Mankhwala othandizira odwala opatsirana pogwiritsa ntchito mankhwala osokoneza bongo kwa amayi pambuyo pa 45 - mankhwala

Masiku ano, pali mankhwala ambiri omwe amagwiritsidwa ntchito popanga mankhwala opatsirana (hormone substitution therapy (HRT) mwa amayi pambuyo pa zaka 45. Kusiyana kwawo kuli koyenera, koposa zonse, kuopsa kwake kwa zizindikiro za nthawi yapakati, komanso kuchuluka kwa chisokonezo cha mahomoni. Kupitiliza pazigawozi, madokotala amasankha mankhwala osati kokha kuti awonetsere kusamba kwa thupi, komanso kuteteza maonekedwe awo.

Ndani akuwonetsedwa HRT?

Kugwiritsa ntchito mankhwala osokoneza bongo, monga lamulo, kumagwiritsidwa ntchito pamaso pa zinthu zotsatirazi:

• zizindikiro zoyambirira za kusamba kwa thupi (maonekedwe a malungo, kutentha, kutuluka thukuta, kuvutika maganizo);
• kusamba kwa nthawi yoyambirira;
• khungu la trophic kusintha;
• kusintha kwa kapangidwe ka tsamba la genito-urinary.

Kuwonjezera apo, mankhwalawa amatha kugwiritsidwa ntchito pofuna kupewa njira zothandizira kupewa matenda a mtima, matenda a mtima, komanso mankhwala ovuta kwambiri, omwe amachititsa kuti matendawa asokonezeke. Kuwonetseredwa kwake kungakhale kunenepa kwambiri, komwe kunayambanso kutsogolo kwa nyengo yoyamba.

Kodi ndi mankhwala ati omwe amagwiritsidwa ntchito popanga mankhwala othandizira amayi?

Panthawi ya kusamba thupi, mankhwala amatha kupangidwa pogwiritsa ntchito progestogens kapena kuphatikiza ndi estrogen-progestogen. Zina mwa mankhwala okhudzana ndi maguluwa, mukhoza kutchula dzina lakuti Norethisterone acetate, Levonorgestrel, Gestodene.

Chithandizo kwa amayi omwe amasonyeza kusamba kwa mimba pambuyo pa zaka makumi asanu ndi zisanu (45) akupereka mankhwala ochizira, komanso mankhwala ovuta, perekani mankhwala omwe amaletsa chitukuko cha osteopenia (mlingo wa calcium 1200-1500 mg / tsiku), - Calcium D 3, mwachitsanzo.

Nthawi zambiri mankhwala samakhala osasinthasintha, mapiritsi ogona kapena mankhwala osokoneza bongo pofuna kuthana ndi zovuta. Ambiri amagwiritsidwa ntchito ndi Xanax, Halcyon, Fevarin, Lerivon.

Kodi HRT iyenera kukhala liti?

Mfundo yaikulu yokhudza kusankhidwa kwa mankhwala opatsirana pogwiritsa ntchito mahomoni ndi awa:

• kutuluka m'magazi osadziwika bwino;
• kupweteka kwa myocardial, kukhalapo kwa stroke m'mbuyomu;
• matenda oopsa kwambiri ;
• kuwonjezeka kwa triglycerides m'magazi;
• zozama;
• matenda aakulu a chiwindi, matenda a impso;
• ndondomeko ya chilengedwe mu njira yobereka;
• zosokonezeka.