Iinzuzo ezincinci zePilisi

Amaphesenti angaphezu kwama-80 amabhinqa ase-US aya kusebenzisa i- hormonal contraception ngethuba lithile ngexesha lokuzala kwabo, kodwa amaninzi amabhinqa ayayazi iingenelo ezingabalulekanga zokusebenzisa lolu hlobo lolawulo lokuzalwa. Ngokuqhelekileyo, ukukhulelwa kwe-hormonal ye-hormonal iqukethe iprogesin (ngenxa yemiphumo yalo yokukhulelwa) kunye nesantigen yokwenziwa (ukuzinzisa i-endometrium nokunciphisa ukungafunwa okungafunekiyo).

Oku kulandelayo uluhlu lwezinto eziqhelekileyo ezingenanto zokukhusela zokulawula ukuzalwa. Nceda ugcine engqondweni ukuba umfazi ngamnye angasabela ngendlela eyahlukeneyo kwiindlela ezithile zokulawula ukuzalwa, ngoko ke le ngcaciso ichazwe ukuba ibe yiphononongo jikelele. Kwakhona kubalulekile ukuba uqaphele ukuba isizathu esona sizathu sokusebenzisa ukukhulelwa kwe-hormonal kukukhusela ukuzalwa (ukukhusela ukukhulelwa okungafunekiyo ) -inokungenakuncedo kokukhulelwa komzimba wokulawula ukuzalwa kunokuqwalaselwa xa uqikelela ukuba yeyiphi indlela ye-hormonal efanelekileyo .

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Dysmenorrhea

I-Dysmenorrhea intlungu ebuhlungu ngenxa yezintlu ezinqabileyo ze-uterine ngexesha lokuya esikhathini elibangelwa ukukhululwa kwe-prostaglandin. Intlungu enzima ngokwaneleyo yokunciphisa imisebenzi yowesifazane imihla ngemihla ngelo xesha. I-Dysmenorrhea yinkxalabo echazwe ngokuqhelekileyo yokuya esikhathini, echaphazela kuma-90 ekhulwini kwabasetyhini abaselula. Ukuhlanganiswa kokulawula iipilisi , i- NuvaRing , i- Implanon , i- Mirena IUD kunye ne- Ortho Evra Patch baye babonisa amandla athile okunciphisa ubuhlungu besifo se-dysmenorrheal

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PMS kunye ne-PMDD

I-Premenstrual syndrome (PMS) ibhekisela kwiinkalo ezahlukeneyo zomzimba okanye iimvakalelo ezibonakalayo malunga neentsuku ezi-5 ukuya kwe-11 ngaphambi kokuba umfazi aqale umjikelezo wenyanga ukuya kwinyanga. Iimpawu zivame ukuyeka xa kuqalisa ukuhamba, okanye kungekudala emva koko kwaye kuqikelelwa ukuba kuthintele kuma-75 ekhulwini kwabasetyhini ngexesha lokubeletha.

I-Premenstrual dissydric disorder (PMDD), uhlobo olubi lwe-PMS, yimeko echaphazela kakhulu impilo kunye nentlalo yentsebenziswano yabangama-3-5 ekhulwini labasetyhini beminyaka yobudala. I-PMDD ibonakaliswe yimpawu ezinzima zokudandatheka, ukukhubeka, kunye nokuxhatshazwa ngaphambi kokuya esikhathini; utshintsho lwe-hormone olwenzeka ngexesha lomjikelezo wesibini wesifazane lubonakala lidlala indima kwi-PMDD. Iindlela zokulawula ukuzalwa kwe-hormonal, kubandakanywa iipilisi zokujikeleza ezongeziweyo, ziye zaboniswa ukuba zinikeze uncedo

