E kōkua anei ʻo Mirena i ka mālama ʻana iā Endometriosis a i ʻole e hana i mea ʻino loa?

Anter

• Pehea ʻo Mirena e hana ai no ka endometriosis?
• He aha nā pono o ka hoʻohana ʻana iā Mirena?
• Q&A: ʻO wai e hoʻohana iā Mirena?
• Q:
• A:
• He aha nā hopena a i ʻole nā ​​pilikia e pili ana iā Mirena?
• Hiki iā ʻoe ke hoʻohana i nā ʻano hana ʻē aʻe o ka kaohi hānau hormonal e hoʻokele i kāu mau ʻōuli?
• Pila pale hānau
• ʻO nā pila a Progestin-wale nō i kī ʻia
• Patch
• Kīwī wahine
• ʻO nā agonists e hoʻokuʻu ana i kaoneoneone (GnRH)
• Danazol
• He aha nā koho lapaʻau ʻē aʻe e loaʻa?
• Lāʻau ʻeha
• Laparoscopy
• Laparotomy
• Ke laina lalo

He aha ʻo Mirena?

ʻO Mirena kahi ʻano o ka hormonal intrauterine device (IUD). Hoʻokuʻu kēia mea hana pale lōʻihi i ka levonorgestrel, kahi mana synthetic o ka hormone progesterone kūlohelohe, i loko o ke kino.

Mālama ʻo Mirena i ka uhi o kou kōpū a mānoanoa i ka huhū cervix. Pale kēia i ka sperm mai ka huakaʻi ʻana a hōʻea i nā hua manu. Hiki i ka IUD progestin-ke hoʻopau i ka ovulation i kekahi mau wahine.

ʻO ka IUD kahi hana hānau hānau lōʻihi hiki ke hoʻohana ʻia e pale aku ma mua o ka hāpai ʻana. Hiki ke hoʻohana ʻia ʻo Mirena e mālama i ka endometriosis, a me nā kūlana ʻē aʻe e like me ka ʻeha pelvic mau a me nā wā kaumaha. Hiki iā ia ke lōʻihi i ʻelima mau makahiki ma mua o ka pono e pani ʻia.

E hoʻomau i ka heluhelu ʻana e aʻo hou aʻe e pili ana i ka hoʻohana ʻana iā Mirena e hoʻokele i nā ʻōuli o ka endometriosis, nā ʻōnaehana hormone ʻē aʻe, a me nā mea hou aʻe.

Pehea ʻo Mirena e hana ai no ka endometriosis?

E hoʻomaopopo pehea e hiki ai iā Mirena ke mālama i ka endometriosis, kōkua ia e hoʻomaopopo i ka pilina ma waena o ke ʻano a me nā hormones.

ʻO Endometriosis kahi maʻi hoʻomau a me ka holomua e pili ana iā 1 i 10 mau wahine i United States. Kū ke kumu i ka ulu o ka uterine ma waho o kou kōpū. Hiki i kēia ke kumu i nā wā ʻeha, ka neʻe ʻana o ka ʻōpū, a i ʻole ka urination a me ke kahe nui ʻana. Hiki iā ia ke alakaʻi i ka infertility.

ua hōʻike ʻia hiki i ka estrogen a me ka progesterone ke kōkua i ka mālama ʻana i ka ulu endometrial. Hiki i kēia mau hormoni, i hua ʻia i loko o nā ovaries, ke kōkua i ka lohi o ka ulu ʻana o nā mea a pale i nā mea hou a i ʻole nā ​​scars mai ka hana ʻana. Hiki iā lākou ke kōkua i ka hōʻoluʻolu i ka ʻeha āu e ʻike ai ma muli o ka endometriosis.

Hiki i nā kaola Hormonal like me Mirena ke hana i nā hopena like. ʻO kahi laʻana, hiki i ka Mirena IUD ke kōkua e kāohi i ka ulu ʻana o kaʻiʻo, maʻalahi ka pelvic mumū, a hoʻemi i ke kahe.

He aha nā pono o ka hoʻohana ʻana iā Mirena?

ʻO ka IUD kekahi ʻano hana hana hana hana lōʻihi lōʻihi. Ke hoʻokomo ʻia ka mea Mirena, ʻaʻole ʻoe e hana i kekahi mea ʻē aʻe a hiki i ka manawa e hoʻololi ai i loko o ʻelima mau makahiki.

Pololei kēlā - ʻaʻohe pila o kēlā me kēia lā e lawe a i ʻole nā ​​patch mahina e pani. Inā makemake ʻoe i ka hoʻohana ʻana i kahi IUD e like me Mirena e kōkua ai e hōʻoluʻolu i kāu mau ʻōuli, e kamaʻilio me kāu kauka. Hiki iā lākou ke loiloi i kāu mau pahuhopu no nā mālama ʻana a hele iā ʻoe ma o nā koho IUD ʻokoʻa i loaʻa iā ʻoe.

Q&A: ʻO wai e hoʻohana iā Mirena?

Q:

Pehea wau e ʻike ai inā kūpono ka Mirena iaʻu?

