Usenokuba ukhe walwa nomhlaza webele kwaye ngoku uthatha amayeza anikwe ngugqirha wakho ukuze angabuyi. La mayeza abaluleke kakhulu ekunciphiseni umngcipheko wokubuya komhlaza. Kodwa ngamanye amaxesha anokubangela iziphumo ebezingalindelekanga ezincinci. Ekubeni olu nyango luhlala ixesha elide, njengeminyaka emi-5, ngamanye amaxesha i-7-10, kubalulekile ukuba uqaphele ezi ziphumo ebezingalindelekanga.
Kutheni le nto kunikwa olu nyango lwehomoni?
Ngamafutshane, iintlobo ezimbini kwezintathu zomhlaza wamabele zikhula ngenxa yeehomoni ze-estrogen kunye ne-progesterone emizimbeni yethu. Ezi zibizwa ngokuba zii-cancer "ezine-hormone". Unyango lweehomoni lusebenza ngokuthintela ezi homoni ukuba zingafikeleli kwiiseli zomhlaza.
Kusetyenziswa iintlobo ezimbini eziphambili zamayeza kule nto.
| Uhlobo lweziyobisi | Ukusebenza kakuhle | Ngubani odla ngokumiselwa yona? |
|---|---|---|
| Tamoxifen | Oku kuyayithintela i-hormone ye-estrogen ukuba ingangeni kwiseli yomhlaza. Kufana nokuvala itanki yepetroli yemoto. Nokuba kukho igesi, imoto ayivuthi. | Kwabasetyhini abangakhange bafikelele kwixesha lokuya exesheni. |
| Izithinteli zeAromatase Umzekelo: iAnastrozole, iExemestane, iLetrozole | La mayeza anciphisa amanqanaba e-estrogen emzimbeni wonke, oko kuthetha ukuba anciphisa ubuninzi bepetroli obufunekayo ngumhlaza. | Kwabasetyhini abaye bafikelela kwixesha lokuya exesheni. |
Into ebalulekileyo kukuba olu nyango luyanceda ngokwenene ekusindiseni ubomi, ngoko ke kubalulekile ukulawula iziphumo ebezingalindelekanga nokuqhubeka nonyango ukuba ziyenzeka.
Zeziphi iziphumo ebezingalindelekanga eziqhelekileyo kwaye yintoni enokwenziwa ngazo?
Uninzi lwabantu alufumani ziphumo ebezingalindelekanga ezinobungozi ebomini. Nangona kunjalo, kukho ukungakhululeki okuncinci okunokubakho. Ukuba ufumana nayiphi na kwezi, qiniseka ukuba uxelele ugqirha wakho .
Ubushushu kunye nokubila ebusuku
Oku kuqhelekile kubafazi ngexesha lokuya exesheni. Zombini ezi ndlela zonyango lweehomoni zinokubangela le meko.
Yintoni enokwenziwa?
- Okokuqala, ungazama ukwenza utshintsho oluncinci kwindlela ophila ngayo. Gcina igumbi lakho lokulala lipholile kancinci , uze ufake ifeni.
- Xa unxiba , nxiba iileya ezininzi zempahla onokuzikhulula ukuba kuyimfuneko, endaweni yokunxiba ileya enye etyebileyo ngexesha.
- Gcina ibhotile yamanzi abandayo ecaleni kwebhedi yakho. Abanye abantu bayakuthanda ukugcina ipakethe yomkhenkce phantsi komqamelo wabo.
- Abanye abantu bafumana isiqabu nge -acupuncture .
Ukuba ezi zinto azikuncedi kwaye usaziva ungakhululekanga, ugqirha wakho unokukunika amayeza. Amanye amayeza okudakumba (afana nee-SSRI, ii-SNRI) kunye namayeza afana neGabapentin anokunceda. Nangona kunjalo, amanye amayeza anokuphazamisana nempumelelo yonyango lwakho lomhlaza, ngoko ke kubalulekile ukuxoxa nogqirha wakho ngamayeza angcono.
Ingaba i-vaginal yakho ivakala yomile? (Ukoma kwe-vaginal)
Le yenye imeko eqhelekileyo ebangelwa kukwehla kwamanqanaba e-estrogen emzimbeni.
Yintoni enokwenziwa?
- Kukho izinto zokuthambisa kunye nezinto zokuthambisa ezifumaneka kwiikhemesti.
- Ukuba ezi zinto aziniki ncedo, ugqirha wakho unokukunika ikhrimu ye-estrogen esebenza kuphela kwizicubu zesini kwaye ayifunxwa ngumzimba. Nangona kunjalo , kufuneka uxoxe nogqirha wakho ukuba oku kulungile na kuwe kunye neengozi kunye neenzuzo.
Ukutshintsha kweemvakalelo, ukudakumba, kunye neengxaki zokulala
Abanye abantu banokuba neengxaki zeemvakalelo, ixhala, uxinezeleko, kunye nokulala ngelixa besebenzisa olu nyango.
