Ngaba ucinga ngonyango lwe-hormone ukulawula iimpawu zakho zokumelana nokuphuma kwesisu ? Okanye mhlawumbi ugqirha wakho uphakamise ukhetho lo unyango kuwe. Ngandlela-thile, mhlawumbi unokukhathazeka ngokuthatha amahomoni. Akumangalisi okanye akuqhelekanga ukuba uvakalelwa ngale ndlela. Kukho ulwazi oluninzi olungalunganga kunye nokudideka ngaphandle apho, kwimeko yoluntu lwezonyango malunga neengozi kunye neenzuzo zokusebenzisa i-hormone ukulawula ukuphuma kwesisu.
Oku, ngelishwa, uye washiya abaninzi bafazi ukuba bahlupheke ngokungafunekiyo kunye neempawu ezinamandla zesifo se-menopausal.
Abantu abaninzi, kubandakanywa oogqirha, basabela kwisiphumo sokuqala kwi-WHI HT yesilingo esicetyiswa ukuba ingozi eyongeziweyo ingakumbi-ngomhlaza wesifuba-ehambelana ne-hormone ye-menopausal. Kodwa, into eninzi ifundwe ukususela ngoko. Akukho kuphela iziphumo zokuqala eziye zafunyanwa kwakhona, kodwa izifundo ezitsha ziqhutywe zijonge ukhuseleko nokusebenza.
Kwisitetim esiphezulu sawo so-2017, iNtshona American Menopause Society yenza amaphuzu amathathu abaluleke kakhulu:
- Iinzuzo zininzi zikwazi ukugqithisa ingozi yabasetyhini abanomdla abaqalisa unyango lwe-hormone xa beneminyaka engama-60 engaphantsi kweminyaka okanye abangaphantsi kweminyaka eyi-10 yokuqeda ukukhulelwa.
- I-hormone yokwelapha kufuneka ibe ngabanye, ngokuqwalasela izibonakaliso okanye iinjongo zonyango-esekelwe ubungqina, ukuqwalasela ubudala bomfazi kunye / okanye ixesha ukususela kwimiqathango yokuqalisa ukuhamba okanye ukuqhubekeka, ingozi yempilo yomfazi kunye nezinto ezithandayo. ezinokubakho iingozi kunye neengozi ze-hormone unyango ngokubhekiselele kwiindlela ezingasetyenziswayo.
- Uhlobo lwe-hormone unyango, ukhetho oluthile, i-dose kunye ne-regimen kufuneka ibe ngabanye, kusetyenziswa ukwenziwa kwezigqibo ezabelwana kunye nokumiselwa ngesiseko seempembelelo ezichaphazelekayo ezichaphazelekayo kunye nolwaphulo lwempilo yowesifazane kunye nezinto ezithandayo.
Ngamanye amazwi:
- Kukhuselekileyo ukuqala unyango lwe-hormone ekuqaleni kwesikhashana.
- Ubungakanani bunye abufanelanga konke. Izicwangciso zonyango lweHormone kufuneka zibe ngabanye.
- Ukukhetha uhlobo lwe-hormone therapy kufuneka lube ngumntu ngamnye.
Oku kuhluke kakhulu kunonyango lomama wakho we-hormone xa ukhetho olulodwa luyimpilisi ephuma kumchamo wamahashe akhulelweyo. Namhlanje, kukho iintlobo ezahlukahlukeneyo, iifayili, kunye neendlela zokwenza unyango lwe-hormone ngokuxhomekeka kwiimfuno zakho ezithile. Nantsi uluhlu olubanzi lwezinto ozikhethayo.
I-Oral Treatment
Olu hlobo lonyango lwe-hormone luvela kwifomu efana neepilisi. Nangona i-original conjugated equine formulation formulation isacacile, ezinye i-estrogens ezininzi zenziwa. Ezi zi-estrogen ezidibeneyo zifana ne-estrogen eyenziwa yi-ovary yakho kwaye ngenxa yoko zibhekwa njengezinto ezibonakalayo. Kukho amandla amaninzi ahlukeneyo atholakalayo, okuvumela ukuba kukho uluhlu lweentlawulo ze-dosing. Ukuba usenayo isisu, kuya kufuneka ukuba uthathe uhlobo lweprogesterone ukukhusela i- endometrium yakho kwimiphumo ye-estrogen.
