AQ uye A Na Drs. Richard naKarilee Shames
Tinoziva kubatsira kwestrogen kwakagara kwenguva refu, uye njodzi dzeHommone replacement therapy dzakaderedzwa. Utachiona, kuenda kumwedzi, uye isrogen ine ukama hwakaoma.
Ndakataura naVaDr. Richard naKarilee Shames, vanyori veTyroid Power , pamusoro peesrogen replacement therapy.
Mubvunzo: Chii chaunofunga pamusoro pehutano / menopause connection?
Zvichida chikuru chinogona kuipa mukati mehutachiona rose chiri munhandare yehutano hwevakadzi uye yekuguma .
Zvose kubva kumadzimai mashoma ekutsamwiswa kudzokorora kusakanganiswa kwakaratidzwa kuva hutano hwehutachiona mune imwe yehuwandu hwevarwere. Kuenda kumwedzi hakusi kurwara, asi kunogona kutanga kutanga kunzwa saizvozvo nenzira yako kana utachiona wako hwakadzika kana kuti muganhu panguva yekuchinja kwako.
Vakadzi vari mumamiriro ezvinhu anoodza mwoyo vanowanzotaurirwa "Ndiko kungoenda kwako kumwedzi," sekunge vachifanira kutarisira kunzwa kunetseka kwemazana nekuda kwekuderedza kwepanyama muestrogen. Mavha mavari uye chibereko chinoda huwandu hwakaenzana hwehomoni yehutori zvakanyanya seimwe sangano kana urongwa.
Pasinei nokuwedzerwa kuwedzera kune vezvechiremba pamusoro pezvakaitika uye kupindira kwakapoteredza kusimuka, nhamba dzakawanda dzevakadzi vachiri kutambura nemadambudziko evanhu. Kakawanda, hapana maitiro kana mahomoni ezisikwa anopa zororo rakakwana.
Izvi zvinowanzoitika nokuti dambudziko riripo nderekuti hazvizivikanwi nehutachiona hwepamusoro. Pakazosvika makore makumi mashanu, mumwe mugore rimwe nerimwe vakadzi vane gumi nevaviri vane chiremera chikuru che hypothyroidism.
Pakazosvika makore makumi matanhatu, ndeye mukadzi mumwe chete kubva pamatanhatu ose.
Izvi zvakapukunyuka chirwere chetachiona chinoratidzika kunge chinokonzera vakadzi vane menopausal zvakaoma kudarika chero rimwe boka revarwere. Nenzira yakanaka, zvakawanda zvinogona kuitwa kuvabatsira.
Q. Chii chinogona kubatsira vakadzi vane menopausal vane dambudziko rehutano?
Nevakadzi vane zviratidzo zvevakadzi vane shungu vasingatsvaki kana kuti vabatsirwe nesrogen, tinotsigira kuongororwa kweropa rekotori kutanga, zvichida kuteverwa nekliniki yekuongororwa kwetachiona hormone, kunyange kana kuongororwa kweropa kwave kwakarongeka.
Kakawanda iyo inonzi hypothyroidism inodaro yekudzora iyo inongoruramisa iyo inodzorera iyo yose sarudzo kuti ishande zvakanaka. Kuswedera kumwedzi kunopfuurira, asi iyo inonyoroka, zvishoma nezvishoma, uye hutano hwakanaka. Kana utachiona hwako hwakadzika, kupisa kwako kunopisa kunowedzera kunyanya kutaurwa, kunyanya kakawanda, uye kunetseka zvikuru. Izvi ndechokuti utachiona ihwo simba rako rinopinza, rako rinotyisa. Iwe unoda simba kuti uende kuburikidza nekushandurwa kwakanaka.
Vanhu vane simba rakawanda sei, vanomuka zvakadini mangwanani, kuti vanorara zvakadini , uye kuti vane simba rakawanda sei zuva racho rinowirirana zvakananga nehuwandu hwehutachiona hwetachiona. Kana uwandu hwako hwakanyanya kuderera, hauna simba rekushanda zvakakwana nechinhu chero chipi zvacho, kunyanya kudengenyeka kwepamusoro uye kukanganisa kwepfungwa kunobatanidza nemakore ekumharaopausal.
