Endometriosis inzvimbo iyo mavara anowanzoisa mukati memukuchi wako (endometrium) inokura mune dzimwe nzvimbo dzomuviri - kazhinji pane mavharasi, fallopian tubes, nedzimwe nhengo dziri munharaunda. Inogona kukonzera marwadzo uye kusina kubuda ropa .
Endometriosis idambudziko rinowanzoitika, rinokanganisa mamiriyoni 5.5 emhandara nevakadzikadzi vezera rekubereka.
Zviratidzo zvinoita sokuti zvinowedzera kuwedzera munguva iyo kana nguva yako.
Hakuna mushonga we endometriosis. Kana iyo isina kubatwa, zvakadaro, inogona kuderedza mikana yako yekukwanisa kuva nepamuviri munguva yemberi. Endometriosis ndechimwe chezvinhu zvitatu zvinokonzera kusapera. Chinangwa chekurapa ndechekudzivirira marwadzo uye kudzivirira endometriosis kuti irege kuipa. Mishonga inogona kuva nemishonga uye / kana chirwere. Mhando yemishonga yaunogona kutsvaka kazhinji inobva mukuoma kwezviratidzo zvako uye kana iwe usingadi kuva nepamuviri kana kwete.
Depo-subQ Provera 104 chirongwa chekudzivirira pamuviri chinoshandisa progestin, medroxyprogesterone acetate. Yakagamuchira FDA-kugamuchirwa muna March 2005 kuitira kurapwa kwehupomberiri-hune hukama hwakabatana. Iyi FDA-kugamuchirwa yakashanda semushonga wekutanga wezvechiremba wepemetriosis kuburikidza nemarwadzo ekurwadziwa mumakore gumi nemashanu. Kunyange zvazvo kubvumirwa kweDAA kusingashandisi kuDupo Provera kupoteredza, injini dzeDepo Provera dzinogonawo kubatsira kurapa marwadzo anokonzerwa ne endometriosis.
Ko Dhiyabhorosi Inobatsira Sei Kubata Endometriosis Pain?
Iyo progestin muDepo Provera inofungidzirwa kubatsira kubvisa kukura kwezvinyorwa zvekupedzisira uye inogonawo kuderedza endometriosis-inokonzerwa nekuputika.
Paunenge uchienda kumwedzi nguva dzose, mahomoni ako anoita kuti chigadziko chechibereko chako chive chichigadzirira kugadzirira.
Kana iwe usingave nepamuviri, chigadziko chechibereko chako chinosvika, uye iwe wakachenesa (ichi ndicho chinokonzera nguva yako). Mahomoni anodzora kuenda kwako kumwedzi anokwira uye anowira mukati mako. Uku kukwira uye kuwira kunogona kukonzera endometriosis zviratidzo kuipa. Uyezve, kana iwe une endometriosis, kana iwe uine nguva yako, kubuda hakusi kungobva pamubhedha wechibereko - mishonga yekupedzisira yemakemikari yakakura kunze kwechibereko chako inobudawo. Apo ropa iri rinobata dzimwe nhengo, zvinogona kukonzera kupera uye kuputika ndicho chinokonzera kurwadziwa.
Kushandiswa kwaDepo Provera kunobvumira mazinga ako ehomoni kuti arambe akatsiga mukati mako. Inobatsira kudonha chigadziko chechibereko - izvi zvinogona kutungamirira kumazuva ekuwedzera kana kuti kwete zvachose. Depo Provera inogonawo kudzivirira ovulation uye inoderedza huwandu hweesrogen inopinda mumuviri wako. Pfungwa iyi ndeyokuti vasrogen isrogen inokurudzira kuti endometriosis tissue inogamuchirwa, kushandiswa kwemasero mashoma kunowanikwa. Izvi zvinononoka kuwedzera kwekukura kwezvisikwa. Kungofanana nechigadziko chechibereko chinopindura mazinga ehomoni, endometriosis tissue inoitawo saizvozvo.
