Menopausal hormone therapy

Menopausal hormone therapy isetanho rezviyero izvo zvinotarirwa kudzorera mahomoni emuviri wechikadzi. Ngationgororei nekunyatsorondedzera kuti ndechipi chekuita kwacho uye isu tichaisa pfungwa pamusoro pemagadziro anopiwa panguva yekushandiswa kwayo.

Nguvai mahomoni anotsiviwa nemishonga inowanzotanga?

Sezvazvinozivikanwa, kutanga kwemazuva ekupedzisira mumuviri wechikadzi kunotsanangurwa mazita, i.e. kuparara kwekuberekwa kwebasa hakuiti panguva imwechete muvakadzi vakasiyana. Iyo inotaridzika yakasimbiswa kuti kune vamiririri vevanhu veEurope iyi nguva inowanikwa pamakore makumi mashanu nemashanu kusvika mashanu. Muchiitiko ichi, chikwata chekuenda kumwedzi chinoonekwa mumakore makumi mashanu.

Icho chaicho chekukwegura kwezvipembenene zvepabonde, mazai mavari, anotanga nguva yakakwana, mushure memakore makumi matatu. Kukurumidza kwaro kunowanikwa apo mukadzi anoyambuka mutambo mumakore makumi mana.

Kubva pane izvo zvataurwa, muviri wevakadzi unoda rubatsiro rwehomoni pashure pemakore makumi mashanu. Munyaya iyi, zvinhu zvose zvinoenderana nekuoma kwezviratidzo zvekuenda kumwedzi.

Ndezvipi zvinodhaka zvinoshandiswa kutungamirira menopausal hormone therapy?

Kuti ishandise rudzi urwu rwemishonga panguva inoramba ichiitika, magestagens chete anowanzoshandiswa. Pakati pavo inogona kunzi Estron, Estriol.

Kubva pakugadzirira rine estradiol mukugadzirwa kwavo, shandisa Estradiol valerate kana 17b-estradiol.

Ma gestagens anoshandiswa mune zviduku zvishoma, izvo zvinopa izvo zvinodanwa kuti kunyora kushanduka kwe endometrium (kuchinja mukati memukati mukati memukuchi). Panguva imwechete iyo inotorwa pamwechete nesrogen kwemazuva mashoma kusvika 10-12.

Utano hwakakomba hwe-climacteric syndrome hunosanganisirawo zvinodhaka zvinosanganisa kufambiswa kwewasteopenia (chirwere chinopesana nokuputsa kwemafupa epafupa). Semishonga yakadai, mapiritsi-ane-mahwendefa anoshandiswa.

Kurapa kworudzi urwu kunorayirwa kune zvimwe zviratidzo, nezwi rinotaurirwa climacteric syndrome, somuenzaniso. Paunenge uchitisa menopausal hormone therapy, mukadzi anofanira kutevedzera kumakiriniki anorayirwa anopiwa nachiremba, nokuti kurapa kunoitwa munyika yose.