Di trɔbul dɛn we pɔsin kin gɛt we i nɔ gɛt bɛlɛ? Lɛ wi lan bɔt ɔmon tɛrapi insay simpul wɔd dɛn.

As yu hit di ej of 45 or 50, yu stat fo swet wan wan, yu no fit slip gud nait, yu de veks fo smol smol tins, yu de fil bad... Yu sabi dis tins? Dis na di kɔmɔn sayn dɛm we bɔku uman dɛn kin gɛt we dɛn dɔn lɛf fɔ gɛt bɛlɛ. Wi no se dis tɛm rili at. Pan ɔl we bɔku pipul dɛn kin sɔfa wit dɛn tin ya we dɛn nɔ tɔk natin, fɔ tru, gud tin dɛn de fɔ sɔlv dis. Wan pan di tin dɛn we impɔtant pas ɔl ɛn we kin wok fayn pan dɛn sɔlvishɔn dɛn de na ɔmon tritmɛnt. Lɛ wi tɔk bɔt dis simpul wan, lɛk se wi de tɔk to wi tayt padi.

Wetin na ɔmon riplesmɛnt tɛrapi (HRT)?

Fɔ tɔk am simpul wan, i rili simpul. Hכmon Riplesmεnt Tεrapi (HRT) na di prכsεs fכ riples di כmon dεm (especially estrogen) we yu bכdi de stכp fכ prodyuz we yu de mεnopos.

Tink bɔt dis we: yu bɔdi tan lɛk faktri we gɛt ɔlkayn mashin dɛn. Ɛstrojen tan lɛk di chif injinia we de wok insay. We i ritaia (dat na we yu go tru menopause), di faktri kin kray smɔl. Da tɛm de, wi kin briŋ ɔda injinia we kɔmɔt na do ɛn mek tin go fayn bak. Ɔmon tɛrapi na sɔntin lɛk dat.

Dis dכn dכn na di כmon lεvεl na in de mek yu gεt dεn prכblεm ya:

• Hot flash: Wantɛm wam ɛn swet na in fes, nɛk, ɛn chɛst.
• Nayt swet: We yu wek na nɛt wit yu bɔdi we dɔn wet wit swet.
• di vagina dray we yu de du mami ɛn dadi biznɛs wit pɔsin we de mek yu fil pen: Dis na tin we bɔku pipul dɛn kin shem fɔ tɔk bɔt, bɔt na kɔmɔn tin.
• Chenj na yu maynd: yu de fil vɛks fɔ natin, yu de fil sɔri, yu de fil wɔri.
• Inshɔmnia: Na we pɔsin nɔ ebul fɔ slip na nɛt.
• Yu kin pis bɔku tɛm: Smɔl urine kin lik aut pan tɛm lɛk we yu de sniz ɔ laf.

Ɔmon tɛrapi de wok bay we i de mek di ɔmon dɛn we dɔn lɔs kam bak na yu bɔdi ɛn mek yu ɔmon lɛvɛl kam bak to sɔm mak. Dis go ɛp fɔ mek bɔku pan di sik dɛn we wi dɔn tɔk bɔt nɔ bɔku. I kin ɛp bak fɔ protɛkt yu frɔm ɔstioporosis, we na wan sik we de mek yu bon tan we kin apin we di ɛstrojen lɛvɛl go dɔŋ.

HRT ɛn HT na tu difrɛn tin dɛn?

We yu go to dɔktɔ, yu kin yɛri dɛn tu wɔd ya. Ɔmon Riplesmɛnt Tɛrapi (HRT) ɛn Ɔmon Tɛrapi (HT). Fɔ tru, nɔto bɔku difrɛns de bitwin dɛn tu. Bɔku tɛm,

• Ɔmon Tɛrapi (HT): Dɛn kin yuz dis wɔd fɔ ɛni ɔmon tritmɛnt. Dɛn kin yuz dis nem bak fɔ tin dɛn lɛk ɔmon tɛrapi fɔ kansa, tritmɛnt fɔ ɔda ɔmon imbalans, ɛn ɔda tin dɛn.Dɛn kin yuz dis nem bak fɔ tritmɛnt fɔ mɛnopause.
• Ɔmon Riplesmɛnt Tɛrapi (HRT): .dis nem dεn kin yus am spεshal fכ min se i de "riples" כmon dεm we di bכdi dכn stכp fכ prodyuz nכmal wan. Dɛn kin yuz dis nem mɔ fɔ tritmɛnt dɛn we dɛn kin gi pɔsin we de go tru menɔpauz, mɔ bifo i ol 40 ia.

