Ingabe i-Lupron iyindlela yokwelapha ephumelelayo ye-Endometriosis ne-Endo-Related Infertility?

-Delile

• ILupron isebenza kanjani nge-endometriosis?
• Iphumelela kangakanani iLupron ye-endometriosis?
• Ngabe iLupron ingangisiza ngikhulelwe?
• Yimiphi imiphumela emibi yelupron?
• Ungayithatha kanjani iLupron ye-endometriosis
• Imibuzo okufanele uyibuze udokotela wakho

I-Endometriosis yisimo esijwayelekile sabesifazane lapho izicubu ezifana nezicubu ezivame ukutholakala zingene ngaphakathi kwesibeletho ngaphandle kwesibeletho.

Lesi sicubu esingaphandle kwesibeletho senza ngendlela ebesingayenza ngayo esibelethweni ngokuqina, sikhishwe, futhi sopha lapho usunokuya esikhathini.

Lokhu kubangela ubuhlungu nokuvuvukala futhi kungaholela ezinkingeni ezinjengama-ovarian cysts, scarring, irritation, and infertility.

ILupron Depot ngumuthi kadokotela ojojowe emzimbeni njalo ngenyanga noma njalo ezinyangeni ezintathu ukusiza ukunciphisa ubuhlungu be-endometriosis nezinkinga.

I-Lupron ekuqaleni yathuthukiswa njengokwelashwa kwalabo abanomdlavuza we-Prostate, kodwa sekuyindlela yokwelashwa ejwayelekile kakhulu futhi evame ukusebenza ngempumelelo ye-endometriosis.

ILupron isebenza kanjani nge-endometriosis?

ILupron isebenza ngokunciphisa amazinga jikelele e-estrogen emzimbeni. I-Estrogen yiyo eyenza ukuthi izicubu ezingaphakathi kwesibeletho zikhule.

Lapho uqala ukwelashwa ngeLupron, amazinga e-estrogen emzimbeni wakho akhula ngeviki elilodwa noma amabili. Abanye besifazane bathola ukwanda kwezimpawu zabo ngalesi sikhathi.

Ngemuva kwamasonto ambalwa, amazinga akho e-estrogen azokwehla, amise i-ovulation nesikhathi sakho. Okwamanje, kufanele uzwe ukukhululeka ebuhlungwini nasezimpawu zakho ze-endometriosis.

Iphumelela kangakanani iLupron ye-endometriosis?

I-Lupron itholakale ukuthi inciphisa ubuhlungu be-endometriji ethangeni nasesiswini. Inqunyelwe ukwelapha i-endometriosis kusukela ngo-1990.

Odokotela bathola ukuthi abesifazane abathatha iLupron banciphisa izimpawu nezimpawu zeziguli ezine-endometriosis ngemuva kokwelashwa nyangazonke lapho zithathwa izinyanga eziyisithupha.

Ngokwengeziwe, iLupron itholwe ukuthi inciphisa izinhlungu ngesikhathi sokuya ocansini lapho ithathwa okungenani izinyanga eziyisithupha.

Ngokusho kwabaphenyi, ukusebenza kwayo kuyafana nokwedanazol, umuthi we-testosterone onganciphisa ne-estrogen emzimbeni ukunciphisa izinhlungu nezimpawu ze-endometrium.

IDanazol ayivamisile ukusetshenziswa namuhla ngoba itholakele ukuthi idala imiphumela emibi eminingi, njengokukhula kwezinwele zomzimba, induna nokuzuza kwesisindo.

ILupron ithathwa njenge-agonist ekhipha i-gonadotropin (Gn-RH) ngoba ivimba ukukhiqizwa kwe-estrogen emzimbeni ukunciphisa izimpawu ze-endometriosis.

Ngabe iLupron ingangisiza ngikhulelwe?

Ngenkathi iLupron ingamisa isikhathi sakho, akuyona indlela yokulawula inzalo ethembekile. Ngaphandle kokuvikelwa, ungakhulelwa eLupron.

Ukugwema ukuxhumana kwezidakamizwa nokukhulelwa okungahle kube khona, sebenzisa izindlela ezingezona ezomzimba zokulawula ukubeletha njengamakhondomu, i-diaphragm, noma i-copper IUD.

