Endometriosis ke boemo boo ka tloaelo liphatsa tsa lefutso li kenang ka hare ho popelong (endometrium) li hōla libakeng tse ling tsa 'mele. E bakisa bohloko, ho se tšeloe mali ho sa tloaelehang, le ho khoneha ho hloka matla. Endometriosis ke bothata bo tloaelehileng 'me mohlomong e qala ka nako eo tloaelo e tloaelehileng ea ho ilela khoeli e qala. Dejo-subQ Provera ente e 104 e amohetse FDA ho thusa ho phekola bohloko bo amanang le endometriosis.
Mefuta e meng ea thibelo ea thibeliso ea li-hormone e ka ba ea thusang hape.
Le hoja basali ba fetang 80 lekholong ba United States ba tla sebelisa thibelo ea thibelo ea bokhachane (joaloka pilisi ) ka nako e itseng ha ba ntse ba e-na le bana, ba bangata ha ba hlokomele melemo e sa amoheleheng ea ho sebelisa mofuta ona oa thibelo ea bokhachane. Li-contraceptive tsa hormone li na le progestin , estrogen kapa bobeli.
Ho sebelisa khohlopo ea Hormonal ho tšoara Endometriosis
Tse ling tsa mekhoa ena ea thibelo ea bokhachane li bontšitse bokhoni ba ho fokotsa bohloko bo amanang le endometriosis. Ho boleloa hore ke habohlokoa ho hlokomela hore lebaka le ka sehloohong la ho sebelisa thibelo ea bokhachane le thibelo ea bokhachane ke ho thibela bokhachane (ho thibela bokhachane bo sa lebelloang ) - melemo e ke keng ea qojoa e ka nahanngoa ha u etsa qeto ea hore na mokhoa oa ho laola tsoalo ea li-hormone o ka u tšoanela hantle .
Mantsoe a latelang ke lenane la mekhoa e fapaneng ea thibelo ea bokhachane e bontšitsoeng hore e atlehile ho fokotsa bohloko bo bong bo amanang le endometriosis:
- Depo Provera le Depo-subQ Tlhaloso ea 104 : Ka bobeli li bontšitsoe ho fokotsa bohloko bo bakoang ke endometriosis. Depo-subQ Provera injection ea 104 ke pheko ea pele e ncha lilemong tse 15 tse fetileng ho ba FDA-e amoheloang bakeng sa phekolo ea bohloko bo amanang le endometriosis. Ho ea ka lipatlisiso tse fanoeng ke Pfizer, moetsi oa Depo Provera, Depo-subQ Provera 104 e sebetsana le bohloko ba endometriosis ka katleho joaloka leuprolide, empa e amahanngoa le matšoao a seng makae a vasomotor (a kang ho khanyetsa ho chesang kapa ho fufuleloa) le ho fokotseha haholo ha masapo. Ha e le hantle, Depo Provera o ile a hlahisa liphallelo tse lekanang le tsa leuprolide hohle libakeng tse amanang le endometriosis-bohloko ba pelvic, bonolo ba pelvic, ho senya matšoao, ho kopanela liphate ho utloisang bohloko, le ho thatafala le ho teteka ha lisele.
- Implanon : Ho kenngoa hona ha meriana ho boetse ho bontšitsoe ho fokotsa bohloko bo bakoang ke endometriosis. Le hoja ho sa tsejoe hantle hore na progesin (etonogestrel) ea Implanon e thusa ho fokotsa matšoao a endometriosis, ho nahanoa hore e sebetsa ka ho thibela ho hōla ha limela tsa endometrial, kahoo li etsa hore li fokotse butle-butle. Progestin e ka boela ea thusa ho fokotsa ho ruruha ka popelong e bakiloeng ke endometriosis (kahoo e fana ka phomolo e itseng ho bohloko).
- Mirena : Mirena IUD e 'nile ea bontšoa ho thusa ho phekola bothata ba ho fokotseha ha mesifa le bohloko bo sa foleng ba pelvic bo amanang le endometriosis - le hoja e sa amoheloa ke FDA bakeng sa tšebeliso ena. Kaha ho na le lilemo tse hlano tseo Mirena a ka li tlohelang sebakeng sena, sena se fana ka monyetla oa hore e be phekolo ea nako e telele ea endometriosis bakeng sa basali ba batlang ho fokotsa ho ima. Liteko tse 'maloa tse fokolang tsa bongaka li' nile tsa batlisisa katleho ea Mirena IUD bakeng sa phekolo ea endometriosis; phuputso ena e bontšitse hore Mirena e ka thusa ho fokotsa bohloko ba nako ho feta lilemo tse tharo, 'me boholo ba ntlafatso e ba likhoeling tse 12-18 tsa pele. Ho nahanoa hore Mirena e fokotsa palo ea mali nakong ea mosali, e ka thusang ho fokotsa bohloko bo amanang le endometriosis. Ha e le hantle, ho basali ba lakatsang ho fumana intrauterine tsa thibelo ea pelehi, Mirena IUD e se e amoheloa ke FDA ho tšoara linako tse boima.
- Makhotla a mangata a fetisetsoang nakong ea tlhahlobo ea bokhachane Lipilisi: Lipilisi tsa thibelo ea bokhachane (joaloka Lybrel kapa Seasonique ) li ka fana ka molemo o eketsehileng oa ho felisoa kapa ho fokotseha ha linako le ho sebelisoa ha methapo ea mali ho amana le endometriosis. Leha ho le joalo, ho na le boitsebiso bo fokolang ba ho fana ka maikutlo a hore lipilisi tsa thibelo ea bokhachane li ka fokotsa matla a ho senya mali ho basali ba nang le endometriosis.
> Mehloli:
> Jain, J. (2005). "Tlhaloso ea bokhachane: Depotaneous medroxyprogesterone acetate bakeng sa thibelo ea bokhachane le bohloko ba endometriosis". OBG Management, Moq. 17, ha ho 8 . E fumaneha ka ho ngolisa sephiring.
> Lockhat FB, Emembolu JO, Konje JC. "Litla-morao, litla-morao le ts'ebetso ea ho tsoela pele ho basali ba tšoeroeng ke lefu la symptomatic endometriosis ba etsoang kalafo ka progestogen e sebelisoang ke intra-uterine (levonorgestrel): Ho latellana ha lilemo tse 3." Hum Reprod 2005; 20: 789-93.
> Pfizer. (2005) "Depo-SubQ Bontša 104."
> Pfizer. (2004) "Depo Provera: Tšitiso ea thibelo ea bokhachane."
> Schweppe, KW. "Sebaka sa hona joale sa progestin ha ho phekoloa litletlebo tse amanang le endometriosis." Gynecol Endocrinol 2001; 15 (S6): 22-8.
> Sullivan, M. (2005). "Kalafo e ncha e amohelehang bakeng sa bohloko ba endometriosis". Litaba tsa OB / GYN .
> Surrey, ES. "Karolo ea progestins ea ho phekola bohloko ba endometriosis." J Min Gynecol e amohelang 2006; 13: 528-34.
> Vercellini, P., Fedele, L., Pietropaolo, G., Frontino G, Somigliana, E., Corsignani, PG. "Progestogens bakeng sa endometriosis: Tsamaea nakong e fetileng." Ho Khutlisetsa Boitšoaro 2003; 9: 387-96.