Nzira yehupenyu

Un mararamiro ane hutano inobatsira kuderedza kusimba kwezviratidzo zvemenopausal, inovandudza hutano hwemwoyo nemapfupa, uye inopa zvimwe kudzivirirwa kurwisana nematambudziko akawanda ehutano.

chikafu

Kuderedza kupisa kunopisa

• Panzvimbo yekuva nekudya kukuru kwe3, kuderedza zvikamu uye kuronga kudya kunovaka muviri pakati pekudya;
• Kunwa mvura yakawanda;
• Dzivisa kana kuderedza zvakanyanya manwiro ako ezvinokurudzira: zvinwiwa zvinopisa, kofi, doro, zvinonhuwira;
• Deredza manwiro aunoita shuga yakanyanyisa;
• Idya zvokudya zvakapfuma mu phytoestrogens nguva dzose.

Kudzidzira muviri

Chero nzira ipi zvayo yekurovedza muviri iri nani pane kusaita basa remuviri. Kune vese vakadzi, uye kunyanya avo vari kupinda munguva ino yekuchinja, thekurovedza muviri zuva nezuva inopa mabhenefiti akawanda akakosha:

- chengetedza kana kuwana huremu hune hutano;

- chengetedza hurongwa hwemoyo muchimiro chakanaka;

- kuderedza kurasikirwa kwepfupa uye njodzi yekuwa;

- kuderedza njodzi yekenza yemazamu;

- kurudzira chido chepabonde.

Mukuwedzera, ongororo dzinoratidza kuti vakadzi vanongogara vari pamwe chete vane mukana mukuru wokuva nawo hot flashes zviri pakati nepakati kana kurema zvichienzaniswa nevakadzi vanosimbisa muviri nguva dzose^{3, 4,47}.

Zvinokurudzirwa kuva zvine mwero kushanda zvishoma 30 maminetsi pazuva uye batanidza kuchinjika maekisesaizi mumaitiro ako: kutambanudza, tai chi kana yoga, semuenzaniso. Kuti uwane mazano akakodzera, bvunza kinesiologist (nyanzvi mune zvekurovedza muviri).

Relaxation techniques

Kufema kwakadzika, masaja, yoga, kuona, kufungisisa, nezvimwe zvinogona kubatsira nematambudziko ekurara, kana aripo. Kuzorora kunogona kubatsira kuderedza zvimwe zviratidzo zvekuenda kumwedzi (ona Zvimwe zvemaitiro echikamu).

Mishonga

Kurwisa matambudziko akasiyana-siyana ane chekuita nekuenda kumwedzi, vanachiremba vanoshandisa 3 mhando dzemishonga nzira:

• general hormonal treatment;
• kurapa kwehomoni yemunharaunda;
• non-hormonal treatments.

General hormonal therapy

THEhormone therapy inopa mahormone ayo maovari anomira kuburitsa. Inobvumira ruzhinji rwevakadzi kuona yavo zviratidzo (kupenya kunopisa, kuvhiringidzika kwehope, kushanduka kwemafungiro) kwenguva yakareba yehomoni therapy.

Zvakakosha kuziva kuti vakadzi vazhinji vanotanga general therapy therapy vanozowanazve zviratidzo zvavo kana vakamira kurapwa nekuti muviri unoenda kuburikidza nekuchinja kwehomoni zvakare. Vamwe vakadzi vanogona, semuenzaniso, kutora chisarudzo tora hormone therapy kwemakore mashomanana uye wozofunga kurega kuitora paunorega, uchiziva kuti zvichava nyore kugadzirisa zviratidzo zvavo panguva ino muupenyu.

Systemic hormone therapy inowanzoshandisa musanganiswa weestrogens uye progestins. The estrogen chete zvakachengeterwa vakadzi vakabviswa chibereko (hysterectomy) sezvo, vakatorwa kwenguva yakareba, vanowedzera njodzi yegomarara rechibereko. Kuwedzera progestin kunoderedza ngozi iyi.

Mazuva ano, iyohormone therapy rakachengeterwa vakadzi vane zviratidzo zvekuguma kuenda kumwedzi uye vane mararamiro akakanganiswa zvakakwana kuti azvipembedze. The Society of Obstetricians uye Gynecologists yeCanada inokurudzira kuti vanachiremba vanyore muyero wakaderera unoshanda kwenguva pfupi. Iyo yakanyanya kukurudzirwa nguva ndeye 5 makore.

Hormone therapy inogona kubatsira kuderedza kurasikirwa kwe pfupa uye nokudaro kuderedza ngozi yekuputsika. Nekudaro, haifanirwe kunyorerwa nekuda kwechinangwa ichi chete.

Hormone replacement therapy dzimwe nguva ine divi zvinokonzerwa kwete ngozi, asi isingafadzi. Tarisa nachiremba wako.

