Yanke shawara game da maganin hormone

Maganin Hormone (HT) yana amfani da homon daya ko fiye don magance alamomin jinin haila.

Yayin al'ada:

• Kwaiyen mace su daina yin kwai. Hakanan suna samar da ƙarancin estrogen da progesterone.
• Lokacin haila a hankali yakan tsayar da lokaci.
• Lokaci na iya kara kusantowa ko tazara sosai.Wannan tsarin zai iya wucewa tsawon shekara 1 zuwa 3 da zarar ka fara tsallake-tsallake.

Zuban jinin haila na iya zuwa kwatsam bayan tiyata don cire ƙwarjin ƙwai, chemotherapy, ko wasu maganin hormone na kansar mama.

Alamomin cutar haila na iya wuce shekaru 5 ko fiye, gami da:

• Hasken walƙiya da zufa, yawanci a mafi muninsu na farkon 1 zuwa 2 shekaru bayan kwanakinku na ƙarshe
• Rashin farji
• Yanayin motsi
• Matsalar bacci
• Kadan sha'awar jima'i

Ana iya amfani da HT don magance cututtukan menopause. HT yana amfani da homonin estrogen da progestin, wani nau'in progesterone. Wani lokaci ana kara testosterone.

Wasu alamomin cutar jinin al'ada ba tare da HT ba. Rogenananan isrogen da ƙoshin farji na iya taimakawa rashin bushewar farji.

HT na zuwa ne a cikin kwayar magani, faci, allura, cream na farji ko ƙaramar kwamfutar hannu, ko zobe.

Shan shan homon na iya zama da haɗari. Lokacin da kake la'akari da HT, koya game da yadda zai iya taimaka maka.

Lokacin shan homoni, walƙiya mai zafi da zufa na dare ba sa faruwa sau da yawa kuma ma suna iya wucewa na lokaci. Sannu a hankali rage HT na iya sa waɗannan alamun ba su da matsala.

Hakanan maganin Hormone na iya taimakawa sosai wajen sauƙaƙawa:

• Matsalar bacci
• Rashin farji
• Tashin hankali
• Rashin hankali da rashin hankali

A wani lokaci, ana amfani da HT don taimakawa hana ƙananan ƙasusuwa (osteoporosis). Yanzu abin ba haka yake ba. Likitanku na iya rubuta wasu magunguna don magance cutar sanyin kashi.

Nazarin ya nuna cewa HT baya taimakawa magance:

• Ciwon zuciya
• Rashin fitsari
• Alzheimer cuta
• Rashin hankali

Tabbatar yin magana da likitanka game da haɗarin cutar HT. Waɗannan haɗarin na iya bambanta dangane da shekarunku, tarihin lafiyar ku, da sauran abubuwan.

TUFAFIN JINI

Shan HT na iya kara yawan hadarin ka ga daskarewar jini. Hatsarinku na daskarewar jini ya fi yawa idan kuna da kiba ko kuma idan kun sha taba.

Hatsarinku na daskarewar jini na iya zama ƙasa idan kuna amfani da facin fata na estrogen maimakon kwayoyi.

Haɗarin ku yayi ƙasa idan kunyi amfani da mayukan farji da na alluna da zoben estrogen mai ƙarancin ƙarfi.

CIWON NONO

• Yawancin masana sun yi imanin cewa shan HT har zuwa shekaru 5 ba ya ƙara yawan haɗarin ka na kansar mama.
• Shan estrogen da progesin tare fiye da shekaru 3 zuwa 5 na iya kara barazanar ka ga cutar sankarar mama, ya danganta da nau'in progesin din da aka umarce ka.
• Haukar HT na iya sa hoton mammogram ɗin ƙirjinku ya yi haske. Wannan na iya wahalar gano kansar nono da wuri.
• Shan estrogen shi kadai yana da alaƙa da rage haɗarin cutar sankarar mama. Koyaya, idan kuka ɗauki estrogen da progesin tare, haɗarin kamuwa da cutar sankarar mama na iya zama mafi girma, dangane da nau'in progesterone ɗin da kuka ɗauka.

CIWON KWANA (UTERINE)

• Shan estrogen shi kadai yana kara kasadar kamuwa da cutar kansa ta endometrial cancer.
• Shan progestin tare da estrogen yana kariya daga wannan cutar kansa. Idan kana da mahaifa, yakamata ka sha HT tare da estrogen da progestin.
• Ba za ku iya samun cutar kansa ta endometrial ba idan ba ku da mahaifa. Yana da aminci kuma an ba da shawarar yin amfani da estrogen shi kaɗai a wannan yanayin.

CUTAR ZUCIYA

HT shine mafi aminci yayin ɗauka kafin shekaru 60 ko tsakanin shekaru 10 bayan fara menopause. Idan ka yanke shawarar shan estrogen, karatuttukan na nuna cewa yafi zama lafiya fara estrogen jim kadan bayan kamuwa da cutar haila. Farkon estrogen sama da shekaru 10 bayan fara jinin al'ada yana kara barazanar kamuwa da cututtukan zuciya.

