Natural vs Surgical vs Medical Menopause: Yenguva Pfupi kana Isingaperi
Kana uri kurarama nekenza yemazamu, wako oncologist angave ataura newe pamusoro pemishonga yekurapa. Izvi zvinorevei? Iyo yakasiyana sei nekugumira kwepanyama pamwe nekuvhiya kumwedzi? Uye zvinogona kunge zvenguva pfupi kana kusingaperi here?
Sei Kuchepa Kwakakosha Nekenza Chepabonde?
Kune vakadzi vanonzi premenopausal panguva yekenza yavo yekuongorora chirwere chepabonde uye vane esrogen receptor vane mishonga yakanaka , mishonga (kana kuvhiyiwa) kuita kuti kuguma kwemazuva kuve kunofungidzirwa.
Tiri kudzidza kuti kushandiswa kwe aromatase inhibitors mushure mekutengesa tamoxifen kunogona kuderedza dambudziko rekudzoka, asi aromatase inhibitors haigoni kushandiswa nevaya vasati vasvika pakuguma.
Kana iwe wakanga uine chemotherapy iwe wakangodaro wakamira kuva nenguva, kunyanya dai uri pedyo nekuguma kumwedzi kutanga. Kunyangwe kana izvi zviri izvo, chiremba wako anogona kukurudzira kuedza kuti aone kana uri zvechokwadi menopausal. Kuti tinyatsonzwisisa izvi, ngatitaurire nezvemhando dzakasiyana dzekumisa kwemwedzi, musiyano pakati penguva pfupi nekuguma kwekumisa, uye nei izvi zvakakosha.
Mhando dzakasiyana dzekuguma kumwedzi
Iko kune mhando dzakasiyana siyana dzekusanganiswa kwemhando dzekumisa kwemwedzi. Zvichienderana nemhando, kumisa kwemwedzi kunogona kuva kwenguva pfupi kana kusingagumi, uye izvi zvinokosha pakusarudza pamusoro pekunakirwa kwekenza yepamusoro yepamusoro kana chirwere chako chiri chestrogen receptor positive.
Kusika Kwemakore Kupera
Kuzvidzivirira kwepanyama kunowanzoita zvishoma nezvishoma apo kubereka kwomukadzi kunoderera.
Munguva yekudzivirira kwepanyama, mazai emukadzi anomira kukura mazai, uye muviri wake unobata isrogen uye progesterone shoma , kuenda kwake kumwedzi kunopera uye pakupedzisira kunoguma. Apo kumisa kwemwedzi kunopera, mukadzi haasakwanisi kutora pamuviri. Kunonoka kwemazuva ose kunogara nguva dzose.
Kuvhiya Menopause
Kuvhiyiwa kwemwedzi kunowanikwa apo mazamu emukadzi anovhiyiwa, kana ane hysterectomy yakakwana (kubviswa kwechibereko chekuberekwa uye mavhai,) uye mazinga ake eestrogen anodonha zvikuru. Pasina mazai kana chibereko, mukadzi haabereki. Kuvhiya kwemwedzi kunowanzova zviratidzo kudarika kusimuka kwepanyama nekuda kwekukurumidza kwekuchinja. Kuvhiya kumwedzi kunogara nokusingaperi.
Chiremba Mheopause
Kurapa kumwedzi kunokonzerwa nemishonga yezvokurapa iyo inogona kukanganisa mazamu emukadzi kana kumudzivirira isrogen uye progesterone mazinga. Chemotherapy, anti-estrogen hormone therapies, uye mapiritsi emasipiramu emaperembudzi anogona kukonzera kamwe kamwe mahara evanhukadzi, zvichiguma nekuguma kwenguva pfupi kana kusingaperi . Mhando iyi yekuenda kumwedzi inogona kutaurwa se:
- Kurapa kumwedzi
- Kunyanya-kunokonzerwa nekuguma kwemwedzi
- Chemotherapy-induced amenorrhea
- Ikemikirini yekugumira
- Chemopause
Pashure pemakemikrasi, vakadzi vazhinji vanotora nguva pfupi yekuguma, asi inogona kuchinja kana nguva yako ichadzoka kana kwete. Kana iwe uri kuswedera pedyo nekugumira kwemazuva ano izvi hazvikwanisi kudarika kana iwe uri muduku uye uri kure nekuenda kumwedzi nenguva yekuongororwa. Kana chirwere chekurapa chikaitika kwenguva pfupi, zvakaoma kuziva (pasina badzi zvidzidzo) kana kuchera kwemazuva kwechinguva kana kwechinguva, uye nguva yenguva usati waziva inogona kusiyana.
