Unyango lwezeMpilo lwaBasetyhini aba-3 Ekufuneka Ukwazi Ngalo

Umxholo

• 1. Unyango lweZiphumo ebezingalindelekanga zeFibroids
• 2. Ulawulo lokubeleka olungahoywayo
• 3. Unyango lweMigraine olukhawulezayo
• Uphengululo lwe

Kunyaka ophelileyo, ngelixa iintloko bezithetha nge-COVID-19, ezinye izazinzulu bezisebenza ngokuzimisela ukufumana iindlela ezintsha zokunyanga nokusombulula imicimbi yezempilo yabasetyhini. Ukufumanisa kwabo kuya kunceda izigidi zezigulana, kodwa zikwabonisa ukuba impilo ejolise kwabasetyhini ekugqibeleni ifumana ingqalelo efanelekileyo.

"Ezi nkqubela zibubungqina bokuba sibeka imali kunye nexesha kwimpilo yabasetyhini, olutshintsho olufunekayo nolulindelwe ixesha elide," utsho uVeronica Gillispie-Bell, M.D., i-ob-gyn eNew Orleans. Nazi iinyani ekufuneka uzazi.

1. Unyango lweZiphumo ebezingalindelekanga zeFibroids

I-Fibroids, echaphazela ngaphezulu kwama-80 eepesenti yabasetyhini abaMnyama kunye neepesenti ezingama-70 zabasetyhini abamhlophe abaneminyaka engama-50, zinokubangela ukopha okunzima kokuya exesheni kwisiqingatha sabantu abanesifo. I-Myomectomy (ukususwa kwe-fibroid) kunye ne-hysterectomy (ukususwa kwesibeleko) zezona zonyango zixhaphakileyo, ngokuyinxenye kuba abasetyhini abahlali bexelelwa ngeendlela ezingezizo ezokuhlinzwa (Abafazi abaMnyama bahlala benikwa i-hysterectomy njengokhetho lwabo). Kodwa i-fibroids inokukhula ibuyele kwiipesenti ezingama-25 zabasetyhini abane-myomectomy, kwaye i-hysterectomy iphelisa ukuchuma.

Ngethamsanqa, unyango olutsha lunceda abafazi ukuba balibazise okanye banqande ukuhlinzwa. U-Oriahnn lunyango lokuqala oluvunyiweyo lwe-FDA lokuphuma kakhulu kwi-fibroids. Kwizifundo, malunga neepesenti ezingama-70 zezigulane zineepesenti ezingama-50 zokunciphisa umthamo wegazi ngaphezu kweenyanga ezintandathu. U-Oriahnn wehlisa umlawuli wehomoni i-GnRH, ethi yona iyehlise imveliso yendalo ye-estrogen, ekhokelela ekuphumeni kancinci ekuyeni exesheni ngenxa ye-uterine fibroids.

Ugqirha uGillispie-Bell, umlawuli weZiko eliNcinci lokungenelela kunyango lwe-Uterine Fibroids uthi: Wongeza uLinda Bradley, M.D., i-ob-gyn eCleveland Clinic kunye no-coauthor wezifundo ze-Oriahnn, "Kwabasetyhini abasondela ekuphumeni kokuya esikhathini, kunokubanceda ukuba baphephe i-hysterectomy." (Abasetyhini abanomngcipheko wegazi okanye abo bahlaselwa yintliziyo okanye isifo soxinzelelo abanako ukuba ngabaviwa abalungileyo.)

2. Ulawulo lokubeleka olungahoywayo

Okokugqibela, kukho into yokuthintela inzala engenahomoni: iPhexxi, eyamkelwe ngoMeyi ka-2020, yijeli kagqirha equlethe iiasidi zendalo ezigcina i-pH yesiqhelo yelungu lobufazi, nto leyo eyenza ukuba ingabikho kwidlozi. "Ufakwe kwilungu lobufazi ukuya kuthi ga kwiyure ngaphambi kokwabelana ngesondo, iPhexxi inezinga elisebenzayo leepesenti ezingama-86, kunye neepesenti ezingama-93 ngokusetyenziswa ngokugqibeleleyo," utshilo uLisa Rarick, MD, ob-gyn osebhodini e-Evofem Biosciences, owasetyhini -led inkampani eyenza imveliso. I-Phexxi incinci kakhulu kune-spermicides yokucaphukisa izicubu zomzimba (ezinokuthi zonyuse umngcipheko wezifo ezosulela ngokwabelana ngesondo).

Kwaye ikunika lonke ulawulo, ngokungafaniyo neekhondom, ezinokufuna uthethathethwano. Usebenzisa inkqubo ye-telehealth yenkampani, unokufumana ipakethe yezicelo ezili-12 ezithunyelwe kuwe - akukho tyelelo lweofisi okanye umsebenzi wegazi ofunekayo. Ugqirha Rarick uthi:

(IPhexxi ayisebenzi kangako njengepilisi okanye i-IUD- ngama-93 eepesenti xa isetyenziswa njengoko iyalelwe kwaye iipesenti ezingama-86 zisebenza ngendlela eqhelekileyo - kwaye ayikhuthazwa kwabo banosulelo lomchamo rhoqo okanye usulelo lwegwele. nogqirha wakho ngaphambi kokuyisebenzisa.)

3. Unyango lweMigraine olukhawulezayo

Ukuba ungomnye wabaguli abangama-40 ezigidi ze-migraine e-U.S-iipesenti ezingama-85 zabo bangabafazi- unokukhangela unyango olukhulula ngokupheleleyo iimpawu ngaphandle kwemiphumo emibi. Ngena i-Nurtec ODT, esebenza ngokuvala ngokuthe ngqo i-CGRP, ikhemikhali ye-neuropeptide eyingcambu yokuhlaselwa kwemigraine. Iyeza libonelela ngesenzo esikhawulezayo kunye nokuthintela i-migraine xa isetyenziswa yonke imihla. (Nditsho noKhloé Kardashian uye walincoma iyeza ngokuthomalalisa iimpawu zakhe ezibuhlungu.)

Oku kuyaphawuleka kuba "kuphela kwabantu abathathu abathatha i-triptans, unyango oluqhelekileyo lwe-migraine, bahlala bengenayo intlungu ngaphezu kweeyure eziliqela - kwaye kwabanye abantu, i-triptan ayinamsebenzi," utsho uPeter Goadsby, MD, Ph.D. , i-neurologist kwi-UCLA kunye nomnye wabaphandi be-migraine abakhokelayo behlabathi. Kwaye, iziphumo ebezingalindelekanga ezinje ngokuxinana kwesifuba kunye nesiyezi aziqhelekanga. Nge-Nurtec ODT, abanye abantu abanale ngxaki banokuphinda baqalise imisebenzi kwisithuba seyure okanye ezimbini beyithathile, kwaye zimbalwa kakhulu iziphumo ebezingalindelekanga (isicaphucaphu sesona sixhaphakileyo).

Ibhonasi: Ukuba unomnyhadala ozayo onokuzisa i-migraine (njengexesha lakho) okanye into ongenakuyibekelwa ecaleni (njengeholide), ungasebenzisa ichiza ukuphelisa uhlaselo. "Asizange sibe nantoni na efana nale kwihlabathi le-migraine, apho ungasebenzisa khona iyeza elifanayo ukunyanga nokukhusela i-migraines," kusho uDkt Goadsby. "Kuya kwenza umehluko omkhulu kwizigulane ze-migraine ezilahlekelwe yithemba lokuba nantoni na iya kubanceda."

Shape Magazine, ngoSeptemba 2021

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