Ndeipi Mimwe Mishonga Inobata Endometriosis?
Kusati kwashandiswa hormone therapy (kufanana neDepo Provera) pakurapwa kwe endometriosis, GnRH agonists (kufanana neuprolide ) ndiyo ndiyo mishonga inonyanya kupiwa ye endometriosis pain-relief.
Uyu mushonga ndeye shanduko yehomoni inowanzoitika, inonzi gonadotropin-release hormone, iyo inobatsira kudzora kumwedzi. Paunoshandisa leuprolide, inonyanya kumisa basa rose rehomoni uye maawa. Leuprolide inobatanidzawo nemigumisiro yakaoma, dzimwe dzacho dzinosanganisira:
- Vasomotor zviratidzo (kupisa moto, palpitations, kutuka)
- Kurasikirwa kweropa
- Hypoestrogenic zviratidzo (kubatwa kwepabonde, kufunganya kwemanzwiro, kushungurudzika kwehope)
- Headaches
- Kuora mwoyo
- Yakaderera libido
Tsvakurudzo Inotii nezveDepo Provera vs. Leuprolide?
Chimwe chezvidzidzo zvinozivikanwa zvikuru munharaunda ino zvakafananidza Depo-subQ Provera 104 uye kushandiswa kweuprolide mumadzimai 257 avo vairaridzwe nehutachiona vane endometriosis.
Paiva nevarume 153 vakashandisa Depo-subQ Provera 104 uye 146 vakadzi vakashandisa leuprolide mukati memwedzi mitanhatu. Mhinduro yacho yakaratidza kuti:
- Depo-subQ Provera 104 inobatsira zvakafanana pakurapa marwadzo anokonzerwa ne endometriosis seyeuprolide.
- Vose Depo-subQ Provera 104 uye leuprolide inoshandisa kubudirira zvinorwadza muzviratidzo zvishanu zvemagumo endometriosis: kurwadziwa kwepelvic , dysmenorrhea , kushungurudzika kwepachiviri, dyspareunia (chirwere chinotambudza), uye induration (kuoma uye kuoma kwezviviri).
- Pashure pemwedzi mitanhatu yekushandiswa, Depo-subQ Provera 104 yakaunza kuderera kwemafupa ekurasikirwa kwehuwandu hwemasimbi kupfuura yeuprolide. Mumwedzi gumi nemashure mushure mekurapa, bone kurasikirwa kwakadzokera kunotanga kurapa maitiro eDepo-subQ Provera 104 vashandisi, asi kwete kune avo vakashandisa leuprolide.
- Zvose mishonga zvakaenzana zvakakonzera kuvandudza kukuru kwehupenyu hwehupenyu uye huwandu hwekubereka.
Vatsvakurudzi vakapedzisa kuti Depo-subQ Provera 104 inobata marwadzo anokonzerwa ne endometriosis sebudiriro seyeuprolide. Asi vakadzi avo vakashandisa Depo-subQ Provera 104 vakashuma vasomotori vashoma (sekupisa kupisa kana kuputika) zviratidzo uye zviratidzo zvekunyengera (sekuvhiringidzika kwehope, mafungiro ekuchinja, uye kuvhiringidzika kwevakadzi) uye ruzivo rwakanyanya kuderera muhutachiona hwemaminerari kupfuura vakadzi vakashandisa leuprolide. Saka, kwete chete iyo inobatsira zvikuru kubata pamuviri , Depo-subQ Provera 104 yakakodzera uye inoshanda sarudzo sarudzo sezvinonzi leuprolide yekurapa kwekurwadziwa kwe endometriosis.
