Ingabe ucabangela ukwelashwa kwe-hormone ukuphatha izimpawu zakho zokuya esikhathini sokuya ? Noma mhlawumbe udokotela wakho uphakamise lokhu ukhetho ukwelashwa kuwe. Noma ngabe yikuphi, kungenzeka ukuthi uyakhathazeka ngokuthatha ama-hormone. Akumangazi noma kungavamile uma uzizwa ngale ndlela. Kuningi lokungaqondisi kahle nokudideka lapho, ngisho naphakathi komphakathi wezokwelapha mayelana nezingozi nezinzuzo zokusebenzisa ama-hormone ukulawula ukuphuma esikhathini.
Lokhu, ngeshwa, uyeke abaningi besifazane ukuba bahlupheke ngokungadingekile ngezimpawu ezinzima zokwelapha.
Abantu abaningi, kuhlanganise nodokotela, basasabela ekutholeni kokuqala kwesilingo se-WHI HT esikhutshisayo ingozi eyandayo ikakhulukazi-umdlavuza webele - ohlobene nokwelashwa kwe-hormone yama-menopausal. Kodwa, okuningi kuye kwafundwa kusukela ngaleso sikhathi. Akukona nje ukuthi imiphumela yokuqala yenziwa kabusha, kodwa izifundo ezintsha zenzeke ekubhekeni nokuphepha.
Esitatimendeni sawo samanje se-2017, i-North American Menopause Society yenza amaphuzu amathathu abaluleke kakhulu:
- Izinzuzo zingaphumelela kakhulu izingozi zabesifazane abanobuhlungu abaqala ukwelapha i-hormone uma bekhulile eminyakeni engama-60 noma abangakapheli iminyaka eyishumi yokuya esikhathini.
- I-hormone therapy kufanele ibe ngabanye, ngokucabangela izinkomba noma izinjongo zokwelapha ezisekelwe ebufakazini, ukucubungula iminyaka yobudala besifazane kanye / noma isikhathi kusukela esikhathini sokuya esikhathini ngokuphathelene nokuqaliswa noma ukuqhubeka, izingozi zempilo yomuntu wesifazane kanye nokuncintisana, kanye nesilinganiso izinzuzo ezingase zibe khona kanye nezingozi ze-hormone therapy ngokuphathelene nemithi yokwelashwa okungenayo i-hormone noma izinketho.
- Uhlobo lwe-hormone therapy, izinketho ezithile, umthamo, nomgomo kufanele kube ngabanye, besebenzisa izinqumo ezabelwana ngazo futhi kunqunywe ngesisekelo samaphrofayli emiphumela emibi nolwazi lokuphepha, kanye nezingozi zezempilo zomuntu ngamunye kanye nezintandokazi zakhe.
Ngamanye amazwi:
- Kuphephe kakhulu ukuqala ukwelashwa kwe-hormone ekuqaleni kokuya esikhathini.
- Usayizi owodwa awuhambisani nonke. Izinhlelo zokulashwa kwe-hormone zokwelashwa kufanele zibe ngabanye.
- Ukukhetha uhlobo lwe-hormone therapy kufanele futhi kube ngabanye.
Lokhu kuhluke kakhulu kunokwelashwa kwe-hormone yomama wakho lapho ukhetho olulodwa lwaluyiphilisi ephuma emcimbini wamahhashi akhulelwe. Namuhla, kunezinhlobo eziningi ezahlukene, ama-dosage, kanye nokwenziwa kwama-hormone therapy kuye ngezidingo zakho ezithile. Nasi ukubuka konke okukhethwa kukho.
Ukwelashwa kwe-Oral Estrogen
Loluhlobo lwe-hormone therapy lufika efomini ejwayelekile yamaphilisi. Nakuba isakhiwo sokuqala se-conjugated equine estrogen sisatholakala, ezinye izi-estrogen eziningana zokwenziwa zenziwe. Lezi zinhlobo ze-estrogen zifana kakhulu ne-estrogen ezenziwe nge-ovary yakho ngakho-ke zibhekwa njengezinto eziphilayo. Kunamandla amaningana ahlukene atholakalayo, okuvumela ukuthi uthole izinketho eziningi zokulandelela. Uma usenesibeletho, kuzodingeka uthathe uhlobo oluthile lwe-progesterone ukuvikela i- endometrium yakho emiphumeleni ye-estrogen.
