Menopause avanga harsatna awmte? Hormone therapy chungchang hi a awlsam zawngin i zir ang u.

Kum 45 emaw 50 emaw i thlen meuh chuan rang takin i thawmhnaw a chhuak tan a, zanah i muhil tha thei lo va, thil tenawm tak tak avangin i thinrim a, i rilru a na hle... Heng thilte hi i hriat chian em? Hengte hi hmeichhe tam takin menopause an neih laia an tawrh dan tlangpui a ni. He hun hi a harsa hle tih kan hria. Mi tam takin ngawi rengin heng thilte hi tuar mah se, a takah chuan hei hi chinfel dan tha tak tak a awm a ni. Chutiang solution zinga pawimawh leh hlawhtling ber pakhat chu hormone therapy hi a ni. He thu hi awlsam takin sawi ila, kan thian hnai tak nen kan inbia ang maiin.

Hormone replacement therapy (HRT) hi eng nge ni?

A awlsam zawngin a awlsam hle. Hormone Replacement Therapy (HRT) hi menopause avanga i taksain a siam chhuah tawh loh hormone (a bik takin estrogen) chu pawn lam atanga thlak danglamna a ni.

Hetiang hian han ngaihtuah teh: i taksa chu factory chi hrang hrang awmna factory ang a ni. Estrogen hi a chhunga hnathawk chief engineer ang a ni. A pension chuan (chu chu menopause i paltlang hunah) factory chu a rilru a buai deuh thin. Chutih lai chuan pawn lam atangin engineer dang kan rawn hruai lut a, thil dik takah kan siam leh thin. Hormone therapy hi chutiang thil chu a ni.

Hetianga hormone level tlahniam hian heng harsatnate hi i tawk thin a ni:

• Hot flashes: Hmai, kawr leh rilruah lumna leh thawk hah nghal .
• Zan lama thawmhnaw: Zanah i taksa thawmhnaw hnim hring chunga harh.
• Vaginal dryness leh painful intercourse: Hei hi mi tam takin sawi chhuah an zahpui thin a, mahse a awm fo thin.
• Mod inthlak danglam: chhan awm lova thinrim, lungngaihna, lungkhamna.
• Insomnia: Zana mut theih lohna.
• Zun tam: Hriak emaw nuih emaw ang chi hunah zun tlemte a chhuak thei.

Hormone therapy hian i taksaah hormone hloh tawhte chu a rawn dah let leh a, i hormone level pawh eng emaw chen chu a siam tha leh a ni. Hei hian a chunga kan sawi tak symptom tam tak chu a tiziaawm thei dawn a ni. Tin, ruh tihthianghlimna natna, estrogen level tlahniam avanga lo awm, osteoporosis laka invenna atan pawh a pui thei bawk.

HRT leh HT hi thil hrang hrang pahnih a ni em?

Doctor pan tura i kal hian heng thumal pahnih hi i hre mai thei. Hormone Replacement Therapy (HRT) leh Hormone Therapy (HT) hmanga enkawl a ni. An pahnih inkarah hian danglamna a awm lo tak zet a ni. Tlangpuiin,

• Hormone Therapy (HT): He thumal hi eng hormone enkawlna atan pawh hman theih a ni. He hming hi cancer damdawi hormone therapy, hormone inthlauhna dang enkawlna, etc. tih hming atan pawh hman a ni a, he hming hi menopause enkawlna atan pawh hman a ni.
• Hormone thlak danglamna damdawi (HRT):He hming hi taksain a pianphung anga a siam chhuah tawh loh hormone "a thlak" tihna atan hman a ni. He hming hi a bik takin kum 40 tlin hmaa menopause nei mekte enkawlna atan hman a ni.

Mahse, i tana pawimawh ber chu heng thil pahnih hi menopause symptoms enkawl dan tur a ni tih hriatthiam hi a ni.

Hormone therapy hi chi hnih a awm a, chungte chu:

I doctor chuan i natna lan chhuah dan, i hriselna chanchin leh i duh dan a zirin i tan a tha ber tur damdawi a thlang ang. A chi hnih a awm a.

1. Estrogen hmanga enkawlna

Hei hi hormone estrogen chauh pekna hmun a ni . He enkawlna hi hmeichhia nausen pum lak chhuah (hysterectomy) tan a tha tlangpui a, a chhan chu nausen pum nei lo tan chuan estrogen chauh ei hian hun rei tak chhunga a hlauhawmna a hniam zawk a ni.

He estrogen treatment hi kawng hrang hrangin ei theih a ni:

• Pills ei tawh
• A patch a ni
• Vun ti hahdam thei gel a ni
• Vagina chhunga ring bun thin
• Vagina ah cream hnawih a ni
• Vaginal tablets te pawh a awm
• Kut vunah hnawih thin spray.

2. Combination therapy (estrogen leh progesterone) hmanga enkawlna .

He enkawlna hian hormone estrogen leh progesterone te a pe vek che a ni . Hmeichhia an nausen (uterus) lakchhuah loh zawng zawngte chuan estrogen nen progesterone (or progestin chutiang bawka hnathawk) an ei vek tur a ni.

He combination treatment hi a tlangpuiin pill emaw skin patch emaw angin a awm thin. A chang chuan progesterone hi intrauterine device (IUD) hmanga vagina chhunga dah hmangin pek theih a ni bawk.

