Unako Ukuthatha I-Estrojeni Ngomhlaza Webele
Kwiminyaka, abafazi kunye noogqirha babo banenkxalabo yokuba ukuthatha i-estrogen kuya kubangela umdlavuza webele. Ndiyifingqa ukuba kutheni le nto yayingekho kwindleko yam ngokuza kushicilelwa kwincwadi, i-Estrogen Window, kunye nendlela i-estrogen, ethathwa ngayo kwi window ye-estrogen, ngokwenene inciphisa umngcipheko wesifo somhlaza. Nangona kunjalo, ukwesaba ukuthatha i-estrogen kuye kwaba kuhle kangangokuba abafazi abasesifo somhlaza wesibeleko baqondakala ukuba basebenzise naluphi uhlobo lwe-estrogen kuquka i-estrogen yesisu.
Oku kuye kwadala ingxaki enkulu ngakumbi kubasetyhini abanomdlavuza wesibele. Ukongeza kwiinguqu zenyama ezenzeka ngenxa yesiphumo sokukhutshwa komhlaza okanye kwiimeko ezininzi, isifuba, kukho kwakhona iimpawu zokunquma kwesikhashana. Iindaba ezilungileyo kukuba izinto eziphathekayo zinokuqwalaselwa kunye nokutyunjwa okulungisiweyo kwaye ngoxa ngokuqinisekileyo asiyiyo isisombululo esipheleleyo, kuyindlela ebalulekileyo yokujongana nemiphumo emibi yonyango.
Nangona kunjalo, iimpawu zokunqamuka kwesisu ziye zaba nzima kunzima ukusombulula ekubeni i-estrogen yonyango olusebenzayo. Kuye kwaba nemichiza emibini engeyi-estrogen evunywe ukujongana neempawu zokuphuma komntu. Ukutshisa okutshisayo (iBrisdelle) kunye nokomama wesisu (i-Osphena), kodwa isisu somzimba wesini kunye nobulili obubuhlungu kuseyona micimbi ebalulekileyo kubafazi abaninzi besenza unyango lomhlaza webele.
Ngoku kukho ingxelo eguqula umdlalo epapashwe yi-American College of Obstetricians kunye neGynecologists (ACOG).
Ikhomenti entsha yeKomiti evela kwi-American College of Obstetricians kunye neGynecologists (Inombolo 659, Matshi 2016) ithi i-ACOG ikholelwa ukuba kukho ubungqina obaneleyo bokuthi kulungile (ukusebenza kunye ne-oncologist yakho) kubafazi abanomdlavuza wesisu we-estrogen ukuthatha i-estrogen yesisu . Nangona i-estrogen ingena egazini, ayibonakali iyichaphazela umphumo.
Amanqanaba egazi ayedluli kwizinto eziqhelekileyo zamanqanaba e-estrojeni zegazi ezisesikhathini.
Kwaye kukho ubungqina bokusibuyisela. Ingaba uphathwe ngentsholongwane yomhlaza wesifuba, uphathwe ngumhlaza wesifuba kwixesha elidlulileyo, kwaye nangona uthabatha iTamoxifen, oyilwa-estrogen, iziphumo zokusebenzisa i-estrogen yesisu azifani na ukuba awuyi Yithathe. Ndiyathetha ngale nto kunye nolwazi olunxulumene nolwazi olunxulumene ne-estrogen kwincwadi yam entsha, i-Estrogen Window.
Oku kukhulu kubafazi kuba umdlavuza wesifuba ngumhlaza oqhelekileyo kubasetyhini phakathi kwayo yonke intlanga. Kwakhona kubangela imbangela yomdlavuza ukufa phakathi kwamaSpanish. EUnited States, umdlavuza webele ushukumisa omnye kwabasetyhini abasibhozo kwaye ngoku banamabhinqa angaphezu kwezigidi ezimbini zase-US abaye baphathwa ngomhlaza wesibele.
Kukho iintlobo ezininzi ze-isrogen yesisu:
| Indlela enikwa ngayo | Yintoni Kuyo | Kuthathwa njani |
| Cream Vream | 17 beta estradiol | Ngokuqhelekileyo 1-2 amagremu iintsuku ezi-1-2, emva kwe-1 gram ama-1-3 / iiveki |
| Cream Vream | Ikhuphe i-equro estrogen | Ngama-0.5 grams kwiintsuku ezingama-21 emva kweentsuku ezi-7, okanye kabini ngeveki ukuba ngaba nzima |
| Ring Ring | 17 beta estradiol | I-2-mg ring ikhupha i-7.5 micrograms / imini kwiintsuku ezingama-90 |
| Iphepha leVaginal | Estradiol hemihydrate | I-10 microgram tablet / imihla yeeveki ezi-2 emva kwee-10 microgram tablet / imini 2-3 amaxesha / iveki |
Uninzi lwezonyango zokwenza i-chemotherapy ezisetyenziselwa umsebenzi wesiqhumane sebele, ngokuyinxalenye ngokuphelisa okanye ukuvimba yonke imveliso ye-estrogen. Ngenxa yoko, abafazi be-perimenopausal abasenokuzinika kwimizi ngokukhawuleza baqhube ekupheleni komntu kunye nabasetyhini abasesigxininini abasesimeni esiphantsi se-estrogen banikwa unyango lweyeza elithatha amanqanaba aphantsi e-estrojeni kwaye aliwa phantsi.
Enye yemiphumo emibi kakhulu yokuba akukho-estrogen isomileyo, isondlo se-vagin kunye ne-vestives bladder ebizwa ngokuba yi-atrophic vaginitis. Ixesha elitsha lezonyango kule nkqubo yiGenitour Syndrome ye-Menopause (GSM) kwaye kwaye ibangela ubulili obubuhlungu kwaye ngamanye amaxesha ubudlelwane obucelomngeni.
Lo ngumngcipheko omkhulu wezemidlalo kubafazi abanomdlavuza wesibele. Nangona ndibonelela nge-vaginal estrogen ngokukhethekileyo kwizigulane zomhlaza zesifuba iminyaka, abaninzi banqabile unyango ngenxa yokuba i-oncologists ithethe ukuba ingayithathi kwaye iqondwe ngokucacileyo. Umhlaza wesibeletho wodwa unzima ngokwaneleyo. Kwaye nangona unyango olungenalo lwe-hormone lwanele ukuphatha iimpawu ze-GSM kwabanye, akukho mbuzo ukuba abafazi abaninzi baya kuxhamla kwi-vaginal isrogen; sisisombululo esona sisisombululo sokukhupha iimpawu ze-GSM. Ngoku i-estrogen iya kuba yindlela eyanamkelekileyo kubaninzi babafazi abanomdlavuza wesibele.