Mishonga yemaginal isrogen inobatsira ne genitourinary chirwere chekuenda kumwedzi
Nhema yokuti nzira yakasakara yekukwegura inokonzera kurasikirwa kwepanyama kwakanyanya kana kuremara kwakakonzera kusununguka kwevana; munhu akwegura ane utano haana dambudziko kuona, kunzwa kana kufunga. Uyezve, vanhu vazhinji vakwegura vane hutano vachiri nesimba re libidos uye upenyu hwepabonde. Ichokwadi, inofungidzirwa 56 kubva muzana yevakadzi vakambosvika kumwedzi uye vava nemakore makumi mashanu kusvika kune makumi manomwe nemakore makumi manomwe nemana makumi manomwe vachiita zvepabonde.
Mukufungidzirwa makumi mashanu kubva muzana yevakadzi, kuchinja kwemarimoni kunokonzerwa nekuguma kwemazuva kunogona kutungamirira kumadzimai ekuoma uye mamwe zviratidzo zve genitourinary syndrome yekuenda kumwedzi (GSM). Pasinei nekuwanika uye kubudirira kwemukadzi we-vaginal estrogen therapy (estrogen creams), hafu yevaya vane GSM vachitsvaga-kana vanopa-rubatsiro rwekurapa uye kutungamirirwa. Uyezve, hafu yevakadzi ava vanoda kubatsirwa vanogutsikana nekutungamirirwa kana ruzivo rwavanogamuchira, uye vazhinji vanorega kushandiswa kweesrogen creams. Mune mamwe mazwi, kuputsika kwehurongwa kunobatsira kune vose vanopa uye varwere vanochengeta vakadzi vane mamiriyoni akwegura vakwegura vane chirwere cheGMM-mamiriro ezvinhu anonyatsobatwa ne estrogen creams uye mamwe maitiro emadzimai echikadzi esrogen.
Chii chinonzi Genitourinary Syndrome of Menopause?
Maererano neshizha ra2014 rakabudiswa mumagazini inonzi Maturitas :
GSM inotsanangurwa sekusanganiswa kwezviratidzo uye zviratidzo zvinosanganiswa nekuderera kweedrogen nedzimwe steroid zvepabonde dzinoshandurirwa kushanduka kumadzimai emara / minora, clitoris, vestibule / introitus, vagina, urethra uye chikafu. Chirwere chinogona kusanganisira asi hachirevi kune zviratidzo zvepabonde zvekuoma, kupisa, nekutsamwa; zviratidzo zvepabonde zvekushaikwa kwemafuta, kusagadzikana kana kurwadziwa, uye kushaya simba; uye urinary zviratidzo zvekukurumidzira, dysuria [kurodza kunorwadza] uye kazhinji kacho kunyorera maitiro.
Nyaya, maererano nevanyori vekudzidza uku, kuitira kuti iwe uonekwe seine GSM, zviratidzo zvako zvinofanira kuva zvinotambudza uye hazvibatsiri kune imwe etiology kana chikonzero. Uyezve, vakadzi vazhinji vane GSM vanogona kuwana zvimwe asi kwete zviratidzo izvi zvose.
Kutsvakurudza kweAkasi-Dose Vaginal Estrogen Products
Mune chidzidzo che2014 chinonzi "Vaginal Estrogen yeGenitourinary Syndrome of Menopause," vatsvakurudzi vakaongororwa mune zvekutengesa vaginal estrogen (estrogen creams, zvinyorwa zve estradiol uye mapiritsi esradiol vaginal).
Pakupedzisira, vatsvakurudzi vanoratidza zvinotevera:
- Madzimai ane runyararo rwumwechete rweGMM-sechikadzi chekuoma, kurwadziwa panguva yepabonde , kurwadza kunorwadza, uye kuvhenekera kwemudzimai kana kupisa-unogadziriswa usingagoneki kana mhepo inogadzirisa inogona kushanda. Zvisinei, vamwe vevakadzi ava vanogonawo kubatsirwa kubva pabhedheni isrogen, zvakare.
- Madzimai ane boka renyeredzi reMMM-zviratidzo-kunyanya zviratidzo zvekuvhota sezvakawanda uye kusagadzikana-mishonga yeserogen yemadzimai inoshanda.
- Kusarudzwa kwechinari isrogen cream, tablet, ovule, suppository, kana ring rinowirirana nezvido zvevarwere.
