Kuyini iMorrhagia?
I-Menorrhagia yigama lezokwelashwa lokuphuma kweqile lokuya esikhathini. Uma ishiywe ingalashwa, i-menorrhagia ingabangela ukungena kwe-anemia yensimbi. Kulinganiselwa ukuthi abesifazane abangaba ngu-10% abaneminyaka yobudala yokubeletha bazozwa ukuphuma kwegazi okukhulu kodwa kuphela abesifazane abangaba ngu-30% bazofuna ukwelashwa kwe-menorrhagia.
Ingabe Ukuvimbela I-Hormonal Kungaba Ingxenye Ye-Menorrhagia Treatment Plan?
Ukwelashwa kwe-hormonal (njengephilisi) usizo lokunciphisa iziqephu eziningi zokuphuza.
Ngenxa yalokhu, ukubeletha kwe-hormonal kungasiza kakhulu njengengxenye yokwelashwa kwe-menorrhagia. Ngaphezu kwalokho, lezi zindlela zokulawula ukubeletha zibuyiselwa futhi ziba nemiphumela emibi kakhulu kunezinye izindlela zokwelapha. Okunye ukwelashwa kwe-menorrhagia kuyindlela yokuhlinzwa ebizwa nge-endometrial ablation. Le nqubo ibangela inzalo .
Kungenzeka ukhethe ukusebenzisa izindlela zokulawula ukuzalwa kwe-hormonal ngoba isebenza kahle futhi kulula ukuyisebenzisa . Kodwa ingabe wayazi ngezinzuzo ezingezona zokubeletha kokubeletha kwe-hormonal? Enye yalezi zinzuzo ukuthi ezinye izinhlobo zokuvimbela imithi ye-hormonal zingaba yingxenye yepulani yokwelashwa kwe-menorrhagia.
Iziphi Izindlela Zokuvimbela Izidalwa ZamaHolomu Zingaba Ingxenye Ye-My Menorrhagia Treatment?
Okulandelayo luhlu lwezinqubo ezithile zokulawulwa kokubeletha okuye kwaboniswa ukuthi kuyasiza ekuhlinzekeni usizo oluthile lwe-menorrhagia. Lezi zingase zibe izindlela zokwelapha okuhle uma ufuna ukukhulelwa esikhathini esizayo:
- Izinkinga zokuvimbela ama- hormonal: Lezi zindlela zokulawula ukuzalwa ziqukethe i- progestin ne- synthetic estrogen . Ukuncintisana kokulawula ukubeletha kunganciphisa ukuphuma kwezinkinga ezinkulu zokuya esikhathini kwabesifazane abaningi. Ngakho kuyindlela enengqondo yokuqala ukuzama njengengxenye yokwelapha kwakho kwe-menorrhagia.
- Ukulawulwa Kokuzalwa Kwamaphilisi Amaphilisi : Bewazi ukuthi ukulahleka kwegazi njalo ngenyanga (lokho okwenzeka ngesikhathi sakho) kunganciphisa ngo-40 kuya ku-50% uma usebenzisa amaphilisi okulawula ukuzalwa? Ucwaningo luye lwabonisa ukuthi amaphilisi okuhlanganiswa kathathu ( amaphilisi okulawula ukubeletha anezinga eliguqukayo le-estrogen kanye ne-progestin - ngokulinganisa kakhulu izigaba ze-hormone ngesikhathi sokuya esikhathini) uye waphumelela ngokukhethekile ekunciphiseni ukulahlekelwa kwegazi esikhathini sokuxhuma kumama.
- Amaphilisi Okulawulwa Kwamazibulo Okunwetshwa Okuqhubekayo : Amaphilisi okulawula ukuzalwa okuqhubekayo (njenge- Amethyst , Yaz , Beyaz , Seasonique , no- Lo Loestrin Fe ) nawo asiza ukwehlisa izigcawu zakho zokuphapha. Lezi pilisi ezijikelezayo zingasiza kakhulu ekuphathweni kwe-menorrhagia. Ungasebenzisa futhi amaphilisi okulawula ukubeletha okuvamile ukuze weqa isikhathi sakho - lokhu kungakunikeza nokuphumula.
- Ukuvimbela Ukuvimbela Ngokwe-Progestin : Lezi zindlela zokubeletha nge-hormonal yindlela ehlukile uma ufuna ukusebenzisa ukulawula ukuzalwa kwe-hormonal, kodwa awukwazi ukusebenzisa indlela ene-estrogen. Izinketho zokulawula ukuzalwa kwe-Progesin kuphela zingasiza ukunciphisa izinsuku zakho zokuphuma kwegazi ngesikhathi sakho senyanga. Ezinye zalezi zindlela zingabangela ukuthi ungabi nesikhathi nhlobo. Ngenxa yalokhu, ukuvimbela ukubeletha kuphela kwe-progestin kungase kube yingxenye yepulani yakho yokwelashwa kwe-menorrhagia.
