Wena noma othile oseduze nawe kungenzeka ukuthi nimangale kancane lapho udokotela wakho enitshela ngokwelashwa okubizwa ngokuthi 'i-Chemical Castration'. Uma sizwa igama elithi 'castration', kufika into ehluke ngokuphelele engqondweni. Kodwa ungesabi. Lokhu akusikho ukususwa kwezitho zangasese ngokuhlinzwa njengoba ungase ucabange. Lena indlela yokwelapha ebaluleke kakhulu esebenzisa izidakamizwa, okungukuthi, imithi, ukulawula ezinye izinhlobo zomdlavuza. Namuhla, sizoxoxa ngalokhu ngendlela elula nenobungane.
Kalula nje, kuyini i-Chemical Castration?
Kalula nje, ukuthenwa ngamakhemikhali inqubo yokumisa noma yokunciphisa kakhulu ukukhiqizwa kwama-hormone ocansi emizimbeni yethu ngemithi.
Manje cabanga ngakho, ama-hormone emizimbeni yethu afana nezithunywa. Lawa ma-hormone akhishwa egazini esuka ezinhlayiyeni ezahlukene. Lawa ma-hormone ahamba emzimbeni wonke futhi atshele izitho ezahlukene ukuthi "zenze lokhu." Isibonelo, lawa ma-hormone athinta izinto ezifana nokulawula amandla ethu, ukukhula, kanye nemizwa yethu. Ama-hormone ocansi awuhlobo olukhethekile lwe-hormone. Abalulekile ezintweni ezifana nokuthomba kanye nokusebenza kohlelo lokuzala.
Kodwa, ngezinye izikhathi kuba nenkinga. Ezinye izinhlobo zomdlavuza, ikakhulukazi umdlavuza wendlala kanye nezinye izinhlobo zomdlavuza webele, zisebenzisa la ma-hormone ocansi "njengokudla". Okusho ukuthi, uma nje la ma-hormone ekhona, amangqamuzana omdlavuza akhula kahle. Ngakho-ke, ukwelashwa ngamakhemikhali okususa "ukudla" okutholwa umdlavuza, okungukuthi, ukutholakala kwama-hormone. Khona-ke ukukhula komdlavuza kuyayeka noma kulawulwa kakhulu.
Amanye amagama amaningana asetshenziswa kulokhu. Isibonelo:
- Ukwelashwa ngama-hormone
- Ukwelashwa Kokuncishwa Kwe-Androgen
Yiziphi izindlela zokusebenzisa lokhu kwelashwa?
Odokotela basebenzisa kakhulu lolu hlobo lokwelapha ukwelapha izimila ezincike kuma-hormone ocansi.
Uma sikhuluma ngamadoda, iqembu eliyinhloko lama-hormone ocansi akhiqizwa emizimbeni yethu yi -androgens . Nakuba lawa ekhiqizwa nasemizimbeni yabesifazane ngezinga elithile, atholakala kakhulu emizimbeni yamadoda. I-Testosterone yi-hormone eyinhloko ye-androgen okungenzeka ukuthi uke wezwa ngayo. Le hormone ibalulekile ekukhuleni nasekusebenzeni kwe-prostate gland. Kodwa-ke, lapho kuvela umdlavuza we-prostate, amangqamuzana omdlavuza nawo asebenzisa le testosterone ukuze akhule. Yilapho-ke ukwelashwa kokunciphisa le hormone kuyadingeka.
Kumdlavuza webele wabesifazane, ezinye izinhlobo zomdlavuza zincike kuma-hormone i-estrogen ne -progesterone . Ukwelashwa okulawula la ma-hormone kuyasetshenziswa nakumdlavuza onjalo.
Yini oyenzayo ngaphambi kokuqala ukwelashwa?
Ngaphambi kokuba udokotela wakho akunike lokhu kwelashwa, kuzodingeka azi kahle ukuthi uhlobo lwakho lomdlavuza luzosabela kahle yini ekwelashweni ngama-hormone. Lokhu kuzodinga ukuhlolwa okuningana.
- Ukuskena kwe-CT
- Ukuskena kwe-PET
- I-Endoscopy
- I-Biopsy - ukuthatha ingcezu yezicubu ukuze ihlolwe
- Ukuhlolwa kwegazi okuhlobene nomdlavuza
Into ebalulekile ukuthi lokhu kwelashwa akuhlali njalo. Okusho ukuthi, ngemva kokuyeka imithi, ukukhiqizwa kwamahomoni kubuyela esimweni esijwayelekile. Kodwa-ke, ngezinye izikhathi udokotela angase akhulume nangesisombululo esihlala njalo. Lokho ukuhlinzwa okubizwa ngokuthi i-orchiectomy . Okusho ukuthi, ukususwa ngokuhlinzwa kwesende elilodwa noma womabili. Lokhu kunciphisa amazinga e-testosterone unomphela.
