Ukwelashwa kunganciphisa izimpawu ngenkathi kuvimbela ukukhulelwa
Ukwelashwa kwe-hormonal ngokuvamile kuvame ukusetshenziswa ukuphatha i- polycystic ovary syndrome (PCOS) . Abagcini nje ngokunikeza ukuvikelwa ekukhulelweni okungafuneki kodwa kusiza ukujwayelekile ukuya esikhathini nokuphatha izimpawu ezihlobene ne-PCOS njenge-acne nokukhula ngokweqile kwezinwele.
Ngesikhathi ukusetshenziswa kwe-hormonal contraceptive kungase kubonakale kuyilungiselelo elilula le-PCOS, kungase kube nokuhlelwa kanye nezindlela ezifanele kakhulu kuwe njengomuntu ngamunye.
Izinkinga zokuvimbela amaHormon ezihlanganisiwe
Ukuhlanganiswa kokubeletha kwe-hormonal-okuqukethe kokubili i- estrogen ne- progestin- kubhekwa ukuthi ukwelashwa kokuqala kwelabo besifazane ababhekana nezikhathi ezingavamile kanye nama-hormone abesilisa ngokweqile (androgens) ngenxa ye-PCOS.
Kunezinketho eziningana ongakhetha kuzo kokubandakanya ukukhulelwa komlomo (aka "iphilisi"), i- patch transdermal , ne- ring yangaphakathi . Lezi zindlela zokubeletha kwe-hormonal zenza imisebenzi emithathu eyinhloko yokulwa ne-PCOS:
- Bavikela isibeletho sowesifazane ngokuqinisekisa ukuvuthwa okuvamile. Ukwehluleka ukuvundisa njalo kungandisa ukwanda kwezicubu ze-uterine (okuthiwa i- endometrial hyperplasia ) okungase kube nokwandisa ingozi yomdlavuza wesibeletho. Nge-contraceptive ehlangene, i-progestin isebenza ngokumelene ne-estrogen ukuvimbela i-hyperplasia.
- Basiza ukunciphisa amazinga we-androgen egazini, ikakhulukazi i- testosterone . Ngokwenza kanjalo, izimpawu ze-acne, i- androgenic alopecia (ukukhanya kwephethini wesilisa), kanye ne- hirsutism (izinwele ezingasadingeki nezomzimba) zinganciphisa.
- Bavikela futhi ukukhulelwa okungafuneki kwabesifazane abajikeleza imijikelezo yabo yokuvota.
Ukukhetha iPilisi Elifanele le-PCOS
Ngenxa yokuthi kuye kwaba nezifundo ezimbalwa zekhwalithi eziqhathaniswa nokusetshenziswa kohlobo olulodwa lokubeletha ngomlomo ngokumelene nolunye ekuphatheni i-PCOS, ngokuyinhloko kuwe nodokotela wakho ukunquma ukuthi yikuphi okufaneleka kakhulu.
Kunezinhlobo eziningi ezahlukene zephilisi, ngayinye enezinyathelo ezihlukene kanye nokuhlukana okuhlukile kwezithako. Zingahle zihlukaniswe njenge:
- I-monophasic lapho ama-hormone amazinga ahlala khona
- I-biphasic lapho i-progestin ikhula khona phakathi komjikelezo
- I-Triphasic lapho izilinganiso ezintathu ezihlukene ze-progestin ne-estrogen zishintsha cishe zonke izinsuku eziyisikhombisa
Izisu zokubeletha zomlomo zingabuyekezwa ngokwengeziwe ngesilinganiso se-estrogen equkethwe kuphilisi ngalinye. Ama-formulations aphansi-dose aqukethe ama-micrograms angu-20 (mcg) we-estrogen eceleni kwe-progestin. Izindlela zokwelapha zaso sonke isikhathi ziqukethe i-mcg engu-30 kuya ku-35 mcg ye-estrogen, kuyilapho ama-formulations aphezulu aqukethe ama-50 mcg.
Kubalulekile ukuqaphela ukuthi ngisho ne-estrogen yesilinganiso esincane kunazo zonke kusebenza ekuvikeleni ukukhulelwa futhi kungase kungabi nemiphumela emincane yokwenza imiphumela emibi njengokubhubhisa, ukuzuza kwesisindo, nokuguquka kwemizwelo. Ngokuphambene nalokho, amanani aphezulu angandisa ingozi yezinkathi ezingavamile kunokunciphisa.
Ehlangothini lwe-flip, i-estrogen ephansi noma ephansi ihlobene nesengozini yokuphuma kwegazi okungabangela abanye besifazane ukuba bayeke ukuthatha.
Amaphilisi e-Low-Dose Progestin
Kubaluleke kakhulu ukucacisa ukuthi yiliphi uhlobo lwe-progestin elisetshenziselwa iphilisi elihlanganisiwe. Abanye banomsebenzi ophezulu we-androgenic ongathuthukisa ukukhula kwamakhanda noma ubuso bezinwele ebusweni, okwenqabela ukusebenza kwabo ekukhatheni kwe-PCOS.
Amaphilisi okuhlanganiswa aphansi-androgen afaka:
- Desogen
- I-Nor-QD
- I-Ortho Micronor
- I-Ortho-Cept
- I-Ortho-Cyclen
- I-Ortho-Novum 7/7/7
- I-Ortho Tri-Cyclen
- I-Ovcon-35
- I-Tri-Norinyl
Ngenxa yokuthi lawa maphilisi angase abe neminye imiphumela emibi, kubalulekile ukukhuluma nodokotela wakho mayelana nezingozi nezinzuzo ngaphambi kokukhetha.
Izinketho Ze-Progestin kuphela
Ezimweni lapho owesifazane ehlangabezana nokuya esikhathini okungavamile kodwa engekho neyodwa yezimpawu ze-androgenic ze-PCOS, udokotela anganikeza ukukhulelwa kwe-progestin kuphela.
Kunezinhlobo ezimbili eziyinhloko ezingavimbela ukukhulelwa kanye ne-uterine hyperplasia ngaphandle kokuthinta amazinga e-testosterone. Lokhu kufaka:
- Izinketho eziqhubekayo ezifana "ne- minipill " noma i-Mirena noma i-Paragard i- hormonal intrauterine device (IUD)
- Ukwelashwa okungekho emthethweni ngokusebenzisa umuthi womlomo uPravera (medroxyprogesterone) ethathwa izinsuku ezingu-12 kuya ku-14 ezilandelanayo ngenyanga
Izwi elivela
Ukuphatha i-PCOS kungaba ibhizinisi elikhohlisayo, ikakhulukazi njengoba lixhunyaniswe nezinye izimpawu ezihlanganisa ukukhuluphala ngokweqile namazinga aphezulu e-glucose.
Kungathatha isikhathi ukuthola isisombululo se-hormonal kodwa, uma uhlala uzibophezele ekwelapheni kwakho futhi uhambele ekusebenzisaneni kwakho nodokotela wakho, cishe uzothola ukwelashwa okukufanele kuwe.
> Umthombo:
> Yildiz, B. "Indlela eya kuMgulane: Ukukhulelwa Kwabesifazane Ne-Polycystic Ovary Syndrome." J Clin Endocrinol Metabol. 2015; 100 (3): 794-802. I-DOI: 10.1210 / jc.2014-3196.