Kubalulekile ukuqonda ukuthi awugcini nje uvuke usuku olulodwa futhi uzitholele esikhathini sokumisa esikhathini. Kuyindlela eyenzeka eminyakeni eminingi. Eqinisweni, uma usufinyelele esikhathini sokumisa (okuchazwe njengomnyaka owodwa wezinkathi ezingekho) eziningi zezimpawu ezingavumelekile okungenzeka uzizwe zingase zihambe.
Ukuguquka kokuya esikhathini kungaba yisikhathi esiyinkimbinkimbi ngempela besifazane abaningi.
Kungenzeka ukungalingani kwe-hormonal kukushiye uzizwe ngaphandle kwezinhlobo. Futhi ukugxilisa yonke imithwalo yemfanelo midlife kuletha indlela yakho akukunikezi isikhathi esiningi sokugxila kuwe.
Futhi uma uthatha isikhathi sokukhuluma nodokotela wakho ungase ukhungatheke ukungabi nolwazi ngolwazi lwezokwelapha ekuphathweni kokunqamuka kwesikhashana nokuguquka kokuya esikhathini. Ukuzwa ukhathazekile futhi kuphazamisekile kungenza ube yingozi ekungenisweni kwemininingwane futhi kukushiye udidekile ngalokho ongakwenza ukuze uzizwe ungcono.
Mhlawumbe esinye sezihloko ezididayo kakhulu ekuphathweni kokuya esikhathini sokuqala nokushintsha kokuya esikhathini kuyisimo esivumelana nokusetshenziswa kwe-bioidentical hormone replacement therapy.
Izinketho eziningi ze-Hormone Replacement ziyizinto ezibonakalayo
Izimpawu zokuguquka kokuya esikhathini zibangelwa izinguquko ezihlobene nobudala obudala kanye nama-hormone akho okuzala, okungukuthi i- estrogen ne- progesterone .
Ukuthatha amanani ama-hormone esikhundleni sakho kuzokwenza ngcono izimpawu zakho.
Yikholelwa noma cha, izinketho eziningi zokwedlulisa ama-hormone, ikakhulukazi uma kuziwa kwisakhi se-estrogen, manje "ziyizinto eziphilayo." Okusho ukuthi izinkampani zokwelapha zenze izinguqulo zokwenziwa kwe-estrogen ezifana kakhulu ne-estrogen ezikhiqizwa ama-ovarie akho.
Lokhu kwakungenjalo ngaso sonke isikhathi njengoba kwakukhona isikhathi lapho ukutholakala kwesigqila se-estrogen kuphela okutholakala khona kwakuyi-estrogen ehlanganisiwe eyenziwe emcinini wamamitha akhulelwe.
Ngokuqondene ne-progesterone ingxenye ye-hormone esikhundleni esithintekayo kukhona izinketho eziningi zokwenza izinto ezibizwa ngokuthi i-progestins. Lezi progestin zokwenziwa zenza njenge progesterone ekhiqizwa amaqanda akho kodwa awafani. Kodwa-ke, kukhona inketho ye-bioidentical yokufaka esikhundleni se-progesterone yakho yemvelo. Iyaziwa ngokuthi i-progesterone encane, futhi ikhophi yokwenziwa kweprogesterone efanayo eyenziwa ngama-ovaries akho.
Ukuhlanganiswa ngokumelene ne-Pharmacologic Hormone Ukulungiselela
Udidekile? Ukuzibuza ukuthi kungani imithombo eminingi kangaka ekhuthaza amahomoni e-bioidentical kubonakala enza ukuba ahluke kunalokho ongayithola kusuka ekhemisi yakho?
Iqiniso liwukuthi lokho abakushoyo ngokuthi "i-hormone substitution therapy" kwenzakalisa ngempela ukwelashwa kwe-hormone. Futhi njengoba sazi ukuthi izinketho eziningi zokwelapha i-hormone esikhundleni samanje manje ziyizinto ezibukekayo esizibheke ngempela zihlanganisa i-hormone esikhundleni esikhundleni se-pharmacologic hormone esikhundleni.
Ukuhlanganiswa kubhekisela endleleni ethile yokulungiselela imithi. Abaqhakamisi ngokuvamile bangaqedela ukuqeqeshwa okwengeziwe ukuze babe abanolwazi ekuhlanganiseni imithi.
Ukuhlanganiswa kuvumela ukuthi abakwa-pharmacy bakwazi ukwakha ama-specificulations of a medicine. Futhi uma kwenzeka ukwelashwa kwe-hormone esikhundleni, umakhemikhali ohlanganisayo angakha ama-hormone ahlukile.
Lokhu kuqhathaniswa nezinketho zokwelapha ezithathelisayo ze-hormone ezitholakala ezinkampanini zezidakamizwa. Lezi mithi zikhiqizwa kakhulu futhi ziza ngokulinganisa okujwayelekile nokuhambisanayo.
