Ukuhlolwa kweprogestogen: kuyini, kukhonjiswa nini nokuthi kwenziwa kanjani

-Delile

• Lapho kukhonjiswa
• Kwenziwa kanjani
• Kusho ukuthini umphumela
• 1. Umphumela omuhle
• 2. Umphumela ongemuhle
• Uyini umehluko wesivivinyo se-progesterone?

Ukuhlolwa kwe-progestogen kwenziwa ukubheka amazinga ama-hormone akhiqizwa ngabesifazane lapho bengenazo izikhathi ezejwayelekile zokuya esikhathini nokuhlola ubuqotho besibeletho, njengoba i-progestogen iyi-hormone ekhuthaza izinguquko ku-endometrium futhi igcina ukukhulelwa.

Ukuhlolwa kwe-progestogen kwenziwa ngokufaka ama-progestogens, angama-hormone avimbela ukukhiqizwa kwamahomoni ezocansi i-estrogen ne-progesterone, izinsuku eziyisikhombisa. Ngemuva kwesikhathi sokuphatha, kuyabhekwa ukuthi ngabe kopha noma cha futhi, ngakho-ke, udokotela wezifo zabesifazane uyakwazi ukuhlola impilo yowesifazane.

Lokhu kuhlolwa kusetshenziswa kabanzi ekuphenyweni kwe-amenorrhea yesibili, okuyisimo lapho abesifazane beyeka ukuya esikhathini imijikelezo emithathu noma izinyanga eziyisithupha, okungenzeka kungenxa yokukhulelwa, ukunqamuka kokuya esikhathini, ukusetshenziswa kwezindlela zokuvimbela inzalo, ukucindezeleka ngokomzimba noma ngokomzwelo nokuvivinya umzimba njalo. . Funda kabanzi mayelana ne-amenorrhea yesibili nezimbangela zayo eziyinhloko.

Lapho kukhonjiswa

Ukuhlolwa kwe-progestogen kuboniswa ngudokotela wezifo zabesifazane ukuhlola ukukhiqizwa kwamahomoni ngabesifazane, kucelwa kakhulu ekuphenyweni kwe-amenorrhea yesibili, okuyisimo lapho owesifazane eyeka ukuya esikhathini imijikelezo emithathu noma izinyanga eziyisithupha, okungaba ngenxa yokukhulelwa, ukunqamuka kokuya esikhathini, ukusetshenziswa kwezindlela zokuvimbela inzalo, ingcindezi engokomzwelo noma engokomzimba nokuvivinya umzimba kanzima njalo

Ngakho-ke, lokhu kuhlolwa kukhonjiswa lapho owesifazane enezici ezithile ezilandelayo:

• Ukungabikho esikhathini;
• Umlando wokukhipha izisu okuzenzekelayo;
• Izimpawu zokukhulelwa;
• Fast kwesisindo;
• Ukusetshenziswa kokuvimbela inzalo;
• Ukunqamuka kokuya esikhathini ngaphambi kwesikhathi.

Ukuhlolwa kukhonjiswa nakwabesifazane abane-polycystic ovary syndrome, lapho kuvela khona ama-cysts amaningana ngaphakathi kwe-ovary okungaphazamisa inqubo ye-ovulation, okwenza ukukhulelwa kube nzima kakhulu. Funda kabanzi mayelana ne-polycystic ovary syndrome.

Kwenziwa kanjani

Ukuhlolwa kwenziwa ngokuphathwa kwe-10 mg ye-medroxyprogesterone acetate izinsuku eziyisikhombisa. Lo muthi usebenza njengokuvimbela inzalo, okungukuthi, uvimbela uketshezi kwamahomoni abhekene nokuvuthwa futhi wehlise ubukhulu be-endometrium, ngaphandle kokuya esikhathini. Ngakho-ke, ekugcineni kokusetshenziswa komuthi, iqanda lingaya esibelethweni ukuze livundiswe. Uma kungekho ukukhulelwa, ukuphuma kwegazi kuzokwenzeka, okukhomba ukuya esikhathini futhi ukuhlolwa kuthiwe kune-positive.