I-Transdermal Treatment ye-Estrogen
Olu hlobo lonyango lwama-hormone luthembela kwi-skin absorption ye-hormone kunokuba usebenzise umlomo. Oku kunemivuzo embalwa. Ngenxa yokuba akudingeki ukuba ilandelwe ngamathumbu akho, inokumiselwa kumanani aphantsi.
Ikwagcina kwakhona i-hormone ezinzileyo emzimbeni wakho, enokubaluleka kwiimeko ezithile, ngokukodwa ukuba unesifo sengqondo se-migraine. Kwakhona, kuba uhamba ngesikhumba sakho akudingeki ukuba udlulise isibindi sakho, akubangeli ukwanda kwe-triglycerides yakho (i-cholesterol engafanelekanga) kwaye inokunciphisa ingozi ye-gallbladder echaphazelekayo. Iintlobo zeenketho zokudlulisa ziquka:
- Iipatches
- Iigel
- Emulsions
- Sprays
Ukutshatyalaliswa kwe-transroermal estrogen kunokuguquguquka kuxhomekeke kwindlela kunye nendlela esetyenziswa ngayo. Kwakhona, ukuba usenayo isisu, kuya kufuneka ukuba uthathe uhlobo lweprogesterone ukukhusela i-endometrium yakho kwimiphumo ye-estrogen.
I-Articinal Estrogen Therapy
Olu hlobo lwe-hormone unyango oluqhelekileyo kwiziphumo kumanqanaba aphantsi e-estrogen kwigazi lakho. Ngenxa yoko, ngokuqhelekileyo isetyenziselwa ukunyanga iimpawu ze- genitourinary zokutshatyalaliswa kwezinto-izinto ezifana nokumelela kwamanzi, ubulili obubuhlungu kunye nezinye iimpawu zesisu. Ngaphandle kwesinye i-dose yangasese ye-female Femring. I-estrogens yama-vaginal iyatholakala kwi:
- Creams
- Amacwecwe
- Izindandatho
Ngaphandle kwendandatho ye-dose ephezulu, ezi lungiselelo zangasese zingasetyenziselwa ngokukhuselekileyo ngaphandle kweprogesterone nangona unayo isisu sakho.
Izinketho zeProgesin-Progesterone
Ukuba uqala unyango lwe-hormone kwaye usenayo isisu sakho kufuneka usebenzise uhlobo oluthile lweprogesin okanye ipresterone ukukhusela umbane wesisu sakho. Ngokuhamba kwexesha, i-estrogen engavaliyo, ethatha i-estrogen ngaphandle kokuyilinganisa neprogesterone, ingakhokelela kwi- endroperometer hyperplasia okanye nangomdlavuza we-endometrial. Unokusebenzisa i-progestin yokwenziwa njengento esetyenziselwa ukukhulelwa kwe-hormonal okanye ungasebenzisa i-progesterone yangempela efana neprogesterone eyenziwa ngamaqanda akho. Ezi khetho ze progestin / progesterone ziyafumaneka njengoko:
- Iipilisi
- Gels
- Iifominal inserts
I-IUDs ene-progestin ikhethwa kwakhona.
Ukuhlanganiswa kwe-Estrogen kunye neProgestin Therapy
Kwabesifazana abathile, kunokukhetha ukusebenzisa imveliso yehomoni equlethe ii-hormone zombini. Olu hlobo lonyango lwe-hormone luyafumaneka kwimiqulu yesibini yepilisi kunye ne-patch transdermal.
ILizwi
Nangona ukuphela komzimba ngokwaso akusiyo isifo iinguqu ze-hormone ezihambelana nale nkqubo yokuguga ngokuqhelekileyo kunokubangela iimpawu ezibalulekileyo ezinokuphuculwa ngonyango lwe-hormone. I-hormone yokwelapha ingaphakanyiswa kuwe ukuba uncede ukukhusela i-osteoporosis ngokukodwa xa usengozini enkulu. Kungakhathaliseki ukuba ziphi izizathu zokuqwalasela unyango lwe-hormone ugqirha uya kukunceda wenze ukhetho olungcono kukukunceda uphile kakuhle ngokuphuma kwesisu.
> Umthombo:
> I-North American Menopause Society (2017). I-Harmony ye-Hormone I-position Statement ye-North American Menopause Society. Ukunquma kwexesha, 24, 728-753.