Chimbofunga nyaya inotevera. Imwe zuva rimwe chete taive tichiita imwe yemazano edu ekureba kwemafoni nemudzidzisi wezera wemakore 51 kubva kumadokero, anonzi Sarah. Vose iye naamai vake vakatanga kutama pane izvo zvaizofungidzirwa kuti vaine makore 46. Sarah aiziva kuti amai vake vakanga vaine utachiona hwepamusoro, pamwe chete nezvinetso zvakakomba zvokuenda kumwedzi. Hapana mai, kana Sara, kana vanachiremba vavo vakabatana nemamiriro maviri aya.
Apo Sara pachake pachake akatanga kusangana nematambudziko akafanana ekumisa kwekuita saamai vake, akaibvuma semuviri wake. Mune dzimwe nguva aipisa uye aishungurudza mukati mezuva rechikoro kuti aizoda kuchengetedza shanduko muimba yevadzidzisi. Hazvina maturo kutaura, vana vaishungurudza nyore nyore, uye akanga asingafariri basa raakagutsa kare.
Nenzira yakanaka, iye akatumirwa kuhofisi yedu nevakuru vake vechikoro, uyo aiva murwere wedu. Sara aimbova akafanana neTSH akanga ari iye zvino, achiswedera kumwedzi, 6.2, zvakajeka mumamiriro asina kukodzera. Yakaratidza kuti hutachiona hwake hwehutachiona hwakanga hwusiri hunoenderana nezvimwe zvaidiwa zvekuchinja kwemasabolism.
Pane imwe nguva pamishonga yehutachiona, yakatanga kunzwa semunhu wake wekare mumusi wevhiki. Zviratidzo zvake zvekumuka kwemwedzi zvakapinda mumucheto, uye hupenyu hwake hwakava hwakanyanyisa uye hunofadza. Thyroid hormone chete ndiyo yakagadzirisa matambudziko.
Mubvunzo: Ndezvipi zvimwe zviratidzo zvemanopausal zvinogona kutarisana nehutano hwehutano?
Atrophic vaginitis, kana kudonha kwechikadzi kumadziro semugumisiro wekuwa weserogen mazinga, kunogona kutungamirira kuhuta, kubuda, uye kunorwadza kwepabonde. Zvose izvi zviratidzo zvinonyanya kuoma kana utachiona hwako hwakadzika.
Vakadzi vakave vasina kuomeswa kwemadzimai avo vasina kugadziriswa nemadzimai emukadzi kana estrogen mapiritsi inowanzoonekwa seine utachiona hwepamusoro, kana ichitariswa zvakanyatsonaka. Mukuwedzera pakuwana chikamu chinokosha chehupenyu hwehukama hwavo hwepedyo, kana vachingorapwa nemishonga yehutachiona, vakadzi ava vanofara kuwana kuti matambudziko avo ane bvudzi rakaoma, ganda rakaoma, uye kukanganwa misumari zvinowanzogadziriswa zvakare.
Hatisingadi kuderedza dambudziko rinoramba riripo iro vamwe vakadzi vane panguva ino muupenyu hwavo. Haasi munhu wose achabatsirwa nokukurumidza kana zvakakwana saSara. Kudhanha kwehomoni kwakanyanya kwazvo, saka pfungwa yokuti iwe unogona kutora hormone imwe chete, kana kunyange mbiri, uye ruzivo rwekuregererwa kwakakwana, haisi nguva dzose inobudirira kubudirira. Iwe unofanirwa kutarisa mufananidzo wose. Ndizvo zvatinoreva nehutano hwakakwana.
Q. Unorayirirei kune vakadzi mumazana makumi mashanu nemakumi mashanu?
Edza kufungisisa mahomoni ako ose, kwete chimwe chete chazvo. Ichokwadi, iwe unogona kushandisa nzira iyi yekuongorora maitiro ose ehupenyu hwako apo uchiedza kugadzirisa dambudziko rekunzwa. Kana iwe usina kugutsikana neukama hwako kana basa rako, izvi zvinogona kunge zvakakosha pane zvimwe zvekudzoka kwako kune nguva shomanana yekuisa kumwedzi. Vakadzi vakawanda vanoona kuti zvinopfuura kupindira mune zvezvehutano zvinoda. Vamwe vanoona kuti nguva yakanyarara kubva kune zvinetso zvehupenyu zvinoshanda zvishamiso. Chimwe chikonzero chekutarisa kunze kwekusarudzwa kweesrogen kushandiswa ndeyekuti estrogen haisi nguva yekubatsira uye yekubatsira.
Kugadzirisa utachiona hwako kunogona kunge iri nzira yakanakisisa yekuwana kukwanisa kupedza nguva yekudzivirira uye utano hwekuchengetedza hunogona kunge huchida.