Vamwe vakadzi vanotora mahormone so ramba uchienda, ndiko kuti, vanotora estrogens uye progestins zuva nezuva. Kutevera kunobva kwamira. Kazhinji, ivo havatangezve kana hormone therapy yamira, kana yakagara kwenguva yakakwana. Vamwe vakadzi vanorapwa cyclic, uye tora maprogestin mazuva 14 chete pamwedzi uye estrogen zuva rega rega. Hormonal therapy inotorwa cyclically inoburitsa "nguva dzenhema" kana kubuda ropa kubvisa (kusina hukama neovulation, sezviri munyaya yepiritsi rekudzivirira).

Classic hormone therapy

MuCanada, conjugated equine estrogens (Premarin®) vave kwenguva refu yakanyanya kunyorerwa. Maestrogen aya anotorwa muweti yemboro dzine mimba uye anopihwa nemuromo. Zvisinei, izvi hazvisisiri izvo. 1^er Kukadzi 2010, Premarin® yakabviswa kubva pane rondedzero yemishonga yakavharwa neQuebec yeruzhinji inishuwarenzi yemishonga chirongwa, nekuda kwekuwedzera kwakanyanya mumutengo wayo wekutengesa.². (Premplus®, musanganiswa we conjugated equine estrogen uye synthetic progesterone, yakabviswawo.)

Kubva ipapo, vanachiremba vanogona kurayira chero eestrogens anotevera. Aya mahwendefa anofanira kutorwa nemuromo.

- Estrace®: oestradiol-17ß;

- Eyes®: estropipate (chimiro cheestrone);

- CES®: synthetic conjugated estrogens.

Estrogens inowanzonyorwa pamwe chete ne synthetic progestins : medroxy-progesterone acetate (MPA) yakadai Tarisa® kana micronized progesterone kubva kumiti yakadai Prometrium®. Micronized progesterone imhando ye "bioidentical" hormone (ona pazasi).

Bioidentical hormone therapy

The bioidentical mahomoni iva nechimiro chakafanana chemolecular semahomoni akavanzwa nemaovari: estradiol-17ß (esrogen huru inogadzirwa nemuviri wechikadzi) uye progesterone. Anogadzirwa murabhoritari kubva mumiti yakaita sesoya kana mayam emusango.

Bioidentical estradiol-17ß inotungamirirwa ne dermal, iyo inoisiyanisa kubva kune yakajairika hormone therapy. Inowanikwa nenzira ye inoratidza (Estraderm®, Oesclim®, Estradot®, Sandoz-Estradiol Derm® kana Climara®) kana kubva gel (Estrogel®).

Kuwedzeraoestradiol-17ß, vanachiremba vanoshandisa bioidentical therapy vanowanzorayira micronized progesterone. Iyo micronization tekinoroji inoshandura progesterone kuita tudiki tudiki tunotorwa nemuviri. Izvi zvinopihwa ne nomumukanwa (Prometrium®).

Bio-yakafanana mahomoni akatemerwa kwemakore akati wandei muCanada neFrance (zita rekuti bio-yakafanana ichangoburwa). Panguva yekunyora, mishonga iyi yaingovharwa chete neQuebec yeruzhinji yemushonga inishuwarenzi chirongwa mune dzimwe nyaya. Zvisinei, zvirongwa zvakawanda zveinishuwarenzi zvakazvimiririra zvinovadzorera.

taura pfungwa. Zvinokwanisikawo kutenga pane-the-counter kugadzirira kwakanaka kwebioidentical estrogens, nenzira yekrimu ine musanganiswa we 3 natural estrogenic molecules yevakadzi, estradiol, estriol uye estrone. Nekudaro, hapana data resainzi rakasimbisa kushanda kwavo uye vanachiremba vazhinji vanopa zano pamusoro pavo. Iwe unogona zvakare kuwana muma pharmacy magistral kugadzirira kwe progesterone muchimiro chekrimu. Ava vanoodzwa mwoyo zviri pamutemo. Maererano neD^re Sylvie Dodin, kubatwa kweprogesterone kuburikidza neganda hakubatsiri, kunosiyana zvakanyanya kubva kune mumwe mukadzi kuenda kune mumwe uye haapi kugadzikana kwakakwana kudzivirira chibereko. Yeuka kuti kutora estrogen chete kunowedzera njodzi yekenza yechibereko, uye kuti kuwedzerwa kweprogesterone kunobatsira kuderedza dambudziko iri.

Local hormonal treatment

Kushandiswa kweesrogen mune zviduku zvishoma, kumukadzi, ine chinangwa chekudzikisa zviratidzo zvine chekuita ne kuoma kwechikadzi uye kuonda kwe mucous membranes. Zvisinei, harina mugumisiro wokurapa pakupisa kunopisa, zvinetso zvokurara, uye kusagadzikana kwezvinyamusi. Local hormone therapy haikonzeri mhedzisiro uye njodzi dzine chekuita ne general hormone therapy.

Estrogens inogona kuendeswa mukati memukadzi uchishandisa a ruomba, On mhete or mahwendefa. Kubudirira kwavo kwakafanana. Kirimu yemukadzi nemapiritsi zvinoiswa mukati mesikarudzi pachishandiswa mushonga. Iyo estrogen yakaiswa mukati memukadzi mhete yakagadzirwa nepurasitiki inochinjika. Inopinda mukati memukati memukadzi uye inofanira kuchinjwa mwedzi mitatu yega yega. Vakadzi vazhinji vanozvishivirira zvakanaka, asi vamwe vanozviona zvisingafadzi kana kuti dzimwe nguva vane katsika kekutama nekubuda mubeche.