Vamwe vakadzi vanotora nguva pfupi yekuenda kumwedzi kwemakore gumi vasati vava premenopausal zvakare uye nguva yavo inotangazve.
Izvi zvinokonzera dambudziko kana oncologist yako ichida kupa mishonga inoshandiswa chete kune vanhu vari postmenopausal. Aromatase inhibitors inogona kuva yakakosha kupfuura tamoxifen mukudzivirira kudzokorora, asi kana iwe uri premenopausal hazvikwanisi kuderedza maestrogen eesrogen uye tamoxifen inodiwa kunze kwekuti iwewo uchiwana chirongwa chekurapa maawa
Mushonga Wenguva Dukura Mukadzi Kupera / Ovarian Kuchengetedza Therapy
Kana uri pedyo nekuguma kwemwedzi, oncologist yako inogona kuedza kuongororwa ropa kuti uedze kuona kana iwe uri mukumisa kwemwedzi usingagumi kana kwete.
Kana iwe uri mukomana wechidiki wemu-premenopausal, kupedzisira kwemazuva ekurapa kuburikidza ne ovarian kuderedza chirwere chingakonzerwa. Kuti urambe uine esrogen uye mazinga eprogesterone ari pasi, asi chengetedza maovari ako ane utano, unogona kupiwa mishonga "kuvhara" maovari ako.
(Kare, chirwere chokuvhiya nekubvisa mavhai maitiro kazhinji kacho kwakakurudzirwa kwete kwete chete iyo nzira inopesana, asi inopedza chisarudzo chevakadzi kuti vatevere pamuviri mushure mekurapa.)
Ovarian kudzvinyirira therapy inobvumira vakadzi kutora aromatase inhibitor uye kukohwa zvinobatsira zvechirapa ichi. Aya mishonga inopedza mahomoni anonunurwa kubva mumucherechedzo wepituitary uye anotaura mavhavhai kuti abudise estrogen. Apo mishonga iyi inomiswa, kuenda kwako kumwedzi kunogona kutanga zvakare.
Kubata pamuviri panguva yekurapa kwemwedzi
Zvakakosha kudzidzira kubata pamuviri panguva yekurapa kwekenza yemucheche, kunyange kana iwe uine chirwere chekurapa kumwedzi. Pane mikana shoma yokuti iwe unogona kubata panguva yekurapwa, uye hatinzwisisi zvakakwana migumisiro yemishonga iyi pamimba yekutanga. Usashandise mapiritsi ekuberekwa kana kuti chero rudzi rwemakemikari emuviri . Zvisarudzo zvinogona kusanganisira mhangura dzemhangura , makondomu , spermicide , kana dzimwe nzira dzokudzivirira kubata pamuviri.
Nekurapwa Kwemakiriniki Unogona Kuona Kuenda Kwemwedzi Kuviri?
Kana iwe uri mukurapa kuenda kumwedzi, izvi zvinoreva here kuti iwe unogona kunge uine chirwere chekuguma kwemwedzi kaviri? Mhinduro yacho inobva pazera rako uye kuti uri pedyo nekuguma kwemwedzi sei. Kana iwe uri mumakore ako ekupedzisira makumi mana panguva iyo iwe unorwara uye unopfurikidza nekemotherapy, chirwere chako chekurapa chinogona kukutakura iwe pakupedzisira-kumisa kumwedzi pasina kudzoka kwekuenda kwako kumwedzi. Kana iwe uri makumi matatu panguva yekuongororwa, zvisinei, iwe unogona kuve nekuguma kwemunhu munguva yemberi. Kana iwe uri makore mashanu kubva kure nekuguma kwepanyama, nguva yako inogona kudzoka mushure mokurapa uye kubereka kwako kunogona kuwedzera. (Dzidza zvakawanda pamusoro pekuti marapirwo emapfupa emvere angakanganisa sei kubereka kwako .) Zvishoma kana nguva yechipiri inenge yasvika, iwe uchava wakagadzirira nemagadziro ako ekugadzirisa, uchirarama kuchirapa kwemazuva kare.
> Sources:
> Jerzak, K., uye K. Pritchard. Ovarian Kudzvinyirira muVamenopaususal Women With Estrogen Receptor-Positive Breast Cancer: Zvinokonzerwa ne 2016 ASCO Guideline yeKliniki Practice. ASCO Post 06 / 1- / 16.
> Lambertini, M., Del Mastro, L., Viglietti, G. et al. Basa reOvarian Kudzingwa muVemenopausal Vakadzi vane Mucheche-Stage Breast Cancer. Current Treatment Options muOncology . 2017. 18 (1): 4.