Zviitiko zvakawanda zvekenza yemazamu zvinowanikwa nemahomoni estrogen uye progesterone. Hormone therapy, iyo inonziwo endocrine therapy, inoshandiswa kubvisa kana kudzivirira mahomoni uye kumisa kana kuderedza kukura kwekenza masero. Kana kenza yako iine hormone-sensitive, ipapo hormone therapy inogona kuva chikamu cherongwa hwekurapa kwako.
Kana chiremba wako akanyora izvi nokuda kwekenza yako yepabonde yepamuviri, ronga kuronga kutora hormonal therapy kwemakore mashanu mushure mekuzadzisa mishonga yako yekutanga.
Kubatsira kukuru kwechirwere ichi ndechekudzivirira isrogen kubva pakuvhenekera kanonzi esrogen-inogadzirisa kenza masero, nokudaro kuderedza dambudziko rako rekudzoka zvakare. Kune kenza yemazamu ndiyo estrogen-receptor yakaipa, hormonal therapy haina kushanda.
Mishonga kana Kuvhiya
Mahomoni anogona kuderedzwa nemishonga uye / kana nekuvhiyiwa. Muvakadzi vasati vatarisa varume, mazamu anovaka akawanda eesrogen uye, mushure mokunge atanga kurapwa, kutora Tamoxifen kuchave kwakakwana kudzivirira isrogen kubva mumasero ekenza.
Kana zvichidikanwa, kuvasikana vaduku vane kenza yemazamu esterogen-maziso, mazai emuviri anogona kuvharwa kwenguva pfupi neayvarian suppression injection. Kune vakadzi vane ngozi yakawanda, mazai emuviri anogona kukanganiswa (oophorectomy). Oophorectomy ndiyo danho rinokosha rokutora sezvo iwe usingachazobereki. Kurukura nyaya iyi nachiremba wako usati watanga kurapwa.
Anti-Estrogen Hormone Zvinodhaka
Makirasi maviri emishonga inoshandiswa pakurapa hormone uye izvi zvinopiwa zvichienderana nemamiriro ekuratidza menopausal uye chepachifu chepachifu chekuongorora: Selective Estrogen Receptor Modulators (SERMs) uye Aromatase Inhibitors (AIs).
Nharaunda Dzakabatana
Kuva nemaovhai ako akavharwa kana kubviswa kana kutora hormone therapy inogona kuunza kurapa menopause . Iwe haugoni kuwana zviratidzo zvose zvekuguma kwemwedzi, asi apa pane zvimwe zvinowanzoitika zvinogona kuitika kubva kune rudzi urwu rwehutano:
- Hot flashes
- Night sweats
- Maitiro anofamba
- Vaginal dryness
- Kuneta
Prescription Use
Hormonal therapies inoshandiswa mushure mekuvhiyiwa uye mamwe marapirwo epamusoro wekenza yemvere. Izvi zvinobatsira kudzivisa kudzokorora kana kuwedzera kwezvirwere muestrogen-receptor zvakanaka mazamu emumutsipa, kumira isrogen kubva mukusimudzira kukura kwee-cancer inogadzirisa masero.
Kana chiremba wako anorayira zvinorwisa-estrogen zvinodhaka kwauri, zvinokosha kuti uzvitore nguva dzose uye kwenguva yakareba iwe uchida.
| Pakutanga-kutanga kenza yepabonde | ||
| Menopausal Mamiriro ezvinhu | Anti-Estrogen Drug | Nguva Yakarengwa |
| Pre- | Tamoxifen | 2 - makore mashanu * |
| Pre- | Kusanganiswa kwemaawa ekuderedza zvinodhaka, SERMs neAIs | Makore mashanu (kliniki mitsva) |
| Post- | Aromatase Inhibitor | Makore mashanu. Kuenderera mberi kweimwezve 5 kunogona kuvandudza chirwere chisina-kupona. |
| * Tamoxifen inogona kupiwa kwemakore maviri uye inotevera naAromasin kwemakore matatu, pane dzimwe nguva. Kune vakadzi vanobatwa ne tamoxifen kwemakore mashanu, kana kuenderera mberi tamoxifen kana kushandura kuAI kwemamwe makore mashanu kunoshanda mukuderedza njodzi dzekudzoka uye kune dingindiro inoratidza kuvandudzwa kwehupenyu hwose, zvakare. | ||
| Metastatic disease | ||
| Menopausal Mamiriro ezvinhu | Anti-Estrogen Drug | Nguva Yakarengwa |
| Chero | Tamoxifen | Kusvikira isisakwanisi kubudirira |
| Chero | Pakati pepamusoro nepamusoro-dose estrogens | Kusvikira isisakwanisi kubudirira |
| Chero | Aromatase Inhibitors | Kusvikira isisakwanisi kubudirira |
| Post- | Faslodex Injection | Nokuti zvirwere hazvisati zvichipindura Tamoxifen kana Fareston |
| Chero | Megace | Nokuti zvirwere hazvisati zvichipindura kune dzimwe hutachira hwemaawa |
| Chero | Androgens (mahomoni evanhu) | Inoshandiswa mushure mokunge mamwe mishonga yemakemikari yakave isina kubudirira |
| Pre- | Kusanganiswa kwemaawa ekuderedza zvinodhaka, SERMs neAIs | Kusvikira isisakwanisi kubudirira |
Cherechedza kuti kazhinji, kune varwere vane ngozi yakawanda vane zvirwere (egnode chitubu chakanaka kana T3 kana kuti zviremara zvakakwirira), kuitira kuti kuderedzwa kwengozi yekudzoka, nguva yehutachiona inofanira kuwedzerwa kusvika kumakore gumi.
> Kwakabva:
> National Cancer Institute. Hormone Therapy for Breast Cancer.