Wena okanye umntu osondeleyo kuwe usenokuba ukhe wamangaliswa kancinci xa ugqirha wakho ekuxelela ngonyango olubizwa ngokuba yi-'Chemical Castration'. Xa sisiva igama elithi 'castration', kufika into eyahlukileyo ngokupheleleyo engqondweni. Kodwa ungoyiki. Oku akukokususwa kwesini ngotyando njengoko unokucinga. Le yindlela yonyango ebaluleke kakhulu esebenzisa amayeza, oko kukuthi, amayeza, ukulawula ezinye iintlobo zomhlaza. Namhlanje, siza kuthetha ngale nto ngendlela elula neyobuhlobo.
Ngamafutshane, yintoni iChemical Castration?
Ngamafutshane, ukuthuthwa kwamayeza yinkqubo yokuyeka okanye yokunciphisa kakhulu ukuveliswa kweehomoni zesini emizimbeni yethu ngamayeza.
Khawucinge nje, iihomoni emizimbeni yethu zifana nabathunywa. Ezi homoni zikhutshwa zingene egazini zivela kwiindlala ezahlukeneyo. Ezi homoni zihamba emzimbeni wonke zize zixelele amalungu ahlukeneyo ukuba "enze oku." Umzekelo, ezi homoni zichaphazela izinto ezifana nokulawula amandla ethu, ukukhula, kunye neemvakalelo zethu. Iihomoni zesondo luhlobo olukhethekileyo lwehomoni. Zibalulekile kwizinto ezifana nokufikisa kunye nokusebenza kwenkqubo yokuzala.
Kodwa, ngamanye amaxesha kukho ingxaki. Ezinye iintlobo zomhlaza, ingakumbi umhlaza we-prostate kunye nezinye iintlobo zomhlaza webele, zisebenzisa ezi hormone zesini "njengokutya". Oko kukuthi, lo gama nje ezi hormone zikhona, iiseli zomhlaza zikhula kakuhle. Ngoko ke, unyango lokuthuthwa kweekhemikhali luyayicima "ukutya" okufunyanwa ngumhlaza, oko kukuthi, ukubonelelwa kweehomoni. Emva koko ukukhula komhlaza kuyayeka okanye kulawulwa kakhulu.
Amanye amagama aliqela asetyenziswa koku. Umzekelo:
- Unyango lweHormone
- Unyango lokuNcitshiswa kweAndrogen
Ziziphi iindlela zokusebenzisa olu nyango?
Oogqirha basebenzisa olu nyango ukunyanga iithumba ezixhomekeke kwiihomoni zesini.
Ukuthetha ngamadoda, iqela eliphambili leehomoni zesini eziveliswa emizimbeni yethu zii -androgens . Nangona ezi hormone ziveliswa nasemizimbeni yabasetyhini ukuya kwinqanaba elithile, zifumaneka uninzi lwazo emizimbeni yamadoda. I-Testosterone yeyona homoni iphambili ye-androgen osenokuba uyivile. Le homoni ibalulekile ekukhuleni nasekusebenzeni kwe-prostate gland. Nangona kunjalo, xa kuvela umhlaza we-prostate, iiseli zomhlaza nazo zisebenzisa le testosterone ukukhula. Kulapho kufuneka khona unyango lokunciphisa le homoni.
Kumhlaza wamabele wabasetyhini, ezinye iintlobo zomhlaza zixhomekeke kwiihomoni ze -estrogen kunye ne -progesterone . Unyango olulawula ezi homoni lusetyenziswa nakwii-cancer ezinjalo.
Wenza ntoni ngaphambi kokuba uqale unyango?
Ngaphambi kokuba ugqirha wakho akunike olu nyango, kuya kufuneka azi kakuhle ukuba uhlobo lomhlaza wakho luya kusabela kakuhle na kunyango lweehomoni. Oku kuya kufuna uvavanyo oluninzi.
- Iskeni ye-CT
- Iskeni yePET
- I-Endoscopy
- I-Biopsy - ukuthatha isiqwenga sethishu ukuze sihlolwe
- Uvavanyo lwegazi olunxulumene nomhlaza
Into ebalulekileyo kukuba olu nyango aluhlali luhleli. Oko kukuthi, emva kokuyeka amayeza, ukuveliswa kweehomoni kubuyela esiqhelweni. Nangona kunjalo, ngamanye amaxesha ugqirha angathetha nangesisombululo esihlala sihleli. Oko kukuthi, utyando olubizwa ngokuba yi-orchiectomy . Oko kukuthi, ukususwa kwesende elinye okanye omabini ngotyando. Oku kunciphisa amanqanaba e-testosterone ngokusisigxina.