I-Lupron ivame ukusetshenziswa ngesikhathi sokwelashwa kokuzala njenge-in vitro fertilization (IVF). Udokotela wakho angakuthatha ukuze uvimbele ukuvuthwa ngaphambi kokuvuna amaqanda emzimbeni wakho ukuze ukhulelwe.

I-Lupron ingasetshenziselwa ukwandisa ukusebenza kwemithi ethile yokuzala. Imvamisa, uyithatha izinsuku ezimbalwa ngaphambi kokuqala imishanguzo yokufaka umjovo ngomjovo.

Ngenkathi izifundo zokusebenza zilinganiselwe, inani elincane locwaningo oludala liphakamisa ukuthi ukuthatha iLupron kungathuthukisa kakhulu amazinga wokukhulelwa lapho kusetshenziswa ukwelashwa kokuzala njenge-IVF.

Yimiphi imiphumela emibi yelupron?

Noma yimuphi umuthi oguqula ama-hormone omzimba uthwala ubungozi bemiphumela emibi.Uma isetshenziswa yodwa, iLupron ingadala:

• ukuncipha kwamathambo
• kwehle i-libido
• ukudana
• isiyezi
• ikhanda kanye ne-migraine
• ukushisa okushisayo / ukujuluka ebusuku
• isicanucanu nokuhlanza
• ubuhlungu
• imomozi
• ukuzuza kwesisindo

Abantu abathatha iLupron baba nezimpawu ezifana nokunqamuka kokuya esikhathini, kufaka phakathi ukukhanya okushisayo, ukuguquka kwamathambo, noma ukunciphisa i-libido. Lezi zimpawu zivame ukuhamba uma iLupron inqanyuliwe.

Ungayithatha kanjani iLupron ye-endometriosis

I-Lupron ithathwa ngomjovo njalo ngenyanga kumthamo we-3.75-mg noma kanye ezinyangeni ezintathu ku-11.25-mg dose.

Ukuze unciphise ubungozi bemiphumela emibi kaLupron, udokotela wakho angakunikeza ukwelashwa kwe-progestin "add-back". Leli iphilisi eliphuzwa nsuku zonke ukusiza ukuphatha eminye imiphumela engemihle ngaphandle kokuthinta ukusebenza kweLupron.

Akuwona wonke umuntu oseLupron okufanele azame ukwelashwa okwengeza emuva. Gwema ukwelashwa kokubuyisela emuva uma une:

• ukuphazamiseka komzimba
• Isifo senhliziyo
• umlando wesifo sohlangothi
• ukunciphisa ukusebenza kwesibindi noma isifo sesibindi
• umdlavuza webele

Imibuzo okufanele uyibuze udokotela wakho

I-Lupron inganikeza ukukhululeka okukhulu kwi-endometriosis kwabanye besifazane. Noma kunjalo, wonke umuntu wehlukile. Nayi eminye imibuzo ongafuna ukuyibuza udokotela wakho ukuze akusize unqume ukuthi i-Lupron iyindlela yokwelashwa efanele yini kuwe:

• Ingabe i-Lupron iyindlela yokwelashwa yesikhathi eside ye-endometriosis yami?
• Ngabe iLupron izothinta ikhono lami lokuba nezingane esikhathini eside esizayo?
• Ngabe kufanele ngiphuze i-add-back therapy ukunciphisa imiphumela emibi evela eLupron?
• Yiziphi ezinye izindlela zokwelapha iLupron okufanele ngizame kuqala?
• Yiziphi izimpawu okufanele ngizibheke ukuze ngazi ukuthi umuthi wami weLupron uthinta umzimba wami ngokujwayelekile?

Qinisekisa ukwazisa udokotela wakho uma uzwa ubuhlungu obukhulu noma uma ukuya kwakho esikhathini okuqhubekayo kuqhubeka ngenkathi uthatha iLupron. Uma uphuthelwa imithamo eminingana ilandelana noma wephuze ukuthatha umthamo wakho olandelayo, ungahle uthole ukuphuma kwegazi.

Ngokwengeziwe, iLupron ayikuvikeli ekukhulelweni. Xhumana nodokotela wakho ngokushesha uma wazi noma ucabanga ukuthi ukhulelwe.