Abesifazane abaphathwa ukwelashwa, ikakhulukazi labo abahlukunyezwa ngumdlavuza womdlavuza nomdlavuza wesifuba, bayokutshela ukuthi ukumelela kwesisu kungase kube yinkinga yokulimala yocansi. Ukuhlinzwa, i-chemotherapy, ukwelashwa kwe-radiation kanye nokwelashwa kwe-hormone kungaphazamisa ukukhiqizwa komzimba kokugcoba kwesisu sangokwemvelo. Umphumela ubumnene ukomile obukhulu besisu ongenza ubulili bubuhlungu futhi kubangele imisebenzi evamile, njengokuhamba, ukungakhululeki.
Kunezinhlobo eziningi zokwelashwa okomile okwesifazane, kusukela ku-homeopathic ukuya emithi yokugulisa. Abesifazane abaningi ababhekene nesisu somzimba ongasese ohlotshaniswa nokwelashwa komdlavuza baphendukela e-estrogen yangasese ukuze kunciphise ukuma kwabo. Kule ngqikithi ehlinzekwe yi- UptoDate , isisetshenziswa se-electronic esetshenziswa iziguli eziningi kanye nodokotela bazo befuna ukwaziswa okujulile kwezokwelapha, isrogen yesisindo ichazwa:
"I-estrogen yama-vaginal iyindlela yokwelashwa ephumelela kunazo zonke kwabesifazane abane-vagin dryness. I-estrogen yama-vaginal kumele inqunywe ngumhlinzeki wezempilo.
"Ukulinganisa okuncane kakhulu kwe-estrogen yangasese kungasetshenziswa uma kufakwa emgodini ukuze uphathe ukoma komzimba wesisu, futhi kancane kancane i-estrogen ingena emgodleni wegazi. Ngenxa yalokho, kukhona ingozi ephansi kakhulu yemiphumela emibi, njengegazi ama-clots, umdlavuza webele, nokuhlasela kwenhliziyo, uma kuqhathaniswa nezinye imikhiqizo e-estrogen (amaphilisi okulawula ukubeletha, ukwelashwa kwe-hormone ye-menopause). "
Izinhlobo
I-estrogen yama-vaginal iyatholakala ku-ukhilimu, i-suppository, ithebhulethi, kanye nefomu lezinsimbi zangasese. Konke kufakwe ngaphakathi kwesifazane futhi kufanele kumiswe udokotela. Eminye imithi yesisu yama-vaginal ejwayelekile ejwayelekile yilezi zihlanganisa:
- Vagifem
- Estrace
- Ukuqala
- I-Estring
Uma usebenzisa i-estrogen yesisu, qiniseka ukuthi ubuze udokotela noma umuthi wemithi uma amakhondomu ephephile ukusebenzisa imithi yakho enqunyiwe.
Ezinye izinhlobo ze-estrogen zangasese zinganciphisa ukusebenza kwekhondomu ngokunciphisa i-latex.
Ngaphezu kwalokho, ngezinye imikhiqizo ye-estrogen yama-vaginal, ungase ucelwe ukuba ugweme ukudla ama-grapefruit kanye nejusi lamagilebhisi, njengoba kungase kwande imiphumela emibi.
Okuqhamuka uma udla imishanguzo
Njengazo zonke izidakamizwa, i-estrogen yesisu iyinemiphumela emibi. Inani le-estrogen emikhiqizweni ye-estrogen yesisindo iphansi, ngakho-ke ithuba lokuthola imiphumela emibi lincane. Imiphumela emibi ingabandakanya, kodwa ayikhawulelwe ku:
- Ububele besisu / ubuhlungu
- Ukukhishwa kwamagciwane
- Ukucasula isisu / ukuhlanza
- Ukungalali
- Ukulahlekelwa izinwele noma ukukhula kwezinwele
- I-Melasma (izindawo ezimnyama esikhumbeni)
- Ukushisa okushisayo
- Ukucindezeleka / ukukhathazeka / ukukhathazeka
Khumbula ukuthi ngenxa yesilinganiso esincane se-estrogen emikhiqizweni ye-estrogen yangasese, imiphumela emibi ayijwayelekile kakhulu. Kufanele ubike yonke imiphumela emibi kudokotela wakho.
Ulwazi olukhethekile lwabesifazane abanomdlavuza webele
Ngokusho lokhu okushiwo yi- UptoDate :
"Ukuphepha kwe-estrogen yesisindo kulabo besifazane abanomdlavuza wesifuba odlule akucacile. I-estrogen encane ingafakwa emgodini kuze kube segazini. Uma unomlando wesibeletho sebele, khuluma nomhlinzeki wakho wezempilo noma wakho i-oncologist mayelana nezingozi ezingase zibe khona kanye nezinzuzo ze-estrogen yangasese. "
Ukukhathazeka kwe-esrogen eyongeziwe kungokwesifazane abane- canrogen receptor-positive (ER +) kancelisa yebele abamba ama-aromatase inhibitors ukuvimbela ukuphindaphindiwe. Abesifazane abanomdlavuza webele we-ER + banama-tumors ancike ku-estrogen ukuze akhule. I-Aromatase inhibitors isiza ukuvimbela umdlavuza ukubuyela ngokucindezela ukukhiqizwa kohlobo lwe-estrogen.
Noma kunjalo, uma ezinye izixazululo ezingezona-estrogen zingasebenzi, odokotela abaningi bazobeka i-estrogen yama-vaginal kubantu besifazane abanomile owomile ngenxa yesilinganiso esincane se-estrogen emkhiqizo nokuthi kuncane kangakanani okwenziwe.
> Umthombo:
UBachman, uGloria & Santen, uRichard. "Ukushisa Okumnyama." Kusesikhathini. September 2009.