HRT at menopause - isizukulwane esisha izidakamizwa: ukubuyekezwa, uhlu

Njengoba bekhula, ezingeni estrogen emzimbeni womuntu wesifazane uqala ukuze wehlise. Lokhu kuholela eziningi izimpawu ukuthi ibakhathaze. Lokhu ukujuluka ebusuku, ukwanda ongama amafutha ungqimba, umfutho wegazi ophakeme, ezomile umthondo lwamafinyila, incontinence urinary. Gwema lokhu isimo ezingemnandi kusiza i-hormone replacement therapy (HRT). Imithi likuvumela ukuthi ususe izimpawu menopause futhi kuncishiswe ingozi yezinkinga ezihambisana ne nambili kuya kwabadala. Le mithi ihlanganisa "klimonorma", "Klimadinon", "Femoston", "Angelique". Ngokucophelela okukhulu kumele iqhutshwe HRT phakathi kwabadala. Ahamba kahle amalungiselelo we isizukulwane esisha ungakwazi kuphela liqoke wezifo zabesifazane oqeqeshiwe.

Khipha ifomu "klimonorma" izidakamizwa

Medicine libhekisela protivoklimaktericheskim izindlela. It ikhiqizwa ngesimo izinhlobo ezimbili amaphilisi. Uhlobo lokuqala zithutha uba nombala ophuzi. Indaba esemqoka kule ukwakheka kuyinto 2 mg estradiol valerate. Eyesibili uhlobo zithutha - brown. Ingxenye enkulu uthathwa estradiol valerate 2 mg 150 levonorgestrel mg. Phama amabhamuza ikhambi 9 noma 12 izingcezu ngamunye.

Nale nomuthi njalo kwenziwe HRT ukuya esikhathini. isizukulwane esisha izidakamizwa Izibuyekezo zinhle ezimweni eziningi. Imiphumela engemihle musa ukuthuthukisa, uma ulandela izincomo udokotela.

Isenzo "klimonorma" izidakamizwa

"Klimonorma" - isilungiselela kuhlangene, okuyinto wabelwe kuqede izimpawu menopause futhi siqukethe estrogen kanye progestogen. Uma emzimbeni, estradiol valerate, estradiol izidakamizwa is ibe odabuka yemvelo. Kungezwe ohlwini main izidakamizwa izidakamizwa levonorgestrel kuyinto nokuvimbela Hyperplasia endometrial nomdlavuza. Ngenxa Ukwakheka layo eliyingqayizivele lwemithi ekhethekile kungenzeka emva kokwelashwa ukubuyisela umjikelezo wokuya esikhathini kwabesifazane kanye kwesibeletho non-ekhishiwe.

Estradiol buyisela ngokugcwele emzimbeni a estrogen yemvelo ngesikhathi lapho nambili kuya kwabadala. Kuyasiza ukuba sibhekane ngokuphumelelayo vegetative nezingokwengqondo izinkinga ezenzeka phakathi kwabadala. Ungase futhi uthole ezivimbela ukwakhiwa imibimbi futhi ukwandisa collagen okuqukethwe esikhumbeni nokusetshenziswa HRT ukuya esikhathini. Izidakamizwa ukukusiza ukwehlisa cholesterol Imininingwane futhi kuncishiswe ingozi izifo emathunjini.

Pharmacokinetics

Lapho ukungenisa isidakamizwa okwesikhathi esifitshane ugxile esiswini. Emzimbeni, umuthi is akheka ukwakha estradiol futhi estrola. Ukuze amahora amabili kusho kukhona umsebenzi esiphezulu e-plasma. I levonorgestrel izidakamizwa cishe 100% lihlotshaniswa igazi-albumin. Excreted ku umchamo kanye Bile kancane. Ukunakekela okukhethekile kufanele ithathe imithi yokwelapha hormone ngesikhathi nambili kuya kwabadala. Amalungiselelo ezingeni 1 abhekwa anamandla futhi kungaba ngokuphawulekayo ngcono isimo wobulili bubuhle ngemva kweminyaka engu-40. Esebenzisa kwemithi kanye "klimonorma" libhekisela kuleli qembu.