Uma umphumela walolu vivinyo ungemuhle, okungukuthi, uma kungekho ukopha, okunye ukuhlolwa kufanele kwenziwe ukuze kuqinisekiswe ezinye izimbangela ze-amenorrhea yesibili. Lokhu kuhlolwa kubizwa nge-estrogen ne-progestogen test futhi kwenziwa ngokuphathwa kwe-1.25 mg ye-estrogen izinsuku ezingama-21 ngokufakwa kwe-10 mg ye-medroxyprogesterone acetate ezinsukwini eziyi-10 ezedlule. Ngemuva kwalesi sikhathi, kuyabhekwa ukuthi kube nokopha noma cha.

Kusho ukuthini umphumela

Ukuhlolwa kwe-progestogen kwenziwa ngaphansi kokuqondiswa kwezokwelapha futhi kungaba nemiphumela emibili ngokuya ngezimpawu owesifazane angaba nazo ngemuva kokusebenzisa i-medroxyprogesterone acetate.

1. Umphumela omuhle

Ukuhlolwa okuthembekile kungenye lapho, ngemuva kwezinsuku ezinhlanu kuya kweziyisikhombisa zokusebenzisa i-medroxyprogesterone acetate, ukopha kwenzeka. Lokhu kuphuma kwegazi kukhombisa ukuthi owesifazane unesibeletho esijwayelekile nokuthi amazinga akhe e-estrogen nawo ajwayelekile. Lokhu kungasho ukuthi owesifazane uhamba isikhathi eside ngaphandle kokuvuthwa ngenxa yesinye isimo, njenge-polycystic ovary syndrome noma izinguquko ze-hormonal ezibandakanya i-thyroid, i-adrenal gland noma i-hormone prolactin, futhi udokotela kufanele aphenye.

2. Umphumela ongemuhle

Ukuhlolwa kubhekwa njengokungelutho uma kungekho ukopha ngemuva kwezinsuku ezinhlanu kuya kweziyisikhombisa. Ukungabikho kokopha kungakhombisa ukuthi owesifazane une-Asherman's syndrome, lapho kunezibazi eziningana esibelethweni, ezidala izicubu ze-endometrial ezeqile. Lokhu okweqile kuvumela ukunamathela kwakhiwe ngaphakathi kwesibeletho, okuvimbela ukuphuma kwegazi lokuya esikhathini, okungaba buhlungu kowesifazane.

Ngemuva komphumela omubi, udokotela angakhombisa ukusetshenziswa kwe-1.25 mg ye-estrogen izinsuku ezingama-21 ngokufakwa kwe-10 mg ye-medroxyprogesterone acetate ezinsukwini eziyi-10 ezedlule. Uma ngemuva kokusebenzisa lesi sidakamizwa kukhona ukopha (ukuhlolwa okuhle), kusho ukuthi owesifazane unendawo evamile ye-endometrium nokuthi amazinga e-estrogen aphansi. Ngakho-ke, kunconywa ukukala ama-hormone ashukumisa ukukhiqizwa kwe-estrogen ne-progesterone, okungama-hormone e-luteinizing, i-LH, ne-follicle evuselelayo, i-FSH, ukuthola imbangela yangempela yokungabikho kokuya esikhathini nokuqala ukwelashwa okufanele.

Uyini umehluko wesivivinyo se-progesterone?

Ngokungafani nokuhlolwa kwe-progestogen, ukuhlolwa kweprogesterone kwenziwa ukuze kuhlolwe ukujikeleza kwamazinga e-progesterone egazini. Ukuhlolwa kweprogesterone kuvame ukucelwa ezimweni zokukhulelwa okunobungozi obukhulu, ubunzima bokukhulelwa nokuya esikhathini ngokungajwayelekile. Qonda kabanzi ngokuhlolwa kweprogesterone.