Hmeichhe tam tak tan chuan menopause, kum upat ruala thlasik a tawp hun hi hun harsa tak a ni thei. Mi tam tak chuan khaw lum, thawk hah fo, leh mut theih lohna ang chi thil avang hian an rilru a hahdam lo hle. Chuvangin, doctor-te’n heng symptoms te control nana an rawt damdawi lar tak chu Hormone Replacement Therapy (HRT) hi a ni. Mahse mi tam tak chuan he HRT enkawlna chungchangah hian zawhna leh hlauhna an nei a, a bik takin hnute cancer vei theihna a nih leh nih loh chungchangah hian zawhna leh hlauhna an nei a ni. Vawiin hian engkim chiang tak leh awlsam takin sawi ila.
HRT chu eng nge ni? Eng nge a tih?
A awlsam zawngin sawi ila, Menopause hi hmeichhe taksain a pianphungah estrogen leh progestin a siam tlem hun lai a ni. HRT hian heng hormone te hi damdawi angin a thlak a ni. Hei hian menopause symptoms te chu nasa takin a control thei a ni.
HRT hi chi hnih a awm a, chungte chu:
1. Combined HRT ( estrogen and progestin ): Hetiang chi hi hmeichhe tam zawk, an nausen (uterus) la chhuak lote hnenah pek thin a ni. Hei hi a chhan chu estrogen chauh ei hian uterine cancer vei theihna a tipung thei a ni. Progestin hormone hian chu hlauhawmna chu a ti tlem a ni.
2. Estrogen-only HRT: Hei hi hmeichhia hysterectomy nei tawhte tan chauh pek a ni a, a chhan chu uterine cancer vei an hlauhawm loh vang a ni.
HRT leh hnute cancer hlauhawmna hi inzawmna a awm tak tak em?
Ni e, zirchianna chuan inzawmna a awm tih hmuhchhuah a ni. Hemi chungchanga zirchianna pawimawh leh lian ber chu Women’s Health Initiative (WHI) a ni. A result pawh a pawimawh hle.
Chu zirchianna aṭanga a lan dan chuan, hmeichhia estrogen leh progestin hormone (Combined HRT) pahnih ei hian hnute cancer vei theihna a sang deuh hlek a ni .
Chu mai ni lovin, thil pawi tak dang a awm bawk. He hormone therapy hian hnute tissue a ti thim thin. Tichuan, hnute cancer hriat hmasakna atana kan hman mammogram test dikna chu a tlahniam thei a ni. Chumi awmzia chu cancer a lo awm a nih pawhin a zual zel hma loh chuan hriat theih a ni lo thei tihna a ni.
Mahse, he zirchianna hian hmeichhia nausen pum lak chhuah a, estrogen chauh HRT ei thinte chu hnute cancer vei theihna a sang lo hle tih a hmuchhuak bawk
HRT ei hian eng nge a thatna leh a that lohna?
Enkawlna dang ang bawkin HRT hian a thatna leh a that lohna a nei vek a ni. Thutlukna i siam hmain i doctor nen sawiho a, hriatthiam hmasak a pawimawh.
| Enkawlna chi hrang hrang | A thatna ber | Risk lian ber berte |
|---|---|---|
| Estrogen + Progestin (HRT inzawmkhawm) 1.1. (Hmeichhia nausen pum nei tan) | Menopausal symptoms (hot flashes ang chi) te chu a control tha hle. | - Hnute cancer vei theihna a sang. - Lung natna vei theihna a sang. - Stroke vei theihna a sang. - Thisen zam a awm theihna. |
| Estrogen chauh hmanga HRT (Hmeichhia an uterus lakchhuah tawhte tan) | Menopausal symptoms te chu tha takin a control thei. | - Hnute cancer vei theihna a sang lo hle. - Mahse stroke leh thisen zam hlauhawmna chu a la awm tho. |
Chuvangin, HRT tan tura thutlukna siam hi i doctor nen thawhhona tha tak neia thutlukna siam tur a ni a, thil tam tak ngaihtuah a ngai a, chu chu i mimal hriselna dinhmun, i natna lanchhuahna nasat dan te, leh chhungkaw damdawi lam chanchin te hi a ni
HRT hi hnute cancer atanga dam tawh tan a tha em?
Hei hi thil sensitive tak a ni. Tun hma chuan HRT hi hnute cancer atanga dam tawhte hnenah pawh menopausal symptoms control nan an pe thin a ni. Mahse, kum 2004-a zirchianna pakhat HABITS tih chuan cancer damchhuak, HRT ei thinte chu cancer vei leh emaw, cancer thar vei leh theihna chance a sang zawk tih a tarlang.
Chuvangin tun dinhmunah doctor-te chuan hnute cancer atanga dam tawh hmeichhiate HRT pek hi a hlauhawm hle niin an ngai.
Ruh tichak turin HRT ai chuan eng nge tih theih dang?
Menopause rual hian ruh natna (osteoporosis) vei theihna a sang hle a, chu natna chu ruhte a hring a, a chhe thei a ni. Hemi atan pawh hian vawi khat chu HRT hi an rawt a ni. Mahse tunah chuan chutiang hlauhawmna avang chuan a dang him zawk leh hlawk zawk a awm ta.
- Bisphosphonates: Hengte hi ruh natna damdawi chi hrang hrang an pek tam ber a ni.
- Damdawi dang: Doctor chuan damdawi dang Abaloparatide , Denosumab, Romosozumab, leh Teriparatide te pawh a pe thei bawk.
- SERMs (Selective Estrogen Receptor Modulators): Hei hi damdawi chi thar, estrogen ang maia hnathawk a ni. Ruh density an tipung a, osteoporosis lakah an venghim a, chutih rualin hnute cancer lakah an veng bawk. Raloxifene (Evista) hi he chi damdawi lar tak a ni. Mahse, hengte hian menopausal symptoms (hot flashes) a ti tlem lo va, a tipung thei hial a ni.
Damdawi bakah ruh hriselna atana i tih theih thil
Damdawi bakah hian nunphung hian i ruh nghet taka awm theihna turin thil tam tak a ti thei bawk.
- Weight-bearing exercise: Kal, tlan, leh stair lawn ang chi exercise te.
- Calcium leh vitamin D supplement ei: Doctor zawt la, a tul chuan tan rawh.
- Meizial zuk loh tur: Meizial zuk hian ruh a tichhe nasa hle.
- Zu in tam lutuk pumpelh.
Take-Home Thuchah a ni
- Hormone replacement therapy (HRT) hi menopausal symptoms enkawlna tha tak a ni a, mahse a kaihhnawih hlauhawmna a awm.
- HRT inzawmkhawm, estrogen leh progestin , te hian hnute cancer, thinlung natna, stroke, leh thisen zam vei theihna a tipung a ni.
- Hmeichhia nausen pum lak chhuah tawhte tan estrogen chauh hmanga HRT hian hnute cancer vei theihna a ti tlem a, mahse stroke leh thisen zam hlauhawmna erawh a la awm reng a ni.
- HRT ei leh ei loh chungchanga thutlukna siam hi mimal thil a ni. He thutlukna hi i doctor nen a thatna leh that lohna zawng zawng uluk taka i sawiho hnuah siam tur a ni.
- Hnute cancer atanga i dam tawh chuan HRT hmanga enkawl hi i tan a tha lo.
- HRT aiah ruh hriselna (Osteoporosis) humhimna tur damdawi dang him leh tangkai tak tak leh nunphung thlak danglam a awm bawk.
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