Apo mukadzi anotanga kuve nekudzivirira kumwedzi kwechiratidzo sekupisa kunopisa, nguva dzisinganzwisisiki kana mafungiro anochinja, angangodaro achishamisika pane imwe nguva kana achifanira kutora chirwere chekudzivirira kwema hormone therapy (MHT). Dzimwe nguva inonzi "hormone replacement therapy," kana kuti HRT, inowanzoreva kusanganiswa kwehomoni dzevakadzi isrogen uye / kana progesterone.
Tsvakurudzo inotanga kuratidza kuti zvinokonzerwa nehutachiwana uye zvakabatsiro zvemishonga yekurapa ndeipi, asi kune zvakawanda zvekudzidza pamusoro pemigumisiro yesrogen uye progesterone kumitumbi yedu uye hutano hwedu. Kunyange zvazvo iri kunyatsoshanda kurapwa kwezviratidzo zvakawanda zvekumuka kwemwedzi, hormone therapy inogona kuwedzera mikana yeimwe mamiriro ezvinhu, uye chisarudzo chekushandisa icho chiyeuchidzo chekugadzirisa kana zvinowedzera zviri nani kune avo.
Vakadzi Vehutano Initiative (WHI) kudzidza ndiyo yakanyanya kuongororwa yakaitwa pavakadzi vevarumeopausal uye inotarisa kune chirwere chemwoyo, mapfupa efupa, uye mazamu uye mahara evanhu vanorwara. Imwe yenzira dzekudzivirira dzakadzidziswa ndiyo iyo inokonzerwa nehormone therapy pamamiriro aya.
Pakutanga kwaifungidzirwa kuti hormone therapy inogona kudzivirira chirwere chemwoyo nekurohwa mumadzimai anonzi postmenopausal. Apo zvakaratidzwa kuti kwete kwete chete esrogen haina kuchengetedza vakadzi kubva muchirwere chemwoyo nekurohwa asi vakadzi pamusoro pemishonga yehomoni zvirokwazvo vakave nekuwedzera mumamiriro aya, miedzo yakamiswa mangwanani.
Vatsvakurudzi vachiri kutarisa kuburikidza nemashoko ekutsanangurira kuti vakadzi ndeapi avo vari pangozi uye izvo zvakabatsirwa chaizvo nemishonga inonzi hormone therapy.
Ikozvino mazano ekumisa mishonga hormone therapy inoratidza kana hormone therapy inoshandiswa kurapa menopausal zviratidzo, inofanira kushandiswa mumitambo shomanana inoshanda, kwenguva shoma yakakodzera.
Batsirwa
Iko kune zvimwe zvipupuriro zvinopupurirwa kuti zvishoma nezvishoma pfupi pfupi ye estrogen uye / kana progesterone. Pakati pezvikonzero zvaungafunga kuti kushandisa hormone therapy ndezvekuti:
- Utachiona hweHormone ndiwo mushonga unonyanya kushandiswa hwekupisa uye kupisa kwemadzimai
- MHT inowanzobudirira mukurapa zviratidzo zvine chokuita nemafungiro anosanganisira kushandura mafungiro uye kuora mwoyo
- MHT inogona kuvandudza mararamiro ekurara kwevakadzi vanotambura nekushaya hope pavanonoka
- MHT inononoka kupera kwemapfupa, kudzivirira kana kunonoka osteoporosis. Mimwe mishonga, yakadai sa bisphosphonates kana raloxifene, inowanzova chisarudzo chekutanga chekudzivirira kurasikirwa kwemapfupa, asi kana uri kushandisa hormone therapy kune zvimwe zvikonzero kuwedzerwa kubatsiro kuchave kudzivirirwa kubva kune osteoporosis.
Kune vakadzi vane zviratidzo zvinokanganisa zvakanyanya panguva yekuguma, MHT inogona kuvandudza mararamiro avo ehupenyu, kuvabatsira kuti vafunge nezvekuchinja uye vachiri kuchengetedza hutano hwavo uye mafungiro ehutano.
Ngozi
Sezvo WHI uye imwe tsvakurudzo yakaratidza, pane njodzi dzakakomba dzekutarisana neMHT. Njodzi dzakakwirira kune vamwe vakadzi, zvichienderana nehupenyu hwavo hwehutano uye nhoroondo yehutano hwemhuri. Zvinonyanya kuzivikanwa ndezvi:
- Ropa rinovhara
- Zviratidzo zvepfungwa, kusanganisira kurwadziwa uye kushaya mwoyo
- Mimwe mhando dzekenza yemazamu
- Gallbladder chirwere
Sezvo dambudziko rako richienderana nekuzvibatanidza kwako pangozi zvinhu, zvakakosha kuti ukurukure chisarudzo ichi nokungwarira newachiremba wako.
Apo MHT Haisi Option
Kune vamwe vakadzi, dambudziko rekushandisa hormone therapy rinonyanya kwazvo. MHT haisati yakurudzirwa kune vakadzi vano:
- Vari nepamuviri kana kuti vanofunga kuti vangave vane pamuviri
- Ita ropa risina kukwana kana risina kutsanangurwa
- Iva (kana kuti wakanga uine) kenza yepafu kana chirwere chekuberekwa
- Iva nenhoroondo yekurwadziwa kwepfungwa kana chirwere
- Iva nenhoroondo yekuwana ropa
- Iva nehosha yechiropa
Migumisiro Yechiri
Mukuwedzera kune ngozi, hormone therapy inogona kukonzerawo mamwe madhara.