Hoʻomanawanui inoa ʻole

A:

ʻO ka mālama Hormonal o endometriosis kahi ala maʻamau e hiki ai ke hōʻoluʻolu maikaʻi i ka ʻeha. ʻO Mirena kahi laʻana kaulana a noiʻi maikaʻi ʻia o ka nui o nā IUD e hoʻokuʻu nei i ka hormone i loaʻa. Hana ia ma ka hoʻokuʻu ʻana i 20 micrograms (mcg) o ka hormone levonorgestrel i kahi lā ma kahi o ʻelima mau makahiki. He ala maʻalahi kēia e hōʻemi i kāu mau hōʻailona a pale i ka hāpai ʻana.

Eia naʻe, ʻaʻole maikaʻi kahi IUD no nā wahine āpau. ʻAʻole pono ʻoe e hoʻohana i kēia koho inā loaʻa iā ʻoe ka moʻolelo o nā maʻi i loaʻa i ka moekolohe, nā maʻi pelvic inflammatory, a i ʻole ke kanesa o nā mea hānau.

ʻAʻole wale nā ​​IUD e like me Mirena e loaʻa ai kēia mau hormona. Hāʻawi nā pā, nā kī, a me nā mea pale i ka waha i nā hana like hormonal a me ka pale ʻana i ka hāpai ʻana. ʻAʻole nā ​​lāʻau hormonal āpau i kuhikuhi ʻia no ka endometriosis e pale i ka hāpai ʻana, no laila e nīnau pono i kāu kauka e pili ana i kāu lāʻau a hoʻohana i kahi ʻano kākoʻo inā pono.

ʻO Debra Rose Wilson, PhD, MSN, RN, IBCLC, AHN-BC, CHTAnswers e hōʻike i nā manaʻo o kā mākou kauka loea. Hoʻomaopopo ʻike ʻike ʻole ʻia nā ʻike āpau a pono ʻole e noʻonoʻo ʻia he ʻōlelo aʻoaʻo olakino.

He aha nā hopena a i ʻole nā ​​pilikia e pili ana iā Mirena?

ʻAʻole nele ʻo Mirena i kāna mau haʻahaʻa, ʻoiai lākou e liʻiliʻi. He mau hopena ʻaoʻao kā ka IUD, a mae wale lākou ma hope o nā mahina mua ʻelua.

ʻOiai e hoʻololi ana kou kino i ka hōmona, ʻike paha ʻoe:

• ʻeha poʻo
• nausea
• umauma palupalu
• kahe koko ʻole
• kahe nui aku ke kahe
• ka nalowale ʻana o ka menstruation
• loli i ke ʻano
• loaʻa kaupaona a paʻa wai paha
• ʻeha pelvic a i ʻole ke ʻūlū ʻana
• ʻehaʻeha haʻahaʻa

Aia ka makaʻu o ka perforation o ka aʻa uterine a me ka IUD. Inā kū ka hāpai, hiki i ka IUD ke hoʻopili iā ia iho i ka placenta, hōʻeha i ka fetus, a i ʻole ke kumu o ka lilo o ka hāpai keiki.

Hiki iā ʻoe ke hoʻohana i nā ʻano hana ʻē aʻe o ka kaohi hānau hormonal e hoʻokele i kāu mau ʻōuli?

ʻAʻole wale ʻo Progesterone i ka hormone e hiki ke kōkua i ka mālama ʻana i ka endometriosis - noʻonoʻo pū ʻia ke kaulike estrogen. ʻO nā Hormones e kumu i ka hoʻokuʻu ʻia ʻana o ka estrogen a me ka progesterone pū kekahi i ka lāʻau.

E kamaʻilio me kāu kauka. Hiki iā lākou ke hele wāwae iā ʻoe ma waena o nā pōmaikaʻi a me nā maikaʻi ʻole o kēlā me kēia pale ʻana a kōkua iā ʻoe e ʻike i ke kūpono kūpono loa no kāu mau pono.

ʻO nā koho maʻamau e:

Pila pale hānau

Loaʻa i nā pilina kaohi hānau ka mana synthetic o estrogen a me progesterone. Ma waho aʻe o ka hoʻolōʻihi ʻana i kāu manawa, māmā, a me nā mea maʻamau, hāʻawi pū ka pila i ka ʻeha i ka wā hoʻohana. Lawe ʻia nā lāʻau hoʻomalu hānau i kēlā me kēia lā.

ʻO nā pila a Progestin-wale nō i kī ʻia

Hiki iā ʻoe ke lawe i ka progestin, kahi ʻano synthetic o progesterone, i loko o ka pill pill a i ʻole kahi injection i kēlā me kēia ʻekolu mahina. Pono e lawe i ka mini-pill i kēlā me kēia lā.

Patch

E like me ka nui o nā pilina kaohi hānau, loaʻa i ka patch ka mana synthetic o estrogen a me progesterone. Hoʻokomo ʻia kēia mau homoni i loko o kou kino ma o ka palapū paʻa āu e komo ai i kou ʻili. Pono ʻoe e hoʻololi i ka pāʻina i kēlā me kēia pule no ʻekolu pule, me hoʻokahi pule e ʻae i kou manawa menstrual e hana. Pono ʻoe e noi i kahi pāʻina hou ke pau kāu manawa.