- Kunyange zvazvo michero yakadai yesrogen inowanzoonekwa yakachengeteka, zvidzidzo zvemazuva mazhinji zvinofanira kuitwa. Nokudaro, munhu ane nhoroondo yemhuri uye GSM inotambudza anofanira kunyatsoongorora chirongwa cheestrogen pasi pekuchengetedzwa kwechiremba.
- Chinyanyozivikanwa nezvemhepo (inoshandiswa kurapa dyspareunia kana kurara kunorwadza), yakakonzerwa nemishonga yeserogen yemishonga, kana mishonga yemvura kana yemhando.
- Kuwedzera kudzidza kunodiwa.
Kana iwe kana munhu waunoda ane chirwere che GSM, tapota sangana nemudzidzisi wezvidzivirira-gynecologist kuti ataure nezvekugona kurapwa. Kunyangwe mune vamwe vanhu vane zviratidzo zveMMM semakadzi akaoma, ma-lubrical nonhormonal mafuta kana mikoko inogona kubatsira, kana uine zviratidzo zvakakura, unogona kuwana ruzivo rwechirongwa chemishonga eestrogen yakaderera seestrogen creams uye vaginal estrogen rings uye suppositories.
Shoko Rinobva
Ndapota ramba uchiyeuka kuti kunyange zvazvo chirwere chinonzi esterojeni chinowanzoonekwa chakachengetedzeka, ramba uchichenjerera uye chiremba mazano kana iwe une nhoroondo yezamu kana kenza yemakemikari.
Isu tinoziva zvishoma pamusoro pekushanda kana kuchengeteka kwekunyoresa isrogen dzimwe nzira dzinogona kutenga kutenga paInternet kuitira kuti unofadze kushandiswa kwekutenga nekushandisa michero yakadai pasina chiremba wako. Rega chiremba wako anyore zvakakunakira iwe.
Kana uchifarira nzira dzekutupathika dzakadai soyy and yam extracts, pamwe nekudzivirira gynecologist, iwe unofanirwa zvakare kusangana nechiremba we naturopathic.
Ndapota yeuka kuti kana uine ruzivo rwomukati uye zvimwe zviratidzo zveGMM, hapana zvachose chinonyara nacho. Mune zvakawanda, GSM inhu yehupenyu inoratidza kuchinja kwemuviri mumuviri wako. Zvinosuruvarisa kuti vazhinji vevakadzi vane GSM vanokundikana kugamuchira kurapwa kana mazano avo vanonyanya kuda kana kunyatsogadziriswa kwemishonga yemishonga isrogen inowanika.
Kuti ive yakarurama, ichi chakaipa cheGMM kurapwa chikamu chikuruwo chinokonzerwa nevatapi vezvipatara ivo pachavo. Semuenzaniso, kwemakore, sangano rezvechiremba rinotaurirwa kuGMM seatrophic vaginitis , izwi risina kururama rinotanidza kushorwa. ( Atrophy zvinoreva kuparara uye vaginitis zvinoreva kuvhiringidzika.) Uyezve, kutsvakurudza kunoratidza kuti vakadzi vakawanda vakwegura vanonzwa vasinganzwisisiki kana kunyara kukurukura GSM nevana vaduku, vanochengeta utano.
Yeuka kuti ibasa rekupa uye mutoro wekutarisana neGMM nenzira yakasununguka, ine tsitsi uye inovaka. Pakupedzisira, kana iwe uchinzwa usina kunetseka kukurukura matambudziko ako ehutano nehupi hwehutano hwako, ndiyo pfungwa yakanaka yekuwana chiremba waunonzwa wakasununguka. Mushure mezvose, chiremba wako anofanira kuva mutungamiri anonzwira tsitsi kune utano huri nani uye kutsigira hupenyu hwako munzira dzose.
> Sources:
Portman DJ et al. Genitourinary Syndrome of menopause: New terminology ye vulvovaginal atrophy kubva kuInternational Society yeChidzidzo cheVarumekadzi Zvepabonde neHorld American Menopause Society. Maturitas. 2014; 21: 1063-8. https://doi.org/ > 10.1097 / GME.0000000000000329
Rahn DD et al. Vaginal Estrogen yeGenitourinary Syndrome yekuguma. Obstetrics & Gynecology . 2014.