Docs Iti Iyo Nyowani FDA-Yakagamuchirwa Piritsi yekurapa Endometriosis Inogona Kuva Mutambo-Chinji
Zvemukati
Pakutanga svondo rino, Chikafu neDrug Administration chakabvumidza mushonga mutsva unogona kuita kuti kurarama ne endometriosis kuve nyore kune anopfuura gumi muzana evakadzi vanorarama nemamiriro anorwadza, uye dzimwe nguva anodonhedza.(Yakabatana: Lena Dunham Aive neZere Hysterectomy yekumumisa Her Endometriosis Pain)
Kukurumidza kudzoreredza: "Endometriosis chirwere chinokanganisa vakadzi vezera rekubereka uko jira rechibereko rinokura kunze kwechibereko," anodaro Sanjay Agarwal, MD, purofesa wezvekuzvara, gynecology, uye sainzi yekubereka paUC San Diego Health. "Zviratidzo zvinogona kuve zvakasiyana asi zvinowanzoenderana nenguva dzinorwadza uye kurwadziwa nekusangana-izvi zviratidzo zvinogona kutyisa." (Endometriosis inogonawo kukonzera kushaya mbereko. Kutanga kwegore rino, Halsey akataura nezvekuomesa mazai ake aine makore makumi maviri nematatu nekuda kweendometriosis yake.)
Kupiwa endometriosis inokanganisa mazana emamiriyoni evakadzi pasi rese, vanachiremba vachiri kuziva zvinotyisa zvishoma nezve izvo zvinokonzeresa maronda anorwadza. "Hatina chokwadi chekuti sei vamwe vakadzi vachikudziridza uye vamwe vasingadaro kana kuti nei kune vamwe vakadzi chingave chimiro chisina kunaka uye kune vamwe chinogona kuva chinorwadza zvakanyanya," anodaro Zev Williams, MD, Ph.D ., mukuru weDhipatimendi reKubereka Endocrinology uye Kusabereka kuColumbia University Medical Center.
Izvo vanachiremba vanoziva kuti "estrogen inowanzoita kuti chirwere uye zviratidzo zviwedzere," anodaro Dr. Agarwal, ndosaka endometriosis inowanzokonzera nguva inorwadza zvikuru. Iyo inotenderera yakaipa, anowedzera Dr. Williams. "Zvironda zvinokonzeresa kuzvimba, izvo zvinoita kuti muviri uburitse estrogen, iyo inokonzeresa kuzvimba, zvichingodaro," anotsanangura. (Yakabatana: Julianne Hough Anotaura Nezve Kurwisana Kwake neEndometriosis)
"Chimwe chezvinangwa zvekurapa kuyedza kupaza iko kutenderera kungave nekushandisa mishonga inoderedza kuzvimba kana kuvapo kweestrogen," Dr. Williams anodaro. "Munguva yakapfuura, takaita izvi nezvinhu zvakaita semapiritsi ekudzivirira kuberekwa ayo anoita kuti huwandu hwemukadzi wesrogen isaderera kana kushandisa mishonga yakaita seMotrin, inova inorwisa kuzvimba."
Imwe nzira yekurapa ndeyekumisa muviri kubva mukugadzira yakawanda estrogen munzvimbo yekutanga-nzira yakamboitwa kuburikidza jekiseni, anodaro Dr. Williams. Izvi ndizvo chaizvo zvinoita Orilissa, iyo ichangobvumidzwa FDA-inogamuchirwa mishonga, inoshanda-kunze kwepiritsi rezuva nezuva.
Vanachiremba vanoti piritsi, iro rakagamuchirwa neFDA kutanga kwesvondo rino uye rinotarisirwa kuwanikwa mukutanga kwaNyamavhuvhu, rinogona kuve shanduko yemutambo kune vakadzi vane endometriosis ine mwero kusvika kune yakaoma. "Ichi chinhu chikuru munyika yehutano hwevakadzi," anodaro Dr. Agarwal. "Kugadzirwa mumunda we endometriosis kwave kusiripo kwemakumi emakore, uye nzira dzekurapa dzatiri kunetsa," anodaro. Nepo mushonga uri nhau dzinonakidza, mutengo wevasina-inishuwarenzi varwere hausi. Kupihwa kwemavhiki mana emushonga kuchadhura $ 845 pasina inishuwarenzi, inoshuma iyo Chicago Tribune.
