Unyango lunokunciphisa iimpawu ngexesha ukhusela ukukhulelwa
I-contraceptive ye-hormonal isetyenziswa ngokuqhelekileyo ekuphatheni i- polycystic ovary syndrome (i-PCOS) . Abagcini nje ngokukhusela ekukhulelweni okungafunekiyo kodwa bancedise ukuqhelanisa ukuhamba kwexesha kunye nokuphatha iimpawu ezinxulumene ne-PCOS ezifana ne-acne kunye nokukhula kancinci kweenwele.
Nangona ukusetyenziswa kwemithi yokukhulelwa kwe-hormonal kungabonakala kulungiswa lula kwi-PCOS, kunokukho iindlela kunye neendlela ezifanelekileyo ngakumbi kuwe.
Ulwaphulo lweHormonal
Iintlobo zokukhusela i-hormonal-hormonal-equkethe i- estrogen kunye ne- progestin- ithathwa njengonyango wokuqala kumabhinqa abahluphekayo amaxesha amanani kunye namahomoni angamadoda amaninzi (androgens) ngenxa ye-PCOS.
Kukho ukhetho oluninzi lokukhetha ukubandakanya ukukhulelwa komlomo (aka "ipilisi"), isiqendu esicatshulwayo , kunye nengxangxushu yangaphakathi . Ezi ntlobo ze-hormonal contraception zenza imisebenzi emithathu esemqoka yokulwa ne-PCOS:
- Zikhusela isibeleko somfazi ngokuqinisekisa ukuvuthwa rhoqo. Ukungaphumeleli ukuvutha rhoqo kunokunyusa ukwakhiwa kwezicubu ze-uterine (ezibizwa ngokuba yi- endometrial hyperplasia ) ezinokuthi zandisa ingozi yomhlaza wesibeleko. Ngoxilongo oluhlanganisiweyo, iprogestin isebenza ngokumelene ne-estrogen ukukhusela i-hyperplasia.
- Zinceda ukunciphisa izinga le-androgen egazini, ingakumbi i- testosterone . Ngokwenza njalo, iimpawu ze-acne, ne-alorogenic alopecia (i-pattern bald pattern), kunye ne- hirsutism (iinwele ezingafunwayo kunye neenwele zomzimba) zingancitshiswa.
- Bawakhusela kwakhona ukukhulelwa okungafunekiyo kwabasetyhini abajikelezileyo ukujikeleza.
Ukukhetha iPilisi efanelekileyo ye-PCOS
Ngenxa yokuba kukho izifundo ezimbalwa zeempawu eziqhathaniswa nokusetyenziswa kolunye uhlobo lokukhulelwa komlomo ngokumelene nolunye ekuphatheni i-PCOS, ngokuyininzi kuwe kunye nogqirha wakho ukugqiba ukuba yiyiphi enye into efanelekileyo.
Kukho iintlobo ezahlukeneyo zepilisi, ngasinye sinamanyathelo ahlukeneyo kunye nokuhlukana okuhlukeneyo kwezithako. Ziyakwazi ukuhlulwa njenge:
- I-Monophasic apho ama-hormone ahlala khona
- I-Biphasic apho i progesin ikwandisa ngaphaya komjikelezo
- I-Triphasic apho izilwanyana ezintathu ezahlukeneyo zeprogesin kunye ne-estrogen ziguquka malunga nentsuku ezisixhenxe
Izicwangciso zokukhulelwa komlomo zingaphinda zihlelwe ngumlinganiselo we-estrogen equlethwe kwipilisi nganye. Iifom ze-dose ziphantsi ziqukethe ii-micrograms ezingama-20 (mcg) ze-estrogen kunye neprogesin. I-contraceptive dose yexesha eliqhelekileyo iqulethe i-30 mcg ukuya kwi-35 mcg ye-estrogen, ngelixa iifom ze-high-dose ziqukethe i-50 mcg.
Kubalulekile ukuba uqaphele ukuba nangona i-estrogen ephantsi kakhulu inokusebenza ekukhuseleni ukukhulelwa kwaye kungabikho amathuba okubangela iziphumo zecala ezifana nokubhubhisa, ukufumana ubunzima, nokuguquka kwemizwelo. Ngokwahlukileyo, amanani aphezulu anganyusa umngcipheko wexesha elingaqhelekanga kunokunciphisa.
Kwi-flip ecaleni, ephantsi okanye e-ultra-low estrogen inxulumene nomngcipheko wokuphuma kwegazi onokubangela abanye abafazi ukuba bayeke ukuthatha.
Iipilisi zeProstin ezisezantsi
Kubaluleke ngokufanayo ukuchonga uhlobo luni lweprogesin elisetyenziswe kwipilisi yentlangano. Abanye banomsebenzi ophezulu we-androgenic onokunyusa ukukhula kweenwele okanye ubuso beenwele, ukuphazamisa ukusetyenziswa kwazo kwi-PCOS unyango.
Iipilisi ezidibeneyo ze-androgen ziquka:
- Desogen
- Nome-QD
- Ortho Micronor
- IOrtho-Cept
- Ortho-Cyclen
- I-Ortho-Novum 7/7/7
- Ortho Tri-Cyclen
- Ovcon-35
- Tri-Norinyl
Ngenxa yokuba ezi pilisi zingaba nezinye iziphumo ezibi, kubalulekile ukuthetha nodokotela wakho malunga nobungozi kunye neenzuzo ngaphambi kokukhetha.
Izinketho zeProgesin kuphela
Kwiimeko apho umfazi ufumana ukuhamba kwesimo esingavumelekanga kodwa akukho nenye yeempawu ze-androgenic ze-PCOS, ugqirha unokunikezela ngokukhulelwa kweprogesin kuphela.
Kukho iintlobo ezimbini eziphambili ezinokuthintela ukukhulelwa kunye ne-uterine hyperplasia ngaphandle kokuchaphazela amazinga e-testosterone. Ezi ziquka:
- Izinketho eziqhubekayo ezifana ne " minipill " okanye i-Mirena okanye i-Paragard i- hormonal intrauterine device (IUD)
- Ulwaphulo olungapheliyo ngokusebenzisa isilwanyana somlomo iProvera (i-medroxyprogesterone) ethathwa kwiintsuku ezi-12 ukuya kwezi-14 ezilandelanayo ngenyanga
ILizwi
Ukulawula i-PCOS ingaba ishishini elikhohlakeleyo, ngakumbi ekubeni lidibaniswe nezinye iimpawu eziquka ukukhuluphala kwamanzi kunye namazinga aphezulu e-glucose.
Kungathatha ixesha ukufumana isisombululo se-hormonal kodwa, ukuba uhlala uzinikezele kunyango lwakho kunye nomdla kumsebenzi wakho kunye nogqirha wakho, uya kukwazi ukufumana unyango olufanelekileyo.
> Umthombo:
> Yildiz, B. "Indlela eya kwiMonde: Ulwaphulo lwabafazi kunye ne-Polycystic Ovary Syndrome." J Clin Endocrinol Metabol. 2015; 100 (3): 794-802. INGXELO: 10.1210 / jc.2014-3196.