Ukuntuleka kweprogesterone - izimpawu

Ngokuvamile, ukwanda kwamakhemikhali angama-hormone ocansini kubesifazane kwenzeka lapho kuqala ukukhulelwa. Kodwa into ehlukile, lapho kunciphisa ezingeni labo, ukungakwazi ukusebenza kwe-estrogen-progesterone, lapho izimpawu zizoxoxwa ngezansi, ngokuvamile kuvame ukuholela ekuthuthukiseni izifo zesifo somzimba. Ake sihlolisise lokhu kuphulwa, sigcizelela izici zayo eziyinhloko, i-algorithm yokwelapha.

Ziyini izimpawu zokungeneli kwe-progesterone kwabesifazane?

Kumele uqaphele ukuthi ngokuvamile isikhathi eside owesifazane angase angasho ngisho nokusola ukuthi i-hormone progesterone ayikho. Ezimweni eziningi, ukusungulwa kwesifo kwenzeka esiteji sokuhlela ukukhulelwa, lapho ingane ingakwazi ukukhulelwa iminyaka engu-1 noma ngaphezulu.

Uma sikhuluma ngokuqondile ngezibonakaliso eziyinhloko zokunciphisa ekugxilweni kwegazi le-hormone progesterone, kufanelekile ukubalula lokhu okulandelayo:

1. Ukungabi khona isikhathi eside kokukhulelwa. Njengoba sekushiwo ngenhla, yilezi zenzakalo ezivame ukusivumela ukuba senze ukwephula. Kulesi simo, owesifazane ufunda ngakho ngemuva kokunikeza igazi ukuhlolwa kwamahomoni, okuyingxenye ebalulekile yokuxilongwa kokungazalwa.
2. Ukukhipha isisu ngokwemigomo emifushane, kungabonisa nokuntuleka emzimbeni we-hormone progesterone. Njengoba kuyaziwa, unesibopho sokuqashwa, ukuthatha ingxenye eqondile ekuvuseleleni ukukhula kwamaseli e-endometrium. Ubuningi bokugcina bubalulekile ekusetshenzisweni kokufakelwa, ngaphandle kokukhulelwa okwenzekayo. Ngakho-ke, nge-endometrium encane, iqanda lokubeletha alikwazi ukufakwa kulo, ngenxa yokuthi lifa futhi likhishwa ngaphandle kwezitho zokuzala.
3. Ukunciphisa izinga lokushisa komzimba, kungabuye kubhekiswe ekubonisweni okungaqondile kokuntuleka komzimba we-progesterone ye-hormone.
4. Izifo zamabele ziphoqa kakhulu odokotela ukuhlola izinga lama-hormone emzimbeni.
5. Ukuphazanyiswa emgqabeni wokugaya kungabuye kuthathwe njengezimpawu ezingekho ngqo zalesi sifo.
6. Ukubonakala kokuphuma kwegazi, izinsuku ezimbalwa ngaphambi kwesikhathi sokuya esikhathini, noma phakathi komjikelezo, kufanele uqaphele lo wesifazane, tk. ngokuvamile lesi sibonakaliso esithile sibonisa ukungabi khona kweprogesterone emzimbeni. Ngesikhathi esifanayo, kukhona ithuba lokuthuthukisa i- amenorrhea noma i- oligomenorrhoea.

Kufanele kuqaphele ukuthi izimpawu zokuntuleka kwe-progesterone ekunqopheni kokuya esikhathini, ngenxa yokungabi khona kokugeleza kokuya esikhathini, kunzima ukubona.

Lesi sifo siphathwa kanjani?

Ukubiza izimpawu eziyinhloko zokungasebenzi kahle kwe-progesterone, sizocabangela izinto eziyisisekelo zokwelapha.

Okokuqala, kufanele kushiwo ukuthi akukho algorithm yendawo yonke yenqubo yokwelapha isifo esinjalo. Yingakho odokotela bahlale besenza isimo, bebeka ukwelashwa okuphawulekayo.

Okokuqala, owesifazane uphenyo oluqunyiwe: igazi lamahomoni, i-swab yesifazane.

Emva kwalokhu, uma uqinisekisa ukuxilongwa, ukuqokwa kwemithi yama-hormone equkethe i-progesterone (isibonelo, i-Utrozhestan, i-Dyufaston, isibonelo) kufanele isetshenziswe.

Kodwa-ke, odokotela batusa ukuthi abesifazane baphinde bacabangele isimiso sabo nsuku zonke nokudla.

Njengomthetho, ukulungiswa kwesizinda somzimba we-hormone kuyinkqubo enhle kakhulu, kuthatha izinyanga ezingu-2-3 kuya kwezinyanga eziyisithupha noma ngaphezulu. Ngalesi sikhathi intombazane idinga ukuvakashela odokotela ukuze ihlolwe ngokuzivocavoca umzimba futhi ihlolwe ukuvumela ukuqapha ukuxilongwa kweprogesterone egazini ezinamandla.