Vaginal Atrophy Zviratidzo uye Kurapa Panguva Yokuguma
Vaginal yakaoma chiratidzo chekuenda kumwedzi kunogona kukanganisa mararamiro ako ehupenyu uye kukanganisa ukama hwako hwepabonde, asi ndeyekuti vazhinji vakadzi havangauyi kuvanachiremba. Zvikonzero zvekusava nehanya kwekunyunyutika kubva pakunyadzisa kuti tifunge kuti chiitiko chisingadzivisiki chatinofanira kubvuma. Asi kana ucheche hwemadzimai kana zvimwe zviratidzo zvekudzivirira kwechikadzi zvichikuvhiringidza iwe, pane chimwe chinhu chaunogona kuita nezvazvo.
Chimwe chekuderera kwekuguma kwemwedzi ndiko kupera kwechikadzi uye urinary tissues seestrogen. Izvi zvinokonzera zviratidzo zvakawanda zvinogona kugumbura, kusanzwisisika kana kungonyadzisa.
Ndezvipi Zviratidzo?
Apo estrogen inowira panguva yemakore ekurambana, mishonga yemuviri yako inotanga kusanyanya kuoma. Izvi zvinonyanya kuitika kumatumbu anogadzira uriniti rako uye nzvimbo dzepabonde. Zvishoma nezvishoma, chirwere chemuviri uye urinary hachina kugadziriswa, zvisinganyanyi kunatswa uye zvinokuvara nyore nyore. Zvimwe zvezviratidzo zvekurasikirwa uku kwekusimba zvinosanganisira:
- Kuora kana kubuda ropa nemabasa ekuita zvepabonde
- Vaginal kuoma kana kupisa
- Urinary incontinence
- Zvimwe zvinowanzoita majekesheni emukanana
- Kupisa kana kukurumidzira nekugunzva
- Watery vaginal discharge
Iwe unogona kuona kuti unotanga kukanganisa urinho shoma kana iwe uchikandira, kana kuti zvepabonde hazvina kunetseka kana zvinorwadza. Inogona kutanga kupisa paunenge uchishamba, kana iwe ungacherechedza tsvina, mvura yakasviba yausina kumbove nayo.
Izvi zviratidzo zvekuti iwe unogona kunge uchitambura nemudzimai.
Chii Chaungaita NezveVaginal Atrophy?
Pane nzira dzakawanda dzekugadzirisa hupombwe hwemadzimai uye zvimwe zviratidzo zvemadzimai ekurota; mushonga unonyanya kushandiswa kwevakadzi vese inrophy ndiyo hormone therapy. Kudzorera isrogen iyo mazai ako haasisiri kubudisa ndiyo nzira yakanakisisa, yakaratidza kuti inogona kuchinja zviratidzo izvi.
Unogona kuita izvi ne:
- Systemic estrogen. Kana uine zviratidzo zvemanopausal zvakadai sekupisa kunopisa kana kuchinja mafungiro, iwe ungada kufunga nezvechirwere chepasi chestrogen chinopiwa mupiritsi, patch kana kamu cream. Iro hormone therapy inogona kutora nzvimbo yeserogen yemuviri sezvo muviri wako uchigadzirisa kusvika kumwedzi, kurerutsa zviratidzo zvako.
- Local estrogen. Kana ucheche hwemadzimai kana urinary zviratidzo ndewekunyunyuta kwako chete, unogona kufunga nezve estrogen inopihwa kuburikidza nekrimu, piritsi kana kuti rin'i rakagadzirirwa zvakananga mumudzimai. Iwesrogen inowanzogadziriswa chete munharaunda yechipital uye haina huwandu hwehuwandu hwehutano.
Kunyange mahara hormone therapy ane zvimwe zvinetso. Kana iyo hormonal nzira imwe chete iwe unofunga kuti yakakunakira iwe, kurukura nayo nemutapi wezvokurapa.
Kana iwe usati uri mukana wakakodzera wemishonga inonzi hormone, kana iwe unongoda kugadzirisa zviratidzo usingashandisi nzira dzemahomoni, hezvino zvimwe zvinhu zvaungaedza:
- Vaginal lubricants. Mafuta emagetsi anogona kuita musiyano mukuru nekumai kwechikadzi, kunyanya panguva dzepabonde. Pane mvura-based-silicone-based products, mvura-based inenge isingagoni kukonzera kugadzikana kweairin, uye silicone-based inogara kwenguva shoma. Pane huwandu hwezvasarudzo, uye kuronga kunze kwekushandisa kwekushandisa kwekushandisa kunogona kutora nguva shoma.
