Kodi Mirena Athandiza Kuchiza Endometriosis kapena Kuipitsanso?

Zamkati

• Kodi Mirena amagwira ntchito bwanji ku endometriosis?
• Ubwino wogwiritsa ntchito Mirena ndi chiyani?
• Q & A: Ndani ayenera kugwiritsa ntchito Mirena?
• Funso:
• Yankho:
• Kodi zotsatira zoyipa kapena zoopsa zomwe zimakhudzana ndi Mirena ndi ziti?
• Kodi mungagwiritse ntchito njira zina zakulera kuti muchepetse matenda anu?
• Mapiritsi oletsa kubereka
• Mapiritsi a progestin okha kapena kuwombera
• Chigamba
• Mphete ya ukazi
• Gonadotropin-yotulutsa timagonist (GnRH) agonists
• Zamgululi
• Ndi njira ziti zina zamankhwala zomwe zingapezeke?
• Mankhwala opweteka
• Laparoscopy
• Laparotomy
• Mfundo yofunika

Mirena ndi chiyani?

Mirena ndi mtundu wa makina opangira mahomoni (IUD). Njira yakulera yakanthawi yayitali imatulutsa levonorgestrel, mtundu wopanga mahomoni otchedwa progesterone, kulowa mthupi.

Mirena amalimbitsa chiberekero chanu ndipo amalimbitsa ntchofu ya khomo lachiberekero. Izi zimalepheretsa umuna kuyenda ndikufikira mazira. Progestin-IUD yokhayo imathanso kupondereza kuyamwa kwa amayi ena.

IUD ndi njira yolerera yotenga nthawi yayitali yomwe ingagwiritsidwe ntchito kupewa zochuluka kuposa kutenga mimba. Mirena itha kugwiritsidwa ntchito pochiza endometriosis, komanso zinthu zina monga kupweteka kwa m'chiuno komanso nthawi zolemetsa. Itha kukhala mpaka zaka zisanu isanafunike kusinthidwa.

Pitirizani kuwerenga kuti mudziwe zambiri za kugwiritsa ntchito Mirena kuthana ndi zizindikiro za endometriosis, mankhwala ena a mahomoni, ndi zina zambiri.

Kodi Mirena amagwira ntchito bwanji ku endometriosis?

Kuti mumvetsetse momwe Mirena amatha kuchiritsira endometriosis, zimathandiza kumvetsetsa ubale womwe ulipo pakati pa chikhalidwe ndi mahomoni.

Endometriosis ndi matenda osachiritsika komanso opitilira muyeso okhudza 1 mwa akazi 10 ku United States. Vutoli limapangitsa kuti chiberekero chikule kunja kwa chiberekero chanu. Izi zimatha kuyambitsa nthawi zopweteka, matumbo, kapena kukodza komanso kutaya magazi kwambiri. Zingayambitsenso kusabereka.

wasonyeza kuti estrogen ndi progesterone zingathandize kuchepetsa kukula kwa minofu ya endometrium. Mahomoni amenewa, omwe amapangidwa m'mimba mwake, amatha kuthandiza kuchepa kwa minofu ndikuletsa minofu yatsopano kapena zipsera kuti zisapangidwe. Angathandizenso kuchepetsa ululu womwe umamva chifukwa cha endometriosis.

Njira zakulera za mahomoni monga Mirena zitha kubweretsanso chimodzimodzi. Mwachitsanzo, Mirena IUD itha kuthandiza kupewetsa kukula kwa minofu, kuchepetsa kutupa m'chiuno, ndikuchepetsa magazi.

Ubwino wogwiritsa ntchito Mirena ndi chiyani?

Ma IUD ndi njira yolerera yanthawi yayitali. Chipangizo cha Mirena chikalowetsedwa, simudzasowa kuchita china chilichonse mpaka nthawi yakusinthana kwa zaka zisanu.

Ndiko kulondola - palibe mapiritsi a tsiku ndi tsiku oti amwe kapena chigamba cha mwezi uliwonse chosinthira. Ngati mukufuna kugwiritsa ntchito IUD ngati Mirena kuti muthandizire kuchepetsa zizindikilo zanu, lankhulani ndi dokotala wanu. Amatha kuwunika zolinga zanu ndikukuyendetsani njira zosiyanasiyana za IUD zomwe mungapeze.

