Zamagetsi zamtundu wa estrogen zimathandiza ndi matenda opatsirana pogonana
Nthano yakuti kachitidwe kachitidwe ka ukalamba kamayambitsa kuwonongeka kwa thupi kapena kulemala kwachititsa kuti miyezi yambiri ikhale yakulira; Munthu wachikulire wathanzi sawona vuto, kumva kapena kuganiza. Komanso, anthu ambiri achikulire omwe ali ndi thanzi labwino amakhalabe ndi libidos komanso miyoyo yogonana. Ndipotu akazi okwana 56 pa 100 aliwonse amene adayamba kusamba ndipo ali ndi zaka 50 mpaka 79 adagonana.
Amayi opitirira 50 peresenti, kusintha kwa mahomoni kumayambitsa kusamba kungayambitse kuuma kwa amayi ndi zizindikiro zina za matenda okhudzana ndi kutaya kwa thupi (GSM). Ngakhale kuti mavitamini a m'mimba amapezeka m'mimba mwawo (estrogen creams), hafu yokha ya omwe ali ndi GSM akufuna-kapena amaperekedwa-thandizo lachipatala ndi chitsogozo. Komanso, theka la amayiwa kufunafuna thandizo limakhutitsidwa ndi chitsogozo kapena chidziwitso chomwe amalandira, ndipo ambiri amasiya kugwiritsa ntchito estrogen creams. Mwa kuyankhula kwina, kuwonongeka kwa kachitidwe komwe kumaperekedwa kwa opereka onse ndi odwala kumasunga akazi okalamba mamiliyoni angapo omwe akudwala GSM-matenda omwe amachiritsidwa mosavuta ndi estrogen creams ndi mankhwala ena ochepa omwe ali ochepa.
Kodi Genitourinary Syndrome of Menopause ndi chiyani?
Malinga ndi nkhani ya 2014 imene inafalitsidwa m'nyuzipepala ya Maturitas :
GSM imatanthauzidwa ngati kusonkhanitsa zizindikiro ndi zizindikiro zomwe zimagwiridwa ndi estrogen ndi zina zogonana zokhudzana ndi kusintha kwa labia majora / minora, clitoris, vestibule / introitus, vagin, urethra ndi chikhodzodzo. Matendawa angaphatikizepo koma osagwiritsidwa ntchito ku zizindikiro za m'mimba za kuuma, kuyaka, ndi kukwiya; zizindikiro za kugonana chifukwa chosowa mafuta, kupweteka kapena kupweteka, ndi kufooka; ndi kuyamwitsa kwachidziwitso cha kufulumizitsa, dysuria [kukodza kovuta] ndi matenda opatsirana amtundu wambiri.
Dziwani kuti, malinga ndi olemba a phunziroli, kuti mupeze ngati muli ndi GSM, zizindikiro zanu ziyenera kukhala zovuta komanso zopanda ntchito kwa etiology kapena chifukwa china. Komanso, amayi ambiri omwe ali ndi GSM angathe kuwona zina koma osati zizindikiro zonsezi.
Kafufuzidwe pa Zodzoladzola Zochepa Zam'madzi Zanyumba za M'madzi
Mu phunziro la 2014 lomwe limatchedwa "Vaginal Estrogen kwa Genitourinary Syndrome of Menopause," ofufuza anafufuzidwa m'magulitsidwe a vaginitis (estrogen creams, mphete za estradiol ndi mapiritsi a vagradiol).
Pamapeto pake, ofufuzawa akusonyeza izi:
- Amayi omwe ali ndi malingaliro amodzi a GSM - monga ukazi wouma, ululu pa nthawi yogonana , kupweteka kwapakati, ndi kuyabwa kwazimayi kapena kutentha-mafuta osakanizidwa kapena osungunula akhoza kugwira ntchito. Komabe, ena mwa amayiwa akhoza kupindula ndi mafinrojeni, komanso.
- Amayi omwe ali ndi magulu a magulu a GSM-makamaka mitsempha yamakono monga maulendo ndi kusadziletsa-mankhwala a maestrojeni a m'mimba amagwira ntchito.
- Kusankhidwa kwa kirimu yamtrojeni, piritsi, ovule, suppository, kapena mphete kumadalira wodwalayo.