Izinkomba kanye contraindications

Umuthi ingasetshenziswa kulezi zimo ezilandelayo:

• hormone yokwelapha phakathi menopause;
• izinguquko involutional esikhunjeni mucosa kohlelo urogenital;
• okuqukethwe enganele estrogen ngesikhathi menopause;
• izinyathelo zokuvimbela ukukhumuzeka kwamathambo;
• ukuzinza we umjikelezo wokuya esikhathini;
• ephulukisa inqubo ngesikhathi zamabanga aphansi naphezulu amenorrhea hlobo.

Izimo:

• ukopha hhayi ehlangane nokuya esikhathini;
• ibele;
• i-hormone precancerous nemibandela anomdlavuza;
• umdlavuza webele;
• isifo sesibindi;
• thrombosis oyingozi futhi thrombophlebitis;
• Hypersensitivity kuya izingxenye;
• hypotension;
• izifo kwesibeletho.

Akubonisi HRT njalo phakathi kwabadala. isizukulwane esisha izidakamizwa (uhlu ethulwa ngenhla) unikezwe indaba nje kuphela uma, uma ukuya esikhathini kuhambisana ukuwohloka okuphawulekayo abesifazane impilo.

Isikali

Uma namanje abenezikhala, ukwelapha kufanele uqale ngosuku lwesihlanu lomjikelezo. Lapho amenorrhea futhi menopausal ukuphulukiswa inqubo usungaqala nganoma isiphi isikhathi lomjikelezo kuze exclusion yokukhulelwa. Omunye iphakheji wezokwelapha "klimonorma" yakhelwe lokumamukela sezinsuku ezingu-21. Kusho isiphuzo lokhu algorithm:

• 9 ngezinsuku zokuqala zomhlangano wesifazane uthola amaphilisi aphuzi;
• ezinsukwini ezilandelayo ezingu-12 - brown jelly ubhontshisi;

Ngemva ukwelashwa, zikhona nezikhathi, ngokuvamile usuku wesibili noma wesithathu emva komthamo lokugcina izidakamizwa. izinsuku eziyisikhombisa ikhefu, bese kudingeka ukuba uphuze iphakethe esilandelayo. Dragees kufanele kuthathwe kanye ketshezi, futhi aphuze amanzi. Kumele uthathe indlela ngezikhathi ezithile ngaphandle ulahlekile.

Kuphoqelekile banamathele scheme HRT ukuya esikhathini. isizukulwane esisha izidakamizwa impendulo ingaba mibi. It ehluleka ukufeza umphumela oyifunayo, uma ukhumbule ukuthatha amaphilisi akho ngesikhathi esifanele.

Endabeni ka ukweqisa izidakamizwa kungabangela ezifana izenzakalo ezingemnandi ezifana esiswini ecasukile, ukuhlanza, futhi ukopha hhayi ehlangane nokuya esikhathini. Lingekho ikhambi izimali eziqondile. Endabeni ka ukweqisa izidakamizwa ukwelashwa lingaze lenikiwe.

Izidakamizwa "Femoston"

Imithi kungokwalabo izimali iqembu protivoklimaktericheskih. Iyatholakala ngesimo amaphilisi zezinhlobo ezimbili. Iphakheji zingatholakala amaphilisi umbala omhlophe ngekhava ifilimu. Isakhi esiyinhloko kuba estradiol at umthamo 2 mg. Futhi, uhlobo lokuqala lihlanganisa amaphilisi grey. Ukwakheka kuyinto estradiol 1 mg kanye 10 mg dydrogesterone. Phama izindlela e amabhamuza yizicucu 14 ngamunye. Uhlobo lwesibili kuhlanganisa izibhebhe color pink, equkethe 2 mg estradiol.

Ngaleli thuluzi kuvame ukwenziwa yokwelapha esikhundleni. Ukunakekela okukhethekile ukuze ukhethe, uma kuziwa mayelana hormone yokwelapha phakathi menopause imithi. Izibuyekezo "Femoston" has kokubili emihle nemibi. amazwi Good namanje inqobe. Imithi aqede izimpawu eziningi menopausal.

umphumela

"Femoston" - a ezimbili isigaba inhlanganisela belungiselela ekwelapheni kuya kwabadala. Bobabili izingxenye izidakamizwa kukhona analogue female hormone ocansini progesterone futhi estradiol. Okokugcina i supply estrogen ngesikhathi menopause kususa izimpawu vegetative nemvelo psycho-ngokomzwelo, kuvimbela ukukhumuzeka kwamathambo.

