Provera ndiyo hormone inodzivirira chibereko uye inodzora kumwedzi
Provera inogona kurongerwa nokuda kwezvikonzero zvakasiyana-siyana, kazhinji kubata chirwere chakaoma kana kumisa nguva (amenorrhea) inokonzerwa nedambudziko rehomoni. Provera (medroxyprogesterone) inogadzirwa neprogesterone -hormone inowanzobudiswa mushure mekuvhuvhuta (kana mazai akasunungurwa kubva kune ovary).
Mukuwedzera, Provera dzimwe nguva inosanganiswa ne estrogen kubata zvirwere zvine chokuita nemamopaopausal (somuenzaniso, kupisa kunopisa) mumadzimai anonzi postmenopausal vane chibereko.
Muchiitiko ichi, chinangwa chaPravera ndechekudzivirira kuwedzerwa kwemuviri wterine, izvo zvinogona kutungamirira kuhutachi uterine. Provera inogona kushandiswawo mumutambo weprogesterone.
Provera uye Amenorrhea
Secondary amenorrhea inowanikwa apo mukadzi anoramba achigara kwenguva yakareba kwemwedzi inopfuura mitatu (apo aimbogara achigara) kana kupfuura mwedzi mitanhatu (kana yaimbova isina kukwana). Pane huwandu hwezvimwe zvinokonzera hutachiona hwemainorrhea dzinosanganisira:
- Kuberekwa
- Chirwere chetachiona
- Polycystic ovarian syndrome
- A high prolactin level
- Hypothalamic amenorrhea: mamiriro ezvinhu anogona kukura semugumisiro wekunetseka, kuwedzerwa kuora muviri, kana kurovedza muviri
Kuti uwane chinokonzera chirwere chechipiri chechikadzi, chiremba acharayira mimwe miedzo yakaita sekudzivirira pamuviri, mahomoni eropa, uye chirwere cheprogesterone test (inonziwo progesterone kuregererwa kuedza).
Muprogesterone dambudziko test, mukadzi angarongedzerwa 5 milligrams kana 10 milligrams yaProvera kwemazuva mashanu kusvika kune gumi kuti aone kana ane chirwere chekubuda ropa.
Kana mukadzi asingazivi kubuda ropa mukati memavhiki maviri ekutora Provera, saka angave ane uwandu hwakanyanya hweweserogen mumuviri wake kana ane chirwere chekubuda kunze, saAsherman's syndrome.
Kana mukadzi ane chirwere chekubuda ropa (izvo zvinowanzoitika mumazuva matatu kusvika kwemazuva manomwe ekumisa Provera) iye zvino ane esrogen yakakwana mumuviri wake, saka wake amenorrhea inobva pakusiya kubuda (kunonzi anovulation).
Muchiitiko ichi, chiremba achazoita mimwe miedzo kuti aone chikonzero chekuzodza kwake.
Provera uye Usingaoneki Uterine Bleeding
Kana mukadzi ane zvirwere zvisingagumi, angave achiita ropa risina kuchena, iro rinenge risingaregi kana kuti rinodarika nguva yokuenda kumwedzi. Dambudziko rekusingaperi rinokuvadza nderokuti rinogona kutungamirira kuUterine kuwedzera mhuka yepamusoro, inonzi endometrial hyperplasia , iyo inogona kukura kuva uterine kenza.
Polycystic ovary syndrome (PCOS) muenzaniso wekare wemamiriro ezvinhu anowanzokonzera kusina kumwedzi kwemazuva kubva kuhupenyu hunopera. Polycystic ovary syndrome ndiyo inowanzosangana nedambudziko re endocrine muvakadzi vane makore ekurera. Zviratidzo zviviri zvePCOS hazvirevi nguva uye huwandu hwakawanda hwe androgens (akadai se testosterone), iyo inobatsira pakugadzirwa kwemazino uye hirututism. Matambudziko emagetsi anokonzerwa nokuneta uye insulin kudzivisa zvakarewo muPCOS.
Kazhinji, kuwirirana nesrogen-progestin yekudzivirira (semuenzaniso, "piritsi") inokurudzirwa kuvadzimai vane PCOS, kutarisira mukadzi kumwedzi, kurinda uterine lining kubva pakukwira, uyewo kubata migumisiro yekuve nemazinga e-androgen (for muenzaniso, acne).
