Hanyar maganin maganin ciwon ƙwayar cutar ta polycystic
Ciwon ƙwayar cutar ovary (PCOS) wani yanayi ne mai rikitarwa wanda ya shafi kusan kashi 10 cikin dari na mata masu haihuwa. Mata da PCOS zasu iya samun nau'o'in bayyanar cututtuka da suka fito daga sauye-sauyen yanayi da yanayin fata (kuraje, tsofaffin gashin fuska) zuwa wa'adin da ba daidai ba da kuma matsalolin haihuwa.
Magunguna amfani da PCOS na nufin kawar da bayyanar cututtuka na cutar.
Yayin da babu magani ga PCOS a yanzu, zaka iya rage tasirin cutar ta hanyar ci gaba da rayuwa mai kyau da kuma kula da bayyanar cututtuka tare da yin amfani da kwayoyi.
Magunguna da aka Yi amfani da su don daidaitawa ta Tsarin Zuciya
Kwayoyin PCOS suna haɗuwa da ƙananan haɗari na hormonal wanda zai iya haifar da lokutan da ba daidai ba ( oligomenorrhea ) ko lokacin bazuwa ( amenorrhea ). Wadannan da sauran ƙazantawar hormonal zasu iya rushe ikon mace don yin juna biyu. Magungunan maganin ƙwayoyi suna nufin yin gyaran maganin hormones don kyautatawa da sake dawowa dasu.
Abubuwa biyu da ake amfani dasu sune kwayoyin maganin haihuwa da Provera, dukansu biyu sun tsara tsarin jima'i ta hanyar samar da kwayar cutar jikinka. Ta hanyar daidaita tsarin matakan hormone, za'a iya zubar da rufin mahaifa fiye da sauri, ta hana yaduwa daga kyallen takalma da aka lalacewa ta hanyar da aka rasa ko ba daidai ba.
Glucophage (metformin), miyagun ƙwayar cututtukan ƙwayar cuta, yana ba da amfani na biyu na rage rage gwajin insulin wanda aka fi gani a cikin mata tare da PCOS yayin ingantaccen halayen mutum.
Magunguna amfani da su don bi da rashin amfani
Dosfuncin hormonal na PCOS na iya haifar da jahilci ko jaraba (absarki). Ana iya amfani da kwayoyi daban-daban don biyan wannan, inganta halayen da kwai (oocyte) da kuma ovulation. Tsarin magunguna, maganin farko sun hada da kwayoyin haihuwa na Clotilid (clomiphene citrate) da Femara (letrozole).
Yayin da ake amfani da Clomid don bunkasa jinsin halitta, Femara zai iya aiki mafi kyau a mata tare da PCOS kamar yadda ba ta haifar da matakan estrogen ko kuma ƙara haɗarin haifuwa na haihuwa ba daidai da digiri kamar Clomid.
Za a iya amfani da hanyoyin maganin hormonal daban-daban don tayar da kwayar halitta, ciki har da:
- Hakanan kwayoyin stimulant hormone (FSH) , wanda ke ƙarfafa girma da kwai
- Lotinizing hormone (LH), wanda ya haifar da sakin kwai daga ovary
- Ƙungiyar hawan dan adam (HCG) , wanda ke tabbatar da maturation daga cikin kwan
- Estrace (estrogen) , wanda ke shirya mahaifa don karɓar kwai
- Provera (progesterone) , wanda ke shirya mahaifa na shigarwa
- Menopur (menotropins), wanda ke ba da FSH da LH ta hanyar allura
- Bravelle (urofollitropin), wanda ke bada FSH ta allura
A halin yanzu, an tabbatar da ƙarin kariyar hormonal, inositol , don bunkasa darajar tacyte da kuma amfrayo yayin kara yawan hawan ciki a cikin mata da PCOS.
