Kia mōhio tātou ki te tikanga o te rongoā whakakapinga homoni (HRT) i te wā o te menopause me te mōrearea o te mate pukupuku o te ū.

Mō te tini o ngā wāhine, he wā uaua te wā pāheketanga, arā, te wā e mutu ai te paheketanga i te kaumātuatanga. He tokomaha te hunga e kore e pai ki te moe nā ngā āhuatanga pēnei i te werawera, te werawera pinepine, me te kore moe. Nō reira, ko tētahi maimoatanga rongonui e taunakihia ana e ngā tākuta hei whakahaere i ēnei tohu ko te Hormone Replacement Therapy (HRT). Engari he maha ngā tāngata e pātai ana, e mataku ana hoki mō tēnei maimoatanga HRT, inā koa mēnā he mōrearea ki te whakawhanake i te mate pukupuku o te ū. Me kōrero mārama, me te ngāwari hoki i tēnei rā.

He aha te HRT? He aha tāna mahi?

I te whakarapopototanga, ko te wā o te paheketanga he wā e iti ake ai te hanga ā-taiao o te estrogen me te progestin e te tinana o te wahine. Ko te HRT he maimoatanga e whakakapi ana i ēnei homoni mā te rongoā. Ka taea e tēnei te āwhina nui ki te whakahaere i ngā tohu o te paheketanga.

E rua ngā momo matua o te HRT:

1. HRT Whakakotahi ( estrogen me te progestin ): Ka hoatu tēnei momo ki te nuinga o ngā wāhine kāore anō kia tangohia te kōpū. Nā te mea ka taea e te tango i te estrogen anake te whakanui ake i te mōrearea o te mate pukupuku kōpū. Ka whakaitihia taua mōrearea e te homoni progestin.

2. HRT Ētorogen anake: Ka hoatu noa tēnei ki ngā wāhine kua tangohia te kōpū nā te mea kāore rātou i te mōrearea ki te mate pukupuku kōpū.

He hononga tūturu kei waenganui i te HRT me te mōrearea o te mate pukupuku o te ū?

Āe, kua kitea e ngā rangahau he hononga kei waenganui. Ko te rangahau nui rawa atu, ko te rangahau nui rawa atu hoki mō tēnei ko te Women's Health Initiative (WHI). He tino hira ngā hua.

E ai ki taua rangahau, ko ngā wāhine e tango ana i ngā homoni estrogen me te progestin (Combined HRT) he paku piki ake te mōrearea ki te pāngia e te mate pukupuku ū .

Ehara i te mea koinā anake, engari he take nui anō tēnei. Mā tēnei rongoā homoni ka matotoru te kiko o te ū. Kātahi ka heke pea te tika o te whakamātautau mammogram e whakamahia ana e tātou hei kite wawe i te mate pukupuku o te ū. Ko te tikanga, ahakoa ka puta he mate pukupuku, kāore pea e kitea kia tae rā anō ki te wāhanga kino rawa atu.

Heoi, i kitea anō hoki i roto i tēnei rangahau kāore e tino piki ake te mōrearea o te mate pukupuku ū i roto i ngā wāhine kua tangohia ō rātou kōpū, ā, e tango ana i te HRT estrogen-anake .

He aha ngā painga me ngā huakore o te tango i te HRT?

Pērā i ngā maimoatanga katoa, he pai, he huakore hoki ngā HRT. He mea nui kia kōrerohia e koe ngā mea e rua ki tō tākuta , kia mārama hoki ki a koe i mua i te whakatau.

Nō reira, ko te whakatau ki te tīmata i te HRT he whakatau me mahi tahi me tō tākuta, me te whakaaro ki ngā āhuatanga maha, pēnei i tō āhua hauora whaiaro, te kaha o ō tohumate, me te hītori hauora whānau .

He pai te HRT mō te tangata kua ora mai i te mate pukupuku ū?

He take tairongo rawa tēnei. I mua, i tukuna anō te HRT ki ngā wāhine kua ora mai i te mate pukupuku ū hei whakahaere i ngā tohumate o te paheketanga. Heoi, i whakaatuhia i roto i tētahi rangahau i te tau 2004 e kīia nei ko HABITS, ko te hunga i ora mai i te mate pukupuku i tango i te HRT he nui ake te mōrearea ki te pāngia anō e te mate pukupuku, ki te pāngia rānei e te mate pukupuku hou.

He aha ngā huarahi kē atu hei whakakapi i te HRT hei whakapakari i ngā wheua?

I te wā o te paheketanga ka piki ake te mōrearea o te osteoporosis, he mate e angiangi ai, e pakarukaru ai ngā wheua. I mua, i tūtohutia te HRT mō tēnei. Engari ināianei, nā ēnei mōrearea, kei reira ngā huarahi kē atu e haumaru ake ana, e whai hua ake ana hoki.

• Ngā Bisphosphonates: Koinei ngā momo rongoā e tino tohua ana mō te osteoporosis.
• Ētahi atu rongoā: Ka tohua pea e te tākuta ētahi atu rongoā pēnei i te Abaloparatide , Denosumab, Romosozumab, me te Teriparatide.
• SERM (Selective Estrogen Receptor Modulators): He momo rongoā hou tēnei e mahi ana pērā i te estrogen. Ka whakanui ake i te kiato o te wheua, ka tiaki hoki i te osteoporosis, me te tiaki anō hoki i te mate pukupuku o te ū. He rongoā rongonui a Raloxifene (Evista) o tēnei momo. Heoi, kāore ēnei e whakaiti i ngā tohu o te menopause (ngā mura wera), ā, ka whakanui ake pea i aua tohu.

Ngā mea ka taea e koe te mahi hei oranga mō te wheua i tua atu i te rongoā

Haunga ngā rongoā, he nui te mahi a te āhua noho hei pupuri i te kaha o ō wheua.

• Korikori tinana amo taumaha: Ngā mahi whakakori tinana pēnei i te hikoi, te oma, me te piki arawhata.
• Te tango i ngā tāpiringa konupūmā me te huaora D: Pātai atu ki tō tākuta, ā, tīmata mēnā e tika ana.
• Kaua e kai hikareti: He tino kino te kai hikareti ki ngā wheua.
• Te karo i te inu nui i te waipiro.