Indlela yokwelapha kanye nemithi esetshenziswayo
Lokhu akuyona ukwelashwa okwenziwa kanye kuphela. Lokhu ukwelashwa okuqhubekayo. Indlela umuthi onikezwa ngayo nayo ihlukile.
- Imijovo: Indlela evame ukusetshenziswa kakhulu.
- Izimila: Idivayisi encane ifakwa ngaphansi kwesikhumba.
- Amaphilisi: Eminye imithi iyatholakala ngesimo samaphilisi.
Kuye ngohlobo lomuthi kanye nomthamo, kungadingeka ukuthi uphinde lokhu kwelashwa kanye ngenyanga, kanye njalo ezinyangeni ezintathu, noma kanye ngonyaka.
Ithebula elingezansi libala ezinye zezinhlobo eziyinhloko zemithi esetshenziswa ukwelapha umdlavuza wendlala. Amagama ayinkimbinkimbi kancane, kodwa lokhu kufanele kukusize uthole umbono ongemuhle.
| Isigaba sezidakamizwa | Indlela esebenza ngayo kanye nezibonelo |
|---|---|
| Ama-agonist e-GnRH | Lokhu kuthinta indlala ye-pituitary futhi kumise isignali eya emasendeni ukuze kwenziwe i-testosterone. Ekuqaleni, amazinga ama-hormone angakhuphuka kancane (i-testosterone flare). Isibonelo: i-Goserelin, i-Leuprolide. |
| Abaphikisi be-GnRH | Lokhu kumisa ukukhiqizwa kwe-testosterone ngaphandle kokwandisa ama-hormone okukhulunywe ngawo ngenhla. Isibonelo: i-Degarelix. |
| Ukwelashwa kwe-antiandrogen | Lokhu kuvimbela ama-hormone e-androgen akhiqizwa emzimbeni ukuze amangqamuzana omdlavuza angakwazi ukuwasebenzisa. Isibonelo: i-Bicalutamide, i-Enzalutamide. |
| Izithibi zokwenziwa kwe-Androgen | Lokhu kuvimbela ukukhiqizwa kwama-androgen noma kuphi emzimbeni, hhayi emasendeni kuphela. Isibonelo: i-Abiraterone. |
Yiziphi izinzuzo, ukungalungi, kanye nemiphumela emibi yalokhu kwelashwa?
Njenganoma yikuphi ukwelashwa, lokhu kunezinzuzo nemiphumela emibi.
Izinzuzo eziyinhloko
- Ukulawulwa Komdlavuza: Inzuzo enkulu yalokhu ukuthi kuyindlela ephumelela kakhulu yokulawula umdlavuza oxhomeke kuma-hormone.
- Okungaguquki: Lokhu kuyinzuzo enkulu. Akuhlali njalo njengokuhlinzwa. Ngemva kokuyeka ukwelashwa, amazinga ama-hormone omzimba wakho kanye nokusebenza kocansi kuzobuyela kancane kancane esimweni esijwayelekile.
Imiphumela emibi engaba khona
Eminye imiphumela emibi ingase ivele uma uthatha lo muthi isikhathi eside. Kodwa-ke, udokotela wakho uzoxoxa nawe ngakho konke lokhu futhi akunike iseluleko esidingekayo sokukulawula.
- Isifiso socansi esiphansi/i-libido ephansi
- Ukushisa okukhulu
- I-Osteoporosis
- Izinkinga ngokuguqulwa kwamafutha noshukela emzimbeni
- Ukucindezeleka
- Ukuncipha kwesisindo somzimba
- I-anemia
- Ukusebenza kanzima
Ingabe lokhu kubuhlungu? Ukuthatha amaphilisi akubuhlungu. Kodwa-ke, uma uthola umjovo noma i-implant, ungase uzizwe ubuhlungu noma ukushisa okuncane. Kodwa lokho kuvame ukuphela ngemva kwesikhashana.
Eminye imibuzo evame ukubuzwa
Ingabe lokhu kufana nokuthenwa ngokuhlinzwa?