Ukwelashwa kwe-Estrogen Transdermal
Lolu hlobo lwe-hormone therapy luthembele ekuthandeni isikhumba kwe-hormone esikhundleni sokwamukela ngomlomo. Lokhu kunezinzuzo ezimbalwa. Ngenxa yokuthi akudingeki ukuba ubanjwe ngamathumbu akho, kungenziwa kunqunywe ngamazinga aphansi.
Ibuye igcine izinga elimisiwe le-hormone emzimbeni wakho, okungabalulekile ezimweni ezithile, ikakhulukazi uma unesifo sekhanda le-migraine. Futhi, ngoba ngokudlulela isikhumba sakho akudingeki kudlule isibindi sakho, akubanga ukwanda kwe-triglycerides yakho (i-cholesterol engenampilo) futhi kunganciphisa ingozi yemiphumela emibi ehambisana ne-gallbladder. Izinhlobo zokukhethwa kwe-transdermal zihlanganisa:
- Ama-patches
- Ama-gel
- Emulsions ephezulu
- Ichitheka
Ukwamukelwa kwe-transroermal estrogen kungaba okuhlukahluka kuye ngokuthi hlobo nokuthi kanjani lisetshenziswa. Futhi, Uma usenesibeletho kuzodingeka uthathe uhlobo oluthile lwe-progesterone ukuvikela i-endometrium yakho emiphumeleni ye-estrogen.
Ukwelashwa kwe-Estrogen yama-vaginal
Lolu hlobo lwe-hormone therapy luba nemiphumela emazingeni aphansi e-estrogen egazini lakho legazi. Ngenxa yalokhu, ngokuvamile kusetshenziselwa ukuphatha izimpawu ze-genitourinary zokuya esikhathini-izinto ezifana nokumelela kwesisu, ubulili obubuhlungu, nezinye izimpawu zesibindi. Okunye okukodwa yi-ring ephezulu yesineke ye-Femring. I-estrogens yama-vaginal iyatholakala ku:
- I-Creams
- Amathebulethi
- Izindandatho
Ngaphandle kwendandatho yesilinganiso esiphezulu, lezi zilungiselelo zangasese zingasetshenziswa ngokuphepha ngaphandle kwe-progesterone noma ngabe usenalo isisu sakho.
Izinketho ze-Progestin-Progesterone
Uma uqala ukwelashwa kwe-hormone futhi usenesibeletho sakho kuzodingeka usebenzise uhlobo oluthile lwe-progestin noma i-progesterone ukuvikela ukwelulwa kwesibeletho sakho. Ngokuhamba kwesikhathi, i-estrogen engavinjelwe, ethatha isrogen ngaphandle kokuyilinganisa ne-progesterone, ingaholela ku- hyperplasia ye-endometrial noma ngisho nomdlavuza we-endometrial. Ungasebenzisa i-synthetic progestin njengento esetshenziselwa ukukhulelwa kwe-hormonal noma ungasebenzisa i-progesterone yangempela efana neprogesterone eyenziwa ngama-ovaries akho. Lezi zinketho ze-progesin / progesterone ziyatholakala njenge:
- Amaphilisi
- Ama-gel ase-vaginal
- Ukufakwa kwama-vaginal
I-IUDs ene-progestin equkethe ukhetho.
Ukuhlanganiswa kwe-Estrogen ne-Progestin Therapy
Kwabesifazane abathile, kungase kube kuhle ukusebenzisa umkhiqizo we-hormone equkethe kokubili amahomoni ndawonye. Lolu hlobo lwe-hormone therapy luyatholakala kokubili ifomu lepilisi futhi njengengxenye yokudlulisa.
Izwi elivela
Nakuba ukuvimbela isisu ngokwayo akuyona isifo izinguquko ze-hormone ezihambisana nale nqubo evamile yokuguga zingabangela izimpawu ezibalulekile ezingathuthukiswa nge-hormone therapy. Ukwelashwa kwamahomoni nakho kunganconywa kuwe ukusiza ekuvimbeleni i-osteoporosis ikakhulukazi uma usengozini enkulu. Kungakhathaliseki ukuthi iziphi izizathu zakho zokucubungula ukwelashwa kwe-hormone udokotela wakho uzokusiza ukuba wenze izinqumo ezinhle zokukusiza ukuba uphile kahle ngokumisa esikhathini.
> Umthombo:
> North American Menopause Society (2017). Isitatimende se-Hormone Therapy Isikhundla se-Hormone sika-2017 se-North American Menopause Society. Ukunqamuka kwesikhathi, 24, 728-753.