Ngabe iMirena izosiza ukwelapha i-Endometriosis noma iyenze ibe yimbi kakhulu?

-Delile

• UMirena usebenza kanjani nge-endometriosis?
• Ziyini izinzuzo zokusebenzisa iMirena?
• I-Q & A: Ngubani okufanele asebenzise iMirena?
• Q:
• A:
• Yimiphi imiphumela emibi noma izingozi ezihambisana neMirena?
• Ungazisebenzisa yini ezinye izindlela zokulawulwa kokubeletha kwamahomoni ukuphatha izimpawu zakho?
• Amaphilisi okuvimbela inzalo
• Amaphilisi we-progestin kuphela noma isibhamu
• Isiqephu
• Indandatho yesitho sangasese sowesifazane
• I-Gonadotropin-ikhulula ama-hormone (GnRH) agonists
• IDanazol
• Yiziphi ezinye izindlela zokwelashwa ezitholakalayo?
• Imithi yezinhlungu
• I-Laparoscopy
• I-Laparotomy
• Okubalulekile

Yini uMirena?

IMirena uhlobo lwedivayisi ye-hormonal intrauterine (IUD). Le ndlela yokuvimbela inzalo yesikhathi eside ikhipha i-levonorgestrel, inguqulo yokwenziwa kwe-progesterone eyenzeka ngokwemvelo, emzimbeni.

I-Mirena inciphisa ulwelwesi lwesibeletho sakho futhi iqinise umqubu wesibeletho. Lokhu kuvimbela isidoda ekuhambeni nasekufinyeleleni emaqandeni. I-progestin-only IUD nayo ingacindezela i-ovulation kwabanye besifazane.

I-IUD iyindlela yokulawula inzalo esebenza isikhathi eside engasetshenziswa ukuvimbela okungaphezu kokukhulelwa. I-Mirena ingasetshenziselwa ukwelapha i-endometriosis, kanye nezinye izimo ezifana nobuhlungu obungapheli be-pelvic nezikhathi ezinzima. Kungathatha iminyaka emihlanu ngaphambi kokuthi kudingeke ukuthi ithathelwe indawo enye.

Qhubeka ufunde ukuze ufunde kabanzi mayelana nokusebenzisa iMirena ukuphatha izimpawu ze-endometriosis, ezinye izindlela zokwelapha ama-hormone, nokuningi.

UMirena usebenza kanjani nge-endometriosis?

Ukuqonda ukuthi iMirena ingayelapha kanjani i-endometriosis, kuyasiza ukuqonda ubudlelwano phakathi kwalesi simo namahomoni.

I-Endometriosis yisifo esingelapheki futhi esiqhubekayo esithinta owesifazane oyedwa kwabayishumi e-United States. Isimo senza ukuthi izicubu zesibeletho zikhule ngaphandle kwesibeletho sakho. Lokhu kungadala izikhathi ezibuhlungu, ukuhamba kwamathumbu, noma ukuchama kanye nokopha ngokweqile. Kungase futhi kuholele ekungazali.

kukhombisile ukuthi i-estrogen ne-progesterone kungasiza ekulawuleni ukukhula kwezicubu ze-endometrium. La mahomoni, akhiqizwa kuma-ovari, angasiza ekukhuleni kwezicubu kancane futhi kuvimbele ukwakheka kwezicubu ezintsha noma izibazi. Futhi zingasiza ekunciphiseni ubuhlungu obuzwayo ngenxa ye-endometriosis.

Izindlela zokuvimbela inzalo zeHormonal ezifana neMirena zingaveza imiphumela efanayo. Isibonelo, i-Mirena IUD ingasiza ukuvimbela ukukhula kwezicubu, ukunciphisa ukuvuvukala kwe-pelvic, nokunciphisa ukuphuma kwegazi.

Ziyini izinzuzo zokusebenzisa iMirena?

Ama-IUD ayindlela yokuvimbela inzalo esebenza isikhathi eside. Lapho nje idivayisi kaMirena ifakiwe, ngeke kudingeke wenze noma yini enye kuze kufike isikhathi sokuyishintsha eminyakeni emihlanu.

Kunjalo - ayikho iphilisi yansuku zonke okufanele uyiphuze noma i-patch yanyanga zonke ongayishintsha. Uma unentshisekelo yokusebenzisa i-IUD efana neMirena ukusiza ukunciphisa izimpawu zakho, khuluma nodokotela wakho. Bangakwazi ukuhlola izinhloso zakho zokwelashwa bese behamba ngezindlela ezahlukahlukene ze-IUD ongazithola.