Kīwī wahine

Aia i loko o ke apo o ka pūnana nā hormones like i loaʻa i ka pila a i ʻole ka pā. Ke hoʻokomo koke ʻoe i ke apo i loko o kāu pēpē, hoʻokuʻu ia i nā hormoni i kou kino. Hoʻokomo ʻoe i ke apo no ʻekolu pule i ka manawa hoʻokahi, me hoʻokahi pule e ʻae ai no ka manawa menstrual. Pono ʻoe e hoʻokomo i kahi apo hou ma hope o ka pau ʻana o kou manawa.

ʻO nā agonists e hoʻokuʻu ana i kaoneoneone (GnRH)

Hoʻopau nā agonists GnRH i ka hana ʻana i ka hormone e pale ai i ka ovulation, menstruation, a me ka ulu endometriosis, e waiho ana i kou kino i kahi mokuʻāina e like me ka menopause. Hiki ke lawe i ka lāʻau ma o ka ehu ihu o kēlā me kēia lā, a i ʻole me ke kuikui i hoʻokahi manawa i ka mahina a i kēlā me kēia ʻekolu mahina.

Paipai nā kauka e lawe wale ʻia kēia lāʻau no ʻeono mahina i ka manawa e hōʻemi i kou makaʻi i nā pilikia puʻuwai a i ʻole ka nalo ʻana o ka iwi.

Danazol

ʻO Danazol kahi lāʻau e pale ana i ka hoʻokuʻu ʻia ʻana o nā homone i kāu wā menstrual. ʻAʻole hiki i kēia lāʻau ke pale i ka hāpai ʻana e like me nā hana hormonal ʻē aʻe, no laila pono ʻoe e hoʻohana ia mea ma ka ʻaoʻao o kāu mea pale contraceptive. ʻAʻole pono ʻoe e hoʻohana danazol me ka ʻole o ka pale ʻana, no ka mea, ʻike ʻia ka lāʻau e hōʻeha ai i ka hāpai ʻana i nā fetus.

He aha nā koho lapaʻau ʻē aʻe e loaʻa?

E loli ana kāu mau koho hoʻomaʻamaʻa e pili ana i ke ʻano o ka endometriosis āu i loaʻa ai a me ke ʻano o kona koʻikoʻi. Hiki i ke ʻano maʻamau ke hoʻopili ʻia:

Lāʻau ʻeha

ʻO nā mea hōʻemi ʻeha a me nā lāʻau i kuhikuhi ʻia e hiki ai ke kōkua i ka ʻeha mālie a me nā ʻōuli ʻē aʻe.

Laparoscopy

Hoʻohana ʻia kēia ʻano ʻoki e wehe i nā kikoʻī endometrial i pāhola ʻia i nā wahi ʻē aʻe o kou kino.

E hana i kēia, hana kāu kauka i kahi ʻoki i kou pihi ʻōpū a hoʻonui i kou ʻōpū. Hoʻokomo lākou i kahi laparoscope ma o ka ʻoki i hiki ai iā lākou ke ʻike i nā ulu o nā kiko. Inā loaʻa i kāu kauka nā hōʻike o ka endometriosis, hana hou lākou i ʻelua mau ʻoki liʻiliʻi i loko o kou ʻōpū a hoʻohana i kahi laser a i ʻole nā ​​mea ʻokiʻoki ʻē aʻe e hoʻopau a luku paha i ka liona. Hiki iā lākou ke hemo i nā kiko o nā ʻili i hana ʻia.

Laparotomy

ʻO kēia kahi ʻōpū nui o ka ʻōpū i hoʻohana ʻia e wehe i nā liona endometriosis. Kaukaʻi ʻia i ka wahi a me ka paʻakikī o nā pākuʻi, lawe aku paha kāu mea kauka iā ʻoe i kou kōpū a me nā ovaries. Ua manaʻo ʻia ʻo Laparotomy kahi ala hope loa no ka mālama ʻana i ka endometriosis.

Ke laina lalo

Hiki i ke kaohi hānau Hormonal ke kōkua i ka hōʻoluʻolu i nā ʻōuli o ka endometriosis, a me ka ulu lohi o ke kino. ʻO ia ke kumu e mālama pono ai ʻo Mirena no ka endometriosis. Akā ʻaʻole like ke kino o kēlā me kēia kino, no laila ʻokoʻa paha kāu mau koho lapaʻau e pili ana i ke ʻano o ke koʻikoʻi a me ke ʻano.

Inā loaʻa iā ʻoe kahi endometriosis a makemake e aʻo e pili ana iā Mirena, e kamaʻilio me kāu kauka e pili ana i kāu koho. Hiki iā lākou ke hāʻawi iā ʻoe i ka ʻike hou aku e pili ana i ka IUDs hormonal a me nā ʻano o ka hoʻōla hormonone.