Ngaba iMirena iya kunceda ukunyanga i-Endometriosis okanye iyenze ibe mbi ngakumbi?

Umxholo

• I-Mirena isebenza njani kwi-endometriosis?
• Ziziphi izibonelelo zokusebenzisa iMirena?
• I-Q & A: Ngubani omele asebenzise iMirena?
• Q:
• A:
• Zithini iziphumo ebezingalindelekanga okanye umngcipheko onxulumene neMirena?
• Ngaba ungazisebenzisa ezinye iindlela zolawulo lokuzalwa kwehomoni ukulawula iimpawu zakho?
• Iipilisi zokulawula inzala
• Iipilisi zeprogestin kuphela okanye ukudubula
• Isiqwenga
• Isangqa sangasese
• I-Gonadotropin-ekhulula i-hormone (GnRH) i-agonists
• IDanazol
• Zeziphi ezinye iindlela zonyango ezikhoyo ezikhoyo?
• Amayeza eentlungu
• Ilaparoscopy
• Laparotomy
• Umgca wezantsi

Yintoni iMirena?

I-Mirena luhlobo lwesixhobo se-hormonal intrauterine (IUD). Oku kuthintela ixesha elide kukhupha i-levonorgestrel, uguqulelo lwento eyenzeka ngokwendalo yehomoni yeprogesterone, emzimbeni.

I-Mirena iyancipha umgca wesibeleko sakho kwaye iyanciphisa umlenze wesibeleko. Oku kuthintela isidoda ekuhambeni nasekufikeni kwamaqanda. I-progestin-only IUD inokucinezela i-ovulation kwabanye abantu basetyhini.

I-IUD kukulawulwa kokuzalwa okuthatha ixesha elide kunokusetyenziselwa ukuthintela ngaphezulu kokukhulelwa. I-Mirena ingasetyenziselwa ukuphatha i-endometriosis, kunye nezinye iimeko ezinjengeentlungu ezingapheliyo zeplavic kunye nexesha elinzima. Inokuhlala ukuya kwiminyaka emihlanu ngaphambi kokuba ithathelwe indawo.

Qhubeka ufunda ukuze ufunde okungakumbi malunga nokusebenzisa iMirena ukulawula iimpawu ze-endometriosis, ezinye iindlela zonyango zehomoni, nokunye okuninzi.

I-Mirena isebenza njani kwi-endometriosis?

Ukuqonda indlela iMirena enokuyiphatha ngayo i-endometriosis, kuyanceda ukuqonda ubudlelwane phakathi kwale meko kunye neehomoni.

I-Endometriosis sisifo esinganyangekiyo kunye nenkqubela phambili echaphazela i-1 kwabasetyhini abangama-10 eUnited States. Imeko ibangela ukuba izicubu zesibeleko zikhule ngaphandle kwesibeleko sakho. Oku kunokubangela amaxesha abuhlungu, ukuhamba kwamathumbu, okanye ukuchama kunye nokuphuma kakhulu kwegazi. Ingakhokelela nasekungabikho kwabantwana.

ibonakalisile ukuba i-estrogen kunye neprogesterone inokunceda ekulawuleni ukukhula kwezihlunu ze-endometrium. Ezi hormone, ziveliswa kwii-ovari, zinokunceda ukukhula okucothayo kwezicubu kunye nokuthintela izicwili okanye amanxeba amatsha ekwenzeni. Banokukunceda ukunciphisa iintlungu ozivayo ngenxa ye-endometriosis.

Izicwangcisi zeHormonal ezinjengeMirena zinokuvelisa iziphumo ezifanayo. Umzekelo, iMirena IUD inokunceda ekunciphiseni ukukhula kwezicubu, ukunciphisa ukudumba kwepelevic, kunye nokunciphisa ukopha.

Ziziphi izibonelelo zokusebenzisa iMirena?

IUDs ziluhlobo lokuthintela ukukhulelwa okuthatha ixesha elide. Nje ukuba kufakwe isixhobo seMirena, ngekhe wenze enye into de kube lixesha lokuyitshintsha kwisithuba seminyaka emihlanu.

Kulungile - akukho pilisi yemihla ngemihla oyithathayo okanye ipatch yenyanga ukuyitshintsha. Ukuba unomdla wokusebenzisa i-IUD efana neMirena ukunceda ukunciphisa iimpawu zakho, thetha nogqirha wakho. Banokuvavanya iinjongo zakho zonyango kwaye bahambe ngeendlela ezahlukeneyo ze-IUD onokuzifumana.

