Iprovera yi-hormone ekhusela i-uterus kwaye ilawula ixesha lokuya esikhathini
Iprovera inokumiselwa ngezizathu ezininzi, ngokuqhelekileyo ukuphatha ixesha elinzima lokuya esikhathini okanye ukuyeka ixesha (amenorrhea) ezibangelwa yinkinga ye-hormone engaphantsi. Iprovera (i-medroxyprogesterone) yindlela yokwenziwa kweprogesterone- ihommoni ngokwemvelo eveliswa emva kwe-ovulation (xa iqanda likhishwa kwi-ovary).
Ukongezelela, ngezinye iinkqubo iPravera idibene ne-estrogen ukunyanga iimpawu ezinxulumene nomnxeba (umzekelo, ukutshisa okutshisa) kubasetyhini abasemva be-postmenopausal abane-uterus.
Kule meko, injongo kaPravera kukuthintela ukwanda kwamagumbi e-uterine, oku kunokukhokelela kumhlaza wesibeleko. Iprovera ingasetyenziselwa kuvavanyo lweprogesterone.
Provera kunye neAmenorrhea
I-amenorrhea yesiSekondari iyenzeka xa ibhinqa liyeka ukuba nexesha eliqhelekileyo kwiinyanga ezingaphezu kweenyanga ezintathu (xa zihlala zihlala zihlala rhoqo) okanye ngaphezulu kweenyanga ezintandathu (ukuba zazihlala zingekho mthethweni). Kukho isibalo sezinto ezinokubangela i-amenorrhea yesibini kuquka:
- Ukukhulelwa
- Isifo se-Thyroid
- I-Polycystic ovarian syndrome
- Iphakamileyo yeprolactin
- I-hypothalamic amenorrhea: imeko enokuphuhliswa ngenxa yokuxinezeleka, ukulahlekelwa kwesisindo esiphezulu, okanye ukunyanzelisa umzimba
Ukuze ufumane isisombululo se-amenorrhea yesibini, umgqirha uya kulawula inani leemvavanyo ezifana novavanyo lokukhulelwa, ama-hormone egazi, kunye novavanyo lwe-progesterone inselele (ebizwa ngokuba luvavanyo lwe-progesterone).
Kuvavanyo lwe-progesterone mngeni, umfazi unokumiselwa ama-milligram okanye ama-milligram ayi-10 ye-Provera iintsuku ezintlanu ukuya kwi-10 ukuze abone ukuba ufumana ukuphuma kwegazi.
Ukuba ibhinqa lingafumani ukuphuma kwamanzi phakathi kweveki ezimbini zokuthatha iPravera, ngokokuba unamazinga a-estrojeni aphantsi kakhulu emzimbeni wakhe okanye une-disflow tract disorder, njenge-Asherman's syndrome.
Ukuba ibhinqa lifumana ukuphuma kwegazi (okuqhelekileyo kubakho kwiintsuku ezisixhenxe ukuya kwi sixhenxe zokumisa iprovera) ngoko unako u-estrogen ngokwaneleyo emzimbeni wakhe, ngoko ke i-amenorrhea yakhe ayifuni kwi-ovulating (ebizwa ngokuba yi-anovulation).
Kule meko, ugqirha uya kuthi enze iimvavanyo ezingakumbi ukuze aqinisekise isizathu sokugcoba kwakhe.
Iprovera kunye nokuHlulwa kwe-Uterine engavumelekanga
Ukuba umfazi unesifo esiqhekezayo, angase ahlakulele ukuphuma kwintsholongwane engavumelekanga, okuyiyo engeyiyo okanye engeyiyo. Ingxaki nge-anovulation engapheliyo kukuba inokukhokelela ekuzaleni i-uterine yesikhumba esiphezulu, esibizwa ngokuba yi- endometrial hyperplasia , enokuthi ikhule ibe ngumhlaza wesibeleko.
I-Polycystic ovary syndrome (i-PCOS) ngumzekelo weklastiki wemeko edla ngokubangela ukuba angenasiphelo esesikhathini sokuphuma kwindoda. I-Polycystic ye-ovary syndrome yinto eqhelekileyo ye-endocrine ingxaki kubasetyhini bexesha lokubeletha. Iinkalo ezimbini ezibalulekileyo zePCOS ziyixesha elingavumelekanga kunye namazinga aphezulu ase-androgens (njenge-testosterone), egalela ekuphuhliseni i-acne kunye ne-hirututism. Iingxaki zeemetaboli ezifana nokukhuluphala nokuxhatshazwa kwe-insulin nazo ziqhelekile kwi-PCOS.
Ngokuqhelekileyo, ukudibanisa kwe-estrogen-progestin (umzekelo, "iPilisi") iyanconywa kubasetyhini abane-PCOS, ukulawula umjikelezo wesithandathu wesibini, ukukhusela i-uterine lining from overgrowth, kwaye uphathe imiphumo yokuba namazinga aphezulu aphezulu. umzekelo).
