Mea Kākau: Joan Hall
Lā O Ka Hana: 28 Pepeluali 2021
HōʻAno Hou I Ka Lā: 20 Nowemapa 2024
Anonim
ЛЮБОВЬ С ДОСТАВКОЙ НА ДОМ (2020). Романтическая комедия. Хит
Wikiō: ЛЮБОВЬ С ДОСТАВКОЙ НА ДОМ (2020). Романтическая комедия. Хит

Hoʻohana ʻo Hormone therapy (HT) i hoʻokahi a ʻoi paha nā hormones e mālama ai i nā ʻōuli o ka menopause.

I ka wā menopause:

  • Kū ka ovaries o ka wahine i ka hana ʻana i nā hua. Hoʻopuka pū lākou i ka estrogen a me ka progesterone.
  • Hoʻomaha mālie nā wā Menstrual i ka hala ʻana o ka manawa.
  • E hele a kokoke paha nā wā i kahi ākea. Kūpono paha kēia kumu no 1 i 3 mau makahiki ke hoʻomaka ʻoe e haʻalele i nā wā.

Kū koke paha ke kahe Menstrual ma hope o ke kaha ʻana e wehe i nā ovaries, chemotherapy, a i ʻole kekahi mau lawelawe ʻana i ka hōmona no ka maʻi ʻaʻai umauma.

E 5 a ʻoi paha mau makahiki ke keaka o ka menopause e like me:

  • ʻO nā uila wela a me ka hou, ʻo ka maʻamau ma kā lākou ʻoi loa no nā makahiki 1 a 2 i hala ma hope o kāu kau hope loa
  • Maloʻo maloʻo
  • Swings hāhuli
  • Pilikia hiamoe
  • ʻOi aku ka hoihoi i ka moekolohe

Hiki ke hoʻohana ʻia ʻo HT e mālama i nā hōʻailona menopause. Hoʻohana ʻo HT i nā hormones estrogen a me progestin, kahi ʻano progesterone. I kekahi manawa ua hoʻohui pū ʻia ka testosterone.

Hiki ke mālama ʻia kekahi mau ʻōuli o ka menopause me ka ʻole o HT. Hiki i nā estrogen a me nā lubricants liʻiliʻi ke kōkua i ka maloʻo liʻiliʻi.


Hele mai ʻo HT i ke ʻano o ka pila, patch, injection, cream a cream a i ʻole ka papaha, a me ke apo.

Hiki ke loaʻa i kekahi mau pilikia i ka lawe ʻana i nā homone. Ke noʻonoʻo nei iā HT, e aʻo e pili ana pehea e hiki ai iā ia ke kōkua iā ʻoe.

Ke lawe ʻana i nā homone, hoʻāla pinepine nā uila wela a me nā sweats o ka pō i ka manawa pinepine a hiki ke hele i kahi manawa. Hoʻemi mālie i ka HT e hōʻemi iki i kēia mau ʻōuli.

Hiki ke kōkua nui i ka hoʻomaʻamaʻa Hormone i ka hoʻomaha ʻana:

  • Pilikia hiamoe
  • Maloʻo maloʻo
  • Hopohopo
  • Moodiness a me ka huhū

I hoʻokahi manawa, hoʻohana ʻia ʻo HT e pale i ka iwi lahilahi (osteoporosis). ʻAʻole kēlā ka hihia. Hiki i kāu kauka ke kauoha i nā lāʻau ʻē aʻe e mālama i ka osteoporosis.

Hōʻike nā noiʻi ʻaʻole kōkua ʻo HT i ka mālama ʻana:

  • Maʻi maʻi puʻuwai
  • Miki ʻole
  • Maʻi Alzheimer
  • Dementia

E kamaʻilio pono me kāu kauka e pili ana i nā pilikia no HT. ʻOkoʻa paha kēia mau pilikia ma muli o kou mau makahiki, ka mōʻaukala, a me nā kumu ʻē aʻe.


NA LOLE KOKO

ʻO ka lawe ʻana iā HT e hoʻonui paha i kou makaʻi no ke koko koko. ʻOi aku ka nui o kāu makaʻu no nā kahe koko inā he nui ʻoe a inā puhipaka ʻoe.

ʻOi aku ka haʻahaʻa o kāu makaʻu no nā kahe o ke koko inā ʻoe e hoʻohana i nā ʻili o ka estrogen ma kahi o nā pila.

ʻOi aku ka haʻahaʻa o kāu makaʻi inā ʻoe e hoʻohana i nā kalima a me nā papa a me ke apo o ka estrogen haʻahaʻa.