I-Q & A: Ngubani omele asebenzise iMirena?

Q:

Ndiyazi njani ukuba iMirena ilungile kum?

Isigulana esingaziwayo

A:

Unyango lwehormonal lwe-endometriosis yindlela eqhelekileyo enokuthomalalisa iintlungu ngokufanelekileyo. IMirena ngumzekelo owaziwayo nophandwe kakuhle kwii-IUDs ezininzi ezikhupha iihomoni ezikhoyo. Isebenza ngokukhupha ii-micrograms ezingama-20 (mcg) zehomoni levonorgestrel ngosuku kangangeminyaka emihlanu. Oku kwenza ukuba kube yindlela elula yokunciphisa iimpawu zakho kunye nokukhusela ukukhulelwa.

Nangona kunjalo, i-IUD ayilulo ukhetho olufanelekileyo kubo bonke abantu basetyhini. Akufanele usebenzise olu khetho ukuba unembali yezifo ezosulela ngokwabelana ngesondo, isifo sokudumba, okanye umhlaza kumalungu okuzala.

Ii-IUD ezinje ngeMirena ayisiyiyo kuphela indlela yokufumana ezi hormone. Isiziba, ukudubula, kunye nezinto zokucwangcisa zomlomo zonke zibonelela ngonyango olufanayo lwehomoni kunye nokuthintela ukukhulelwa. Ayizizo zonke iindlela zonyango zehomoni ezimiselwe i-endometriosis ezinokuthintela ukukhulelwa, ke qiniseka ukubuza ugqirha wakho malunga nonyango lwakho kwaye usebenzise indlela yogcino xa kufuneka.

UDebra Rose Wilson, PhD, MSN, RN, IBCLC, AHN-BC, iimpendulo zimele izimvo zeengcali zethu zonyango. Yonke imixholo inolwazi ngokungqongqo kwaye akufuneki ukuba ithathelwe ingqalelo njengengcebiso yezonyango.

Zithini iziphumo ebezingalindelekanga okanye umngcipheko onxulumene neMirena?

IMirena ayikho ngaphandle kweengxaki zayo, nangona zincinci. IUD ineziphumo ebezingalindelekanga ezimbalwa, kwaye ihlala iphela emva kweenyanga ezimbalwa zokuqala.

Ngelixa umzimba wakho uhlengahlengisa kwihomoni, unokufumana:

• intloko ebuhlungu
• isicaphucaphu
• amabele athambileyo
• ukopha ngokungaqhelekanga
• ukopha ngamandla
• ukulahleka kokuya esikhathini
• utshintsho kwiimvakalelo
• ubunzima okanye ukugcinwa kwamanzi
• intlungu ye-pelvic okanye i-cramping
• iintlungu ezisezantsi

Kukho umngcipheko perforation izihlunu zesibeleko kunye IUD. Ukuba ukukhulelwa kuyenzeka, i-IUD inokuzifaka kwi-placenta, yenzakalise umbungu, okanye ibangele ukulahleka kokukhulelwa.

Ngaba ungazisebenzisa ezinye iindlela zolawulo lokuzalwa kwehomoni ukulawula iimpawu zakho?

Iprogesterone ayisiyiyo yodwa i-hormone enokukunceda ukulawula i-endometriosis - ibhalansi ye-estrogen nayo iyaqwalaselwa. IiHormone ezibangela ukukhutshwa kwe-estrogen kunye neprogesterone nazo zijolise kunyango.

Thetha nogqirha wakho. Banokuhamba ngeendlela ezintle nezingalunganga zothintelo ngalunye kwaye bancede ufumane olona lufanelekileyo kwiimfuno zakho.

Izinketho eziqhelekileyo zibandakanya:

Iipilisi zokulawula inzala

Iipilisi zolawulo lokuzalwa ziqulathe iinguqulelo zokwenziwa ze-estrogen kunye neprogesterone. Ukongeza ekwenzeni amaxesha akho amafutshane, alula, kwaye aqheleke ngakumbi, ipilisi inokubonelela ngentlungu xa usetyenziswa. Iipilisi zolawulo lokuzalwa zithathwa yonke imihla.

Iipilisi zeprogestin kuphela okanye ukudubula

Unokuthatha iprogestin, uhlobo lwenkqubo yeprogesterone, kwifom yepilisi okanye ngenaliti rhoqo kwiinyanga ezintathu. Ipilisi encinci kufuneka isetyenziswe yonke imihla.