Cha. Ukuthenwa ngokuhlinzwa ukususwa unomphela kwamasende noma ama-ovari. Ukuthenwa ngamakhemikhali ukumiswa okwesikhashana kokukhiqizwa kwama-hormone kusetshenziswa imithi. Uma imithi isiyekiwe, ukukhiqizwa kwama-hormone kuyaqala futhi.
Ingabe lokhu yikho okwenziwa yi-vasectomy?
Lutho neze. I-vasectomy iyindlela yokuvimbela inzalo ehlala njalo yabesilisa. Imisa kuphela ukuphuma kwesidoda. Ayinawo umthelela emazingeni akho ama-hormone, isifiso socansi, noma ukusebenza kocansi.
Ngingakwazi yini ukuya ocansini ngemva kokwelashwa?
Yebo. Kodwa ungase uzizwe ungenaso isifiso socansi futhi ungabi nesifiso sokwenza ucansi. Futhi, ukumisa kwakho kungase kungabi nzima, kuhlale isikhathi eside, noma kungafiki kaningi njengoba kwakunjalo ngaphambili. Khuluma nodokotela wakho ngalokhu ngokukhululekile.
Umlayezo Wokuya Nawe Ekhaya
- Igama elithi 'Chemical castration' liyesabeka, kodwa libhekisela ekwelashweni ngemithi yomdlavuza oxhomeke kuma-hormone.
- Lokhu akusihlinzwa unomphela. Ukusebenza komzimba cishe kuzobuyela esimweni esijwayelekile ngemva kokumiswa kokwelashwa.
- Lokhu kunciphisa amazinga ama-hormone ocansi asiza amangqamuzana omdlavuza ukukhula.
- Imiphumela emibi ingase ivele, kodwa udokotela wakho uzokusiza ukuyilawula.
- Zizwe ukhululekile ukukhuluma nodokotela wakho nganoma yikuphi ukwesaba, ukungabaza, noma ukukhathazeka ongase ube nakho. Kuyilungelo lakho.
👩🏽⚕️ Imibuzo eyengeziwe (ama-FAQ)
💬 Kuyini Ukopha Okukhulu Kwesikhathi Sokuya Esikhathini / I-Menorrhagia?
Ukopha Okukhulu Kokuya Esikhathini Kuyisimo esiyingozi lapho inani legazi eliphumayo ngesikhathi sokuya esikhathini esijwayelekile lingaba ngu-30-40 ml, kodwa uma liphindwe kabili/kathathu (ngaphezu kuka-80 mL), kufanele ushintshe iphedi/i-tampon yakho njalo ngehora, uma unamahlule amakhulu egazi (angaphezu kohlamvu lwemali lwe-rupee), futhi uma wopha izinsuku ezingaphezu kweziyi-7, lokhu kungaholela ekulahlekelweni yigazi futhi isiguli singase sigule kakhulu!
💬 Yiziphi izimbangela eziyinhloko zokopha esikhathini (i-Menorrhagia)?
Kunezimbangela ezi-4 eziyinhloko zalokhu: 1) 'Ama-Fibroid esibeletho' - Nakuba lezi zimila ezingezona ezomdlavuza, zibangela ukuthi isibeletho singanciphi futhi zibangele ukopha okukhulu (lena yimbangela evame kakhulu). 2) Ama-Polyps e-Endometrial kanye ne-Adenomyosis. 3) Ukungalingani kwama-hormone (PCOS/thyroid). 4) Ama-loop okuhlela umndeni amancane (ama-IUD) kanye nembangela eyingozi kakhulu: 'Umdlavuza we-Endometrial/Cervical'.
💬 Uma wopha kakhulu ngesikhathi sokuya esikhathini, yiziphi 'izimo ezisongela ukuphila/eziphuthumayo' ezidinga ukulaliswa esibhedlela ngokushesha/ukuya kudokotela ngaphandle kokuthatha imithi evela ekhemisi?
Uma wopha igazi elingaphezu kokuvamile usuku olulodwa noma ezimbili, ungalibonisa ku-VOG (udokotela wezifo zabesifazane) emavikini ambalwa (ukuze ahlolwe nge-ultrasound). Kodwa ingozi enkulu kunazo zonke! 1) Uma lokhu kopha kwegazi kubangela 'i-anemia enzima / ukushaqeka kwe-hypovolemic', 2) Uma unobuhlungu besisu obungabekezeleleki (ubuhlungu obukhulu be-pelvic), 3) Uma owesifazane okhulelwe ephuma igazi kanje (ukuphuphuma kwesisu / i-ectopic), isibeletho singaqhuma futhi isiguli singafa, ngakho-ke kudingeka alaliswe esibhedlela ngokushesha!
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