Iwe kana mumwe munhu ari pedyo newe mungave makashamisika zvishoma apo chiremba wenyu akakuudzai nezvemushonga unonzi 'Chemical Castration'. Patinonzwa izwi rekuti 'castration', chimwe chinhu chakasiyana zvachose chinouya mupfungwa dzenyu. Asi musatya. Uku hakusi kubviswa kwenhengo dzesikarudzi sezvamungafunga. Iyi inzira yakakosha yekurapa inoshandisa mishonga, kureva mishonga, kudzora mamwe marudzi ekenza. Nhasi, tichataura nezvazvo nenzira iri nyore uye ine hushamwari.
Zvichitaurwa zviri nyore, chii chinonzi Chemical Castration?
Zvichitaurwa zviri nyore, kuchekwa kwemakemikari inzira yekumisa kana kuderedza zvakanyanya kugadzirwa kwemahormone epabonde mumuviri wedu kuburikidza nemishonga.
Zvino funga nezvazvo, mahormone ari mumiviri yedu akafanana nevatumwa. Mahormone aya anoburitswa muropa kubva mumagland akasiyana. Vatumwa ava vanofamba mumuviri wese vachiudza nhengo dzakasiyana kuti "dziite izvi." Semuenzaniso, mahormone aya anokanganisa zvinhu zvakaita sekudzora simba redu, kukura, uye manzwiro edu. Mahormone ebonde imhando yakakosha yehormone. Akakosha pazvinhu zvakaita sekuyaruka uye kushanda kwehurongwa hwekubereka.
Asi, dzimwe nguva pane dambudziko. Mamwe marudzi egomarara, kunyanya gomarara reprostate nemamwe marudzi egomarara rezamu, anoshandisa mahormone aya ebonde se "chikafu". Kureva kuti, chero bedzi mahormone aya aripo, masero egomarara anokura zvakanaka. Saka, kurapwa kwemakemikari kunobvisa "chikafu" chinowanikwa negomarara, ndiko kuti, kuwaniswa kwemahormone. Ipapo kukura kwegomarara kunomira kana kuti kunodzorwa zvakanyanya.
Mamwe mazita akati wandei anoshandiswa pakuita izvi. Semuenzaniso:
- Kurapa Mahormone
- Kurapa kweAndrogen Deficit
Mashandisirwo ekurapa uku ndeapi?
Vanachiremba vanonyanya kushandisa mushonga uyu kurapa mabundu anokonzerwa nemahormone epabonde.
Tichitaura nezvevarume, boka guru remahormone epabonde anogadzirwa mumiviri yedu iandrogens . Kunyangwe izvi zvichigadzirwawo mumiviri yevakadzi kusvika pamwero wakati, zvinowanikwa mumiviri yevarume. Testosterone ndiyo hormone huru yeandrogen yawakanzwa nezvayo. Iyi hormone inokosha pakukura nekushanda kweprostate gland. Zvisinei, kana kenza yeprostate ikaitika, masero ekenza anoshandisawo testosterone iyi kukura. Ndipo panodiwa kurapwa kuderedza hormone iyi.
Mukenza yemazamu evakadzi, mamwe marudzi ekenza anoenderana nemahormone eestrogen neprogesterone . Mishonga inodzora mahormone aya inoshandiswawo kune kenza dzakadaro.
Chii chaunoita usati watanga kurapwa?
Chiremba wako asati akupa mushonga uyu, anofanira kuziva kana mhando yegomarara rako ichapindura zvakanaka kana ukatora mishonga yemahormone. Izvi zvinoda kuongororwa kwakawanda.
- Kuongororwa kweCT
- Kuskena kwePET
- Endoscopy
- Biopsy - kutora chidimbu chenyama kuti chiongororwe
- Kuongororwa kweropa kunokonzerwa nekenza
Chinhu chakakosha ndechekuti kurapwa uku hakusi kwechigarire. Kureva kuti, mushure mekumira kushandisa mushonga, kugadzirwa kwemahormone kunodzokera pakuva kwakajairika. Zvisinei, dzimwe nguva chiremba anogona kutaurawo nezvemhinduro yechigarire. Kuvhiya uku kunonzi orchiectomy . Kureva, kubviswa kwechirume chimwe chete kana ese ari maviri. Izvi zvinoderedza zvachose mazinga e testosterone.