Indlela yonyango kunye namayeza asetyenzisiweyo
Olu asilonyango oluqhutywa kube kanye. Olu lunyango oluqhubekayo. Indlela amayeza anikwa ngayo nayo yahlukile.
- Iinaliti: Eyona ndlela isetyenziswa kakhulu.
- Izinto ezifakwayo: Isixhobo esincinci sifakwa phantsi kwesikhumba.
- Iipilisi: Amanye amayeza afumaneka kwifomu yeepilisi.
Ngokuxhomekeke kuhlobo lwamayeza kunye nomthamo wawo, kunokufuneka uphinde olu nyango kube kanye ngenyanga, kube kanye kwiinyanga ezintathu, okanye kube kanye ngonyaka.
Le theyibhile ingezantsi idwelisa ezinye zeentlobo eziphambili zamayeza asetyenziswa ukunyanga umhlaza weprostate. Amagama ayinkimbinkimbi kancinci, kodwa oku kufanele kukuncede ufumane ingcamango ecacileyo.
| Udidi lweziyobisi | Indlela esebenza ngayo kunye nemizekelo |
|---|---|
| Ii-agonists ze-GnRH | Ezi zichaphazela i-pituitary gland kwaye ziyeke isignali eya kumasende ukuze kwenziwe i-testosterone. Ekuqaleni, amanqanaba eehomoni anokunyuka kancinci (i-testosterone flare). Umzekelo: iGoserelin, iLeuprolide. |
| Abachasi be-GnRH | Ezi zinto ziyayimisa imveliso ye-testosterone ngaphandle kokunyusa iihomoni ezikhankanyiweyo apha ngasentla. Umzekelo: iDegarelix. |
| Unyango lwe-antiandrogen | Ezi zithintela iihomoni ze-androgen eziveliswa emzimbeni ukuze iiseli zomhlaza zingakwazi ukuzisebenzisa. Umzekelo: iBicalutamide, iEnzalutamide. |
| Izithinteli zokwenziwa kwe-Androgen | Ezi zinto ziyayimisa imveliso yee-androgens naphi na emzimbeni, kungekuphela nje kumasende. Umzekelo: i-Abiraterone. |
Ziziphi iingenelo, iingxaki, kunye nemiphumo emibi yolu nyango?
Njengalo naluphi na unyango, oku kunezibonelelo kunye nemiphumo emibi.
Iingenelo eziphambili
- Ulawulo loMhlaza: Eyona nzuzo iphambili yoku kukuba yindlela esebenzayo kakhulu yokulawula umhlaza oxhomekeke kwiihomoni.
- Ingaguqulwa: Le yinzuzo enkulu. Ayihlali ihleli njengotyando. Emva kokuba uyekile unyango, amanqanaba ehomoni emzimbeni wakho kunye nomsebenzi wesondo uya kubuyela esiqhelweni kancinci kancinci.
Iziphumo ebezingalindelekanga ezinokubakho
Ezinye iziphumo ebezingalindelekanga zinokwenzeka xa usebenzisa olu nyango ixesha elide. Nangona kunjalo, ugqirha wakho uza kuxoxa nawe ngazo zonke ezi zinto aze akunike iingcebiso ezifanelekileyo zokuzilawula.
- Umnqweno ophantsi wesondo/i-libido
- Ubushushu obugqithisileyo
- I-Osteoporosis
- Iingxaki nge-metabolism yamafutha kunye neswekile emzimbeni
- Uxinzelelo
- Ubunzima bomzimba obunciphileyo
- I-anemia
- Ukusebenza nzima
Ingaba oku kubuhlungu? Ukusela iipilisi akubuhlungu. Nangona kunjalo, xa ufumana inaliti okanye i-implant, usenokuziva intlungu okanye ukutsha kancinci. Kodwa oko kudla ngokunyamalala emva kwexesha elithile.
Eminye imibuzo ebuzwa rhoqo
Ingaba oku kufana nokuthenwa ngotyando?