CANCER BREAST

  • Manaʻo ka hapa nui o ka poʻe loea i ka lawe ʻana i HT a 5 mau makahiki ʻaʻole e hoʻonui i kou makaʻu no ka maʻi ʻaʻai umauma.
  • Lawe pū i ka estrogen a me ka progestin no 3 a 5 mau makahiki i hoʻonui i kou makaʻu no ka maʻi ʻaʻai umauma, kaukaʻi ʻia i ke ʻano o ka progestin i kuhikuhi ʻia iā ʻoe.
  • Lawe ʻo HT i hiki ke hoʻolilo i ke kiʻi mammogram o kou umauma i ke ao. Hiki i kēia ke paʻakikī e loaʻa i ka maʻi ʻaʻai umauma i ka wanaʻao.
  • ʻO ka lawe ʻana i ka estrogen wale nō e pili pū me ka hoʻēmi o ka makaʻu o ka umauma maʻi ʻaʻai. Eia nō naʻe, inā ʻoe e lawe pū i ka estrogen a me ka progestin, ʻoi aku ke kiʻekiʻe o kou makaʻu i ka maʻi ʻaʻai umauma, kaukaʻi ʻia i ke ʻano o ka progesterone āu e lawe ai.

CANCER ENDOMETRIAL (UTERINE)


  • ʻO ka lawe ʻana i ka estrogen wale nō e hoʻonui ai i kou makaʻu no ka maʻi ʻaʻai endometrial.
  • Lawe ka lawe progestin me ka estrogen i kēia maʻi ʻaʻai. Inā loaʻa iā ʻoe kahi kōpū, pono ʻoe e lawe iā HT me nā estrogen a me nā progestin.
  • ʻAʻole hiki iā ʻoe ke loaʻa i ka maʻi ʻaʻai endometrial inā ʻaʻohe ou uterus. Palekana a paipai ʻia e hoʻohana i ka estrogen wale nō i kēia hihia.

KA MAI KINI

ʻOi aku ka palekana ʻo HT ke lawe ʻia ma mua o ka makahiki 60 a i ʻole ma waena o 10 mau makahiki ma hope o ka hoʻomaka ʻana o ka menopause. Inā hoʻoholo ʻoe e lawe i ka estrogen, hōʻike nā noiʻi he palekana loa ka hoʻomaka ʻana o ka estrogen ma hope koke iho o ka ʻike ʻia me ka menopause. Hoʻomaka ka estrogen ma mua o 10 mau makahiki ma hope o ka hoʻomaka ʻana o ka menopause e hoʻonui ai i ka makaʻu o ka maʻi puʻuwai.

  • Hiki i ka HT ke hoʻonui i ka makaʻu o ka hoʻomohala ʻana i ka maʻi puʻuwai i nā wahine makua.
  • Hiki i ka HT ke hoʻonui i ka makaʻu i nā wahine i hoʻomaka i ka hoʻohana ʻana i ka estrogen ma mua o 10 mau makahiki ma hope o ko lākou manawa hope loa.

HOKU

ʻO nā wahine e lawe wale i ka estrogen a lawe i ka estrogen me ka progestin i hoʻonui i ka makaʻu no ka maʻi kō. ʻO ka hoʻohana ʻana i ka patch estrogen ma kahi o kahi pill oral e hoʻoliʻiliʻi i kēia makaʻu. Eia nō naʻe, e hoʻonui ʻia paha ka makaʻu inā hoʻohālikelike ʻia i ka lawe ʻole ʻana i kekahi mau hormona.Hoʻoemi ka hana ma lalo o ka HT i ka makaʻu no ka hahau.

GALLSTONES

ʻO ka lawe ʻana iā HT e hoʻonui paha i kou makaʻu i ka hoʻomohala ʻana i nā gallstones.

Ka hopena o ka make (MORTALITY)

Hoʻoemi ʻia ka make maʻamau i nā wahine e hoʻomaka iā HT i ko lākou 50 mau makahiki. Kū ka pale ma kahi o 10 mau makahiki.

ʻOkoʻa kēlā wahine kēia wahine. ʻAʻole pilikia kekahi mau wahine e nā hōʻailona menopause. No nā poʻe ʻē aʻe, koʻikoʻi nā ʻōuli a pili nui i ko lākou ola.

Inā hoʻopilikia nā hōʻailona menopause iā ʻoe, e kamaʻilio me kāu kauka e pili ana i nā pono a me nā pilikia no HT. Hiki iā ʻoe a me kāu kauka ke hoʻoholo inā kūpono ʻo HT iā ʻoe. Pono e ʻike kāu kauka i kāu mōʻaukala olakino ma mua o ke kuhikuhi ʻana iā HT.

