I-Dydrogesterone iwuhlobo lokwenziwa lwe-progesterone, esetshenziselwa ukwelapha ukuntula kwe-progesterone nezinye izimpawu ngenxa yokwanda komsebenzi we-estrogen. Isetshenziswa kakhulu ekwelashweni kwe-hormonal replacement (HRT).
I-synthetic progesterone, noma i-Dydrogesterone, isetshenziselwa ukwelapha inzalo, ukulawula ukuzala umjikelezo wokuya esikhathini, futhi ugweme ukuhlukumeza, phakathi kwezinye izifo. Isibeletho esine-estrogen-primed sikhiqiza i-endometrium eyimfihlo egcwele lapho i-Dydrogesterone, i-progestogen esebenza ngomlomo, isebenza ngokuqondile esibelethweni. Njengoba i-Dydrogesterone ingaphazamisi i-ovulation noma i-Corpus Luteum, ayinawo umphumela wokuvimbela inzalo uma isetshenziswa emazingeni okwelapha. Amaphilisi e-Dydrogesterone asiza ekulawuleni ukukhula nokuchitheka kolwelwesi lwesibeletho.
Kafushane, izinzuzo zayo zihlanganisa:
I-Dydrogesterone (ihomoni yabesifazane) isetshenziselwa ukwelapha izinkinga zokuya esikhathini kwabesifazane abantula ama-hormone. Nazi ezinye ze-Dydrogesterone ezisetshenziswayo -
Njengayo yonke eminye imithi, iDydrogesterone inemiphumela engemihle, kanje:
Qaphela: Uma umzimba wakho ulungisa umthamo, imiphumela emibi evamile iyanyamalala futhi ayidingi ukwelashwa. Kodwa kufanele uthintane nodokotela ngokushesha uma unemiphumela emibi engavamile noma enzima.
Xhumana nodokotela wakho uma unokungezwani nemithi ngaphambi kokusebenzisa i-Dydrogesterone. Umkhiqizo ungafaka izinto ezingasebenzi ezinomthelela olimazayo empilweni yomuntu. Iziguli ezinokungavamile okungachazwanga ukopha kwesitho sangasese sowesifazane bayelulekwa futhi ngokumelene nokuyisebenzisa. Xhumana nodokotela wakho ngaphambi kokuthatha imithi uma unezinye izimo zezokwelapha ezicashile, njengesisu izilonda, ukugula kwesibindi, noma isifo sezinso.
Umuthi kufanele uphuzwe ngomlomo futhi ungaphuzwa ngokudla noma ngaphandle kokudla. Kutuswa ukugcina igebe lesikhathi esifanele phakathi komthamo uma isiguli sidinga ukuthatha okungaphezu kokukodwa. Ngaphezu kwalokho, isiguli kufanele siphuze amanzi ngenani elanele ngemva kokuphuza umuthi. Imithi kufanele iphuzwe ngesikhathi esifanayo nsuku zonke ukuze kuqinisekiswe ukuthi umzimba uthola isilinganiso esifanayo semithi.
I-Dydrogesterone isiza ekwelapheni i-endometriosis nokuphazamiseka kokuya esikhathini, kanye nokusiza abesifazane abanezinkinga zokuzala ukuthi bakhulelwe ngempumelelo. Isebenza ngokulawula ukukhula okuvamile nokuchitheka kolwelwesi lwesibeletho ngokulingisa izenzo zeprogesterone, etholakala ngokwemvelo emzimbeni futhi iyadingeka ukuze kulondolozwe. ukukhulelwa nokulawula umjikelezo wokuya esikhathini.
Ungakhohlwa ukuthatha umthamo wakho we-estrogen. Thatha umthamo ogejiwe ngokushesha nje lapho ukhumbula, nokho, yeqa umthamo uma sekusondele isikhathi somthamo olandelayo. Ungalokothi uthathe imithamo emibili ukuze ubuyisele eyodwa ogejile. Kuhlale kuhle ukuthi uqale uthintane nodokotela wakho othintekayo esimweni esingenhla.
Ungalokothi usebenzise i-Dydrogesterone eyengeziwe kunalokho okushiwo. Uma weqise ngephutha, thola usizo lwezempilo oluphuthumayo.
Ukuchayeka okuqondile kwemithi yakho ekushiseni, emoyeni, noma ekukhanyeni kungabangela umonakalo. Kungase kube nemiphumela emibi evela ekuchayekeni kwezidakamizwa. Umuthi kufanele ugcinwe uphephile futhi ungabi kude nezingane. 68ºF ukuya ku-77ºF (20ºC ukuya ku-25ºC) ibanga lokushisa elifanele legumbi lemithi.
Nali ithebula lokuqhathanisa le-Dydrogesterone vs Norethisterone -
|
Isici |
I-Dydrogesterone |
INorethisterone |
|
Imiphumela ye-Androgenic |
Imiphumela emibi engavamile njengezinduna, isikhumba esinamafutha, ukukhula kwezinwele okungafunwa |
Imiphumela emibi evame kakhulu njengezinduna, isikhumba esinamafutha, ukukhula kwezinwele okungafunwa |
|
Umthelela kumjikelezo wokuya esikhathini |
Ingase ingasebenzi kahle ekulawuleni izikhathi ezingajwayelekile |
Ingase isebenze kangcono ekulawuleni izikhathi ezingajwayelekile kanye nasekukhuthazeni imijikelezo ebikezelwayo |
|
Amafutha egazi (lipids) |
Umthelela omuhle kakhulu ku-HDL (enhle) cholesterol kanye ne-triglycerides |
Umthelela omncane omuhle, okungenzeka wehlise i-cholesterol ye-HDL (enhle) nama-triglycerides |
|
Imiphumela yezengqondo |
Ukukhathazeka okukhulayo okungenzeka (ucwaningo olulinganiselwe) |
Amathuba amancane okubangela ukukhathazeka noma ukushintshashintsha kwemizwa |
|
Cost |
Ibiza kakhulu |
Kubiza kancane |
Lapho uthatha i-Dydrogesterone, iziguli zelulekwa ukuba zigweme ukuyisebenzisa ne-Rifampicin, isibulala-magciwane esisetshenziselwa ukwelapha isifo sofuba, ngoba ingehlisa ukusebenza kwe-Dydrogesterone. Futhi, kubalulekile ukubonana nodokotela ngaphambi kokuwusebenzisa nanoma yimiphi eminye imithi, kuhlanganise nezithako zemithi noma izidakamizwa ezitholakala ngaphandle kwekhawunta, ukuze ugweme ukusabela okubi futhi uqinisekise ukusetshenziswa okuphephile.
