Endometriosis inzvimbo iyo mavara anowanzoisa mukati mechibereko (endometrium) inokura kune dzimwe nzvimbo dzomuviri. Inokonzera marwadzo, kusinganzwisisi kubuda ropa, uye zvinogona kuve nekushaya. Endometriosis idambudziko guru uye zvichida rinotanga nenguva iyo nguva yokuenda kumwedzi inotanga. The Depo-subQ Provera injection 104 yakave FDA-inogamuchirwa kubatsira kubata kurwadziwa kunosangana ne endometriosis.
Mamwe maitiro ekudzivirira kubata mahomoni anogona kubatsira.
Kunyange zvazvo vanopfuura 80% vevakadzi vekuUnited States vachashandisa mishonga yekudzivirira kubata pamuviri (kufanana nePill ) pane imwe nguva panguva yemakore ekuberekwa kwavo, vazhinji havazivi zvisingabatsiri zvekushandisa kushandisa rudzi urwu rwekudzivirira kuberekwa. Hormonal contraceptives ine progestin , estrogen, kana zvose.
Kushandisa Hormonal Contraception kuti Uite Endometriosis
Zvimwe zvezvipembenene izvi zvakaratidza kukwanisa kuderedza kurwadziwa kwakagadzirwa ne endometriosis. Izvozvo zvichitaura, zvakakosha kuona kuti chikonzero chikuru chekushandisa kubvisa pamuviri kuberekwa kwekuberekwa (kuchengetedza pamuviri usina kutarisirwa ) - zvingave zvisingabatsiri zvingabatsirwe zvinogona kufungwa kana uchisarudza kuti nzira yekudzivirira kuberekwa kwehomoni inogona kufanirwa zvakadini kwauri .
Izvi zvinotevera urongwa hwemishonga yakasiyana-siyana yemishonga yekuberekwa yekuberekwa yakaratidzwa kuva yakakosha pakubvisa mamwe marwadzo anokonzerwa ne endometriosis:
- Depo Provera uye Depo-subQ Provera 104 : Zvose zvakaratidzwa kuderedza marwadzo anokonzerwa ne endometriosis. The Depo-subQ Provera injection 104 ndiyo yekutanga yekugadzirisa mushonga mumakore gumi nemashanu ekupedzisira kuva FDA-yakagamuchirwa kuitira kurapwa kwemarwadzo ekupedzisira e-endometriosis. Maererano nekutsvakurudza kwakapiwa naPfizer, muumbi weDepo Provera, Depo-subQ Provera 104 anobata kurwadziwa kwe endometriosis nenzira inobudirira sezvinonzi leuprolide, asi inosanganiswa neavo vasomotor zviratidzo (sekupisa kupisa kana kuputika) uye zvakanyanya kuderedza kurasikirwa kwefupa. Chaizvoizvo, Depo Provera akaita kuti pave nemarwadzo ekurwadziwa akaenzana neaya euprolide kudarika dzose endometriosis-inosangana-kurwadziwa kwepasvivini, kushungurudzika kwepelvic, kushaya dysmenorrhea, kurara kwepabonde, uye kuoma uye kuoma kwezviviri.
- Implanon : Izvi zvinogadziriswa zvekudzivirira kubata pamuviri zvakaratidzwa zvakare kuderedza marwadzo kubva pakupedzisira kwekupedzisira. Kunyange zvazvo zvisingazivikanwi zvakakwana kuti progestin (etonogestrel) muImplanon inobatsira kuderedza zviratidzo zve endometriosis, inofungidzirwa kushanda nekudzivisa kukura kwezvigadzirwa zvemastometrial, zvichiita kuti zvishoma nezvishoma zvishoma nezvishoma. Progestin inogonawo kubatsira kuderedza kuputika mukati mechiberekwa chinokonzerwa ne endometriosis (nokudaro kunopa kumwe kununurwa kubva pamarwadzo).
- Mirena : Mirena IUD yakaratidzwa kubatsira mukurapa dysmenorrhea uye kurwadziwa kusingaperi kwepilvic kunobatanidza ne endometriosis-kunyange zvazvo isina kubvumidzwa neCDA kuti ishandiswe. Zvichipa kuti Mirena inogona kusara panzvimbo panzvimbo yemakore mashanu, iyi IUD inopa mikana yekuve yakagadzirwa kwenguva refu endometriosis kuvakadzi vanoda kudzoka pamuviri. Zviverengero zvishoma zvemakiriniki dzakaedzwa zvakatsvaga kubudirira kweMirena IUD mukurapa kwe endometriosis; iyi tsvakurudzo yakaratidza kuti Mirena inogona kubatsira mukuderedza kushungurudzika kwepanguva makore matatu, uye zvizhinji zvekuvandudza zviri mumwedzi 12-18 yekutanga. Mirena anofungidzirwa kubatsira kubatsira kuderedza kuwanda kweropa panguva yemukadzi, iyo inogona kubatsira kuderedza marwadzo ekupedzisira endometriosis. Zvechokwadi, kune vakadzi vanoda kuwana intrauterine kubata pamuviri, Mirena IUD ikozvino FDA-inogamuchirwa kutora nguva dzakaoma.
- Kuwedzerwa Purogiramu Kuberekwa Kudzora Piritsi: Kuenderera mberi kwemishonga yekudzivirira kuberekwa (sezvakaita Lybrel kana Seasonique ) inogona kupa imwezve rubatsiro rwekubviswa kana kuderedzwa kwemazuva uye kuwirirana kwedysmenorrhea yakabatana ne endometriosis. Zvisinei, pane zvishoma zvinyorwa zvinoratidza kuti kusanganiswa kwekuberekwa kwepiritsi kunogona kuderedza kukwirira kwe dysmenorrhea kuvakadzi vane endometriosis.
> Sources:
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> Lockhat FB, Emembolu JO, Konje JC. "Kubudirira, mararamiro emigumisiro uye kuenderera mberi kwevakadzi muine zviratidzo zvekupedzisira endometriosis inorapwa nemishonga inonzi intra-uterine inoshandiswa progestogen (levonorgestrel): A 3 year follow-up." Hum Reprod 2005; 20: 789-93.
> Pfizer. (2005) "Depo-SubQ Provera 104."
> Pfizer. (2004) "Depo Provera: Kubata pamuviri."
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