Progesterone (Uburyo bwo kunywa): Ibikoresho, Urutonde rw'imiti, Ingaruka zayo n'ibindi

Progesterone ni umusemburo w'umubiri wawe ukora, cyane cyane ufitiye akamaro ubuzima bw'imyororokere y'abagore no gutwita. Iyo ifashwe nk'umuti unyobwa, ifasha gusimbuza cyangwa kongerera progesterone umubiri wawe utabasha gukora ku buryo buhagije ku giti cyawo.

Uyu musemburo woroshye ugira uruhare runini mu gutegura igituntu cyawe ku gutwita no kugumisha imihango yawe mu buryo bwiza. Abagore benshi basanga progesterone inyobwa ifasha mu kutaringaniza imisemburo itandukanye, kandi ifatwa nk'uburyo bwo kuvura bwizewe kandi bwizwe neza iyo ikoreshejwe neza.

Progesterone ni iki?

Progesterone ni umusemburo ukorwa mu buryo busanzwe n'intanga ngore zawe nyuma yo kororoka buri kwezi. Akenshi yitwa “umusemburo wo gutwita” kuko ifasha gutegura no kugumisha urukuta rw'igituntu cyawe ku gutwita bishoboka.

Uburyo bwo kunywa bwa progesterone ni verisiyo ya bioidentical, bivuze ko isa neza n'imiti umubiri wawe ukora mu buryo busanzwe. Ibi bituma itandukana n'imisemburo ya sintetike kandi akenshi biroroshye ko umubiri wawe uyikora kandi ukayakira.

Iyo umubiri wawe utabasha gukora progesterone ihagije ku giti cyawo, progesterone inyobwa irashobora kwinjira kugirango yuzuze icyo cyuho. Iboneka mu buryo bwa capsule kandi akenshi ifatirwa mu kanwa, akenshi nimugoroba kuko ishobora gutera gusinzira.

Progesterone ikoreshwa mu iki?

Progesterone ivura ibibazo bitandukanye bifitanye isano no kutaringaniza imisemburo, cyane cyane iyo umubiri wawe utabasha gukora uyu musemburo w'ingenzi. Akenshi yandikirwa ibibazo by'imihango idasanzwe n'ibibazo bimwe na bimwe by'uburumbuke.

Dore ibibazo nyamukuru aho progesterone inyobwa ishobora gufasha kugarura imisemburo mu buryo bwiza:

• Iminsi y'imihango idahwema cyangwa idahari
• Ukuva amaraso mu rwanya kutari kumenyerewe
• Amenorrhea ya kabiri (iyo imihango ihagaze nyuma yo kuba yari isanzwe)
• Luteal phase defect (iyo igice cya kabiri cy'imihango yawe kiba kigufi cyane)
• Ubuvuzi bwo gusimbuza imisemburo hamwe na estrogen
• Gushyigikira inda hakiri kare mu buvuzi bw'uburumbuke bumwe na bumwe

Muganga wawe ashobora kandi kugusaba progesterone niba urimo guhura n'ibimenyetso byo kubura progesterone, nk'imihindagurikire y'amarangamutima, ingorane zo gusinzira, cyangwa syndrome ya premenstrual (PMS). Intego ni ukongera kugarura umuvuduko w'imisemburo y'umubiri wawe.

Progesterone ikora ite?

Progesterone ikora yifatanya n'ibice bya progesterone mu mubiri wawe, cyane cyane mu rwanya rwawe, amabere, n'ubwonko. Ifatwa nk'imisemburo yoroshye ikora ihuza n'inzira zisanzwe z'umubiri wawe.

Mu rwanya rwawe, progesterone ifasha gukomeza no gukomeza umurongo wa endometrial, iwutegurira gushoboka kw'inda. Niba inda itabayeho, urwego rwa progesterone rugabanuka mu buryo busanzwe, rugatuma imihango yawe itangira.

Progesterone kandi ifite ingaruka zituma umubiri utagira umwuka mubi ku mikorere y'imitsi yawe, niyo mpamvu abagore benshi babona ko gusinzira kwabo kurushaho kuba kwiza kandi bagabanya umunabi iyo bayifashe. Ubu si umuti ukomeye utera impinduka zikomeye, ahubwo ni ubuvuzi bufasha gusubiza uburinganire busanzwe.

