Imikhiqizo ye-estrogen yama-vaginal isiza nge-genitourinary syndrome yokuya esikhathini
Inkolelo yokuthi inqubo evamile yokuguga ibangela ukulahlekelwa ngokomzimba noma ukukhubazeka kuye kwavusa ubudala be-eons; umuntu omdala onempilo akanakho ukubona inkinga, ukuzwa noma ukucabanga. Ngaphezu kwalokho, abantu abaningi asebekhulile abanempilo banamabidos anamandla nokuphila kocansi. Eqinisweni, kulinganiselwa ukuthi abesifazane abangamaphesenti angama-56 abaye bafika esikhathini sokuya esikhathini futhi baneminyaka engu-50 kuya ku-79 ubudala basabelana ngesondo.
Kulinganiselwa ukuthi amaphesenti angu-50 abesifazane, izinguquko ze-hormone ezibangelwa ukukhipha esikhathini kungaholela ekumekeni kwesisu nangamanye izimpawu ze-genitourinary syndrome yokumisa esikhathini (GSM). Naphezu kokutholakala nokusebenza kwe-estrogen therapy (i-estrogen creams) yasendaweni yangasese, isigamu kuphela salabo abane-GSM abafuna-noma banikezwa-usizo lwezokwelapha nesiqondiso. Ngaphezu kwalokho, ingxenye eyodwa kuphela yalabo besifazane abafuna usizo bayaneliswa yisiqondiso noma ulwazi abatholayo, futhi abaningi bayeke ukusetshenziswa kwama-estrogen creams. Ngamanye amazwi, ukuphazamiseka ohlelweni olubhekiswe kubo bobabili abahlinzeki neziguli kugcina abesifazane abaningana abayizigidi ezindala ababhekene ne-GSM-isimo esithathwa kalula nge-estrogen creams nezinye imikhiqizo ye-estrogen yama-vaginal ephansi.
Iyini i-Genitourinary Syndrome ye-Menopause?
Ngokwe-athikili ka-2014 eyanyatheliswa encwadini ethi Maturitas :
I-GSM ichazwa njengeqoqo lezibonakaliso nezibonakaliso ezihambisana nokunciphisa i-estrogen nezinye izidakamizwa zesifo socansi ezibandakanya izinguquko emigqumeni ye-labia / minora, i-clitoris, i-vestibule / i-introitus, isiswini, i-urethra nesambatho. I-syndrome ingabandakanya kodwa ayikhawulelwanga kumpawu zomzimba zesomiso, ukuvutha nokucasula; izimpawu zobulili zokuntuleka kokugcoba, ukungahambi kahle noma ubuhlungu, nokusebenza kahle; kanye nezimpawu zokuvuthwa kokuphuthumayo, i-dysuria [ukuvuthwa okubuhlungu] kanye nokutheleleka okuphindaphindiwe kwamagciwane.
Inothi, ngokusho kwabalobi balolu cwaningo, ukuze uthole ukuthi unesifo se-GSM, izimpawu zakho kufanele zihlukumeze futhi zingabonakali kwenye i-etiology noma imbangela. Ngaphezu kwalokho, abesifazane abaningi abane-GSM bangathola ezinye kodwa hhayi zonke lezi zimpawu.
Ucwaningo olwenziwe ngemikhiqizo e-Low-Dose Vaginal Estrogen
Esifundweni se-2014 esithi "i-Vaginal Estrogen ye-Genitourinary Syndrome Yokunqamuka Kwesikhashana," abaphenyi bahlaziywa nge-estrogen yamasitini (commercial estrogen creams, amasongo e-estradiol namaphilisi e-estradiol vagin).
Ekugcineni, laba cwaningi basikisela okulandelayo:
- Kulaba besifazane abanesikhalazo esisodwa se-GSM-njengomile owomile, ubuhlungu phakathi kocansi , ukuvuthwa okubuhlungu, nokuvuthwa kwesisu noma ukuvutha-i-nonhormonal lubricant noma umswakama-mshini angasebenza. Kodwa-ke, abanye balaba besifazane nabo bangazuza nge-estrogen yesisu, futhi.
- Kulaba besifazane abanezinkanyezi zezimpawu ze-GSM-ikakhulukazi izimpawu ze-urinary ezifana nemvamisa nokungaziphathi-imikhiqizo ye-estrogen yangomzimba isebenza.
- Ukukhetha ukhilimu we-estrogen wesisu, ithebhulethi, i-ovule, i-suppository, noma indandatho incike ekuthandweni kwesiguli.
