Kuyini uDustonston?
Ingxenye esebenzayo yalesi sidakamizwa i-dydrogesterone. Empeleni, i-analogue yokwenziwa kwe-hormone eyaziwayo yokukhulelwa - i-progesterone. Ukuntuleka kwakhe okuvame ukubonwa njengimbangela eyinhloko yezinkinga zokukhulelwa kwabesifazane.
U-Dufaston uqobo ubekezeleleke kahle, awunayo imiphumela emibi futhi awunamthelela ezinkambisweni zomzimba emzimbeni. Ngokufanayo nale mithi ekhishwe ngaphambilini, ayikwazanga "ukuziqhayisa" lokhu ngenxa yokuthi zadalwa ngesisekelo se-testosterone, okwadala inani elikhulu lemiphumela emibi.
Yiziphi izici zokusebenzisa uDufaston ngesikhathi sokukhulelwa?
Ngaphambi kokuba owesifazane eqale ukuthatha u-Dufaston ngenkathi ehlela ukukhulelwa, udokotela kumele aqonde ukuthi kungani umklamo engenzeki. Inhloso yalesi sidakamizwa kuphela uma ilele ekungeneni kwe-progesterone.
Okokuqala, kufanele kuthiwe ukuthi imithi yokwelashwa nale mithi ide kangakanani futhi, njengomthetho, ithatha okungenani izinyanga ezingu-6, i.s. owesifazane uthatha lesi sidakamizwa ngezinyanga eziyisithupha zokuya esikhathini.
Uma ukhetha uDufaston ekukhuliseni ukukhulelwa, ukunakekelwa komama ozayo kuyakhuliswa ngendlela yokuphuza kahle. Ukwamukelwa kwenziwa ngokulandela uhlelo olucacisiwe, ikakhulukazi: esigabeni sesibili sokujikeleza kokuya esikhathini, emva kokuhamba kwe-ovulation (ngokwesilinganiso kusuka ezinsukwini ezingu-11 kuya kwezingu-25).
Kubalulekile futhi ukuthi ngisho nangemva kokukhulelwe nokuqala kokukhulelwa, isidakamizwa siyaqhubeka. Ngokwesilinganiso, inqubo yokwelashwa nale mithi ihlala emavikini angu-20 okubeletha. Uma kungenjalo, kungenzeka ukuthi usongelwa ukukhulelwa noma ukukhipha isisu okuzenzakalelayo, okungabonakala ngenxa yokunciphisa okujulile ezingeni le-progesterone egazini. Ngokuhoxiswa ngokushesha kwezidakamizwa, ukuthuthukiswa kwesimo esinjalo akugwemeki. Yingakho, lapho uhlela ukukhulelwa, kubalulekile ukuqapha isikhathi sokungeniswa kukaDufaston, futhi ulandele ngokuqinile imiyalelo kadokotela.
Ngokweziqondiso zomuthi uDufaston, lapho uhlela ukukhulelwa, kunqunywe umthamo we-10 mg ngosuku. Noma kunjalo, konke kuxhomeke ekungenikeni kwe-progesterone emzimbeni. Yingakho, ukuze uphuze ngokufanele umuthi uDufaston futhi ugcine umthamo, lapho uhlela ukukhulelwa, kuqala ukubeka ukuhlushwa kwaleli hormone egazini, bese nje ubeka ukwelashwa. Kumele futhi uqaphele ukuthi le mithi iphumelela kuphela lapho kutholakala ukuthi imbangela yokungasebenzi kuyinto ukungabi khona kwe-progesterone egazini labesifazane.
Yiziphi izinqatshelwe ukuqokwa kwezidakamizwa?
- ukuxilonga kwamalungu ezidakamizwa;
- ukubonakala kwesikhumba se-pruritus, ukuqhuma, ukukhathala ngesikhathi sokukhulelwa kwangaphambili, okubonisa ukuthambekela komzimba;
- ukutholakala kokuhluleka okungapheli komlomo.
Ngakho-ke, ngingathanda ukuphinda futhi ngithi uhlelo lokuthatha uDufaston ngesikhathi sokuhlela ukukhulelwa lubalwa ngabanye, ngokusekelwe ezicini zomzimba wamama esizayo kanye nobukhulu besifo.