Hayi. Ukuthenwa ngotyando kukususwa ngokusisigxina kwamasende okanye amaqanda. Ukuthenwa ngamakhemikhali kukuyeka okwethutyana ukuveliswa kweehomoni kusetyenziswa amayeza. Nje ukuba amayeza ayeke, ukuveliswa kweehomoni kuyaqala kwakhona.
Ingaba le yindlela yokwenza i-vasectomy?
Akunjalo konke konke. I-vasectomy yindlela yokulawula ukuzala esisigxina kumadoda. Ithintela kuphela ukuphuma kwesidoda. Ayinampembelelo kumanqanaba eehomoni zakho, umdla wokwabelana ngesondo, okanye ukusebenza kwesondo.
Ndingalala ngesondo emva konyango?
Ewe. Kodwa ungaziva umnqweno wesondo omncinci kwaye ungabi namnqweno wesondo. Kwakhona, ukuqina kwakho kusenokungabi nzima, kuhlale ixesha elide, okanye kuhlale ixesha elide njengoko kwakunjalo ngaphambili. Thetha nogqirha wakho ngale nto ngokukhululekileyo.
Umyalezo Wokuya Ekhaya
- Igama elithi 'chemical castration' liyoyikisa, kodwa libhekisa kunyango lweziyobisi lomhlaza oxhomekeke kwiihomoni.
- Olu asilotyando oluhlala luhleli. Ukusebenza komzimba kuya kubuyela esiqhelweni emva kokuba unyango luyekisiwe.
- Oku kunciphisa amanqanaba eehomoni zesondo ezinceda ukukhula kweeseli zomhlaza.
- Iziphumo ebezingalindelekanga zinokubakho, kodwa ugqirha wakho uza kukunceda uzilawule.
- Zive ukhululekile ukuthetha nogqirha wakho malunga naluphi na uloyiko, amathandabuzo, okanye iinkxalabo onokuba nazo. Lilungelo lakho.
👩🏽⚕️ Imibuzo eyongezelelweyo (Ii-FAQ)
💬 Yintoni ukopha kakhulu exesheni/iMenorrhagia?
Ukopha kakhulu exesheni yimeko eyingozi apho inani legazi eliphumayo ngexesha eliqhelekileyo lokuya exesheni limalunga ne-30-40 ml, kodwa ukuba liphindwe kabini/kathathu (ngaphezu kwe-80 mL), kuya kufuneka utshintshe i-pad/itamponi yakho rhoqo ngeyure, ukuba unamahlwili egazi amakhulu (angaphezulu kwengqekembe ye-rupee), kwaye ukuba wopha ngaphezulu kweentsuku ezi-7, oku kunokukhokelela kwi-anemia kwaye isigulana sinokugula kakhulu!
💬 Zeziphi izizathu eziphambili zokopha exesheni (Menorrhagia)?
Kukho izizathu ezi-4 eziphambili zoku: 1) 'Ii-Uterine Fibroid' - Nangona ezi zi-tumor ezingezizo zomhlaza, zibangela ukuba isibeleko singanciphi kwaye zibangele ukopha kakhulu (le yeyona nto ixhaphakileyo). 2) Ii-Endometrial Polyps kunye ne-Adenomyosis. 3) Ukungalingani kweehomoni (PCOS/thyroid). 4) Ii-loops ezincinci zocwangciso losapho (IUDs) kunye neyona nto iyingozi kakhulu: 'Umhlaza we-Endometrial/Cervical'.
💬 Xa uphuma igazi elininzi ngexesha lokuya exesheni, zeziphi 'iimeko ezisongela ubomi/ezingxamisekileyo' ezifuna ukulaliswa esibhedlele/ukuya kwi-VOG ngokukhawuleza ngaphandle kokuthatha amayeza kwikhemesti?
Ukuba wopha igazi elingaphezulu kunesiqhelo kangangeentsuku ezimbini, ungalibonisa i-VOG (gynecologist) kwiiveki ezimbalwa (ukuze uhlolwe nge-ultrasound). Kodwa eyona ngozi inkulu! 1) Ukuba oku kuphuma kwegazi kubangela 'i-anemia enzima / i-hypovolemic shock', 2) Ukuba unentlungu yesisu enganyamezelekiyo (intlungu ye-pelvic enzima), 3) Ukuba umfazi okhulelweyo wopha igazi ngolu hlobo (ukuphuma kwesisu / i-ectopic), isibeleko sinokuqhushumba kwaye isigulane sinokufa, ngoko ke kufuneka alaliswe esibhedlele ngoko nangoko!
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