Ukuyeka ukuya exesheni

Umxholo

• Iimpawu zeHormone zokuyeka ukuya exesheni
• Zithini iindidi ezahlukeneyo zeepatches zokuyeka ukuya exesheni?
• Yintoni i-estrogen kunye neprogestin?
• Buphi ubungozi bonyango lwehomoni?
• Ngaba ukuyeka ukuya exesheni kukhuselekile?
• Ukuthatha

Ushwankathelo

Abanye abantu basetyhini baneempawu ngexesha lokuyeka ukuya exesheni- njengokukhanya okushushu, ukutshintsha kwemozulu, kunye nokungonwabi kwilungu lobufazi- oku kuchaphazela kakubi ubomi babo.

Ukufumana isiqabu, aba bafazi bahlala bebhenela kunyango lwehomoni (HRT) ukuze babuyisele iihomoni kwimizimba yabo engasasebenziyo.

I-HRT ithathwa njengeyona ndlela yokunyanga iimpawu zokuyeka ukuya exesheni kwaye iyafumaneka-ngommiselo-ngeendlela ezininzi. Ezi fom zibandakanya:

• iipilisi
• Iikhrim zezihloko kunye negel
• suppositories kusisi nemisesane
• Amabala esikhumba

Iimpawu zeHormone zokuyeka ukuya exesheni

Amachaphaza e-Transdermal ulusu asetyenziswa njengenkqubo yokuhanjiswa kwehomoni ukunyanga iimpawu ezithile zokuyeka ukuya exesheni njengokutshisa okutshisayo kunye nokoma kwilungu lobufazi, ukutshisa kunye nokucaphuka.

Babizwa ngokuba yi-transdermal ("trans" ethetha "nge" kunye ne "dermal" ebhekisele kwiderm okanye ulusu). Kungenxa yokuba iihomoni ezikwisiqwenga zifunxwa kulusu ngemithambo yegazi zize zihanjiswe kuwo wonke umzimba.

Zithini iindidi ezahlukeneyo zeepatches zokuyeka ukuya exesheni?

Zimbini iintlobo zamachaphaza:

• Isiziba se-estrogen (estradiol)
• indibaniselwano ye-estrogen (estradiol) kunye neprogestin (norethindrone) patch

Kukho iziqwengana zedosi ephantsi ye-estrogen, kodwa ezi zisetyenziselwa ukunciphisa umngcipheko we-osteoporosis. Azisetyenziselwa ezinye iimpawu zokuyeka ukuya exesheni.

Yintoni i-estrogen kunye neprogestin?

I-Estrogen liqela lamahomoni aveliswa ikakhulu zii-ovari. Ixhasa kwaye ikhuthaze ukukhula, ukulawulwa, kunye nokugcinwa kwenkqubo yokuzala kwabasetyhini kunye neempawu zesini.

Iprogestin luhlobo lweprogesterone, ihomoni echaphazela umjikelo wokuya esikhathini nokukhulelwa.

Buphi ubungozi bonyango lwehomoni?

Umngcipheko we-HRT ubandakanya:

• isifo sentliziyo
• ukubetha
• amahlwili egazi
• umhlaza webele

Lo mngcipheko ubonakala umkhulu kubafazi abangaphezulu kweminyaka engama-60. Ezinye izinto ezichaphazela umngcipheko zibandakanya:

• idosi kunye nohlobo lwe-estrogen
• ingaba unyango lubandakanya i-estrogen yodwa okanye i-estrogen ene-progestin
• imeko yangoku yezempilo
• Imbali yonyango yosapho

Ngaba ukuyeka ukuya exesheni kukhuselekile?

Uphando lwezonyango lubonisa ukuba kunyango lwexesha elifutshane lweempawu zokuyeka ukuya exesheni, izibonelelo ze-HRT zigqithile kumngcipheko:

• Ngokwabafazi abangama-27,000 kwisithuba seminyaka eli-18, unyango lwehomoni ye-menopausal kangangeminyaka emi-5 ukuya kweli-7 ayonyusi umngcipheko wokufa.
• Isifundo kwizifundo ezininzi ezikhulu (esinye sibandakanya abasetyhini abangaphezulu kwama-70,000) sibonisa ukuba unyango lwehomoni ehambisa umzimba lunxulunyaniswa nomngcipheko omncinci wesifo se-gallbladder kunonyango lwehomoni yomlomo.

Ukuba uziva ngathi i-HRT lukhetho onokucinga ngalo ukulawula ukuya exesheni, kuya kufuneka unxibelelane nogqirha wakho ukuze nixoxe ngazo zombini izibonelelo kunye nemingcipheko ye-HRT njengoko inxulumene nawe buqu.

Ukuthatha

Iphetshana lokuyeka ukuya exesheni kunye ne-HRT inokunceda ekulawuleni iimpawu zokuyeka ukuya exesheni. Kubafazi abaninzi, kubonakala ngathi izibonelelo zingaphezulu komngcipheko.

Ukubona ukuba kulungile kuwe, nxibelelana nogqirha wakho oza kuqaphela iminyaka yakho, imbali yezonyango, kunye nolunye ulwazi olubalulekileyo lomntu ngaphambi kokwenza ingcebiso.