, komanso kuthekera kwa kusabereka. Endometriosis ndi vuto lalikulu ndipo mwinamwake limayambira nthawi yomwe kumayamba msambo nthawi zonse. Jekeseni wa Depo-subQ Provera 104 wakhala wa FDA-wovomerezeka kuti athetsere ululu wokhudzana ndi endometriosis.
Mankhwala ena opatsirana pogonana angathandizenso.
Ngakhale amayi oposa 80% a ku United States amagwiritsa ntchito mankhwala opatsirana pogonana (monga pilisi ) nthawi zina pazaka zawo zobereka, ambiri sazindikira kuti palibe phindu la kugwiritsa ntchito njira imeneyi. Mankhwala opatsirana pogonana ali ndi progestin , estrogen, kapena onse awiri.
Kugwiritsira ntchito kulera kwa Hormone kuti muzithetsa Endometriosis
Zina mwa njira zimenezi zasonyeza kuti zimatha kuchepetsa ululu wokhudzana ndi endometriosis. Izi zikutanthauza kuti ndizofunika kudziwa kuti chifukwa chachikulu chogwiritsira ntchito mankhwala opatsirana pogonana ndi chifukwa choletsa kubereka (kuteteza mimba yosakonzekera ). Zopindulitsa zomwe simungathe kuziganizira zingaganizidwe posankha njira yoyenera kuyendetsera kubereka kwabwino. .
Zotsatirazi ndi mndandanda wa njira zosiyanasiyana zothandizira njira zothandizira odwala njira zowonetsera njira zomwe zakhala zikuwonetseratu kuti zothandiza kuthetsa ululu wina wokhudzana ndi endometriosis:
- Depo Provera ndi Depo-subQ Provera 104 : Onse awonetsedwa kuti achepetse ululu wochokera ku endometriosis. Jekeseni wa Depo-subQ Provera 104 ndiyo njira yoyamba yothetsera mavutowa m'zaka 15 zapitazi kuti akhale a FDA ovomerezedwa kuti athetse ululu wokhudzana ndi endometriosis. Malingana ndi kafukufuku woperekedwa ndi Pfizer, wopanga Depo Provera, Depo-subQ Provera 104 amachitira ululu wa endometriosis mofanana ndi leuprolide, komabe zimagwirizanitsidwa ndi zizindikiro zochepa zowonjezereka (monga kutentha kapena kutuluka) ndi kuchepa kwambiri kwa mafupa. Ndipotu, Depo Provera anabweretsa zopweteka zofanana ndi zomwe zimachitika m'mapapo onse a endometriosis - ululu wa m'mimba, kupweteka kwapakhosi, kutaya magazi, kupweteka kwa kugonana, ndi kuuma ndi kuphulika kwa minofu.
- Implanon : Kukonza kwa njira imeneyi kwawonetsedwanso kuchepetsa ululu chifukwa cha endometriosis. Ngakhale sizidziwika bwino momwe progestin (etonogestrel) ku Implanon imathandizira kuthetsa zizindikiro za endometriosis, akuganiza kuti amagwira ntchito poletsa kukula kwa mapulaneti a endometrial, motero kuwapangitsa kuchepa pang'onopang'ono. Progestin ingathandizenso kuchepetsa kutupa mu chiberekero choyambitsa endometriosis (potero kumapereka mpumulo wina ku ululu).
- Mirena : Mirena IUD yasonyezedwa kuthandiza kuthandizira kuchepetsa kupweteka kwa m'mimba komanso kupweteka kwamtundu wa endometriosis - ngakhale kuti sikunagwirizane ndi FDA kuti izi zitheke. Popeza kuti Mirena angasiyidwe m'malo okwana zaka zisanu, IUD iyi imapereka chithandizo cha endometriosis kwa nthawi yaitali kwa amayi omwe akufuna kubwezeretsa mimba. Mayesero angapo ang'onoang'ono a chipatala afufuza kuti mphamvu ya Mirena IUD yothandizira matenda a endometriosis; kafukufukuyu wasonyeza kuti Mirena ikhoza kuthandizira kuchepetsa kupweteka kwa nthawi zaka zitatu, ndipo zambiri zowonjezereka zikukhala miyezi 12-18 yoyamba. Mirena amaganiziridwa kuti athandize kuchepetsa kuchuluka kwa magazi pa nthawi ya mkazi, zomwe zingathandize kuchepetsa ululu wokhudzana ndi endometriosis. Ndipotu, kwa amayi omwe akufuna kupeza intrauterine njira zothandizira kulera, Mirena IUD tsopano akuvomerezedwa ndi FDA kuti azikhala ndi nthawi yolemetsa.
- Maphunziro a alangizi othandizira alimi a ziweto am midzi Am midzi Izi : Mapiritsi oletsa kubereka (ngati Lybrel kapena Seasonique ) angapereke phindu linalake lokhalitsa kapena kuchepetsa nthawi ndi kuchepetsa mavitamini okhudzana ndi endometriosis. Komabe, pali chiwerengero chochepa chosonyeza kuti kuphatikizapo mapiritsi oletsa kubereka kungachepetse kuopsa kwa kuchepa kwa amayi omwe ali ndi endometriosis.
> Zotsatira:
> Jain, J. (2005). "Kachilombo ka HIV: Mankhwala osokoneza bongo am'madzi otchedwa medroxyprogesterone acetate omwe amawathandiza kuti asamalidwe komanso kupweteka kwa endometriosis". OBG Management, Vol. 17, no 8 . Idapezeka kudzera mwachinsinsi.
> Lockhat FB, Emembolu JO, Konje JC. "Zotsatira zake zothandiza, zoyipa komanso zopitirirabe mwa amayi omwe ali ndi chizindikiro chotchedwa endometriosis akuchiritsidwa ndi mankhwala otchedwa proratotergen (levonorgestrel): Otsatira zaka zitatu." Wodzudzulidwa 2005; 20: 789-93.
> Pfizer. (2005) "Depo-SubQ Provera 104."
> Pfizer. (2004) "Depo Provera: Kupweteka kwa kulera."
> Schweppe, KW. "Malo omwe alipo pakalipa progestins pochiza madandaulo okhudza endometriosis." Gynecol Endocrinol 2001; 15 (S6): 22-8.
> Sullivan, M. (2005). "Mankhwala atsopano amavomereza kupweteka kwa endometriosis". OB / GYN News .
> Surrey, ES. "Ntchito ya progestins pochiza ululu wa endometriosis." J Min Gynecol Yowonjezeka 2006; 13: 528-34.
> Vercellini, P., Fedele, L., Pietropaolo, G., Frontino G, Somigliana, E., Corsignani, PG. "Progestogens for endometriosis: Pita kumbuyo." Kutembereredwa Kwachimwemwe 2003; 9: 387-96.