Uri kutarisa hormone therapy kuti uchengetedze zviratidzo zvako zvekuenda kumwedzi here? Kana kuti zvichida chiremba wako akakurudzira nzira iyi yekurapa kwauri. Chero nzira, iwe ungangodaro uri kunyanya kunetseka nezvekutora mahomoni. Hazvishamisi kana zvisingaoneki kana iwe uchinzwa nenzira iyi. Pane zvakawanda zvisinganzwisisiki uye kuvhiringidzika kunze uko, kunyange pakati pevanhu vezvehutano nezvehungwaru uye zvigaro zvekushandisa mahomoni kuti apedze kumisa.
Izvi, zvinosuruvarisa, zvakasiyira vakadzi vakawanda kuti vatambure zvisina kufanira nezvirwere zvakanyanya zvemurumeopausal.
Vanhu vazhinji, kusanganisira vanachiremba, vachiri kuita zvinoenderana nemigumisiro yekutanga kubva kuWHI HT muedzo iyo yakaratidza dambudziko rinowedzera-kunyanya nekenza yemazamu-inobatanidza ne menopausal hormone therapy. Asi, zvakawanda zvakave zvadzidzwa kubvira ipapo. Hazvirevi chete kuti zvigadzirwa zvepakutanga zvave zvadzokidzwa zvakare, asi zvidzidzo zvitsva zvave zvichitarisa zvakatarisa kuchengeteka uye kubudirira.
Muchikamu chayo chazvino cha 2017 chimiro chemahombekombe, North America Menopause Society inotanga matatu anokosha zvikuru:
- Zvikomborero zvinowanzopfuura zvengozi zvevakadzi vane zviratidzo vanotanga hormone therapy pavanenge vakwegura pamakore makumi matanhatu kana kuti vari mumakore gumi ekudzidzira kuenda kumwedzi.
- Utachiona hweHormone hunofanira kuenzaniswa neumwe, uchifunga nezvezviratidzo (s) kana uchapupu-based based targets, kuongororwa kwezera remukadzi uye / kana nguva kubvira pakusvika pakusangana pakutanga kana kuenderera mberi, hutano hwomukadzi hwehutano uye hunodiwa, uye yezvingangobatsira uye njodzi dzeHermone therapy zvichienderana nemishonga yeushormone kana kusarudzwa.
- Mhando yehomoni inorapwa, mamwe maitiro, maitiro, uye regimen inofanira kunge yakasarudzwa, kushandisa sarudzo yekugoverana uye yakagadziriswa pamusana pemigumisiro yakaipa inogadzirwa nemaprofiles nekuchengetedzwa kwemashoko, pamwe chete nehutano hwomukadzi mumwe nomumwe uye zvaanoda.
Mune mamwe mazwi:
- Iyo yakachengeteka kutanga kutora hormone therapy pakutanga kwekumera.
- Chiyero chimwe chete hachikwanisi zvose. Hormone therapy zvirongwa zvokurapa zvinofanira kunge zvakasiyana.
- Kusarudza rudzi rwehutachiona hwema hormone runofanirawo kuva mumwe oga.
Izvi zvakasiyana zvakanyanya kupfuura mai vako hormone therapy apo choga chisarudzo chaiva piritsi yakabva mumurini yemabhiza ane mimba. Nhasi, pane zvakawanda zvakasiyana-siyana, mazoro, uye maitiro ehomoni inorapa zvichienderana nezvamunoda. Heino mhedziso yakawanda yezvaunogona kusarudza.
Oral Estrogen Therapy
Iro rudzi rwehomoni inoratidzira inowanzoita mapiritsi emafuta. Kunyange zvazvo chirevo chekutanga che conjugated equine estrogen chichiripo chiripo, dzimwe dzakawanda dzakagadzirwa eestrogen dzakasikwa. Izvi zvinogadzirwa eestrogen zvakafanana zvikuru neestrogen yakaitwa neavo yako uye naizvozvo inofungidzirwa kuti inofanana. Iko kune simba rakasiyana-siyana rakasiyana, rinobvumira pane zvakasiyana-siyana zvepa dosing. Kana iwe uchiri nechibereko, iwe uchatodawo kutora rumwe rudzi rweprogesterone kuti udzivirire endometrium kubva pamigumisiro yesrogen.