- I-Mirena IUD : I- Mirena IUD nayo iyindlela yokwelapha kuphela. Kulabo besifazane abanezinyanga, ucwaningo lubonisa ukuthi i-Mirena inciphisa ukulahlekelwa kwegazi esikhathini nokuthuthukisa ikhwalithi yokuphila kanye ne-endometrial ablation - kodwa i-Mirena inemiphumela emibi kakhulu. Ungakwazi ukunciphisa u-86% ekulahlekelweni kwegazi ngemuva kwezinyanga ezintathu kuphela ukusebenzisa i-Mirena kuze kube ngu-97% emva kwezinyanga ezingu-12.
Uma kuqhathaniswa nabesifazane abasebenzisa amaphilisi ase-progestin kuphela (nge-progestin norethindrone ), abesifazane abasebenzisa i-Mirena IUD yezokwelashwa kwemithi kubonakala benelisekile futhi bezimisele ukuqhubeka nalokhu njengokwelashwa kwabo kwe-menorrhagia. I-Mirena ingase ibe yindlela yokwelashwa ephumelela kakhulu kunalezi amaphilisi okulawula ukuzalwa. Kakhulu kangangokuthi manje i- Mirena i-FDA-evunyelwe ukusiza ukuphatha izinkathi ezinzima .
Ukuziphendulela Okusheshayo Ngokusebenzisa Ukukhulelwa Kwamahomoni Njengengxenye Ye-Menorrhagia Treatment Plan Yakho:
Khumbula ukuthi wonke owesifazane angase abe nokuhluka okuhlukile ezindleleni ezithile zokulawula ukuzalwa. Ngakho-ke noma ngabe ukulawulwa kokuzalwa kwama-hormone kungaba yingxenye ewusizo ekunakekeleni kwe-menorrhagia, lolu lwazi luhloswe ukuba lubukezwe jikelele. Isizathu esiyinhloko sokusebenzisa ukulawulwa kokubeletha kwe-hormones ukuvimbela ukukhulelwa (ukuvimbela ukukhulelwa okungahlosiwe ) - kodwa, uma uhlupheka nge-menorrhagia, khuluma nodokotela wakho mayelana nalezi zinzuzo ezingekho zokukhulelwa. Akulimazi ukufaka ezinye zezinzuzo ezinokwenzeka uma unquma ukuthi iyiphi i- hormonal contraceptive oyisebenzisayo ekugcineni oyisebenzisayo.
Imithombo:
U-Barrington JW, uBowen-Simpkins P. "Uhlelo lwe-levonorgestrel intrauterine ekuphathweni kwe-menorrhagia." Br J Obstet Gynaecol 1997; 104: 614-6. Kufinyelelwe ngokubhalisa kwangasese.
Imisedari MI. "Izindlela zokuvimbela ukubeletha ngomlomo: Ukubuyekeza nokuqhathaniswa kwemigomo ehlukahlukene." Fertil Steril 2002; 77: 1-14. Kufinyelelwe ngokubhalisa kwangasese.
I-Fraser IS, uMcCarron G. "Isivivinyo esihleliwe se-2 hormonal kanye ne-2 prostaglandin-inhibiting agents e-abesifazane abanesikhalazo semenyu ye-menorrhagia." I-Aust NZJ I-Obstet Gynaecol 1991; 31: 66-70. Kufinyelelwe ngokubhalisa kwangasese.
I-O, O-Trolle B. "Ukwelashwa kwe-menorrhagia nge-levonorgestrel intrauterine system ngokumelene nokuthengiswa kwe-endometrium." Fertil Steril 2001; 76: 304-9. Kufinyelelwe ngokubhalisa kwangasese.
U-Kaunitz AM, uMeredith S, Inki P, Kubba A, iSanchez-Ramos L. "Uhlelo lwe-Levonorgestrel-lokukhipha uhlelo lwe-intrauterine nokuphumula kwe-endometrial ekukhuleni kwesisindo esinzima: Ukubuyekezwa okuhlelekile nokuhlaziywa kwemeta." I-Obstet Gynecol 2009; 113: 1104-16. Kufinyelelwe ngokubhalisa kwangasese.
Larsson G, Milsom I, Lindstedt G, Rybo G. "Ithonya lomthamo ophansi lihlangene nokukhulelwa komlomo esikhathini sokuphuluka kwegazi nesimo sensimbi." Ukwelashwa 1992; 46: 327-34. Kufinyelelwe ngokubhalisa kwangasese.
Sulak PJ, Carl J, Gopalakrishnan I, ikhofi A, Kuehl TJ. "Imiphumela yokwandiswa kwemithi yokubeletha ngomlomo ngekhefu elincishisiwe le-hormone lokulawula ukuphuma kwegazi." Ukwelashwa 2004; 70: 281-7. Kufinyelelwe ngokubhalisa kwangasese.