Nkwiriye gufata progesterone nte?

Fata progesterone nk'uko muganga wawe abitegeka, akenshi rimwe ku munsi nimugoroba. Urutonde rusanzwe rutangira kuva kuri 100mg kugeza kuri 400mg, bitewe n'uburwayi bwawe bwihariye n'uko umubiri wawe witwara.

Nibyiza gufata progesterone hamwe n'ibiryo bito cyangwa amata kugirango bifashe mu kuyinjiza no kugabanya ibibazo byo mu nda. Abaganga benshi basaba kuyifata hafi amasaha 2 mbere yo kuryama kuko bishobora gutera gusinzira.

Gerageza gufata progesterone yawe mu gihe kimwe buri mugoroba kugira ngo ugumane urwego rwa hormone. Niba uyikoresha mu kugenzura imihango, muganga wawe ashobora kugusaba kuyifata iminsi 10-12 buri kwezi, akenshi utangira hafi y'umunsi wa 14-16 w'imihango yawe.

Mimina ibinini byose hamwe n'amazi. Ntugasenye, ntukore, cyangwa ubyugurure, kuko ibi bishobora kugira ingaruka ku buryo umuti winjizwa kandi ukarekurwa mu mubiri wawe.

Nzamara Igihe Kingana Gite Ndafat Progesterone?

Igihe cyo kuvura progesterone gitandukanye cyane bitewe n'impamvu uyifata. Kugenzura imihango, ushobora kuyifata mu buryo bukurikirana mu mezi menshi kugeza imihango yawe isanzwe.

Niba ukoresha progesterone nk'igice cyo kuvura hormone, kuvurwa birashobora gukomeza imyaka myinshi, hamwe no kugenzura buri gihe na muganga wawe. Kugira ngo ushyigikire ububyeyi, kuvurwa akenshi kumara igihe gito mu gihembwe cya mbere cyo gutwita.

Muganga wawe azagenzura uko witwara kandi ashobora guhindura igihe bitewe nuko wumva umeze n'urwego rwa hormone yawe. Ntukigere uhagarika gufata progesterone mu buryo butunguranye utabanje kubiganiraho n'umuganga wawe, cyane cyane niba utwite cyangwa ugerageza gusama.

Ni Iyihe Ngaruka Zituruka ku Gufata Progesterone?

Abagore benshi bafata progesterone yo kunywa neza, kandi ingaruka zikunda kuba nto kandi z'agateganyo. Ingorane zisanzwe zikunda kubaho iyo utangiye kuyifata cyangwa iyo urugero rwawe ruhindutse.

Dore ingaruka ushobora guhura nazo, wibuke ko abagore benshi badafite ingaruka na gato:

• Gusinzira cyangwa kunanirwa (niko mpamvu ifatwa nimugoroba risabwa)
• Kuribwa umutwe cyangwa kumva ureremba
• Kuribwa umutwe
• Kubabara amabere
• Kuzana ibibazo cyangwa kongera ibiro bito
• Guhinduka kw'amarangamutima cyangwa kwishima
• Kuruka cyangwa kurwara mu nda
• Guhinduka kw'irari ryo kurya

Ibi bikorwa akenshi birushaho gukira uko umubiri wawe wimenyereza umuti, akenshi mu byumweru bike. Gufata progesterone hamwe n'ibiryo no mu gihe cyo kuryama birashobora gufasha kugabanya ibi bikorwa byinshi bibi.

Abagore bamwe bahura n'ingaruka zitamenyerewe ariko ziteye impungenge zikeneye ubufasha bwa muganga:

• Impinduka zikomeye z'amarangamutima cyangwa umubabaro
• Gusohoka amaraso mu gitsina cyangwa kubona amaraso bidasanzwe
• Umutwe ukabije cyangwa migraine
• Impinduka mu iyerekwa
• Uburibwe mu gituza cyangwa guhumeka bigoranye
• Uburibwe bukomeye mu nda
• Ibimenyetso by'amaraso (uburibwe mu kuguru, kubyimba, gushyuha)

Nubwo izi ngaruka zikomeye zitaba kenshi, ni ngombwa kuvugana na muganga wawe niba wumva izo ari zo zose. Umuganga wawe ashobora gufasha kumenya niba progesterone ikigukwiriye.

