Ngesikhathi ukumelela kwamasini kungenzeka nganoma yisiphi isikhathi phakathi nokuphila kwakho komuntu omdala, izimo eziningi zobumama besifazane zenzeka ngesikhathi sokuqala nokuya esikhathini. Umzimba wakho uveza inani elincishisiwe le-estrogen ngesikhathi sokuya esikhathini, okuyinto eyenzeka ngobuningi besomama obomvu obuhlangene nabesifazane.
Izimpawu ezingase zibonise ukuthi ubhekene nesisu somzimba zihlanganisa:
- Ukubamba kwegagasi
- Ukushisa kwamagagasi
- Ukunganaki kwamagciwane noma ukucasuka
- Ubulili obubuhlungu
- Ukukhipha igazi ngesikhathi sokulala
Ezinye izimbangela zokumelela kwamasini zihlanganisa imithi ethile , besebenzisa amathoni ane- absorbency izilinganiso eziphakeme kunokuba empeleni udinga, ukunambitheka kwesisu , ukuxhomeka kwe-nicotine, ukuphuza ngokweqile, neSjogren's Syndrome . Izinkinga zempilo yengqondo, njengokukhathazeka, zingabangela nokomisa kwamagciwane. Uma uncelisa noma usanda kubeletha, amazinga e-estrogen akho angase aphansi kunesilinganiso, okungase kubangele ukuma. Amaspuni enomlilo, amabhulobhu e-bubble, kanye nama-body lotions asetshenziselwa endaweni yangasese kungase futhi kwandise ukomela kwamagciwane.
Uma ubhekene nobunzima besifazane, awudingi ukuhlupheka. Kunezinhlobo eziningi zokwelashwa okungavunyelwe futhi ezingavunyelwe ukuthi zingasiza noma imbangela eyinhloko (i-estrogen ephansi ehlobene nokunqamuka kwesikhashana) noma ukwandisa okwesikhashana umswakama ngesikhathi sichaza ngokukhethekile.
Imithi Yokwelashwa Yokunyuka Kwama-Vaginal
Uma unesifo somzimba esingokwemvelo esingokwemvelo esihlobene nesimo sangasese noma sokunqamuka kwesikhashana, khuluma nodokotela wakho mayelana nokuzama imithi yokwelapha eyenzelwe ukwandisa ukukhiqizwa kwe-estrogen. Ukwelashwa okomile wesifazane okubangelwa amazinga e-estrogen ancishisiwe kufaka:
- I-Estring. I-Estring iyindandatho engokwemvamisa wena noma udokotela wakho engena emkhathini wakho. Ukuhamba kancane kancane kukhishwa i-estrogen ngqo kumathisini omzimba wesifazane. Indandatho yesisindo iphumelela ngokuphatha ubomvu okwezinyanga ezintathu.
- Vagifem. I-Vagifem yi-tablet yangasese ongayifaka kwisiswini sakho usebenzisa i-applicator elahlayo. Kuzodingeka ufake i-tablet yangasese kanye nosuku nsuku zonke amasonto amabili, futhi kabili ngesonto uma nje udinga.
- I-Premarin noma i-Estrace. Ngenkathi ifomu lepilisi lomlomo le-Premarin ne-Estrace livame ukushiwo; Bobabili bayatholakala emafomini ekhilimu wesifazane. Udokotela wakho uzokutshela ukuthi ungasebenzisa kanjani ama-estrogen creams uma kufanele ukhethe ukwelashwa okwenziwe ngesisu.
I-estrogens yama-vaginal inikeza ukuphumula okuphumelelayo kakhulu kokumelela kwesisu. Abesifazane abasebenzisa ama-estrogen angama-vaginal nabo babhekana nezifo ezincane eziphindaphindiwe zokungena emanzini .
Ngaphansi Kokubhekana Nezinye izindlela zokwelapha
Uma ubomvu bakho besifazane bubangelwa yizinkinga ezihlobene nokungahambisani nokuya esikhathini, noma ufisa ukugwema imithi yokwelashwa, ezinye izinketho zokwelapha ezomile zihlanganisa:
- Ukunyakaza kwama-vaginal - Ama-moisturizers ama-vaginal ahlanganisa imikhiqizo engaphezu kwe-counter ezifana ne-Replens. I-Replens yisidakamizwa se-vaginal once kanye nsuku zonke esetshenziselwa ukwandisa ukugcoba kwesisu.
- Amakhemikhali Amagagasi - Amafutha omgogodla afaka imikhiqizo engaphezu kwezinto ezifana ne- Astroglide ne-KY Jelly. Uma ukomama wesisu kungenkinga ngesikhathi sokulala ngokocansi, izitsha zokugcoba zangasese zinikeza ukugcoba kwesisu okudingekayo ukuze wenze ubulili bukhululekile.
Njalo khetha i-lubricant yamanzi esekelwe ngamanzi. Ungalokothi usebenzise umkhiqizo osuselwa ku-petroleum njengoVaseline wokugcoba kwamagciwane, ukwenza kanjalo kungakha indawo yokuzalisa ukutheleleka. Uma unezocansi ezivikelekile usebenzisa ikhondomu, qiniseka ukuthi usebenzisa i-lubricant esekelwe ngamanzi noma esekelwe. Amanye amafutha namafutha, njengamafutha kakhukhunathi, azokwehlisa ikhondomu.
Umthombo:
Ukunqamuka kwesikhashana kanye nokwelashwa kwe-hormone (HT): ukwakheka kwezinqumo nokusebenzisana.