Ngisho nalabo besifazane abalandela impilo yabo bajwayele isifo esingaqondakali futhi esingaqondakali njenge- endometriosis . Ngamazwi alula, i-endometriosis yi-endometrium ye-uterine.
Lesi sifo kuyinkinga yabesifazane abaneminyaka yobudala bokubeletha, kodwa ngezinye izikhathi kukhona okuhlukile. Phakathi komphakathi wesifazane ngokuvamile kuvame ukucabanga ukuthi lesi sifo sithinta izinqubo zesisu. Eqinisweni, lokhu akunjalo. Isifo esinjalo njenge-endometriosis asiholeli ekuguqulweni kwesakhiwo samangqamuzana nokubonakala kwezinto ezibonakalayo kuzo.
I-endometrium, i-membrane yamangqamuzana yesibeletho, ihlanganiswe namaseli e-endometrili, okuyinto ene-receptors ekhethekile kakhulu, ibonisa ukukhetha kuma-hormone ocansi. Lolu hlobo lwamaseli alutholakali emzimbeni wesifazane. Uma lesi sifo senzekile, amangqamuzana e-endometri ahambela kwezinye izingxenye zomzimba, futhi aqhubeke ukwenza imisebenzi yawo endaweni entsha.
Ukwelashwa kwe-endometriosis nama-hormone
I-Endometriosis ine-hormone exhomekile, ngakho indlela eyinhloko yokwelapha lesi sifo i-hormone therapy. Kunezindlela ezimbili zokwelapha lesi sifo: okuzimele nokusebenza. Okokuqala kuhilela ukusetshenziswa kwezidakamizwa ze-hormonal, ezisetshenziselwa endometriosis. Zonke ukuqokwa kufanele zenziwe ngumchwepheshe oqeqeshiwe. Izidakamizwa eziyinhloko ze-hormonal ezibekwe udokotela ziyi:
- ama-antigonadotropin;
- i-gonadotropin-ekhulula ama-hormone agonists;
- progestogens.
Ngendlela yokwelashwa kwe-hormone ye-endometriosis, izidakamizwa ezinjengeDufaston, uJanine , iZoladex, i-Danazol, abameleli bamaqembu abhalwe ngenhla, zizibonakalise kahle.
Ngesikhathi ukwelashwa kwama-hormonal, izidakamizwa zivimbela umsebenzi wesifazane wokuya esikhathini, ngenxa yokuthi ukukhula nokusabalalisa kwe-foometrictic foci kuyaphela. Ngenkambo ende, kwezinye izimo, i-foci iyancipha futhi iyanyamalala. E-endometriosis eqinile kakhulu, odokotela batusa ukudala izimo zokumiswa komuthi, lapho i-cysts isuswa khona. Ukhetho oluphumelelayo lokuvimbela isikhathi eside umjikelezo (kuze kube yiminyaka engu-5) kuthathwa ngokuthi yi-intrauterine evunguza iMirena.
Ukwelapha ama-hormone nge-endometriosis akwenzi ngaphandle kokusetshenziswa kwezidakamizwa ezisiza ekulwa nesifo. Lezi yizi:
- izidakamizwa ezilwa nokuvuvukala;
- ama-antispasmodics (izidakamizwa ezisetshenziselwa ubuhlungu obukhulu);
- amavithamini amalungiselelo.
Uma ngemuva kokwelashwa okwesikhathi eside ngamaphilisi e-hormone okushiwo i-endometriosis, ayikho ngcono, odokotela basebenzisa ukwelashwa okuhlinzayo. Kulokhu, emva kokusebenza ngokuphumelelayo, ukwelashwa kwe-endometriosis ngamaphilisi e-hormone kuphindwa emva kwezinyanga ezingu-6.
Yonke ukwelashwa ngezidakamizwa ze-hormone njengesifo esinjalo njenge-endometriosis, kufanele kwenziwe ngaphansi kokuqondiswa kochwepheshe.