Ninde utagomba gufata Progesterone?

Progesterone ntabwo ikwiriye kuri buri wese, kandi muganga wawe azasuzuma amateka yawe mbere yo kuyandika. Ibyiciro bimwe na bimwe bituma progesterone idatekanye cyangwa idakora neza.

Ntabwo ugomba gufata progesterone niba ufite kimwe muri ibi bikurikira:

• Gutegeka cyangwa gukeka ko utwite (keretse niba byanditswe byihariye kugirango bishoboke gutwita)
• Gusohoka amaraso mu gitsina bitaramenyekana
• Kumenyekana cyangwa gukeka kanseri y'ibere
• Indwara y'umwijima ikora cyangwa ibibyimba by'umwijima
• Amateka y'amaraso cyangwa indwara zo gupfuka amaraso
• Ibikorwa bikomeye bya allergique kuri progesterone cyangwa ibiyigize

Muganga wawe azakoresha kandi ubwitonzi burenzeho niba ufite diyabete, indwara y'umutima, ibibazo by'impyiko, cyangwa amateka y'umubabaro. Ibi byiciro ntibisaba ko utafata progesterone, ariko bisaba gukurikiranwa hafi.

Niba uri konjesha, progesterone ntoya irashobora kujya mu mata y'ibere, ariko muri rusange bifatwa nkibitekanye. Buri gihe ganira amateka yawe yuzuye ya muganga wawe mbere yo gutangira ubuvuzi ubwo aribwo bwose bwa hormone.

Amazina ya Progesterone

Progesterone yo mu kanwa iboneka mu mazina menshi y'ubucuruzi, Prometrium ikaba ari yo ikoreshwa cyane. Iri zina rikoresha progesterone ya micronized, bivuze ko uturemangingo twa hormone dukorwa duto cyane kugira ngo twumvikane neza.

Andi mazina y'ubucuruzi arimo Utrogestan mu bihugu bimwe na formulations zitandukanye. Ubwoko bwa generic burimo ibintu bikora kimwe kandi bikora neza nk'ubwoko bw'amazina y'ubucuruzi.

Farumasi yawe ishobora gusimbuza ubwoko bwa generic keretse muganga wawe yanditse byihariye ngo "ubwoko bukenewe mu buvuzi" ku byo wandikiwe. Ubwoko bwombi, ubw'amazina y'ubucuruzi na generic, ni kimwe mu mutekano no gukora neza.

Izindi nzira za Progesterone

Niba progesterone yo mu kanwa itagukwiriye, hari izindi nzira zitandukanye zishobora gutanga inyungu zisa. Muganga wawe ashobora kugusaba gel ya progesterone yo mu gitsina cyangwa suppositories, zinyura mu nzira yo mu gifu kandi zishobora kugira ingaruka nke.

Progestins ya synthetic nka medroxyprogesterone acetate (Provera) ni indi nzira, nubwo zitandukanye na progesterone karemano kandi zishobora kugira ingaruka zitandukanye. Abagore bamwe bakunda izi versions za synthetic, mu gihe abandi basubiza neza kuri progesterone ya bioidentical.

Uburyo karemano nk'imibereho ihinduka, gucunga umunaniro, n'ibindi byongerwaho bishobora gufasha umubiri wawe gukora progesterone. Ariko, izi nzira zikora buhoro kandi ntizishobora guhagije kubura hormone zikomeye.

Ese Progesterone iruta Provera?

Progesterone na Provera bikora ibintu bisa ariko bikora mu buryo butandukanye mu mubiri wawe. Progesterone ni bioidentical ku byo umubiri wawe ukora karemano, mu gihe Provera irimo progestin ya synthetic yitwa medroxyprogesterone acetate.

Abagore benshi basanga progesterone yoroshye ifite ingaruka nke, cyane cyane gutungurwa n'amarangamutima make no gusinzira neza. Imiterere ya bioidentical ya progesterone akenshi ituma yumva karemano kandi byoroshye kwihanganira.

