Kutengera kwa "kusabereka", mwatsoka, lero kumayikidwa nthawi zambiri. Zifukwa zake ndi zosiyana, komabe, nthawi zambiri, vuto lonse ndilolephera mu mahomoni. Kuwukweza kungathe kupanikizika, zakudya zoperewera bwino, zovuta zachilengedwe, matenda ena, ndi matenda a hormonal nthawi zonse zimachitika m'njira zosiyanasiyana. Nthawi zambiri, mayi amene amalota mwana amapezeka ndi hyperandrogenism. Ndiye, pokonzekera mimba, dokotala akhoza kupereka Dexamethasone.
Kodi hyperandrogenism ndi chiyani?
Mawu achinyengo awa madokotala amatchula matenda a endocrine, momwe thupi lachikazi limapanga kuchuluka kwa mahomoni amphongo (androgens).
Monga lamulo, mu mahomoni amtundu wamba mumthupi la mkazi alipo, koma muzing'ono zochepa. Kuchulukitsa msinkhu wa androgens kungayambitse kunenepa kwambiri, hirsutism (tsitsi lachimuna ndi kawirikawiri kukula kwa tsitsi), matenda a khungu (acne), kusamba kwa msinkhu. Pachifukwa ichi, kuyesa konse kutenga mimba nthawi zambiri kumalephera: kaya kutenga mimba sikuchitika konse, kapena kusokonezeka kumayambiriro oyambirira.
Kodi dexamethasone ndi chiyani pamene mukukonzekera kutenga mimba?
Kuti athe kusintha ma hormoni ndi kumupatsa mkazi mwayi wokhala ndi pakati, madokotala amapereka Dexamethasone. Izi ndi mankhwala opangidwa ndi mahomoni, omwe amafanana ndi mahomoni a adrenal cortex. Amaletsa kupanga androgens, kotero kubwezeretsanso chithunzi chamadzimadzi. Choncho, m'kupita kwa nthawi kusasitsa kwa dzira ndi ovulation kumachitika, endometrium ya chiberekero imatha kulemera kwake, ndipo mwayi wokhala ndi pakati umakula kwambiri.
Mimba pambuyo dexamethasone
Ngakhale kuchuluka kwa zotsatira zake zingatheke, dexamethasone nthawi zambiri imatchulidwa panthawi yopanga mimba komanso nthawi yomweyi: kuti zithetsere mankhwalawa, tizilombo toyambitsa matenda - mapiritsi 1/4 patsiku - ndi okwanira. Kuchuluka kwa dexamethasone sikukhala ndi zotsatira zoipa pa mimba . Komabe, perekani mankhwalawa ayenera kokha dokotala pamaziko a kuyezetsa magazi mpaka mlingo wa mahomoni a steroid