Endometriosis bụ ọnọdụ nke anụ ahụ nke na-emekarị n'ime akpanwa (endometrium) na-etolite n'akụkụ ndị ọzọ nke ahụ. Ọ na-akpata ihe mgbu, ọbara ọgbụgba, na enweghị ike ịmụ nwa. Endometriosis bụ nsogbu nkịtị ma eleghị anya na-amalite banyere oge nke nsọ nsọ mgbe ebido. Depo-subQ Provera 104 ogwu ka FDA-akwadoro iji nyere aka na-emeso ihe mgbu metụtara endometriosis.
Ihe ndị ọzọ na- egbochi ọgwụ mgbochi ahụ pụrụ inye aka.
Ọ bụ ezie na ihe karịrị pasent 80 nke ndị inyom US ga-eji ọgwụ mgbochi nke hormonal (dị ka Pill ) n'oge ụfọdụ n'afọ ọmụmụ ha, ọtụtụ ndị aghọtaghị uru ndị na-adịghị enweta uru site na iji ụdị ọmụmụ a. Ihe mgbochi nke na-egbuke egbuke nwere ma ọ bụ progestin , estrogen, ma ọ bụ abụọ.
Iji ọgwụgwọ Hormonal na-emeso Endometriosis
Ụfọdụ n'ime ọgwụ mgbochi ndị a egosila na ha nwere ike ibelata ihe mgbu metụtara endometriosis. N'ikwu ya, ọ dị mkpa iburu n'uche na isi ihe kpatara eji eme ihe iji mee ka mgbochi nke hormonal bụ maka ịmụ nwa (iji gbochie ime na-echeghị ) - a ga-atụle uru ndị a na-enwetaghị na ya mgbe ị na-ekpebi usoro nke usoro ọmụmụ ịmụ nwa nke kachasị mma maka gị .
Ndị na-esonụ bụ ndepụta nke usoro ọgwụgwọ usoro ọgwụgwọ dị iche iche nke egosiri na ọ dị irè iji kwado ụfọdụ n'ime ihe mgbu metụtara na endometriosis:
- Depo Provera na Depo-subQ Provera 104 : E gosipụtarala abụọ iji belata ihe mgbu kpatara endometriosis. Depo-subQ Provera 104 ogwu bụ ọgwụgwọ mbụ mbụ n'ime iri afọ ise gara aga ka ọ bụrụ FDA-akwado maka ịgwọ ọrịa mgbu na-akpata endometriosis. Dika nnyocha nke Pfizer si kwuo, Depo Provera, Depo-subQ Provera 104 na-emeso ihe mgbu endometriosis dị ka leuprolide, ma ejikọtara ya na nsonaazụ vasomotor ole na ole (dị ka ọkụ ọkụ ma ọ bụ sweats) ma jiri obere ọkpụkpụ kpochapụ. N'eziokwu, Depo Provera mere ka ihe mgbu na-egbuke egbuke dị ka nke leuprolide gafee mpaghara niile metụtara endometriosis - ihe mgbu pelvic, ọnya obi ụtọ, dysmenorrhea, mmekorita ahụ, na ịkesi ike na nkpuchi nke anụ ahụ.
- Gbanwee : E gosipụtakwala ihe a na-egbochi ime ihe iji belata ihe mgbu n'ihi endometriosis. Ọ bụ ezie na a maghị kpọmkwem otú progestin (etonogestrel) dị na Implanon si enyere aka ịkwụsị mgbaàmà nke endometriosis, a na-eche na ọ ga-arụ ọrụ site na igbochi uto nke implants endometrial, wee mee ka ha jiri nwayọọ nwayọọ belata. Progestin nwekwara ike inye aka belata mmịnye n'ime akpanwa kpatara endometriosis (si otú a na-enye ụfọdụ ahụ efe site na mgbu).
- Mirena : E gosipụtara IUD Mirena inyere aka n'ịgwọ ọrịa dysmenorrhea na ihe mgbu pelvị na-adịghị ala ala na-ejikọta na endometriosis - ọ bụ ezie na ọ bụghị FDA-akwadoro maka ojiji a. Nyere na Mirena nwere ike ịhapụ ebe ruo afọ ise, IUD a na-enye ohere nwere ike bụrụ ọgwụgwọ endometriosis dị ogologo oge maka ndị inyom chọrọ ịkwụsị ime. Otutu ule nyocha nke ozo nyochawo irè nke Mirena IUD maka nyocha nke endometriosis; nnyocha a gosiri na Mirena nwere ike inye aka n'ibelata ihe mgbu oge na-erule afọ atọ, nke kachasị mma n'ime ọnwa 12-18 mbụ. A na-eche na mirena enyere aka belata ọnụego ọbara n'oge oge nke nwanyị, nke nwere ike inye aka belata nhụjuanya nke ọrịa endometriosis. N'ezie, n'ime ndị inyom chọrọ ịmalite imepụta ọgwụgwọ intrauterine, Mirena IUD bụzi FDA-a kwadoro ịgwọ oge dị arọ.
- Ogwu Ogwu Na - aga n'ihu : Mkpụrụ ọgwụ na - aga n'ihu (dị ka Lybrel ma ọ bụ Seasonique ) nwere ike inye uru ọzọ maka mkpochapu ma ọ bụ belata oge na njikọ dysmenorrhea metụtara na endometriosis. Otú ọ dị, e nwere njedebe data iji gosi na nchịkọta ọgwụgwọ ọmụmụ ọmụmụ nwere ike belata ịdị njọ nke dysmenorrhea na ụmụ nwanyị nwere endometriosis.
> Isi mmalite:
> Jain, J. (2005). "Usoro ọgwụgwọ: Ebe ntanetị subcutaneous medroxyprogesterone acetate maka nchịkwa ọmụmụ na nhụjuanya endometriosis". OBG Management, Vol. 17, Mba 8 . Nweta site na ndenye onwe onye.
> FB Lockhat, Emembolu JO, Konje JC. "Nrụpụta ọrụ, akụkụ-mmetụta na mmụba na-aga n'ihu na ụmụ nwanyị nwere symptomatic endometriosis na-ebute ọgwụgwọ na intra-uterine na-arụ ọrụ progestogen (levonorgestrel): A afọ 3 follow-up." Hum Refe 2005; 20: 789-93.
> Pfizer. (2005) "Depo-SubQ Provera 104."
> Pfizer. (2004) "Depo Provera: Injection contrajection."
> Schweppe, KW. "Ebe ndị na-ahụ maka ndị na-ahụ maka ọgwụgwọ na-emetụta mkpesa ndị metụtara endometriosis." Gynecol Endocrinol 2001; 15 (S6): 22-8.
> Sullivan, M. (2005). "Ọgwụgwọ ọhụrụ a kwadoro maka nhụjuanya endometriosis". OB / GYN News .
> Surrey, ES. "Ọrụ nke progestins na-emeso ihe mgbu nke endometriosis." Gynecol J Min Invas 2006; 13: 528-34.
> Vercellini, P., Fedele, L., Pietropaolo, G., Frontino G, Somigliana, E., Corsignani, PG. "Progestogens maka endometriosis: Na-aga n'ihu n'oge gara aga." Mgbanwe Update Hum na 2003; 9: 387-96.