Nzira yekurapa nemishonga inoshandiswa
Uku hakusi kurapwa kamwe chete. Uku kurapwa kunoramba kuripo. Mashandisirwo emushonga uyu akasiyanawo.
- Majekiseni: Nzira inonyanya kushandiswa.
- Zvimiti: Mudziyo mudiki unoiswa pasi peganda.
- Mapiritsi: Mimwe mishonga inowanikwa muchimiro chemapiritsi.
Zvichienderana nerudzi rwemushonga uye mwero wawo, ungangoda kudzokorora mushonga uyu kamwe chete pamwedzi, kamwe chete pamwedzi mitatu yega yega, kana kamwe chete pagore.
Tafura iri pazasi inoratidza mamwe emakirasi makuru emishonga inoshandiswa kurapa kenza yeprostate. Mazita acho akaomarara zvishoma, asi izvi zvinofanira kukubatsira kuwana pfungwa isina musoro.
| Rudzi rwemishonga | Mashandiro ayo uye mienzaniso |
|---|---|
| GnRH agonists | Izvi zvinokanganisa pituitary gland uye zvinomisa chiratidzo kumachende kuti pagadzirwe testosterone. Pakutanga, huwandu hwemahormone hunogona kuwedzera zvishoma (testosterone flare). Semuenzaniso: Goserelin, Leuprolide. |
| Vadzivisi veGnRH | Izvi zvinomisa kugadzirwa kwe testosterone pasina kuwedzera mahormone ataurwa pamusoro apa. Semuenzaniso: Degarelix. |
| Kurapa kweAntiandrogen | Izvi zvinovhara mahormone e androgen anogadzirwa mumuviri zvekuti masero egomarara haakwanise kuashandisa. Semuenzaniso: Bicalutamide, Enzalutamide. |
| Zvinodzivisa kugadzirwa kweAndrogen | Izvi zvinomisa kugadzirwa kwema androgens chero kupi zvako mumuviri, kwete mumachende chete. Semuenzaniso: Abiraterone. |
Ndezvipi zvakanakira, zvazvakaipira, uye migumisiro yekurapa uku?
Kufanana nekurapa kupi zvako, izvi zvine zvakanakira uye migumisiro.
Zvakanakira zvikuru
- Kudzora Gomarara: Chinhu chikuru chinoita kuti izvi zviitike ndechekuti inzira inoshanda zvikuru yekudzora gomarara rinokonzerwa nemahormone.
- Zvinogona Kudzoserwa: Izvi zvinobatsira zvikuru. Hazvigari zvachose sekuvhiyiwa. Mushure mekumira kurapwa, huwandu hwemahormone emuviri wako uye mashandiro epabonde zvinodzokera zvishoma nezvishoma kune zvakajairika.
Migumisiro inogona kuitika
Mimwe migumisiro inogona kuitika kana ukashandisa mushonga uyu kwenguva yakareba. Zvisinei, chiremba wako achakurukura newe zvese izvi uye achakupa mazano anodiwa ekugadzirisa.
- Kuda bonde kushoma/libido yakaderera
- Kupisa kunopisa
- Osteoporosis
- Matambudziko ekuchinja kwemafuta neshuga mumuviri
- Kuora mwoyo
- Kuderera kwehuremu hwemuviri
- Kushaya ropa
- Kushanda nesimba
Izvi zvinorwadza here? Kunwa mapiritsi hakurwadzi. Zvisinei, kana ukabayiwa jekiseni kana kuti kuiswa muchibereko, unogona kunzwa kurwadziwa zvishoma kana kupisa. Asi izvozvo zvinowanzopera mushure mechinguva.
Mibvunzo inowanzo bvunzwa
Izvi zvakafanana nekuvhiyiwa here?
Kwete. Kuvhiyiwa kubvisa machende kana maovari zvachose. Kuvhiyiwa kwemakemikari kunoreva kurega kugadzirwa kwemahormone kwenguva pfupi uchishandisa mushonga. Kana mushonga wamiswa, kugadzirwa kwemahormone kunotangazve.