Dydrogesterone kuyinto progestogen, okuyinto kunciphisa ingozi Hyperplasia nomdlavuza endometrial. Le into ine oestrogenic, androgenic, glucocorticoid nomsebenzi Anabolic. Uma kugwinywe, it is matasa ngokushesha bese akheka ngokuphelele. Uma kuboniswa HRT ngesikhathi menopause izidakamizwa "Femoston" futhi "klimonorma" kumele kusetshenziswe kuqala.

Izinkomba kanye contraindications

I nomuthi esetshenziswa kulezi zimo ezilandelayo:

• HRT ngesikhathi menopause futhi emva kokuhlinzwa;
• zokuvimbela kwamathambo, okuyinto lihlotshaniswa menopause

Izimo:

• ukhulelwe;
• lactation;
• umdlavuza webele;
• isimila umdlavuza ukuthi abe nohlamvu-hormone engaphansi;
• porphyria;
• thrombosis futhi thrombophlebitis;
• Hypersensitivity kuya izingxenye;
• sikashukela;
• nomfutho wegazi ophezulu;
• Hyperplasia endometrial;
• migraine.

Kuyasiza ukuthuthukisa inhlalakahle hormone yokwelapha phakathi kwabadala. Amalungiselelo kukhona ukubuyekezwa omuhle ngokwengeziwe. Nokho, ukuzisebenzisa ngaphandle kokubonisana ngaphambi udokotela akunakwenzeka.

Isikali

Tablets "Femoston" nokuqukethwe estradiol e umthamo 1 mg kuthathwe kanye ngosuku ngesikhathi esifanayo. Ukwelashwa Kwenziwa isikimu ekhethekile. Ezinsukwini zokuqala 14 Kumelwe uthathe amaphilisi emhlophe. Labo abasele abanga-izinsuku ezingu-14 - umuthi grey luhlaza.

amaphilisi Pink equkethe 2 mg estradiol kuthiwa esiphuza ezinsukwini ezingu-14. Abesifazane abangakazizwa ngobugebengu nomjikelezo wokuya esikhathini, impatho kuyadingeka ukuze uqale ngosuku lokuqala ukopha. Iziguli nemijikelezo okungajwayelekile izidakamizwa iqondiswa ngemva kwamasonto amabili ukwelashwa kusho "progestogen". Bonke abanye ngokungabi bikho imithi nyangazonke ungaqala ukuphuza ngosuku. Udinga ukulandela lwemithi yokwelashwa ukuze sithole imiphumela emihle HRT phakathi kwabadala. isizukulwane esisha izidakamizwa kuyokusiza uhlale owesifazane azizwe ezinhle futhi uhlale uyingane.

Izidakamizwa "Klimadinon"

Medicine iphathelene izindlela ekuthuthukiseni inhlalakahle phakathi kwabadala. It has Ukwakheka phytotherapeutic. It ikhiqizwa ngesimo amaphilisi kanye amathonsi. Izibhebhe color pink ephethe tinge ensundu. Njengengxenye akhiphe owomileyo ube yiziphethu black cohosh iqukethe 20 mg. Amaconsi ketshezi equkethwe 12 mg akhiphe black cohosh. Amaconsi abe ukukhanya umbala ensundu iphunga ukhuni fresh.

Izimpawu:

• iziyaluyalu vegetative-semithambo elihlobene ne izimpawu nambili kuya kwabadala.

Izimo:

• izimila ama-hormone engaphansi;
• lezinceku lactose ukungabekezelelani;
• ukuluthwa utshwala;
• Hypersensitivity kuya izingxenye.

Funda ngokucophelela imiyalelo ezidingekayo ngaphambi kokuqala HRT phakathi kwabadala. Amalungiselelo (usimende lehla, amaphilisi) kumele sisetshenziswe kuphela iseluleko udokotela wezifo zabesifazane.

"Klimadinon" imithi ithebhulethi eyodwa noma 30 amathonsi kabili ngosuku. Kuyinto efiselekayo lokufeza ukwelashwa ngesikhathi esifanayo. Inkambo yokwelashwa incike kumuntu.

