Endometriosis waa xaalad taas oo ah unugyada caadi ahaan gudaha gudaha ilma-galeenka (endometrium) ku kora meelaha kale ee jirka. Wuxuu keenaa xanuun, dhiig-bax aan joogto ahayn, iyo dhalmo la'aan. Endometriosis waa dhibaato caadi ah oo laga yaabo inay ka bilaabato wakhtiga caadada caadadu bilaabmayso. Cirbadaha Provo-subQ Provera 104 waa FDA-la ogolaaday si loogu caawiyo daaweynta xanuunka la xiriira endometriosis.
Habboonnada kale ee hormoonnada hormoonnada ah ayaa sidoo kale caawin kara sidoo kale.
Inkastoo in ka badan 80% haweenka Maraykanku ay isticmaali doonaan ka hortagga uur-qaadidda (sida Kiniinka ) mararka qaarkood sanadaha dhalmada, qaar badani ma ogaan karaan faa'iidooyinka aan xannibneyn ee isticmaalka noocan ah xakameynta dhalmada. Hormoonnada hormoonnada ee hormoonnada ah waxay ka kooban tahay progestin , estrogen, ama labadaba.
Isticmaalka Hormonal Contraception si loo daaweeyo Endometriosis
Qaar ka mid ah ka-hortagga uur-qaadista ayaa muujiyay awoodda ay ku yareyn karto xanuunka endometriosis. Taas waxaa la yiraahdaa, waxaa muhiim ah in la ogaado in sababta ugu weyn ee loo isticmaalo uur qaadidda hormoonku inay tahay uur qaadidda dhalmada (si looga hortago uur aan lakulmaeyn ) - faa'iidooyinka aan la xiqiijin karin ayaa la tixgelin karaa marka la go'aaminayo habka xakameynta dhalmada ee hormoonku kuugu fiicnaan karo .
Kuwa soo socdaa waa liistooyinka hababka kala duwan ee dhalmada ee daawooyinka loo qoro oo lagu muujiyay in ay wax ku ool u tahay xanibidda qaar ka mid ah xanuunka la xiriira endometriosis:
- Wareegga Provera iyo Depo-subQ Provera 104 : Labadaba waxay muujiyeen in ay yareeyaan xanuunka ay keenaan endometriosis. Cirbadaha Provo-subQ Provera 104 waa daaweynta ugu horreysa 15-kii sano ee la soo dhaafay si ay u noqoto FDA-ansaxin loogu talagalay daaweynta xanuunka endometriosis. Sida laga soo xigtay cilmi-baaris ay bixisay Pfizer, oo ah soo saaraha Depo Provera, Depo-subQ Provera 104, wuxuu daaweynayaa endometriosis xanuunka sida ugu fiican ee leuprolide, hase yeeshee waxaa lala xiriiriyaa calaamadaha dheecaanka yar (sida kuleylka kuleylka ama dhididka) iyo lafihiisu aad u yar. Xaqiiqdii, Depo Provera waxay keentay xanuun joojiye ah oo u dhigma midka leuprolide ee dhammaan meelaha endometriosis-la xiriirta - xanuunka miskaha, jilibka misigta, dysmenorrhea, galmo xanuun, iyo adkeynta iyo adkaynta unugyada.
- Implanon : Qalabka ka hortagga uur-qaadista waxaa sidoo kale lagu muujiyey inuu hoos u dhigo xanuunka sababta oo ah endometriosis. Inkastoo aan la garaneynin sida loo yaqaan 'progestinin' (etonogestrel) ee Implanon ka caawiya inay cirib tirto calaamadaha endometriosis, waxaa loo maleynayaa in ay ka shaqeyneyso xakameynta koritaanka mawjadaha endometrial, taas oo keeneysa inay si tartiib tartiib ah u yaraadaan. Progestin ayaa sidoo kale caawin karta yareynta infakshanka ilma-galeenka ee keena endometriosis (oo ay ku bixiso qaar ka mid ah gargaarka xanuunka).
- Mirena : Mirena IUD ayaa lagu muujiyey inay ka caawineyso daawaynta xanuunka dysmenorrhea iyo xanuunka daba-dheeraada ee la xiriirta endometriosis - inkastoo aysan ahayn FDA-ansaxiyay isticmaalkaan. Marka la eego in Mirena laga tagi karo meel ilaa shan sano ah, IUD waxay bixisaa fursada ah in ay noqoto daaweyn endometriosis muddo dheer haweenka doonaya inay dib u dhigaan uurka. Qaar ka mid ah tijaabooyinka kiliinikada yar ayaa baadhay waxtarka Mirena IUD ee daaweynta endometriosis; cilmi baaristaan waxay muujisay in Mirena laga yaabo inay caawiso hoos u dhigista xanuunka muddo seddex sano ah, iyada oo inta badan soo fiicnaantu ay tahay 12-18 bilood ee hore. Mirena waxaa loo maleynayaa in ay yareyso xaddiga dhiigga socodka xilliga haweeneyda, taas oo laga yaabo inay gacan ka geysato dhimista xanuunka endometriosis. Xaqiiqdii, dumarka doonaya inay qaataan ka hortagga uur-qaadista, Mirena IUD waxay hadda tahay FDA-ansaxisay inay daaweyso muddooyinka culus.
- Kiniiniyada Koonaha Ilmaha ee Kacaawinta : Kiniinada joogtada ah ee uureysiga dhalmada (sida Lybrel ama Seasonique ) ayaa bixin kara faa'idooyin dheeri ah oo la xidhiidha ciribtirka ama dhimista muddooyinka iyo xidhiidhka la xidhiidha dysmenorrhea oo ku xiran endometriosis. Hase yeeshee, waxaa jira macluumaad xadidan oo soo jeedinaya in kiniinka ilaalinta dhalmada ee isku dhafan uu hoos u dhigi karo darnaanshaha dysmenorrhea ee haweenka leh endometriosis.
> Ilo:
> Jain, J. (2005). "Ka-hortagga uur-qaadida: Maqal-xajinta daawada medroxyprogesterone acetate ee xakameynta dhalmada iyo endometriosis xanuunka". OBG Management, Vol. 17, Maya 8 . Lagu soo galo adoo adeegsanaya qadar gaar ah.
> Lockheed FB, Emembolu JO, Konje JC. "Saameynta, saameynta iyo heerarka joogtada ah ee haweenka qaba endometriosis symptomatic daaweyn la leh daawada hormoonka ah ee progestogen (levonorgestrel): Sannad 3 sano ah dabagal." Huur Reprodus 2005; 20: 789-93.
> Pfizer. (2005) "Provo-SubQ Provera 104."
> Pfizer. (2004) "Wareegga Provera: Ka-hortagga Uurka".
> Schweppe, KW. "Meesha hadda jirta ee progestins ee daaweynta cabashooyinka la xiriira endometriosis." Ginecol Endocrinol 2001; 15 (S6): 22-8.
> Sullivan, M. (2005). "Daaweyn cusub oo loo ogolaaday xanuunka endometriosis". OB / GYN News .
> Surrey, ES. "Doorka progestins ee daaweynta xanuunka endometriosis." J Min Invasive Gynecol 2006; 13: 528-34.
> Vercellini, P., Fedele, L., Pietropaolo, G., Frontino G, Somigliana, E., Corsignani, PG. "Progestogens ee endometriosis: Horay u sii waday." Humphod Update 2003; 9: 387-96.