Chithandizo chingachepetse zizindikiro poletsa kutenga mimba
Mankhwala opatsirana pogonana amapezeka kawirikawiri kuchiza matenda a polycystic ovary (PCOS) . Sikuti amangopereka chitetezo ku mimba yosafuna koma amathandiza kuti azikhala kumwezi komanso amachiza zizindikiro zokhudzana ndi PCOS monga kukula kwa tsitsi komanso tsitsi lopweteka.
Ngakhale kuti kugwiritsa ntchito njira ya kulera kwa mahomoni kungaoneke kukhala kosavuta kwa PCOS, pakhoza kukhala maonekedwe ndi njira zomwe zili zoyenera kwa inu nokha.
Kuphatikizidwa kwa kulera kwa mahomoni
Kuphatikizana kwa mahomoni omwe ali ndi ma estrogen ndi progestin -amalingaliridwa kuti ndi mankhwala oyamba a amayi omwe akuvutika nthawi zosachepera ndi mahomoni ambiri amphongo (androgens) monga zotsatira za PCOS.
Pali njira zingapo zomwe mungasankhire kuphatikizapo mankhwala opatsirana ammimba (aka "mapiritsi"), chigamba cha transdermal , ndi mphete yothandizira . Mitundu iyi ya ma ARV imapanga ntchito zitatu zazikulu zolimbana ndi PCOS:
- Amateteza chiberekero cha amayi poonetsetsa kuti nthawi zonse amawombera. Kulephera kuyendayenda nthawi zonse kungapangitse mimba ya uterine (yotchedwa endometrial hyperplasia ) yomwe ingathe kuwonjezera chiopsezo cha khansa ya uterine. Ndi kuphatikiza pamodzi, progestin imayesana ndi estrogen pofuna kupewa hyperplasia.
- Zimathandiza kuchepetsa mavitamini a androgen m'magazi, makamaka testosterone . Pochita zimenezi, zizindikiro za acne, androgenic alopecia (kumeta thupi la amuna), ndi hirsutism (tsitsi losafunika komanso tsitsi) zingathe kuchepetsedwa.
- Amatetezanso mimba yosakondedwa mwa amayi omwe nthawi zambiri zimakhala zovuta kuwunika.
Kusankha Piritsi Yoyenera kwa PCOS
Chifukwa pakhala pali maphunziro apamwamba ochepa poyerekezera ndi mtundu umodzi wa njira zothandizira kulumikizana ndi wina pochitira PCOS, makamaka kwa inu ndi dokotala wanu kuti mudziwe chomwe chingakhale choyenera kwambiri.
Pali mitundu yosiyanasiyana ya mapiritsi, omwe ali ndi zosiyana ndi zosiyana zowonjezera. Zitha kusankhidwa monga:
- Monophasic yomwe mahomoni amakhalabe osagwirizana
- Biphasic yomwe progesin imadutsa pakati pokha
- Zopatulira momwe mitundu itatu ya progestin ndi estrogen imasintha pafupifupi masiku asanu ndi awiri
Mankhwala ovomerezeka amatha kupangidwanso ndi kuchuluka kwa estrogen yomwe ili m'philo lililonse. Mankhwala ochepa amakhala ndi micrograms 20 (mcg) ya estrogen pamodzi ndi progestin. Mankhwalawa amatha kukhala ndi 30mcg kufika 35 mcg ya estrogen, pomwe ma dose apamwamba ali ndi 50 mcg.
Ndikofunika kuzindikira kuti ngakhale mlingo wotsika kwambiri estrogen ndiwothandiza popewera kutenga mimba ndipo sungakhale ndi zotsatira zochepa monga zotsatira zowonongeka, kupindula, komanso kusinthasintha. Mosiyanitsa, mlingo waukulu ukhoza kuonjezera chiopsezo cha nthawi zosasintha kusiyana ndi kuchepetsa.
Pa mbali yochepa, otsika kapena yotsika kwambiri ndi estrogen imayambitsidwa ndi chiopsezo chotuluka mwazi zomwe zingachititse amayi ena kusiya kuwatenga.
Mapiritsi a Progestin Ochepa
Ndikofunikira kuti mudziwe mtundu wa progestin umene ukugwiritsidwa ntchito piritsi limodzi. Ena ali ndi ntchito ya androgenic yomwe ingapangitse kukula kwa tsitsi kapena tsitsi lakuda, kusokoneza ntchito yawo pa mankhwala a PCOS.
Mankhwala otsika otsika ndi arogen ndi awa:
- Desogen
- Kapena-QD
- Ortho Micronor
- Ortho-Citi
- Ortho-Cyclen
- Ortho-Novum 7/7/7
- Ortho Tri-Cyclen
- Ovcon-35
- Tri-Norinyl
Chifukwa mapiritsiwa akhoza kukhala ndi zotsatira zina, ndikofunika kuti muyankhule ndi dokotala za zoopsa ndi zopindulitsa musanapange chisankho.
Zosankha Zokhazikika
Ngati mayi ali ndi msambo wosakwanira koma alibe zizindikiro za androgenic za PCOS, dokotala angapereke chithandizo chokwanira cha progestin chokha.
Pali mitundu iwiri ikuluikulu yomwe ingalepheretse kutenga mimba ndi uterine hyperplasia popanda kukhudza ma testosterone. Izi zikuphatikizapo:
- Zopitirirabe monga " minipill " kapena Mirena kapena Paragard hormonal intrauterine chipangizo (IUD)
- Mankhwala osagwiritsidwa ntchito pogwiritsa ntchito mankhwala osokoneza bongo Provera (medroxyprogesterone) omwe amatengedwa masiku 12 mpaka 14 otsatira motsatira mwezi
Mawu Ochokera
Kusamalira PCOS kungakhale bizinesi yowopsya, makamaka popeza imagwirizanitsidwa ndi zizindikilo zingapo kuphatikizapo kunenepa kwambiri ndi miyezo yapamwamba ya shuga.
Zingatenge nthawi kuti mupeze njira yowonongeka koma ngati mutakhalabe odzipereka kuntchito yanu ndi dokotala, mutha kupeza chithandizo chomwe chili choyenera.
> Chitsime:
> Yildiz, B. "Njira kwa Wodwala: Kulera kwa Akazi Ndi Polycystic Ovary Syndrome." J Clin Endocrinol Metabol. 2015; 100 (3): 794-802. DOI: 10.1210 / jc.2014-3196.