• HT na iya ƙara haɗarin kamuwa da cututtukan zuciya ga tsofaffin mata.
• HT na iya ƙara haɗari ga matan da suka fara amfani da estrogen fiye da shekaru 10 bayan ƙarshen lokacinsu.

BUGA

Matan da ke shan estrogen kawai kuma suke shan estrogen tare da progestin suna da haɗarin kamuwa da bugun jini. Yin amfani da facin estrogen maimakon na kwaya mai baka yana rage wannan haɗarin. Koyaya, haɗari na iya ƙaruwa idan aka kwatanta da rashin shan kowane irin homonton kwata-kwata. Hananan HT sashi kuma yana rage haɗarin bugun jini.

MAGUNGUNA

Shan HT na iya kara haɗarin kamuwa da duwatsun gall.

HATSAR MUTU (MUTU'A)

Gabaɗaya yawan mace-mace ya ragu a cikin matan da suka fara HT a cikin shekaru 50. Kariyar tana ɗaukar kimanin shekaru 10.

Kowace mace daban take. Wasu mata ba sa damuwa da alamomin haila. Ga wasu, bayyanar cututtuka suna da tsanani kuma suna shafar rayuwarsu sosai.

Idan alamomin haila suka dame ka, yi magana da likitanka game da fa'idodi da kasada ga HT. Ku da likitan ku na iya yanke shawara idan HT ta dace da ku. Dole likitan ku ya kamata ya san tarihin lafiyar ku kafin ya tsara HT.

Bai kamata ku ɗauki HT ba idan kun:

• An sami bugun jini ko bugun zuciya
• Yi tarihin jinin jini a jijiyoyinka ko huhunka
• Kuna da nono ko ciwon daji na ƙarshe
• Yi ciwon hanta

Wasu canje-canje na rayuwa zasu iya taimaka muku daidaitawa da canje-canje na al'ada ba tare da shan homon ba. Hakanan zasu iya taimakawa kare kashin ka, inganta lafiyar zuciyar ka, da taimaka maka zama cikin ƙoshin lafiya.

Koyaya, ga mata da yawa, shan HT wata hanya ce mai aminci don magance cututtukan maza.

A halin yanzu, masana basu da tabbas kan tsawon lokacin da yakamata ku ɗauki HT. Wasu kungiyoyin masu sana'a suna ba da shawarar cewa zaka iya shan HT don alamun rashin jinin al'ada na tsawon lokaci idan babu wani dalili na likita da zai dakatar da maganin. Ga mata da yawa, ƙananan allurai na HT na iya isa su sarrafa alamun bayyanar cututtuka. Doananan allurai na HT suna da ƙananan sakamako masu illa.

Waɗannan duk batutuwa ne don tattaunawa tare da mai ba da lafiyar ku.

Idan kuna jinni na farji ko wasu alamu na daban yayin HT, kira likitan ku.

Tabbatar da ci gaba da ganin likitanka don binciken yau da kullun.

HRT - yanke shawara; Maganin maye gurbin Estrogen - yanke shawara; ERT- yanke shawara; Maganin maye gurbin Hormone - yanke shawara; Ba da maza - yanke shawara; HT - yanke shawara; Maganin haila na menopausal - yanke shawara; MHT - yanke shawara

Bayanin Kwamitin ACOG A'a. 565: Maganin Hormone da cututtukan zuciya. Obstet Gynecol. 2013; 121 (6): 1407-1410. PMID: 23812486 pubmed.ncbi.nlm.nih.gov/23812486/.

Cosman F, de Beur SJ, LeBoff MS, et al. Jagoran likita don rigakafi da magani na osteoporosis. Osteoporosis Int. 2014; 25 (10): 2359-2381. PMID: 25182228 pubmed.ncbi.nlm.nih.gov/25182228/.

de Villiers TJ, Hall JE, Pinkerton JV, et al. Sanarwar Yarjejeniyar Yarjejeniyar Duniya game da maganin hormone na menopausal. Tsarin yanayi. 2016; 19 (4): 313-315. PMID: 27322027 pubmed.ncbi.nlm.nih.gov/27322027/.

Lobo RA. Saukewa da kula da balagaggen mace: endocrinology, sakamakon rashi isrogen, tasirin maganin hormone, da sauran hanyoyin magancewa. A cikin: Lobo RA, Gershenson DM, Lentz GM, Valea FA, eds. M Gynecology. 7th ed. Philadelphia, PA: Elsevier; 2017: babi na 14.

Magowan BA, Owen P, Thomson A. The menopause da kuma maye gurbin hormone. A cikin: Magowan BA, Owen P, Thomson A, eds. Clinical Obetetrics da Gynecology. 4th ed. Elsevier; 2019: sura 9.

Stuenkel CA, Davis SR, Gompel A, et al. Jiyya na bayyanar cututtuka na menopause: Jagoran icewararren Practabi'ar Endabi'ar Endocrine Society. J Clin Endocrinol Metab. 2015; 100 (11): 3975-4011. PMID: 26444994 pubmed.ncbi.nlm.nih.gov/26444994/.

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