Ubani oboniswa i-HRT?
Ukusetshenziswa kwezidakamizwa ze-hormonal, njengombuso, kusetshenziselwa ukuba khona kwezici ezilandelayo:
- izimpawu zokuqala zokuya esikhathini (ukubonakala komkhuhlane, ukukhanya okushisayo, ukujuluka ngokweqile, izimo ezicindezelayo);
- ukuphuma esikhathini sokuqala;
- ukuguqula isikhumba se-trophic;
- izinguquko kwisakhiwo sephethini ye-genito-urinary.
Ngaphezu kwalokho, lolu hlobo lwezidakamizwa lungasetshenziselwa ukuvimbela, ukuvimbela i-postmenopausal osteoporosis, izifo zenhliziyo, kanye nokwelashwa okuyinkimbinkimbi, okuthiwa yi-menopausal syndrome. Ukubonakaliswa kwalo kungaba ukukhuluphala, okwakungaphambene nesizinda senkathi yokugcina.
Yiziphi izidakamizwa ezisetshenziselwa ukwenza ukwelashwa kwe-hormone esikhundleni sabesifazane?
Esikhathini sokumisa esikhathini sokuqala, ukwelashwa kungenziwa ngokusebenzisa ama-progestogens kuphela noma kuhlanganiswe i-estrogen-progestogen. Phakathi kwezidakamizwa ezihlobene nala maqembu, ungabiza i-Norethisterone acetate, i-Levonorgestrel, i-Gestodene.
Ukwelashwa kwabesifazane ukubonakaliswa kokuya esikhathini emva kweminyaka engama-45 kubonisa ukuthi ukwelashwa kwe-hormonal, kanye nokwelashwa okuyinkimbinkimbi, misela izidakamizwa ezivimbela ukuthuthukiswa kwe-osteopenia (umthamo we-calcium kuya ku-1200-1500 mg / ngosuku), njenge-Calcium D 3, isibonelo.
Ukwelashwa okuvamile kungenakho ukuthula, amaphilisi okulala noma izidakamizwa ze-psychotropic ukulwa nezimo ezicindezelayo. Okusetshenziswa kakhulu ku-Xanax, Halcyon, Fevarin, Lerivon.
Kufanele nini i-HRT ingavumeleki?
Ukuphikisana okuyinhloko kokuqokwa kwe-hormone therapy esikhundleni sokuthi:
- ukuphuma kwamagciwane etiology engaqondakali;
- i-infarction ye-myocardial, ukutholakala kwesifo esikhathini esidlule;
- isifo sofuba esinamandla kakhulu;
- ukwanda kwe-triglycerides egazini;
- i-thrombosis ejulile ye-vein;
- isifo esinamandla esibindi, isifo sezinso;
- inqubo yezinhlelo ezenzelwe uhlelo lokuzala;
- ukusabela okweqile.