Ngabe ama-hormone substitution treatments aqala nini?
Njengoba kuyaziwa, ukuqala kwesikhathi sokumisa emzimbeni wesifazane kunqunywe ngokwezakhi zofuzo, isb. ukuqedwa komsebenzi wokuzala akukwenzeka ngesikhathi esifanayo kwabesifazane abahlukene. Kubonakala ukuthi kubamemezeli bendawo yaseYurophu le nkathi iwela eminyakeni engama-45-55. Kulokhu, ukuphakama kokuya esikhathini kuyabonakala eminyakeni engu-50.
Yona kanye inqubo yokuguga izilonda zobulili, ama-ovaries, uqala masinyane, emva kweminyaka engama-35. Ukusheshisa kwalo kubonakala lapho owesifazane ewela umgwaqo eminyakeni engama-40.
Ngokusekelwe kulokhu okushiwo ngaphambili, isidumbu sowesifazane sidinga usizo lwe-hormonal emva kweminyaka engu-50. Kulesi simo, konke kuxhomeke ekubambeni kwezimpawu zokuya esikhathini.
Yiziphi izidakamizwa ezisetshenziselwa ukuqhuba ukwelapha kwe-hormone yama-menopausal?
Ukuze kusetshenziswe lolu hlobo lwezokwelapha ngokuqhubekayo, kusetshenziselwa ama-gestagen yemvelo kuphela. Phakathi kwalezi zingabizwa ngokuthi u-Estron, u-Estriol.
Kusukela kumalungiselelo aqukethe i-estradiol ekubunjweni kwawo, sebenzisa i-Estradiol valerate noma i-17b-estradiol.
Ama-gestagens asetshenziswa ezinyangeni ezincane kakhulu, ezinikeza lokho okubizwa ngokuthi ukuguqulwa kwe-secretory ye-endometrium (shintsha ngaphakathi kocansi lwangaphakathi lwesisu). Ngesikhathi esifanayo bathathwa ndawonye nge-estrogen ngezinsuku ezingu-10-12.
Ukwelashwa okuyinkimbinkimbi ye-climacteric syndrome kubandakanya nokufaka izidakamizwa ezingafaki ukuthuthukiswa kwe-osteopenia (isifo esilandelwa ukuphulwa kwamathambo). Njengemithi enjalo, amaphilisi ane-calcium aqukethe.
Ukwelashwa kwaloluhlobo kunqunyelwe izinkomba ezithile, ngesifo se- climacteric syndrome, isibonelo. Uma wenza ukwelashwa kwe-hormone yamadoda, owesifazane kufanele alandele izincomo zemitholampilo ezinikezwe udokotela, okwelashwa okwenziwa kuwo wonke umhlaba.