Q & A: Ndani ayenera kugwiritsa ntchito Mirena?

Funso:

Kodi ndingadziwe bwanji ngati Mirena ili yoyenera ine?

Wosadziwika wodwala

Yankho:

Chithandizo cha mahomoni cha endometriosis ndi njira yodziwika yomwe ingathetsere kupweteka. Mirena ndi chitsanzo chodziwika bwino komanso chofufuzidwa bwino cha ma IUD ambiri omwe amatulutsa mahomoni omwe alipo. Imagwira ndikutulutsa ma micrograms (mcg) 20 a hormone levonorgestrel patsiku kwa zaka pafupifupi zisanu. Izi zimapangitsa kukhala njira yabwino yochepetsera matenda anu komanso kupewa kutenga mimba.

Komabe, IUD siyabwino kusankha azimayi onse. Simuyenera kugwiritsa ntchito njirayi ngati muli ndi mbiri yokhudza matenda opatsirana pogonana, matenda otupa m'chiuno, kapena khansa ya ziwalo zoberekera.

Ma IUD ngati Mirena si njira yokhayo yolandirira mahomoni amenewa. Patch, kuwombera, ndi njira zakulera zam'kamwa zonse zimapereka chithandizo chofananira cha mahomoni komanso kupewa kutenga mimba. Si mankhwala onse a mahomoni omwe amalembedwa ku endometriosis omwe angateteze kutenga pakati, chifukwa chake onetsetsani kuti mufunse dokotala zamankhwala anu ndikugwiritsa ntchito njira yobwezera ngati kuli kofunikira.

Debra Rose Wilson, PhD, MSN, RN, IBCLC, AHN-BC, mayankho a CHTA amayimira malingaliro a akatswiri athu azachipatala. Zonse zomwe zili ndizachidziwikire ndipo siziyenera kuonedwa ngati upangiri wa zamankhwala.

Kodi zotsatira zoyipa kapena zoopsa zomwe zimakhudzana ndi Mirena ndi ziti?

Mirena siyopanda zovuta zake, ngakhale ndizochepa. IUD imakhala ndi zovuta zochepa, ndipo imatha kuzimiririka pakatha miyezi ingapo yoyambirira.

Pamene thupi lanu limazolowera mahomoni, mutha kukhala ndi izi:

• kupweteka mutu
• nseru
• mabere ofewa
• kutuluka magazi mosakhazikika
• kutuluka magazi kwambiri
• kusamba kwa msambo
• amasintha malingaliro
• kunenepa kapena kusungira madzi
• kupweteka kwa m'chiuno kapena kuphwanya
• kupweteka kwa msana

Pali chiopsezo cha perforation wa uterine minofu ndi IUD. Ngati mimba itachitika, IUD imatha kudziphatika mu placenta, kuvulaza mwana wosabadwa, kapena ngakhale kutaya mimba.

Kodi mungagwiritse ntchito njira zina zakulera kuti muchepetse matenda anu?

Progesterone si hormone yokhayo yomwe ingathandize kuthana ndi endometriosis - estrogen balance imalingaliridwanso. Mahomoni omwe amachititsa kuti estrogen ndi progesterone amasulidwe amakhalanso ndi chithandizo.

Lankhulani ndi dokotala wanu. Amatha kukuyendetsani pamaubwino ndi zoyipa za njira iliyonse yolerera ndikuthandizani kuti mupeze zosowa zanu.

Zosankha zodziwika monga:

Mapiritsi oletsa kubereka

Mapiritsi oletsa kubereka ali ndi mitundu ya estrogen ndi progesterone. Kuphatikiza pakupanga nthawi yanu kukhala yaifupi, yopepuka, komanso pafupipafupi, mapiritsi amathanso kupatsa mpumulo pakugwiritsa ntchito. Mapiritsi oletsa kubereka amatengedwa tsiku lililonse.

Mapiritsi a progestin okha kapena kuwombera

Mutha kumwa progestin, mtundu wa progesterone, wamapiritsi kapena jakisoni miyezi itatu iliyonse. Piritsi laling'ono liyenera kumwa tsiku lililonse.