Isiqwenga

Njengoninzi lweepilisi zokulawula ukuzalwa, isiziba sineenguqulelo zokwenziwa ze-estrogen kunye neprogesterone. Ezi hormone zixutywe emzimbeni wakho ngepaki encangathi oyinxiba kulusu lwakho. Kuya kufuneka utshintshe isiziba veki nganye iiveki ezintathu, kunye neveki yokuphumla ukuvumela ukuba sexesheni kwakho kwenzeke. Uya kudinga ukufaka isichibi esitsha xa liphelile ixesha lakho.

Isangqa sangasese

Iringi yelungu lobufazi iqulethe iihomoni ezifanayo ezifumaneka kwipilisi okanye kwisiqwenga. Nje ukuba ufake isangqa kwilungu lakho lobufazi, ikhupha iihomoni emzimbeni wakho. Unxiba iringi iiveki ezintathu ngexesha, kunye neveki yokuphumla ukuvumela ukuba sexesheni. Uya kudinga ukufaka enye iringi emva kokuba ixesha lakho liphelile.

I-Gonadotropin-ekhulula i-hormone (GnRH) i-agonists

I-GnRH agonists iyeka ukuveliswa kwehomoni ukukhusela i-ovulation, ukuya exesheni, kunye nokukhula kwe-endometriosis, ukubeka umzimba wakho kwimeko efana nokuyeka ukuya exesheni. Iyeza linokuthathwa ngokusebenzisa isitshizi sempumlo semihla ngemihla, okanye ngenaliti kanye ngenyanga okanye qho kwiinyanga ezintathu.

Oogqirha bancomela ukuba eli yeza lithathwe kuphela iinyanga ezintandathu ngexesha ukunciphisa umngcipheko weengxaki zentliziyo okanye ukulahleka kwethambo.

IDanazol

I-Danazol sisiyobisi esithintela ukukhutshwa kwamahomoni ngexesha lokuya exesheni. Eli yeza alikuthinteli ukukhulelwa njengolunye unyango lwehomoni, ke kuyakufuneka ulisebenzise ecaleni kukhetho lwakho lwezinto ozikhethayo. Akufanele usebenzise i-danazol ngaphandle kokuthintela inzala, njengoko iyeza laziwa ngokwenzakalisa ukukhula kwemveku.

Zeziphi ezinye iindlela zonyango ezikhoyo ezikhoyo?

Ukhetho lwakho lonyango luya kwahluka ngokuxhomekeka kuhlobo lwe-endometriosis onayo kunye nokuba inzima kangakanani. Unyango oluqhelekileyo lunokubandakanya:

Amayeza eentlungu

Ukuthomalalisa iintlungu kunye nokuyalela amayeza kunokunceda ukunciphisa iintlungu kunye nezinye iimpawu.

Ilaparoscopy

Olu hlobo lotyando lusetyenziselwa ukususa izicwili ze-endometriamu ezisasazeke kwezinye iindawo zomzimba wakho.

Ukwenza oku, ugqirha wakho udala isisu kwiqhosha lesisu sakho kwaye uvuye isisu sakho. Baye bafaka i-laparoscope ngokusika ukuze bakwazi ukubona naluphi na ukukhula kwezihlunu. Ukuba ugqirha wakho ufumana ubungqina be-endometriosis, emva koko benza ukusikeka okumbini esiswini sakho kwaye basebenzise i-laser okanye esinye isixhobo sotyando ukususa okanye ukutshabalalisa isilonda. Banokususa naziphi na izicwili ezibomvu esele zenziwe.

Laparotomy

Olu lukhulu lotyando lwesisu olusetyenziselwa ukususa izilonda ze-endometriosis. Kuxhomekeka kwindawo kunye nobukhali beepatches, ugqirha wakho wotyando unokususa isibeleko sakho kunye namaqanda. I-Laparotomy ithathwa njengendawo yokugqibela kunyango lwe-endometriosis.

Umgca wezantsi

Ulawulo lokuzalwa lweHormonal lunokunceda ukunciphisa iimpawu ze-endometriosis, kunye nokukhula okucothayo kwezicubu. Kungenxa yoko le nto iMirena lunyango olusebenzayo lwe-endometriosis. Kodwa ayingawo wonke umzimba ofanayo, ke unyango lwakho onokulukhetha lunokwahluka ngokuxhomekeka kubukhali besimo nohlobo.

Ukuba une-endometriosis kwaye ufuna ukufunda ngeMirena, thetha nogqirha wakho malunga nezinto onokukhetha kuzo. Banokubonelela ngolwazi oluthe kratya malunga neehomoni zehomoni kunye nezinye iindlela zonyango lwehomoni.