Izidakamizwa "Angelique"

Libhekisela ngezindlela zisetshenziselwa ukwelapha nambili kuya kwabadala. Itholakala ngemibala grey and pink ngesimo amaphilisi. Ukulungiswa kuhlanganisa 1 mg estradiol futhi 2 mg drospirenone. Phama ibhamuza ejenti, waba yizicucu 28 ngamunye. Lo chwepheshe uzokutshela indlela yokuqhuba HRT phakathi kwabadala. isizukulwane esisha izidakamizwa ayikwazi ukusetshenziswa ngaphandle kokubonisana ngaphambi. Ukwelapha i-hormone ungaba kokubili inzuzo kanye nokulimala.

I nomuthi ine izinkomba ezilandelayo:

• hormone yokwelapha phakathi menopause;
• zokuvimbela kwamathambo phakathi kwabadala.

Izimo:

• wopha esithweni sakho sangasese Lokudabuka okungacaci;
• umdlavuza webele;
• sikashukela;
• nomfutho wegazi ophezulu;
• thrombosis.

Ngo menopause , gynecologists abaningi batusa imali HRT phakathi kwabadala. isizukulwane esisha izidakamizwa - ikhambi ephelele abesifazane emva kweminyaka 45.

Umthamo zomuthi, "Angelique"

Omunye iphakheji yakhelwe kwezinsuku ezinga-28 ukulaliswa esibhedlela. Nsuku zonke, kufanele uthathe iphilisi elilodwa. Phuza umuthi kungcono kwelinye futhi ngesikhathi esifanayo, ngaphandle ukuhlafuna futhi amanzi okuphuza. ukwelashwa kufanele kube khona izikhala. Ngazishaya indiva izincomo hhayi kuphela ngeke kulethe imiphumela emihle, kodwa futhi kungabangela ukopha lwesitho sangasese sowesifazane. Kuphela mkhosi efanele kohlelo kuzosiza kujwayeleke umjikelezo wokuya esikhathini uwubufakazi ngokuhamba HRT ukuya esikhathini.

Isizukulwane esisha izidakamizwa ( "Angelica", "klimonorma", "Klimadinon", "Femoston") akheke esiyingqayizivele, sibonga kangakanani ngalo kungenzeka ukubuyisela zesifazane ukungalingani hormone.

Khonka "CLIMAR"

Lokhu nomuthi ekhiqizwa ngesimo isichibi equkethe 3.8 mg estradiol. Kusho okusaqanda banamathela endaweni isikhumba, kufihlwe ngaphansi izingubo. Iyasebenza, isichibi kudedela isithako, kwenta kancono simo sabomake abesifazane. Ngemva kwezinsuku ezingu-7, kumele izindlela kususwe kanye nokunamathisela entsha kwenye indawo.

imiphumela emibi patch bayatfutfuka ngempela ezingavamile. Naphezu kwakho konke lokhu, i-ejenti hormone kumele kusetshenziswe kuphela emva kokubonisana udokotela wakho.

Izibuyekezo of the esebenzisa HRT

Isizukulwane esisha izidakamizwa ukuthi asetshenziswa yokwelapha hormone Ungakwazi ukubuyisela impilo abesifazane ukuya esikhathini. Banezinhliziyo impendulo ezinhle kusukela abesifazane abaneminyaka engama-45. Imithi okwesikhathi esifitshane akhulule iziguli we vegetative neziyaluyalu psycho-ngokomzwelo, naso ngokwaso zokuvimbela esihle kwamathambo. Zonke izimali bubekezelelwa kahle futhi akavumi ukuba umlutha.

Ochwepheshe wazi ukuthi emva aphatha ngayo abesifazane ezimboziwe normalizes nomjikelezo wokuya esikhathini, isikhumba uthola umbala enempilo futhi iba bushelelezi futhi ithenda. Esikhathini igazi, kwehlisa cholesterol. Ebusweni imigqa bushelelezi emihle, iziguli waphawula imizwa emangalisayo futhi akukhuthalele. Amaphilisi kanye amaphilisi lula ukuthatha, ngokuvumelana isikimu. Bonke babe ikhava zokuzivikela okungahambisani obungamcasula isisu. Popular patch futhi hormone.