Ndikofunika kumvetsetsa kuti simukungomuka tsiku limodzi ndikupeza kuti mukuyamba kusamba. Ndi njira yomwe imachitika zaka zambiri. Ndipotu, mutakhala kuti mukufika kumapeto kwa nthawi (zofanana ndi chaka chimodzi popanda nthawi) zizindikiro zambiri zosasangalatsa zomwe mwina mukukumverera zingatheke.
Kusintha kwa kusamba kungakhale nthawi yosokoneza kwambiri kwa amayi ambiri.
Kusamvana kwapadera kwa mahomoni kwakukhumudwitsani . Ndipo kugwira ntchito zonse zomwe midlife akubweretserani njira sikukupatsani nthawi yambiri kuti muganizire nokha.
Ndipo ngati mutenga nthawi yolankhulana ndi dokotala mungathe kukhumudwa chifukwa chosadziwa za chithandizo cha mankhwala kuti asamayambe kusamba komanso kusintha kwa msambo. Kukhumudwa ndi kukhumudwa kungakulepheretseni kuuzidwa zabodza ndikukuchititsani kusokonezeka pa zomwe mungachite kuti mukhale bwino.
Mwina chimodzi mwa zinthu zosokoneza kwambiri mu kasamalidwe ka kusamba kwa thupi ndi kusintha kwa kusamba kwa thupi ndizo zotsutsana ndi kugwiritsa ntchito mankhwala osokoneza bongo omwe amatha kusintha.
Zosankha Zowonjezera Zambiri za Hormone Zili Zodabwitsa
Zizindikiro za kusintha kwa kusamba kwa thupi zimayamba chifukwa cha kusintha kwa msinkhu wa chibadwidwe ndi kuchepetsa kuchuluka kwa mahomoni anu obereka, omwe ndi estrogen ndi progesterone .
Kutenga ndalama zowonjezereka za ma hormoni amenewa kudzakuthandizani kuti mukhale ndi zizindikiro.
Khulupirirani kapena ayi, mankhwala ambiri otchedwa hormone omwe amasankhidwa m'malo mwake, makamaka pokhudzana ndi gawo la estrogen, tsopano ndi "zofanana." Izi ndizo, makampani opanga mankhwala apanga maantirogen omwe ali ofanana kwambiri ndi estrogen opangidwa ndi mazira anu.
Izi sizinali nthawi zonse ngati panali nthawi imene mankhwala omwe amapezeka kuti isrogen amapezekanso anali estrogen conjugated opangidwa kuchokera ku mkodzo wa mazira oyembekezera.
Malinga ndi mbali ya progesterone ya malo omwe amawombera m'malo mwake pali njira zambiri zomwe zimadziwika monga progestins. Mapuloteni oterewa amachititsa ngati progesterone yopangidwa ndi mazira ochuluka koma si ofanana. Komabe, pali njira yokhayokha yosinthira progesterone yanu. Amadziwika kuti progesterone yamakina, ndipo ndizopanga pulogalamu ya progesterone yomwe imapangidwa ndi mazira ochuluka.
Kuphatikiza pa Pharmacologic Hormone Preparations
Kusokonezeka? Ndikudabwa kuti chifukwa chiyani anthu ambiri omwe amachititsa kuti mahomoni azikhala osiyana ndi omwe amawoneka akusiyana ndi zomwe mungapeze ku mankhwala anu?
Chowonadi ndi chakuti zomwe iwo akuzitcha "zowonongeka" zamadzimadzi zowonjezera mankhwala zimakhala zowonjezera ma hormone replacement therapy. Ndipo popeza tikudziŵa kuti mankhwala ambiri otchedwa hormone omwe amasankhidwa panopa ndi ofanana ndi omwe tikuyang'anitsitsa ndi owonjezera mphamvu ya hormone m'malo mwa pharmacologic hormone m'malo mwake.
Kuwonjezera kumatanthawuza njira yeniyeni yokonzekera mankhwala. Amishonale amatha kumaliza maphunziro ena kuti akhale luso la mankhwala ophatikiza.
Kuwonjezereka kumalola amathamadzi kupanga mapangidwe enieni a mankhwala. Ndipo pankhani ya mankhwala othandizira ena, katswiri wamasitolo amatha kupanga mapangidwe apadera a mahomoni.
Izi ndi zosiyana ndi mankhwala opangira mankhwala omwe amachokera ku makampani osokoneza bongo. Mankhwalawa amapangidwa mowirikiza ndipo amabwera muyezo woyenera komanso wosasinthika.
Zonse ziwiri komanso mankhwala omwe amachititsa kuti mankhwala asamalowe m'malo mwake amafunika mankhwala kuchokera kwa wothandizira zaumoyo.
Kodi Chodetsa nkhaŵa ndi Kukonzekera kwa Hormone?