- Nakuba imikhiqizo e-estrogen enjalo ibhekwa njengokuphephile, izifundo zesikhathi eside kumele zenziwe. Ngakho-ke, umuntu onomlando womndeni kanye ne-GSM ehluphayo kufanele ahlole ngokucophelela ukwelashwa kwe-estrogen ngaphansi kokuqondiswa odokotela.
- Okuncane okungaziwa nge-ospemifene (esetshenziselwa ukwelapha i-dyspareunia noma ubulili obubuhlungu), ihlanganiswa nemikhiqizo ye-estrogen yesisu, noma ezinye izindlela zemvelo noma zemvelo.
- Ucwaningo olwengeziwe luyadingeka.
Uma wena noma othandekayo enesifo se-GSM, sicela uhlangane nomtholampilo-wezifo zokwelapha ukuze uxoxe ngemithi yokwelapha. Nakuba kwabanye abantu abanezibonakaliso ezifanayo ze-GSM njengomile owomile, ama-lubricants angaphezu kwe-nonhormonal noma ama-moisturizers angasiza, uma unempawu eziningi kakhulu, ungathola ukusizwa ngendlela yemithi yesigqebhe yesigqila efana ne-dorogen creams ephansi. izindandatho ze-estrogen zangasese kanye ne-suppositories.
Izwi elivela
Sicela uhlale ukhumbule ukuthi nakuba u-estrogen wezokwelapha ngokuvamile kubhekwa sengathi uphephile, qhubeka uqaphele futhi uneluleki wezokwelapha uma unomlando wesifo sebele noma se-endometrial.
Asazi lutho mayelana nokusebenza noma ukuphepha kwezinqubo ezingezona ezibhalwe nge-estrogen ezitholakalayo ukuthenga kwi-intanethi ngakho-ke sicela ucace ngokuthenga nokusebenzisa imikhiqizo enjalo ngaphandle kokufakelwa ngodokotela wakho. Vumela udokotela wakho abeke lokho okulungile kuwe.
Uma unesithakazelo kwezinye izindlela zokwelashwa ze-naturopathic ezifana nezitshalo ze-soy kanye ne-yam, ngaphezu kwe-gynecologist, kufanele uhlangane nodokotela we-naturopathic.
Sicela ukhumbule ukuthi uma ubona ukumelela kwesisu nangamanye izimpawu ze-GSM, akukho lutho olufanele ukuba namahloni ngalo. Eziningi, i-GSM inqubo yemvelo ebonisa ushintsho olujwayelekile emzimbeni womzimba wakho. Kuyadabukisa ukuthi iningi labesifazane abane-GSM abahluleki ukuthola usizo lwezokwelashwa noma iseluleko abayidingayo ikakhulukazi uma ukwelashwa okusemthethweni kwe-estrogen yesisindo kutholakala kabanzi.
Ukuze kube okulungile, lokhu kuhlaselwa kwe-GSM yokwelapha kuyingxenye enkulu futhi kubangelwa abahlinzeki besayensi ngokwabo. Isibonelo, iminyaka, umphakathi wezokwelapha ubhekiselwe ku-GSM njenge-atrophic vaginitis , i-term engalungile ephethe ukuhlambalaza. (I- Atrophy kusho ukususa kanye ne- vaginitis kusho ukuvuvukala.) Ngaphezu kwalokho, ucwaningo lubonisa ukuthi abesifazane abaningi asebekhulile bazizwa bengakhululekile noma benamahloni ukuxoxa nge-GSM nabanikezeli bezempilo abancanyana nabancanyana.
Khumbula ukuthi ngumsebenzi womhlinzeki nesibopho sokubhekana ne-GSM ngendlela evulekile, ethandekayo futhi eyakhayo. Okokugcina, uma uzizwa ungakhululekile ukuxoxa ngezinkinga zakho zempilo nomhlinzeki wakho wezempilo, kuwumqondo omuhle ukuthola udokotela onomuzwa okhululekile. Phela, udokotela wakho kufanele abe umqondisi onomusa wempilo engcono futhi aqinisekise impilo yakho yonke indlela.
> Imithombo:
I-Portman DJ et al. I-Genitourinary syndrome yokunqamuka kwesikhashana: Isiqephu esisha se-atrophy ye-vulvovaginal evela ku-International Society for the Study of Health's Women's Sexual and The North American Menopause Society. Maturitas. 2014; 21: 1063-8. https://doi.org/ > 10.1097 / GME.0000000000000329
I-Rahn DD et al. I-Estrogen yama-vaginal ye-Genitourinary Syndrome yokunqamuka kwelanga. I-Obstetrics & Gynecology . 2014.