Amaphesenti angaba ngu-80 asebesifazane base-US azosebenzisa ukukhulelwa kwe-hormonal ngesikhathi esifanayo phakathi nonyaka wabo wokuzala, kodwa abesifazane abaningi abazi ukuthi izinzuzo ezingezona izisu zokusebenzisa lolu hlobo lokulawulwa kokuzalwa. Ngokuvamile, ukukhulelwa kwe-hormonal okuhlanganiswa kuhlanganisa i- progestin (imiphumela yezokwelapha) kanye ne- estrogen yokwenza (ukuzinzisa i-endometrium nokunciphisa ukubonakala okungadingeki).
Okulandelayo luhlu lwezinzuzo ezingavamile zokuvimbela ukubeletha. Sicela uhlale ukhumbule ukuthi owesifazane ngamunye angasabela ngendlela ehlukile ezindleleni ezithile zokulawula ukuzalwa, ngakho-ke lolu lwazi luhloswe ukuba lubukezwe jikelele. Futhi kubalulekile ukuthi uqaphele ukuthi isizathu esiyinhloko sokusebenzisa ukubeletha kwe-hormonal ukuvimbela ukubeletha (ukuvimbela ukukhulelwa okungahlosiwe ) - izinzuzo ezingenakunqunu zokulawula ukubeletha zingacatshangwa uma kunquma ukuthi iyiphi indlela ye-hormone engase ifaneleke kakhulu kuwe .
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I-DysmenorrheaI-dysmenorrhea ubuhlungu obubangelwa ukuvinjelwa okukhulu kwe-uterine ngesikhathi sokuya esikhathini okubangelwa ukukhululwa kwe-prostaglandin. Ubuhlungu bukhulu ngokwanele ukukhawulela imisebenzi yansuku zonke yowesifazane ngaleso sikhathi. I-Dysmenorrhea yisifo esivame ukubikwa kakhulu sokuya esikhathini, esithinta amaphesenti angaba ngu-90 abesifazane abasha. Amaphilisi okulawula ukuzalwa , i- NuvaRing , i- Implanon , i- Mirena IUD, ne- Ortho Evra Patch sonke ibonise ikhono elithile lokunciphisa ubuhlungu be-dysmenorrheal
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I-PMS ne-PMDDI-Premenstrual syndrome (PMS) ibhekisela ezinhlobonhlobo eziningi zempawu zomzimba noma ngokomzwelo ezenzeka cishe ezinsukwini ezinhlanu kuya kwezingu-11 ngaphambi kokuba owesifazane eqale umjikelezo wakhe wokuya esikhathini. Izimpawu zivame ukuyeka lapho sekuya esikhathini, noma maduze emva kwalokho futhi kulinganiselwa ukuthi kuthinta abesifazane abangamaphesenti angama-75 ngesikhathi sokubeletha.
Isifo se-Premenstrual dysphoric (PMDD), isimo esibi se-PMS, yisimiso esihlasela kabi inhlalakahle yengqondo nokusebenzisana komphakathi kwamaphesenti angu-3-5 wabesifazane abaneminyaka yobudala yokuzala. I-PMDD imakwe izimpawu zokucindezeleka okukhulu, ukucasula, nokuhlukunyezwa ngaphambi kokuya esikhathini; Izinguquko ze-hormone ezenzeka phakathi nomjikelezo wesifazane wesifazane zibonakala zidlala indima ekutheni kwenzeke i-PMDD. Izindlela zokulawula i-hormonal, kuhlanganise namaphilisi okunciphisa asetshenzisiwe, ziye zaboniswa ukuthi zinikeze usizo
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I-Acne ne-HirsutismI-acne, evame ukuvela ebusweni noma emahlombe, isimo sesikhumba esibangela ukuba kube khona amhlophe, amnyama, nezilonda ezibomvu ezivuthayo (amaphepha, ama-pustules, nama-cysts). I-Hirsutism iyinwele ephindaphindiwe yendoda-iphethini ekukhuleni ezindaweni ezithile zobuso besifazane nomzimba njengamadevu namadhere. I-Androgens, ama-hormone obulili obukhulu emadodeni, angaba nemfanelo yalezi zimo. Abesifazane ngokuvamile banamazinga aphansi a-androgens, kodwa amazinga aphezulu angavamile we-androgens angabangela ukukhula kwezinwele ezidlulele noma izicabha. Njengoba unikezwe ukuthi ukuvimbela ukuvimbela i-hormonal kunganciphisa amazinga e-androgen mahhala ohlelweni lwakho, ama-OCs athile angasebenzisa kakhulu ukuphatha lezi zimo
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Ukuya esikhathini sokuya eMigrainesAmaphesenti angamashumi ayisithupha abesifazane abane-migraines baxhumanisa ukuhlaselwa kwabo ukuya esikhathini. I-migraine yesimiso eqoshiwe yesikhashana ibonakala ngamaphesenti angu-8-14 wabesifazane. Amaphilisi omjikelezo owandisiwe (njenge- Seasonique noma i- Lybrel ) nokukhulelwa kwe-hormonal okuqhubekayo (kufaka phakathi i- Depo Provera ) kunganciphisa ukushintsha kwe-hormonal okucatshangelwa ukuqala ukuhlasela okuthile kwe-migraine nokuletha ukukhululeka kwabanye abagulayo be-migraine
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Imijikelezo Engavamile YokuyaAbaningi besifazane banenkinga yokungahambisani nemigomo yabo yokuya esikhathini. Abanye besifazane bakhathazeka ngenxa yokungakwazi ukuthi isikhathi sabo sizoqala nini. Imijikelezo yokuya esikhathini ingaba ingalindelekile ngenxa yamaphethini ajwayelekile, angavamile noma ayikho. Izakhi zokubeletha ze-hormonal zingase zinikeze inzuzo yokukusiza ukulawula umjikelezo wakho wanyanga zonke noma ukuphumula isikhathi sonke