Bɔt di tin we impɔtant pas ɔl fɔ yu na fɔ ɔndastand se dɛn tu tin ya na bɔt aw fɔ kɔntrol di sayn dɛm we yu kin gɛt we yu de menɔpauz.

Tu men kayn ɔmon tritmɛnt de:

Yu dɔktɔ go pik di tritmɛnt we go fayn fɔ yu bay di sayn dɛn we yu gɛt, yu wɛlbɔdi istri, ɛn wetin yu lɛk. Tu men kayn dɛn de.

1. Ɛstrojen tɛrapi

Dis na di say we dɛn kin gi yu di ɔmon nɔmɔ we dɛn kɔl ɛstrojen . dis tritmɛnt kin fayn fɔ uman dɛn we dɛn dɔn pul dɛn uterus (hysterectomy) bikɔs di risk fɔ lɔng tɛm fɔ tek ɛstrojen nɔmɔ kin smɔl fɔ pɔsin we nɔ gɛt uterus.

Dɛn kin tek dis ɛstrojen tritmɛnt difrɛn we dɛn:

• Pil dɛn we dɛn dɔn swɛla
• Wan pat pan am
• Wan jel we de mek di skin kol
• Ring we dɛn kin wɛr na di vagina
• Wan krim we dɛn kin put pan di vagina
• Tablɛt dɛn we de na di vagina
• Wan sprɛy we dɛn kin put pan di an in skin.

2. Kɔmbayn tɛrapi (ɛstrojen ɛn prɔjɛstrɔn) .

Dis tritmɛnt de gi yu ɔl tu di ɔmon dɛn we dɛn kɔl ɛstrojen ɛn prɔjɛstɛron . כl uman dεm we dεn nכ pul dεn uterus fכ tek prכjestεron (כ prכjestin we de wok di sem we) wit εstrojen.

Dis kɔmbayn tritmɛnt kin kam insay di fɔm fɔ pils ɔ wan pat pan di skin. sכmtεm dεn kin gi prכjεstεron bak tru wan intrauterin device (IUD) we dεn put insay di vagina.

Di we aw dɛn kin trit: Sistɛm ɛn Lokal

Dɛn kin sheb dɛn tritmɛnt ya mɔ to tu kategori bay aw dɛn kin afɛkt di bɔdi. We yu dɔn ɔndastand dis, i go izi fɔ yu fɔ pik wetin rayt fɔ yu.

Wetin na di bɛnifit dɛn we pɔsin kin gɛt we i tek ɔmon riplesmɛnt tɛrapi (HRT)?

Di men bɛnifit fɔ dis tritmɛnt na dat i de mek yu fil fri frɔm di prɔblɛm dɛn we kin mek yu nɔ gɛt bɛlɛ, ɛn dis kin mek yu layf bɛtɛ bad bad wan.

• di men sayn dεm de disappear: tin dεm lεk hot flash, nait swet, εn vagina dray we de dray kכlכsכl.
• I de mek di bon dεm strכng: We di εstrojen lεvεl dכn dכn, di risk fכ כstioporosis de go כp. HRT de ridyus dis risk bad bad wan.
• Fɔ fil fayn: Sɔm uman dɛn kin si se dis tritmɛnt kin mek dɛn fil fayn ɛn mek dɛn fil fayn bɔt layf.
• Slip bɛtɛ: We yu de swet na nɛt, yu nɔ de stɔp fɔ slip.
• Ɔda bɛnifit dɛn: Sɔm stɔdi dɛn dɔn sho se kɔmbayn tritmɛnt kin ridyus bak di risk fɔ gɛt kansa na di kɔlon ɛn dayabitis.

Bɔt sɔm prɔblɛm dɛn de we kin apin.

Lɛk ɛni tritmɛnt, HRT gɛt sɔm prɔblɛm dɛn. Bifo yu frayd tumɔs bɔt dɛn tin ya, e fayn fɔ ɔndastand se dɛn risk ya nɔr de di sem fɔ ɔlman.

