Kodi Muyenera Kugwiritsa Ntchito Mankhwala Osakaniza Pakati pa Kusamba?

Pamene mkazi ayamba kukhala ndi chizindikiritso cha kupuma kwa thupi monga kutentha kwa moto, nthawi zosasinthasintha kapena kusintha kwake kumakhala kusintha, mwina ayenera kudzifunsa ngati akufuna kutenga mtundu wina wa mankhwala opatsirana pogonana (MHT). Nthawi zina amatchedwa "hormone replacement therapy," kapena HRT, nthawi zambiri amatanthauza mahomoni aakazi estrogen ndi / kapena progesterone.

Kafukufuku akuyamba kusonyeza zomwe zimawopsa ndi phindu la mankhwala a mahomoni otha msinkhu, koma pali zambiri zoti mudziwe za zotsatira za estrogen ndi progesterone pa matupi athu ndi thanzi lathu. Ngakhale kuti ndi mankhwala othandiza kwambiri chifukwa cha zizindikiro zambiri za kusamba kwa thupi, mankhwala opanga mahomoni angapangitse mwayi wa zovuta zina, ndipo chisankho chogwiritsira ntchito ndizoyesa kulingalira ngati zowonjezereka zimapitirira chigamulocho.

Phunziro la Women's Health Initiative (WHI) ndilo phunziro lalikulu kwambiri lomwe lachitidwa pa amayi a menopausal ndipo likuyang'ana pa matenda a mtima, mafupa a mafupa, ndi khansa ya m'mawere ndi yosalala. Njira imodzi yothetsera vutoli ndiyo zotsatira za mankhwala a mahomoni pazifukwa izi.

Poyamba ankaganiza kuti mankhwala a hormone amaletsa matenda a mtima ndi kukwapulidwa kwa amayi omwe amatha kupha anthu. Pamene adasonyezedwa kuti estrogen siziteteza amayi okha ku matenda a mtima ndi kupwetekedwa koma amayi omwe ali ndi mankhwala a mahomoni ali ndi kuwonjezeka kwazimenezi, mayesero anaimitsidwa oyambirira.

Ochita kafukufuku akupitirizabe kupenda mwadzidzidzi kuti awonetsetse kuti amayi omwe ali pachiopsezo chachikulu ndi omwe amapindula kwenikweni ndi mankhwala a mahomoni.

Malingaliro atsopano a mankhwala opatsirana pogonana amasonyeza ngati mankhwala a hormone amagwiritsidwa ntchito pochiza matenda a menopausal, ayenera kugwiritsidwa ntchito pangТono kakang'ono kwambiri komwe kali koyenera, kwa nthawi yochepa kwambiri yofunikira.

Ubwino

Pali zowonjezereka zowonjezereka kwa kalasi yochepa ya estrogen ndi / kapena progesterone. Zina mwa zifukwa zomwe mungaganizire pogwiritsa ntchito mankhwalawa ndi awa:

• Mankhwala otchedwa hormone ndi mankhwala othandiza kwambiri chifukwa cha kutentha kwambiri komanso kuuma kwapakati
• MHT nthawi zambiri imathandiza kuthetsa zizindikiro zokhudzana ndi maganizo, kuphatikizapo kusokonezeka maganizo ndi kuvutika maganizo
• MHT ikhoza kukonza khalidwe la kugona kwa amayi omwe akuvutika ndi kusowa tulo panthawi yopuma
• MHT imachepetsa kuperewera kwa mafupa, kuteteza kapena kuchedwetsa matenda a mitsempha. Mankhwala ena, monga bisphosphonates kapena raloxifene, kawirikawiri amakhala kusankha koyambirira kuteteza mafupa, koma ngati mukugwiritsa ntchito mankhwala a mahomoni pa zifukwa zinanso phindu lina lidzatetezedwa ku matenda a mitsempha.

Kwa amayi omwe ali ndi zizindikiro zowononga kwambiri panthawi yopuma, MHT akhoza kusintha khalidwe lawo labwino, kuwathandiza kusintha nyengo ndikusunga thanzi lawo ndi kusagwirizana.

Ngozi

Monga momwe WHI ndi kafukufuku wina wasonyezera, pali ngozi zazikulu zomwe mungaganizire ndi MHT. Mavutowa ndi apamwamba kwa amayi ena, malingana ndi mbiri yawo ya umoyo komanso mbiri yawo ya umoyo. Mavuto odziwika kwambiri ndi awa:

• Magazi amatha
• Zochitika zamtima, kuphatikizapo kupwetekedwa ndi matenda a mtima

• Mitundu ina ya khansa ya m'mawere
• Matenda a Gallbladder

Popeza kuti chiopsezo chanu chimadalira kuwonongera kwanu, ndikofunika kukambirana mosamala ndi chisamaliro chanu.

Pamene MHT Sindiyo Njira

Kwa amayi ena, zoopsa zogwiritsira ntchito mankhwala a mahomoni ndizowona kwambiri. MHT sichiyenera kulandiridwa kwa amayi omwe:

• Ali ndi pakati kapena akuganiza kuti angakhale ndi pakati
• Khalani ndi magazi osakwanira kapena osadziwika
• Khalani ndi (kapena mutakhala ndi khansa ya m'mawere kapena khansara ya uterine)
• Khalani ndi mbiri ya matenda a mtima kapena stroke
• Khalani ndi mbiri yopezera magazi
• Khalani ndi matenda a chiwindi

Zotsatira Zotsatira

Kuphatikiza pa zoopsya, mankhwala opanga mahomoni angayambitsenso zotsatira zina.

