Ngemuva kokususwa kwama-ovari noma inkambo enkulu yokuya esikhathini, owesifazane angase abekwe izidakamizwa ezithathelwanayo ze-hormone. Bathuthukisa ikhwalithi yokuphila, kepha ukwelapha okusetshenziselwa i-hormone esikhundleni (HRT) yabesifazane kungabekwa kuphela izinkomba ezithile:
- kanye nokuya esikhathini sokuqala (kuze kube yiminyaka engama-40);
- emva kokususwa kwama-ovari;
- nge-infertility;
- i-hormone therapy esikhundleni sokuqala kokuya esikhathini sokuqala kokuya esikhathini eneminyaka engu-40 kuya kweyengu-50, ngenkathi enzima yokuya esikhathini;
- lapho ususa isibeletho ngama-appendages alondoloziwe;
- kanye nezinkinga zokunqamuka kwesisu (ukuphelelwa yisisu, ukuphefumula kwesifo somzimba, i-atrophic vaginitis).
Kodwa izidakamizwa ze-hormone replacement therapy (HRT) zinokuphikisana okuningi:
- izicubu zesisu, ama-ovari noma izilonda ezincelisayo;
- i-cirrhosis yesibindi, ukwehluleka kwesibindi;
- izifo ezizimele;
- uhlobo olunzulu lwesifo sikashukela mellitus;
- ukuphuma kwegazi lomzimba we-etiology engaqondakali;
- Ungasincoma ukusetshenziswa komuthi ku-endometriosis, fibroids yesisu.
Izinzuzo kanye nokuqeda ukwelashwa kwe-hormone
Abesifazane bavame ukwesaba ukuqokwa kwamahomoni, uma kunomkhuba wokuya esikhathini, i-hormone substitution therapy ingashintshwa yi-phytopreparations, efana nemiphumela yama-hormone wesifazane wesifazane. Kodwa ngezinye izikhathi ukwelashwa kwe-hormone kuboniswa owesifazane futhi kunezindawo eziningi ezinhle. Lezi zihlanganisa ukuthuthukisa impilo yonke, ukulala nokusebenza kobuchopho. Ngaphansi kwethonya le-hormone le-substitution therapy, ukucindezeleka kwegazi kuyancipha, umsebenzi wenhliziyo uyathuthuka, izinga lokushaya kwenhliziyo lijwayelekile, isimo se-vascular sithuthukisa (ingozi yokuhlasela kwenhliziyo kanye nokushaya isifo kunciphisa kakhulu). I-hormonotherapy kwabesifazane ngesikhathi sokuya esikhathini ithuthukisa ukusebenza kwegciwane le-thyroid, kunciphisa ingozi ye-osteoporosis, ithuthukisa isimo sesikhumba kanye nezinambuzane ezifayo (kuhlanganise nezitho zangasese).
Imiphumela emibi ye-hormone replacement therapy iyimpawu ezifana ne-premenstrual syndrome: ikhanda, ukucasula, ukugcoba kwezigulane ezincelisayo. Kungase kube nokuphuma kwamagciwane okungasebenzi , lapho ukuhlolwa okusemthethweni kudingekile ukukhipha izicubu ezimbi zesisu. Kungase kube nezinguquko ezivela esikhumbeni (amafutha aphakeme, ukubomvu nokucasula), izinwele (i-hirsutism uma uthatha u-testosterone).
I-hormone-substitution therapy: izidakamizwa
I-hormone therapy esikhundleni sokusebenzisa izidakamizwa zisebenzisa izidakamizwa ezine-estrogens kuphela noma i-progesterone, kanye nokuhlanganiswa kwama-hormone womabili. Uma kungenjalo nje ama-ovari asuswe, kodwa futhi isisu, isrogen therapy isetshenziselwa ukwelashwa esikhundleni. Kusukela kumalungiselelo aqukethe ama-estrogen kuphela, ngokuvamile avusa amalungiselelo e-Estrofem, e-Esterozhel, e-Proginova. Amalungiselelo aqukethe ama-analogues kuphela e-Utrozhestan, Dufaston, Progesterone. Ihlangene
Ama-analog of therapy okwelashwa esikhundleni angaba phytoestrogens, okuyinto izenzo zabo kufana ne-estrogens yabesifazane, kodwa kakhulu buthakathaka ngokwemandla yomphumela. Ngalesi sizathu, asetshenziselwa imikhiqizo ecebile ekutheni i-phytoestroics isetshenziswe, kepha i-phytopreparations ezivela ezitshalweni ezicebile kuzo (i-clover ebomvu ingokwezihlahla ezinjalo).