Transdermal Estrogen Therapy
Ikoko rudzi rwehomoni inoratidzira pane ganda rinogadziriswa kwehomoni pane kunyanya kutaura. Izvi zvine zvishoma zvikomborero. Nemhaka yokuti haifaniri kunge yakabatwa nematumbo ako, inogona kuiswa mumitambo yakaderera.
Iyo inoramba iine hutachiona hwakasimba huri mumuviri wako, iyo inogona kukosha mune dzimwe mamiriro ezvinhu, kunyanya kana uri kutambura nemagraine musoro. Uyewo, nokuti nokufamba kuburikidza neganda rako hazvidi kuti upfuure muchiropa chako, hazviiti kuti kuwedzerwa kwe triglycerides yako (choseterol isina kunaka) uye kunogona kuderedza ngozi yehutachiona-yakasangana nemigumisiro yakaipa. Nzira dze transdermal dzinosanganisira:
- Patches
- Gels
- Topical emulsions
- Sprays
Kubatwa kwe transdermal estrogen kunogona kushanduka zvichienderana nerudzi rwayo uye kuti zvinoshandiswa sei. Zvakare, Kana iwe uchiri nechibereko iwe uchadawo kutora rumwe rudzi rweprogesterone kuchengetedza endometrium kubva pamigumisiro yesrogen.
Vaginal Estrogen Therapy
Iko rudzi rwemapiritsi eromoni anowanzoguma mumagadziro ezasi eesrogen muropa rako. Nemhaka yeizvi, inowanzoshandiswa kurapa mazita ekudzivirira kwemajini-zvinhu zvakadai sekuoma kwemadzimai, zvepabonde zvinorwadza, uye zvimwe zviratidzo zvechirwere. Izvo zvakasarudzwa ndeyepamusoro yepamusoro yevhareji yemakete Femring. Vaginal estrogens iripo ku:
- Creams
- Mapiritsi
- Rings
Kunze kweyenderedzwa yepamusoro yezai, izvi zvemukadzi zvakagadzirirwa zvinogona kushandiswa zvisina njere pasina progesterone kunyange kana iwe uchinge uine chibereko chako.
Progestin-Progesterone Options
Kana iwe uri kutanga hormone therapy uye iwe uchiri nehutachi hwako iwe uchada kushandisa imwe chirongwa cheprogesin kana progesterone kuti udzivirire rwonzi rwechibereko chako. Nokufamba kwenguva, isrogen isingaiti, iyo inotora estrogen isina kuifanidza neprogesterone, inogona kutungamirira kune endometrial hyperplasia kana kunyange kenza yemapendometri. Iwe unogona kushandisa shanduro inonzi progestin seyo inoshandiswa mumashonga ekudzivirira kubata pamuviri kana unogona kushandisa progesterone chaiye yakafanana neprogesterone inogadzirwa nemaovari ako. Aya maitiro e progesin / progesterone anowanikwa se:
- Mapiritsi
- Vaginal gels
- Vaginal inopinza
Iyo progestin-ine IUDs inosarudzawo.
Kusanganiswa Estrogen uye Progestin Therapy
Kune vamwe vakadzi, zvingava zvakanaka kushandisa mushonga wehomoni una mahomoni ose pamwechete. Iko rudzi rwehomoni inorapwa inowanika ma formomu mapiritsi uye se transdermal patch.
Shoko Rinobva
Kunyangwe kumisa kwega pachako hakusi chirwere chemahomoni chinoshandiswa nechisimba ichi chinokonzera kukwegura chinogona kuita zviratidzo zvikuru zvinogona kuvandudzwa nehomoni inorapwa. Utachiona hweHormone hunogona kukurudzirwa kwauri kuti ubatsire kudzivirira osteoporosis kunyanya kana iwe uri pangozi yakawanda. Pasinei nokuti zvikonzero zvipi zvekutarisa hormone therapy chiremba wako achakubatsira kuita sarudzo dzakanakisisa kukubatsira iwe kurarama zvakanaka kuburikidza nekuguma.
> Kwakabva:
> North America Menopause Society (2017). The 2017 Hormone Therapy Position Statement yeThe North American Menopause Society. Kusvitsa, 24, 728-753.