Kune vakadzi vasingagoni kutora kana kusarudza kusatora chirongwa chekuberekwa kweesrogen-progestin, Provera ndiyo inosarudzwa.
Provera inoshanda kuburikidza nekudzivirira kukwira kwezviviri mumucheka werinterine.
Provera neHormone Replacement Therapy
Provera inogonawo kushandiswa mukubatana ne estrogen mumadzimai emasmenopausal ane chibereko. Kubatanidzwa kwe estrogen uye progesterone inonzi hormone replacement therapy uye chinangwa chayo ndechokubata zviratidzo zvepamuviri-zviratidzo zvakadai sekupisa kunopisa.
Chinangwa cheprogesterone kuwedzera kune estrogen ndechokudzivirira kuwedzera kwechibereko. Ichi ndicho chikonzero progesterone inongowanikwa kune vakadzi vanove vachiri nechibereko. Zvimwe Provera kana progesterone chaiyo (kazhinji kazhinji) inorayirwa.
IHormone replacement therapy inofanira kushandiswa pamushandi wakadzika kwazvo uye nguva yakareba kwazvo inokwanisika, kutora mungozi yomukadzi uye zvakakosha zvekutora hormone replacement therapy zvakanyatsoyerwa uye zvinokurukurwa.
Mukuwedzera, zvakakosha kuyeuka kuti chero upi hwemudzimai kubuda ropa mumukadzi we postmenopausal ane chiberekero kunofanira kuongororwa kutonga kunze kwekenza.
Zvaunotarisira Kubva Pakutora Provera
Sezvo Provera ihomoni, inogona kukonzera migumisiro. Zvinowanzozivikanwa ndezvekushaya musoro, kushungurudza, kunyorova, uye kuchinja mafungiro. Iyi migumisiro yemigumisiro inofanira kuderedza mazuva mashomanana mushure mekutora Provera.
Mimwe migumisiro inogona kusanganisira:
- Shanduka pakuenda kumwedzi kana kubuda
- Acne
- Wedzera kurema
- Kuneta kana matambudziko ekurara
Zvakakosha kucherechedza kuti Provera inopesana nekamuviri, saka iva nechokwadi chekuudza chiremba wako kana iwe uchifunga kuti unenge wava nemimba. Dzimwe nguva chiremba wako achada kuti iwe utore chirwere chekuvhara ropa kana urini usati watora mishonga iyi.
Mukuwedzera, Provera pachayo haisi nzira dzakatendeka dzekudzivirira pamuviri, kunyange zvazvo iri hormone. Kana uri kutora Provera, iva nechokwadi chokuti unoshandisa chidziviriro chekudzivirira (somuenzaniso, kondomu) kudzivirira kubata pamuviri.
Dzokorora matambudziko ako ose ekurapa uye mishonga nachiremba wako usati watora Provera. Kunze kwekubata pamuviri, kune zvimwe zvinopesana nezvakatora kutora Provera pamwe nemigumisiro, kunyanya kana yakabatanidzwa ne estrogen.
Shoko Rinobva
Chinangwa chakajairika chekutsanangura Provera ndechokubatsira chiremba kufungidzira kana kubata chirwere chekuenda kumwedzi sekubuda ropa kusina kuchena kana kusina nguva. Iyo inoshandiswawo kudzivirira uterine yakagadzika kudarika mumadzimai emu postmenopausal avo vari kutora isrogen. Inogona kuva yakaoma kunzwisisa kuti nei uri kutora imwe hormone, yakafanana naProvera. Iva nechokwadi chekuunza mibvunzo chero ipi zvayo kana zvinetso newachiremba wako.
> Sources:
> Kaunitz AM. Kutungamira kweAnmalmal Uterine Bleeding. Mu: UpToDate, Barbieri RL (Ed), UpToDate, Waltham, M
> Ndefo UA, Eaton A, Green MR. Polycystic Ovary Syndrome: A Review of Treatment Options NeChirangariro paMaparamende Approaches. Pharmacy uye Therapeutics. 2013 Jun; 38 (6): 336-338, 348, 355.
> Provera (Medroxyprogesterone Acetate). Pfizer. https://www.pfizer.com/products/product-detail/provera.
> Sweet MG, Madsen KP. Kuongororwa uye Kutungamirirwa kweAinstorm Uterine Bleeding mu Premenopausal Women. American Family Physician. 2012 Jan 1; 85 (1): 35-43.