Enkawl dan: Systemic leh Local

Heng enkawlnate hi taksa a nghawng dan a zirin chi hnih ah then belh theih a ni. Hei hi i hriatthiam phawt chuan i tana tha tur thlan a awlsam zawk.

Hormone replacement therapy (HRT) ei hian eng hlawkna nge a neih?

He enkawlna hlawkna ber chu menopause symptoms buaithlak tak tak atanga chhanchhuahna a pe a, chu chuan i nunphung nasa takin a tichangtlung a ni.

• A lan chhuah dan ber chu a bo vek a: thil lum, zan lama thawk hah, leh vaginal dryness ang chi te chu a bo vek tawh mai.
• Ruh a tichak: Estrogen level a tlahniam chuan ruh natna (osteoporosis) a awm theihna a sang hle. HRT hian he hlauhawmna hi nasa takin a tihziaawm a ni.
• Hriselna lama rilru hahdamna: Hmeichhe thenkhat chuan he enkawlna hian an rilru a titha a, nun a ti hlim zawk tih an hmuchhuak.
• Mut tha zawk rawh: Zan lama thawmhnaw a reh chuan mut chu tihtawp loh a ni.
• Hlawkna dang: Zirna thenkhatah chuan combination therapy hian colon cancer leh zunthlum vei theihna a ti tlem thei bawk.

Mahse, a hlauhawmna engemaw zat a awm.

Enkawlna dang ang bawkin HRT hian hlauhawmna engemaw zat a nei a ni. Hengte hi i hlau lutuk hmain heng risk te hi mi zawng zawng tan a inang vek lo tih hriat a pawimawh.

Risk awm thei thenkhat:

• Uterine cancer: Hei hi uterus nei mi pakhatin estrogen chauh a ei chuan a thleng chauh a ni. He risk hi progesterone nena ei chuan a bo thin.
• Thisen zam leh stroke:He risk hi a sang deuh hlek a, a bik takin pill anga ei a nih chuan. He risk hi patch anga ei chuan a hniam zawk.
• Gallbladder natna: Gallstones vei theihna hi tlem a sang thei hle.
• Breast cancer: Zirchianna thenkhatah chuan combination therapy rei tak (kum 5 aia rei) ei hian hnute cancer vei theihna a tisang deuh thei tih an hmuchhuak. Mahse, he punna hi a tlem hle.
• Lung natna: Kum 10 chhung menopause hnu, kum 60 hnu lama HRT tan chuan lung natna vei theihna a tipung thei a ni. Mahse, he hlauhawmna hi menopause a tan veleh (kum 50-a upa) HRT hmang tan tan chuan a awm lo tluk a ni.

Engtin nge a hlauhawmna chu tihziaawm theih ang?

• Kum 60 hma emaw, menopause atanga kum 10 chhungin enkawl tan tur a ni.
• Uterus i neih chuan progesterone hi ei ngei ngei tur a ni.
• I doctor nen inbia la, i tan a tha ber tur enkawl dan leh a dose thlang rawh. (Entirnan, pills aiah patch)
• Nun hrisel tak hmang rawh (exercise neih fo la, ei leh in inthlau tak ei la, i taksa rihna control rawh) .
• Hun ruat angin gynecological exam leh mammograms te ti rawh.

He enkawlna hi tute tan nge a tha lo?

Doctor-te chuan hriselna lama harsatna nei ṭhenkhat tan HRT hi an rawt lo a, a chhan chu a hlauhawmna chuan a hlawkna aiin a tam zawk a ni.

• Hnute cancer, ovarian cancer, uterine cancer i neih emaw i neih tawh emaw a nih chuan
• A chhan hriat loh vaginal bleeding i neih chuan
• Tun hmaa thisen zam i neih tawh emaw, a vei theihna a sang zawk emaw a nih chuan
• Stroke emaw heart attack emaw i neih tawh chuan
• Naupai a nih chuan
• Liver emaw gallbladder natna i neih chuan

Side effect awm thei te chu engte nge ni?

Enkawlna tan tirh lamah hian side effect tenau te a awm thei a, mahse hengte hi taksain a lo thiam tawh angin thla engemaw zat hnuah a bo tlangpui.

Side effects awm tlangpui:

• Thisen chhuak (spotting) mumal lo .
• Hnute na emaw, a hring emaw
• Mood a inthlak danglam thin

Side effects awm lo zawk:

• Bloating (bloating) a awm
• Lu na
• Vun rawng a danglam
• Breast density tihpun (hei hian mammogram chhiar a ti harsa deuh thei) .
• Patch hnawih na hmun vun a hring emaw a sen emaw

HRT ai hian kawng dang a awm em?

Ni e, a dik tak zet. HRT i ei thei lo a nih chuan, emaw, i duh loh chuan i symptoms enkawl dan dang a awm bawk. Hengte hi i doctor nen sawiho rawh.

• Vaginal dryness atan: Lubricants damdawi dawrah a awm.
• Burning sensation atan: Antidepressant thenkhat chu a tlem berah hman a ni.
• Damdawi dang: Natna dang atana damdawi pek, `(Gabapentin)` leh `(Clonidine),` te hian menopausal symptoms te pawh a pui thei bawk.
• SERMs (Selective estrogen receptor modulators): Heng damdawi te hi estrogen ang maia thawk, mahse taksa peng thenkhat chauh nghawng thei damdawi an ni.