Chigamba

Monga mapiritsi ambiri oletsa kubala, chigamba chake chimakhala ndi mitundu ya estrogen ndi progesterone. Mahomoniwa amalowetsedwa mthupi lanu kudzera pachimata chomwe mumavala pakhungu lanu. Muyenera kusintha chigamba sabata iliyonse kwa milungu itatu, ndi sabata limodzi kuti mulole kusamba kwanu kuchitike. Muyenera kuyika chigamba chatsopano nthawi yanu itatha.

Mphete ya ukazi

Mphete ya nyini ili ndi mahomoni omwewo omwe amapezeka mupiritsi kapena chigamba. Mukayika mpheteyo kumaliseche kwanu, imatulutsa mahomoni mthupi lanu. Mumavala mpheteyi kwa milungu itatu nthawi imodzi, kutatsala sabata limodzi kuti mulowetse msambo. Muyenera kuyika mphete ina nthawi yanu itatha.

Gonadotropin-yotulutsa timagonist (GnRH) agonists

Agnists a GnRH amasiya kupanga mahomoni kuti ateteze ovulation, kusamba, komanso kukula kwa endometriosis, ndikupangitsa thupi lanu kukhala lofanana ndi kusamba. Mankhwalawa amatha kumwa kudzera mu mphuno ya tsiku ndi tsiku, kapena jakisoni kamodzi pamwezi kapena miyezi itatu iliyonse.

Madokotala amalimbikitsa kuti mankhwalawa azingotengedwa kwa miyezi isanu ndi umodzi panthawi kuti muchepetse chiopsezo chamatenda amtima kapena kutaya mafupa.

Zamgululi

Danazol ndi mankhwala omwe amaletsa mahomoni kuti amasulidwe mukamasamba. Mankhwalawa samateteza kutenga mimba ngati mankhwala ena a mahomoni, chifukwa chake muyenera kuzigwiritsa ntchito limodzi ndi njira yanu yolerera. Simuyenera kugwiritsa ntchito danazol popanda njira yolerera, chifukwa mankhwalawa amadziwika kuti amapweteketsa ana oberekera.

Ndi njira ziti zina zamankhwala zomwe zingapezeke?

Zosankha zanu zamankhwala zimasiyana kutengera mtundu wa endometriosis womwe muli nawo komanso momwe uliri woopsa. Mankhwalawa atha kukhala:

Mankhwala opweteka

Kupweteka kwapadera ndi mankhwala opatsirana kungathandize kuchepetsa kupweteka pang'ono ndi zizindikilo zina.

Laparoscopy

Kuchita opaleshoni kotereku kumagwiritsidwa ntchito kuchotsa minofu ya endometrial yomwe yafalikira kumadera ena a thupi lanu.

Kuti muchite izi, adotolo amakupangirani mkombero m'mimba mwanu ndipo amakupatsani mimba. Kenako amaika laparoscope kudzera pocheka kuti athe kuzindikira zophuka zilizonse. Ngati dokotala wanu akupeza umboni wa endometriosis, kenako amadutsanso m'mimba mwanu ndikugwiritsa ntchito laser kapena chida china chochitira opaleshoni kuti athetse kapena kuwononga chotupacho. Amathanso kuchotsa zilonda zamtundu uliwonse zomwe zapangidwa.

Laparotomy

Uwu ndi opaleshoni yayikulu yam'mimba yomwe imagwiritsidwa ntchito kuchotsa zotupa za endometriosis. Kutengera komwe kuli zigambitsazo komanso kuuma kwake, dotolo wanu amathanso kuchotsa chiberekero ndi mazira ambiri. Laparotomy imawerengedwa kuti ndi njira yomaliza yothandizira endometriosis.

Mfundo yofunika

Kuletsa kubadwa kwa mahormoni kumathandiza kuchepetsa zizindikilo za endometriosis, komanso kuchepa kwa minofu. Ndicho chifukwa chake Mirena ndi mankhwala othandiza a endometriosis. Koma osati thupi lililonse limafanana, chifukwa chithandizo chomwe mungasankhe chingasiyane kutengera kukula kwa mtunduwo komanso mtundu wake.

Ngati muli ndi endometriosis ndipo mukufuna kudziwa za Mirena, lankhulani ndi dokotala wanu pazomwe mungachite. Amatha kukupatsirani zambiri za ma IUD a mahomoni ndi mitundu ina ya mankhwala a mahomoni.