Zimamveka chifukwa chake lingaliro la mahomoni omwe amadzipangira okha ndilo lokongola kwambiri.
Lingaliro la kutenga "mahomoni omwe mukusowa" likuwoneka ngati lopanda nzeru. Koma vuto ndiloti palibe umboni uliwonse wovomerezera kuyesedwa ndikuchiza mazinga a mahomoni.
Akatswiri ambiri amavomereza kuti njira imeneyi yothandizira ma ARV ndi yoyenera. M'malo mwake, ambiri amalimbikitsa kugwiritsa ntchito mankhwala osakayika kuti asateteze matenda monga matenda otupa mitsempha kapena kugwiritsa ntchito mankhwala ochepa kwambiri omwe angathe kuthetsa zizindikiro.
Komanso palinso nkhaŵa yaikulu yokhudzana ndi kugwirizanitsa komanso kutetezeka kwa ntchito yogwiritsira ntchito mahomoni owonjezera pokonzekera. Izi zingachititse kuti mukhale ndi mahomoni ochuluka kapena ochepa kwambiri.
Akatswiri ena awonetsanso kudera nkhaŵa za mtengo wogwiritsidwa ntchito wa homoni m'malo mwake. Zambiri mwa njirazi ndi zamtengo wapatali ndipo sizimaphimbidwa ndi inshuwalansi. Pali nkhawa kuti amayi akhoza kulipira ndalama zambiri pazinthu zomwe zilibe deta kuti zisonyeze kuti ndi njira yabwino kapena yotetezeka.
Chifukwa chiyani Dokotala Wanga Sangawonetse Hormoni Zachilengedwe?
Apanso, kumbukirani madokotala ambiri akufotokozera mahomoni omwe amadziwika bwino monga momwe mahomoni ambiri opangira mankhwala opangidwa ndi makampani osokoneza bongo amachitira.
Ambiri ogwira ntchito zachipatala sangakupatseni mankhwala owonjezera a homoni m'malo mwake. Chodetsa nkhaŵa chachikulu kwa madokotala ndi kusowa kwa umboni kutsimikizira kugwiritsiridwa ntchito kwagwiritsidwa ntchito kosakaniza mahomoni. Ndipo izi zikusemphana ndi mfundo zawo zogwiritsira ntchito mankhwala ovomerezeka.
Koma, madokotala ena amapereka mankhwala owonjezera a hormone m'malo mwake. Koma nkofunika kuti mumvetse kuti palibe umboni woti ndi wabwino kapena wotetezeka kusiyana ndi ma hormone omwe amapangidwa ndi makampani osokoneza bongo.
Ndani Ayenera Kuganizira Kukonzekera Kwambiri kwa Hormone?
Ndikofunika kukumbukira kuti umboniwo sagwirizana ndi lingaliro lomwe limaphatikizapo hormone m'malo mwake ndi njira yabwino kuposa mankhwala a hommacologic replacement therapy. Izi zikunenedwa, pali akazi ena amene angapindule ndi njira yowonjezera.
Kuwonjezeka kwa ma hormone m'malo mwake kungakhale njira yabwino ngati mukumvera zowonjezera fillers kapena zowonjezera zomwe zimapezeka muzigawo zosamalidwa ndi mankhwala. Kapena mwinamwake simungathe kupeza mlingo woyenera womwe umachepetsa mpumulo wa zizindikiro ndi zotsatira zabwino.
Mawu Ochokera
Kusintha kwa kusamba ndi kusintha kwa kusamba kwa thupi ndi mbali yachibadwa ya ukalamba ndipo sikutanthauza mankhwala. Azimayi ena ali ndi zizindikiro zochepa pamene amayi ena ali ndi zizindikiro zazikulu zomwe zimasokoneza moyo wawo wa tsiku ndi tsiku.
Kugwiritsira ntchito mankhwala othandizira kuti athe kuchepetsa zizindikiro zokhudzana ndi kusintha kumeneku kungakhale kofunikira kuti mupitirize kukhala ndi umoyo wanu. Ndikofunika kuti mukambirane ndi zizindikiro zanu ndi wothandizira zaumoyo wanu.
Mungafunikire kufunafuna chisamaliro cha dokotala yemwe amadziwika bwino pa kayendedwe ka kusamba kwa thupi ngati simukumva kuti wodwala wothandizira zaumoyo wamkulu angakupatseni inu chidziwitso chokwanira kapena chithandizo chamankhwala.
> Chitsime:
> American Congress of Obstetricians ndi Gynecologists (2012). Mankhwala opangidwa ndi mahomoni omwe amapezeka m'magazi ambiri. Maganizo a Komiti No. 532. Washington, DC: Ophunzira Amakono a American College ndi Azimayi a Gynecologists.