Ukuya exesheni yinto eyenzeka kubafazi abaninzi xa beneminyaka engama-45-50 ubudala. Ngequbuliso, uqala ukubila, awukwazi ukulala ebusuku, ucaphuka zizinto ezincinci, uzive ngathi awuphilile... Ngaba ezi zinto uyaziqhela? Nangona abantu abaninzi bebandezeleka yile nto, becinga ukuba yinxalenye yobomi nje, kukho unyango olufanelekileyo lokulawula ezi mpawu zicaphukisayo. Namhlanje sithetha ngolunye lonyango oluphambili, unyango lweehomoni.
Yintoni unyango lokutshintshwa kwamahomoni (HRT)?
Ngamafutshane, xa ufikelela ekupheliseni ukuya exesheni, ama-ovari akho ayayeka ukuvelisa i-hormone ebizwa ngokuba yi-estrogen. Xa le hormone, elawula izinto ezininzi emzimbeni wakho, incipha, ezo mpawu zicaphukisayo zikhankanyiweyo apha ngasentla ziyavela. Ngoko ke, unyango lokutshintshwa kwe-hormone (HRT) lusebenza ngokunika umzimba wakho ii-hormones ozilahlileyo. Nje ukuba la manqanaba e-hormone abuyele esiqhelweni, uninzi lwazo ezo mpawu ziyaphela.
Ngamanye amaxesha oogqirha babiza oku ngokuba yiHormone Therapy (HT). Akukho mahluko mkhulu, kodwa ngokuqhelekileyo xa olu nyango luthathwa ebuntwaneni, mhlawumbi ngaphambi kokuba kudlule iminyaka engama-40, igama elithi HRT lisetyenziswa rhoqo. Kuba okwenzekayo apho kukuba umzimba 'uthatha indawo' yeehomoni ekufuneka uzivelise ngokwendalo.
Ukuba olu nyango lukulungele okanye alukulungelanga, sisigqibo ekufuneka senziwe ngokubonisana nogqirha wakho. Njengoko luneengenelo zalo, lunokuba neengozi ezithile. Ngoko ke, makhe sijonge oku ngokusondeleyo.
Ngaba nawe unazo ezi mpawu ngexesha lokuya exesheni?
Iimpawu eziphambili ezinokupheliswa ngonyango lwe-hormone zezi:
- Ubushushu obugqithisileyo: Ukuziva ubushushu nokubila ngequbuliso.
- Ukubila ebusuku: Ukuvuka ebusuku ubila.
- Ukoma kwelungu lobufazi: Ukoma kwelungu lobufazi kwenza ukulala nomntu kube buhlungu.
- Ukutshintshatshintsha kweemvakalelo: Utshintsho oluqhelekileyo kwiemvakalelo ezifana nolonwabo, usizi, nomsindo.
- Ukungalali: Iingxaki zokulala ebusuku.
- Umchamo ovuzayo: Umchamo omncinci uyaphuma xa ukhohlela okanye uhleka.
Ukongeza, olu nyango lukwanceda ekuthinteleni i-osteoporosis , isifo sokuncipha kwamathambo esidla ngokubangelwa kukuncipha kwe-hormone ye-estrogen.
Ziziphi iintlobo zonyango lwe-hormone?
Kukho iintlobo ezimbini eziphambili zonyango lweehomoni. Ugqirha wakho uya kugqiba ukuba yeyiphi efanelekileyo kuwe ngokusekelwe kwiimpawu zakho, imbali yempilo, kunye nezinto ozithandayo.
| Uhlobo lonyango | Inkcazo kwaye ngubani ofanelekileyo? |
|---|---|
| Unyango lwe-estrogen kuphela | Oku kunika i-hormone i-estrogen kuphela. Idla ngokunikwa abafazi abaye basuswa isibeleko ngotyando (hysterectomy). Ngenxa yokuba bengenaso isibeleko, abanalo umngcipheko wokuba nomhlaza wesibeleko onokwenzeka nge-estrogen yodwa. |
| Unyango oludibeneyo olune-estrogen kunye ne-progestin | Kule meko, kunye ne-hormone ye-estrogen, i-hormone ebizwa ngokuba yi-progestin, esebenza njenge-progesterone, nayo inikwa. Le hormone inikwa abafazi abasenayo isibeleko ukuthintela udonga lwesibeleko ukuba luqine ngokungeyomfuneko kwaye lonyuse umngcipheko womhlaza ukuba kuthathwa i-estrogen yodwa. I-Progestin iyanciphisa loo mngcipheko. |
Uyifumana njani le nyango?
Kukho iindlela ezahlukeneyo zokuhambisa la ma-hormone emzimbeni.
- Iipilisi eziginyiweyo
- Ipetshi yolusu
- Ijeli isetyenziswa eluswini
- Indandatho enxitywe kwilungu lobufazi
- Ikrimu yesini okanye ithebhulethi enyibilikayo
- Futha ulusu lwezandla
Ezi zinokwahlulwa zibe ngamacandelo amabini ngokuxhomekeke kwindlela ezihanjiswa ngayo:
1. Unyango olucwangcisiweyo: Ngezi ndlela (iipilisi, iipatches, iijeli, izitshizi), iihomoni ziyafunxwa egazini kwaye zihamba emzimbeni wonke. Ezi zisebenza kakuhle kwiimpawu ezininzi eziqhelekileyo, ezinje ngobushushu kunye nokubila ebusuku.