I-Dydrogesterone iyi-hormone yokwenziwa efana ne-progesterone, esetshenziswa ezimeni ezahlukahlukene njengokuphazamiseka kokuya esikhathini, ukungazali, kanye nezimpawu ezithile zokunqamuka kokuya esikhathini.
Abantu abafanelekayo ngabesifazane abanenkinga yokungalingani kwamahomoni noma labo abadinga ukusekelwa ukuze banakekele ukukhulelwa. Okubalulekile, ukubonisana nodokotela kubalulekile ngaphambi kokuqala i-Dydrogesterone ukuze kuqinisekiswe ukufaneleka kwayo esimweni sezempilo somuntu ngamunye futhi kuncishiswe noma yiziphi izingozi ezingase zibe khona, okugqamisa ukubaluleka kweseluleko sezokwelapha sochwepheshe ekulawuleni ngempumelelo imiphumela yezempilo nokwelashwa.
Izimpendulo. I-Dydrogesterone ibhekwa njengephephile ukuthi isetshenziswe ngaphansi kokuqondisa ngenxa yokuphumelela kwayo okuqinisekisiwe kanye nemiphumela emibi emincane, okwenza kube inketho ekhethwayo ezimweni ezithile. Ochwepheshe bezempilo batusa ukuqapha ukuze kubhekwane nanoma yiziphi izingozi.
Izimpendulo. I-Dydrogesterone, ngesikhathi sokukhulelwa, inqunyelwe ukusekela impilo yolwelwesi, idale indawo yokukhula kwengane. Lokhu kusiza ukwehlisa amathuba okuthi ukukhulelwa kwesisu kanye nokuzalwa ngaphambi kwesikhathi ngokuphindaphinda imiphumela ye-progesterone.
Izimpendulo. Ubude besikhathi sokusetshenziswa kwe-Dydrogesterone buyahlukahluka ngokusekelwe ezidingweni ngokuvamile ezituswayo kuze kube yilapho ukukhulelwa kuzinza noma isikhathi esicacisiwe lapho kwelashwa ukuphazamiseka. Kubalulekile ukuthobela imiyalelo enikezwa umhlinzeki wakho wokunakekelwa kwezempilo.
Izimpendulo. I-Dydrogesterone isetshenziselwa ukukhathazeka kwezempilo zokuzala njengokwelashwa esikhundleni se-hormone, umjikelezo wokuya esikhathini ukulawulwa, ukwelashwa kwe-endometriosis nokuvimbela ukuphuphuma kwezisu ngokuqinisa ulwelwesi.
Izimpendulo. Nakuba i-progesterone yenzeka ngokwemvelo emzimbeni, i-Dydrogesterone iwuhlobo olwenzelwe ukulingisa imisebenzi ye-progesterone ngaphandle kwemiphumela engemihle exhunywe namanye ama-progestogen okwenziwa.
Izimpendulo. Ezimweni, i-Dydrogesterone ibonise ukuphumelela ekuvimbeleni ukuphuphuma kwesisu, ikakhulukazi uma kuhlobene nokuntuleka kwe-progesterone. Ukwengeza ama-hormone ekukhulelweni kusiza ekuthuthukiseni imiphumela ngalesi sikhathi.
Izimpendulo. Abantu abake baba nokusabela ku-Dydrogesterone, ukopha okungachazwanga esithweni sangasese, izinkinga zesibindi ezinzima noma umlando womdlavuza wamahomoni kufanele bakugweme ukusebenzisa i-Dydrogesterone njengoba kungase kubhebhethekise lezi zimo.
Izimpendulo. Uma umthamo ukhohliwe, kufanele uthathwe ngokushesha njengoba ukhunjulwa ngaphandle kwalapho sekusondele isikhathi somthamo olandelayo ohleliwe. Ungaphindi umthamo ukuze ubambe; gcina isimiso somthamo ojwayelekile.
Izimpendulo. I-Dydrogesterone ingase ibangele ukuthamba kwebele noma izinguquko njengomthelela oseceleni kwabanye abasebenzisi. Lezi zimpawu ngokuvamile ziba mnene futhi zixazululeka ngokuqhubeka nokusetshenziswa noma lapho kuyekwa umuthi.
Izimpendulo. Yebo. I-progesterone ne-Dydrogesterone ingathathwa ndawonye kodwa ngaphansi kokuqondisa okuqinile kwezokwelapha ukuze kuqinisekiswe ukuthi amazinga e-hormone ayalingana.
Izimpendulo. Umhlinzeki wezempilo ngokuvamile uncoma isikhathi esingcono kakhulu sokuthatha i-progesterone. Bacebisa ukuthi baphuze imithi njalo ngesikhathi esifanayo usuku ngalunye.