Ngaba i-Ibuprofen inganciphisa ngokwenene ukuHamba kwexesha lakho?

Umxholo

• Ngaba kukhuselekile ukunciphisa ukuhamba kwexesha elinzima kunye ne-ibuprofen?
• Ngubani onokufuna ukuphonononga ii-NSAID ukunciphisa ukuhamba kwexesha elinzima?
• Kodwa khumbula: Ixesha elide ukusebenzisa ii-NSAID kunokuba neziphumo.
• Uphengululo lwe

Ukuba ubukhe wanikwa iingcebiso ngexesha le-intanethi (ngubani ongazange?), Mhlawumbi ubonile i-tweet yentsholongwane ethi ibuprofen inokunciphisa ukuhamba nokuya esikhathini.

Emva komsebenzisi we-Twitter @girlziplocked uthe wafunda malunga nekhonkco phakathi kwe-ibuprofen kunye namaxesha ngelixa efunda Incwadana yokuLungisa iPeriod nguLara Briden, amakhulu abantu aphendule athi akazange azi malunga nonxibelelwano.

Kuyavela, kuyinyani: Ibuprofen (kunye nezinye iziyobisi ezingezizo ezokulwa nokudumba, okanye ii-NSAIDs) zinokunciphisa ukuhamba kwexesha elinzima, utshilo u-Sharyn N. Lewin, ugqirha we-gynecologic oncologist.

Nantsi indlela esebenza ngayo: Ii-NSAID zisebenza ngokunciphisa ukuveliswa komzimba kwezinto ezinjenge-prostaglandins, ngokwe-USC Fertility. "I-Prostaglandins zii-lipids ezineziphumo ezifana ne-hormone" emzimbeni, njengokunciphisa umsebenzi kunye nokubangela ukudumba, phakathi kweminye imisebenzi, utshilo u-ob-gyn u-Heather Bartos, M.D.

Iiprostaglandins nazo ziveliswa xa iiseli ze-endometrial ziqala ukuphalala kwisibeleko, kwaye kukholelwa ukuba i-prostaglandins inoxanduva kakhulu kwezo ziqhelo eziqhelekileyo eziza kunye nokopha kokuya exesheni, kuchaza uGqr Bartos. Amanqanaba aphezulu e-prostaglandin aguqulela ekuphumeni okunzima ukuya exesheni kunye neekram ezibuhlungu, wongeza. (Inxulumene: Ezi ntshukumo zi-5 ziyakuthomalalisa iiCramps zakho zeXesha elibi)

Ngoko, ukuthatha ibuprofen akunakunceda nje ukunciphisa iintlungu, kodwa kunokunciphisa ukuhamba kwexesha elinzima-konke ngokubangela ukunciphisa izinga lokuvelisa i-prostaglandin ukusuka kwisibeleko, kuchaza uDkt Lewin.

Ngelixa oku kunokubonakala ngathi kuyindlela enomtsalane yokujongana nomjikelo onzima, onzima wokuya exesheni, kuninzi ekufuneka uqwalasele ngaphambi kokutsiba kule bandwagon. Nantsi into ekufuneka uyazi.

Ngaba kukhuselekile ukunciphisa ukuhamba kwexesha elinzima kunye ne-ibuprofen?

Okokuqala nokuphambili, chukumisa isiseko kunye ne-doc yakho ukuze uqiniseke ukuba kukhuselekile kuwe ukuba uthathe idosi ephezulu ye-ibuprofen-ye nayiphi na isizathu. Emva kokuba ufumene oko KULUNGILE, idosi ekhuthazwayo yokunciphisa ukuhamba kwexesha elinzima phakathi kwe-600 kunye ne-800 mg ye-ibuprofen kanye ngosuku (i-dose evunyiweyo "idosi ephezulu" kubantu abaninzi abathatha i-NSAID yokunciphisa intlungu ngokubanzi, uphawula uDkt Bartos), ukuqala Ngosuku lokuqala lokopha. Le idosi yemihla ngemihla inokuqhubeka kangangeentsuku ezine okanye ezintlanu, okanye kude kuyeke ukuya exesheni, utshilo uGqirha Lewin.

