Isiqephu Sokuya Esikhathini

-Delile

• Izicubu zeHormone zokunqamuka kokuya esikhathini
• Yiziphi izinhlobo ezahlukahlukene zamamaki wokunqamuka kokuya esikhathini?
• Yini i-estrogen ne-progestin?
• Ziyini izingozi zokwelashwa kwama-hormone?
• Ingabe ukunqamuka kokuya esikhathini kuphephile?
• Ukuthatha

Ukubuka konke

Abanye besifazane banezimpawu ngesikhathi sokunqamuka kokuya esikhathini - njengokushisa okushisayo, ukushintsha kwemizwelo, nokungakhululeki esithweni sangasese - okuthinta kabi izinga labo lempilo.

Ukuze bathole ukukhululeka, laba besifazane bavame ukuphendukela ekwelashweni kwe-hormone replacement (HRT) ukufaka ama-hormone emizimbeni yabo engasasebenzi.

I-HRT ithathwa njengeyona ndlela engcono kakhulu yokwelapha izimpawu ezinzima zokunqamuka kokuya esikhathini futhi iyatholakala - ngemithi kadokotela - ngezindlela eziningi. Lawa mafomu afaka:

• amaphilisi
• okhilimu nama-gel
• ama-suppositories sangasese namasongo
• amabala esikhumba

Izicubu zeHormone zokunqamuka kokuya esikhathini

Amachashazi esikhumba asetshenziswayo asetshenziswa njengohlelo lokulethwa kwamahomoni ukwelapha izimpawu ezithile zokunqamuka kokuya esikhathini njengokukhanya okushisayo nokoma kwesitho sangasese sowesifazane, ukushisa nokucasula.

Zibizwa ngokuthi yi-transdermal (“trans” okusho ukuthi “nge” nange- “dermal” ebhekise esikhumbeni noma esikhunjeni). Lokhu kungenxa yokuthi ama-hormone akulesi sichibi afakwa esikhunjeni ngemithambo yegazi bese ethunyelwa emzimbeni wonke.

Yiziphi izinhlobo ezahlukahlukene zamamaki wokunqamuka kokuya esikhathini?

Kunezinhlobo ezimbili zama-patches:

• isichibi se-estrogen (estradiol)
• inhlanganisela ye-estrogen (estradiol) ne-progestin (norethindrone) patch

Kukhona nezimagqabhagqa ezinomthamo ophansi we-estrogen, kepha lezi zisetshenziselwa ikakhulukazi ukunciphisa ubungozi be-osteoporosis. Azisetshenziselwa ezinye izimpawu zokunqamuka kokuya esikhathini.

Yini i-estrogen ne-progestin?

I-Estrogen yiqembu lamahomoni akhiqizwa ikakhulukazi ama-ovari. Ixhasa futhi ithuthukise ukuthuthukiswa, ukulawulwa, kanye nokugcinwa kohlelo lwabesifazane lokuzala kanye nezici zobulili.

I-Progestin uhlobo lwe-progesterone, i-hormone ethinta umjikelezo wokuya esikhathini nokukhulelwa.

Ziyini izingozi zokwelashwa kwama-hormone?

Izingozi ze-HRT zifaka:

• Isifo senhliziyo
• unhlangothi
• amahlule egazi
• umdlavuza webele

Le ngozi ibonakala inkulu kwabesifazane abaneminyaka engaphezu kwengama-60. Ezinye izinto ezinomthelela ezingozini zifaka:

• umthamo nohlobo lwe-estrogen
• ukuthi ukwelashwa kufaka i-estrogen kuphela noma i-estrogen ene-progestin
• isimo sezempilo samanje
• umlando wezokwelapha womndeni

Ingabe ukunqamuka kokuya esikhathini kuphephile?

Ucwaningo lomtholampilo lubonisa ukuthi ekwelashweni kwesikhashana kwezimpawu zokunqamuka kokuya esikhathini, izinzuzo ze-HRT zidlula izingozi:

• Ngokusho kwabesifazane abangama-27,000 esikhathini seminyaka engu-18, ukwelashwa kwama-menopausal hormone iminyaka emi-5 kuya kwengu-7 akunyusi ingozi yokufa.
• Isifundo sezifundo eziningana ezinkulu (esisodwa sithinta abesifazane abangaphezu kwama-70,000) sikhombisa ukuthi ukwelashwa kwamahomoni e-transdermal kuhlotshaniswa nobungozi obuncane besifo se-gallbladder kunokwelashwa kwamahomoni omlomo.

Uma unomuzwa wokuthi i-HRT iyindlela ongayikhathalela ukulawula ukunqamuka kokuya esikhathini, kufanele uxhumane nodokotela wakho ukuze nixoxe ngazo zombili izinzuzo nezingozi ze-HRT njengoba ziphathelene nawe uqobo.

Ukuthatha

Isiqephu sokunqamuka kokuya esikhathini ne-HRT kungasiza ekuphatheni izimpawu zokunqamuka kokuya esikhathini. Kwabesifazane abaningi, kubonakala sengathi izinzuzo zidlula izingozi.

Ukuze ubone ukuthi kukulungele yini, thintana nodokotela wakho ozobheka iminyaka yakho, umlando wezokwelapha, nolunye ulwazi lomuntu siqu olubalulekile ngaphambi kokwenza isincomo.