Magunguna don magance Resulin Resistance
Kimanin kashi 50 cikin dari na mata da PCOS za su ci gaba da ciwon sukari ko masu ciwon sukari tun yana da shekaru 40. Bugu da ƙari, sun kasance mafi haɗari ga ƙaddamar da ciwon sukari, wanda yanayin da zai iya haifar da glucose (sukari) lokacin daukar ciki.
Magunguna na ciwon sukari suna amfani da su akai-akai don rage glucose da matakan insulin a cikin matan da ke da alaka da insulin.
Bugu da ƙari, gyaran salon zaɓin rayuwa, ciki har da aikin motsa jiki da abinci mai sauƙi a ƙwayoyi da kuma masu tsabta, an dauke su a tsakiya don magani.
Zaɓuɓɓukan magani sun hada da:
- Glucophage (metformin) , wanda zai iya sarrafa ciwon sukari kuma ya taimaka da asarar nauyi
- Victoza (liraglutide) , magani mai injectable amfani da shi wajen sarrafa insulin da glucose
- Dokar (pioglitazone), wani nau'i na miyagun ƙwayoyi masu amfani da shi don rage yawan jini
- Avandia (rosiglitazone), wata magungunan injectable da ke cikin majalisa guda kamar pioglitazone
- Avandamet, hade da rosiglitazone da metformin.
Magunguna don taimakawa tare da Asarar Weight
Rabin rabin matan da ke tare da PCOS sune kisa ko obese.
Ba wai kawai komitin PCOS zai taimaka wajen samun karuwar ba, yana sa ya fi wuya ga mata su rasa nauyi . Bugu da ƙari ga motsa jiki da abinci, hanyoyin shan magani na wasu lokuta ana amfani da su tare da asarar hasara, ko da yake sun kasance sun zo tare da babbar tasiri.
Zabuka na yanzu sun hada da:
- Xenical (orlistat), magani wanda zai iya hana rinjayar mai
- Qsymia (phentermine / topiramate), mai ciwo mai ci
- Belviq (lorcaserin), wani mai ci
- Ƙunƙwasa (naltrexone / bupropion), wanda zai iya hana yaduwar abinci
- Saxenda (liraglutide) , da ake amfani da su don magance insulin da kuma kiba
- Inositol , ƙarin haɗin da ke hade da asarar nauyi a mata tare da PCOS
Magunguna da ake amfani dashi don bi da gashin gashi da hawaye
Mata da PCOS sau da yawa suna ɗauke da nauyin hawan mahaifa (androgens) da suka hada da testosterone. Magunguna masu maganin maganin maganin magunguna suna aiki ta hanyar hana jigilar waɗannan halayen hakar ma'adinai da kuma rage halayen halayen maza na biyu, ciki har da hirsutism (tsofaffi da gashi) ko asarar gashi.
Zaɓuɓɓukan jiyya sun haɗa da:
- Aldactone (spironolactone) , wani diuretic wanda yana da maganin anti-androgenic
- Vaniqa (gwargwadon hydrochloride) , rubutun da ake amfani dasu don toshe gashin gashi
- Propecia (finasteride) , da aka yi amfani dashi don yin la'akari da asarar gashi a mata tare da PCOS
Bugu da ƙari, canje-canje a cikin girma gashi, ci gaba da haɓalin inganci zai iya haifar da cigaban hawan. Wannan mafi yawancin ana bi da su tare da rubutun masu kirki wanda sun hada da benzoyl peroxide , salicylic acid , retinoids , ko maganin rigakafi .
Kalma Daga
Yayinda za ku fuskanci bayyanar cututtukan PCOS, za ku buƙaci aiki tare da likitanku. Akwai wasu magunguna waɗanda ba su dace da kai ba saboda wasu yanayin kiwon lafiya, hulɗar magani, da wasu dalilai. Tabbatar ku fahimci maganin da aka ba da shawarar da kuma yadda za a yi amfani da takardun magani daidai.
Source:
> Kasper DL, Fauci AS, Hauser SL, Longo DL, Jameson JL, Dokokin Medicine na Intanet na Loscalzo J. Harrison (19th Edition). New York: McGraw-Hill Education, 2015.