Kuyabasetyhini abangenakuyithatha okanye bakhetha ukungathathi i-estrogen-progestin yokukhulelwa, iPravera iyona ndlela yokukhetha.
Uprovera usebenza ngokuthintela ukugqithisa kwezicubu kwi-uterine bining.
Iprovera kunye neHormone Alternative Therapy
Iprovera ingasetyenziselwa ukudibanisa ne-estrogen kumama-postmenopausal aphethe isisu. Ukudibanisa kwe-estrogen kunye neprogesterone kuthiwa yi-hormone yonyango yokutshintshwa kunye nenjongo yayo kukunyanga iimpawu ezinxulumene nokuphuma kwimizi efana nokutshisa okutshisa.
Injongo yeprogesterone ngaphezu kwe-estrogen kukuthintela ukuqina kwesisu. Yingakho i-progesterone inikwa kuphela kwabasetyhini abasenayo isisu. Ngaba iProvera okanye iprogesterone yemvelo (ngokuqhelekileyo) iyalelwe.
I-hormone yonyango yokutshintshwa kufuneka isetyenziswe kwinqanaba elisezantsi kakhulu kunye nexesha elincinci kunokwenzeka, kuthatha ingozi yomfazi kunye neenzuzo zokuthatha i-hormone yonyango yokutshintshwa ngokutsha ziye zacatshiswa kwaye zixutyushwa.
Ukongezelela, kubalulekile ukukhumbuza ukuba nayiphi na igazi eliphuma kumfazi kwisisu se-postmenopausal ene-uterus kufuneka ihlolwe ukulawula umhlaza.
Yintoni onokuyilindela ekuthatheni iprovera
Ekubeni iprovera i-hormone, inokubangela iziphumo zecala. Izona ziqhelekileyo ziyizinwele, isisonguluko, isifuba sebele, kunye nesimo sengqondo. Ezi mpawu zimele zithinte iintsuku ezimbalwa emva kokuthatha iPravera.
Ezinye iziphumo ezichaphazelekayo zingaquka:
- Shintsha ekuphumeni kwexesha okanye ukuhamba
- Acne
- Ukwandiswa kwesisindo
- Inkathazo okanye iingxaki zokulala
Kubalulekile ukuba uqaphele ukuba uPravera uyaphikisana nokukhulelwa, ngoko qi niqiniseke ukuba uxelele ugqirha wakho ukuba ucinga ukuba unokukhulelwa. Ngamanye amaxesha ugqirha wakho uya kufuna ukuba uthathe uvavanyo lokukhulelwa kwegazi okanye umchamo ngaphambi kokuba uthathe le nyilisi.
Ukongeza, iProvera ngokwayo ayikho indlela ethembekileyo yokukhulelwa, nangona i-hormone. Ukuba uthatha iProvera, qi ni sekisa ukusebenzisa umqobo wokukhusela (umzekelo, ikhondom) ukukhusela ukukhulelwa.
Ukuphonononga zonke iingxaki zakho zonyango kunye nemichiza nodokotela wakho ngaphambi kokuba uthathe iProvera. Ngaphandle kokukhulelwa, kukho ezinye iingqinisiso zokuthatha iProvera ngaphezu kweminye imiphumo emibi, ingakumbi ukuba idibene ne-estrogen.
ILizwi
Injongo eqhelekileyo yokumisela iProvera kukukunceda ugqirha ukuxilonga okanye ukuphatha iingxaki zengcinezelo yokuhamba kwimizi njengokwakheka okungavamile okanye ukungabikho kwamaxesha. Kwakhona kusetyenziselwa ukunqanda utywala lwe-uterine kwi-postmenrowusal women who also taking estrogen. Kunokuba nzima ukuqonda ukuba kutheni uthabatha i-hormone ethile, njengeProvera. Qinisekisa ukuba uphakamise nayiphi na imibuzo okanye iinkxalabo kunye nodokotela wakho.
> Imithombo:
> Kaunitz AM. Ulawulo lwe-Abnormal bleeding. Ku: U-UpToDate, Barbieri RL (Ed), UpToDate, Waltham, M
> Ndefo UA, i-Eaton A, i-Green MR. I-Polycystic Ovary Syndrome: Ukuhlaziywa koNyango lweZonyango ngokugxila kwiindlela ze-Pharmacological Approaches. Pharmacy and Therapeutics. 2013 Juni; 38 (6): 336-338, 348, 355.
> Provera (i-Medroxyprogesterone Acetate). Pfizer. https://www.pfizer.com/products/product-detail/provera.
> I-Sweet MG, iMadsen KP. Ukuvavanya noLawulo lwe-Abnormal Uterine Breeding in Women Premenopausal. WaseMerika ugqirha. 2012 Jan 1; 85 (1): 35-43.