Gcina ukhumbule: Ibuprofen ayiyi ngokupheleleyo Ukuphelisa ukuhamba kwegazi ixesha, kwaye uphando oluxhasa indlela lusikelwe umda. Uphononongo lwe-2013 lwezifundo ezivavanya ulawulo lokopha okukhulu kokuya esikhathini, epapashwe kwiphephancwadi lezonyango I-Obstetrics kunye neGynecology, icebisa ukuba ukuthatha i-NSAID kunokunciphisa ukuphuma kwegazi nge-28 ukuya kwi-49 ekhulwini kulabo bafumana ukuhamba kwexesha elinzima (izifundo ezihlaziyiweyo azizange zibandakanye nabani na abantu abanokopha okuphakathi okanye okulula). Uphengululo lwamva nje olupapashwe kwi-Intanethi I-Cochrane Database yoPhononongo oluCwangcisiweyo ifumanise ukuba ii-NSAID "zisebenza ngokuthozamileyo" ekwehliseni ukopha okunzima ukuya exesheni, kuqatshelwa ukuba amanye amayeza aqhele ukusetyenziswa ukunciphisa ixesha elinzima-kubandakanya ii-IUDs, i-tranexamic acid (ichiza elisebenza ukunceda ukujiya kwegazi ngokufanelekileyo), kunye ne-danazol (ichiza elisetyenziswa rhoqo ukunyanga i-endometriosis) - "kusebenza ngakumbi." Ke, ngelixa uthatha ibuprofen ukunciphisa ukuhamba kwexesha elinzima ayisiyondlela engenangqondo, kunokuba yinto elungileyo kwabo banamaxesha athile (kunokuba nganyangekiyo) ukuphuma kwegazi okunzima kunye nokuxinana. (Inxulumene: Ekugqibeleni ungabuyiselwa ngeeMveliso zeXesha, Enkosi kuMthetho woNcedo lweCoronavirus)

Ngethuba nje ungenayo nayiphi na i-contraindications ekuthatheni [ii-NSAID], ingaba yilungiso lwexesha elifutshane [lokuhamba kwexesha elinzima]," kusho uDkt. abaguli abasebenzisa le ndlela. "Zikhona izifundo ezilinganiselweyo ekusebenzeni ngokuchanekileyo ngokweenkcukacha, kodwa ngokungathandabuzekiyo ndibone impumelelo elungileyo," ucacisa.

Ngubani onokufuna ukuphonononga ii-NSAID ukunciphisa ukuhamba kwexesha elinzima?

Ukuhamba kwexesha elinzima kunokuba luphawu lweemeko ezininzi zempilo, kubandakanya i-endometriosis kunye ne-polycystic ovary syndrome (i-PCOS), phakathi kwabanye. Ngaloo nto engqondweni, kubalulekile ukuthetha nogqirha wakho malunga namava akho kunye nokopha okukhulu kokuya exesheni ukuqinisekisa ukuba ibuprofen yindlela efanelekileyo kuwe, utsho uDkt Bartos.

"Ngokuqinisekileyo kwabasetyhini abane-endometriosis, apho amanqanaba e-prostaglandin ephezulu, amaxesha amade kwaye anzima kwaye abangela ukuba kubekho iitampu ezinkulu-ii-NSAID zilunyango olukhulu ngakumbi kwabasetyhini abafuna ukhetho olungenayo i-hormonal" ukunceda ukunciphisa ukopha, uyacacisa. Kodwa kwakhona, kukho amayeza kagqirha, anje nge-tranexamic acid, anokunciphisa ukuhamba kwexesha elinzima ngokukhuselekileyo nangempumelelo ngakumbi, uyongeza. "Iinketho zeHormonal ezifana nepilisi yokulawula ukuzalwa okanye i-Mirena IUD zisebenza ngakumbi" kunamanani aphezulu e-NSAID, ngakumbi ixesha elide, "kusho uDkt. Lewin.

Malunga nendlela yokwenza ukulibaziseka ixesha lakho kunye ne-ibuprofen okanye ezinye ii-NSAID: "Ibuprofen khange ifundwe ekulibaziseni ixesha lakho," kodwa ithiyori kunokwenzeka "ukuthatha la maqondo aphezulu" kunokulibazisa [ixesha lakho] ixesha elincinci, "ucacisa uGqirha Bartos. (Ngokukodwa, iCleveland Clinic inika ingxelo yokuba ii-NSAID UCanzibe ukulibazisa ixesha lakho "kungekho ngaphezu kosuku okanye ezimbini," ukuba kunjalo.)

Kodwa khumbula: Ixesha elide ukusebenzisa ii-NSAID kunokuba neziphumo.

Kukho omnye umba ophambili ekufuneka uthathelwe ingqalelo apha: Oko kukuthi, ukusebenzisa ii-NSAID zexesha elide, ngokubanzi, kunokuchaphazela impilo yakho. Kubantu abaninzi, ukusebenzisa ii-NSAID ezinje nge-ibuprofen ukunciphisa ukuhamba kwexesha elinzima kwenzelwe ukuba kwenziwe "kube kanye ngexeshana," hayi njengecebo lexesha elide lokopha okunzima ukuya exesheni, ngokweKlinikhi yaseCleveland. Xa zisetyenziswe ixesha elide, ii-NSAID zinokwandisa umngcipheko weengxaki zezintso kunye nezilonda zesisu, phakathi kweminye imiba yezempilo, utsho uDkt Bartos.

Okukwintsusa: "Ukuba amaxesha anzima ngumba wexesha elide, sihlala sixoxa ngeprogesterone IUD okanye into eyenzelwe ukusetyenziswa kwexesha elide, utshilo uGqirha Bartos. "Ibuprofen ayizukulungisa nayiphi na ingxaki, kodwa iyinto enkulu yokukhulula imijikelo enzima, enobunzima." (Nazi izinto ezininzi onokuzizama ukuba ukopha okukhulu ngexesha lakho.)

Uphengululo lwe