I-Q & A: Ngubani okufanele asebenzise iMirena?

Q:

Ngazi kanjani ukuthi iMirena ingifanele?

Isiguli esingaziwa

A:

Ukwelashwa kwehormonal ye-endometriosis kuyindlela ejwayelekile engabudambisa ngempumelelo ubuhlungu. IMirena yisibonelo esaziwayo nesicwaningwe kahle sama-IUD amaningi akhipha ama-hormone akhona. Isebenza ngokukhipha ama-micrograms angama-20 (mcg) we-hormone levonorgestrel ngosuku cishe iminyaka emihlanu. Lokhu kwenza kube yindlela elula yokwehlisa izimpawu zakho nokuvikela ukukhulelwa.

Kodwa-ke, i-IUD akuyona inketho enhle kubo bonke abesifazane. Akufanele usebenzise le nketho uma unomlando wezifo ezithathelwana ngocansi, isifo sokuvuvukala okhalweni, noma umdlavuza wezitho zokuzala.

Ama-IUD afana neMirena akuyona ukuphela kwendlela yokwamukela la mahomoni. Izindlela zokuvimbela inzalo zama-patch, zokudubula nezomlomo konke kunikeza ukwelashwa okufanayo kwamahomoni nokuvimbela ukukhulelwa. Akuzona zonke izindlela zokwelashwa kwama-hormone ezibekelwe i-endometriosis ezizovimbela ukukhulelwa, ngakho-ke qiniseka ukuthi ubuza udokotela wakho ngemithi yakho bese usebenzisa indlela yokulondoloza uma kudingeka.

UDebra Rose Wilson, PhD, MSN, RN, IBCLC, AHN-BC, Izimpendulo ze-CHTA zimelela imibono yochwepheshe bethu bezokwelapha. Konke okuqukethwe kunolwazi oluqinile futhi akufanele kuthathwe njengezeluleko zezokwelapha.

Yimiphi imiphumela emibi noma izingozi ezihambisana neMirena?

IMirena ayinazo izingqinamba zayo, yize zincane. I-IUD inemiphumela emibi embalwa, futhi ijwayele ukubuna ngemuva kwezinyanga ezimbalwa zokuqala.

Ngenkathi umzimba wakho ujwayela i-hormone, ungahle uzwe:

• ikhanda
• isicanucanu
• amabele amathenda
• ukopha okungajwayelekile
• ukopha okusindayo
• ukulahlekelwa ukuya esikhathini
• ukushintsha kwemizwa
• ukuzuza kwesisindo noma ukugcinwa kwamanzi
• ubuhlungu be-pelvic noma i-cramping
• ubuhlungu obuphansi emuva

Kunobungozi bokugcotshwa kwezicubu zesibeletho nge-IUD. Uma kwenzeka ukukhulelwa, i-IUD ingazifaka ku-placenta, ilimaze umbungu, noma ibangele ukulahleka kokukhulelwa.

Ungazisebenzisa yini ezinye izindlela zokulawulwa kokubeletha kwamahomoni ukuphatha izimpawu zakho?

I-Progesterone akuyona kuphela i-hormone engasiza ukuphatha i-endometriosis - ibhalansi ye-estrogen nayo ibhekwa. AmaHormone adala ukukhishwa kwe-estrogen ne-progesterone nawo ahloselwe ekwelashweni.

Khuluma nodokotela wakho. Bangakuhamba ngobuhle nangobubi bomuthi ngamunye wokukhulelwa futhi bakusize uthole okulungele izidingo zakho.

Izinketho ezijwayelekile zifaka:

Amaphilisi okuvimbela inzalo

Amaphilisi okulawula ukubeletha aqukethe izinhlobo zokwenziwa ze-estrogen ne-progesterone. Ngaphezu kokwenza izikhathi zakho zibe zifushane, zibe lula, futhi zivame ngokwengeziwe, iphilisi linganikeza nokukhululeka kobuhlungu ngesikhathi sokusetshenziswa. Amaphilisi okuvimbela inzalo aphuzwa nsuku zonke.

Amaphilisi we-progestin kuphela noma isibhamu

Ungathatha i-progestin, uhlobo lokwenziwa kwe-progesterone, ngefomu lephilisi noma ngomjovo njalo ezinyangeni ezintathu. Iphilisi elincane kumele liphuzwe nsuku zonke.