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Acne kunye neHirsutism

I-Acne, edla ngokuqhelekileyo ebusweni okanye emagxeni, yimeko yesikhumba edala iimhlophe, amnyama kunye nezilonda ezibomvu ezivuthayo (i-papules, pustules, kunye ne-cysts). I-Hirsutism yonyuka ngokunyuka kweenwele zendoda kwiindawo ezithile zobuso bomfazi kunye nomzimba onjengeemvuba kunye nesilevu. I-Androgens, i-hormone ye-sex hormone ebantwini, ingaba noxanduva kule miqathango. Ngokuqhelekileyo amabhinqa anamazinga aphantsi ase-androgens, kodwa amanqanaba aphezulu aphezulu kunye nee-orrogens angakhokelela ekunyuseni kweenwele okanye kwi-acne. Njengoko ukukhulelwa kwe-hormonal kunganciphisa amanqanaba e-androgen yamahhala kwindlela yakho, udidi oluthile lwe-OCs lunokuphumelela kakhulu ekuphatheni le miqathango

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Ukunyuka kweMigraines

Amaphesenti anesithandathu amabhinqa abane-migraines axhumanisa ukuhlaselwa kwabo ukuya esikhathini. I-migraine yokunyuka kwemihla ekhompyutheni ivela kuma-8-14 ekhulwini kwabasetyhini. Iipilisi zezijikelezo ezongezelelweyo (njenge- Seasonique okanye iLybrel ) kunye nokukhulelwa kwe-hormonal eqhubekayo (kuquka i- Depo Provera ) inokunciphisa ukuguquguquka kwe-hormone kucatshulwa ukuhlaselwa kwezilwanyana ezithile ze-migraine kunye nokuzisa abanye abantu abane-migraine

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Imijikelezo yokuNyuka engaqhelekanga

Abasetyhini abaninzi banesitenxo ngokusesikweni. Abanye abafazi bayakhathazeka ngenxa yokungakwazi ukuba ixesha labo liya kuqala. Imijikelezo yokuya esikhathini ayikwazi ukuqikelelwa ngenxa yezinto ezinokungahambi, ezingekho phantsi okanye ezingekho phantsi kwee-ovulation. Iintlobo zokukhusela i-hormone ye-hormone inokubonelela ngenzuzo yokukunceda ukulawula umjikelezo wakho wenyanga okanye ukupheka ixesha

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Endometriosis

I-Endometriosis yimiqathango apho izicubu eziqhelekileyo zingena ngaphakathi kwimbilini (i-endometrium) ikhula kwezinye iindawo zomzimba. Yibangela intlungu, ukuphuma kwegazi ngokungenasiphelo, kunye nokungenakucala. I-Endometriosis yinkinga eqhelekileyo kwaye mhlawumbi iqala malunga nexesha eliqhelekileyo lokuya esikhathini. I-Depo Provera kunye neDepo-subQ Provera Ii-injection ezingama-104 ziye zavunyelwa yi-FDA ukuba zenze uphephe intlungu ehlobene ne-endometriosis. Ezinye izityalo zokukhusela i-hormonal zinokunceda ngokunjalo

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Menorrhagia

I-Menorrhagia iphuma ngokunyuka kokuya esikhathini kwaye ingakhokelela ekunqongopheni kwe-anemia xa ishiywe ingaphathwa. Kuqikelelwa ukuba kwenzeke malunga nama-10 ekhulwini kwabasetyhini beminyaka yobudala, nangona iingapesenti ezingama-30 zabesetyhini ziya kufuna unyango kule meko. Ulwaphulo lokunciphisa ukunciphisa iipasiti zegazi jikelele lunokuba luncedo ngakumbi ekulawuleni i-menorrhagia. Le ndlela yokulawula ukuzalwa ingaba yonyango ehlaziywayo (kunye nemiphumo engathí sina kakhulu) kwimodorrgia njengokuba unyango olungezinye i-endometrial ablation (inkqubo yokuhlinzwa) ekhokelela ekuzaliseni inzalo

