Mishonga inogona kuderedza zviratidzo apo ichidzivirira kubata
Hormonal contraceptive inowanzoshandiswa kurapa polycystic ovary syndrome (PCOS) . Havasi kungozvidzivirira pakubata pamuviri usina kudiwa asi kubatsira kumira mumwedzi uye kubata zviratidzo zvine chokuita neCPOS, zvakadai semakumbo uye zvakanyanya kubvudzira bvudzi kukura.
Kunyange zvazvo kushandiswa kwemakemikari emuviri kunogona kuonekwa sekugadzirisa nyore kwaPCOS, pangangodaro kune maitiro uye nzira dzakakosha kwauri iwe somunhu.
Kusanganiswa kweHormonal Contraceptives
Kusanganiswa kwemakemikari emakemikari anokonzerwa ne- estrogen uye progestin -inofanirwa kurapwa kwemutsara wekutanga kwevakadzi vanotambura nguva dzisina kukwana uye mahomoni akawanda evanhu (androgens) sechikonzero chePCOS.
Pane zvakawanda zvingasarudzwa zvokusarudza kubva mukubatanidza mishonga yemuromo (aka "mapiritsi"), transdermal patch , uye ring inopinza . Izvozvi mahomoni ekudzivirira kubata pamuviri anoita mabasa matatu makuru ekurwisa PCOS:
- Dzinodzivirira chibereko chemukadzi kuburikidza nekuchengetedza nguva yakawanda. Kukundikana kugara muchivhara kunogona kuwedzera humba hwehutachiona (hunonzi endometrial hyperplasia ) iyo inogonawo kuwedzera njodzi yekenza yeukitiri. Nekubatana kwekudzivirira, progestin inopesana nesrogen kudzivirira hyperplasia.
- Vanobatsira kuderedza uyerogen mazinga muropa, kunyanya testosterone . Nokuita izvi, zviratidzo zvehutema, androgenic alopecia (mhando yevarume yepamusoro), uye hirsutism (bvudzi risingadiwi uye bvudzi) rinogona kuderedzwa.
- Vanochengetedzazve pamuviri usina kukodzera pakati pevakadzi vane maitiro ekukwevedza kazhinji kazhinji kuoma kutevera.
Kusarudza Piritsi Yakarurama yePCOS
Nokuti pane zvishoma zvidzidzo zvehutano zvakaenzanisa kushandiswa kwemhando imwe yemuromo wekudzivirira pamuviri zvichienderana nezvimwe mukurapa PCOS, inonyanya kusvika kwauri uye chiremba wako kuti asarudze kuti ndeipi yakakosha.
Kune mhando dzakasiyana-siyana dzepiritsi, imwe neimwe ine zviito zvakasiyana uye kuparara kwakasiyana kwezvigadzirwa. Vanogona kuenzaniswa se:
- Monophasic umo mahomoni anoramba ari akafanana
- Biphasic umo progestin inowedzera hafu kumativi ose
- Kurwisana mune zvitatu zvakasiyana-siyana zve progestin uye isrogen inoshandura anenge mazuva manomwe oga oga
Zvipembenene zvemuviri zvinogona kuwedzera kuenzaniswa nechiyero cheesrogen chiri mune imwe piritsi. Iko-dose formulations ine micrograms 20 (mcg) yeestrogen pamwe ne progestin. Nguva dzose-maitiro ekudzivirira kubata pamuviri ane 30 mcg kusvika 35 mcg ye estrogen, nepo high-dose formulations ine 50 mcg.
Zvakakosha kucherechedza kuti kunyange chirwere chakanyanya kudarika isrogen chinoshanda pakudzivirira kubata pamuviri uye hazvikwanise kukonzera migumisiro yakadai sekubvisa, kuwedzera kuwedzera, uye mafungiro ekuchinja. Kusiyana neizvi, mizinga yakawanda inogona kuwedzera kungozi yenguva dzisina kumira pane kuideredza.
Pane flip, pasi kana kuti ultra-low estrogen inobatanidza nehutano hwekubuda ropa kunogona kutungamirira vamwe vakadzi kuti varege kuitora.
Low-Dose Progestin Mapiritsi
Izvo zvakakoshawo kutarisa rudzi rweprogestin ruri kushandiswa mune imwe mapiritsi. Vamwe vane basa rakakura uyerorogenic rinogona kukurisa hutema kana bvudzi kukura kukura, kusaderedza kushandiswa kwavanoita muhutano hwePCOS.
Low-androgen pamwe mapiritsi inosanganisira:
- Desogen
- Kwete-QD
- Ortho Micronor
- Ortho-Cept
- Ortho-Cyclen
- Ortho-Novum 7/7/7
- Ortho Tri-Cyclen
- Ovcon-35
- Tri-Norinyl
Nemhaka yokuti mapiritsi aya anogona kuva nemamwe matambudziko, zvakakosha kutaurirana nachiremba wako pamusoro pezvipingamupinyi uye zvibatsiro usati waita sarudzo.
Progestin-Zvimwe chete
Mumamiriro ezvinhu apo mukadzi ari kunonoka kuenda kumwedzi asi hapana chimwe chezviratidzo zve androgenic zvePCOS, chiremba angapa chirongwa cheprogestin-chete sechimwe.
Kune miviri miviri miviri inogona kudzivirira kubata pamuviri uye uterine hyperplasia pasina kushaya maitiro e testosterone. Izvi zvinosanganisira:
- Zvichienderera mberi zvakadai se " minipill " kana kuti Mirena kana Paragard hormonal intrauterine device (IUD)
- Kurapa kwemukati kuburikidza nemushonga wemishonga inonzi Provera (medroxyprogesterone) inotorwa kubva kune 12 kusvika ku14 mazuva anotevera pamwedzi
Shoko Rinobva
Kutarisira PCOS kunogona kuva bhizinesi rakanyanyisa, kunyanya sezvo rakabatanidzwa kune zvimwe zviratidzo zvinosanganisira kuora muviri uye mazinga epamusoro yeglucose.
Zvinogona kutora nguva kuwana sarmonal solution asi, kana ukaramba uchizvipira kumarapirwo ako uye unofadza mukubvumirana kwako nachiremba wako, uchave wakanyanya kuwana mushonga unenge wakarurama kwauri.
> Kwakabva:
> Yildiz, B. "Kusvika kune Murwere: Kubata pamuviri muvakadzi ne Polycystic Ovary Syndrome." J Clin Endocrinol Metabol. 2015; 100 (3): 794-802. DOI: 10.1210 / jc.2014-3196.