Yintoni enokwenziwa?
- Ukuba uvakalelwa ngolu hlobo, musa ukukufihla. Ukudakumba yimeko yezonyango. Kukho unyango olusebenzayo lokukunyanga, olufana namayeza kunye nonyango lwengqondo .
- Izinto ezinje ngokucamngca, umthambo ofana ne-tai chi, kunye ne-cognitive behavioral therapy (CBT) zinokuba luncedo kakhulu ekuthomalaliseni ingqondo.
Intlungu Yamalungu kunye Nokungakhululeki
Iintlungu zamalungu ezibangelwa lolu nyango lwehomoni zisenokungancitshiswa ziintlungu ezifana neparacetamol kunye ne-ibuprofen esizisebenzisa rhoqo kwi-arthritis.
Yintoni enokwenziwa?
- Kukho ubungqina bokuba i-acupuncture ingayithomalalisa le ntlungu.
- Ukuzilolonga rhoqo akunciphisi nje kuphela iintlungu zamalungu, kodwa kukwanceda ukuba ulale kakuhle ebusuku.
Ezinye izinto ekufuneka ziqwalaselwe
Ukulahlekelwa ngamathambo
Esi sisiphumo esingesiso esinokwenzeka ngakumbi kubantu abasebenzisa izithinteli ze-aromatase, kuba la mayeza anciphisa amanqanaba e-estrogen emzimbeni wonke. Ekuhambeni kwexesha, uxinano lwamathambo lunokwehla kancinci kancinci, mhlawumbi lukhokelela kwimeko ebizwa ngokuba yi-osteoporosis.
Yintoni enokwenziwa?
- Kubalulekile ukuthatha isongezelelo sevithamini D kunye nokuzilolonga ukuze uqinise amathambo.
- Ugqirha wakho uza kukuthumela kwiimvavanyo zobunzima bamathambo (ii-bone scans) rhoqo.
- Ukuba iimpawu zokuqala zokuncitshiswa kwamathambo (i-osteopenia) ziqala ukubonakala, ugqirha wakho unokukunika amayeza anjenge-bisphosphonates, alawula ukulahleka kwamathambo.
Iingozi ezinzulu kodwa ezingaqhelekanga
Kukho umngcipheko omncinci kakhulu wokuba igazi liqhekeke kubantu abasebenzisa i-tamoxifen. Ukuba unembali yokuba negazi eliqhekekileyo okanye ukuba kukho umntu kusapho lwakho okhe waba nalo, kufuneka uxelele ugqirha wakho ngaphambi kokuba usebenzise eli yeza.
Kwakhona, kukho umngcipheko omncinci kakhulu womhlaza wesibeleko kubasetyhini abasele beyekile ukuya exesheni abasebenzisa i-tamoxifen. Yiyo loo nto abafazi abakuloo minyaka benikwa izithinteli ze-aromatase.
Ngaba ukutshintsha amayeza kuya kunceda?
Ewe. Ngamanye amaxesha, ukuba iziphumo ebezingalindelekanga zelinye iyeza zinzima, ukutshintshela kwelinye kunokubonelela ngesiqabu. Umzekelo, kukho iintlobo ezintathu ze-aromatase inhibitors. Ngenxa yokuba zinomahluko omncinci kwindlela ezisebenza ngayo, umntu ongaphenduli kakuhle kolunye uhlobo unokukwazi ukunyamezela olunye.
Kodwa esi sigqibo asikuko osenza wedwa. Thetha nogqirha wakho malunga nokungonwabi okufumanayo, kwaye uya kugqiba ekubeni atshintshe amayeza akho ukuba kuyimfuneko.
Nokuba imeko injani na, ungaze uyeke ukuthatha amayeza akho ngaphandle kokuthetha nogqirha wakho. Iikliniki zomhlaza zineendlela ezininzi zokukunceda ulawule ezi ziphumo ebezingalindelekanga. Ukuba uyeka ukuthatha amayeza akho wedwa, unokwandisa umngcipheko wokuba umhlaza wakho uphinde ubuye. Ngoko ke thetha ngokukhululekileyo nogqirha wakho.
Umyalezo Wokuya Ekhaya
- Unyango lwe-hormone kumhlaza webele lunyango olusebenza kakhulu oluthintela umhlaza ukuba ungabuyi kwaye lusindisa ubomi.
- Iziphumo ebezingalindelekanga ziqhelekile, azisoloko zimbi kakhulu, kwaye zinokulawulwa.
- Ukuba uziva ungakhululekanga, thetha nogqirha wakho ngaloo nto ngokukhululekileyo. Zikho izisombululo zaloo nto.
- Ukutshintsha indlela yokuphila elula (ukuzilolonga, ukutya, ukuhlala kwindawo epholileyo) kunokunciphisa iziphumo ebezingalindelekanga ezininzi.
- Musa ukuyeka ukuthatha unyango lweehomoni nangasiphi na isizathu ngaphandle kwengcebiso kagqirha. Kuyingozi kakhulu.
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