Yintoni iMorrhagia?
I-Menorrhagia yigama lonyango lokuphuma kwindoda enzima. Ukuba ishiywe ingaphathwa, i-menorrhagia inokukhokelela kwintswelo ye-anemia. Kuqikelelwa ukuba malunga ne-10% yabasetyhini beminyaka yobudala baya kuba negazi elinzima-kodwa kuphela malunga ne-30% yabasetyhini baya kufuna unyango lwe-menorrhagia.
Ngaba Unokukhusela I-hormonal Ingaba Yingxenye Yeprogram yeMorrhagia Treatment?
Ukukhulelwa kwe- Hormonal ( njengepilisi ) kunceda ukunciphisa iipasiti zokuphuma kwegazi.
Ngenxa yoko, ukukhulelwa kwe-hormonal kunganceda kakhulu njengenxalenye yonyango lwe-menorrhagia. Ngaphezu koko, ezi ndlela zokulawula ukuzalwa zihlaziywa kwaye zineempembelelo ezingaphantsi kunezinye iindlela zokonyango. Olunye unyango lwe-menorrhagia yinkqubo yokuhlinzwa ebizwa ngokuba yi-endometrial inflation. Le nkqubo iholele ekutheni inzalo .
Usenokuba ukhethe ukusebenzisa iindlela zokulawula ukuzalwa kwe-hormone kuba isebenzayo kwaye kulula ukuyisebenzisa . Kodwa ngaba uyayazi malunga neenzuzo zokungabikho kokukhulelwa kokukhulelwa kwe-hormonal? Enye yale mivuzo kukuba ezinye izithintelo zokukhusela i-hormonal zingaba yinxalenye yesicwangciso sonyango se-menorrhagia.
Ziziphi iindlela zokukhusela iHormonal eziNokuthi zibe yingxenye yeMaryorrhagia My Treatment?
Ezi zilandelayo uluhlu lwemigaqo ethile yokulawulwa kokuzalwa komzimba eye yaboniswa ukuba luncedo ekuboneleleni ngoncedo lwe-menorrhagia. Ezi zinokuthi zibe ziindlela ezintle zokonyango ukuba ufuna ukukhulelwa kwikamva:
- Iindlela zokukhusela iHormonal: Ezi ndlela zokulawula ukuzalwa ziqukethe i- progestin kunye ne- synthetic estrogen . Ukulawulwa kokuzalwa kokunciphisa umzimba kunokunciphisa ukunyuka kokunyuka kokunyuka komzimba kubhinqa abaninzi. Ngoko kuyindlela efanelekileyo yokuzama ukuqala njengenxalenye yonyango lwakho lwe-menorrhagia.
- UkuLawulwa koBunzima bePilisi : Ngaba uyazi ukuba ukulahleka kwegazi kwenyanga yakho (oko kwenzeka ngexesha lakho) kunganciphisa ngo-40 ukuya kuma-50% xa usebenzisa ukusebenzisa iipilisi zokulawula ukuzalwa? Uphando luye lwabonisa ukuba iipilisi zokudibanisa ezintathu ( iipilisi zokulawula ukuzala ezitshintshile amazinga e-estrogen kunye neprogesin - ngokugqithiseleyo ukulinganisa izigaba ze-hormonal ngexesha lokuhamba kwakho kwimizuzu) ziye zaphumelela ngakumbi ekunciphiseni ukulahleka kwegazi okuxhomekeke kwi-menorrhagia.
- Iipilisi zokuLawula ukuzalwa koPhulo oluPhakamileyo : Iipilisi zokulawula ukuzalwa ngokuqhubekayo (njenge- Amethyst , Yaz , Beyaz , Seasonique , kunye neLo Loestrin Fe ) nazo zinceda ukunciphisa iziqulatho zakho zegazi. Ezi pilisi ezijikelezayo zingaba luncedo ngakumbi ekulawuleni i-menorrhagia. Ungasebenzisa kwakhona iipilisi zolawulo lokuzalwa ngokuqhelekileyo ukuze unqamle ixesha lakho - oku kunokukunceda kwakhona.
- Iiproductive-I-contraceptive kuphela : Ezi zixhobo zokukhulelwa kwe-hormonal yindlela efanelekileyo ukuba ufuna ukusebenzisa ulawulo lokuzalwa kwe-hormonal, kodwa awukwazi ukusebenzisa indlela ene-estrogen. Izinketho zokulawulwa kokuzalwa kweprogesin kuphela kunokuncedisa ukunciphisa iintsuku zokuphuma kwegazi ngexesha lakho leenyanga. Ezinye zezi ndlela zinokubangela ukuba ungabi nako ixesha. Ngenxa yalokhu, ukukhulelwa kweprogesin kuphela kunokuba yinxalenye yesicwangciso sonyango sakho se-menorrhagia.