Kokubili izinketho zokwelapha ezithathelwanayo ze-hormone ezifakelwayo kanye ne-pharmacologic zidinga imithi evela kumhlinzeki wakho wezempilo.
Kuyini Ukukhathazeka Ngezinto Ezihlanganisiwe ZamaHormone Ukulungiselela?
Kuyaqondakala ukuthi kungani umbono we-hormone wokwelapha esikhundleni sokuzikhethela uheha kakhulu.
Umcabango wokuthatha "amahomoni nje oyidingayo" ubonakala unengqondo. Kodwa inkinga ukuthi ayikho ubufakazi obuhle bokusekela ukuhlolwa bese ukwelapha amazinga e-hormone.
Ochwepheshe abaningi bayavuma ukuthi le ndlela yokwelapha i-hormone esikhundleni sokuthi ayifanele. Esikhundleni salokho, iningi lincoma ukusebenzisa izilinganiso ezisungulwe ukuvimbela izifo ezinjenge-osteoporosis noma ukusebenzisa umthamo ophansi kunazo zonke ukuze kunqunywe izimpawu.
Kukhona nokukhathazeka okujwayelekile mayelana nokuhambisana nokuphepha kokusebenzisa ama-hormonal substitution substitution preparations. Lokhu kungaholela kuwe ukuthi uthole amahomoni amaningi kakhulu noma amancane kakhulu.
Abanye ochwepheshe baye bakhulume nokukhathazeka mayelana nezindleko zokufakelwa kwe-hormone eyakhiwe. Eziningi zalezi zinketho ziyabiza futhi azihlanganiswa nomshuwalense. Kukhona ukukhathazeka ukuthi abesifazane bangase bakhokhe imali ebalulekile yento engenawo idatha ukuphakamisa ukuthi kuyindlela engcono noma ephephile.
Kungani uDokotela Wami Angeke Alandise AmaHhomomu Aphilayo?
Nakulokhu, khumbulani odokotela abaningi ababeka amahomoni aphilayo njengoba iziningi zokhetho ezikhethwa ama-hormone ezenziwe ngamakhamphani ezidakamizwa ziyizinto eziphilayo.
Abahlinzeki abaningi bezempilo ngeke bakunike umshini we-hormonal substitution esikhundleni. Ukukhathazeka okukhulu kwabahlengikazi kungukuntula kobufakazi bokusekela ukusetshenziswa kwe-hormone eyakhiwe esikhundleni. Futhi lokhu kuphikisana nomgomo wabo wokwenza imithi esekelwe ebufakazini.
Kodwa, abanye odokotela bayokwenzela ukuthi i-hormone ihlanganiswe esikhundleni sayo. Kodwa kubalulekile ukuthi uqonde ukuthi abukho ubufakazi bokuthi kungcono noma kuphephile kunokwenziwa kwe-hormone eyenziwe izinkampani zezidakamizwa.
Ubani Okufanele Acabange Ngokucubungula I-Hormone Preparation?
Kubalulekile ukukhumbula ukuthi ubufakazi abusekeli umqondo wokuthi uhlanganisa i-hormone substlacement iyindlela evikelekile kunokwelashwa kwe-hormone esikhundleni sokwelashwa esikhundleni. Lokho okushiwo, kunabesifazane abathile abangase bazuze ekukhethweni okungokwezifiso.
Ukushintshwa kwe-hormone ehlanganisiwe kungase kube yindlela enhle uma uzwela ekugcwaliseni okujwayelekile noma izithasiselo ezitholakala ezinketho ezijwayelekile ze-pharmacologic. Noma mhlawumbe awukwazi ukuthola umthamo ojwayelekile olinganisela ukukhululeka kwesibonakaliso nemiphumela emibi kahle.
Izwi elivela
Ukuya esikhathini sokuya nokuguquka kokuya esikhathini kuyinxenye yemvelo yokuguga futhi akudingi imithi. Abanye besifazane banezimpawu ezincane kakhulu kanti abanye besifazane banezimpawu ezibalulekile eziphazamisa ukuphila kwabo kwansuku zonke.
Ukusebenzisa ukwelashwa kwe-hormone esikhundleni sokunciphisa izimpawu ezihambisana nalezi zinguquko kungabalulekile ekugcineni izinga lakho lokuphila. Kubalulekile ukuthi uxoxe ngezimpawu zakho nomhlinzeki wakho wezempilo.
Kungase kudingeke ufune ukunakekelwa udokotela obhekene nokuphathwa kokunqamuka kokuya esikhathini uma ungazizwa ukuthi umhlinzeki wakho wezempilo oyinhloko angakunika ulwazi olwanele noma ukhetho lwezokwelapha.
> Umthombo:
> I-American Congress of Obstetricians kanye namaGynecologists (2012). Ukwelashwa kwe-hormone ye-menopausal ebizwa nge-bioidentical. I-Committee Opinion No. 532. Washington, DC: Izidakamizwa ze-American College kanye namaGynecologists.