Ukuya exesheni lixesha lotshintsho olukhulu ebomini bomfazi. Usenokuba nobushushu, ubushushu, kunye nokutshintsha kweemvakalelo. Ngamanye amaxesha, amathambo akho angaqala ukuba buthathaka ngeli xesha. Ukuba unezinye zezi mpawu, ugqirha wakho usenokuba ukuxelele ukuba uqalise unyango lweehomoni. I-Estradiol kunye neNorethindrone zimbini zezi homoni zidityaniswe kwipilisi. Ngoko ke masithethe ngale nto ngendlela elula namhlanje.
Lisetyenziselwa ntoni eli yeza?
Ngamafutshane, olu luNyango lokuTshintsha iiHormone (HRT). Olu nyango lunikezelwa ukubuyisela, ngandlela ithile, amanqanaba eehomoni ze-estrogen kunye ne-progesterone emzimbeni wakho anciphayo xa umntu eyeka ukuya exesheni.
Oku kujolise kakhulu koku:
- Ukunciphisa ukungonwabi ngexesha lokuya exesheni: Oku kunceda ekulawuleni izinto ezifana nobushushu kunye nokubila ebusuku.
- Ukugcina amathambo eqinile: Emva kokuya exesheni, amathambo ayabhitya aze aphuke lula (i-osteoporosis). Eli yeza linciphisa loo mngcipheko.
Okubaluleke kakhulu, eli yeza linikwa abafazi abasenayo isibeleko sabo kuba i-hormone i-Norethindrone ekuso inceda ekukhuseleni iindonga zesibeleko.
Izinto ekufuneka uzixelele ugqirha wakho ngaphambi kokuba usebenzise eli yeza
Ngaphambi kokuba ugqirha wakho akunike eli yeza, kuya kufuneka azi imbali yakho epheleleyo yempilo. Oku kungenxa yokuba ezinye iimeko zonyango zinokwenza kube yingozi ukusebenzisa eli yeza. Ngoko ke, ukuba unenye yezi meko zilandelayo, qiniseka ukuba uxelela ugqirha wakho ngazo.
| Imeko yakho yempilo | Kutheni ndifanele ndikuxelele? (Kalula nje) |
|---|---|
| Umhlaza webele, wesibeleko, wesibeleko, okanye esinye isifo somhlaza | Ngenxa yokuba eminye imidla yomhlaza ixhomekeke kwiihomoni, eli yeza linokubangela ukuba ikhule. |
| Isifo sentliziyo, ukuhlaselwa yintliziyo kutshanje okanye isifo sohlangothi | Oku kunokuba yingozi ukuba ukhe wanesifo sentliziyo, njengoko ezi hormone zinokunyusa umngcipheko wokuqhekeka kwegazi. |
| Isifo semithambo yegazi okanye iingxaki zokugabha igazi | Isizathu esifanayo nesingasentla. Sandisa umngcipheko wokuqhekeka kwegazi. |
| Isifo sesibindi okanye isifo senyongo | Umzimba ucubungula la mahormone ngesibindi. Ukuba isibindi sibuthathaka, amayeza anokuqokelelana emzimbeni aze abe yityhefu. |
| Ukopha kwegazi kwilungu lobufazi okungachazwanga | Ngenxa yokuba oku kungaba luphawu lwesifo esinzulu esifihlakeleyo, unyango lwehomoni alufanelekanga de kufunyanwe unobangela. |
| Isifo seswekile, i-cholesterol ephezulu, uxinzelelo lwegazi oluphezulu | Eli yeza linokuba nefuthe ekulawuleni ezi meko. |
| I-Migraine, Uxinzelelo, i-Endometriosis, ii-Fibroid | Ezi meko zinokuba mandundu okanye zitshintshe ngenxa yotshintsho lwehomoni. |
| Ukuba ukhulelwe, uzama ukukhulelwa, okanye uncancisa | Eli yeza alifanelekanga konke konke kwezi meko. |
| Ukuba uyatshaya (ingakumbi ukuba ungaphezulu kweminyaka engama-35) | Ukudibana kokutshaya kunye nezi hormone kwandisa kakhulu umngcipheko wokuqhekeka kwegazi kunye nesifo sohlangothi. |
Ulisebenzisa njani eli yeza?
