Imveliso ye-estrogen yamayeza isinceda nge-genitourinary syndrome yokumisa
Inkolelo yokuba inkqubo yokuguga ibangela ukulahlekelwa ngumzimba okanye ukukhubazeka kuye kwabangela ukuba i-eons ikhulelwe; Umntu omdala onempilweni akanakunzima ukubona, ukuva okanye ukucinga. Ngaphezu koko, abaninzi abantu abadala asempilweni banamabidos anamandla kunye nobomi bezocansi. Enyanisweni, uqikelelwa kuma-56 ekhulwini kwabasetyhini abaye bafumana ukuyeka umyeni kwaye abaneminyaka engama-50 ukuya ku-79 basesondo.
Kulinganiselwa kuma-50 ekhulwini kwabasetyhini, utshintsho lwe-hormone olubangelwa ukuphuma kwimizi lungakhokelela ekumanyeni kwesisu kunye nezinye iimpawu zesifo se-genitourinary sokunyuka komzimba (GSM). Nangona ubukho kunye nokusebenza kwe-vaginal isrogen yonyango (i-estrogen creams), isiqingatha sabantu abane-GSM bafuna-okanye banikezelwa-uncedo lwezonyango kunye nesikhokelo. Ngaphezu koko, isiqingatha sala mabhinqa abafuna uncedo banelisekile ngesikhokelo okanye ulwazi abafumanayo, kwaye abaninzi banqanda ukusebenzisa i-estrogen creams. Ngamanye amazwi, ukuphazamiseka kwenkqubo echaphazelekayo kubini bobaboneleli kunye nezigulane kugcina abafazi abakhulu abaneminyaka engama-100 abadlulayo kwi-GSM-imeko ephathwa ngokuthe tye kunye ne-estrogen creams kunye nezinye iimveliso ze-estrogen zangasese.
Yiyiphi iGenitour Syndrome yokuCima kwexesha?
Ngokomxholo we-2014 opapashwe kwiphepha leMaturitas :
I-GSM ichazwa njengemqoqo yeempawu kunye neempawu ezinxulumene nokuhla kwe-estrogen kunye nezinye i-steroids zesini ezibandakanya utshintsho kwi-labi majora / minora, i-clitoris, i-vestibule / i-introitus, ibhinqa, i-urethra ne-vestile. Isifo singabandakanya kodwa asikhawulelwanga kwiimpawu zobunini bokuma, ukutshisa kunye nokucaphuka; iimpawu zesondo zokungabikho kwe-lubrication, ukungathandeki okanye intlungu, kunye nokusebenza kakubi; kunye neempawu zokungcungcutheka kwexesha lokuphuthuma, i-dysuria [urination urment] kunye nokutheleleka kwezigulane zamanzi.
Ingqalelo, ngokubhaliweyo balolu cwaningo, ukwenzela ukuba ufumane i-GSM, iimpawu zakho kufuneka ziphazamise kwaye zingabandakanyeki kwenye i-etiology okanye isizathu. Ngaphezu koko, abaninzi abafazi abane-GSM banako ukufumana ezinye kodwa kungekhona zonke ezi mpawu.
Uphando lwee-Low-Dose Vaginal Estrogen Products
Kwisifundo se-2014 esithi "iVaginal Estrogen ye-Genitourinary Syndrome yokuSikwehla kwexesha," uphando lwahlalutya i-estrogen yamagciwane (isrogen creams, iil estrool kunye namacwecwe e-estradiol vagin).
Ekugqibeleni, abaphandi bacetyisa oku kulandelayo:
- Kubasetyhini abanekhalazo esisodwa se-GSM-njengokomama wesisu, intlungu ngexesha lesini , ukucola ubuhlungu, kunye nokutshiza okanye ukutshisa-i-lubricant nonhormonal okanye i-moisturizer ingasebenza. Nangona kunjalo, abanye bala mabhinqa nabo banokuzuza kwi-estrogen yesisu, nayo.
- Kuyabasetyhini abaneenkwenkwezi ze-GSM iimpawu-ngokukodwa iimpawu ze-urinary ezifana nokuvama nokungahambisi-iimveliso ze-estrogen zesisu.
- Ukukhethwa kancinci ye-isrogen yamanzi, ithebhulethi, i-ovule, i-suppository, okanye indandatho kuxhomekeke kwisithandwa somguli.