Pakutanga kwekurapa, kana mucosa yevaginal yakanyanya kutetepa, estrogen munzvimbo inoiswa mukati memukadzi inogona kupararira mumuviri. Nekudaro, hapana chakaipa chenguva refu mhedzisiro yehutano yakashumwa pamadosi akakurudzirwa.

Non-hormonal treatments

Mishonga isiri-hormonal inogona kubatsira kuderedza zvimwe zviratidzo zvekuenda kumwedzi.

Kurwisa kupisa kunopisa

Antidepressants. Zvidzidzo zvinoratidza kuti mamwe antidepressants anogona kuderedza kupisa kupenya (asi mhedzisiro yacho ishoma pane yekurapa kwehomoni) kunyangwe paine kushushikana kuri pasi. Iyi sarudzo inogona kuva sarudzo inofadza kumukadzi ane zviratidzo zvekuora mwoyo uye kupisa kunopisa, asi asingadi kutora mahomoni.

Antihypertensives. Clonidine, mushonga unoshandiswa kuderedza BP, wakaratidzwa kuva unoshanda zvishoma pane placebo mukubvisa kupisa kupenya. Nekudaro, mushonga uyu hausi kushandiswa zvakanyanya nekuti unokonzera akati wandei mhedzisiro, senge muromo wakaoma, kurara uye kuvimbiswa.

Kurwisana nekuoma kwemukadzi

Replens® Moisturizing Gel yakaratidzwa kuva inonyorovesa yemukadzi mukubvisa kukwenya uye kusvotekana pamwe nekurwadziwa panguva yebonde. Inoshandiswa mazuva maviri kusvika matatu ega ega.

Kupesana nekushanduka-shanduka

Kushandiswa kwemishonga inoderedza kuora mwoyo, anxiolytics uye mapiritsi ekurara haafaniri kuva chikamu che arsenal yehutano hwekutanga kumwedzi. Kunyorerwa kwavo kunofanirwa kusangana nemaitiro akafanana uye kuomarara kwakafanana kune chero imwe nguva yehupenyu.

Kurwisa osteoporosis

Mishonga yakati wandei isiri-homoni inoshandiswa kuwedzera kusimba kwemapfupa uye kuderedza njodzi yekutyoka. Ona chikamu cheMedical treatments chepepa rechokwadi reOsteoporosis.

Kurwisana nezvinetso zvekurara

Mamwe mazano ekufambisa kurara: kurovedza muviri nguva dzose, shandisa nzira dzakasiyana-siyana dzekuzorora (kufema zvakadzika, kukwiza, nezvimwewo), dzivisa caffeine nedoro uye kunwa German chamomile kana valerian herbal tea usati warara.⁶. Onawo Kurara Kurinani - Gaidhi Rinoshanda.

Hupenyu hwepabonde

Zvidzidzo zvinowanzoratidza kuti vakadzi vane hupenyu hwepabonde hunoshingaira vane zviratidzo zvishoma pakuguma kwekuenda kumwedzi pane avo vane zvishoma kana kusasangana pabonde⁷. Asi hazvizivikanwe kana paine chikonzero uye mhedzisiro yekubatana kana iri nyore masanga pakati pezviviri izvi.

Zvakadaro, zviri pachena kuti kuenda kumwedzi kunomisikidzwa nezviratidzo zvakawanda kunokanganisa hupenyu hwepabonde. Nekudaro, munhu anogona kuchengetedza hupenyu hwepabonde hunoshanda uye hunogutsa nekushandisa vaginal hormone therapy, vaginal moisturizer kana lubricant.

Yeuka kuti kurovedza muviri kunogonawo kumutsa chido muvakadzi. Kuchengetedza libido kushanda, zvakakoshawo kuchengetedza kutaurirana kwakanaka newawakaroorana naye uye kugadzirisa kushushikana mune zvese (basa, nezvimwewo).

Testosterone. Kunyorera testosterone kuvakadzi vepashure memenopausal ichiri chiitiko chemukati muNorth America. Zvisinei, vanachiremba vakawanda vari kuzviita kuti vadzorere uye vawedzere libido, kunyanya muvakadzi vakavhiyiwa ma ovaries. Izvo zvinogona kuitika zve testosterone kushandiswa kwevakadzi zvichiri kunzwisiswa zvisina kunaka. Saka tinofanira kuona kurapwa uku sekuedza.

Tarisa uone bepa redu reMadzimai eSexual Dysfunction.

zvokuwedzera

Iyo chete kurudziro yepamutemo ine chekuita nekushandiswa kwecalcium uye vhitamini D zvinowedzera kurwisaosteoporosis, mune zvimwe zviitiko. Kuti uwane rumwe ruzivo, ona pepa reosteoporosis pamwe neakazvipira kune izvi zvigadzirwa zviviri.