Emjikelezweni ojwayelekile wokuya esikhathini, esigabeni sokuqala, ama-ovari akhiqiza i-estrogens ekuthuthukiseni nasekukhululweni kwe-ovum ezivela kuma-ovarie, kanti okwesibili i-progesterone ukulawula ubukhulu be-endometrium.
Izimbangela zokuphazamiseka kwe-hormonal ekunqophiseni isikhathi
Ngemuva kweminyaka engu-30 ema-ovarie, i-estrogen encane ikhiqizwa, futhi ekupheleni kokuya esikhathini, izinga le-progesterone liyancipha. Ukunciphisa izinga lama hormone ocansi kungabangela ukwehluleka kwe-hormonal esikhathini sokumisa esikhathini sokuqala nokuya esikhathini.
Isizinda se-hormone eshintshiwe ekunqophiseni ukuphumula komzimba singabangela ukuthuthukiswa kwezicubu ezinobungozi zesisu kanye nama-ovari, izimo ezinqandekile, ama-cysts nama-cancers ama-ovarian, ngakho-ke noma yikuphi ukuphazamiseka kufanele kuphathwe ngokucophelela, futhi ama-hormone wesifazane angacelwa ukuthi athole ukwelashwa kuphela ngokufunda amazinga e-hormone. Ngokunqamuka kwesikhashana, hhayi kuphela izinguquko zasemuva kwe-hormonal, kodwa futhi nenhlalakahle yomfazi, futhi ukwelashwa kufanele kucabangele kokubili izinga lamahomoni nesimo sakhe jikelele.
Izinguquko ze-Hormonal nge-menopause - izimpawu
Okokuqala, ngesigxila, ukuhlukana phakathi kwe-pituitary gland kanye ne-hypothalamus yobuchopho kuphukile, okubangela ukuphazanyiswa emsebenzini wesimiso sezinzwa ezizimele: ubusuku obusuku, ukushisa okushisayo, ubuthakathaka obukhulu, ukuphazamiseka komzimba.
Ama-Tides ahambisana nokwanda komfutho wegazi, ukuzwela nokushisa kwegazi engxenyeni engenhla yomzimba, umsindo nokukhala ezindlebeni. Ngezinye izikhathi lezi zimpawu zihlangene nokuphazamiseka okuhlukahlukene kwengqondo: ukukhathazeka noma ukuthukuthela, ukuguquka ngokungazelelwe kwemizwa, ukukhubeka okukhulu, ukuphazamiseka kokulala. Abesifazane bangathuthukisa ukucindezeleka. Ngaphezu kwalokho, ngalesi sikhathi, zonke izifo ezingapheli ziba nzima kakhulu, kukhona ukwephulwa kwesimiso senhliziyo, isifo se-endocrine nezitho zangaphakathi, isimiso se-musculoskeletal (osteoporosis), kamuva esiba izifo zabo.
Ukuxilongwa kwezifo ze-hormonal
Izinga lama-hormone ocansini ngokunqamuka kokuya esikhathini liyancipha, futhi lokhu kuyinto evamile owesifazane. Kodwa ama-hormone wesifazane ngesikhathi sokuya esikhathini aphelelwa isikhathi, futhi ukungalingani okubangelwa lokhu kwehla emzimbeni kungalimaza impilo nempilo yowesifazane. Yiziphi i-hormones ezithatha esihlokweni - zizokhomba oqondweni kadokotela, ngokuvamile zikhomba izinkomba zama-hormone anjalo egazini nge-climax, njenge-ratio ye-LH / FSH: ubumbano obuncane lobu bukhulu, obunzima kakhulu umvuthwandaba. Nika izivivinyo zama-hormone ngokuya esikhathini, njengoba izinga labo legazi liphakama, futhi unqume izinga le-estrogens.
Ukwelashwa kwezifo ze-hormone ngokuya esikhathini
Ngemuva kokuba udokotela ebuka imiphumela yokuhlolwa kwamahomoni, ngesimo esinzima sokuya esikhathini nokuhlukumeza okuhlukahlukene komsebenzi engxenyeni yezitho zangasese zomzimba, angakwazi ukubeka ukwelashwa okufaka endaweni yokumisa esikhathini. I-hormone yesifazane yama-sex evamile ngokujwayelekile: i-estrogens ne-progesterone. Ngokuqondene nokunqamuka kwesikhashana, izidakamizwa ezihlangene eziqukethe inani eliphansi lama hormone ocansi (kuze kufike ku-30-35 mg we-estrogens kuze kufike ku-50-150 mg we-progestin) lakhiwe. Ukulinganisa okuncane kwemithi ye-hormonal kunganciphisa ingozi yemiphumela emibi ye-hormone therapy.
Kulabo besifazane abaye basusiwe, ngokwemibonakaliso, banqume izidakamizwa eziqukethe ama-estrogens kuphela, ama-hormone ebelethini alondoloziwe kufanele ahlanganiswe. Kodwa ukuqokwa kwe-hormone therapy akufanele kube khona ukuphikisana:
- i-thrombosis, i-thrombophlebitis, i-thromboembolism ye-veins manje noma i-anamnesis;
- izifo ezingokwemvelo hhayi kuphela kwezitho zobulili zesifazane, kodwa nanoma yimuphi omunye;
- uhlobo olunzulu lwesifo sikashukela mellitus;
- ukwephulwa okukhulu kwesibindi nezinso;
- ukuphuma kwezici ezihlukahlukene;
- ukukhulelwa okungenzeka.
Kumele kukhunjulwe ukuthi izidakamizwa ze-hormonal zinemiphumela emibi eminingi: i-edema, ukukhuluphala, ikhanda, ukuphazanyiswa kwesibindi nesibindi senyongo, i-thrombogenesis eyengeziwe.
Uma kukhona ukuphikisana kwama-hormone therapy noma izinkinga ezivela ngesikhathi sokusebenza kwayo, ngakho-ke uma kungenzeka ukuthi esikhundleni somama wesifazane ocansini wesifazane ngesikhathi sokuya esikhathini singasebenzisa i-phytopreparations efana nemiphumela yawo kumahomoni ocansi.