Estrogen m'mipiritsi yambiri yolerera yachepetsa kubereka
Kodi ndi zoopsa kapena zogwira ntchito kwa amayi oposa 40 kugwiritsa ntchito njira yowononga mahomoni? Dr. Andrew Kaunitz akupereka vignette yotsatirayi m'nkhani yosindikizidwa ku New England Journal of Medicine :
Mayi wina wathanzi, wazaka 46 yemwe ndi wosasamala amapempha malangizo onena za kulera. Amanena kuti kusamba kwake sikozoloŵera kusiyana ndi kale, ndipo amakhalanso akunena zozizira kwambiri. Iye ali pachibwenzi chatsopano pambuyo pa chisudzulo, ndipo akugonana. Amamufunsa ngati angayambe kugwiritsa ntchito njira ya kulera . Kodi mungakulangize chiyani?
Njira Zowonetsera Ana kwa Akazi Oposa 40
Ngati muli ndi zaka 40 kapena kuposerapo, ndiye mvetserani! Zavumbulutsidwa kuti zosankha zanu zopezera kubereka zakula. Zosankha zanu sizingatheke kokha ku makondomu, zilembo , ndi tubal ligation .
Dr. Kaunitz, membala wa Dipatimenti ya Obstetrics ndi Gynecology ya Yunivesite ya Florida College of Medicine, adafalitsa kafukufuku pamutu wa March 20, 2008 wa New England Journal of Medicine womwe umayang'ana momwe amayi amagwiritsira ntchito mankhwala opatsirana pogonana pambuyo pa zaka 40. Dr Kaunitz akufotokoza kuti kuyambira estrogen yomwe imapezeka m'magulu ambiri a masiku ano ochepetsa kubereka kwasintha kwambiri, mapiritsi tsopano akuwoneka ngati njira yabwino kwa amayi ocheperapo, omwe ali ndi thanzi labwino oposa zaka 40.
Zowonjezera Zopindulitsa za Kupanga Hormonal kwa Akazi Pakati pa Zaka 40
Dr. Kaunitz ananenanso kuti amayi ambiri angasankhe mapiritsi chifukwa angathe:
- Kuchepetsa kuchepa kwa msambo kwa nthawi zonse
- Thandizani kuyatsa kutentha kozizira
- Thandizo kuchepetsa kuphulika kwa m'chiuno
- Kuchepetsa chiopsezo cha ovari, endometrial, ndi khansa yoyipa
Kuopsa kwa Mwazi Woopsa
Koma kumbukirani kuti kuopsa koopsa kwa magazi kumapitirira zaka 40 kwa amayi omwe amagwiritsira ntchito mapiritsi oletsa kubereka, omwe amachititsa kuti anthu 100,000 akhale 100,000 (poyerekeza ndi milandu 25 pa 100,000) anthu a zaka zachinyamata).
Komanso, chiopsezo chotchedwa thromboembolism chowopsa ndi chachiwiri kwambiri pakati pa amayi oposa omwe ali pakati pa amayi omwe sali abambo omwe amagwiritsa ntchito njira zothandizira kulera .
Ngati muli ndi zaka 40 zakubadwa, mumasuta fodya, muli ndi mutu wa mutu, kuthamanga kwa magazi , kapena matenda a shuga, kafukufuku wa Dr. Kaunitz akusonyeza kuti zoopsa zomwe zimagwiridwa ndi kugwiritsira ntchito njira zochepetsera kubereka zimaonedwa kuti zimaposa phindu. Koma, palibe uthenga wabwino. Azimayi oposa 40 omwe ali ndi zifukwazi akhoza kukhala oyenerera kwambiri pa ParaGard IUD , kapena chifukwa cha njira zowonongolera zokhazokha .
Kugwiritsa ntchito Ulamuliro Wachibadwidwe mwa Akazi Omwe Ali ndi zaka 40 ndi Okalamba
Kuchuluka kwa amayi odwala matenda opatsirana pogonana posachedwapa kwafunikira kwambiri kwa anthu 40 - chifukwa amayi ambiri akusankha kubereka ana mpaka nthawi ina, kotero kuti kuperewera, monga kukhala ndi matope omangidwa, sikungakhale kusankha bwino. Chochititsa chidwi ndi chakuti ziŵerengero zimasonyeza kuti amayi oposa 40 ndi okalamba ndi omwe sangagwiritse ntchito njira zowalera , komabe (pamodzi ndi achinyamata), akazi achikulirewa ali ndi chiwopsezo chochotsa mimba . Komabe, Dr. Kaunitz anafotokoza kuti amayi 40 kuphatikizapo amayi omwe ali ndi zaka zakubadwa omwe amagwiritsa ntchito njira zoberekera zachithandizo "amatha kugwiritsa ntchito njira zowathandiza kulera moyenera komanso mosasinthasintha kusiyana ndi atsikana.
Choncho, amayi a m'badwo uwu ali ndi zochepa zochepa zothandizira kulera kusiyana ndi amayi achichepere. "
Kukula kwa amayi 40 ndi kuphatikiza kwa njira za kulera kudzapeza amayi ambiri akusangalala mosangalala ndi maubwenzi ogonana popanda kudandaula za kutenga mimba.
Chitsime:
Kaunitz, AM (2008, March 20). Kachilombo ka azimayi mu zaka za kubadwa zakale. New England Journal of Medicine, 358 (12) , 1262-1270.