ʻAʻole pono ʻoe e lawe iā HT inā ʻoe:

  • Ua loaʻa i ka puʻu a i ʻole ka puʻuwai puʻuwai
  • Loaʻa ka moʻaukala o ke kahe o ke koko i loko o kou mau aa a i ʻole nā ​​ake māmā
  • Ua loaʻa i ka umauma a i ʻole ka maʻi ʻaʻai endometrial
  • He maʻi akepaʻa

Hiki i nā loli nohona ke kōkua iā ʻoe e hoʻomaʻa i nā loli o ka menopause me ka lawe ʻole ʻana i nā homone. Hiki iā lākou ke kōkua i ka pale ʻana i kou mau iwi, hoʻomaikaʻi i kou olakino puʻuwai, a kōkua iā ʻoe e noho kūpono.

Eia nō naʻe, no nā wahine he nui, ʻo ka lawe ʻana i HT kahi ala palekana e mālama ai i nā hōʻailona menopause.

I kēia manawa, maopopo ʻole ka poʻe loea i ka lōʻihi o kou lawe ʻana iā HT. ʻ suggestlelo kekahi mau pūʻulu ʻoihana hiki iā ʻoe ke lawe iā HT no nā hōʻailona menopause no nā wā lōʻihi inā ʻaʻohe kumu olakino e hoʻopau ai i ka lāʻau. No nā wahine he nui, lawa paha nā kaha haʻahaʻa o HT e kāohi ai i nā ʻōuli pilikia. ʻO nā mahele haʻahaʻa o ka HT e loaʻa i kekahi mau hopena ʻaoʻao.

ʻO kēia nā pilikia āpau e kūkākūkā me kāu mea mālama ola.

Inā loaʻa iā ʻoe ke kahe o ka maʻi a me nā hōʻailona ʻē aʻe i ka manawa o HT, e kāhea i kāu kauka.

E hoʻomau i ka ʻike ʻana i kāu kauka no ka nānā maʻamau.

HRT - hoʻoholo ʻana; Estrogen replacement therapy - hoʻoholo; ERT- hooholo; Hormone replacement therapy - ka hoʻoholo ʻana; Menopause - hoʻoholo ʻana; HT - hoʻoholo ʻana; Hoʻoikaika hormonone menopausal - hoʻoholo; MHT - hoʻoholo ʻana

ʻO ka manaʻo o ke Kōmike ACOG Helu 565: Hormone therapy a me nā maʻi puʻuwai. ʻO Obstet Gynecol. 2013; 121 (6): 1407-1410. PMID: 23812486 pubmed.ncbi.nlm.nih.gov/23812486/.

ʻO Cosman F, de Beur SJ, LeBoff MS, et al. ʻO ke alakaʻi a ka mea lapaʻau i ka pale a me ka mālama ʻana i ka osteoporosis. ʻO Osteoporosis Int. 2014; 25 (10): 2359-2381. PMID: 25182228 pubmed.ncbi.nlm.nih.gov/25182228/.

de Villiers TJ, Hall JE, Pinkerton JV, et al. ʻO ka ʻensuslelo Kūkākūkā Global Global Revised on menopausal hormone therapy. Climacteric. 2016; 19 (4): 313-315. PMID: 27322027 pubmed.ncbi.nlm.nih.gov/27322027/.

Lobo RA. ʻO ka menopause a me ka mālama ʻana o ka wahine makua: endocrinology, nā hopena o ka nele o ka estrogen, nā hopena o ka hormone therapy, a me nā koho lapaʻau ʻē aʻe. I: Lobo RA, Gershenson DM, Lentz GM, Valea FA, eds. Gynecology Comprehensive. ʻEpekema 7 Piladelapia, PA: Elsevier; 2017: chap 14.

Magowan BA, Owen P, Thomson A. ʻO ka menopause a me ka hoʻoliʻiliʻi hormone. I: Magowan BA, Owen P, Thomson A, hua. ʻO nā Obstetrics Clinical a me nā Gynecology. ʻEhā ed. Elsevier; 2019: chap 9.

Stuenkel CA, Davis SR, Gompel A, et al. Hoʻomaʻamaʻa i nā ʻōuli o ka menopause: kahi Endocrine Society Clinical Practice Guide. ʻO J Clin Endocrinol Metab. 2015; 100 (11): 3975-4011. PMID: 26444994 pubmed.ncbi.nlm.nih.gov/26444994/.

  • ʻO Hormone Replacement Therapy
  • Menopause

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