Oku kulula kakhulu. Sela ipilisi enye neglasi yamanzi ngexesha elifanayo yonke imihla, njengoko ugqirha wakho esitsho. Abanye abantu banokufumana ukungakhululeki esiswini ukuba bayithatha isisu singenanto. Ukuba kunjalo, yithathe kunye nesidlo.Musa ukusela ngaphezu komlinganiselo omiselwe ngugqirha wakho nangasiphi na isizathu.
Kuthekani ukuba ndilibele ukusela amayeza am?
Khawuthelekelele ukuba usela ipilisi yakho ngo-8 kusasa yonke imihla. Namhlanje ukhumbule ngo-12 emini. Emva koko thatha ipilisi oyiphosileyo ngoko nangoko. Kodwa ukuba malunga nentsimbi yesi-6 ukuya kweyesi-7 emva kwemini xa ukhumbula, oko kuthetha ukuba isondele kakhulu kwixesha ekufuneka uyithathe ngo-8 kusasa ngosuku olulandelayo, libala ngepilisi oyiphosileyo. Thatha ipilisi enye kuphela ngo-8 kusasa ngosuku olulandelayo njengesiqhelo. Ungaze uthathe iipilisi ezimbini ngaxeshanye ukuze uhlawulele engayiphosanga .
Ezinye izinto ezinokusebenzisana nale mithi
Kubaluleke kakhulu ukuxelela ugqirha wakho malunga nayo yonke imithi, iivithamini, kunye namayeza emifuno owasebenzisayo, njengoko amanye amayeza anokunxulumana nezi pilisi zehomoni kwaye anciphise okanye anyuse ukusebenza kakuhle kwamayeza, okanye abangele iziphumo ebezingalindelekanga eziyingozi.
Ngokukodwa, amanye amayeza omhlaza (i-Aromatase inhibitors), amayeza e-epilepsy (umz. iCarbamazepine, iPhenytoin), amanye amayeza okubulala iintsholongwane (umz. iRifampin), kwanejusi yegrapefruit anokuchaphazela eli yeza. Ngoko ke qiniseka ukuba uxelela ugqirha wakho ngayo yonke into oyithathayo.
Izinto ekufuneka uzilumkele xa usebenzisa amayeza
Kubaluleke kakhulu ukuba unike ingqalelo encinci emzimbeni wakho xa usebenzisa eli yeza.
- Ukuhlolwa rhoqo kwezonyango: Bona ugqirha wakho ubuncinane kanye kwiinyanga ezi-6 ukuze uhlolwe ngokupheleleyo. Kubalulekile ukuba uhlolwe amabele, uhlolwe isinqe, kunye ne-mammogram ukuba kuyimfuneko.
- Kuphephe ukutshaya: Njengoko besitshilo ngaphambili, ukutshaya ngelixa usela eli yeza kumfazi oneminyaka engaphezu kwama-35 kufana nokuvula ucango lokuhlaselwa yintliziyo kunye nestroke. Ngoko ke, kuphephe ukutshaya ngokupheleleyo.
- Ukudumba: Ngamanye amaxesha eli yeza linokubangela ukugcinwa kwamanzi emzimbeni, okubangela ukudumba kwiminwe, izandla, okanye amaqatha. Linokunyusa uxinzelelo lwegazi. Ukuba oku kuyenzeka, xelela ugqirha wakho .
- Ngaphambi kotyando: Ukuba ucwangciselwe utyando, thetha nogqirha wakho ngalo mba uze ubuze ukuba kufuneka uyeke na ukusebenzisa la mayeza ngaphambi kotyando.