- Ngakhale kuti maantirojeni oterewa amawoneka otetezeka, maphunziro a nthawi yayitali ayenera kuchitidwa. Choncho, munthu yemwe ali ndi mbiri ya banja komanso GSM amavutika ayenera kusamala kwambiri ndi chithandizo cha estrogen pamene akuyang'anira dokotala.
- Ochepa amadziwika za mankhwala omwe amagwiritsidwa ntchito pochiza dyspareunia kapena kupweteka kwa kugonana), amadzipangira mankhwala a isrojeni, kapena mankhwala enaake.
- Phunziro lina likufunika.
Ngati inu kapena wokondedwa wanu muli ndi GSM, chonde mukomane ndi dokotala wodziwa za matenda a zachipatala kuti mukambirane momwe mungathere. Ngakhale kuti anthu ena ali ndi zizindikiro za GSM monga zowuma, zowonjezera zamadzimadzi kapena zonunkhira zingathandize, ngati muli ndi zizindikiro zambiri, mukhoza kupeza chithandizo cha mankhwala a estrogen monga mlingo wotsika estrogen creams ndi mimba yamaliseche ndi suppository.
Mawu Ochokera
Chonde kumbukirani kuti ngakhale kuti maantirojeni oterewa amawoneka otetezeka, samalirani ndi uphungu wodwala ngati muli ndi mbiri ya khansa ya m'mawere kapena endometrial.
Sitikudziŵa pang'ono za mphamvu kapena chitetezo cha njira zosagwiritsidwa ntchito zosagwiritsidwa ntchito ndi isrogen zomwe zimapezeka kuti zigulitsidwe pa intaneti kotero chonde musiye kugula ndikugwiritsira ntchito mankhwalawa popanda dokotala. Lolani dokotala wanu azikulongosola zomwe ziri zoyenera kwa inu.
Ngati mukufuna njira zina zopangidwa ndi naturopathic monga mankhwala a soy ndi yam, kuwonjezera pa mayi wamayi, muyenera kumakumana ndi dokotala wa naturopathic.
Chonde kumbukirani kuti ngati mukumana ndi ubweya wouma ndi zizindikiro zina za GSM, palibe choyenera kuchita manyazi. Ambiri, GSM ndizochitika zachilengedwe zomwe zimawonetsa kusintha kwakukulu m'thupi la thupi lanu. N'zomvetsa chisoni kuti amayi ambiri omwe ali ndi GSM amalephera kupeza mankhwala kapena malangizo omwe amafunikira makamaka ngati mankhwala ovomerezeka a vaginitis ndi othandiza kwambiri.
Kukhala wachilungamo, vutoli la GSM chithandizo ndilo lalikulu lomwe limapangidwanso kwa opereka chithandizo. Mwachitsanzo, kwa zaka zambiri, dera lachipatala linatchula GSM monga atrophic vaginitis , mawu osayenerera omwe amatanthauza kunyoza. ( Atrophy amatanthauza kuthawa ndi vaginitis amatanthauza kutupa.) Kuwonjezera apo, kafukufuku akusonyeza kuti amayi ambiri achikulire samamva bwino kapena kuchititsa manyazi kukambirana za GSM ndi atsikana omwe ali ndi thanzi laling'ono.
Kumbukirani kuti ndi udindo wa wothandizira kuti athetse GSM mwachangu, mwachifundo komanso mwakuthupi. Pomaliza, ngati simumasuka kukambirana mavuto anu azachipatala ndi wothandizira zaumoyo wanu, ndibwino kupeza dokotala amene mumakhala womasuka naye. Pambuyo pake, dokotala wanu ayenera kukhala wotsogolera wachifundo kuti akhale ndi thanzi labwino ndi kulimbikitsa moyo wanu m'njira iliyonse.
> Zotsatira:
Portman DJ et al. Matenda a Genitourinary a kusintha kwa thupi: New terminology kwa atsikana omwe amachititsa kuti azimayi azisokonezeka kuchokera ku International Society ku Phunziro la Azimayi ogonana ndi a North American Menopause Society. Maturitas. 2014; 21: 1063-8. https://doi.org/ > 10.1097 / GME.0000000000000329
Rahn DD et al. Mitsempha ya Estrogen yachisindikizo chifukwa cha matenda opatsirana pogonana. Zovala zamaliseche & Gynecology . 2014.