Muhupenyu hwemudzimai wese, nokukurumidza kana kuti gare gare, kupera kwebasa rekuvhara ropa rinoitika, iro rinonzi nguva yekutanga yemenopaopausal, zvishoma nezvishoma zvinotungamirira pakuenda kumwedzi. Pamberi pacho, zvaifungidzirwa kuti kuswedera kumwedzi kunoratidzira uye haufaniri kupindira. Mishonga yemishonga yemakemikari echikadzi nekumisa kwemwedzi inogona kukuvadza kupfuura kunaka. Tichaedza kufungisisa zvakadzama zvose zvinobudirira uye hupenyu hweHodmon replacement therapy nekumisa kwemwedzi, uyewo kupa tsanangudzo yemishonga inonyanya kurongerwa.
Hormone replacement therapy nekumisa mhuka - madhiragi
Chero ani anofunga kuti mahomoni evanhukadzi vanoita basa roga roga rokutora rakakanganisa zvakanyanya. Estrogens anotora chikamu chekushingaira mukugadzirisa kwemetabolism, kutsigira basa reuropi, kutonga kushanda kwemwoyo yemagetsi, uye kunokanganisa kusagadzikana. Kugadzirisa kwenguva yakakwana mapiritsi ehomonikadzi kana kuti suppositories pakuenda kumwedzi kunobatsira kudzivisa nguva dzakashata zvakadaro seansteoporosis, atherosclerosis, kuwedzera kwehutano uye chirwere cheAlzheimer.
Pakati pezvinodhaka zvehomoni zvinotsiviwa, pane mifananidzo yakavezwa, makanda, suppositories, transdermal patches uye hormonal spirals.
Apo utachiona hweHommone nechokuguma, zvakasarudzwa zvinopiwa kumigadziro yemiriwo. Zvose urongwa hwehutachiona hwemishonga inokonzerwa nekuguma kwemazuva hunogona kugoverwa mu monophasic, biphasic uye nhatu.
Nhengo imwe chete yemasodhoni yemishonga mune imwe bhwendefa ine zvose isrogen uye progesterone. Zvadaro, sezvinonzi biphasic hormonal drugs nekumisa kwemwedzi inosanganisira mapepa akawanda-mavara, imwe neimwe ine estrogen kana progesterone, uye inofanira kunge yakadhakwa zvakanyanya pane mamwe mazuva. Kudya kwehwendefa yakadaro kunobvumira kuumbwa kwemazuva ose kumwedzi kunotungamiraopausal uye nekuguma.
Hormonal suppositories pakupera kwemwedzi inorayirwa kuti ibvise kusagadzikana kwe genitourinary system (kuoma, kupisa nekuchenesa mumudzimai). Kugadzirira kwakadaro kunosanganisira Ovestin uye Estriol suppositories, uye vane chirwere chikuru chestrogen.
Hormonal kuvhura nekumera
Nechinopera icho chiri kukurumidza kwazvo, uyewo pamwe chete nekubuda ropa kwenguva refu, zvinokurudzirwa kuisa hormonal intrauterine device Mirena. Nhengo inoshanda ye helix yakadaro ipachena progestogen levonorgestrel. Mhepo inogadziriswa kwemakore mashanu, inonzi prophylaxis yakanaka ye endometrial hyperplasia uye uterine kubuda ropa.
Hormonal madhiragi ane menopause - mazita
Heano mienzaniso yezvinyorwa zvinowanzozivikanwa zvakagadzirwa nehomoni zvakagadziriswa nemasikirwo avo emaawa. Zhinji dzazvo dzine zvese estrogens uye progesterone, iyo inonakidza prophylaxis ye endometrial hyperplasia :
- nemhedziso inowanzoitika nekliniki ye hyperandrogenia (kukurumidza kuwedzerwa, kucheka kwezwi rezwi, alopecia, kuwedzerwa kwemavara emapfupa) kuraira madhiragi Klimonorm, Klimen, Divina uye Cycloproginova - dzinofanirwa kutorwa kwemazuva makumi maviri (kutakura), uye zorora kwemazuva manomwe;
- pamwe chete nezviratidzo zvekukwegura (ganda rakaoma, makwenzi), mahomoni ekugadzirira ane androgens (Gynodian-Depot) -mwe inosunungurwa mugadziriswa uye inotarisirwa sejojo kamwe kamwe pamwedzi;
- Vakadzi vakatambura kubviswa kwechiberekero vanongorongedzerwa chete yesrogen magadzirira.
Nokudaro, nekutanga kwekumuka kwemwedzi mukadzi anogona kugara mukadzi uye kurarama hupenyu hune hupenyu hwakakwana kana gynecologist ane kodzero anonyatsosarudza mishonga yake yehommone replacement therapy.