Ekuphileni kwabesifazane bonke, ngokushesha noma ngokuhamba kwesikhathi, ukuqhuma komsebenzi we-ovarian kwenzeka, okubizwa ngokuthi inkathi ye-premenopausal, kancane kancane eholela ekuqedeni kokuya esikhathini. Esikhathini esidlule, kwakucatshangwa ukuthi ukukhipha isisu kuyinkqubo yokuphila futhi akufanele kuphazamiseke. Imithi yezidakamizwa zamahomoni ezinsikazi ezinomthelela wokuya esikhathini kungenza okubi kakhulu kunokuhle. Sizozama ukucubungula ngokuningiliziwe yonke into enhle kanye nokudla komuthi we-hormone esikhundleni sokumisa esikhathini, futhi unikeze incazelo yemithi ejwayele kakhulu.
I-hormone therapy esikhundleni sokumiswa kwesikhathi - izidakamizwa
Noma ubani ocabanga ukuthi ama-hormone obulili besifazane enza umsebenzi wokuzala kuphela aphutha kakhulu. I-Estrogens ithatha ingxenye ekhuthele ekulawuleni umzimba, ukusekela umsebenzi wobuchopho, ukulawula ukusebenza kwenqubo ye-cardiovascular, futhi ithinte nokuzivikela komzimba. Ukuqokwa okufika ngesikhathi kwamaphilisi amancane ama-hormonal noma i-suppository ekunqumeni kokuya esikhathini kusiza ukugwema izikhathi ezinjenge-osteoporosis, ukuqina kwe-atherosclerosis, ukuzuza kwesisindo nesifo se-Alzheimer's.
Phakathi kwezidakamizwa ze-hormone therapy esikhundleni, kukhona amafomu aphethwe, ama-creams, ama-suppositories, ama-patches ahambayo kanye nemiklamo ye-hormonal.
Lapho ukwelapha i-hormone ene-climax, okukhethwa kukho kunikelwa amalungiselelo ama-herbal. Yonke uhlu lwezidakamizwa zokwenziwa kwe-hormonal ekunqophiseni ukuphumula komzimba kungahlukaniswa zibe yi-monophasic, i-biphasic nesigaba sesithathu.
Izidakamizwa ze-hormone ezilodwa zodwa ku-tablet eyodwa ziqukethe i-estrogen ne-progesterone. Khona-ke, njengoba izidakamizwa ze-biphasic ze-hormone ezikhishwa esikhathini sokumisa zihlanganisa iqoqo lamathebhulethi ahlukahlukene, ngalinye eliqukethe ama-estrogens noma i-progesterone, futhi kufanele badakwe ngokuqinile ezinsukwini ezithile. Ukudla kwamathebulethi anjalo kuvumela ukwakhiwa komjikelezo ovamile wokuya esikhathini esikhathini se-premenopausal nokuya esikhathini.
Ama-suppositories ama-Hormonal ekumiseleleni kokuya esikhathini anqunyelwe ukuqeda ukungasebenzi kwemishini ye-genitourinary (ukomisa, ukushisa nokushaywa kwesisu). Amalungiselelo anjalo ahlanganisa i-Ovestin ne-Estriol suppositories, futhi aqukethe isilinganiso esikhulu se-estrogen.
Ukuvunguza kwe-hormonal nokuya esikhathini sokuya esikhathini
Ngomvuthwandaba ovuza kakhulu, futhi futhi uhamba nokuphuma kwegazi okwesikhathi eside, kunconywa ukufaka idivayisi ye- hormonal intrauterine iMirena. Into esebenzayo ye helix enjalo ihlanzekile i-progestogen levonorgestrel. I-spiral isungulwa iminyaka emihlanu, i-prophylaxis enhle ye-endometrial hyperplasia kanye nokuphuma kwe-uterine.
Izidakamizwa zeHormonal ngegama lokumisa esikhathini - amagama
Nazi izibonelo zamaphilisi e-hormonal avamile kakhulu anqunywe ukukhipha umama kanye namagama abo ekhemisi. Eziningi zazo ziqukethe ama-estrogens kanye ne-progesterone, okuyinto enhle kakhulu ye-prophylaxis ye- endometrial hyperplasia :
- kanye nomvuthwandaba okwenzeka emtholampilo we-hyperandrogenia (ukuphuza ukuphuza, ukwehla kwezwi, i-alopecia, ukwanda kwamafutha ekhumba) ukubeka izidakamizwa i-Klimonorm, Klimen, Divina ne-Cycloproginova - kufanele kuthathwe izinsuku ezingu-21 (ukupakisha), bese uthatha ikhefu izinsuku ezingu-7;
- kanye nezibonakaliso zokuguga (isikhumba esomile, imibimbi), amalungiselelo e-hormonal aqukethe i-androgens (i-Gynodian-Depot) -yodwa ikhishwa ngesixazululo futhi ilawulwa njengemijovo kanye ngenyanga;
- Abesifazane abaye bahlukunyezwa kwesibeletho banqunywa amalungiselelo e-estrogen kuphela.
Ngakho-ke, owesifazane angase ahlale owesifazane futhi aphile impilo evamile ngokuqala kokuya esikhathini. Uma ummeli osebenza kahle ekhetha kahle izidakamizwa zakhe zokwelashwa kwe-hormone.