Poganizira ngati izi ndizo chithandizo chabwino kwa inu, nkofunika kuzindikira kuti mungathe kupeza zotsatirazi poyesa estrogen ndi / kapena progesterone:

• Chikondi cha m'mimba kapena kutupa
• Kutuluka magazi kosasinthasintha
• Kutseka
• Mutu
• Queasiness
• Kusokonezeka kwa maganizo
• Kukhumudwa kwapanyumba kapena kusokonezeka kwa njira yobereka (mphete ya m'mimba, chikopa cha khungu, kirimu)

Malinga ndi momwe zizindikiro zanu zimayambira, zotsatira za mahomoni zingakulepheretseni kuchoka ku MHT.

Mafunso Ofunsani

Kwa amayi ambiri, chisankho chokhudza kutenga ma hormoni asanafike ndi pambuyo poti ayambe kusamba ndi chachikulu. Mwinamwake simunakhalepo ndi mankhwala alionse m'moyo mwanu kapena mwina mukutsutsana ndi filosofi kuti muzitha kusintha mwapadera ndi mankhwala.

Kaya mumakhudzidwa ndi chiyani, pamene mukuyamba kusamba kwa thupi, ndipo mukuganiza kuti mungafune kuyesa mankhwala a hormone, pali mafunso ena omwe mungadzifunse nokha:

• Kodi zizindikiro zanu ndi zoipa bwanji? Zizindikiro zimasiyanasiyana kwambiri kuchokera kwa mkazi mmodzi kupita kutsogolo, kuyambira pafupifupi palibe ndipo sungatheke. Ganizirani za momwe zizindikiro zanu zimasokonezera pamtunda wa 1 mpaka 10, pomwe wina "samandivutitsa nkomwe" ndipo 10 ndi, "Sindiganiza kuti ndikhoza kuyima mphindi imodziyi." Lembani chizindikiro chilichonse ndikuchiyesa 1 mpaka 10. Tengani izi zomwe mukuyesa mukamalankhula ndi dokotala wanu.
• Kodi mavuto anu azaumoyo ndi otani? Kodi muli ndi matenda alionse? Kodi mumamwa mankhwala tsopano? Kodi mwakhala ndi matenda aakulu monga khansara? Kodi cholesterol yanu ndi yotani? Kulemera kwanu? Lembani zoopsa zonse zomwe mumadziwa kuti muli nazo ndipo khalani okonzeka kuyankhula za iwo pamene mukukambirana za mankhwala a homoni ndi wothandizira.
• Mbiri ya banja lanu ndi yotani? Kodi pali zochitika za thanzi zomwe zimawoneka zikuyendera m'banja lanu? Matenda a mtima? Khansa? Cholesterol Chokwera? Kutseka matenda? Matenda a shuga? Matenda Ofooporosis? Kusokonezeka maganizo? Onetsetsani kuti mumapeza zambiri momwe mungathere ndi makolo anu komanso abale anu.
• Kodi amayi anu anali ndi vuto lotani? Mwina simungadziwe yankho la izi, koma zomwe mayi anu akukumana nazo pakutha msinkhu zingakupatseni chitsogozo cha zomwe muyenera kuyembekezera nokha.
• Mukuganiza bwanji za kumwa mankhwala ndi mahomoni makamaka? Ganizirani momwe mumamvera ndikumwa mankhwala a tsiku ndi tsiku. Azimayi ena sapereka lingaliro lachiwiri ndipo ena amawona kuti ndi kuphwanya malamulo awo kapena kutsitsa kwa fano lawo. Ngati muli ndi zovuta kukumbukira kumwa mapiritsi tsiku lililonse, kodi mungakhale okonzeka ndi mphete kapena mkodzo kuti muzitha kuchiritsa?

Kupeza kusiyana pakati pa thanzi labwino ndi thanzi labwino ndi ntchito yofunikira ya midlife ndi kusankha ngati kutenga mahomoni pa nthawi ya kusamba sizomwe ndi sayansi yeniyeni. Ngakhale kamodzi mukasankha, mungasinthe chisankho chanu pamene zizindikiro zanu zasintha. Sikuti nthawi zambiri mumasankha nthawi imodzi ngati mukukambirana nthawi zonse ndi dokotala wanu. Phunzirani zomwe mungathe ponena za mankhwala opanga mahomoni ndikudzifunsa nokha mafunso apakati akukonzekeretsani kuti mukambirane.

> Zotsatira:

> Institute for Clinical Systems Kupititsa patsogolo, Kusamuka kwa mimba ndi mankhwala a mahomoni (HT): kupanga chisankho ndi kugwirizanitsa. National Guideline Clearinghouse, Sep 2006.

> US Department of Health and Human Services, National Institutes of Health, National Heart, Lung, ndi Blood Institute, "Mfundo Zokhudza Manopausal Hormone Therapy," NIH Publication No. 05-5200.