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I-Endometrial Cancer

Umdlavuza we-Endometrial ngumhlaza oqala kwi-endometrium, umgca wesisu. Uninzi lweziganeko zomhlaza wesifo se-endometrial zenzeka phakathi kweminyaka engama-60 ukuya kwe-70, kodwa ezinye iimeko zingenzeka ngaphambi kweminyaka engama-40. Ngokutsho kweNational Cancer Institute, umdlavuza wesibeleko ngowona hlobo oluqhelekileyo lomhlaza wesifo somzimba, kunye ne-cancer ye-endometrial akhawunti engama-90 ekhulwini zonke iidlers ze-uterine. EUnited States, malunga nama-37 000 amatyala omhlaza wesibeleko afunyaniswa kunye kwaye malunga nama-6,000 amabhinqa ayafa kwesi sifo unyaka ngamnye. Ukudibanisa iipilisi zokulawula ukuzalwa, iMirena kunye neDepo Provera, baye baboniswa kwikliniki ukuba banike umphumo wokukhusela umdlavuza we-endometrial

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I-Ovarian Cancer

Umhlaza we-Ovarian ngumhlaza oqala kwii-ovari. Ingomdla wesihlanu oqhelekileyo phakathi kwabasetyhini, kwaye kubangele ukufa ngaphezu kwanoma yimuphi na umhlobo wesifo somhlaza wesisu. Kulinganiselwa ukuba ama-30,000 amatyala omtsha womhlaza uya kufunyaniswa ngamnye kunyaka, kunye nabafazi abangama-15 000 abafa kwesi sifo. I-Reanalysis yeenkcukacha zehlabathi jikelele kwi-OCs kunye ne-ovarian umdlavuza uye wabonisa ukuba zonke iindlela zokusebenzisa iipilisi zokulawula ukuzalwa ziyanciphisa umngcipheko womhlaza wesi-ovari. Ngaphezu koko, ixesha elide lokusetyenziswa kwe-OC edibeneyo, ukunciphisa umngcipheko omkhulu

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ICrorectal Cancer

I-Colon, okanye i-colorectal, umdlavuza ngumhlaza oqala emathunjini amakhulu (i-colon) okanye i-rectum (ekupheleni koloni). Ngokutsho kweMerika Cancer Society, umdlavuza we-colorectal ungenye yezizathu ezibangela ukufa kwabantu abachaphazeleka ngumhlaza e-United States kwaye ngumdla wesine oqhelekileyo kumadoda nabasetyhini. Uphando lubonisa ukuba ukusebenzisa umlomo ngomlomo (" ipilisi ") kunokunciphisa umngcipheko wokuphuhlisa umdlavuza

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Ukuxinwa kweMfuyo

I-Bone minerals degree (BMD) yinkalo yesisindo seethambo, esibonisa amandla wamathambo njengomxholo we-calcium. Ubunzima beT Bone bubungakanani bamathambo esithambo kumthamo othile wesithambo. I-BMD ingaba uphawu oluchanekileyo lwe-osteoporosis kunye nomngcipheko wokuphuka. Nangona kubonakala ukuba ukudibanisa iipilisi zokulawulwa kokuzalwa kunokunxulumana nokwanda kweethambo phakathi kwabasetyhini kwiminyaka yokuzala, emva kokuphanda, ezinye iindlela zokudibanisa ze-hormone zilinganiselwe. Ukusetyenziswa kweDepo Provera kunye ne-Implanon kunokwenyuka kwe-BMD. Enyanisweni, iDepo Provera iqulethe ibhokisi ebomnyama ye-FDA isilumkiso sokuba ukusetyenziswa kweDepo Provera kunokukhokelela ekulahlekelweni kwamathambo okulahleka kwamanzi.

_{I-American College of Obstetricians kunye neGynecologists. "Ukusetyenziswa okungaqhelekanga kokukhulelwa kwe-hormonal." Sebenzisa i-Bulletin Nombolo 110, uJan 2010 115: 206-18. Kufumaneka ngokubhalisa kwangasese.}