Ariko, Provera ishobora kugira akamaro kurusha izindi mu kuvura indwara zimwe na zimwe nk'amaraso menshi mu gihe cy'imihango, kandi akenshi ihendutse. Muganga wawe azareba ibimenyetso byawe byihariye, amateka yawe y'ubuvuzi, n'uko witwara kugira ngo amenye uburyo bukora neza kuri wowe.

Nta muti n'umwe wemezwa ko "mwiza" - biterwa n'ibyo ukeneye n'uko umubiri wawe witwara. Abagore bamwe bitwara neza kuri kimwe muri byombi, mu gihe abandi bafite icyo bashaka cyane.

Ibikunze Kubazwa ku bijyanye na Progesterone

Ese Progesterone irakwiriye ku ndwara z'umutima?

Progesterone muri rusange ifatwa nk'ikwiriye ku buzima bw'umutima kurusha imiti ya progestine, ariko abagore bafite indwara z'umutima bakeneye gukurikiranwa neza. Bitandukanye na hormone zimwe na zimwe zikorerwa mu ruganda, progesterone ntigaragara ko yongera cyane ibyago byo kurwara umutima.

Niba ufite indwara z'umutima, muganga wawe azagereranya inyungu n'ibyago bishobora kuvuka kandi ashobora gutangira n'urugero ruto. Bazanakurikirana umuvuduko w'amaraso yawe n'ibindi bimenyetso by'umutima mugihe ukoresha progesterone.

Nigira iki niba nanyweye progesterone nyinshi bitunguranye?

Niba unyweye progesterone nyinshi kurusha uko byategetswe, ntugahagarike. Gukoresha progesterone nyinshi ntibigira akaga cyane, ariko ushobora guhura no kurushaho gusinzira, kuribwa umutwe, cyangwa isesemi.

Vugana na muganga wawe cyangwa ikigo gishinzwe kurwanya ubumara niba unyweye nyinshi cyane kurusha urugero wategetswe. Bashobora kugugira inama y'icyo ugomba kwitaho niba ukeneye ubufasha bw'ubuvuzi. Ibyago byinshi byo gukoresha nyinshi bitunguranye bisaba gusa kwitegereza no gutanga ubufasha.

Nigira iki niba nirengagije urugero rwa progesterone?

Niba wibagiwe urugero rwa progesterone, unywe vuba uko wibuka, keretse igihe cyo gufata urugero rukurikira kigeze. Muricyo gihe, reka urugero wibagiwe ukomeze gahunda yawe isanzwe.

Ntugasuzume imiti ibiri icyarimwe kugira ngo usimbure urugero rwasibye. Niba ufata progesterone mu buryo buhoraho kugira ngo ugenga imihango, gusiba urugero rumwe mubisanzwe ntizagira ingaruka zikomeye ku gihe cyawe, ariko gerageza gukurikiza gahunda uko bishoboka kose.

Ni ryari nshobora guhagarika gufata progesterone?

Igihe cyo guhagarika progesterone giterwa n'impamvu uyifata. Kugira ngo ugenga imihango, ushobora guhagarika igihe imihango yawe isanzwe, ibyo bishobora gufata amezi menshi.

Niba ufata progesterone kugira ngo usimbuze imisemburo, muganga wawe azasuzuma buri gihe niba ukeneye. Kugira ngo ushyigikire inda, progesterone mubisanzwe ihagarikwa hagati y'ibyumweru 8-12 byo gutwita igihe placenta ifata umusaruro w'imisemburo.

Buri gihe korana na muganga wawe kugira ngo ukore gahunda yo guhagarika progesterone aho guhagarara ako kanya, cyane cyane niba umaze kuyifata igihe kirekire.

Nshobora gufata progesterone hamwe n'indi miti?

Progesterone irashobora guhura n'indi miti, nubwo guhura bikomeye bidakunze kubaho. Ni ngombwa kubwira muganga wawe imiti yose, ibyongerera imbaraga, n'ibicuruzwa by'ibyatsi ufata.

Imiti imwe ishobora guhura na progesterone irimo imiti imwe yo gufata ibyuma, imiti ituma amaraso atavura, na antibiyotike zimwe. Muganga wawe ashobora guhindura urugero cyangwa igihe niba bibaye ngombwa kugira ngo yemeze ko imiti yawe yose ikora neza hamwe.