Sɔm prɔblɛm dɛn we kin apin:

• Yuterin kansa: Dis kin apin nɔmɔ if pɔsin we gɛt uterus tek ɛstrojen in wan. Dis risk kin dɔn we dɛn tek am wit prɔjɛstɛron.
• Blɔd we de klɔt ɛn strok:Dis risk kin pas smɔl, mɔ we dɛn tek am as pil. Dis risk kin smɔl we dɛn tek am as pat.
• Gal blad sik: Di risk fɔ gɛt gal ston kin bɔku smɔl.
• Brest kansa: Sɔm stɔdi dɔn sho se if yu tek kɔmbayn tritmɛnt fɔ lɔng tɛm (mɔ pas 5 ia) i kin mek yu gɛt bɔdi kansa smɔl. Bɔt dis inkris rili smɔl.
• At sik: If yu stat HRT afta 10 ia we yu dɔn menɔpauz, we na afta yu dɔn ol 60 ia, dat kin mek yu gɛt at sik mɔ ɛn mɔ. Bɔt dis risk nɔ kin de fɔ di wan dɛn we kin stat HRT jɔs lɛk aw dɛn kin bigin fɔ gɛt bɛlɛ (we dɛn dɔn ol 50 ia).

Aw dɛn go ebul fɔ ridyus di prɔblɛm?

• Start tritmɛnt bifo yu ol 60 ia ɔ insay 10 ia afta yu dɔn menɔpauz.
• If yu gɛt uterus, yu fɔ tek prɔjɛstɛron fɔ tru.
• Tɔk to yu dɔktɔ fɔ pik di tritmɛnt ɛn di doz we go fayn fɔ yu. (Fɔ ɛgzampul, wan pat instead ɔf pils)
• Liv fayn layf (du ɛksesaiz ɔltɛm, it fayn it, ɛn kɔntrol yu wet) .
• Gɛt gaynɛkɔlɔjik ɛgzam ɛn mammogram di tɛm we dɛn dɔn sɛtul.

Udat dis tritmɛnt nɔ fayn fɔ?

Dɔktɔ dɛn nɔ kin tɛl pipul dɛn we gɛt sɔm kayn wɛlbɔdi prɔblɛm wit HRT bikɔs di prɔblɛm dɛn we kin apin kin pas di bɛnifit dɛn we i kin gɛt.

• If yu gɛt ɔ yu dɔn gɛt bɔdi kansa, ovarian kansa, ɔ yu uterin kansa
• If yu gɛt vagina blɔd we yu nɔ no di rizin
• If yu dɔn gɛt blɔd klɔt trade ɔ yu de pan risk fɔ gɛt am
• If yu dɔn gɛt strok ɔ at atak
• If yu gɛt bɛlɛ
• If yu gɛt liva ɔ gal blad sik

Wetin na di bad tin dɛn we kin apin to pɔsin?

Sɔm smɔl sayd ɛfɛkt dɛn kin de we dɛn bigin fɔ trit am, bɔt dɛn tin ya kin dɔn afta sɔm mɔnt as di bɔdi dɔn yus to am.

Di kɔmɔn sayd ɛfɛkt dɛn:

• Layt blɔd we nɔ de ɔltɛm (spɔt) .
• Breast pen ɔ tenderness
• Di we aw pɔsin de fil kin chenj

Di sayd ɛfɛkt dɛn we nɔ kin bɔku:

• Fɔ blo
• Ed de at
• Di kɔlɔ we di skin kin chenj
• di brεst dεnsiti we de go כp (dis kin mek mammogram at sכmtεm fכ rid) .
• I de it ɔ rɛd di skin usay dɛn put di pat

Yu tink se ɔda we dɛn de fɔ du tin pas HRT?

Yɛs, na fɔ tru. If yu nɔr ebul fɔ tek HRT, ɔr nɔr lɛk am, ɔda we dɛn de fɔ kɔntrol yu sik dɛn. Tɔk to yu dɔktɔ bɔt dɛn tin ya.

• Fɔ mek di vagina dray: Lɔbrik dɛn de na di famasi.
• Fɔ bɔn: Dɛn kin yuse sɔm mɛrɛsin wae de mek pɔrsin fil bad wae nɔr bɔku.
• Ɔda mɛrɛsin dɛm: Mɛrɛsin dɛm we dɛn kin gi fɔ ɔda kɔndishɔn dɛm, lɛk `(Gabapentin)` ɛn `(Clonidine),` kin ɛp bak fɔ di simptom dɛm we pɔsin kin gɛt we i dɔn pas we i dɔn pas.
• SERM dεm (Selective estrogen receptor modulators): Dis na dכg dεm we de wok lεk εstrojen, bכt כnli afekt sכm pat dεm na di bכdi.