Provera shine hormone wanda ke kare mahaifa kuma ya tsara haila
Ana iya yin amfani da Provera don dalilai da yawa, mafi yawa don magance matsanancin hasara ko tsayar da lokaci (amenorrhea) wanda saboda matsalar matsalar hormone. Provera (medroxyprogesterone) wani nau'i ne na kwayar cutar kwayar halitta -a hormone da aka samar bayan halitta (lokacin da aka fitar da kwai daga wani ovary).
Bugu da ƙari, ana amfani da Provera a wasu lokuta tare da estrogen don bi da alamun cututtukan mazaopausal (alal misali, walƙiya mai zafi) a cikin mata masu auren mata da ke da mahaifa.
A wannan yanayin, manufar Provera ita ce ta hana ɗaukar nauyin mahaifa, wanda zai haifar da ciwon daji na uterine. Ana iya amfani da Provera a gwajin gwaji.
Provera da Aminorrhea
Aminiya na biyu ya faru yayin da mace ta dakatar da lokuta na tsawon lokaci fiye da watanni uku (lokacin da suka kasance na yau da kullum) ko fiye da watanni shida (idan sun kasance ba bisa ka'ida ba). Akwai wasu mawuyacin haddasawa na amfanar da na biyu wanda ya haɗa da:
- Hawan ciki
- Thyroid cuta
- Ƙunƙasar cutar ovarian
- Matsayi mai girma na prolactin
- Hypothalamic amenorrhea: yanayin da zai iya haifar da sakamakon damuwa, rashin hasara mai nauyi, ko aikin motsa jiki
Don gano dalilin da ake samu na likita na biyu, likita zai umurci wasu gwaje-gwajen kamar jarrabawar ciki, matakan jini, da gwajin gwajin gwagwarmaya (wanda ake kira gwajin gwaji).
A cikin gwajin gwagwarmayar gwagwarmaya, mace za a iya ba da izinin kimanin 5 miligrams ko 10 milligrams na Provera na kwanaki biyar zuwa 10 don ganin ko ta fuskanci zubar da jini.
Idan mace ba ta fuskanci zubar da jini a cikin makonni biyu na shan Provera, to, ko tana da matakan estrogen a cikin jikinta ko tana da mummunar cututtuka, kamar yadda Asaraman ke ciwo.
Idan wata mace ta fuskanci zubar da jini (wanda yakan faru a cikin kwana uku zuwa bakwai na dakatar da Provera) sai ta sami isrogen mai yawa a cikin jikinta, saboda haka amintaccen matarsa ba daga yin amfani da shi ba (wanda ake kira "pluval").
A wannan yanayin, likita zai yi karin gwaje-gwajen don sanin dalilin da ya sake yaduwa.
Ci gaba da ciwo mai mafitsara
Idan mace tana da ciwon magunguna, za ta iya haifar da zubar da jini na mahaifa, wanda bai dace ba ko zubar da jini mai tsanani. Matsalar tare da jigilar cutar ta jiki shine cewa zai iya haifar da farfadowa mai launi mai ciki, wanda ake kira endometrial hyperplasia , wanda zai iya bunkasa cikin ciwon daji na uterine.
Ciwon ƙwayar cutar ta Polycystic (PCOS) wani misali ne mai kyau na yanayin da yakan haifar da haila na al'ada daga maɗaukaki na ainihi. Ciwon ƙwayar cutar ovaryyl ne mafi yawancin cututtuka na endocrine a cikin mata masu haihuwa. Hanyoyi guda biyu na PCOS sune lokuta marasa daidaituwa da kuma manyan nau'o'in androgens (irin su testosterone), wanda ke taimakawa wajen bunkasa ciwon hauka da hirsutism. Matsalar maganin ƙwayar cuta irin su kiba da kuma insulin juriya ma na kowa a PCOS.
Yawancin lokaci, haɗin haɗin gwanin estrogen-progestin (alal misali, "kwaya") an bada shawarar ga mata tare da PCOS, don tsara tsarin hawan mata, kare mahadin mai daga farfadowa, da kuma kula da sakamakon ciwon matakan highrogen (domin misali, kuraje).
