Kwimpilo yabo bonke abesetyhini, kungekudala okanye kamva, ukunyuka komsebenzi we-ovarian kwenzeka, okubizwa ngokuba yixesha le-foremenopausal, ngokukhokelela ekukholeni ekumeni. Ngaphambili, kwakukholelwa ukuba ukuphela kwesimiso yinkqubo yomzimba kwaye akufanele kuphazamiseke. Umyalelo wezilwanyana zamachimoni wesimina ekuqedeni ukunyuka komzimba kungenza umonakalo omkhulu kunokulungileyo. Siya kuzama ukuqwalasela ngokubanzi iinkcukacha kunye nokuxhamla kwe-hormone yonyango yokutshintshwa kwesikhashana, kunye nokunika inkcazo yezilwanyana ezichazwe rhoqo.
I-hormone yonyango yokutshintshwa ngokunyuka komzimba - iziyobisi
Nabani na ocinga ukuba i-hormone yesini yomfazi yenza kuphela umsebenzi wokuzala ophosakeleyo. U-Estrogens uthatha inxaxheba ebalulekileyo ekulawuleni imetabolism, ukuxhasa umsebenzi wengqondo, ukulawula ukusebenza kwenkqubo ye-cardiovascular system, kwaye ifuthe ne-immunity. Ukutyunjwa ngexesha elifanelekileyo ngexesha lamaphilisi e-hormonal okanye i-suppositories ekumeni kokuncedisa ukunceda kuthinte ixesha elibi njengengqondo ye-osteoporosis, atherosclerosis, ukufumana ubunzima kunye nesifo se-Alzheimer.
Phakathi kweziyobisi ze-hormone unyango olutshintsho, kukho iifom etafilweyo, i-creams, i-suppositories, iipatches ezithintekayo kunye ne-hormonal spirals.
Xa unyango lwe-hormone kunye nesigxina, ukhetho lunikezelwa ukulungiselela amacembe. Uluhlu olupheleleyo lwezilwanyana ze-hormonal zokwenziwa kwexesha lokumelana nokunqamuka komzimba zingabelana ngokwahlukileyo, i-biphasic kunye nesigaba sesithathu.
Izidakamizwa ze-hormone ezizimeleyo kwipilisi enye ziqukethe i-estrogen kunye neprogesterone. Emva koko, njengoko izidakamizwa ze-hormone ze-biphasic ezinexeshana zibandakanya isethi yamathebhulethi ahlukeneyo, ngalinye liqukethe i-estrogens okanye i-progesterone, kwaye kufuneka ukuba banxiliswe ngokuthe ngqo kwiintsuku ezithile. Ukutyiwa kwala macwecwe kuvumela ukusekwa kwimijikelezo yokuhamba kwimizi yokuqala ukuya kwindoda yokumisa.
Ama-hormonal suppositories ekumiseni komzimba anqunyelwe ukuphelisa ukungasebenzi kwe-genitourinary system (ukuma, ukutshisa kunye nokutshiza ngaphakathi kwesini). Amalungiselelo anjalo afaka i-Ovestin ne-Estriol suppositories, kwaye ziqukethe umthamo omkhulu we-estrogen.
I-Hormonal yokuvota ngokunyuka kwesisu
Ngomngcipheko okhupha kakhulu, kwaye uhamba kunye nokuphuma kwexesha elide, kucetyiswa ukuba ufake i-hormonal intrauterine i- Mirena. Into esebenzayo ye helix ecocekileyo i-progestogen levonorgestrel. Umoya usungulwe iminyaka emi-5, iprophylaxis efanelekileyo ye-endometrial hyperplasia kunye nokuphuma kwamanzi.
Iidakamizwa zaseHormon ngokukhipha umama - amagama
Nayi imimiselo yeepilisi zamademoni eziqhelekileyo eziqhelekileyo ezinexesha lokuyeka umama kunye namagama abo e-pharmacy. Uninzi lwazo luqulethe i-estrogens kunye neprogesterone, eyona nto iphambili yeprophylaxis ye- endometrial hyperplasia :
- kunye neengqungquthela ezenzekayo kwiklinikhi ye-hyperandrogenia (ukunyuka kwentsimbi, ukunciphisa izwi lezwi, i-alopecia, ukwanda kwamanqina ekhumba) misela izilwanyana ze-Klimonorm, i-Klimen, i-Divina ne-Cycloproginova - kufuneka zithathwe iintsuku ezingama-21 (ukupakisha), uze uthathe ikhefu iintsuku ezingama-7;
- kunye nezibonakaliso zokuguga (isikhumba esomileyo, imibimbi), amalungiselelo e-hormonal aqukethe i-androgens (i-Gynodian-Depot) -yodwa ikhutshwe kwisisombululo kwaye ilawulwa njengamajojo kanye ngenyanga;
- Abasetyhini abaye bafumana ukukhutshwa kwesibeleko kunqunywe amalungiselelo e-estrogen kuphela.
Ngaloo ndlela, ngokuqala kokumiselwa kwesisu, umfazi unokuhlala ngumfazi kwaye aphile ubomi obuqhelekileyo ukuba umfazi ogqibeleleyo wesifo somzimba uyakhethe ngokuchanekileyo izidakamizwa zakhe ngenxa yokwelashwa kwe-hormone.