2. Unyango lwasekuhlaleni: Kule ndlela (iikhrimu zesini, iiringi, iipilisi), iihomoni zisetyenziswa kuphela kwindawo echaphazelekayo. Ezi zilungele kakhulu iingxaki ezinje ngokoma kwesini. Apha, idosi yeehomoni ezingena emzimbeni iphantsi kakhulu.
Zithini iingenelo kunye neengozi zonyango?
Njengalo naluphi na unyango lwezonyango, i-HRT ineengenelo kunye neengozi. Eyona nto ibalulekileyo kukuthetha nogqirha wakho kwaye uqonde ukuba iingenelo zingaphezulu kweengozi, ngokusekelwe kwimeko yakho.
| ✅ Iingenelo | ⚠️ Iingozi |
|---|---|
| Ukunceda kwiimpawu ezinje ngobushushu kunye nokubila ebusuku. | Ukuba abantu abanesibeleko bathatha i-estrogen yodwa ngaphandle kwe-progestin, basengozini yokuba nomhlaza wesibeleko . |
| Ukoma kwesini kunye nokwabelana ngesondo okubuhlungu. | Ukuqala iminyaka eli-10 emva kokuya exesheni kunokunyusa umngcipheko wesifo sentliziyo . |
| Ukuqinisa amathambo nokunciphisa umngcipheko we-osteoporosis . | Umngcipheko wokuqhekeka kwegazi kunye nesifo sohlangothi uyanda kancinci. |
| Ukuphucula imo kunye nokulala. | Umngcipheko wesifo senyongo . |
| Umngcipheko womhlaza wamathumbu amakhulu kunye nesifo seswekile uncitshisiwe kwabanye abantu. | Abanye abantu banokuba nomngcipheko okhulayo kancinci wokuba nomhlaza webele xa bewusebenzisa ixesha elide (ngaphezu kweminyaka emi-5). |
Kubalulekile: Ezi ngozi zixhomekeke kwizinto ezininzi, njengembali yezifo kusapho lwakho kunye nendlela ophila ngayo. Ngoko ke thetha nogqirha wakho ngaphambi kokuba uxhalabe.
Ungayinciphisa njani ingozi?
Eyona nto ingcono kukuba kukho iindlela zokunciphisa ezi ngozi.
- Ukuqala unyango ngaphambi kokuba ufikelele kwiminyaka engama-60 okanye kwiminyaka eli-10 emva kokuya exesheni.
- Ukuba une-uterus, ngokuqinisekileyo kufuneka uthathe unyango olune-progestin .
- Ungaqala ngedosi esezantsi esebenza kakuhle .
- Ukuphila ubomi obusempilweni (ukuzilolonga, ukutya ukutya okunempilo).
- Fumana uhlolo lwezifo zabasetyhini kunye ne-mammogram ngexesha .
Ngubani ongafanele athathe unyango lwe-hormone?
Unyango lwehomoni lusenokungafaneleki kubantu abaneengxaki ezithile zempilo. Umzekelo:
- Abo bakha baba nomhlaza webele, wesibeleko, okanye wesibeleko okanye okwangoku.
- Kwabo banesifo sokopha esingaqhelekanga kwilungu lobufazi ngaphandle kwesizathu esaziwayo.
- Kwabo baneengxaki zokujiya kwegazi okanye abasengozini enkulu.
- Kwabo bakha bahlaselwa sistroke, isifo sentliziyo okanye abasengozini enkulu yoko.
- Kwabasetyhini abakhulelweyo.
- Kwabo banesifo sesibindi okanye senyongo.
Ngaba kukho naziphi na iziphumo ebezingalindelekanga? Yintoni omawuyenze ngazo?
Ezinye iziphumo ebezingalindelekanga zinokwenzeka ekuqaleni konyango, kodwa uninzi lwazo ziyaphela kwiinyanga ezimbalwa.
- Ukopha okungaqhelekanga.
- Intlungu okanye ukuthamba kwamabele.
- Utshintsho kwimo yengqondo.
- Izinto ezifana nokudumba, iintloko ezibuhlungu.
Ukuba oku kukukhathaza, thetha nogqirha wakho. Usenokukwazi ukutshintsha idosi okanye uhlobo lwamayeza owasebenzisayo. Ungaze uyeke ukuthatha amayeza akho okanye utshintshe idosi ngaphandle kokuthetha nogqirha wakho kuqala.
Umyalezo Wokuya Ekhaya
- Ukuya exesheni kunokuba lixesha elinzima, kodwa akufuneki ubandezeleke ziimpawu. Zinokulawulwa.
- Unyango lokutshintshwa kwamahomoni (HRT) lusisombululo esisebenzayo kakhulu, kodwa alufanelekanga kuwo wonke umntu.
- Ngaphambi kokuba uqale unyango, kubalulekile ukuxoxa ngezibonelelo kunye neengozi nogqirha wakho uze wenze isigqibo esihambelana nawe.
- Olu nyango luhlala luthatha iminyaka emi-5, kodwa elo xesha linokwahluka ngokuxhomekeke kwiimfuno zakho.
- Kubaluleke kakhulu ukugcina indlela yokuphila esempilweni kunye nokuhlolwa rhoqo kwezonyango ngelixa uthatha i-HRT.
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