Izvi ndizvo zvinoitwa ne vasectomy here?
Kwete zvachose. Kubvisa pamuviri inzira yekudzivirira pamuviri yevarume inogara iripo. Inongomisa kubuda kwembeu. Haina zvazvinoita pahuwandu hwemahormone ako, chido chebonde, kana mashandiro ebonde.
Ndingaite bonde here mushure mekurapwa?
Ehe. Asi unganzwa kuda zvepabonde kushoma uye kuda zvepabonde kushoma. Zvakare, kumira kwako kwepabonde kunogona kusanyanya kuoma, kusagara kwenguva refu, kana kuti kusawanzoitika sezvazvaimboita. Taura nachiremba wako nezvazvo pachena.
Mharidzo Yekuenda Nayo Kumba
- Zita rekuti 'Chemical castration' rinotyisa, asi rinoreva mushonga wegomarara rinokonzerwa nemahormone.
- Uku hakusi kuvhiyiwa kwechigarire. Mashandiro emuviri anogona kudzokera pakuva akajairika mushure mekunge kurapwa kwamira.
- Izvi zvinoderedza huwandu hwemahormone epabonde anobatsira kukura kwemasero ekenza.
- Migumisiro inogona kuitika, asi chiremba wako achakubatsira kuidzora.
- Inzwa wakasununguka kutaura nachiremba wako nezvekutya, kusava nechokwadi, kana zvinokunetsa. Ikodzero yako.
👩🏽⚕️ Mibvunzo yekuwedzera (Mibvunzo Inowanzo bvunzwa)
💬 Chii chinonzi kubuda ropa zvakanyanya panguva yekuenda kumwedzi / Menorrhagia?
Kubuda ropa rakawanda panguva yekuenda kumwedzi chirwere chine njodzi apo huwandu hweropa rinobuda panguva yekuenda kumwedzi kwakajairika hunenge 30-40 ml, asi kana riri kaviri/katatu (rinopfuura 80 mL), unofanirwa kuchinja pad/tampon yako awa yega yega, kana uine ropa rakakomba (rakakura kupfuura mari yerupee), uye kana ukabuda ropa kwemazuva anopfuura manomwe, izvi zvinogona kukonzera anemia uye murwere anogona kurwara zvakanyanya!
💬 Ndezvipi zvikonzero zvikuru zvekubuda ropa panguva yekuenda kumwedzi (Menorrhagia)?
Pane zvikonzero zvikuru zvina zveizvi: 1) 'Uterine Fibroids' - Kunyangwe aya ari mabundu asiri ekenza, anokonzera kuti chibereko chisabatane uye anokonzera kubuda ropa rakawanda (ichi ndicho chikonzero chinowanzoitika). 2) Endometrial Polyps uye Adenomyosis. 3) Hormonal imbalance (PCOS/thyroid). 4) Small family planning loops (IUDs) uye chikonzero chine njodzi zvikuru: 'Endometrial/Cervical Cancer'.
💬 Kana uchibuda ropa rakawanda panguva yekuenda kumwedzi, ndeapi mamiriro ezvinhu anotyisidzira hupenyu/emergency anoda kuti munhu apinde muchipatara/aendeswe kuchipatara nekukurumidza asina kutora mishonga kubva kupharmacy?
Kana ukabuda ropa kupfuura zvakajairika kwezuva rimwe chete kana maviri, unogona kuzviratidza kuna VOG (gynecologist) mumavhiki mashoma (kuti uiongorore ne ultrasound). Asi njodzi huru! 1) Kana kubuda ropa uku kuchikonzera 'anemia yakanyanya / hypovolemic shock', 2) Kana uine kurwadziwa kusingatsungiririki mudumbu (kurwadziwa kwakanyanya kwepelvic), 3) Kana mukadzi ane pamuviri akabuda ropa seizvi (kubva pamuviri / ectopic), chibereko chinogona kuputika uye murwere anogona kufa, saka anofanira kuendeswa kuchipatara nekukasika!
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