Iziphumo ebezingalindelekanga ezinokubakho zeyeza
Njengalo naliphi na iyeza, eli linokubangela iziphumo ebezingalindelekanga kwabanye abantu. Ezinye zezi zimbi kakhulu, ezinye ziqhelekile.
| Iziphumo ebezingalindelekanga ezinzulu ezifuna unyango olukhawulezileyo | |
|---|---|
| Intlungu eqatha yesifuba ngequbuliso, ubunzima bokuphefumla | Kusenokuba luphawu lokuqhekeka kwegazi emiphungeni. |
| Intlungu yomlenze, ukudumba, ukuba bomvu, kunye nokufudumala | Ukuqhekeka kwegazi emthanjeni osemlenzeni kunokuba luphawu lwe-deep vein thrombosis (DVT). |
| Ubunzima bokuthetha, ukudinwa/ukungaziva ngqindilili ebusweni, engalweni, okanye emlenzeni, ubunzima bokuhamba | Ezi zisenokuba ziimpawu zestroke. |
| Intloko ebuhlungu kakhulu, utshintsho lombono | Ezi zisenokuba ziimpawu zoxinzelelo lwegazi oluphezulu okanye enye imeko enzulu. |
| Ukutyheli kwamehlo okanye ulusu (i-jaundice), umchamo omnyama, iintlungu kwicala eliphezulu lasekunene lesisu | Ezi zisenokuba ziimpawu zokonakala kwesibindi. |
| Amaqhuma okanye utshintsho lwebele, ukuphuma kwegazi elibi, ukopha okungaqhelekanga kwilungu lobufazi | Ezi zisenokuba ziimeko ezinzima ekufuneka zihlolwe ngokukhawuleza. |
| Iziphumo ebezingalindelekanga ezingaqhelekanga ukuba azikhathazeki, kodwa kufuneka zixelwe kugqirha ukuba ziyaqhubeka | |
|---|---|
| Ukwakheka kwamaqhakuva | Amabala amdaka ebusweni |
| Utshintsho ekutyeni | Utshintsho kwiminqweno yesondo |
| Ukutshintsha kweemvakalelo, uzive udandathekile kancinci | Intlungu yesisu okanye ukudumba |
| Ukutyeba kwakho | Ndiziva ndidiniwe ngokungaqhelekanga |
Kuthekani ukuba ndithatha amayeza amaninzi kakhulu?
Ukuba ucinga ukuba uthathe amayeza amaninzi kunokuba ucinga, yiya kwiSebe lezeMpilo eziNgxamisekileyo (ETU) lesibhedlele esikufutshane ngoko nangoko. Okanye utsalele umnxeba iZiko loLwazi lweeTyhefu leSizwe kwiSibhedlele sikaZwelonke saseColombo ukuze ufumane ingcebiso.
Umyalezo Wokuya Ekhaya
- I-Estradiol kunye neNorethindrone ziindlela zonyango lweehomoni ezisetyenziselwa ukulawula iimpawu zokuya exesheni kunye nokulahlekelwa ngamathambo.
- Ngaphambi kokuba usebenzise eli yeza, kufuneka uxelele ugqirha wakho ngembali yakho epheleleyo yempilo (ingakumbi umhlaza, isifo sentliziyo, iingxaki zokujiya kwegazi).
- Sela amayeza ngexesha elifanayo yonke imihla. Ungaze uthathe ngaphezu komlinganiselo owunikwe ngugqirha wakho.
- Ukutshaya xa usebenzisa eli yeza kuyingozi kakhulu , ingakumbi ukuba ungaphezulu kweminyaka engama-35.
- Ukuba ufumana iimpawu ezinzulu ezifana neentlungu esifubeni, ubunzima bokuphefumla, ukudumba kwemilenze, okanye ubunzima bokuthetha, funa ingcebiso kagqirha ngokukhawuleza.
- Ukuba unemibuzo malunga nale mithi, ungoyiki ukuyixoxa nogqirha wakho.
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