Isiqephu

Njengamaphilisi amaningi okulawula ukubeletha, i-patch iqukethe izinhlobo zokwenziwa ze-estrogen ne-progesterone. La mahomoni angena emzimbeni wakho ngesiqinti esinamathelayo osigqoka esikhunjeni sakho. Kufanele ushintshe i-patch njalo ngesonto amasonto amathathu, ngeviki lokuphumula ukuze uvumele isikhathi sakho sokuya esikhathini. Uzodinga ukufaka isichibi esisha uma isikhathi sakho sesiqedile.

Indandatho yesitho sangasese sowesifazane

Iringi yesitho sangasese sowesifazane iqukethe ama-hormone afanayo atholakala kuphilisi noma isichibi. Uma usufake iringi esithweni sakho sangasese, ikhipha ama-hormone emzimbeni wakho. Indandatho uyigqoka amasonto amathathu ngasikhathi sinye, uphumule isonto ukuze uthole isikhathi sokuya esikhathini. Uzodinga ukufaka enye indandatho ngemuva kokuphela kwesikhathi sakho.

I-Gonadotropin-ikhulula ama-hormone (GnRH) agonists

Ama-agonists we-GnRH ayamisa ukukhiqizwa kwamahomoni ukuvimbela ukukhiqizwa kwe-ovulation, ukuya esikhathini, nokukhula kwe-endometriosis, okubeka umzimba wakho esimweni esifana nokunqamuka kokuya esikhathini. Umuthi ungathathwa nge-spray yesikhala yansuku zonke, noma njengomjovo kanye ngenyanga noma njalo ezinyangeni ezintathu.

Odokotela batusa ukuthi lo muthi uthathwe kuphela izinyanga eziyisithupha ngasikhathi ukunciphisa ingozi yokuba nezinkinga zenhliziyo noma ukulahleka kwethambo.

IDanazol

I-Danazol yisidakamizwa esivimbela ama-hormone ukuthi akhishwe ngesikhathi sokuya esikhathini. Le mithi ayivimbeli ukukhulelwa njengezinye izindlela zokwelashwa kwamahomoni, ngakho-ke kuzodingeka ukuthi uyisebenzise eceleni kokuvimbela inzalo yakho. Akufanele usebenzise i-danazol ngaphandle kokuvimbela inzalo, njengoba umuthi waziwa ngokulimaza imibungu ekhulayo.

Yiziphi ezinye izindlela zokwelashwa ezitholakalayo?

Izinketho zakho zokwelashwa zizohluka ngokuya ngohlobo lwe-endometriosis onayo nokuthi inzima kangakanani. Ukwelashwa okujwayelekile kungafaka:

Imithi yezinhlungu

Ukudambisa izinhlungu ezithengiswa emithini nemithi oyibekile kungasiza ekunciphiseni ubuhlungu obuthile nezinye izimpawu.

I-Laparoscopy

Lolu hlobo lokuhlinzwa lusetshenziselwa ukususa izicubu ze-endometrial ezisabalele kwezinye izindawo zomzimba wakho.

Ukuze wenze lokhu, udokotela wakho udala imbobo enkingeni yesisu sakho futhi akhuthaze isisu sakho. Bese befaka i-laparoscope ngokusebenzisa ukusika ukuze bakwazi ukubona noma yikuphi ukukhula kwezicubu. Uma udokotela wakho ethola ubufakazi be-endometriosis, ngokulandelayo benza ukusikeka okuncane okubili esiswini sakho bese besebenzisa i-laser noma enye insimbi yokuhlinza ukususa noma ukuqeda isilonda. Bangase futhi basuse noma yiziphi izicubu ezibomvu esezakhekile.

I-Laparotomy

Lokhu ukuhlinzwa okukhulu esiswini okusetshenziselwa ukususa izilonda ze-endometriosis. Ngokuya ngendawo nobukhali bama-patches, udokotela wakho ohlinzayo angasusa futhi isibeletho sakho nama-ovari. I-Laparotomy ibhekwa njengesixazululo sokugcina sokwelashwa kwe-endometriosis.

Okubalulekile

Ukulawulwa kokuzalwa kwehormonal kungasiza ekunciphiseni izimpawu ze-endometriosis, kanye nokukhula kwezicubu kancane. Yingakho iMirena iyindlela yokwelapha ephumelelayo ye-endometriosis. Kodwa akuwona wonke umzimba ofanayo, ngakho-ke izinketho zakho zokwelashwa zingahluka ngokuya ngobunzima besimo nohlobo.

Uma une-endometriosis futhi ufuna ukufunda ngeMirena, khuluma nodokotela wakho ngezinketho zakho. Bangakunikeza imininingwane eminingi ngama-IUDs ama-hormonal nezinye izindlela zokwelashwa kwamahomoni.