- I-Mirena IUD : I- Mirena IUD iphinda ibe yindlela yokwelapha kuphela. Kubafazi abane-menorrhagia, uphando lubonisa ukuba i-Mirena iyanciphisa ukulahleka kwegazi kokuya esikhathini kwaye iphucula umgangatho wobomi kwakunye nokuphulukiswa kwe-endometrium-kodwa iMirena ineziphumo ezibi kakhulu. Unokunciphisa ama-86% ekulahlekeni kwegazi emva kweenyanga ezintathu kuphela zokusebenzisa iMirena kunye no-97% emva kweenyanga ezili-12.
Ngokuthelekiswa nabasetyhini abasebenzisa iipilisi kuphela zeprogesin (kunye neprogesin norethindrone ), abafazi abasebenzisa iMirena IUD yokunyanga kwezilwanyana kubonakala benelisekile kwaye bazimisele ukuqhubeka nale nto njengonyango lwabo lwe-menorrhagia. I-Mirena inokuba yinkqubo enonyango yokwenza unyango ngaphezu kwezi pilisi zokulawula. Kuninzi kangangoku ukuba ngoku iMirena ivunyiwe yi-FDA ukunceda ukuphatha ixesha elinzima .
I-Disclaimer Ngokukhawuleza Ngokusebenzisa Ukukhulelwa Kwama-hormonal Njengengxenye Yomntu Wakho Wama-Menorrhagia:
Gcina ukhumbule ukuba ngamnye umfazi unokuba neempendulo ezahlukeneyo kwiindlela ezithile zokulawula ukuzalwa. Ngoko nangona ukulawulwa kwe-hormonal yokuzalwa kungaba yinxalenye ebalulekileyo yonyango lwe-menorrhagia, olu lwazi lujoliswe ukuba lube luhlolo jikelele. Isizathu esiyinhloko sokusebenzisa ukulawulwa kwe-hormonal yokuzala ukhuseleko (ukukhusela ukukhulelwa okungafunekiyo ) - kodwa, ukuba unobunzima obuvela kwi-menorrhagia, xela ugqirha malunga nezinye zezibonelelo ezingenakukhulelwa. Akunakwenzakalisa ukuba kukho ezinye zezibonelelo ezinokwenzeka xa ugqiba malunga naluphi ulwaphulo lwe-hormonal oza kulusebenzisa.
Imithombo:
Barrington JW, uB Bowen-Simpkins P. "Inkqubo ye-levonorgestrel intrauterine ekulawuleni i-menorrhagia." Br J Obstet Gynaecol 1997; 104: 614-6. Kufumaneka ngokubhalisa kwangasese.
Imisedare MI. "Ulwaphulo-mzimba olusisiseko somlomo: Ukuphonononga kunye nokuthelekiswa kweerimenjini ezahlukeneyo." UFertil Steril 2002; 77: 1-14. Kufumaneka ngokubhalisa kwangasese.
I-Fraser IS, uMcCarron G. "Uvavanyo olulinganisiweyo lwe-hormonal 2 kunye ne-2 prostaglandin-inhibiting agents enabesetyhini abanesikhalazo se-menorrhagia." Aust NZJ I-Obstet Gynaecol 1991; 31: 66-70. Kufumaneka ngokubhalisa kwangasese.
I-O, i-Trolle B. "unyango lwe-menorrhagia nge-levonorgestrel inkqubo ye-intrauterine kunye nokuthengiswa kwe-endometri." UFertil Steril ngo- 2001; 76: 304-9. Kufumaneka ngokubhalisa kwangasese.
U-Kaunitz AM, uMeredith S, Inki P, Kubba A, iSanchez-Ramos L. "I-Levonorgestrel-yokukhulula inkqubo ye-intrauterine kunye ne-endometrial ablation ekuphumeni kwexesha lokunyuka komzimba: Ukuphononongwa ngokuchanekileyo kunye nokuhlaziywa kwemeta." I-Obstet Gynecol 2009; 113: 1104-16. Kufumaneka ngokubhalisa kwangasese.
ULarsson G, uMilsom I, uLindstedt G, uRybo G. "Impembelelo yesazi ephantsi idibanise ukukhulelwa komlomo ekulahlekeni kwegazi kunye nesimo sensimbi." Ukukhulelwa ngo- 1992; 46: 327-34. Kufumaneka ngokubhalisa kwangasese.
Sulak PJ, Carl J, Gopalakrishnan I, Ikhofi A, Kuehl TJ. "Iziphumo zokwandiswa kwemithi yokukhulelwa komlomo ngexesha elifutshane elincinci le-hormone ukulawula ukuphuma kwegazi." Ukukhulelwa kwe- 2004; 70: 281-7. Kufumaneka ngokubhalisa kwangasese.