Amaningi emdlavuza wesifuba aphethwe yi-hormone isrogen ne-progesterone. I-hormone therapy, ebizwa ngokuthi i-endocrine therapy, isetshenziselwa ukususa noma ukuvimba ama-hormone nokuma noma ukunciphisa ukukhula kwamangqamuzana omdlavuza. Uma umdlavuza wakho uhlolisisa i-hormone, i-hormone therapy ingase ibe yingxenye yecebo lakho lokwelapha.
Uma udokotela wakho ebeka lokhu emdlalweni webele wesifuba sakho sokuqala, uhlele ukuthatha ukwelashwa kwe-hormonal iminyaka emihlanu ngemuva kokuqeda ukwelashwa kwakho okuyinhloko.
Inzuzo eyinhloko yalolu hlobo lwezokwelapha ukuvimbela i-estrogen ekukhuliseni amangqamuzana omdlavuza we -estrogen , ngaleyo ndlela unciphisa ingozi yokuphindaphinda. Ngomdlavuza webele we-estrogen-receptor, i-hormonal therapy ayiphumeli.
Imithi noma Ukuhlinzwa
Amakhomoni anganciphisa izidakamizwa kanye / noma ngokuhlinzwa. Kulaba besifazane abanesifo sangaphambili, ama-ovari adala iningi le-estrogen futhi, ngemuva kokwelashwa okuyisisekelo, ukuthatha i- Tamoxifen kuyokwanela ukuvimbela i-estrogen emangqamuzaneni omdlavuza.
Uma kunesidingo, kwabesifazane abasebasha abanomdlavuza wesifuba we-estrogen, ama-ovaries angavalwa okwesikhashana ngamajova wokucindezela ama-ovari. Kubesifazane abasengozini enkulu, ama-ovari angasuswa ngokuhlinzwa (oophorectomy). I-Oophorectomy yisinyathelo esibalulekile okufanele uthathe njengoba ungasayikuvuna . Xoxa ngalolu daba nodokotela wakho ngaphambi kokuqala ukwelashwa.
Anti-Estrogen Hormone Izidakamizwa
Izigaba ezimbili zezidakamizwa zisetshenziselwa ukwelashwa kwe-hormone futhi lezi zinikezwa ngokusekelwe kwesimo sakho se-menopausal kanye nesifo somdlavuza wesifuba sakho: I-Selective Estrogen Receptor Modulators (i-SERMs) ne-Aromatase Inhibitors (AIs).
Imiphumela Ejwayelekile Ejwayelekile
Ukuba nama-ovari wakho uvaliwe noma ususwe noma uthathe ukwelashwa kwe-hormone kungaletha ekunqophiseni kwezempilo . Ungase ungatholi zonke izimpawu zokunqamuka kwesikhashana, kodwa nansi eminye imiphumela emibi ongayithola kuloluhlobo lwezokwelapha:
- Ukushisa okushisayo
- Izithukuthuku ebusuku
- I-Mood iyashintsha
- Ukomisa kwamagagasi
- Ukukhathala
Ukusetshenziswa komuthi
Ukwelashwa kwama-hormone kusetshenziselwa ukuhlinzwa kanye nezinye zokwelashwa eziyinhloko ngomdlavuza webele. Lokhu kusiza ukuvimbela ukuphindaphinda noma ukuqhubekela kwesifo kuma-cancers webele we-estrogen-receptor, ukumisa i-estrogen ekukhuthazeni ukukhula kwamangqamuzana omdlavuza we-estrogen.
Uma udokotela wakho ebeka izidakamizwa eziphikisana ne-estrogen, kubalulekile ukuzithatha njalo futhi uma nje udinga zona.
| Umdlavuza webele wekusasa | ||
| I-Menopausal Isimo | I-Anti-Estrogen Drug | Isikhathi sokulinganisa |
| Oku- | I-Tamoxifen | 2 - 5 iminyaka * |
| Oku- | Ukuhlanganiswa kwezidakamizwa zokucindezela ama-ovari, ama-SERM kanye nama-AI | Iminyaka emihlanu (ukuhlolwa kwemitholampilo) |
| Iposi- | I-Aromatase Inhibitor | Iminyaka emihlanu. Ukuqhubekela phambili kokunye okungu-5 kungathuthukisa ukusinda okungenazo izifo. |
| * I- Tamoxifen inganikezwa iminyaka emibili bese ilandelwa u-Aromasin iminyaka emithathu, kwezinye izimo. Kulabo besifazane abaphathwe nge-tamoxifen iminyaka emihlanu, noma ukuqhubeka ne-tamoxifen noma ukushintshela i-AI iminyaka engaphezu kwemihlanu kuyasebenza ekunciphiseni izingozi zokuphindaphinda futhi kukhona idatha ebonisa ukuthuthukiswa kokuphila konke, futhi. | ||
| Izifo ze-Metastatic | ||
| I-Menopausal Isimo | I-Anti-Estrogen Drug | Isikhathi sokulinganisa |
| Noma yikuphi | I-Tamoxifen | Kuze kube yilapho isasebenza |
| Noma yikuphi | I-estrogens ephakathi nesiphakeme | Kuze kube yilapho isasebenza |
| Noma yikuphi | I-Aromatase Inhibitors | Kuze kube yilapho isasebenza |
| Iposi- | I-Faslodex Injection | Ngoba izifo azisaphenduli Tamoxifen noma Fareston |
| Noma yikuphi | I-Megace | Ngoba izifo azisabe zisabela kwezinye izifo zokwelapha ze-hormonal |
| Noma yikuphi | I-Androgens (amahomoni wesilisa) | Isetshenziswe emva kwazo zonke ezinye izifo zokwelashwa ze-hormone seziye zaphumelela |
| Oku- | Ukuhlanganiswa kwezidakamizwa zokucindezela ama-ovari, ama-SERM kanye nama-AI | Kuze kube yilapho isasebenza |
Qaphela ukuthi ngokujwayelekile, ezigulini ezinezifo eziphezulu ezisengozini (i-egnode isifo esihle noma i-T3 noma i-tumor ephakeme), ukuze kunciphise ingozi yokuphindaphinda, isikhathi sokwelashwa kwama-hormone kufanele sandiswe eminyakeni eyishumi.
> Umthombo:
> National Cancer Institute. Ukwelashwa kwamaHormon for Cancer Breast.