- Vaginal moisturizers. Mafuta emagetsi akanaka pakushandisa kwenguva pfupi, asi inowanzobatsira kushandisa zvemudzimai kunwa mvura. Zvinokonzera mishonga zvinoshanda kwemazuva anoverengeka uye zvinogona kuita kuti vaginhi uye mazamu akakomberedzwa awedzere kumira uye ane simba. Kuzvishandisa kune rimwe zuva rimwe nerimwe kana zuva rechitatu rega rinogona kubatsira kudzivirira uye kudzikisa zviratidzo.
- Ramba uchiita zvepabonde. Kuramba uchiita zvepabonde inzira yakanaka yekuunza ropa kunharaunda uye kunwisa mazamu ako emadzimai. Taura nemumwe wako pamusoro pekunetseka kwauri kuita, uye kurukura nzira dzekugara pedyo. Zvakawanda zvekutanga uye kunyorovedza zvinyoronyoro, pamwe nekuita bonhora, zvinogona kuchengetedza nzvimbo yacho yakanatswa uye ine utano. Usamanikidza chero chinhu chinokonzera marwadzo, asi usarega izvi zvichichinja mumutumbi wako kubvisa kufara uye ukama hwepedyo hwepabonde hunounza ukama.
- Dzidza pasi pechip pelym. Mafirimu pasi muviri maitiro semafambisirwo eKegel uye mamwe emitambo yePilates maitiro akanaka ekuchengetedza nzvimbo yako yebonde yakasimba. Zvinobatsira kuchengetedza zvepabonde zvinonakidza uye zvinonakidza, uyewo zvekutarisana nekuvhenekera kusagadzikana. Basa rako rinogona kunge risingaoneki kune vamwe, asi rinogona kuita kusiyana kukuru muhutano hwako hwepabonde.
Zvinosuruvarisa, jeri rinenge risiri kunze kwemishonga yemasikirwo uye yemishonga yekugumira kumwedzi. Kunyange zvazvo vamwe vakadzi vanorondedzera kuburitsa kukuru nemapurisa emaproter prooneterone kana kuti black cohosh , tsvakurudzo haichiri kutsigira zvakasimba kurapwa.
Chii Chinonzi On The Horizon?
Ongororo yokuenda kumwedzi inopfuurira, uye kune mamwe akavimbisa kusarudza estrogen receptor modulators (SERM) mishonga inoongororwa kuitira kurapwa kwechikadzi uye atrophy. Mimwe yemishonga iyi yakashandiswa pakugadzirisa osteoporosis, asi dzimwe dzirikudziridzwa dzinokwanisa kukwanisa dzimwe zviratidzo zvemasopausal zvakare.
Chero chiremba, mukoti anoshanda kana mumwe mupiki anoshanda nguva dzose nevakadzi vane varumeopausal vachaziva zviratidzo zvepabonde sechinhu chinogona kuitika. Vaya vadzidzisi vanogona kunge vari ivo vanonyanya kushandisa mishonga yezvino uye vanogona kutaura pamusoro pehutano hwako pachavo uye zviratidzo. Iwe une kodzero yekuve wakasununguka uye kuramba uchinakidzwa nemuviri wako uye hupenyu hwako, saka kunyange kana iwe uchinzwa zvisinganzwisisiki kukwidza nyaya yechiratidzo chekudzivirira kwemadzimai, une zvakawanda zvaunowana kuburikidza nekuita saizvozvo. Musarega kunyara kuchikuchengetedza kuti urege kuwana rubatsiro rwaunoda.
Sources:
> Boston's Women's Health Book Collective, Miti Yedu, Tedu: Kusvika kumwedzi, > Touchstone / Simon > uye Shuster, New York. 2006.
> North America Menopause Society, (NAMS), Menopause Guidebook: Kubatsira Vakadzi Kuita Utano Hwakagadziriswa Hwakagadziriswa Pakati Pokupera Kwemwedzi uye Kupfuura, 6th > Edition >, > North American Menopause Society, 2006. Kuwana 22 > Feb, > 2008.
> van der Laak, JAWM, et al, "Mhinduro yeReplens® pamusana pekudzivirira kwechikadzi mukati mekurapa postmenopausal atrophy: cytomorphology versus > komuteri" cytometry ", J Clin Pathol, > June, > 2002; Vol. 55 Nha .6: 446-451, Yakadzorerwa 22 > Feb, > 2008.