Iziganeko xa kuphuma umva kwimiba engama-40 ubudala, kuthiwa yixesha lokusasa. Ngoko ukuguga kwangaphambi kwendalo kunokushukunyiswa zizizathu ezininzi, ezinjengokuxinezeleka okukhulu, ukuziphatha okungalunganga, ukutshaya, ukusela utywala, ukunyanga izifo ze-ecology kunye ne-chemotherapy, i-heredity, njalonjalo.
Ngaphambili, ukuqala kokuziyeka komyeni akuyikukhupha umfazi kwiingxaki ezinxulumene neenguqu ezinxulumene neminyaka, kodwa, ngokuchaseneyo, kwezinye iimeko zenza kube lula ukubonakaliswa kwamadoda.
Indlela yokunyanga ukusa kwimihla kwangoko?
Ukunyangwa kwexesha lokuqala lokusuka kwindoda kubasetyhini kubandakanya ukupheliswa kwempawu ezingathandekiyo nokukhusela izifo ezinxulumene nokungabikho kwamahomoni. Kwamazwe athuthukileyo, i-HRT (i-hormone therapy alternative) isetyenziselwa ngokubanzi kule njongo ngexesha lokusuka kwesikhashana. Le ndlela iphelisa isizathu-ukungabikho kwe-estrogen kunye namanye ama-hormone emzimbeni wesifazana, ngoko kususa nje kuphela iimpawu, kodwa kuthintela ukubonakala kwezifo ezibalaseli xesha. Ndiyabulela ekusebenziseni i-HRT ekumiseni kwexesha:
- iifayile zinyamalale;
- Izilungiselelo ze-ZGT ngeengqungquthela zijonge i-robot yenkqubo yesantya ephakathi;
- kunciphisa umngcipheko we-osteoporosis, isifo senhliziyo;
- iyimpembelelo entle kwimeko yeembrane kunye nesikhumba.
Nangona kunjalo, ukwenzela unyango lwexesha lokuqala lokusuka komama kwabasetyhini, i-HRT kufuneka ihlolwe ngokupheleleyo. Ekubeni ukusetyenziswa kwamaZGT amalungiselelo ekumiseni kwindoda kunoluhlu olupheleleyo lweengqinisiso. Ngaloo ndlela:
- i cancer
- thrombophilia;
- izifo;
- izifo zesimo senhliziyo, isibindi, i-bile ducts;
- ukuphuma kwegazi ngenxa yesizathu esicacileyo.
Ngako oko, i-HRT kwiminyaka yokuqala yokumiswa komsebenzi imiselwe ngokukodwa phantsi kolawulo lugqirha. Ukhetha kwakhona izidakamizwa ezifanelekileyo kwisigulane ngasinye.
Zonke iindiza zamachiza ziye zahlulwa zibe yinto enye (ziqukethe kuphela i-estrogens) kwaye zidibeneyo (ukuya kwi-estrogens zongezwa iiprogensi ezahlukeneyo). I-Monopreparations inokuthi ithathwe ngomlomo ngefomsile kunye namacwecwe okanye kwiplastiki ngoncedo lwama-gel kunye neentlanzi.
Abafaka indawo abadibeneyo bangathathwa ngokuqhubekayo kwaye bahamba ngeendlela. Xa ukwamkelwa kwebhayisiki usebenzisa amayeza e-biphasic. Ukuqhuba i-HRT eqhubekayo kunye ne-climax, i-mono-, amabini, amaqhinga amathathu, isibonelelo seFemoston. Kukho nawuphi na, isigqibo malunga nendlela yokuphatha unyango lokusasa kwangoko kuthathwa ngumguli ngesigqibo segqirha.