Orilissa anorapa sei endometriosis kurwadziwa?
"Kazhinji uropi hunoita kuti mazai agadzire oestrogen, izvo zvinomutsa hutanda hwechibereko-uye endometriosis maronda-kuti akure," anotsanangura Dr. Williams, uyo akabvunza nekambani yemishonga iri kumashure kweOrilissa payakanga ichigadzirwa. Orilissa anodzvanya zvinyoronyoro endometriosis-triggering estrogen ne "kuvharira uropi kubva pakutumira chiratidzo kune ovary kuti ibudise estrogen," anodaro.
Sezvo estrogen mayero anoderera, ndozvinoitawo marwadzo endometriosis. Mune iyo FDA-yakavhenekwa kiriniki miedzo yaOrilissa, iyo yaisanganisira vangangoita chiuru nemazana manomwe evakadzi vane mwero kusvika mukurwadza endometriosis kurwadziwa, mushonga uyu wakadzora zvakanyanya mhando nhatu dzemarwadzo endometriosis: kurwadziwa kwemazuva ese, kurwadziwa kwenguva, uye kurwadziwa panguva yepabonde.
Ndeipi mhedzisiro?
Kurapa kwazvino kweendometriosis kazhinji kunouya nemhedzisiro senge isina kubuda ropa, mburwa, kuwedzera uremu, uye kushushikana. "Nekuti uyu mushonga mutsva unodzvinyirira isrogen zvinyoro nyoro, haufanire kuva nehukuru hwakaenzana hwemhedzisiro inogona kunge iine mimwe mishonga," anodaro Dr. Agarwal, uyo aive mukiriniki muongorori pachirongwa chekudzidza.
Mazhinji mhedzisiro idiki-asi nekuti inokonzeresa kudonha kweestrogen, Orilissa inogona kukonzera kumisa-kunge zviratidzo senge kupisa kunopisa, kunyangwe nyanzvi dzichiti hapana humbowo hwekuti inogona kukukandira mukutanga kuenda kumwedzi.
Njodzi huru ndeyekuti mushonga unogona kukonzera kudzikira kwefupa. Muchokwadi, iyo FDA inokurudzira kuti mushonga unofanirwa kutorwa chete kweanopfuura makore maviri, kunyangwe padosi repasi. "Kunetseka nekuderera kwepfupa ndeyekuti inogona kutungamirira kukutyoka," anodaro Dr. Williams. "Izvi zvinonyanya kunetsekana nevakadzi pavanenge vari pasi pemakore makumi matatu nemashanu uye vari mumakore ekuvaka kwavo kukwirira kwemapfupa." (Nhau dzakanaka: Kuita maekisesaizi kunogona kubatsira kuchengetedza huwandu hwepfupa rako uye kuderedza osteoporosis.)
Saka, zvinoreva here kuti Orilissa anongova maviri-gore bhendi-rubatsiro pakunaka? Kunge. Ukangomisa mushonga, nyanzvi dzinoti kurwadziwa kwacho kungangotanga kudzoka zvishoma nezvishoma. Asi kunyange makore maviri asina marwadzo anokosha. "Chinangwa chekutungamira kwehormone kuedza kunonoka kukura kwezvironda zveendometriosis kubvisa zviratidzo uye kana kudzivirira kudiwa kwekuvhiyiwa kana kunonoka apo kuvhiya kwaizodiwa," anodaro Dr. Williams.
Mushure mekunge mapedza nguva yako yekutora mushonga, vazhinji vanyori vangakurudzira kudzokera kukurapa kwakafanana nekudzora kubereka kubatsira kudzivirira kukura uku, Dr. Williams anodaro.
Chii chinokosha?
Orilissa haisi yemashiripiti bullet, uye haisi mushonga we endometriosis (zvinosuwisa, hapachina imwe). Asi iyo piritsi ichangobvumidzwa inomiririra danho rakakura pamberi pakurapwa, kunyanya kune vakadzi vane marwadzo akakomba, Dr. Agarwal anodaro. "Ino inguva inonakidza yevakadzi vane endometriosis."
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