Mayeso a progestogen: ndi chiyani, chimawonetsedwa liti komanso momwe zimachitikira

Zamkati

• Zikuwonetsedwa
• Zatheka bwanji
• Zomwe zotsatira zake zikutanthauza
• 1. Zotsatira zabwino
• 2. Zotsatira zoyipa
• Kodi pali kusiyana kotani pa mayeso a progesterone?

Kuyesa kwa progestogen kumachitika kuti muwone kuchuluka kwa mahomoni opangidwa ndi azimayi ngati alibe msambo komanso kuti awone kukhulupirika kwa chiberekero, popeza progestogen ndi mahomoni omwe amalimbikitsa kusintha kwa endometrium ndikusunga mimba.

Kuyesa kwa progestogen kumachitika mwa kupatsa progestogens, omwe ndi mahomoni omwe amalepheretsa kupanga mahomoni ogonana a estrogen ndi progesterone, masiku asanu ndi awiri. Pambuyo pa nthawi yoyang'anira, imawunikidwa ngati pakhala pali magazi kapena ayi ndipo, chifukwa chake, wazachipatala amatha kuyesa thanzi la mkaziyo.

Chiyesochi chimagwiritsidwa ntchito kwambiri pakufufuza za amenorrhea yachiwiri, yomwe ndi momwe amayi amasiya kusamba kwa miyezi itatu kapena miyezi isanu ndi umodzi, yomwe imatha kukhala chifukwa chokhala ndi pakati, kusamba, kugwiritsa ntchito njira zakulera, kupsinjika kwakuthupi kapena kwamaganizidwe ndikuchita zolimbitsa thupi pafupipafupi. . Dziwani zambiri za amenorrhea yachiwiri ndi zomwe zimayambitsa.

Zikuwonetsedwa

Mayeso a progestogen akuwonetsedwa ndi azimayi kuti aunike momwe azimayi amapangira, pofunsidwa makamaka pakufufuza za amenorrhea yachiwiri, zomwe zimachitika kuti mkazi amasiya kusamba kwa miyezi itatu kapena miyezi isanu ndi umodzi, mwina chifukwa cha mimba, kusintha kwa thupi, kugwiritsa ntchito njira zolerera, kupsinjika kwamaganizidwe kapena thupi komanso kuchita masewera olimbitsa thupi pafupipafupi.

Chifukwa chake, kuyesa uku kumawonetsedwa ngati mkazi ali ndi izi:

• Kusowa kwa msambo;
• Mbiri ya kuchotsa mowiriza;
• Zizindikiro za mimba;
• Kutaya thupi mwachangu;
• Ntchito yolera;
• Kusamba msanga msanga.

Mayesowa amawonetsedwanso kwa azimayi omwe ali ndi vuto la polycystic ovary, momwe ma cysts angapo amawonekera mkati mwa ovary omwe amatha kusokoneza njira yotulutsa ovulation, zomwe zimapangitsa kuti kuvuta kwa mayi kukhale kovuta. Phunzirani zambiri za matenda a polycystic ovary.

Zatheka bwanji

Kuyesaku kumachitika ndikuwongolera 10 mg ya medroxyprogesterone acetate masiku asanu ndi awiri. Mankhwalawa amakhala ngati njira yolerera, ndiye kuti, imalepheretsa kutulutsa mahomoni omwe amachititsa ovulation ndikuchepetsa makulidwe a endometrium, osasamba. Chifukwa chake, kumapeto kwa kugwiritsa ntchito mankhwalawo, dzira limatha kupita pachiberekero kuti likapange umuna. Ngati palibe umuna, magazi amatuluka, ndikuwonetsa kusamba ndipo mayeso akuti ndi abwino.

Ngati zotsatira za kuyesaku sizili bwino, ndiye kuti, ngati palibe magazi, kuyesedwa kwina kuyenera kuchitidwa kuti muwone zina zomwe zingayambitse amenorrhea yachiwiri. Chiyesochi chimatchedwa mayeso a estrogen ndi progestogen ndipo amachitika ndikuwongolera 1.25 mg ya estrogen masiku 21 ndikuwonjezera 10 mg ya medroxyprogesterone acetate m'masiku 10 apitawa. Pambuyo pa nthawiyi, amawunika ngati pakhala pali magazi kapena ayi.

Zomwe zotsatira zake zikutanthauza

Kuyesa kwa progestogen kumachitika motsogozedwa ndi azachipatala ndipo kumatha kukhala ndi zotsatira ziwiri kutengera mawonekedwe omwe mayiyo angakhale nawo atagwiritsa ntchito medroxyprogesterone acetate.

1. Zotsatira zabwino

Chiyeso chabwino ndi chimodzi chomwe, pakatha masiku asanu kapena asanu ndi awiri akugwiritsa ntchito medroxyprogesterone acetate, magazi amatuluka. Kutuluka magazi kumeneku kumawonetsa kuti mayiyu ali ndi chiberekero chabwinobwino komanso kuti milingo yake ya estrogen ndiyabwino. Izi zitha kutanthauza kuti mayiyu amatenga nthawi yayitali osatulutsa mazira chifukwa cha zovuta zina, monga polycystic ovary syndrome kapena kusintha kwa mahomoni okhudzana ndi chithokomiro, adrenal gland kapena hormone prolactin, ndipo adotolo ayenera kufufuza.

2. Zotsatira zoyipa

Kuyesaku kumawonedwa ngati kolakwika ngati palibe magazi amene atuluka pakatha masiku asanu kapena asanu ndi awiri. Kusapezeka kwa magazi kumatha kuwonetsa kuti mayiyo ali ndi matenda a Asherman, momwe mumakhala zipsera zingapo m'chiberekero, zomwe zimayambitsa minofu yambiri ya m'mapapo. Kuchulukitsa kumeneku kumapangitsa kumamatira mkati mwa chiberekero, komwe kumalepheretsa magazi amasamba, zomwe zimapweteka mkazi.

Zotsatira zoyipa, adokotala atha kuwonetsa kugwiritsa ntchito 1.25 mg ya estrogen masiku 21 ndikuwonjezera 10 mg ya medroxyprogesterone acetate m'masiku 10 apitawa. Ngati mutagwiritsa ntchito mankhwalawa muli magazi (kuyesa kwabwino), zikutanthauza kuti mayiyo amakhala ndi zotupa za endometrial komanso kuti milingo ya estrogen ndiyotsika. Chifukwa chake, tikulimbikitsidwa kuyeza mahomoni omwe amalimbikitsa kutulutsa kwa estrogen ndi progesterone, omwe ndi mahomoni a luteinizing, LH, ndi follicle yolimbikitsa, FSH, kuti adziwe chomwe chimayambitsa kusowa kwa msambo ndikuyamba chithandizo choyenera.

Kodi pali kusiyana kotani pa mayeso a progesterone?

Mosiyana ndi kuyesa kwa progestogen, kuyesa kwa progesterone kumachitika kuti muwone momwe progesterone ikuyendera m'magazi. Mayeso a progesterone amafunsidwa ngati ali ndi pakati omwe ali pachiwopsezo chachikulu, zovuta kukhala ndi pakati komanso kusamba mosakhazikika. Mvetsetsani zambiri za kuyesa kwa progesterone.