Kutsvakurudza kuwedzera kunobvumawo izvi. Ichokwadi, vatsvakurudzi vakaongorora zvese zvidzidzo zvakaongorora kushandiswa kweprogestin yekurapa endometriosis yakabudiswa mumakore gumi apfuura (1993-2003). Zvose zvakabatanidzwa zvezviongororwa izvi zvakaratidza kuti medroxyprogesterone acetate, progestin muDepo Provera inoshanda seyeGnRH agonists (leuprolide) mukuderedza marwadzo ekugumira endometriosis uye pakuvandudza hutano hwakabatana nehupenyu hwehupenyu. Vanyori vanowedzera kutsanangura kuti Depo Provera inoshandiswa kune vakadzi vane zviratidzo zvekupedzisira kwemigumisiro yakaita kuti kuve nekuderera kukuru muzviratidzo zvekurwadziwa uye kutungamirira kuderedzwa kwekutsva kwe endometriosis tissue tissue.
Depo Teerera seAn Endometriosis Mushonga: The Final Word
Depo Provera yakashandiswa pakubudirira kubata chirwere chinonzi endometriosis. Chikonzero chikuru chekubudirira kwayo ndechekuti Depo Provera inogona kubatsira kudzivirira kuvhara . Depo Provera inogadzirisa zvakananga mishonga yekupometrial kuburikidza nekuita kuti ichepere kunze - izvi zvinotungamirira kumadhura mashoma ekubuda ropa kumwedzi - izvo zvinotungamirira kumarwadzo ekurwadziwa.
Zvisinei, Depo Provera inogona kunge iri kunyanya kurapwa kwemapetometriosis. Kunyange zvazvo ichibudirira munguva shomanana, mushure mokumisa Depo Provera, kune mikana yakareba yokuti endometrial tissue growth ichadzoka. Depo Provera zvakare haarati kubata nekuberekwa kunobatanidza ne endometriosis. Kana iwe uchida kuva nepamuviri, kuvhiyiwa kunogona kuva ndiyo nzira yakanakisisa yokurapa ye endometriosis.
Depo Provera inoshanda sezvinonzi leuprolide nemamwe GnRH agonist mukurapa kurwadziwa kwe endometriosis. Asi, leuprolide inodhura uye inobatanidza nehuwandu husinganzwisisiki migumisiro. Izvo zvinotaurwa, ipapo Depo Provera anouya nehusiku bhokisi rekuchengetedzwa kwebhokisi - kana rakashandiswa kwemakore anopfuura maviri, Depo Provera inogona kuwedzera kudonha kwemapfupa ako (izvo zvinoita kuti kuwedzerwe kuwedzerwa kweasteoporosis ). Depo Provera kushandiswa kunogonawo kunonoka kudzoka kwekubereka kwako (vanenge 50% yevakadzi vachakwanisa kutora mimba mukati memwedzi gumi mushure mekupedzisira kweDepo Provera injection, asi inogona kutora kusvika kumwedzi 18 kuti kubereka kudzoke ). Vamwe vakadzi vanorondedzera kushaya ropa kana kusingaperi kana vachishandisa Depo Provera pamwe chete nemamwe matambudziko asina kudiwa . Zvinosuruvarisa, kana iwe wapiwa chirwere cheDepo Provera, kana iwe usina kufara nemigumisiro, unofanirwa kumirira nguva yemwedzi mitatu kusvikira mahomoni ose kubva pamuviri uyu achizosiya muviri wako zvishoma nezvishoma. Saka kana iwe uchifunga kushandisa Depo Provera sechirongwa chekuporesa yako endometriosis, iva nechokwadi chokuti unotaura nachiremba wako , saka iwe vaviri iwe unokwanisa kuona kana kwete marwadzo-ayo anonzi Depo Provera anokwanisa kupa zvakanyanya izvi zvinogona kuisa njodzi.
Sources:
Crosignani PG, Luciano A, Ray A, uye Bergqvist A. "Mutsara unodhi medroxyprogesterone acetate pamwe neuprolide acetate mukurapa kwepometriosis-inosanganiswa marwadzo." Hum. Reprod. 2006; 21 (1): 248-256.
Vercellini P, Fedele L, Pietropaolo G, Frontino G, Somigliana E, uye Corsignani PG. "Progestogens for endometriosis: Enda mberi kune zvakaitika kare." Kutsiva Kuvandudzwa 2003; 9: 387-396.