Ukuxilongwa "kokungazalwa", ngeshwa, namhlanje kufakwa njalo. Izizathu zalo zihlukile, kodwa, ezimweni eziningi, iphutha liwukuhluleka ohlelweni lwe-hormonal. Ukuvusa kungabangela ukucindezeleka, ukudla okungenamsoco, izimo ezimbi zemvelo, ezinye izifo, kanye nezifo ze-hormonal njalo zenzeka ngezindlela ezahlukene. Ezimweni ezingavamile, owesifazane ophupha umntwana utholakala ene-hyperandrogenism. Khona-ke, lapho uhlela ukukhulelwa, udokotela angakwazi ukumisela uDexamethasone.
Kuyini hyperandrogenism?
Leli gama elikhohlisayo odokotela lichaza isifo se-endocrine, lapho umzimba wesifazane ukhiqiza inani elandayo lama-hormone wesilisa (androgens).
Njengomthetho, ku-hormone ezivamile zesilisa emzimbeni wesifazane kukhona, kodwa ezincane kakhulu. Ukwandisa izinga le-androgens kungabangela ukukhuluphala, i-hirsutism (izinwele zesilisa-mboli kanye nokukhula kwezinwele ezivamile ngokweqile), izifo zesikhumba (izigaxa), ukungahambisani nokuya esikhathini. Kulokhu, yonke imizamo yokukhulelwa ivame ukuhluleka: noma ukukhulelwa akukwenzeka nhlobo, noma kuphazanyiswa ezinkathini zokuqala.
Kuyini i-dexamethasone uma uhlela ukukhulelwa?
Ukuze ulungise ibhalansi lamahomoni futhi unike lona wesifazane ithuba lokukhulelwa, odokotela banquma uDexamethasone. Lokhu kuyisidakamizwa se-hormonal yokwenziwa, i-analogue yamahomoni we-cortex adrenal. Bavimbela ukukhiqizwa kwe-androgens, ngaleyo ndlela babuyisela isithombe esivamile se-hormone. Ngakho-ke, ngokuhamba kwesikhathi ukuvuthwa kwamaqanda nokuvuthwa kwenzeke, i-endometrium yesibeletho ifinyelela ubukhulu obudingekayo, futhi amathuba okukhulelwa abanda kakhulu.
Ukukhulelwa emva kwe-dexamethasone
Naphezu kwenani elikhulu lemiphumela emibi, i-dexamethasone ivame ukubekwa ngesikhathi sokukhulelwa kanye nangesikhathi sayo: ukuze kutholakale umphumela we-antiandrogenic, amanani amancane omuthi - amaphilisi angu-1/4 ngosuku - anele. Le mali ye- dexamethasone ayinayo imiphumela emibi ekukhulelweni . Kodwa-ke, ukuthi umuthi kufanele udokotela kuphela ngesisekelo sokuhlolwa kwegazi kuze kube sezingeni lama-hormone e-steroid