- Nangona loo mveliso ye-estrogen ibonwa njengekhuselekile, iiprogram zexesha elide kufuneka zenziwe. Ngaloo ndlela, umntu onenkcubeko yentsapho kunye ne-GSM ephazamisayo kufuneka acinge ngokunyanga ngonyango lwe-estrogen phantsi kolawulo lonyango.
- Akukho nto eyaziwayo malunga ne-ospemifene (esetyenziselwa ukuphatha i-dyspareunia okanye ubulili obuhlungu), ihlanganiswe iimveliso zesisu ze-isrogen, okanye ezinye iindlela zendalo.
- Kufuneka uphando olongezelelweyo.
Ukuba wena okanye othandekayo unenkathazo ye-GSM, nceda udibane nomgqirha-gynecologist ukuxoxa ngonyango olunokwenzeka. Nangona kwabanye abantu abaneempawu ezifanayo ze-GSM njengomiso wobunqunu, i-lubricants okanye i-moisturizers engabinceda, ukuba unayo impawu ebanzi, unokufumana uncedo ngendlela yemigomo ye-estrogen efana ne-dosegen amaqanda e-estrogen kunye namadayimenti.
ILizwi
Nceda ugcine engqondweni ukuba nangona uvavanyo lwe-estrogen olunjalo lubonakala lukhuselekile, qhubeka uqaphele kunye neengcebiso zonyango ukuba unembali yomhlaza okanye umdlavuza we-endometrial.
Siyazi into encinci malunga nokusebenza okanye ukhuseleko olungabonakaliyo lwe-estrogen ezikhoyo ekuthengeni kwi-intanethi ngoko nceda ucacise ukuthenga nokusebenzisa iimveliso ezinjalo ngaphandle kwegalelo lonyango wakho. Vumela ugqirha wakho abeke okulungileyo kuwe.
Ukuba unomdla kwiindlela ze-naturopathic ezifana ne-soy kunye ne-yam extracts, ngaphezu kwe-gynecologist, kufuneka udibane nomdokotela we-naturopathic.
Nceda ukhumbule ukuba xa unamava omzimba kunye nezinye iimpawu ze-GSM, akukho nto ihlazo. Kwizinto ezininzi, i-GSM yinkqubo yemvelo ebonisa utshintsho oluqhelekileyo emzimbeni wakho womzimba. Kuyadabukisa ukuba ininzi yabasetyhini abane-GSM bayakwazi ukufumana ingqalelo unyango okanye iingcebiso abayidingayo ngokukodwa xa unyango olusebenzayo lwe-vaginal estrogen lufumaneka ngokubanzi.
Ukulungelelanisa, le nkunkuma yonyango lwe-GSM inxalenye enkulu ikwaxhomekeke kubaboneleli benogqirha ngokwabo. Ngokomzekelo, iminyaka, uluntu lwezonyango olubhekiselele kwi-GSM njenge-vagrostro e-atrophic , igama elichanekileyo elithatha inkohlakalo. (I- Atrophy ithetha ukutshatyalaliswa kwaye i- vaginitis ithetha ukuvuvukala.) Ukongezelela, uphando lubonisa ukuba abaninzi abafazi abakhulileyo baziva bengakhululeki okanye behlazo ukuxoxa nge-GSM kunye nabanikezeli bezempilo abancinci, abasetyhini.
Khumbula ukuba ngumsebenzi nombopheleleko wokujongana ne-GSM ngendlela evulekileyo, enobubele neyakhayo. Ekugqibeleni, ukuba uziva ungakhululekile ukuxoxa ngeengxaki zakho zonyango kunye nomboneleli wakho wezempilo, kuyilungileyo ukufumana ugqirha onokuziva ukhululekile kuye. Emva kwakho konke, ugqirha wakho kufuneka abe ngumkhokelo onobubele onempilo engcono kwaye ukhuthaze impilo yakho yonke indlela.
> Imithombo:
Portman DJ et al. I-Genitourinary syndrome yokumiswa komntu: Isigama esitsha se-atrophy yokuxhatshazwa kwi-International Society yeSifundo seMpilo yezesondo yabasetyhini kunye neNational American Menopause Society. Maturitas. 2014; 21: 1063-8. https://doi.org/ > 10.1097 / GME.0000000000000329
Rahn DD et al. I-Vaginal Estrogen yeGenitour Syndrome yokuSikrahla. I-Obstetrics & Gynecology . 2014.