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I-EndometriosisI-Endometriosis yisimo lapho izicubu ezivame ukungena ngaphakathi kwesibeletho (i-endometrium) ikhula kwezinye izindawo zomzimba. Kubangele ubuhlungu, ukuphuma kwegazi ngokungavamile, kanye nokungabikho komzimba. I-Endometriosis iyinkinga evamile futhi cishe iqala ngesikhathi sokuqala kokuya esikhathini. U-Depo Provera noDepo-subQ Provera ama-injection angu-104 abe- FDA avunyelwe ukusiza ukuphatha ubuhlungu obuhlobene ne-endometriosis. Ezinye izisu zokubeletha kwe-hormonal zingasiza futhi
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I-MenorrhagiaI-Menorrhagia iphuma ngokweqile ukuphuma esikhathini futhi ingabangela ukungenwa kwe-anemia uma ishiywe ingalashwa. Kucatshangwa ukuthi kwenzeke ngamaphesenti angaba ngu-10 wabesifazane beminyaka yobudala, nakuba abesifazane abangamaphesenti angama-30 bazofuna ukwelashwa kwalesi simo. Izindlela zokuvimbela ukuvimbela ukunciphisa iziqephu eziningi zokugaya zingase zisize ngokukhethekile ekuphathweni kwe-menorrhagia. Lezi zindlela zokulawula ukubeletha zingaba ukwelashwa okuguquguqukayo (nemiphumela emibi kakhulu) ye-menorrhagia njengoba ukwelashwa okunye kungukuphela kwe-endometrial ablation (inqubo yokuhlinzwa) eholela ekuzaleni inzalo
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I-Cancer EndometrialUmdlavuza we-Endometrial ngumdlavuza oqala e-endometrium, emgqeni wesibeletho. Amacala amaningi emdlavuza we-endometrial ayenzeka phakathi kweminyaka engama-60 no-70, kodwa amanye amacala angenzeka ngaphambi kweminyaka engama-40. Ngokwe-National Cancer Institute, umdlavuza we-uterine wuhlobo oluvame kakhulu lomdlavuza wesifo somzimba, kanye ne-cancer ye-endometrial ama-akhawunti angu-90 kuwo wonke amagciwane e-uterine. E-United States, amacala amasha angaba ngu-37 000 omdlavuza we-uterine ayatholakala futhi abesifazane abangaba ngu-6 000 bafa ngalesi sifo unyaka ngamunye. Amaphilisi okulawula ukuzalwa, iMirena noDepo Provera, aboniswe emitholampilo ukuze banikeze imiphumela yokuvikela emdlavuza we-endometrial
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I-Ovarian CancerUmdlavuza we-Ovarian ngumdlavuza oqala emaqanda. Ingumdlavuza wesihlanu ovame kakhulu phakathi kwabesifazane, futhi kubangele ukufa kunanoma yiluphi olunye uhlobo lomdlavuza wesifazane ozala. Kulinganiselwa ukuthi amacala amasha angaba ngu-30 000 omdlavuza we-ovarian azotholakala unyaka ngamunye, nabesifazane abangaba ngu-15 000 ababulawa yilesi sifo. I-Reanalysis yedatha yomhlaba jikelele kuma-OC ahlangene nomdlavuza we-ovarian uye wabonisa ukuthi zonke izindlela zokusebenzisa amaphilisi okulawula ukuzalwa ziyanciphisa ingozi yomdlavuza we-ovarian. Ngaphezu kwalokho, isikhathi eside sokusetshenziswa kwe-OC ehlangene, kunciphisa kakhulu ingozi
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I-Cancer ColorectalI-Colon, noma i-colorectal, umdlavuza ngumdlavuza oqala emathunjini amakhulu (colon) noma i-rectum (ekugcineni koloni). Ngokusho kwe-American Cancer Society, umdlavuza we-colorectal ungenye yezimbangela ezibangela ukufa kwabantu abahlobene nomdlavuza e-United States futhi ungumdlavuza wesine ovame kakhulu emadodeni nakwabesifazane. Ucwaningo lubonisa ukuthi ukusebenzisa isisu sokubeletha ngomlomo (" iphilisi ") kunganciphisa ingozi yokuthuthukisa umdlavuza we-colorectal
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Isisindo samaminerali we-BoneI-Bone mineral mass (BMD) iyisilinganiso samathambo, sibonisa amandla amathambo amelwe okuqukethwe kwe-calcium. I-Bone mass is inani lamathambo esithambo emtheni othile wethambo. I-BMD ingaba yinkomba engaqondile ngqo ye-osteoporosis kanye nenhlekelele yokuphuka. Nakuba kubonakala sengathi amaphilisi okulawula ukuzalwa angase ahlotshaniswe nokwanda kwethambo phakathi kwabesifazane eminyakeni emithathu yokuzala, ukucwaninga kwamanye ama-hormonal okuhlanganiswa kunqunyelwe. Ukusetshenziswa kweDepo Provera kanye ne-Implanon kunganciphisa i-BMD. Eqinisweni, iDepo Provera iqukethe ibhokisi elimnyama le-FDA elixwayisa ukuthi ukusetshenziswa kukaDepo Provera kungaholela ekulahlekelweni kokulahlekelwa kwamaminerali amakhulu. Source:
I-American College of Obstetricians kanye namaGynecologists. "Ukusebenzisa okungavumelani kwamaphilisi okuvimbela ukwelashwa kwe-hormonal." Hlanganisa i-Bulletin No. 110, Jan 2010 115: 206-18. Kufinyelelwe ngokubhalisa kwangasese.