Paunofunga pamusoro pekunge ichi chirongwa chakanaka kwauri, zvinokosha kuziva kuti iwe unogona kuwana chero cheizvi zvinotevera paunotora estrogen uye / kana progesterone:
- Chirwere chepabonde kana kuzvimba
- Hazvina kubuda ropa
- Bloating
- Headaches
- Queasiness
- Kugadzikana kwemashumo
- Kukanganiswa kwemunharaunda kana kukanganiswa kwehutano kune nzira yekuendesa (vaginal ring, skin patch, cream)
Zvichienderana nekuvhiringidza kwako zviratidzo zvako zvekumuka kwemwedzi ndezvokuti, maitiro ehomoni anogona kukudzivisa kubva kuMHT.
Mibvunzo Yokubvunza
Kune vakadzi vazhinji, chisarudzo chekuti kutora mahomoni kare uye shure kwekuguma kwekuguma ndeyekukuru. Iwe haungambove uri pane chero mushonga muhupenyu hwako kana iwe unogona kunge uine ufiropiyo hunopesana nekurapa kuchinja kwechirwere nemishonga.
Chero zvaunoshushikana nazvo, kana zviratidzo zvekubuda kwemazuva zvinotanga kukukanganisa iwe, uye iwe unofunga kuti ungada kuedza hormone therapy, heano mimwe mibvunzo yekuzvibvunza iwe:
- Zvakaipa zvakadini zviratidzo zvako? Zviratidzo zvinopesana zvakanyanya kubva kune mumwe mukadzi kusvika kune anotevera, kubva pakusatombovapo kusingagoneki. Funga nezvekuvhiringidza kwako zviratidzo zviri pamwero wemumwe kusvika kune gumi, apo mumwe "haatombomanikidzi zvachose" uye 10, "Handifungi kuti ndinokwanisa kumira imwe imwe nguva." Nyora chiratidzo chega chega uye uchitaridzire imwe kusvika kune gumi. Tora izvi kuongororwa newe kana iwe uchitaura nachiremba wako.
- Ndezvipi zvirwere zvehutano hwako? Iwe une chirwere chipi zvacho here? Unotora mishonga iye zvino here? Wakambove nehosha dzakakomba dzakadai sekenza here? Ko cholesterol yako sei? Kuremera kwako? Nyora pasi njodzi dzese dzehutano dzaunoziva iwe uye dzigadzirire kutaura pamusoro pavo paunokurukura ma hormone therapy newachiremba wako.
- Ndeipi mhuri yako yekare? Kune humwe hutano huri hunoita sehwunoita mumhuri yako here? Chirwere chemoyo? Cancer? High cholesterol? Kuvhara matambudziko? Chirwere cheshuga? Osteoporosis? Kuora mwoyo? Iva nechokwadi kuti iwe unowana zvakawanda sezvaunokwanisa pamusoro pezvinyorwa zvehutano zvevabereki vako nevanin'ina vako.
- Mhando yako yekugumira kwenguva yakaita sei amai vako? Iwe unogona kunge usingazivi mhinduro yeiyo, asi chiitiko chaamai vako pakuguma kwemazuva chingakupa zvinyorwa pamusoro pezvaunotarisira kubva iwe pachako.
- Iwe unonzwa sei nezvekutora mishonga nemhomoni kunyanya? Funga nezvekuti unonzwa sei nezvekutora mishonga yemusi wega. Vamwe vakadzi havazvipi pfungwa yechipiri uye vamwe vanozviona kuti kutyora kwezvavanogona kana kuti kuburitsa kuzvifananidzo zvavo. Kana iwe uine nguva yakaoma uchiyeuka kutora mapiritsi zuva rega rega, ungave wakakosha neketani kana bhinhire remadzimai kuti uite zviratidzo zvako here?
Kuwana kuenzanisa pakati pehutano hunoenderera mberi uye kunyaradza muviri ndechimwe chinhu chinonyanya kukosha chekufa uye kusarudza kana kutora mahomoni panguva yekupera kwemazuva kwete iyo chaiyo yesayenzi. Kunyange kana iwe ukasarudza, unogona kugadzirisa chisarudzo chako apo zviratidzo zvako zvichinja. Haisi kusarudzwa kwenguva imwe chete sezvo iri hurukuro inopfuurira pakati pako nachiremba wako. Kudzidza zvaunokwanisa pamusoro pemishonga yehomoni uye zvino kuzvibvunza mibvunzo inokosha inokugadzirira iwe hurukuro iyoyo.
> Sources:
> Institute for Clinical Systems Improvement, Menopause and hormone therapy (HT): kubatana nekugadzirisa mazano. National Guideline Clearinghouse, Gumiguru 2006.
> Dhipatimendi reUnited Health of Health and Human Services, National Institutes of Health, National Heart, Lung, uye Blood Institute, "Facts About Menopausal Hormone Therapy," NIH Publication Nha. 05-5200.