Ga matan da ba za su iya ɗauka ko zabi kada su dauki haɗin gwiwar estrogen-progestin ba, Provera shine zaɓi.
Provera yana aiki ta hanyar hana ƙwaƙwalwar nama a cikin jikin mai layi.
Provera da Hormone Sauyawa Far
Ana iya amfani da Provera a hade tare da estrogen a cikin mata postmenopausal tare da mahaifa. Haɗin hawan estrogen da progesterone ana kiransa maganin maye gurbin hormone kuma manufarsa shine a bi da alamun cututtuka kamar mazaunin zafi.
Dalilin progesterone ban da estrogen ne don hana thickening daga cikin mahaifa. Wannan shi ne dalilin da ya sa aka ba wa mace wanda yake da mahaifa. Ko dai Provera ko wani yanayi na kwayar halitta (mafi yawan) an tsara shi.
Dole ne a yi amfani da farfadowa na maye gurbin a cikin mafi mahimmanci kuma a mafi dacewa lokacin da zai yiwu, ɗaukar zaton mace da haɗarin shan magani na maye gurbin an auna sosai.
Bugu da kari, yana da mahimmanci a tuna cewa duk wani zubar da jini na mace a cikin mace mai matsakaicin mace wanda ya kasance cikin mahaifa ya kamata a kimanta shi don ya fitar da ciwon daji.
Abin da za ku sa ran daga yin amfani da Provera
Tun da Provera ne hormone, zai iya haifar da tasiri. Mafi yawan mutane sune ciwon kai, motsa jiki, taushin zuciya, da canjin yanayi. Wadannan halayen ya kamata su zauna cikin 'yan kwanaki bayan shan Provera.
Sauran cututtuka na iya haɗawa da su:
- Canja a zubar jini ko ya kwarara
- Kuraje
- Ƙara nauyi
- Dama ko matsalolin barci
Yana da mahimmanci a lura cewa an haramta Provera a ciki, don haka tabbatar da gaya wa likitanka idan ka yi zaton za ka yi ciki. Wani lokaci likitanku zai buƙaci kayi zubar da jini ko hurawa gwajin ciki kafin shan wannan magani.
Bugu da ƙari, Provera ta hanyar kanta ba abin dogara ne na hana haihuwa ba, ko da yake yana da hormone. Idan kana shan Provera, tabbatar da amfani da rigakafin hana (misali, kwakwalwa roba) don hana hawan ciki.
Yi nazarin duk matsalolin likita da magunguna tare da likitanku kafin su ɗauki Provera. Bayan ciki, akwai wasu ƙwayoyi game da shan Provera ban da sakamakon lalacewa, musamman ma idan an haɗa shi da estrogen.
Kalma Daga
Abinda mafi mahimmanci na rubutun Provera shi ne don taimakawa likita kwakwalwa ko kuma magance matsalolin juyayi irin su zubar da jini ko rashin lokaci. Ana kuma amfani dasu don hana yaduwar tsoffin mahaifa a cikin 'yan mata postmenopausal wadanda suke daukar estrogen. Zai iya zama mai wuya don gane dalilin da yasa kake ɗaukar wani hormone, kamar Provera. Tabbatar tabbatar da wasu tambayoyi ko damuwa da likitanku.
> Sources:
> Kaunitz AM. Gudanar da Ciwon Magungunan Ciwo. A cikin: UpToDate, Barbieri RL (Ed), UpToDate, Waltham, M
> Ndefo UA, Eaton A, Green MR. Maganin Ovary Polycystic: Wani Ra'ayin Zaɓuɓɓukan Jiyya Tare da Faɗakarwa a kan Masarrafan Kwayoyin Halitta. Pharmacy da Therapeutics. 2013 Jun, 38 (6): 336-338, 348, 355.
> Provera (Medroxyprogesterone Acetate). Pfizer. https://www.pfizer.com/products/product-detail/provera.
> Mai dadi MG, Madsen KP. Bincike da Gudanar da Ciwon Magungunan Ciwo na Yara a cikin Mata masu Tsammaniya. Aminiya na Yammacin Amirka. 2012 Janairu 1; 85 (1): 35-43.