Vakadzi vanotapurirwa nekenza, kunyanya avo vanotambura nekenza yegynecologic uye nekenza yemazamu, vachakuudza kuti vaginhi kuoma kunogona kuva kunetsa kwemaitiro ekurapa. Kuvhiya, chemotherapy, remapiritsiro emishonga uye hormonal therapy inogona kupindirana nekugadzirwa kwemuviri wekugadzirwa kwechikadzi. Mhedzisiro inononoka kune yakaoma mumadzimai akaoma ayo anogona kuita kuti zvepabonde zvive zvinorwadza uye zvinokonzera mabasa akadai, sekufamba, kusagadzikana.
Kune mishonga yakawanda yekuomeswa kwemadzimai, kubva ku-homeopathic kusvika kumishonga yemishonga. Vakadzi vakawanda vari kurwisana nevakadzi vanoita zvekenza zvinoshandiswa kugadzirisa chirwere cheserogen kugadzirisa kuoma kwavo. Muchikamu ichi chinopiwa neUptoDate , imwe yemagetsi inoshandiswa nevarwere vazhinji uye vanachiremba vavo vachitsvaga zvakadzama nezvekurapa, vaginal isrogen inotsanangurwa:
"Vaginal isrogen ndiyo inonyanya kushandiswa kurapwa kwevakadzi vane vaginhi vemaini." Vaginal estrogen inofanira kurongerwa nemupi wehutano wehutano.
"Kuderera kwakanyanya kwechikadzi cheserogen kunogona kushandiswa kana kuchiiswa mumudzimai kuti uite uke hwemadzimai, uye zvishoma kune eesrogen inopindira muropa. Sekuguma, kune ngozi yakawanda yepamuviri, yakadai sesopa mabhanhire, kenza yemazamu, uye kurwisa kwemwoyo, zvichienzaniswa nezvimwe zvinonzi Estrogen-zvinogadzirwa (kuberekwa kwepiritsi, menopausal hormone therapy). "
Aina
Vaginal estrogen inowanikwa mukamu, suppository, tablet, uye vaginal form yebheni. Zvose zvinopindirwa mumudzimai uye dzinofanirwa kurongerwa nachiremba. Zvimwe zvezvinyorwa zvinowanzozivikanwa zvevakadzi vagyero estrogen zvinosanganisira:
- Vagifem
- Estrace
- Premarin
- Estring
Paunenge uchishandisa vaginal estrogen, iva nechokwadi chekubvunza chiremba wako kana wemhizha kana makondomu akachengeteka kuti ashandise nemishonga yako yakatemwa.
Mamwe maitiro echinini isrogen anogona kuderedza kushanda kwemakondomu kuburikidza nekuderedza kucheka.
Mukuwedzera, pamwe nemimwe michina ye-estrogen, iwe unogona kurayirwa kuti usarega kudya mazambiringa nemafuta emagetsi, sezvaanogona kuwedzera migumisiro yemigumisiro.
Migumisiro Yechiri
Kufanana nemishonga yose, vaginal isrogen ine zvingava nemigumisiro. Nhamba yeestrogen mune zvepabhedheni isrogen michero yakaderera, saka mukana wekutarisana nemigumisiro hauna zvishoma. Zvikanganiso zvinogona kusanganisira, asi hazvirevi kune:
- Breast tsitsi / kurwadziwa
- Vaginal discharge
- Kushungurudza mudumbu / kurutsa
- Kunyunyuta
- Kuora bvudzi kana kukura kwebvudzi
- Melasma (nzvimbo dzine rima paganda)
- Hot flashes
- Kuora mwoyo / kuzvidya mwoyo / kunetseka
Ramba uchifunga kuti nemhaka yehuwandu hwakawanda hweweserogen mune zvepabonde zvirwere zveesrogen, migumisiro haisati yakakurumbira. Iwe unofanirwa kuudza zvose zvinokonzera kuchiremba wako.
Mashoko Akasiyana Nevamwe Vakadzi Nekenza Yebonde
Maererano neizvi zvinyorwa zvakapiwa na UptoDate :
"Kuchengetedzwa kwemadzimai eesrogen kuvakadzi vane nhoroondo yekare yekenza yemazamu haisati yakanyatsojeka." Zvishoma zveesrogen inogona kubudiswa kubva kumadzimai kusvika muropa. "Kana une nhoroondo yekenza yebonde, taura nemupi wako wehutano wehutano kana oncologist pamusoro pezvinogona kuisa njodzi uye kubatsirika kwevakadzi vese isrogen. "
Kunetseka kwewedzerwa estrogen ndeyevakadzi vane estrogen receptor-positive (ER +) kanzira dzekamu dziri kutora aromatase inhibitors kudzivirira kudzokorora. Vakadzi vane kenza yeAER + yepamu vane matumbu anovimba neestrogen kukura. Aromatase inhibitors inobatsira kudzivisa kenza kudzoka nekuderedza kuburitsa kwechirongwa chestrogen.
Kunyange zvakadaro, kana dzimwe mishonga dzisiri-estrogen dzisingabatsiri, vanachiremba vakawanda vacharonga vaginini isrogen kuvakadzi vanoramba vachiomeswa mumadzi nekuda kwehuwandu huwandu hwewesrogen mune chigadzirwa uye kuti zvishoma zvakadini zvinowanikwa.
> Kwakabva:
Bachman, Gloria & Santen, Richard. "Kuvhara Kwemakumbo." Kusvika pari zvino. Svondo 2009.